bluuebunny/crossref_metadata_2025 huggingface dataset:
Association between vitamin D status and thyroid cancer: a meta-analysis
Authors: Hu Yue , Xue Chongxiang , Ren Shumeng , Dong Lishuo , Gao Jiaqi , Li Xiuyang
Published: June 2024

Background

Cumulative evidence has suggested that vitamin D deficiency is related with an increased susceptibility to various types of cancers. However, the association between vitamin D and thyroid cancer (TC) has remained to be unknown. Thus, there has been an urgent need for a meta-analysis to summarize existing evidence on vitamin D levels and the risk of TC.

Objective

This meta-analysis aimed to figure out the association between vitamin D level and the risk of TC.

Methods

A systematic search was performed for eligible articles on the association between vitamin D and TC based on PubMed, Embase, Web of Science, Cochrane, and ClinicalTrials.gov. Outcomes were the vitamin D level of cases with TC and the incidence of vitamin D deficiency in cases with TC comparing with the controls. The effect measures included standardized mean difference (SMD), ratio of means (RoM), and odds ratio (OR). A dose-response meta-analysis was performed to assess the correlation between vitamin D level and the risk of TC. Subgroup analyses and meta-regressions were conducted to explore the source of heterogeneity. And publication bias was evaluated through Begg's and Egger's tests.

Results

Results of the meta-analysis revealed lower levels of vitamin D in TC cases comparing with those in control [SMD = −0.25, 95% CI: (−0.38, −0.12); RoM = 0.87, 95% CI: (0.81, 0.94)] and the levels of 1,25 (OH)D in cases with TC were also lower than controls [SMD = −0.49, 95% CI: (−0.80, −0.19); RoM = 0.90, 95% CI: (0.85, 0.96)]. And vitamin D deficiency was associated with the increased risk of TC [OR = 1.49, 95% CI: (1.23, 1.80)]. Additionally, results from the dose-response meta-analysis showed that there is a 6% increase in the risk of TC for each 10 ng/ml decrease in 25 (OH)D levels [OR = 0.94; 95% CI: (0.89, 0.99)].

Conclusions

Individuals with TC had lower levels of vitamin D compared to controls, and vitamin D deficiency was correlated with an increase risk of TC.

Systematic review registration

https://www.crd.york.ac.uk/PROSPERO/display_record.php?RecordID=504417, identifier: CRD42024504417.
Causal association of circulating cytokines with the risk of lung cancer: a Mendelian randomization study
Authors: Luo Dachen , Gong Zonglian , Zhan Qingyuan , Lin Shan
Published: June 2024

Background

Lung cancer is the deadliest and most prevalent malignancy worldwide. While smoking is an established cause, evidence to identify other causal factors remains lacking. Current research indicates chronic inflammation is involved in tumorigenesis and cancer development, though the specific mechanisms underlying the role of inflammatory cytokines in lung cancer pathogenesis remain unclear. This study implemented Mendelian randomization (MR) analysis to investigate the causal effects of circulating cytokines on lung cancer development.

Methods

We performed a two-sample MR analysis in Europeans utilizing publicly available genome-wide association study summary statistics. Single nucleotide polymorphisms significantly associated with cytokine were selected as genetic instrumental variables.

Results

Genetically predicted levels of the chemokine interleukin-18 (IL-18) (OR = 0.942, 95% CI: 0.897–0.990, P = 0.018) exerted significant negative causal effects on overall lung cancer risk in this analysis. Examining specific histologic subtypes revealed further evidence of genetic associations. Stem cell factor (SCF) (OR = 1.150, 95% CI: 1.021–1.296, P = 0.021) and interleukin-1beta (IL-1β) (OR = 1.152, 95% CI: 1.003–1.325, P = 0.046) were positively associated with lung adenocarcinoma risk, though no inflammatory factors showed causal links to squamous cell lung cancer risk. Stratified by smoking status, interferon gamma-induced protein 10 (IP-10) (OR = 0.861, 95% CI: 0.781–0.950, P = 0.003) was inversely associated while IL-1β (OR = 1.190, 95% CI: 1.023–1.384, P = 0.024) was positively associated with lung cancer risk in ever smokers. Among never smokers, a positive association was observed between lung cancer risk and SCF (OR = 1.474, 95% CI: 1.105–1.964, P = 0.008). Importantly, these causal inferences remained robust across multiple complementary MR approaches, including MR-Egger, weighted median, weighted mode and simple mode regressions. Sensitivity analyses also excluded potential bias stemming from pleiotropy.

Conclusion

This MR study found preliminary evidence that genetically predicted levels of four inflammatory cytokines—SCF, IL-1β, IL-18, and IP-10—may causally influence lung cancer risk in an overall and subtype-specific manner, as well as stratified by smoking status. Identifying these cytokine pathways that may promote lung carcinogenesis represents potential new targets for the prevention, early detection, and treatment of this deadly malignancy.
Comparative efficacy of Bacillus Calmette–Guérin instillation and radical cystectomy treatments for high-risk non-muscle-invasive urothelial cancer classified as high-grade T1 in initial and repeat transurethral resection of bladder tumor
Authors: Zhen Song , Hao Chen , Yanhang Yu , Yuxin Lin , Jun Ouyang , Zhiyu Zhang
Published: June 2024

Objective

To compare the differential therapeutic effects of Bacillus Calmette-Guérin (BCG) instillation and radical cystectomy (RC) for high-risk non-muscle–invasive urothelial cancer (NMIBC) classified as high-grade T1 in initial and repeat transurethral resection of bladder tumors (TURBT) and to construct a prediction model.

Methods

We retrospectively analyzed the clinical data of patients with malignant bladder tumors treated at the First Affiliated Hospital of Soochow University from January 2016 to December 2017 and compared the differences in 1-year, 2-year, 3-year, 5-year, and comprehensive overall survival (OS) and progression-free survival (PFS) between BCG instillation treatment and RC treatment. Survival curves were drawn to show differences in OS and PFS between the two groups. Concurrently, univariate and multivariate COX analyses were performed to identify risk factors affecting OS and PFS, and a nomogram was created.

Results

In total, 146 patients were included in the study, of whom 97 and 49 were in the BCG and RC groups, respectively. No statistical differences were observed in the 1- and 2-year OS and PFS between the two groups, whereas significant statistical differences were found in the 3-year, 5-year, and comprehensive OS and PFS. Survival curves also confirmed the statistical differences in OS and PFS between the BCG and RC groups. Multivariate COX analysis revealed that the treatment method, concomitant satellite lesions, and albumin-to-alkaline phosphatase ratio (AAPR) were independent risk factors affecting OS and PFS. The nomogram that was further plotted showed good predictive ability for OS and PFS.

Conclusion

For patients who exhibit high-level T1 pathology after both initial and repeat TURBT, especially those with low AAPR, and concomitant satellite lesions, choosing RC as a treatment method offers a better prognosis.
Promotion of mature angiogenesis in ischemic stroke by Taohong Siwu decoction through glycolysis activation
Authors: Tang Linfeng , Liu Zhuqing , Ji Zhaojie , Zhang Xueting , Zhao Mengdie , Peng Daiyin , Han Lan
Published: June 2024

Backgrounds: Mature angiogenesis plays a critical role in improving cerebral ischemia-reperfusion injury (CIRI). Glycolysis serves as the primary energy source for brain microvascular endothelial cells (BMECs), whereas other vascular cells rely on aerobic respiration. Therefore, intercellular variations in energy metabolism could influence mature angiogenesis. Taohong Siwu Decoction (THSWD) has demonstrated efficacy in treating ischemic stroke (IS), yet its potential to promote mature angiogenesis through glycolysis activation remains unclear.

Methods: In this study, we established a middle cerebral artery occlusion/reperfusion (MCAO/R) model in vivo and an oxygen-glucose deprivation/reoxygenation (OGD/R) model in vitro. We assessed neuroprotective effects using neurobehavioral scoring, 2,3,5-triphenyltetrazolium chloride (TTC) staining, Hematoxylin-eosin (HE) staining, and Nissl staining in MCAO/R rats. Additionally, we evaluated mature angiogenesis and glycolysis levels through immunofluorescence, immunohistochemistry, and glycolysis assays. Finally, we investigated THSWD’s mechanism in linking glycolysis to mature angiogenesis in OGD/R-induced BMECs.

Results:In vivo experiments demonstrated that THSWD effectively mitigated cerebral damage and restored neurological function in MCAO/R rats. THSWD significantly enhanced CD31, Ang1, PDGFB, and PDGFR-β expression levels, likely associated with improved glucose, pyruvate, and ATP levels, along with reduced lactate and lactate/pyruvate ratios. In vitro findings suggested that THSWD may boost the expression of mature angiogenesis factors (VEGFA, Ang1, and PDGFB) by activating glycolysis, increasing glucose uptake and augmenting lactate, pyruvate, and ATP content, thus accelerating mature angiogenesis.

Conclusion: THSWD could alleviate CIRI by activating the glycolysis pathway to promote mature angiogenesis. Targeting the glycolysis-mediated mature angiogenesis alongside THSWD therapy holds promise for IS treatment.
KLSD: a kinase database focused on ligand similarity and diversity
Authors: Yuan Yuqian , Tang Xiaozhu , Li Hongyan , Lang Xufeng , Li Can , Song Yihua , Sun Shanliang , Yang Ye , Zhou Zuojian
Published: June 2024

Due to the similarity and diversity among kinases, small molecule kinase inhibitors (SMKIs) often display multi-target effects or selectivity, which have a strong correlation with the efficacy and safety of these inhibitors. However, due to the limited number of well-known popular databases and their restricted data mining capabilities, along with the significant scarcity of databases focusing on the pharmacological similarity and diversity of SMIKIs, researchers find it challenging to quickly access relevant information. The KLIFS database is representative of specialized application databases in the field, focusing on kinase structure and co-crystallised kinase-ligand interactions, whereas the KLSD database in this paper emphasizes the analysis of SMKIs among all reported kinase targets. To solve the current problem of the lack of professional application databases in kinase research and to provide centralized, standardized, reliable and efficient data resources for kinase researchers, this paper proposes a research program based on the ChEMBL database. It focuses on kinase ligands activities comparisons. This scheme extracts kinase data and standardizes and normalizes them, then performs kinase target difference analysis to achieve kinase activity threshold judgement. It then constructs a specialized and personalized kinase database platform, adopts the front-end and back-end separation technology of SpringBoot architecture, constructs an extensible WEB application, handles the storage, retrieval and analysis of the data, ultimately realizing data visualization and interaction. This study aims to develop a kinase database platform to collect, organize, and provide standardized data related to kinases. By offering essential resources and tools, it supports kinase research and drug development, thereby advancing scientific research and innovation in kinase-related fields. It is freely accessible at: http://ai.njucm.edu.cn:8080.
Effects of different ground segmentation methods on the accuracy of UAV-based canopy volume measurements
Authors: Han Leng , Wang Zhichong , He Miao , He Xiongkui
Published: June 2024

The nonuniform distribution of fruit tree canopies in space poses a challenge for precision management. In recent years, with the development of Structure from Motion (SFM) technology, unmanned aerial vehicle (UAV) remote sensing has been widely used to measure canopy features in orchards to balance efficiency and accuracy. A pipeline of canopy volume measurement based on UAV remote sensing was developed, in which RGB and digital surface model (DSM) orthophotos were constructed from captured RGB images, and then the canopy was segmented using U-Net, OTSU, and RANSAC methods, and the volume was calculated. The accuracy of the segmentation and the canopy volume measurement were compared. The results show that the U-Net trained with RGB and DSM achieves the best accuracy in the segmentation task, with mean intersection of concatenation (MIoU) of 84.75% and mean pixel accuracy (MPA) of 92.58%. However, in the canopy volume estimation task, the U-Net trained with DSM only achieved the best accuracy with Root mean square error (RMSE) of 0.410 m3, relative root mean square error (rRMSE) of 6.40%, and mean absolute percentage error (MAPE) of 4.74%. The deep learning-based segmentation method achieved higher accuracy in both the segmentation task and the canopy volume measurement task. For canopy volumes up to 7.50 m3, OTSU and RANSAC achieve an RMSE of 0.521 m3 and 0.580 m3, respectively. Therefore, in the case of manually labeled datasets, the use of U-Net to segment the canopy region can achieve higher accuracy of canopy volume measurement. If it is difficult to cover the cost of data labeling, ground segmentation using partitioned OTSU can yield more accurate canopy volumes than RANSAC.
Uncovering the multifaceted properties of 6-pentyl-alpha-pyrone for control of plant pathogens
Authors: Mendoza-Mendoza Artemio , Esquivel-Naranjo Edgardo Ulises , Soth Sereyboth , Whelan Helen , Alizadeh Hossein , Echaide-Aquino Jesus Francisco , Kandula Diwakar , Hampton John G.
Published: June 2024

Some volatile organic compounds (VOCs) produced by microorganisms have the ability to inhibit the growth and development of plant pathogens, induce the activation of plant defenses, and promote plant growth. Among them, 6-pentyl-alpha-pyrone (6-PP), a ketone produced by Trichoderma fungi, has emerged as a focal point of interest. 6-PP has been isolated and characterized from thirteen Trichoderma species and is the main VOC produced, often accounting for >50% of the total VOCs emitted. This review examines abiotic and biotic interactions regulating the production of 6-PP by Trichoderma, and the known effects of 6-PP on plant pathogens through direct and indirect mechanisms including induced systemic resistance. While there are many reports of 6-PP activity against plant pathogens, the vast majority have been from laboratory studies involving only 6-PP and the pathogen, rather than glasshouse or field studies including a host plant in the system. Biopesticides based on 6-PP may well provide an eco-friendly, sustainable management tool for future agricultural production. However, before this can happen, challenges including demonstrating disease control efficacy in the field, developing efficient delivery systems, and determining cost-effective application rates must be overcome before 6-PP’s potential for pathogen control can be turned into reality.
The physical environment matters: room effects on online purchase decisions
Authors: Eklund Ann , Edenbrandt Anna , Rahm Johan , Johansson Maria
Published: June 2024

Introduction

People as individual consumers are regularly targeted in sustainability campaigns or communications with the hope of enhancing sustainable behavior at an individual level, with subsequent sustainability transformation at a larger societal scale. However, psychological motivation is complex and campaigns need to be based on an understanding for what individual, and contextual, factors support or hinder sustainable behavioral choices.

Methods

In a discrete choice experiment, participants made hypothetical online purchases in each of three rooms designed to evoke associations to hedonic, gain, and normative goal frames. Participants were shown a campaign message intended to prime sustainable textile consumption prior to the purchase. For each product (t-shirt or bananas) hedonic (comfort/look), gain (price), and normative (organic/ fairtrade) attributes were varied in an online choice experiment.

Results

Preferences for the normative attribute of t-shirts increased in the normative room compared to the room with gain associations. No effect of the rooms with hedonic or gain priming was observed on the choice.

Discussion

The study supports the hypothesis that the physical room can enhance goal frame activation and behavioral choice but concludes that such priming effect is sensitive to specificity of the prime.
The impact of physical activity on social anxiety among college students: the chain mediating effect of social support and psychological capital
Authors: Deng Yiran , Wang Xianliang
Published: June 2024

Objective

As a topic of widespread concern in the fields of mental health and public health, social anxiety has many negative impacts on the physical and mental health of contemporary college students. Therefore, this study aims to provide new ideas for solving the problem of social anxiety among college students by exploring the potential mediating role of social support and psychological capital in the relationship between physical activity and social anxiety.

Methods

A cross-sectional survey was conducted on 874 college students from five universities in Shandong Province. Various self-report tools such as physical activity rating scale, social support scale, positive psychological capital scale, and social anxiety scale were used to collect information needed for this study. Related data. Use this to conduct descriptive statistical analysis, correlation analysis, and mediation effect analysis.

Results

The results showed that physical activity was significantly positively correlated with college students’ social support (r = 0.354, p < 0.01) and psychological capital (r = 0.448, p < 0.01), and social support was significantly positively correlated with psychological capital (r = 0.556, p < 0.01), the above three are significantly negatively correlated with social anxiety (r = −0.326, −0.381, −0.432, p < 0.01); the mediation effect analysis shows that physical activity has a significant direct effect on college students’ social anxiety The effect value is −0.136, accounting for 43.31% of the total effect; social support and psychological capital both play a separate mediating role between physical activity and social anxiety among college students, with effect values of −0.064 and −0.073 respectively, accounting for the total effect. 20.38, 23.25%, and also played a chain intermediary role, with an effect value of −0.041, accounting for 13.05% of the total effect.

Conclusion

Current research shows that physical activity can not only directly reduce social anxiety among college students, but also indirectly alleviate social anxiety among college students by increasing the level of social support and psychological capital. This has important reference significance for helping college students in China and even around the world overcome social anxiety.
Identifying best practices for substance-related intimate partner violence screening and referral: a narrative review
Authors: Jarnecke Amber M. , Saraiya Tanya C.
Published: June 2024

Introduction

Substance use is strongly associated with intimate partner violence (IPV) and is a modifiable risk factor for IPV. However, lack of comprehensive screening and referral for co-occurring IPV and substance use, along with their psychiatric sequalae, limits the identification and implementation of effective interventions for substance-related IPV. This narrative review (1) investigates the literature on screening and referral practices for IPV, and if these include screening for substance use or other psychiatric comorbidities, (2) provides recommendations for current best practices, and (3) suggests future directions for research and practice aimed at identifying and reducing substance-related IPV.

Methods

A narrative literature review examined studies investigating IPV screening and referral programs in clinics. Selected studies were reviewed for: (1) effectiveness, (2) barriers to implementation and sustainability, and (3) responsivity to psychiatric comorbidity, including substance use and substance use disorders (SUD).

Results

Findings suggest that effective IPV screening and referral programs have been developed, but disparities in IPV screening exist and many programs only screen for IPV victimization. Barriers to the implementation and sustainability of IPV screening programs include lack of ongoing provider training, funding or institutional support, and direct connection to referral services. Further, many IPV screening programs lack assessment of and referral for comorbid psychiatric conditions, including substance use, and tend not to be routinely implemented in SUD clinics.

Discussion

Additional systematic work is needed to develop universal and comprehensive screening and referral programs for substance-related IPV and address issues of long-term sustainability, particularly within SUD treatment settings.
Influence of the first wave of COVID-19 on Chinese students’ psychology and behavior: a case study approach
Authors: Zhang Xiudi , Bian Liang
Published: June 2024

During the first wave of COVID-19, China demonstrated a strong commitment to epidemic prevention and control. This case study focuses on Z University, which adopted closed management when the epidemic was serious, and examines the influence of COVID-19 on students’ psychology and behavior through interviews with 10 students. The research reveals that while students perceive closed management during the epidemic as enhancing safety and promoting learning engagement to some extent, the epidemic also has adverse effects on their physical health, psychology, and social life. These impacts included deteriorating physical health, feelings of rebellion and depression regarding college life, alongside concerns and aspirations regarding future job stability. In the discussion, we suggest that higher education institutions can utilize this information to shape policies and procedures, particularly concerning mental health and risk communication, not only during the current pandemic but also in future emergency or disaster scenarios.
Suicidal ideation and suicide attempts among students aged 12 to 24 after the lifting of COVID-19 restrictions in China: prevalence and associated factors
Authors: Xiao Qing-Qing , Huang Xue-Hua , Yang Jing , Mu Yun-Fei , Wang Cong , Deng Zhong-Yue , Cai Jia , Deng Ai-Ping , Tang Wan-Jie , Chen Xia-Can , Shi Wei , Jiang Yi , Xu Jia-Jun , Yin Li , Huang Yi , Zhang Wei , Ran Mao-Sheng
Published: June 2024

Objective

To investigate the prevalence and associated factors of suicidal ideation and suicide attempts among adolescent and young adults in China from December 14, 2022 to February 28, 2023, when COVID-19 restrictions were lifted.

Methods

Students in middle and high schools and colleges and universities in the province of Sichuan, China were asked to complete on-line cross-sectional surveys. Information was collected about sociodemographics, experiences related to the COVID-19 pandemic, suicidal ideation and suicide attempts. Participants also filled out the Patient Health Questionnaire-9, the Generalized Anxiety Disorder-7 and the Social Support Rate Scale surveys. Factors associated with suicidal ideation or suicide attempts were explored using logistic regression.

Results

Of the 82,873 respondents (aged 12 to 24 years), 21,292 (25.7%) reported having thought of suicide at least once in their lifetime, 10,382 (12.5%) reported having thought about suicide within the previous 12 months, and 1,123 (1.4%) reported having attempted it within the previous 12 months. Risk of lifetime suicidal ideation was higher among middle school students than among older students. Risk of suicidal ideation and risk of suicide attempts correlated directly with severity of symptoms of depression and anxiety, and inversely with level of social support. Greater risk of suicidal ideation and suicidal attempts was associated with: being female, living in an urban environment, attending a boarding school, currently being in love, having parents who divorced or remarried, having parents who exhibit non-authoritative parenting behavior, having higher family income, having been COVID-19 infected, having been quarantined for a long time, and being dissatisfied with one’s education.

Conclusions

Suicidal ideation and suicide attempts remain prevalent among young people in China. The potential associated factors identified in our study may be useful for targeting appropriate psychosocial interventions and developing mental health policies.
Hepatic injury and hepatic failure adverse events in 3,4-methylenedioxymethamphetamine users reported to the FDA Adverse Event Reporting System
Authors: Makunts Tigran , Abagyan Ruben
Published: June 2024

3,4-Methylenedioxymethamphetamine (MDMA) is being investigated in controlled clinical trials for use as an adjunct medication treatment for post-traumatic stress disorder. MDMA is metabolized by N-demethylation, primarily by CYP2D6, to its main inactive metabolite, 4-hydroxy-3-methoxymethamphetamine. It is also metabolized to a lesser extent by CYP1A2, CYP2B6, and CYP3A4 to its active metabolite, 3,4-methylenedioxyamphetamine. Considering the extensive hepatic metabolism and excretion, MDMA use in psychiatry raises concerns over drug-induced liver injury (DILI), a rare but dangerous event. Majority of the drugs withdrawn from the market for liver injury caused death or transplantation at frequencies under 0.01%. Unfortunately, markers for liver injury were not measured in most published clinical trials. At the same time, no visible DILI-related symptoms and adverse events were observed. Idiosyncratic DILI cases are rarely registered during clinical trials due to their rare nature. In this study, we surveyed a larger, over 1,500, and a more diverse set of reports from the FDA Adverse Event Reporting System and found 23 cases of hepatic injury and hepatic failure, in which MDMA was reported to be taken in addition to one or more substances. Interestingly, 22 out of 23 cases had one or more listed drugs with a known DILI concern based on the FDA’s DILIrank dataset. Furthermore, only one report had MDMA listed as the primary suspect. Considering the nearly 20 million doses of MDMA used annually, this single report is insufficient for establishing a significant association with DILI.
Sex disparities of the effect of the COVID-19 pandemic on mortality among patients living with tuberculosis in the United States
Authors: Deng Huan , Liu Yishan , Lv Fan , Li Xiaofeng , Qi Mingyan , Bo Yajing , Qiu Sikai , He Xinyuan , Ji Fanpu , Zeng Qing-Lei , Gao Ning
Published: June 2024

Background

We aimed to determine the trend of TB-related deaths during the COVID-19 pandemic.

Methods

TB-related mortality data of decedents aged ≥25 years from 2006 to 2021 were analyzed. Excess deaths were estimated by determining the difference between observed and projected mortality rates during the pandemic.

Results

A total of 18,628 TB-related deaths were documented from 2006 to 2021. TB-related age-standardized mortality rates (ASMRs) were 0.51 in 2020 and 0.52 in 2021, corresponding to an excess mortality of 10.22 and 9.19%, respectively. Female patients with TB demonstrated a higher relative increase in mortality (26.33 vs. 2.17% in 2020; 21.48 vs. 3.23% in 2021) when compared to male. Female aged 45–64 years old showed a surge in mortality, with an annual percent change (APC) of −2.2% pre-pandemic to 22.8% (95% CI: −1.7 to 68.7%) during the pandemic, corresponding to excess mortalities of 62.165 and 99.16% in 2020 and 2021, respectively; these excess mortality rates were higher than those observed in the overall female population ages 45–64 years in 2020 (17.53%) and 2021 (33.79%).

Conclusion

The steady decline in TB-related mortality in the United States has been reversed by COVID-19. Female with TB were disproportionately affected by the pandemic.
Nil per os in the management of oropharyngeal dysphagia—exploring the unintended consequences
Authors: Cimoli Michelle , Gibney Jennifer , Lim Mathew , Castles Jo , Dammert Pedro
Published: June 2024

Nil per os (NPO), also referred to as Nil by Mouth (NBM), is a health-related intervention of withholding food and fluids. When implemented in the context of a person with dysphagia, NPO aims to mitigate risks of aspiration. However, evidence demonstrating that NPO is beneficial as an intervention for people with dysphagia is lacking. This paper explores the theoretical and empirical evidence relating to the potential benefits and adverse effects of NPO and asserts that NPO is not a benign intervention. This paper argues for applying an ethics framework when making decisions relating to the use of NPO as an intervention for dysphagia, in particular addressing informed consent and a person's right to self-determination.
Single stage laparoscopic cholecystectomy with intraoperative endoscopic retrograde cholangiopancreatography for cholecysto-choledocholithiasis. Lesson learnt from the COVID-19 pandemic
Authors: Gerosa Martino , Guttadauro Angelo , Stillittano Domenico Francesco , Sassun Richard , Sileo Annaclara , Vignati Barbara , Di Fratta Emanuele , Maggioni Dario , Mari Giulio
Published: June 2024

Introduction

Choledocholithiasis, a common complication of gallstone disease, poses significant risks including cholangitis and pancreatitis. Various treatment approaches exist, including single-stage and two-stage techniques, with recent literature suggesting advantages of the single-stage approach in terms of outcomes and cost-effectiveness. This study evaluates the feasibility, efficacy, and safety of single-stage laparoscopic cholecystectomy combined with intraoperative endoscopic retrograde cholangiopancreatography (LC + iERCP) compared to the previously adopted two-stage approach.

Methods

A retrospective analysis was conducted on patients undergoing single-stage LC + iERCP for cholecysto-choledocholithiasis during the COVID-19 pandemic (2020–2022). Data on demographics, preoperative assessments, intraoperative parameters, and postoperative outcomes were collected and compared with an historical control group undergoing the two-stage approach (LC + preopERCP). Hospitalization costs were also compared between the two groups.

Results

A total of 190 patients were included, with 105 undergoing single-stage LC + iERCP. The single-stage approach demonstrated successful completion without cystic duct cannulation, with no conversions to open surgery. Operative time was comparable to the two-stage approach, while hospital stay, and costs were significantly lower in the single-stage group. Complication rates were similar between the groups.

Conclusions

Single-stage LC + iERCP appears to be a feasible, effective, and safe approach for treating cholecysto-choledocholithiasis, offering potential benefits in terms of reduced hospital stay, OR occupation time, and costs compared to the two-stage approach. Integration of this approach into clinical practice warrants consideration, unless there are logistical challenges that cannot be overcome or lack of endoscopic expertise also for treating challenging urgent cases.
Timing Considerations for Sleeve Gastrectomy in Kidney Transplant Patients: A Single Center Evaluation
Authors: Spaggiari Mario , Martinino Alessandro , Bencini Giulia , Masrur Mario A. , Petrochenkov Egor , Lian Amy , Olazar Joanna , Di Cocco Pierpaolo , Almario-Alvarez Jorge , Benedetti Enrico , Tzvetanov Ivo
Published: June 2024

Current scientific literature is deficient in detailing the optimal timing for conducting bariatric surgery in relation to kidney transplantation. In this study, we performed a retrospective evaluation of kidney transplant recipients with BMI >35 kg/m2. It aimed to provide data on those who received both sleeve gastrectomy (SG) and kidney transplantation (KT) simultaneously, as well as on patients who underwent SG and KT at different times, either before or after. In addition, the acceptance levels of the bariatric surgery among different scenarios were assessed. Our findings demonstrated that combined KT and SG led to successful weight loss, in contrast to undergoing kidney transplant alone, while maintaining comparable rates of graft and patient survival. Weight loss was similar between recipients who had a combined operation and those who underwent SG following the transplant. Additionally, over a median time frame of 1.7 years, patients who underwent SG before KT exhibited a statistically significant reduction in BMI at the time of the transplant. Notably, our study highlights that patients offered the combined procedure were significantly more likely to undergo SG compared to those for whom SG was presented at a different operative time than the transplant.
Experimental Structural Safety Analysis of Front-End Loader of Agricultural Tractor
Authors: Kim Jeong-Hun , Gim Dong-Hyeon , Nam Ju-Seok
Published: June 2024

The agricultural front-end loader is an implement attached to the front of tractors to transport various agricultural materials, including soil. Since they are subjected to various loads due to the working environment, their safety analysis in consideration of actual working conditions is required. However, there are no official standardized test codes to consider various actual working environments currently. In this study, the structural safety of a front-end loader for static and fatigue failures was evaluated using new test code reflecting actual working environments. Thirty-four measurement locations were determined as the stress concentration spots of each component of the front-end loader derived through multibody dynamic simulation. The total testing time was set to 1 h, and the test time for each task was determined considering the duty percentage of the actual loader work. The measurement results showed that the maximum stress that exceeds the material’s yield strength occurred at two locations of the mount, which is the connection to the tractor body, resulting in static yielding. For tasks, the pulling and dumping exhibited the highest stress. The task that had the largest impact on fatigue damage was the dumping. The static safety factor was found to be over 1.93 and the fatigue life met the required lifespan at all measurement locations except for those exhibiting static yielding. Therefore, the most vulnerable part of the front-end loader is the mount, and it is necessary to secure the overall structural integrity by robust design for the mount.
Loop Closure Detection with CNN in RGB-D SLAM for Intelligent Agricultural Equipment
Authors: Qi Haixia , Wang Chaohai , Li Jianwen , Shi Linlin
Published: June 2024

Loop closure detection plays an important role in the construction of reliable maps for intelligent agricultural machinery equipment. With the combination of convolutional neural networks (CNN), its accuracy and real-time performance are better than those based on traditional manual features. However, due to the use of small embedded devices in agricultural machinery and the need to handle multiple tasks simultaneously, achieving optimal response speeds becomes challenging, especially when operating on large networks. This emphasizes the need to study in depth the kind of lightweight CNN loop closure detection algorithm more suitable for intelligent agricultural machinery. This paper compares a variety of loop closure detection based on lightweight CNN features. Specifically, we prove that GhostNet with feature reuse can extract image features with both high-dimensional semantic information and low-dimensional geometric information, which can significantly improve the loop closure detection accuracy and real-time performance. To further enhance the speed of detection, we implement Multi-Probe Random Hyperplane Local Sensitive Hashing (LSH) algorithms. We evaluate our approach using both a public dataset and a proprietary greenhouse dataset, employing an incremental data processing method. The results demonstrate that GhostNet and the Linear Scanning Multi-Probe LSH algorithm synergize to meet the precision and real-time requirements of agricultural closed-loop detection.
Driving Factors and Numerical Simulation of Evapotranspiration of a Typical Cabbage Agroecosystem in the Shiyang River Basin, Northwest China
Authors: Yang Tianyi , Yu Haichao , Li Sien , Yuan Xiangning , Ao Xiang , Chen Haochong , Wang Yuexin , Ding Jie
Published: June 2024

Two years of field experiments were conducted at the National Field Observation Experiment Station for Efficient Agricultural Water Use in the Wuwei Oasis, Gansu Province. Based on the eddy correlation system, the evapotranspiration (ET) of the cabbage agroecosystem during the growth period was obtained and the main driving factors of ET changes were determined. The Root Zone Water Quality Model 2.0 version (RZWQM2 model) was used to simulate ET during the growth period. The results showed the following: (1) The ET of cabbage during the growth period was 260. 1 ± 24.2 mm, which was basically lower than other crops planted in this area. (2) Through partial correlation analysis and principal component analysis, it can be found that environmental and physiological factors jointly drive changes in ET. The main driving factors include gross primary productivity, net radiation, and water use efficiency. (3) The RZWQM2 model can simulate the ET of the cabbage agroecosystem well, especially in simulating the total ET value and its trend. The growth period ETs were 7.3% lower than the ETm. Cabbage is an important cash crop in Northwest China, and ET is an important component of the water cycle in the agroecosystem. Determining the main driving factors of ET is of great significance for the sustainable utilization of agricultural water resources in Northwest China. Our results can provide a scientific basis for the cultivation of cabbage as a cash crop and the development of water saving agriculture.
Analysis and Testing of Pre-Cut Sugarcane Seed Stalk Sawing Performance Parameters
Authors: Yan Bin , Liu Haitao , He Fengguang , Deng Ganran , Zheng Shuang , Cui Zhende , Zhou Sili , Dai Ye , Wang Xilin , Qin Shuangmei , Li Guojie , Li Ling , Li Bin
Published: June 2024

Sugarcane is an important economic crop in tropical and subtropical regions. Presawing planting is an important method for achieving automated and precise planting with sugarcane planting machines. The sawing process is a key stage in planting management, affecting not only the germination and survival rates of sugarcane, but also reflecting the mechanical performance of sawing. To reduce the peak sawing force and enhance the sawing surface quality of sugarcane seedlings, this study utilized a central composite experimental design method. Single-factor and multi-factor experiments were conducted with a specially designed sugarcane stalk sawing experimental rig to investigate the impact of factors such as the stalk diameter feeding speed, and sawing speed on the peak sawing force and sawing surface quality. Upon being developed and validated, multivariate mathematical regression models elucidated the relationships among these factors. The experimental results showed that the order of influence of each factor on the peak sawing force was the stalk diameter, feed speed, and sawing speed, while for the sawing surface quality, the sequence was the sawing speed, stalk diameter, and feed speed. Correspondingly, the determination coefficients for the peak sawing force and sawing surface quality prediction models were 0.9708 and 0.9675. With a maximum error of 7.6% for the peak sawing force and an average relative error of 7.1%, and a maximum error of 3.5% for the sawing surface quality and an average relative error of 2.83%, the calculated results from the regression models were in good agreement with the experimental findings. This indicates that the models are capable of quickly and accurately predicting the peak sawing force and sawing surface quality of sugarcane stalks under different conditions. The research findings provide valuable insights for the development and optimization of sugarcane stalk presawing equipment and related experimental studies.
Remote Monitoring of Coffee Leaf Miner Infestation Using Machine Learning
Authors: Vilela Emerson Ferreira , Castro Gabriel Dumbá Monteiro de , Marin Diego Bedin , Santana Charles Cardoso , Leite Daniel Henrique , Matos Christiano de Sousa Machado , Silva Cileimar Aparecida da , Lopes Iza Paula de Carvalho , Queiroz Daniel Marçal de , Silva Rogério Antonio , Rossi Giuseppe , Bambi Gianluca , Conti Leonardo , Venzon Madelaine
Published: June 2024

The coffee leaf miner (Leucoptera coffeella) is a key pest in coffee-producing regions in Brazil. The objective of this work was to evaluate the potential of machine learning algorithms to identify coffee leaf miner infestation by considering the assessment period and Sentinel-2 satellite images generated on the Google Earth Engine platform. Coffee leaf miner infestation in the field was measured monthly from 2019 to 2023. Images were selected from the Sentinel-2 satellite to determine 13 vegetative indices. The selection of images and calculations of the vegetation indices were carried out using the Google Earth Engine platform. A database was generated with information on coffee leaf miner infestation, vegetation indices, and assessment times. The database was separated into training data and testing data. Nine machine learning algorithms were used, including Linear Discriminant Analysis, Random Forest, Support Vector Machine, k-nearest neighbors, and Logistic Regression, and a principal component analysis was conducted for each algorithm. After optimizing the hyperparameters, the testing data were used to validate the model. The best model to estimate miner infestation was RF, which had an accuracy of 0.86, a kappa index of 0.64, and a precision of 0.87. The developed models were capable of monitoring coffee leaf miner infestation.
Performance of Neural Networks in the Prediction of Nitrogen Nutrition in Strawberry Plants
Authors: Regazzo Jamile Raquel , Silva Thiago Lima da , Tavares Marcos Silva , Sardinha Edson José de Souza , Figueiredo Caroline Goulart , Couto Júlia Luna , Gomes Tamara Maria , Tech Adriano Rogério Bruno , Baesso Murilo Mesquita
Published: June 2024

Among the technological tools used in precision agriculture, the convolutional neural network (CNN) has shown promise in determining the nutritional status of plants, reducing the time required to obtain results and optimizing the variable application rates of fertilizers. Not knowing the appropriate amount of nitrogen to apply can cause environmental damage and increase production costs; thus, technological tools are required that identify the plant’s real nutritional demands, and that are subject to evaluation and improvement, considering the variability of agricultural environments. The objective of this study was to evaluate and compare the performance of two convolutional neural networks in classifying leaf nitrogen in strawberry plants by using RGB images. The experiment was carried out in randomized blocks with three treatments (T1: 50%, T2: 100%, and T3: 150% of recommended nitrogen fertilization), two plots and five replications. The leaves were collected in the phenological phase of floral induction and digitized on a flatbed scanner; this was followed by processing and analysis of the models. ResNet-50 proved to be superior compared to the personalized CNN, achieving accuracy rates of 78% and 48% and AUC of 76%, respectively, increasing classification accuracy by 38.5%. The importance of this technique in different cultures and environments is highlighted to consolidate this approach.
Influence of Vermicompost on the Concentration of Exogenous Indole-3-Acetic Acid and Its Effect on the Development of Tomato Plants (Lycopersicum esculentum L.)
Authors: Segura-Castruita Miguel Ángel , Valdivia-Dávila Mariano Ángel , Yescas-Coronado Pedro , Gómez-Leyva Juan Florencio , Cueto-Medina Saraí
Published: June 2024

Indole-3-acetic acid (IAA) concentration is directly proportional to the amount of vermicompost (VC) added to sand substrates. The objectives of this work were to establish the effect of the amount of VC in sand substrates on the concentration of IAA and to determine its influence on tomato plants. Sand substrates with VC percentages (0, 20, 40, and 50%) were placed in pots; in each one, the concentration of IAA was determined at the beginning and the end (after supporting tomato plants), and its bacterial load was determined. In tomato plants, some vegetative and yield components were measured. The results show that by adding 1 kg of VC in a sand-based substrate, the concentration of exogenous IAA increases by 0.0470 and 0.0642 mg g−1 (at the beginning and the end, respectively). This increase was reflected in the development of the plants; for example, their roots demonstrated their maximum development (370.20 cm−3) when the amount of VC in the substrate was 3.95 kg. Therefore, the amount of VC used in the preparation of substrates influences the concentration of IAA in them, which is reflected in the development of tomato plants.
Silicon Fertilization Improves Sunflower Rhizosphere Microbial Community Structure and Reduces Parasitism by Orobanche cumana Wallr.
Authors: Xu Tengqi , Ke Jihong , Wang Yufan , Zhang Yiqiong , Xi Jiao , Wei Xiaomin , Ma Yongqing , Lin Yanbing
Published: June 2024

Sunflower broomrape (Orobanche cumana Wallr.) has severely restricted the development of the sunflower industry in China, and more efficient and convenient control methods are urgently needed. In this experiment, we investigated the effects of N, P and silica fertilizers on the parasitism rate of O. cumana, as well as on the yield of sunflower and native microbial communities in the field. Firstly, pot experiments were conducted to select the most effective fertilization method and to determine the physiological and biochemical indexes of sunflowers. Subsequently, field application studies were carried out to determine the physiological indexes, yield, O. cumana parasitism on sunflower, and the effect on the indigenous microbial community. The results demonstrate that compared with the CNP treatment (Control), the number of parasites under the N1P5 treatment significantly decreased by 66.15%. The exogenous application of silica can significantly reduce the number of O. cumana parasites. The treatments with N1P5 (N/P = 1:5) and available SiO2 content higher than 40 mg/kg (NS2, NS3, SF2 and SF3) significantly increased superoxide dismutase (SOD) activity and decreased malondialdehyde (MDA) content in sunflower leaves. In the field, fertilization significantly decreased the number of O. cumana parasites. The S treatment improved the native microbial community structure and enriched beneficial microorganisms, including Vicinamibacteria and Pyrinomonadaceae. Additionally, applying the S treatment significantly increased sunflower yield by 23.82% and crude protein content by 20.20%. In summary, the application of silicon fertilizer can effectively improve the host microbial community, reduce O. cumana parasitism and improve the yield and quality of sunflower.