bluuebunny/crossref_metadata_2025 huggingface dataset:
What motivates and demotivates emergency response volunteers? A survey-based factor analysis study
Authors: Prytz Erik , Norrblom Petter , Pilemalm Sofie , Andersson Granberg Tobias , Jonson Carl-Oscar
Published: August 2023

Background

Organized volunteer initiatives can reduce response times and improve outcomes in emergencies such as cardiac arrests or fires. Retention of volunteers is important to maintain good coverage and capabilities. The current study explores factors underlying volunteers’ motivation to continue as volunteers.

Methods

Data from 5347 active volunteers were collected through an online survey. An exploratory factor analysis was used to identify underlying factors that were then used in a regression analysis to predict intention to continue as a volunteer. Group differences based on, among others, number of alarms and prior professional experience in emergency response were explored.

Results

The results showed that the factors community, self-image, and competence were the strongest positive predictors for the motivation to continue, whereas alarm fatigue and negative experience were the strongest negative predictors. Volunteers with professional background had higher competence and lower Alarm fatigue. Volunteers from rural areas and small cities had higher community than those in large cities.

Conclusions

Alarm fatigue can make it hard to retain volunteers, which could be addressed using improved dispatch algorithms. Support after dispatch is important to prevent negative experiences. Finally, increased competence, e.g. through education and training, can improve volunteer’s motivation to continue.
Statistical analysis plan and protocol updates for Gestational diabetes in Uganda and India: Design and Evaluation of Educational Films for Improving Screening and Self-management (GUIDES) trial
Authors: Birk Nick , Oakley Laura L. , Mallinson Poppy A. C. , R Deepa , Babu Giridhara R. , Nyirenda Moffat , Kinra Sanjay
Published: August 2023

Background

Timely detection and management of gestational diabetes mellitus (GDM) have been identified as a high priority for policymakers in low- and middle-income countries (LMICs). The GUIDES trial will evaluate a package of three interconnected film-based interventions aimed at improving the timely detection and management of GDM. The protocol for this trial has previously been published; this publication outlines the statistical analysis plan for the trial.

Methods and design

The GUIDES study is a multi-country cluster-randomised controlled trial consisting of one trial conducted in Uganda and one in India (30 clusters in each country). Mixed effects models will be used to compare the primary study outcomes of the proportion of women who are tested for GDM between 24 and 32 weeks of pregnancy and the mean fasting blood sugar of women with GDM at 34-week follow-up while accounting for clustering. Secondary analyses will compare the proportion of women with self-reported GDM diagnosis at 32 weeks of pregnancy and the proportion of women with adverse perinatal outcomes related to GDM up to 4 weeks after birth in each trial arm.

Trial status and discussion

Follow-up is expected to end in March 2023 in Uganda and in May 2023 in India. Analyses will be carried out following this statistical analysis plan in the month following trial completion.

Trial registration

ClinicalTrials.gov NCT03937050. Registered on 3 May 2019. Clinical Trials Registry India CTRI/2020/02/023605. Registered on 26 February 2020.
Efficacy of an Internet-based intervention with self-applied exposure therapy in virtual reality for people with panic disorder: study protocol for a randomized controlled trial
Authors: Schultz Josephine , Baumeister Anna , Schmotz Stella , Moritz Steffen , Jelinek Lena
Published: August 2023

Background

Due to several treatment barriers, many individuals with panic disorder do not receive evidence-based treatment. One promising option to narrow this treatment gap is Internet-based psychotherapy, which has been shown particularly effective in guided formats. Still, there remains room for improvement to make these digital therapies more accessible, cost-efficient, and aligned with best practices for in-person interventions (e.g., exposure). The smartphone app “Invirto – Treatment for Anxiety” offers digitally guided, evidence-based treatment of panic disorders including virtual reality (VR) for exposure therapy. The aim present study is to investigate the efficacy, safety, and acceptance of Invirto in comparison to a care-as-usual (CAU) control group.

Methods

We plan to conduct a randomized controlled trial with two conditions (intervention vs. CAU), three assessment times via online surveys (t0: baseline; t1: 3 months after baseline; t2: follow-up assessment 6 months after baseline), and a total of 128 participants with a clinical diagnosis of panic disorder (symptoms must be experienced ≥ 1 year). Recruitment will take place via email, phone, and the study website. The primary outcome will be the change in anxiety symptoms as measured by Beck’s Anxiety Inventory from t0 to t1. Secondary outcomes will be the change in anxiety symptoms (measured by the Panic and Agoraphobia Scale, PAS; Questionnaire on panic-related Anxieties, Cognitions and Avoidance, ACA), depressive symptoms (measured by the Beck-Depression-Inventory, BDI-II), treatment satisfaction (measured by the Client Satisfaction Questionnaire, CSQ-8; Treatment Adherence Perception Questionnaire, TAPQ-adapt; Positive and Negative Effects of Psychotherapy Scale, PANEPS-I), psychological flexibility (measured by the Acceptance and Action Questionnaire-II, AAQ-II), and dissociation during VR exposure (measured by an adapted version of the Peritraumatic Dissociative Experiences Questionnaire, PDEQ-adapt). Participants in the intervention group will receive access to the intervention (Invirto) right after t0, while the CAU group will receive access to Invirto after t1. We expect a larger change in both the primary and secondary outcomes from t0 to t1 in the intervention group in comparison to the CAU group.

Discussion

This study is one of the first to evaluate an Internet-based intervention for people with panic disorder that includes self-application of VR exposure therapy. The findings are expected to extend the body of knowledge about effective Internet-based treatment options for people with panic disorder. The empirical and clinical implications and the limitations of the study are discussed.

Trial registration

DRKS00027585 (www.drks.de/drks_web/), date of registration: 13 January 2022.
Effect of concurrent resistance-aerobic training on inflammatory factors and growth hormones in children with type 1 diabetes: a randomized controlled clinical trial
Authors: Nazari Marzieh , Shabani Ramin , Hassanzadeh-Rad Afagh , Esfandiari Mohammad Ali , Dalili Setila
Published: August 2023

Background

Exercise training is a major factor in controlling type 1 diabetes mellitus (T1DM) in children. The present study aimed to assess the effect of concurrent resistance-aerobic training on selected inflammatory factors and hormones related to blood glucose homeostasis in children with T1DM.

Methods

In this randomized controlled clinical trial, 40 children (with the mean age of 11.11 ± 2.29 years) were randomly assigned to an experimental (N = 20) or control group (N = 20). They underwent a 16-week training program, composed of concurrent resistance-aerobic training performed intermittently for 60 min three times a week. Before and after training, blood samples were analyzed for glucose homeostasis, selected inflammatory factors, and growth factors. Data were analyzed by paired t-test and analysis of covariance (ANCOVA) in IBM SPSS version 22.

Results

The exercise training intervention reduced fasting blood sugar index (P = 0.002) and glycosylated hemoglobin significantly (P = 0.003). The growth hormone levels were increased significantly only in the experimental group (P = 0.037), whereas no significant difference was noted in the insulin-like growth factor-1 (P = 0.712). It was also found that interleukin-1β and high-sensitivity C-reactive protein did not change in the experimental or control group as compared to the pretest (P > 0.05).

Conclusion

As it was shown, it seems that concurrent resistance-aerobic training may improve blood glucose homeostasis and growth hormone. Therefore, these findings may suggest the benefit from exercise training of moderate intensity in children with T1DM. Besides, we recommend undertaking further clinical trials to determine if the exercise training was effective.

Trial registration

This study was registered in the Iranian Registry of Clinical Trials under the code IRCT20150531022498N30: https://en.irct.ir/trial/41031. Registered on July 26, 2019. All experiments on the participants were following the Declaration of Helsinki.
The NightLife study — the clinical and cost-effectiveness of thrice-weekly, extended, in-centre nocturnal haemodialysis versus daytime haemodialysis using a mixed methods approach: study protocol for a randomised controlled trial
Authors: Hull Katherine L. , Bramham Kate , Brookes Cassandra L. , Cluley Victoria , Conefrey Carmel , Cooper Nicola J. , Eborall Helen , Fotheringham James , Graham-Brown Matthew P. M. , Gray Laura J. , Mark Patrick B. , Mitra Sandip , Murphy Gavin J. , Quann Niamh , Rooshenas Leila , Warren Madeleine , Burton James O.
Published: August 2023

Background

In-centre nocturnal haemodialysis (INHD) offers extended-hours haemodialysis, 6 to 8 h thrice-weekly overnight, with the support of dialysis specialist nurses. There is increasing observational data demonstrating potential benefits of INHD on health-related quality of life (HRQoL). There is a lack of randomised controlled trial (RCT) data to confirm these benefits and assess safety.

Methods

The NightLife study is a pragmatic, two-arm, multicentre RCT comparing the impact of 6 months INHD to conventional haemodialysis (thrice-weekly daytime in-centre haemodialysis, 3.5–5 h per session). The primary outcome is the total score from the Kidney Disease Quality of Life tool at 6 months. Secondary outcomes include sleep and cognitive function, measures of safety, adherence to dialysis and impact on clinical parameters. There is an embedded Process Evaluation to assess implementation, health economic modelling and a QuinteT Recruitment Intervention to understand factors that influence recruitment and retention. Adults (≥ 18 years old) who have been established on haemodialysis for > 3 months are eligible to participate.

Discussion

There are 68,000 adults in the UK that need kidney replacement therapy (KRT), with in-centre haemodialysis the treatment modality for over a third of cases. HRQoL is an independent predictor of hospitalisation and mortality in individuals on maintenance dialysis. Haemodialysis is associated with poor HRQoL in comparison to the general population. INHD has the potential to improve HRQoL. Vigorous RCT evidence of effectiveness is lacking. The NightLife study is an essential step in the understanding of dialysis therapies and will guide patient-centred decisions regarding KRT in the future.

Trial registration

Trial registration number: ISRCTN87042063. Registered: 14/07/2020.
Enhancement of β-carotene content in Chlamydomonas reinhardtii by expressing bacterium-driven lycopene β-cyclase
Authors: Huang Danqiong , Liu Chenglong , Su Mingshan , Zeng Zhiyong , Wang Chaogang , Hu Zhangli , Lou Sulin , Li Hui
Published: August 2023

β-Carotene is one of the economically important carotenoids, having functions as the antioxidant to remove harmful free radicals and as the precursor for vitamin A and other high-valued xanthophyll such as zeaxanthin and astaxanthin. Lycopene cyclase plays an important role in the branching of β-carotene and α-carotene. Aiming to develop the microalgae with enhanced β-carotene productivity, the CrtY gene from bacterium Pantoea agglomerans was integrated into Chlamydomonas reinhardtii. The lycopene-producing E. coli harboring CrtY gene produced 1.59 times of β-carotene than that harboring DsLcyb1 from Dunaliella salina (a microalga with abundant β-carotene), confirming the superior activity of CrtY on β-carotene biosynthesis. According to the pigment analysis by HPLC, in microalgal transformants that were confirmed by molecular analysis, the expression of CrtY significantly increased β-carotene content from 12.48 mg/g to 30.65 mg/g (dry weight), which is about 2.45-fold changes. It is noted that three out of five transformants have statistically significant higher amount of lutein, even though the increment was 20% in maximum. Besides, no growth defect was observed in the transformants. This is the first report of functional expression of prokaryotic gene in eukaryotic microalgae, which will widen the gene pool targeting carotenoids biosynthesis using microalgae as the factory and thereby provide more opportunity for high-valued products engineering in microalgae.
Reassessing Stephanofilaria stilesi dermatitis in cattle, with characterization of molecular markers for confirming diagnosis
Authors: Lui Clinson C. , Kulpa Matthew , Verocai Guilherme G. , Armién Aníbal G. , Edwards Erin E. , Wiener Dominique J. , Rech Raquel R.
Published: August 2023

Background

Stephanofilaria stilesiis a vector-borne filarioid nematode of cattle in North America that is transmitted via the hematophagous horn fly (Haematobia irritans) intermediate host. Despite being relatively common, little attention has been given to a thorough description ofS. stilesilesions and the potential integration of pathological and molecular diagnostic findings to confirm infection.

Methods

To characterize the cutaneous lesions caused byS. stilesiin cattle (Bos taurus taurusandBos taurus indicus), skin of the ventral abdominal midline was collected from 22 animals during postmortem examination. Skin samples were processed for histology, transmission electron microscopy (TEM), DNA extraction, PCR, and Sanger sequencing targeting molecular markers cytochrome oxidase c subunit 1 (cox1), 12S, 18S rDNA, and 28S rDNA.

Results

Macroscopically, lesions ranged from 5 × 4 cm to 36 × 10 cm, consisting of one large single lesion, or two to four ovoid areas at the ventral abdominal midline, surrounding the umbilicus. Each lesion presented as ulcerative dermatitis with dry, serocellular crusts, or alopecic and lichenified areas. Histologically, eosinophilic, neutrophilic, and ulcerative dermatitis with furunculosis, folliculitis, and epidermal hyperplasia was observed. Cross sections of adult nematodes were identified in ~ 60% of the cases (n = 13) within intact follicles, sebaceous ducts, crusts, and areas of furunculosis.Stephanofilariafirst-stage larvae (L1) were observed in five cases within “vitelline membranes” in the superficial dermis and crusts. Ultrastructurally, the L1 cross sections were compounded of smooth multilayered cuticle and somatic cells. The “vitelline membrane” is a tri-layered membrane where L1 are suspended in a matrix.Stephanofilaria stilesiDNA was found in 5 out of the 13 cases in which adults or L1 were histologically observed (38%) and in 1 out of the 9 cases without adults or L1 present (11%). Phylogenetic analyses suggest a closer relationship of the genusStephanofilariawith Thelazioidea, instead of the family Filariidae (Filarioidea), in which it has been historically allocated.

Conclusions

Our study improved the characterization of lesions and described ultrastructural findings ofS. stilesiand highlights that molecular tools should be utilized in combination with histology for improved diagnostic resolution.

Graphical Abstract
A meta-analysis of the criterion-related validity of Session-RPE scales in adolescent athletes
Authors: Liu Haochong , Yang Wenpu , Liu Haoyang , Bao Dapeng , Cui Yixiong , Ho Indy Man Kit , Li Qian
Published: August 2023

Background

The objective of this study was to establish the criterion-related validity of the session-rating of perceived exertion (s-RPE) method in adolescent athletes.

Methods

According to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA 2020) guidelines, a meta-analysis (PROSPERO ID: CRD42022373126) was performed using Stata 15.1 software. Eight databases using the following terms: (‘s-RPE’ OR ‘Rating Perceived Exertion session’ OR ‘RPE session’ OR ‘RPE’ OR ‘Rate of Perceived Exertion’ OR ‘Rated of Perceived Exertion’) AND (‘Adolescen*’ OR ‘Youth*’ OR ‘Teen*’) AND (‘validity’ OR ‘correlation’ OR ‘concurrent validity’) were searched up to 2022. Articles meeting the inclusion criteria were screened and adopted the “Methodological Index for Non-Randomized Studies (MINORS)” to evaluate the risk of bias.

Results

An initial 1798 studies using the s-RPE method were identified and finally, a total of 16 studies were included for further analysis. The relationship between assessment instruments CR-10 or CR-100 modified methods of s-RPE and the heart rate measures of these selected studies were calculated using correlation coefficient (r values) and Fisher’s z-score. A strong to very strong correlation between s-RPE and HR was observed (overall: r = 0.74; CR-10: r = 0.69; CR-100: r = 0.80). CR-100 scale (Fisher’s z = 1.09) was shown to have a higher criterion validity than that of the CR-10 scale (Fisher’s z = 0.85).

Conclusion

Preliminary findings showed that s-RPE using either CR-10 or CR-100 scales can be used "stand-alone" for monitoring internal training load for children and adolescent athletes. Future studies should focus on whether CR-100 could better perform than CR-10 for junior and children athletes in different age groups and sports as well as the causes leading to potential scoring biases.
Left ventricle endomyocardial fibrosis: a case report
Authors: Soares Raquel Reis , Avelar Maria Clara Martins , Zanetti Sofia Lucena , Garreto Joao Victor Tavares Mendonça , Guimaraes Vinicius Dinelli , Ferber Elisa Soares , de Oliveira Drumond Mayumi , Ferber Matheus , Ferber Leonardo
Published: August 2023

Background

Endomyocardial fibrosis is a grim disease. It is the most common restrictive cardiomyopathy worldwide, but the exact etiology and pathogenesis both remain unknown. Endomyocardial fibrosis is recurrently associated with chronic eosinophilia and probable dietary, environmental, and infectious factors, which contribute not only to the onset of the disease (an inflammatory process) but also to its progression and maintenance (endomyocardial damage and scar formation). The trademark of the disease is the fibrotic obliteration of the affected ventricle. The combination of such processes produces focal or diffuse endocardial thickening and fibrosis, which leads to restrictive physiology. Endomyocardial fibrosis affects the apices of the right and the left ventricle in around 50% of cases and most often extends to the posterior leaflet of the mitral valve. Sometimes it involves the papillary muscle and chordae tendineae, causing atrioventricular valve dysfunction. The fibrosis does not affect extracardiac organs. This cardiomyopathy is most recurrent in tropical areas of the world.

Case presentation

A 67-year-old Black male with past medical history of schistosomiasis infection in childhood presented with progressive dyspnea, lower extremity edema, and weakness for 2 years. He was diagnosed with endomyocardial fibrosis. The echocardiogram showed an increased thickness in the septum (17 mm) and free left ventricular wall (15 mm), obliteration of the left ventricular apex and inflow tract, and mitral valve regurgitation. Cardiac magnetic resonance imaging revealed apical left ventricle wall thickening with left ventricular apical obliteration associated with enlargement of the respective atrium. Delayed enhancement imaging showed endomyocardium enhancement involving left ventricular apex, mitral valve regurgitation due to annulus dilation, and a thrombus at left ventricular apex. He underwent open heart surgery with mitral valve replacement, endocardial decortication, endomyocardiectomy, and two-vessel coronary artery bypass grafting as preoperative coronary angiogram showed mild right coronary artery and proximal left anterior descending artery severe lesions. Postoperative course was uncomplicated, and he was discharged successfully from the hospital. Six months after surgery, he was New York Heart Association functional class I.

Conclusion

The purpose of this case report is to illustrate the aspects of endomyocardial fibrosis by reporting a case of this entity. In conclusion, progress in imaging techniques and treatment in a reference institution for cardiac diseases contribute to earlier diagnosis and survival in patients with endomyocardial fibrosis.
Fusion of myofibre branches is a physiological feature of healthy human skeletal muscle regeneration
Authors: Højfeldt Grith , Sorenson Trent , Gonzales Alana , Kjaer Michael , Andersen Jesper L. , Mackey Abigail L.
Published: August 2023

Background

The occurrence of hyperplasia, through myofibre splitting, remains a widely debated phenomenon. Structural alterations and fibre typing of skeletal muscle fibres, as seen during regeneration and in certain muscle diseases, can be challenging to interpret. Neuromuscular electrical stimulation can induce myofibre necrosis followed by changes in spatial and temporal cellular processes. Thirty days following electrical stimulation, remnants of regeneration can be seen in the myofibre and its basement membrane as the presence of small myofibres and encroachment of sarcolemma and basement membrane (suggestive of myofibre branching/splitting). The purpose of this study was to investigate myofibre branching and fibre type in a systematic manner in human skeletal muscle undergoing adult regenerative myogenesis.

Methods

Electrical stimulation was used to induce myofibre necrosis to the vastus lateralis muscle of one leg in 5 young healthy males. Muscle tissue samples were collected from the stimulated leg 30 days later and from the control leg for comparison. Biopsies were sectioned and stained for dystrophin and laminin to label the sarcolemma and basement membrane, respectively, as well as ATPase, and antibodies against types I and II myosin, and embryonic and neonatal myosin. Myofibre branches were followed through 22 serial Sects. (264 μm). Single fibres and tissue blocks were examined by confocal and electron microscopy, respectively.

Results

Regular branching of small myofibre segments was observed (median length 144 μm), most of which were observed to fuse further along the parent fibre. Central nuclei were frequently observed at the point of branching/fusion. The branch commonly presented with a more immature profile (nestin + , neonatal myosin + , disorganised myofilaments) than the parent myofibre, together suggesting fusion of the branch, rather than splitting. Of the 210 regenerating muscle fibres evaluated, 99.5% were type II fibres, indicating preferential damage to type II fibres with our protocol. Furthermore, these fibres demonstrated 7 different stages of “fibre-type” profiles.

Conclusions

By studying the regenerating tissue 30 days later with a range of microscopy techniques, we find that so-called myofibre branching or splitting is more likely to be fusion of myotubes and is therefore explained by incomplete regeneration after a necrosis-inducing event.
In vitro antibiofilm and bacteriostatic activity of diacerein against Enterococcus faecalis
Authors: Fu Chunyan , Xu Yuxi , Zheng Hao , Ling Xinyi , Zheng Chengzhi , Tian Leihao , Gu Xiaobin , Cai Jiabei , Yang Jing , Li Yuanyuan , Wang Peiyu , Liu Yuan , Lou Yongliang , Zheng Meiqin
Published: August 2023

Enterococcus faecalis is one of the main pathogens that causes hospital-acquired infections because it is intrinsically resistant to some antibiotics and often is capable of biofilm formation, which plays a critical role in resisting the external environment. Therefore, attacking biofilms is a potential therapeutic strategy for infections caused by E. faecalis. Current research indicates that diacerein used in the treatment of osteoarthritis showed antimicrobial activity on strains of gram-positive cocci in vitro. In this study, we tested the MICs of diacerein using the broth microdilution method, and successive susceptibility testing verified that E. faecalis is unlikely to develop resistance to diacerein. In addition, we obtained a strain of E. faecalis HE01 with strong biofilm-forming ability from an eye hospital environment and demonstrated that diacerein affected the biofilm development of HE01 in a dose-dependent manner. Then, we explored the mechanism by which diacerein inhibits biofilm formation through qRT-PCR, extracellular protein assays, hydrophobicity assays and transcriptomic analysis. The results showed that biofilm formation was inhibited at the initial adhesion stage by inhibition of the expression of the esp gene, synthesis of bacterial surface proteins and reduction in cell hydrophobicity. In addition, transcriptome analysis showed that diacerein not only inhibited bacterial growth by affecting the oxidative phosphorylation process and substance transport but also inhibited biofilm formation by affecting secondary metabolism, biosynthesis, the ribosome pathway and luxS expression. Thus, our findings provide compelling evidence for the substantial therapeutic potential of diacerein against E. faecalis biofilms.
Vancomycin-resistant enterococci (VRE) in hospital settings across European borders: a scoping review comparing the epidemiology in the Netherlands and Germany
Authors: Cimen Cansu , Berends Matthijs S. , Bathoorn Erik , Lokate Mariëtte , Voss Andreas , Friedrich Alex W. , Glasner Corinna , Hamprecht Axel
Published: August 2023

The rising prevalence of vancomycin-resistant enterococci (VRE) is a matter of concern in hospital settings across Europe without a distinct geographical pattern. In this scoping review, we compared the epidemiology of vancomycin-resistant Enterococcus spp. in hospitals in the Netherlands and Germany, between 1991 and 2022. We searched PubMed and summarized the national antibiotic resistance surveillance data of the two countries. We included 46 studies and summarized national surveillance data from the NethMap in the Netherlands, the National Antimicrobial Resistance Surveillance database in Germany, and the EARS-Net data. In total, 12 studies were conducted in hospitals in the Netherlands, 32 were conducted in German hospitals, and an additional two studies were conducted in a cross-border setting. The most significant difference between the two countries was that studies in Germany showed an increasing trend in the prevalence of VRE in hospitals, and no such trend was observed in studies in the Netherlands. Furthermore, in both Dutch and German hospitals, it has been revealed that the molecular epidemiology of VREfm has shifted from a predominance of vanA towards vanB over the years. According to national surveillance reports, vancomycin resistance in Enterococcus faecium clinical isolates fluctuates below 1% in Dutch hospitals, whereas it follows an increasing trend in German hospitals (above 20%), as supported by individual studies. This review demonstrates that VRE is more frequently encountered in German than in Dutch hospitals and discusses the underlying factors for the difference in VRE occurrence in these two neighboring countries by comparing differences in healthcare systems, infection prevention control (IPC) guidelines, and antibiotic use in the Netherlands and Germany.
Hepatic steatosis is associated with dysregulated cholesterol metabolism and altered protein acetylation dynamics in chickens
Authors: Guo Xiaoli , Zhou Qianqian , Jin Jiaming , Lan Fangren , Wen Chaoliang , Li Junying , Yang Ning , Sun Congjiao
Published: August 2023

Background

Hepatic steatosis is a prevalent manifestation of fatty liver, that has detrimental effect on the health and productivity of laying hens, resulting in economic losses to the poultry industry. Here, we aimed to systematically investigate the genetic regulatory mechanisms of hepatic steatosis in laying hens.

Methods

Ninety individuals with the most prominent characteristics were selected from 686 laying hens according to the accumulation of lipid droplets in the liver, and were graded into three groups, including the control, mild hepatic steatosis and severe hepatic steatosis groups. A combination of transcriptome, proteome, acetylome and lipidome analyses, along with bioinformatics analysis were used to screen the key biological processes, modifications and lipids associated with hepatic steatosis.

Results

The rationality of the hepatic steatosis grouping was verified through liver biochemical assays and RNA-seq. Hepatic steatosis was characterized by increased lipid deposition and multiple metabolic abnormalities. Integration of proteome and acetylome revealed that differentially expressed proteins (DEPs) interacted with differentially acetylated proteins (DAPs) and were involved in maintaining the metabolic balance in the liver. Acetylation alterations mainly occurred in the progression from mild to severe hepatic steatosis, i.e., the enzymes in the fatty acid oxidation and bile acid synthesis pathways were significantly less acetylated in severe hepatic steatosis group than that in mild group (P < 0.05). Lipidomics detected a variety of sphingolipids (SPs) and glycerophospholipids (GPs) were negatively correlated with hepatic steatosis (r ≤ −0.5, P < 0.05). Furthermore, the severity of hepatic steatosis was associated with a decrease in cholesterol and bile acid synthesis and an increase in exogenous cholesterol transport.

Conclusions

In addition to acquiring a global and thorough picture of hepatic steatosis in laying hens, we were able to reveal the role of acetylation in hepatic steatosis and depict the changes in hepatic cholesterol metabolism. The findings provides a wealth of information to facilitate a deeper understanding of the pathophysiology of fatty liver and contributes to the development of therapeutic strategies.
First description of courtship and copulation in Pristidactylus casuhatiensis (Squamata, Leiosauridae)
Authors: Lujan Ogeda D. B. , Areco A. , Leynaud G. C. , Zalba S. M.
Published: August 2023

Background

Reproductive behaviour under natural conditions is hard to record, especially in rare and cryptic species, such as the Casuhatien anole (Pristidactylus casuhatiensis). This medium size lizard is endemic to the Sierras Australes Bonaerenses, a rocky outcrop in the Southern Pampas of Argentina.

Methods

During spring and summer from 2018 to 2022, we surveyed five hills at above 600 m altitude, where specimens were known to occur. Every time we detected a courtship or copulation event, we took photographs of the specimens for their individual identification, and recorded the body temperature of the participating individuals as well as air temperature, wind speed and relative humidity. We recorded the duration in minutes of each phase of the event (immobilization, juxtaposition of the cloacae followed by copulation, and finally, restraint and separation) and described the main habitat features of the site where it happened.

Results

We detected 12 reproductive events; all of them occurred in October and November, on Funke, Puntudo and Tres Picos hills, mostly between 1300 and 1700 h. The mean duration of each copulation phase was 6 min (95% CI =  ± 1.4, n = 10), 4.3 min (95% CI =  ± 1.8, n = 10) and 3.8 min (95% CI =  ± 3.42, n = 10), respectively.

Conclusion

The reproductive activity of the Casuhatien anole is concentrated in the spring, particularly in the early afternoon, following the patterns described for other species of lizards. During these events, the greatest exposure of individuals could make them more vulnerable. This, together with other features related to their reproductive behaviour revealed in this paper may contribute to the planning of conservation actions.
Insect cell culture vis-à-vis insect pest control
Authors: Battu Jabez Raju , Somala Karthik , Gummudala Yashaswini , Morthala Shankara Sai Reddy , Ramappa Karthik , Gadde Anil , Negi Nitika
Published: August 2023

Background

Insect pests are a major cause for losses in agricultural systems, and it is reported that they alone cause up to 45% loss in annual food production. Alleviating the destructive upheaval caused by these six-legged mortals in the agroecosystems falls within the expansive docket of the scientific coterie. Hence, insects are a subject to many experiments in the laboratories and on fields to understand and evaluate their interactions with their biology, physiology, and behavior so as to develop effective managerial strategies against them. Conventional methods include rearing the insects in the laboratory for experimenting on them, which is a very tiring as well as time-consuming process. How convenient it would be, if there is a way to conduct experiments which are directed specifically toward the tissues of insects, particularly cells.

Main body

The present review presents the immense potential of insect cell cultures in screening the toxicity and mode of action of novel insecticides, physiological studies apart from their ability to produce recombinant proteins through baculovirus expression vector system (BEVS) which includes a broad range of molecules ranging from the antibiotics to the vaccines. Also, we bring together the concept of culturing insect cells in vitro and how revolutionary they could be in changing the future of research in burgeoning strategies to tackle the menace of insect pests in agricultural production systems.

Conclusion

A deeper grasp of biology and physiological processes will enable us to create techniques that will improve our arsenal in the fight against food crop insect pests. The advancement in culturing insect cells and their potential in entomological research aimed at developing pest control strategies and also for manufacturing vaccines.
Palliative interatrial septum stenting with a vascular stent in a chronic thromboembolic pulmonary hypertension patient: Is it beneficial?
Authors: Putra Swastya Dwi , Prakoso Radityo , Sembiring Aditya Agita , Sakti Damba Dwisepto Aulia , Adiarto Suko , Mangkuanom Arwin Saleh , Kurniawati Yovi
Published: August 2023

Background

Chronic thromboembolic pulmonary hypertension (CTEPH) is a serious disease that can progress and lead to a deadly outcome. Despite optimal drug therapy, pulmonary hypertension (PH) remains fatal. Untreatable right heart failure (RHF) from CTEPH is eventually a significant cause of death. However, unloading the right heart and increasing systemic output are the treatment goals in these patients.

Case presentation

A 42-year-old female presented to the emergency department with worsening dyspnea experienced for three days before admission. There were also complaints of leg edema, ascites, orthopnea, and palpitation. Physical examination revealed an attenuated second heart sound, abdominal ascites, and bilateral leg edema. She had a history of frequent readmissions due to RHF despite optimal medical therapy and was diagnosed with CTEPH 5 months ago. It was decided that the patient would undergo interatrial septal (IAS) stenting with a vascular stent of 8 mm × 39 mm × 135 cm. The results were good; her symptoms and signs of RHF improved, and she was eventually discharged from the hospital. Four months after the procedure, the patient was able to engage in physical activities without any limitations.

Conclusions

A palliative IAS stent is one of the choices for intractable RHF management in patients with CTEPH. The vascular stent can be used as an alternative in order to make the interatrial connection more stable and last longer.
Characterization, treatment preferences, and outcomes of 390 Egyptian Graves’ disease patients: a retrospective study
Authors: Elsherbiny Tamer Mohamed
Published: August 2023

Background

Graves’ disease is the most common cause of thyrotoxicosis worldwide. Patient characteristics may vary according to ethnicity, iodine status, and age. Studies on characterization of Graves’ disease in Egypt are lacking. The present study aims to report the patient characteristics, as well as treatment preferences and outcomes of Graves' disease patients from Alexandria, Egypt.

Methods

A retrospective review of demographic, biochemical, serological, sonographic, and treatment data of Graves' disease patients attending endocrinology outpatient clinic, Alexandria faculty of medicine, Egypt.

Results

Three hundred ninety patients were included. Females were 75.9%, peak age was 21–40 years representing 53.1%, and family history of thyroid disease was positive in 60% of patients. Overt hyperthyroidism was present in 93.9%, TSH receptor antibodies were positive in 97.1%, and thyro-peroxidase antibodies in 74.8%. Goiter was present in 72.8%, nodularity in 18.4%, and thyroid eye disease in 17.7%. Medical treatment was used in 90% of patients, surgery in 5.4%, and radioiodine in 4.3%. For patients on medical treatment, 17.7% achieved remission, 29% relapsed, and 2.85% developed hypothyroidism.

Conclusion

A typical Graves’ disease patient in Egypt is a middle-aged female with a positive family history of thyroid disease. Overt hyperthyroidism was the most common presentation and goiter was a common sign at presentation. The sensitivity of TRAb’s for diagnosing Graves’ disease was excellent (97.1%). ATD’s was the commonest treatment modality with a remission rate of 17.7% and a relapse rate of 29%.
Alternative medicine - a replacement or an adjunctive for conventional therapy of chronic pain
Authors: Bobrzyk Adrian , Kamińska Weronika , Łyko Grzegorz , Antos Maria , Bator Piotr , Wawryszuk Angelika , Rumian Maciej , Makowska Weronika , Rachwał Krystian
Published: August 2023

Introduction and purpose: 

Many people worldwide suffer from chronic pain. It is a very inconvenient condition on its own, not only an accompanying symptom of other diseases. Conventional drug treatment may be insufficient in some cases or may even cause serious side effects in the long term. In response to this, we aim to demonstrate the diversity of alternative pain management techniques in this review and identify conditions where such techniques may be beneficial to patients.

State of knowledge:

This paper evaluates some of the most common alternative pain management methods (acupuncture, massage, chiropractic, mind body therapies, herbal medicine, music therapy)  and their application in specific cases of chronic pain.  We also describe the possible mechanisms of action involved in the effectiveness of these techniques, based on contemporary studies.

Summary:

In conclusion, there are conditions where alternative medicine may be beneficial for patients suffering from chronic pain. The studies taken into account showed the best effects for chronic musculoskeletal pain treated with methods such as acupuncture and massage. Mind-body therapies may reduce stress levels and symptoms of depression associated with chronic pain, consequently improving the quality of patients' lives. However, alternative methods should not yet be considered as replacements for conventional drug therapy. More studies are needed to evaluate whether alternative therapies will play a significant role in chronic pain management in the future.
Kombucha - fermented tea rich in nutrients and its impact on health - review
Authors: Cywka Łucja , Nowak Alicja , Bogusz Klaudia , Nowak Aleksandra , Baran Natalia , Bielak Adriana , Szwed Weronika , Maksymowicz Marcela , Machowiec Piotr
Published: August 2023

Introduction and purpose: Kombucha is a fermented beverage, usually made by fermenting sugared black or green tea with the symbiotic culture of bacteria and yeast (SCOBY). Kombucha has gained increasing popularity in recent years, mainly due to the fact that it has been associated with some health effects. The aim of the study is to review the articles available in the PubMed database in order to learn about the health benefits of Kombucha consumption. 
 
State of knowledge: Kombucha is a source of phenolic compounds, vitamins and minerals, amino acids, enzymes, proteins and other compounds which influence biological activity. Scientific research on Kombucha has shown that it exhibits antioxidant, antibacterial, anti-inflammatory, anti-cancerogenic and antidiabetic properties. It also has a good influence on the digestive system. Kombucha consumption helps to lower cholesterol level, stimulates liver detoxification processes and also supports the proper functioning of the immune system. These properties depend on the various factors such as used products, concentration of bacteria and yeast, duration of fermentation or temperature. 
 
Summary: Kombucha tea is known as a nutraceutical. It could be used as a dietary supplement. Most of the trials have been conducted on rats or mice. Kombucha has only been involved or tested in a few human trials. It is important to spread awareness among the population about this product and its impact on people’s health, conduct more research and standardise the production methods of this beverage.
The use of NovoSorb biodegradable temporising matrix in wound management: a literature review and case series
Authors: Kidd Thomas , Kolaityte Valdone , Bajaj Kuljyot , Wallace David , Izadi David , Bechar Janak
Published: August 2023

Objective:

NovoSorb (Poly-Novo Ltd, Australia) biodegradable temporising matrix (BTM) is a novel artificial dermal matrix. Previous literature is weighted towards its use in burns reconstruction; however, this paper describes its use within a range of wound aetiologies. The authors present one of the largest and most diverse case series to date, and aim to provide an independent benchmark of clinical practice.

Method:

A retrospective observational study was performed. Patient demographics and clinical data (wound aetiology, site, total body surface area (TBSA), wound bed, number of debridements, time to BTM integration, time to skin grafting) were collected and subgroup analysis preformed.

Results:

The cohort consisted of 37 patients (acute trauma wounds, n=19; hard-to-heal wounds, n=9; acute infections, n=6; cancer, n=3). Successful BTM integration, allowing subsequent split-thickness skin grafting (STSG), occurred in 70% of cases, despite an overall complication rate of 51%. Mean time from BTM application to STSG was 53 days. There was no difference in STSG outcomes when grafting was performed either before or after the six-week BTM application period. There was no difference when various wound beds (fascia, tendon, periosteum) were compared. Patients >65 years of age were more likely to experience complications; however, this did not affect the speed of integration. The relation of diabetes and smoking to overall integration had no statistical significance.

Conclusion:

In comorbid patients in particular, the time between BTM application and STSG may be longer than the manufacturer's recommendation. Furthermore, data suggest greater wound bed optimisation and closer interval monitoring in hard-to-heal/malignant wounds, and in older patients and patients with comorbidities. However, BTM appears robust (even in infection) and is showing promise as a useful reconstructive tool.
Severe and complicated soft tissue infections: a single-centre case series
Authors: Ture Zeynep , Unuvar Gamze Kalin , Esmaoglu Aliye , Ulu-Kilic Aysegul , Coruh Atilla , Doganay Mehmet
Published: August 2023

Objective:

To assess the demographic and clinical characteristics, laboratory findings, and economic burden of patients with a diagnosis of complicated skin and soft tissue infection (cSSTI).

Method:

The demographic and clinical characteristics, laboratory findings, surgical interventions, cost of treatment, and outcome of patients diagnosed with cSSTIs between January 2017 and December 2019 were retrospectively analysed.

Results:

A total of 24 patients with cSSTIs were included in the study. The median age was 53 (22–85) years, and 14 (58%) were female. The most common comorbidity was diabetes (54%). On admission, 75% of patients presented with sepsis, and 70% had a high-grade Laboratory Risk Indicator for Necrotising Fasciitis (LRINEC) score. The causative microorganism was isolated from 21 (87%) patients, and the multidrug resistance rate of Gram-negative bacteria was 50%. The median number of debridements was 3 (1–12). In all, 11 patients were followed up in the intensive care unit, and the mortality rate was 29%. The presence of confusion (p=0.025), causative Gram-negative microorganisms (p=0.009), hyponatraemia (p=0.034), the need for intensive care (p=0.001), anti-meticillin-resistant Staphylococcus aureus antibiotics (p=0.023) and the rate of antibiotic changes during treatment (p=0.019) were significantly higher in the non-survival patient group. Hyponatraemia was a significant independent risk factor for mortality (p=0.048). The median cost of per-patient treatment was $9453 USD in the non-surviving and $1536 in the surviving group.

Conclusion:

It is important to know possible factors and local resistance rates at the beginning of empirical antibacterial and surgical treatment. The presence of hyponatraemia, sepsis and a high LRINEC score can be considered to be the mortality predictors.
Using tap water compared with normal saline for cleansing wounds in adults: a literature review of the evidence
Authors: Holman Monika
Published: August 2023

Objective:

The aim of this literature review was to establish the evidence for using tap water as opposed to normal saline for cleansing wounds in adults. Tap water is widely available and non-toxic to wounds, making it a cost-effective solution for wound cleansing. Despite that, contrary opinions exist with regard to its safety, such as: fear of wound colonisation by Pseudomonas spp. found in plumbing systems of healthcare facilities; damage to the wound bed; or increased pain when tap water is used for wound cleansing.

Method:

A PICO model was used as a guide to form the title, and the standards for inclusion and exclusion of studies were prespecified to form the eligibility criteria. The search was conducted using a range of databases, including CINAHL, MEDLINE, PubMed and Cochrane Central Register of Controlled Trials.

Results:

Included were seven studies: five randomised controlled trials (RCTs), a quasi-RCT and a cross-sectional study. Of these, six studies demonstrated that use of tap water had no significant influence on wound infection rates when compared to normal saline; four studies established no adverse results or benefits when using tap water or normal saline for wound cleansing; and one study demonstrated that tap water did not increase wound contamination. Also, one study reported no impact on wound healing when tap water or normal saline were used for cleansing; four established that tap water was cost-effective compared to normal saline; and one demonstrated increased patient satisfaction when tap water was used for wound irrigation.

Conclusion:

Current evidence supports tap water as a safe and cost-effective solution for wound cleansing.