bluuebunny/crossref_metadata_2025 huggingface dataset:
Contribution of major food companies and their products to household dietary sodium purchases in Australia
Authors: Coyle Daisy H. , Shahid Maria , Dunford Elizabeth K. , Mhurchu Cliona Ni , Mckee Sarah , Santos Myla , Popkin Barry M. , Trieu Kathy , Marklund Matti , Taylor Fraser , Neal Bruce , Wu Jason H. Y.
Published: June 2020

Background

The Australian federal government will soon release voluntary sodium reduction targets for 30 packaged food categories through the Healthy Food Partnership. Previous assessments of voluntary targets show variable industry engagement, and little is known about the extent that major food companies and their products contribute to dietary sodium purchases among Australian households.

Methods

The aim of this cross-sectional study was to identify the relative contribution that food companies and their products made to Australian household sodium purchases in 2018, and to examine differences in sodium purchases by household income level. We used 1 year of grocery purchase data from a nationally representative consumer panel of Australian households who reported their grocery purchases (the Nielsen Homescan panel), combined with database that contains product-specific sodium content for packaged foods and beverages (FoodSwitch). The top food companies and food categories were ranked according to their contribution to household sodium purchases. Differences in per capita sodium purchases by income levels were assessed by 1-factor ANOVA. All analyses were modelled to the Australian population in 2018 using sample weights.

Results

Sodium data were available from 7188 households who purchased 26,728 unique products and purchased just under 7.5 million food product units. Out of 1329 food companies, the top 10 accounted for 35% of unique products and contributed to 58% of all sodium purchased from packaged foods and beverages. The top three companies were grocery food retailers each contributing 12–15% of sodium purchases from sales of their private label products, particularly processed meat, cheese and bread. Out of the 67 food categories, the top 10 accounted for 73% of sodium purchased, particularly driven by purchases of processed meat (14%), bread (12%) and sauces (11%). Low-income Australian households purchased significantly more sodium from packaged products than high-income households per capita (452 mg/d, 95%CI: 363-540 mg/d, P < 0.001).

Conclusions

A small number of food companies and food categories account for most of the dietary sodium purchased by Australian households. Prioritizing government engagement with these groups could deliver a large reduction in population sodium intake.
Frequent horizontal and mother-to-child transmission may contribute to high prevalence of STLV-1 infection in Japanese macaques
Authors: Murata Megumi , Yasunaga Jun-ichirou , Washizaki Ayaka , Seki Yohei , Kuramitsu Madoka , Tan Wei Keat , Hu Anna , Okuma Kazu , Hamaguchi Isao , Mizukami Takuo , Matsuoka Masao , Akari Hirofumi
Published: June 2020

Background

Simian T-cell leukemia virus type 1 (STLV-1) is disseminated among various non-human primate species and is closely related to human T-cell leukemia virus type 1 (HTLV-1), the causative agent of adult T-cell leukemia and HTLV-1-associated myelopathy/tropical spastic paraparesis. Notably, the prevalence of STLV-1 infection in Japanese macaques (JMs) is estimated to be > 60%, much greater than that in other non-human primates; however, the mechanism and mode of STLV-1 transmission remain unknown. The aim of this study is to examine the epidemiological background by which STLV-1 infection is highly prevalent in JMs.

Results

The prevalence of STLV-1 in the JMs rearing in our free-range facility reached up to 64% (180/280 JMs) with variation from 55 to 77% among five independent troops. Anti-STLV-1 antibody titers (ABTs) and STLV-1 proviral loads (PVLs) were normally distributed with mean values of 4076 and 0.62%, respectively, which were mostly comparable to those of HTLV-1-infected humans. Our initial hypothesis that some of the macaques might contribute to frequent horizontal STLV-1 transmission as viral super-spreaders was unlikely because of the absence of the macaques exhibiting abnormally high PVLs but poor ABTs. Rather, ABTs and PVLs were statistically correlated (p < 0.0001), indicating that the increasing PVLs led to the greater humoral immune response. Further analyses demonstrated that the STLV-1 prevalence as determined by detection of the proviral DNA was dramatically increased with age; 11%, 31%, and 58% at 0, 1, and 2 years of age, respectively, which was generally consistent with the result of seroprevalence and suggested the frequent incidence of mother-to-child transmission. Moreover, our longitudinal follow-up study indicated that 24 of 28 seronegative JMs during the periods from 2011 to 2012 converted to seropositive (86%) 4 years later; among them, the seroconversion rates of sexually matured (4 years of age and older) macaques and immature macaques (3 years of age and younger) at the beginning of study were comparably high (80% and 89%, respectively), suggesting the frequent incidence of horizontal transmission.

Conclusions

Together with the fact that almost all of the full-adult JMs older than 9 years old were infected with STLV-1, our results of this study demonstrated for the first time that frequent horizontal and mother-to-child transmission may contribute to high prevalence of STLV-1 infection in JMs.
In-depth immune cellular profiling reveals sex-specific associations with frailty
Authors: Samson Leonard Daniël , Boots A. Mieke H. , Ferreira José A. , Picavet H. Susan J. , de Rond Lia G. H. , de Zeeuw-Brouwer Mary-lène , Verschuren W. M. Monique , Buisman Anne-Marie , Engelfriet Peter
Published: June 2020

Background

With advancing age, the composition of leukocyte subpopulations in peripheral blood is known to change, but how this change differs between men and women and how it relates to frailty is poorly understood. Our aim in this exploratory study was to investigate whether frailty is associated with changes in immune cell subpopulations and whether this differs between men and women. Therefore, we performed in-depth immune cellular profiling by enumerating a total of 37 subpopulations of T cells, B cells, NK cells, monocytes, and neutrophils in peripheral blood of 289 elderly people between 60-87 years of age. Associations between frailty and each immune cell subpopulation were tested separately in men and women and were adjusted for age and CMV serostatus. In addition, a random forest algorithm was used to predict a participant’s frailty score based on enumeration of immune cell subpopulations.

Results

In the association study, frailty was found to be associated with increased numbers of neutrophils in both men and in women. Frailer women, but not men, showed higher numbers of total and CD16-monocytes, and lower numbers of both CD56+T cells and late differentiated CD4+TemRA cells. The random forest algorithm confirmed all the findings of the association studies in men and women. In men, the predictive accuracy of the algorithm was too low (5.5%) to warrant additional conclusions on top of the ones derived from the association study. In women however, the predictive accuracy was higher (23.1%), additionally revealing that total T cell numbers and total lymphocyte numbers also contribute in predicting frailty.

Conclusions

In-depth immune cellular profiling revealed consistent associations of frailty with elevated numbers of myeloid cell subpopulations in both men and women. Furthermore, additional associations were found between frailty and lower numbers of some T cell subpopulations, in women only. Thus, our study indicates sex-specific associations of immune subpopulations with frailty. We hope that our study will prompt further investigation into the sex-specific immune mechanisms associated with the development of frailty.
How practice in plant collection influences interactions with illustrations and written texts on local plants? A case study from Daghestan, North Caucasus
Authors: Kaliszewska Iwona , Kołodziejska Iwa
Published: June 2020

Background

It is only recently that written sources of local knowledge on plants are not being ignored by scholars as not belonging to “traditional” knowledge. Ethnobotanical texts, however, if they at all focus on knowledge from written sources, hardly ever pay any attention to the actual processes of interaction with written texts and illustrations. During our research, we examined people’s interactions with texts, illustrations, and herbarium specimens of plants they collect or are familiar with. We focused on a small community of Shiri people in the mountainous village and in the lowland settlements in the Republic of Daghestan, Russia. In the paper, we address the following questions: how do Shiri people interact with illustrations, written text, and herbaria specimens? How is this interaction influenced by the practice of plant collection? What are the methodological implications of the ways people interact with illustrations, texts, and herbaria specimens?

Methods

Our research was based on long-term ethnographic fieldwork: co-designing of a booklet showing edible plants people collect in Shiri, semi-structured interviews, and video-recordings, and observing interactions between people and text/illustrations/voucher specimens.

Results

We identified three kinds of interactions between individuals and text/illustrations: “text-wayfaring”—predominantly a bodily interaction between an individual and illustrations and text; “fact/spelling checking”—predominantly discursive and information focused; “between wayfaring and fact-checking”—the mix of the two. Using the idea of textual poaching, as well as the knowledge-making approach, we show that the mode of interaction with text/illustrations influences what is acquired, and how. This process influences readers’ LEK. The mere presence of an information in the text available to people does not imply that they will acquire it, make use of it, and change their LEK. Photographs and pressed specimens of locally known plants are often not (or only partly) recognized by the interlocutors. Video-recording is essential for analyzing the above mentioned interactions.

Conclusions

In ethnobotanical research, it is important to pay more attention to people’s interaction with their sources of knowledge, including text and illustrations. The discursive part of LEK is more easily influenced by written sources. The practice of plant collection is not as easily influenced. Ethnobotanists function in a particular context and are embedded in discourses oriented towards conservation of bio-cultural diversity that value heritage as such, so it is important to be aware of one’s positionality. A methodology that relies on showing pressed specimens or photographs to interlocutors may be a very misleading way of collecting ethnobotanical data.
The effect of paraspinal muscle on functional status and recovery in patients with lumbar spinal stenosis
Authors: Wang Wei , Sun Zhuoran , Li Weishi , Chen Zhongqiang
Published: June 2020

Purpose

To investigate the association of paraspinal muscle quantity and quality with functional status in patients with lumbar spinal stenosis (LSS) and explore whether degeneration of paraspinal muscle could predict patients’ functional recovery.

Methods

The data of 69 patients (26 males, 43 females; mean age 60.6 ± 9.4 years) with LSS was reviewed. The total cross-sectional area (tCSA), functional cross-sectional area (fCSA), and fatty infiltration (FI) of paraspinal muscle were measured. The Oswestry Disability Index (ODI) scores were used to reflect patients’ functional status. Correlations between measurements of paraspinal muscle and ODI scores were investigated by the Pearson correlation analysis. The multiple linear regression analysis was used to explore the correlation between change of ODI and other potential influence factors. Receiver operating characteristic curve was used to find out the most optimum cut-off value for predicting functional recovery.

Results

The pre-operation ODI was significantly associated with multifidus muscle (MF) fCSA (r = − 0.304, p = 0.012), while the post-operation ODI was significantly correlated to MF FI (r = 0.407, p < 0.01). Preoperative MF FI was an independent influence factor for change of ODI. The best cut-off value of preoperative MF FI to predict improvement of functional status (change of ODI > 50%) was 33%.

Conclusion

The preoperative degeneration of MF was significantly associated with patients’ functional status. Preoperative MF FI was a good predictor for assessing improvement of patients’ functional status. Evaluation of paraspinal muscle before operation could be helpful for surgeons to predict patients’ functional status and recovery.
Efficacy and tolerability of the investigational topical cream SD-101 (6% allantoin) in patients with epidermolysis bullosa: a phase 3, randomized, double-blind, vehicle-controlled trial (ESSENCE study)
Authors: Paller Amy S. , Browning John , Nikolic Milos , Bodemer Christine , Murrell Dedee F. , Lenon Willistine , Krusinska Eva , Reha Allen , Lagast Hjalmar , Barth Jay A. ,   on behalf of the ESSENCE Study Group
Published: June 2020

Background

Epidermolysis bullosa (EB) is a rare genetic disorder that manifests as blistering and/or skin erosion. There is no approved treatment for EB; current standard of care consists of wound and pain management. SD-101 6% is a topical cream containing 6% allantoin that was developed for treating skin lesions in patients with EB. The aim of this phase 3, multicenter, randomized, double-blind, vehicle-controlled study was to assess the efficacy and safety of SD-101 6% cream versus vehicle (0% allantoin) on lesions in patients with EB.

Methods

Eligible patients were ≥1 month old, had a diagnosis of EB (simplex, recessive dystrophic, or intermediate junctional) and a target wound 10–50 cm2in size that was present for ≥21 days. Patients were randomly assigned to SD-101 6% cream or vehicle, which was applied topically once a day to the entire body for 3 months. Primary efficacy endpoints were time to complete target wound closure within 3 months and the proportion of patients who experienced complete target wound closure within 3 months. Post hoc subgroup analyses were conducted by patient age and in those with body surface area index of total body wound burden ≥5% at baseline.

Results

In total, 169 patients were enrolled and randomly assigned to SD-101 6% (n = 82) or vehicle (n = 87). Baseline demographics and disease characteristics were similar between treatment groups. There were no statistically significant differences between treatment groups in time to target wound closure (hazard ratio, 1.004; 95% confidence interval [CI] 0.651, 1.549;P = 0.985) or proportion of patients with complete target wound closure within 3 months (odds ratio [95% CI], 0.733 [0.365, 1.474]; nominalP = 0.390). A positive trend toward faster wound closure with SD-101 6% versus vehicle was observed in patients aged 2 to <12 years and those with total body wound burden ≥5% at baseline. SD-101 6% cream was well tolerated.

Conclusions

SD-101 6% cream for treatment of EB-associated lesions was not more effective than vehicle in shortening the time to complete target wound closure or achieving complete target wound closure within 3 months.

Trial registration

ClinicalTrials.gov,NCT02384460; Date of trial registration, February 13, 2015; First participant enrolled, March 11, 2015.
Mitochondrial ROS accumulation inhibiting JAK2/STAT3 pathway is a critical modulator of CYT997-induced autophagy and apoptosis in gastric cancer
Authors: Cao Ya , Wang Jinglong , Tian Hua , Fu Guo-Hui
Published: June 2020

Background

Gastric cancer (GC) is a common form of malignant cancer in worldwide which has a poor prognosis. Despite recent improvements in the treatment of GC, the prognosis is not yet satisfactory for GC patients. CYT997, a novel microtubule-targeting agent, recently has been identified to be a promising anticancer candidate for the treatment of cancers; however, the effects of CYT997 in GC remain largely unknown.

Methods

Cell proliferation and apoptosis were detected by CCK8 assay and flow cytometry. The mitochondrial ROS were detected by confocal microscope and flow cytometry. Gastric cancer patient-derived xenograft (PDX) model was used to evaluate its antitumor activity of CYT997 in vivo.

Results

CYT997 inhibited gastric cancer cell proliferation and induced cell apoptosis and triggered autophagy. CYT997 induced apoptosis through triggering intracellular mitochondrial ROS generation in GC cells. ROS scavengers N-acetylcysteine (NAC) and Mitoquinone (MitoQ) distinctly weakened CYT997-induced cell cycle G2/M arrest and apoptosis in GC cells. Pretreatment with autophagy inhibitor 3-MA promoted the effect of CYT997 on cells apoptosis. Mechanistically, CYT997 performed its function through regulation of Janus kinase 2 (JAK2)/signal transducer and activator of transcription 3 (STAT3) signaling pathway in GC cells. In addition, CYT997 inhibited growth of gastric cancer patient-derived xenograft (PDX) tumors.

Conclusions

CYT997 induces autophagy and apoptosis in gastric cancer by triggering mitochondrial ROS accumulation to silence JAK2/STAT3 pathway. CYT997 might be a potential antitumor drug candidate to treat GC.
The cerebral mechanism of the specific and nonspecific effects of acupuncture based on knee osteoarthritis: study protocol for a randomized controlled trial
Authors: Zhang Na , Li Jin-Ling , Yan Chao-Qun , Wang Xu , Lin Lu-Lu , Tu Jian-Feng , Qi You-Sheng , Liu Jun-Hong , Liu Cun-Zhi , Wang Li-Qiong
Published: June 2020

Background

Research on the effect of acupuncture has been limited. Whether the effect of acupuncture is equivalent to placebo has been the focus of debate in this field. This study will explore the specific and non-specific effects of acupuncture for knee osteoarthritis (KOA) by functional magnetic resonance imaging (fMRI).

Methods and design

Ninety participants diagnosed with KOA will be randomly divided into the acupuncture group, sham acupuncture group, and waiting list group in a ratio of 1:1:1. Except for the waiting list group, the other participants will receive acupuncture or sham acupuncture three sessions per week for 4 weeks respectively. The primary outcome will be the response rate which is defined on an individual basis as at least a 2-point decrease in the numerical rating scale (NRS) of pain at the end of intervention period compared with the baseline. fMRI scans will be performed at baseline and the end of the intervention period to examine the response of various brain regions. The secondary outcomes will include the Western Ontario and McMaster Osteoarthritis Index (WOMAC), State-Trait Anxiety Scale-State Anxiety Subscale (STAI-S), and Stanford Expectations of Treatment Scale (SETS). Pearson’s correlation coefficient will be performed to investigate the changes in brain activity and clinical variables.

Discussion

The results of our study will help to evaluate the specific and nonspecific effects of acupuncture combined with clinical and brain function changes based on KOA.

Trial registration

Chinese Clinical Trial Registry ChiCTR1900025799. Registered on 9 September 2019.
Elevated expression of BAFF receptor, BR3, on monocytes correlates with B cell activation and clinical features of patients with primary Sjögren’s syndrome
Authors: Yoshimoto Keiko , Suzuki Katsuya , Takei Eriko , Ikeda Yumi , Takeuchi Tsutomu
Published: June 2020

Background

We reported that the production of BAFF (B cell-activating factor) and IL-6, both of which are involved in survival and differentiation of B cells, is dysregulated in monocytes of patients with primary Sjögren’s syndrome (pSS). In this study, we investigate the relationship between possible aberrations of pSS monocytes and clinical features of pSS patients and the contribution of monocytes to B cell activation, a mechanism involved in the pathogenesis of pSS.

Methods

Expression of BAFF-receptor (BR3) on peripheral monocytes from patients with pSS (n = 67) and healthy controls (HC: n = 37) was analyzed by FACS. Peripheral monocytes were stimulated with BAFF, and IL-6 production by the cells was measured by ELISA. Peripheral B cells were cultured with BAFF-stimulated monocytes in the presence or absence of anti-IL-6 receptor antibody, and IgG production by the cells was measured by ELISA. Patients’ serological data were collected from their clinical records. Patients’ disease activity was quantified based on their EULAR Sjögren’s syndrome disease activity index (ESSDAI) scores.

Results

The proportion of peripheral BR3-positive monocytes (BR3+/CD14+) was significantly increased in pSS patients compared to HC. Moreover, IL-6 production by BAFF-stimulated monocytes was remarkably higher than HC and was significantly correlated with BR3+/CD14+ ratios of patients. In addition, BR3 expression on pSS monocytes was elevated in anti-Ro/SSA and/or anti-La/SSB positive compared to negative patients. Remarkably, BR3 expression on peripheral monocytes was positively and significantly correlated with patients’ serum IgG and IgM levels and ESSDAI scores. Moreover, the amount of IgG produced by B cells was markedly higher in pSS patients compared to HC when the cells were co-cultured with BAFF-stimulated autologous monocytes in vitro. Notably, addition of anti-IL-6 receptor antibody into the co-culture system led to inhibition of IgG production by B cells.

Conclusions

Our data suggest that elevated BR3 expression in monocytes is associated with clinical features in pSS patients and that enhanced production of IL-6 by BAFF-stimulated monocytes plays a part in the overproduction of IgG by B cells in pSS. These results suggest that BAFF signaling pathways through BR3 in monocytes are possible therapeutic targets for pSS.
Velamentous cord insertion: results from a rapid review of incidence, risk factors, adverse outcomes and screening
Authors: Buchanan-Hughes Amy , Bobrowska Anna , Visintin Cristina , Attilakos George , Marshall John
Published: June 2020

Background

Velamentous cord insertion (VCI) is an umbilical cord attachment to the membranes surrounding the placenta instead of the central mass. VCI is strongly associated with vasa praevia (VP), where umbilical vessels lie in close proximity to the internal cervical os. VP leaves the vessels vulnerable to rupture, which can lead to fatal fetal exsanguination. Screening for VP using second-trimester transabdominal sonography (TAS) to detect VCI has been proposed. We conducted a rapid review investigating the quality, quantity and direction of evidence available on the epidemiology, screening test accuracy and post-screening management pathways for VCI.

Methods

MEDLINE, Embase and the Cochrane Library were searched on 5 July 2016 and again on 11 October 2019, using general search terms for VP and VCI. Only peer-reviewed articles reporting on the epidemiology of VCI, the accuracy of the screening test and/or downstream management pathways for VCI pregnancies were included. Quality and risk of bias of each included study were assessed using pre-specified tools.

Results

Forty-one relevant publications were identified; all but one were based on non-UK pregnancy cohorts, and most included relatively few VCI cases. The estimated incidence of VCI was 0.4–11% in singleton pregnancies, with higher incidence in twin pregnancies (1.6–40%). VCI incidence was also increased among pregnancies with one or more other risk factors, including in vitro fertilisation pregnancies or nulliparity. VCI incidence among women without any known risk factors was unclear.

VCI was associated with adverse perinatal outcomes, most notably pre-term birth and emergency caesarean section in singleton pregnancies, and perinatal mortality in twins; however, associations varied across studies and the increased risk was typically low or moderate compared with pregnancies without VCI.

In studies on limited numbers of cases, screening for VCI using TAS had good overall accuracy, driven by high specificity. No studies on post-screening management of VCI were identified.

Conclusions

Literature on VCI epidemiology and outcomes is limited and low-quality. The accuracy of second-trimester TAS and the benefits and harms of screening cannot be determined without prospective studies in large cohorts. Modelling studies may indicate the feasibility and value of studying the epidemiology of VCI and the potential impact of detecting VCI as part of a population screening programme for VP.
Distribution and extent of heavy metal(loid) contamination in agricultural soils as affected by industrial activity
Authors: Kim Hyunuk , Lee Mina , Lee Jae-Hwang , Kim Kye-Hoon , Owens Gary , Kim Kwon-Rae
Published: June 2020

In Korea, rapid industrialization has often caused severe soil and water pollution near industrial complexes. Particularly, heavy metal(loid) contamination of agricultural lands could induce serious long-term problems for crop safety and productivity, requiring continual safety assessment. This study investigated heavy metal(loid) contamination of agricultural lands near fifteen industrial complexes. At each of industrial sites in Gyeongsangbuk-do, topsoils and subsoils were collected at two different distances from each site (0–500 m and 500–1000 m). For comparison, at each site, non-polluted soils were also collected more than 1000 m away from each industrial complex. With the exception of one sample, heavy metal(loid) concentration of all soils were lower than the Korean guidelines for soil contamination. However, the difference between the heavy metal(loid) concentrations of Cu, Pb and Zn in topsoil and subsoil increased the closer the samples were the industrial complexes, which implied that these elements were being generated by industrial activities and were freshly loaded on to near surface soils. While the heavy metal(loid) concentration in the studied sites did not exceed the Korean guideline, the geoaccumulation index of each soil indicated that the degree of Cd, Cu, and Pb contamination was heavily or extremely serious in more than twenty of the examined soils. The elevation of specific metals associated with industrial activity in soils in close proximity to industrial sites is of some concern and should be taken into consideration for the future management of agricultural soils around such complexes as well as the industrial complex operation itself.
Altered levels of CSF proteins in patients with FTD, presymptomatic mutation carriers and non-carriers
Authors: Remnestål Julia , Öijerstedt Linn , Ullgren Abbe , Olofsson Jennie , Bergström Sofia , Kultima Kim , Ingelsson Martin , Kilander Lena , Uhlén Mathias , Månberg Anna , Graff Caroline , Nilsson Peter
Published: June 2020

Background

The clinical presentations of frontotemporal dementia (FTD) are diverse and overlap with other neurological disorders. There are, as of today, no biomarkers in clinical practice for diagnosing the disorders. Here, we aimed to find protein markers in cerebrospinal fluid (CSF) from patients with FTD, presymptomatic mutation carriers and non-carriers.

Methods

Antibody suspension bead arrays were used to analyse 328 proteins in CSF from patients with behavioural variant FTD (bvFTD,n = 16) and progressive primary aphasia (PPA,n = 13), as well as presymptomatic mutation carriers (PMC,n = 16) and non-carriers (NC,n = 8). A total of 492 antibodies were used to measure protein levels by direct labelling of the CSF samples. The findings were further examined in an independent cohort including 13 FTD patients, 79 patients with Alzheimer’s disease and 18 healthy controls.

Results

We found significantly altered protein levels in CSF from FTD patients compared to unaffected individuals (PMC and NC) for 26 proteins. The analysis show patterns of separation between unaffected individuals and FTD patients, especially for those with a clinical diagnosis of bvFTD. The most statistically significant differences in protein levels were found for VGF, TN-R, NPTXR, TMEM132D, PDYN and NF-M. Patients with FTD were found to have higher levels of TN-R and NF-M, and lower levels of VGF, NPTXR, TMEM132D and PDYN, compared to unaffected individuals. The main findings were reproduced in the independent cohort.

Conclusion

In this pilot study, we show a separation of FTD patients from unaffected individuals based on protein levels in CSF. Further investigation is required to explore the CSF profiles in larger cohorts, but the results presented here has the potential to enable future clinical utilization of these potential biomarkers within FTD.
Factors influencing adoption of improved structural soil and water conservation measures in Eastern Ethiopia
Authors: Wordofa Muluken G. , Okoyo Eric N. , Erkalo Eliso
Published: June 2020

Background

Agriculture remains to be the leading sector that contributes enormously to economic development in Ethiopia. Despite its significant contribution to livelihoods, the sector faces persistent challenges due to depletion of natural resources and soil erosion that resulted in diminishing crop and livestock productivity. In order to curb the effects of land degradation, the Government of Ethiopia has been taking serious measures to expand Soil and Water Conservation (SWC) practices throughout the country. Despite the efforts made, the adoption of new practices by farmers have been generally low. This study was aimed at assessing factors influencing smallholder farmers’ decision on the use of improved structural SWC practices in Haramaya district, eastern Ethiopia. A multi-stage sampling technique was used to select 120 farm households and 248 plots. A structured interview schedule was used to collect primary data. Descriptive and inferential statistics and Multinomial Logit (MNL) regression model were used to analyze the data.

Results

The key findings showed that a host of socio-demographic, economic and institutional factors significantly affected smallholders’ decision to adopt improved structural SWC. In this study, we found that education, farming experience, plot area, distance of the plot from dwelling unit, number of economically active household members, and extension contact were the significant predictors of using improved SWC structures.

Conclusions

Based on our findings, we concluded that improved SWC measures should be scaled up through a concerted effort of extension workers, local administration and other relevant non-state actors. In particular, the extension system should encourage rural communities on sustainable management and use of natural resources. Moreover, the need to create learning opportunities through facilitating appropriate educational and training programs for farmers and focusing on proper management of available economically active household members should be emphasized.
Routine activity effects of the Covid-19 pandemic on burglary in Detroit, March, 2020
Authors: Felson Marcus , Jiang Shanhe , Xu Yanqing
Published: June 2020

The spread of the coronavirus has led to containment policies in many places, with concomitant shifts in routine activities. Major declines in crime have been reported as a result. However, those declines depend on crime type and may differ by parts of a city and land uses. This paper examines burglary in Detroit, Michigan during the month of March, 2020, a period of considerable change in routine activities. We examine 879 block groups, separating those dominated by residential land use from those with more mixed land use. We divide the month into three periods: pre-containment, transition period, and post-containment. Burglaries increase in block groups with mixed land use, but not blocks dominated by residential land use. The impact of containment policies on burglary clarifies after taking land use into account.
High-resolution, non-invasive animal tracking and reconstruction of local environment in aquatic ecosystems
Authors: Francisco Fritz A , Nührenberg Paul , Jordan Alex
Published: June 2020

Background

Acquiring high resolution quantitative behavioural data underwater often involves installation of costly infrastructure, or capture and manipulation of animals. Aquatic movement ecology can therefore be limited in taxonomic range and ecological coverage.

Methods

Here we present a novel deep-learning based, multi-individual tracking approach, which incorporates Structure-from-Motion in order to determine the 3D location, body position and the visual environment of every recorded individual. The application is based on low-cost cameras and does not require the animals to be confined, manipulated, or handled in any way.

Results

Using this approach, single individuals, small heterospecific groups and schools of fish were tracked in freshwater and marine environments of varying complexity. Positional tracking errors as low as 1.09 ± 0.47 cm (RSME) in underwater areas up to 500 m2were recorded.

Conclusions

This cost-effective and open-source framework allows the analysis of animal behaviour in aquatic systems at an unprecedented resolution. Implementing this versatile approach, quantitative behavioural analysis can be employed in a wide range of natural contexts, vastly expanding our potential for examining non-model systems and species.
Intrafamilial phenotypic variation in spinocerebellar ataxia type 23
Authors: Satoh Shunichi , Kondo Yasufumi , Ohara Shinji , Yamaguchi Tomomi , Nakamura Katsuya , Yoshida Kunihiro
Published: June 2020

Background

Spinocerebellar ataxia type 23 (SCA23) is an autosomal dominant cerebellar ataxia caused by pathogenic variants in the prodynorphin gene (PDYN). The frequency of PDYN variants is reportedly very low (~ 0.1%) in several ataxia cohorts screened to date.

Case presentations

We found five cases of SCA23 in two families (mean age at onset: 37.8 ± 5.5 years; mean age at examination: 64.2 ± 12.3 years) with a novel PDYN variant (c.644G > A:p.R215H). We identified marked heterogeneity in the clinical features in Family 1: the proband showed clinical and neuroimaging features suggestive of multiple system atrophy with predominant parkinsonism (MSA-P). Conversely, the proband’s mother with the PDYN p.R215H variant had no subjective symptoms; she had not come to medical attention before our survey, although she showed apparent cerebellar atrophy on brain magnetic resonance imaging (MRI). The other two patients in Family 1 and a patient in Family 2 showed slowly progressive cerebellar ataxia.

Conclusions

We here report two Japanese families with SCA23, one of which showed considerable phenotypic variation in affected members. Our findings support that SCA23 can phenotypically overlap with MSA.
Closed suction drainage offers no more clinical benefit than non-drainage after primary total knee arthroplasty with the administration of tranexamic acid in Chinese patients
Authors: Yang Dong , Liu Kaiyuan , Fan Lin , Xu Tianyang , Li Guodong
Published: June 2020

Background

If closed suction drainage (CSD) should be used after primary total knee arthroplasty (TKA), remains controversial. The current study aimed to explore whether CSD offers more clinical benefit with the administration of tranexamic acid in Chinese patients.

Methods

A retrospective study was conducted on 200 patients who had received TKA. One hundred patients were placed on drainage after TKA, whereas the rest of 100 patients were not. Multiple clinical parameters were dynamically monitored and compared between the two groups.

Results

The length of the hospitalization days was significantly shorter in patients who did not receive CSD (6.0 ± 0.8 vs. 7.0 ± 0.8 days, p < 0.001). The patients in the drainage group had more Hb drop on the first postoperative day (14.82 ± 6.58 vs. 11.27 ± 5.71 g/L, p < 0.001). No statistically significant difference was observed in VAS score, ROM and thigh circumference at baseline during the follow-up between two groups.

Conclusions

Additional drainage after primary TKA had no clinical benefit after the tranexamic acid had already been administered during the treatment.
Views From Patients With Cancer in the Setting of Unplanned Acute Care: Informing Approaches to Reduce Health Care Utilization
Authors: Kaufmann Tara L. , Rendle Katharine A. , Aakhus Erin , Nimgaonkar Vivek , Shah Arnav , Bilger Andrea , Gabriel Peter E. , Trotta Rebecca , Braun Jennifer , Shulman Lawrence N. , Bekelman Justin E. , Barg Frances K.
Published: June 2020

PURPOSE:

New oncology care delivery models that avoid preventable acute care are needed, yet it is unclear which interventions best meet the needs of patients and caregivers. Perspectives from patients who experienced unplanned acute care events may inform the successful development and implementation of care delivery models.

METHODS:

We performed a qualitative interview study of patients with solid tumors on active treatment who experienced the following 3 types of unplanned acute care events: emergency department visits, first hospitalizations, and multiple hospitalizations. Patients were prospectively recruited within a large academic health system from August 2018 to January 2019. Interviews followed a semi-structured guide developed from the Consolidated Framework for Implementation Research. The constant comparative approach was used to identify themes.

RESULTS:

Forty-nine patients were interviewed; 51% were men, 75% were non-Hispanic White, and the mean age was 57.4 years (standard deviation, 1.9 years). Fifty-five percent of patients had metastatic disease, and 33% had an Eastern Cooperative Oncology Group performance status of 3-4. We identified the following key themes: drivers of the decision to seek acute care, patients’ emotional concerns that influence interactions with the oncology team, and strategies used to avoid acute care. Patients’ recommendations for interventions included anticipatory guidance, peer support, improved triage methods, and enhanced symptom management. Patients preferred options for virtual and home-based outpatient care.

CONCLUSION:

Patient-centered care models should focus on early delivery of supportive interventions that help patients and caregivers navigate the unexpected issues that come with cancer treatment. Patients advocate for proactive, multidisciplinary supportive interventions that enable home-based care and are led by the primary oncology team.
Endothelial protective factors BMP9 and BMP10 inhibit CCL2 release by human vascular endothelial cells
Authors: Upton Paul D. , Park John E. S. , De Souza Patricia M. , Davies Rachel J. , Griffiths Mark J. D. , Wort Stephen J. , Morrell Nicholas W.
Published: June 2020

Bone morphogenetic protein 9 (BMP9) and BMP10 are circulating ligands that mediate endothelial cell (EC) protection via complexes of the type I receptor ALK1 and the type II receptors activin type-IIA receptor (ACTR-IIA) and bone morphogenetic type II receptor (BMPR-II). We previously demonstrated that BMP9 induces the expression of interleukin-6, interleukin-8 and E-selectin in ECs and might influence their interactions with monocytes and neutrophils. We asked whether BMP9 and BMP10 regulate the expression of chemokine (C-C motif) ligand 2 (CCL2), a key chemokine involved in monocyte–macrophage chemoattraction. Here, we show that BMP9 and BMP10 repress basal CCL2 expression and release from human pulmonary artery ECs and aortic ECs. The repression was dependent on ALK1 and co-dependent on ACTR-IIA and BMPR-II. Assessment of canonical Smad signalling indicated a reliance of this response on Smad4. Of note, Smad1/5 signalling contributed only at BMP9 concentrations similar to those in the circulation. In the context of inflammation, BMP9 did not alter the induction of CCL2 by TNF-α. As CCL2 promotes monocyte/macrophage chemotaxis and endothelial permeability, these data support the concept that BMP9 preserves basal endothelial integrity.
Cardiolipin is required for membrane docking of mitochondrial ribosomes and protein synthesis
Authors: Lee Richard G. , Gao Junjie , Siira Stefan J. , Shearwood Anne-Marie , Ermer Judith A. , Hofferek Vinzenz , Mathews James C. , Zheng Minghao , Reid Gavin E. , Rackham Oliver , Filipovska Aleksandra
Published: June 2020

The mitochondrial inner membrane contains a unique phospholipid known as cardiolipin (CL), which stabilises the protein complexes embedded in the membrane and supports its overall structure. Recent evidence indicates that the mitochondrial ribosome may associate with the inner membrane to facilitate co-translational insertion of the hydrophobic oxidative phosphorylation (OXPHOS) proteins into the inner membrane. We generated three mutant knockout cell lines for the CL biosynthesis gene Crls1 to investigate the effects of CL loss on mitochondrial protein synthesis. Reduced CL levels caused altered mitochondrial morphology and transcriptome-wide changes that were accompanied by uncoordinated mitochondrial translation rates and impaired respiratory chain supercomplex formation. Aberrant protein synthesis was caused by impaired formation and distribution of mitochondrial ribosomes. Reduction or loss of CL resulted in divergent mitochondrial and endoplasmic reticulum stress responses. We show that CL is required to stabilise the interaction of the mitochondrial ribosome with the membrane via its association with OXA1 (also known as OXA1L) during active translation. This interaction facilitates insertion of newly synthesised mitochondrial proteins into the inner membrane and stabilises the respiratory supercomplexes.
Osmotic gradients induce stable dome morphogenesis on extracellular matrix
Authors: Ishida-Ishihara Sumire , Akiyama Masakazu , Furusawa Kazuya , Naguro Isao , Ryuno Hiroki , Sushida Takamichi , Ishihara Seiichiro , Haga Hisashi
Published: June 2020

One of the fundamental processes in morphogenesis is dome formation, but many of the mechanisms involved are unexplored. Previous in vitro studies showed that an osmotic gradient is the driving factor of dome formation. However, these investigations were performed without extracellular matrix (ECM), which provides structural support to morphogenesis. With the use of ECM, we observed that basal hypertonic stress induced stable domes in vitro that have not been seen in previous studies. These domes developed as a result of ECM swelling via aquaporin water transport activity. Based on computer simulation, uneven swelling, with a positive feedback between cell stretching and enhanced water transport, was a cause of dome formation. These results indicate that osmotic gradients induce dome morphogenesis via both enhanced water transport activity and subsequent ECM swelling.
Staufen1 localizes to the mitotic spindle and controls the localization of RNA populations to the spindle
Authors: Hassine Sami , Bonnet-Magnaval Florence , Benoit Bouvrette Louis Philip , Doran Bellastrid , Ghram Mehdi , Bouthillette Mathieu , Lecuyer Eric , DesGroseillers Luc
Published: June 2020

Staufen1 (STAU1) is an RNA-binding protein involved in the post-transcriptional regulation of mRNAs. We report that a large fraction of STAU1 localizes to the mitotic spindle in colorectal cancer HCT116 cells and in non-transformed hTERT-RPE1 cells. Spindle-associated STAU1 partly co-localizes with ribosomes and active sites of translation. We mapped the molecular determinant required for STAU1–spindle association within the first 88 N-terminal amino acids, a domain that is not required for RNA binding. Interestingly, transcriptomic analysis of purified mitotic spindles revealed that 1054 mRNAs and the precursor ribosomal RNA (pre-rRNA), as well as the long non-coding RNAs and small nucleolar RNAs involved in ribonucleoprotein assembly and processing, are enriched on spindles compared with cell extracts. STAU1 knockout causes displacement of the pre-rRNA and of 154 mRNAs coding for proteins involved in actin cytoskeleton organization and cell growth, highlighting a role for STAU1 in mRNA trafficking to spindle. These data demonstrate that STAU1 controls the localization of subpopulations of RNAs during mitosis and suggests a novel role of STAU1 in pre-rRNA maintenance during mitosis, ribogenesis and/or nucleoli reassembly.
The diagnostic performance of CESM and CE-MRI in evaluating the pathological response to neoadjuvant therapy in breast cancer: a systematic review and meta-analysis
Authors: Tang Sudan , Xiang Chunhong , Yang Quan
Published: June 2020

Objectives:

Neoadjuvant chemotherapy (NAC) is an important method for breast cancer treatment. By monitoring its pathological response, the selection of clinical treatment strategies can be guided. In this study, the meta-analysis was used to compare the accuracy of contrast-enhanced MRI (CE-MRI) and contrast-enhanced spectral mammography (CESM) in detecting the pathological response of NAC.

Methods:

Literatures associated to CE-MRI and CESM in the evaluation of pathological response of NAC were searched from PubMed, Cochrane Library, web of science, and EMBASE databases. The Quality Assessment of Diagnostic Accuracy Studies 2 (QUADAS-2) tool was used to assess the quality of studies. Pooled sensitivity, specificity, and the area under the SROC curve were calculated to evaluate the diagnostic accuracy of CE-MRI and CESM in monitoring the pathological response of NAC.

Results:

There were 24 studies involved, 18 of which only underwent CE-MRI examination, three of which only underwent CESM examination, and three of which underwent both CE-MRI and CESM examination. The pooled sensitivity and specificity of CE-MRI were 0.77 (95%CI, 0.67–0.84) and 0.82 (95%CI, 0.73–0.89), respectively. The pooled sensitivity and specificity of CESM were 0.83 (95%CI, 0.66–0.93) and 0.82 (95%CI, 0.68–0.91), respectively. The AUCs of SROC curve for CE-MRI and CESM were 0.86 and 0.89, respectively.

Conclusions:

Compared to CE-MRI, CESM has equal specificity, greater sensitivity and excellent performance, which may have a brighter prospect in evaluating the pathological response of breast cancer to NAC.

Advances in knowledge:

CESM showed equal specificity, greater sensitivity, and excellent performance than CE-MRI.
The Phenomenon of “Obesity Paradox” in Neck of Femur Fractures
Authors: Tahir Muhammad , Ahmed Nadeem , Ali Samejo Muhammad Qasim , Jamali Allah Rakhio
Published: June 2020

Objective: To determine the association of body mass index (BMI) with 30 days and 1-year mortality outcomes of orthopedic elderly patients after hip fracture surgery.

Methods: This is prospective study conducted at Department of Orthopaedics, at a tertiary care public sector hospital in Karachi between Jan-2016 to Jan-2018. In this short follow-up study, we included the data of 490 patients, who were operated for neck of femur fractures in a public sector tertiary care hospital between Jan-2016 to Jan-2018. Patients were divided into different categories on the basis of BMI; BMI <20 Kg.m-2 underweight, 20-24.99 Kg.m-2 normal weight, BMI 25-29.99 Kg.m-2 overweight, ≥30 obese. Mortality at 30 days and 1-year mortality were primary study end-points.

Results: Rate of re-admission within 30 days, major adverse cardiovascular events (MACE) within 30 days and 30 days mortality was high in underweight and lowest in obese patients. Thirty-day mortality rate was 2.7% in underweight, 1.3% in normal weight, 0.64% in over-weight and 0.0% in obese patients but this was not significant statistically (p-value 0.29). One-year mortality rate was significantly high in under-weight patients, 34.2%, 25.9% in normal weight, 21.4% in overweight and only 14.5% in obese patients (p-value 0.009). Age ≥ 65 years (odds ratio 0.40 (0.26-0.63), and ASA III-IV (odds ratio; 0.27 (0.16-0.45) are also significant risk factors of 1-year mortality

Conclusion: BMI classification can serve as an important indicator of adverse early outcomes after hip fracture surgery. Over-weight and obese patients have better survival outcomes and have lower 1-year mortality rate.

doi: https://doi.org/10.12669/pjms.36.5.1952

How to cite this:Tahir M, Ahmed N, Samejo MQA, Jamali AR. The Phenomenon of “Obesity Paradox” in Neck of Femur Fractures. Pak J Med Sci. 2020;36(5):1079-1083. doi: https://doi.org/10.12669/pjms.36.5.1952

This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.