bluuebunny/crossref_metadata_2025 huggingface dataset:
Development of a simple, rapid, and sensitive molecular diagnostic assay for cholera
Authors: Chakraborty Subhra , Velagic Mirza , Connor Sean
Published: February 2023

Cholera continues to inflict high rates of morbidity and mortality. Prompt identification of cholera cases facilitates rapid outbreak responses in the short term while providing reliable surveillance data to guide long-term policies and interventions. Microbiological stool culture, the current recognized gold standard for diagnosing cholera, has significant limitations. Rapid diagnostic tests (RDTs) represent promising alternatives for diagnosing cholera in areas with limited laboratory infrastructure. However, studies conducted with the current cholera RDTs demonstrated wide variations in sensitivity and specificity. To address this gap in the diagnosis of cholera, we developed a simple, rapid, and sensitive diagnostic assay, "Rapid LAMP based Diagnostic Test (RLDT)." With a novel, simple sample preparation method directly from the fecal samples along with lyophilized reaction strips and using established Loop-mediated Isothermal Amplification (LAMP) platform, cholera toxin gene (ctxA) and O1 (O1rfb) gene could be detected in less than an hour. Cholera RLDT assay is cold chain and electricity-free. To avoid any end-user bias, a battery-operated, handheld reader was used to read the RLDT results. The performance specifications of the cholera RLDT assay, including analytical sensitivity and specificity, were evaluated using direct fecal samples, dried fecal samples on filter paper, and environmental water samples spiked with cholera strain. The limit of detection (LOD) was ~104 CFU/gm of stool for both ctxA and O1 genes, corresponding to about 1 CFU of Vibrio cholerae per reaction within 40 minutes. The LOD was 10 bacteria per ml of environmental water when tested with RLDT directly, without enrichment. Being simple, RLDT has the potential to be applied in resource-poor endemic settings for rapid, sensitive, and reliable diagnosis of cholera.
Assessing the impact of sand and dust storm on agriculture: Empirical evidence from Mongolia
Authors: Ahmadzai Hayatullah , Malhotra Arzoo , Tutundjian Seta
Published: February 2023

Assessing the economic impact of sand and dust storms provides critical insights to policy development and reforms; a subject that is gaining more attention as risk management becomes the dominant approach for hazard mitigation policies. To assess the causal impact of sand and dust storms on agriculture, specifically on crop and livestock revenue and physical production, random year-to-year variations in dust exposure were analyzed using a fixed effect regression. To complete this analysis, weather and climate data from the on-ground meteorological stations was combined with the household level socioeconomic surveys conducted by Mongolia’s National Statistics Office (NSO) over a decade. The descriptive statistics of the meteorological data collected over the eight years period show that, on average, 29 dust events have occurred every year across the country, with greater variation among provinces (Aimags) and regions, reaching up to 108 events in a year in some provinces. The overall trend reveals a slight decrease in the dust events from 2009 to 2019. The econometric results show that value of crop and livestock production (gross income) and physical yields significantly decline in response to higher frequencies of sand and dust storms events. During this period, Mongolia experienced a 2.7% decline in crop revenue as a result of additional sand and dust storms. Assuming 2.7% constant decline in revenues across all agricultural sub-sectors and regions or Aimags, this could lead to about $37.8 million in losses to the economy, which is equivalent to about 0.27% of the national GDP of Mongolia. Increases in the frequency of sand and dust storms could reduce agricultural productivity by between 1.5% to 24%, depending on the crop. Estimates from the modelling exercise are robust to potential endogeneity bias in the measure of sand and dust storms; different specification and identification approaches accounting for the endogeneity bias consistently reveal negative and qualitatively similar impacts of sand and dust storms on crop and livestock productivity.
Molecular epidemiological analyses reveal extensive connectivity between Echinostoma revolutum (sensu stricto) populations across Eurasia and species richness of zoonotic echinostomatids in England
Authors: Enabulele Egie E. , Lawton Scott P. , Walker Anthony J. , Kirk Ruth S.
Published: February 2023

Echinostoma revolutum (sensu stricto) is a widely distributed member of the Echinostomatidae, a cosmopolitan family of digenetic trematodes with complex life cycles involving a wide range of definitive hosts, particularly aquatic birds. Integrative taxonomic studies, notably those utilising nad1 barcoding, have been essential in discrimination of E. revolutum (s.s.) within the ‘Echinostoma revolutum’ species complex and investigation of its molecular diversity. No studies, however, have focussed on factors affecting population genetic structure and connectivity of E. revolutum (s.s.) in Eurasia. Here, we used morphology combined with nad1 and cox1 barcoding to determine the occurrence of E. revolutum (s.s.) and its lymnaeid hosts in England for the first time, in addition to other echinostomatid species Echinoparyphium aconiatum, Echinoparyphium recurvatum and Hypoderaeum conoideum. Analysis of genetic diversity in E. revolutum (s.s.) populations across Eurasia demonstrated haplotype sharing and gene flow, probably facilitated by migratory bird hosts. Neutrality and mismatch distribution analyses support possible recent demographic expansion of the Asian population of E. revolutum (s.s.) (nad1 sequences from Bangladesh and Thailand) and stability in European (nad1 sequences from this study, Iceland and continental Europe) and Eurasian (combined data sets from Europe and Asia) populations with evidence of sub-population structure and selection processes. This study provides new molecular evidence for a panmictic population of E. revolutum (s.s.) in Eurasia and phylogeographically expands the nad1 database for identification of echinostomatids.
Study on mechanical properties of corroded concrete columns strengthened with SMA wires
Authors: Pei Qiang , Cai Bangwen , Xue Zhicheng , Ding Yu , Cui Di , Guo Yun
Published: February 2023

Ocean crossing bridges suffer from seawater corrosion all year round and their mechanical properties will be substantially diminished. In order to enhance the mechanical properties of reinforced concrete columns corroded by seawater, SMA wire is used to restrain the reinforced concrete columns corroded by seawater to study their mechanical properties. 14 specimens were produced through the test, and the natural seawater corrosion was simulated by preparing a certain concentration of synthetic seawater. The mechanical properties of SMA strengthened specimens and unreinforced specimens are compared and analyzed, including failure mode, hysteresis curve, bearing capacity, ductility, stiffness and energy dissipation; the effects of different synthetic seawater corrosion concentrations on the mechanical properties of reinforced concrete columns are discussed. The results show that the bearing capacity and stiffness of reinforced concrete columns subjected to synthetic seawater corrosion are substantially diminished than those of uncorroded specimens, and the bearing capacity of specimens decreases more with the increase of synthetic seawater corrosion concentration; synthetic seawater corrosion has obscure effect on the ductility and energy dissipation performance of the specimens. The mechanical properties of the corroded specimens strengthened with SMA wire have been substantially enhanced, particularly the energy dissipation performance and bearing capacity have been notably enhanced, and the ductility and stiffness have also been somewhat enhanced. At the same time, based on the test, the finite element model is created according to the test specimen, while the accuracy of the model is verified, and the effects of the spacing and diameter of SMA wire, the strength of concrete and the thickness of protective layer on the mechanical properties of the specimen are analyzed.
The effect of synbiotic supplementation on hypothyroidism: A randomized double-blind placebo controlled clinical trial
Authors: Ramezani Majid , Reisian Mahnaz , Sajadi Hezaveh Zohreh
Published: February 2023

Objective

We hypothesize that synbiotic supplementation could modulate the intestinal microbiota and subsequently, improve the condition of hypothyroid patients.

Methods

Fifty-six adult hypothyroid patients were recruited to this double-blind, placebo-controlled, randomized clinical trial. The intervention was 10 weeks of synbiotic (500 mg of 109 CFU/g probiotics plus fructo-oligosaccharide, n = 28) compared to placebo (lactose, magnesium stearate, talc, and silicon dioxide, n = 28). Randomization and allocation to trial groups were carried out using random number sequences drawn from https://sealedenvelope.com/. Primary outcomes were serum thyroid stimulating hormone (TSH) and free thyroxine (FT4), and secondary outcomes were depression, quality of life, and blood pressure (BP). P-values< 0.05 were considered statistically significant.

Results

Analysis on 51 patients who completed the trial showed that TSH and depression (p> 0.05) did not change significantly, while serum FT4 significantly increased in both groups (p = 0.03 and p = 0.02 in symbiotic and placebo respectively). A significant decrease in systolic BP occurred only in the synbiotic group (p = 0.05). Significant improvements occurred regarding different domains and areas of quality of life in the crude and adjusted analysis, including perceived mental health (p = 0.02), bodily pain (p = 0.02), general health perception (p = 0.002), and wellbeing (p = 0.002), which were significantly higher in the synbiotic group.

Conclusions

Ten-week supplementation with synbiotic had no favorable effect on depression and TSH, but it improved blood pressure and quality of life in patients with hypothyroidism. More trials are needed to support or reject these findings.

Trial registration

IRCT20210926052583N1, Iranian Registry of Clinical Trials (IRCT), registered October 1st, 2021.
Small molecule inhibiting microglial nitric oxide release could become a potential treatment for neuroinflammation
Authors: Jordan Philipp , Costa Amanda , Specker Edgar , Popp Oliver , Volkamer Andrea , Piske Regina , Obrusnik Tessa , Kleissle Sabrina , Stuke Kevin , Rex Andre , Neuenschwander Martin , von Kries Jens Peter , Nazare Marc , Mertins Phillip , Kettenmann Helmut , Wolf Susanne A.
Published: February 2023

Microglia are the immune effector cells of the central nervous system (CNS) and react to pathologic events with a complex process including the release of nitric oxide (NO). NO is a free radical, which is toxic for all cells at high concentrations. To target an exaggerated NO release, we tested a library of 16 544 chemical compounds for their effect on lipopolysaccharide (LPS)-induced NO release in cell line and primary neonatal microglia. We identified a compound (C1) which significantly reduced NO release in a dose-dependent manner, with a low IC50 (252 nM) and no toxic side effects in vitro or in vivo. Target finding strategies such as in silico modelling and mass spectroscopy hint towards a direct interaction between C1 and the nitric oxide synthase making C1 a great candidate for specific intra-cellular interaction with the NO producing machinery.
FilamentSensor 2.0: An open-source modular toolbox for 2D/3D cytoskeletal filament tracking
Authors: Hauke Lara , Primeßnig Andreas , Eltzner Benjamin , Radwitz Jennifer , Huckemann Stefan F. , Rehfeldt Florian
Published: February 2023

Cytoskeletal pattern formation and structural dynamics are key to a variety of biological functions and a detailed and quantitative analysis yields insight into finely tuned and well-balanced homeostasis and potential pathological alterations. High content life cell imaging of fluorescently labeled cytoskeletal elements under physiological conditions is nowadays state-of-the-art and can record time lapse data for detailed experimental studies. However, systematic quantification of structures and in particular the dynamics (i.e. frame-to-frame tracking) are essential. Here, an unbiased, quantitative, and robust analysis workflow that can be highly automatized is needed. For this purpose we upgraded and expanded our fiber detection algorithm FilamentSensor (FS) to the FilamentSensor 2.0 (FS2.0) toolbox, allowing for automatic detection and segmentation of fibrous structures and the extraction of relevant data (center of mass, length, width, orientation, curvature) in real-time as well as tracking of these objects over time and cell event monitoring.
An evaluation of the risk factors associated with implementing projects of health information technology by fuzzy combined ANP-DEMATEL
Authors: Sharifian Roxana , Ghasemi Farzane , Kharazmi Erfan , Farhadi Payam , Monem Hossein , Shokrpour Nasrin
Published: February 2023

Background

Application of a Clinical Information System (CIS) like Electronic Patient Record (EPR), PACS system and CPOE has turned into one of the most important criteria of priorities of health care systems. The aims of the clinical information system include improving the physicians’ efficiency level, integrating the caring process, and expanding the fuzzy quality of the services offered to patients. Achievement of these benefits in reality is not an easy task, and there are lots of plans in this field which are doomed to failure. About 50% of the implementation plans of clinical information systems in health care organizations have failed, and this trend is significantly affecting industrial countries. Proper implementation of hospital information systems lies in identifying and assessing the relationships among the most important risk factors of fuzzy. The present study aimed to provide an applicable model for identifying, ranking and evaluating the risk factors associated with projects of clinical information technology in hospitals of Shiraz University of Medical Sciences.

Method

This is an applied study which evaluates the risk factors associated with implementation of clinical information technology projects in hospitals of Shiraz Medical Sciences University. The participants consisted of professionals and senior experts of clinical information technology. Fuzzy logic was used in this study. We also applied ANP-DEMATEL combined model with fuzzy procedure to provide the analytic model of the study

Results

According to the study findings, lack of top-executive supports, and unstable organizational environment were the two most important risk factors, while the main organizational factors and technology were also highly important. In addition, the factors associated with technology had the highest influence on the other studied risk factors.

Conclusion

Hospital authorities can benefit from this proposed model to reduce the risk of implementing the projects of clinical information technology and improve the success coefficient of the risk of such projects.
Action potential metrics and automated data analysis pipeline for cardiotoxicity testing using optically mapped hiPSC-derived 3D cardiac microtissues
Authors: Soepriatna Arvin H. , Navarrete-Welton Allison , Kim Tae Yun , Daley Mark C. , Bronk Peter , Kofron Celinda M. , Mende Ulrike , Coulombe Kareen L. K. , Choi Bum-Rak
Published: February 2023

Recent advances in human induced pluripotent stem cell (hiPSC)-derived cardiac microtissues provide a unique opportunity for cardiotoxic assessment of pharmaceutical and environmental compounds. Here, we developed a series of automated data processing algorithms to assess changes in action potential (AP) properties for cardiotoxicity testing in 3D engineered cardiac microtissues generated from hiPSC-derived cardiomyocytes (hiPSC-CMs). Purified hiPSC-CMs were mixed with 5–25% human cardiac fibroblasts (hCFs) under scaffold-free conditions and allowed to self-assemble into 3D spherical microtissues in 35-microwell agarose gels. Optical mapping was performed to quantify electrophysiological changes. To increase throughput, AP traces from 4x4 cardiac microtissues were simultaneously acquired with a voltage sensitive dye and a CMOS camera. Individual microtissues showing APs were identified using automated thresholding after Fourier transforming traces. An asymmetric least squares method was used to correct non-uniform background and baseline drift, and the fluorescence was normalized (ΔF/F0). Bilateral filtering was applied to preserve the sharpness of the AP upstroke. AP shape changes under selective ion channel block were characterized using AP metrics including stimulation delay, rise time of AP upstroke, APD30, APD50, APD80, APDmxr (maximum rate change of repolarization), and AP triangulation (APDtri = APDmxr−APD50). We also characterized changes in AP metrics under various ion channel block conditions with multi-class logistic regression and feature extraction using principal component analysis of human AP computer simulations. Simulation results were validated experimentally with selective pharmacological ion channel blockers. In conclusion, this simple and robust automated data analysis pipeline for evaluating key AP metrics provides an excellent in vitro cardiotoxicity testing platform for a wide range of environmental and pharmaceutical compounds.
Basic emergency care course and longitudinal mentorship completed in a rural Neno District, Malawi: A feasibility, acceptability, and impact study
Authors: Khongo Brown David , Schmiedeknecht Kelly , Aron Moses Banda , Nyangulu Prisca Nelisa , Mazengera Wellington , Ndarama Enoch , Tenner Andrea G. , Baltzell Kimberly , Connolly Emilia
Published: February 2023

Background

Frontline providers mostly outside specific emergency areas deliver emergency care around the world, yet often they do not receive dedicated training in managing emergency conditions. When designed for low-resource settings, emergency care training has been shown to improve provider skills, facilitate efficient use of available resources, and reduce death and disability by ensuring timely access to life-saving care.

Methods

The WHO/ICRC Basic Emergency Care (BEC) Course with follow up longitudinal mentorship for 6 months was implemented in rural Neno District Malawi from September 2019-April 2020. We completed a mixed-methods analysis of the course and mentorship included mentor and participant surveys and feedback, mentorship quantification, and participant examination results. Simple descriptive statistics and boxplot visuals were used to describe participant demographics and mentorship quantification with a Wilcoxon signed-rank test to evaluate pre- and post-test scores. Qualitative feedback from participants and mentors were inductively analyzed using Dedoose.

Results

The median difference of BEC course examination percentage score between participants before the BEC course and immediately following the course was 18.0 (95% CI 14.0–22.0; p<0.001). Examination scores from the one-year post-test was lower but sustained above the pre-course test score with a median difference of 11.9 (95% CI 4.0–16.0; p<0.009). There were 174 mentorship activities with results suggesting that a higher number of mentorship touches and hours of mentor-mentee interactions may assist in sustained knowledge test scores. Reported strengths included course delivery approach leading to improved knowledge with mentorship enhancing skills, learning and improved confidence. Suggestions for improvement included more contextualized training and increased mentorship.

Conclusion

The BEC course and subsequent longitudinal mentorship were feasible and acceptable to participants and mentors in the Malawian low resource context. Follow-up longitudinal mentorship was feasible and acceptable and is likely important to cementing the course concepts for long-term retention of knowledge and skills.
Host-induced silencing of the CpCHI gene resulted in developmental abnormalities and mortality in maize stem borer (Chilo partellus)
Authors: Adeyinka Olawale Samuel , Nasir Idrees Ahmad , Tabassum Bushra
Published: February 2023

RNAi-based insecticides for crop protection have witnessed rapid improvement over the years. However, their potential to efficiently control maize stem borer (Chilo partellus) pests has remained underexplored. In this study, double-stranded C. partellus chitinase (dsCHI) toxicity was investigated in C. partellus larvae. Furthermore, we developed transgenic maize lines expressing dsRNA targeted against C. partellus chitinase transcripts and performed detached leaf insect feeding bioassays. Our results revealed that C. partellus chitinase transcript expression was significantly downregulated by 57% and 82% in the larvae. Larvae exhibited various phenotypic distortion levels across developmental stages, and 53% mortality occurred in transgenic fed larvae compared to those fed on nontransgenic leaves. In conclusion, we have identified the C. partellus chitinase gene as a potential target for RNAi-mediated control and demonstrated that oral delivery via bacteria and plant-mediated delivery are viable means of achieving C. partellus RNAi-mediated control.
Publication bias, time-lag bias, and place-of-publication bias in social intervention research: An exploratory study of 527 Swedish articles published between 1990–2019
Authors: Olsson Tina M. , Sundell Knut
Published: February 2023

Publication and related biases constitute serious threats to the validity of research synthesis. If research syntheses are based on a biased selection of the available research, there is an increased risk of producing misleading results. The purpose fo this study is to explore the extent of positive outcome bias, time-lag bias, and place-of-publication bias in published research on the effects of psychological, social, and behavioral interventions. The results are based on 527 Swedish outcome trials published in peer-reviewed journals between 1990 and 2019. We found no difference in the number of studies reporting significant compared to non-significant findings or in the number of studies reporting strong effect sizes in the published literature. We found no evidence of time-lag bias or place-of-publication bias in our results. The average reported effect size remained constant over time as did the proportion of studies reporting significant effects.
Changes in the vitreous body after experimental vitreous hemorrhage in rabbit: An interdisciplinary study
Authors: Zhang Pengcheng , Yan Weijia , Yan Hong
Published: February 2023

Purpose

To explore the changes in vitreous body after vitreous hemorrhage and assess its prognosis from the perspective of vitreoretinal interface.

Methods

The experiment was performed on 32 New Zealand rabbits (64 eyes), weighing 2500–3000 g for 4 months and unlimited gender, which was injected with 0.2 mL of autologous blood into the center of vitreous cavity–the study group (right eyes), and the control one was treated in the same manner with equal volumes of saline. The rabbits were randomly and equally divided into the following four batches according to the days of observation: Days 3, 7, 14, and 30 after injection. IOP and severity grading were evaluated before rabbits’ execution and eyeballs were enucleated. The anterior segment was separated to flow out the vitreous body naturally to detect the liquefaction degree and viscosity. Then, chemical composition of electrolytes, PCT and bFGF were determined by colorimetry and enzyme-linked immunosorbent assay (ELISA). Finally, the incidence of posterior vitreous detachment (PVD) was observed after vitreous sampled. The studies were double-blind.

Results

After injection, the extent of vitreous opacity and coagulum size decreased over time. Both the degree of liquefaction and the length of tow differed significantly between two groups at different time points (all p < 0.001). The liquefaction degree in the study group rose obviously from the Day 14, which the viscosity declined significantly on the initial time. Biochemical markers fluctuated temporarily, except for basic fibroblast growth factor (bFGF), which continued to rise and was correlated with the liquefaction degree (r = 0.658, p < 0.001). Besides, the incidence of PVD increased from the 14th day (p < 0.05), and it was highly positively correlated with the number of macrophages (r = 0.934; p < 0.001).

Conclusion

After vitreous hemorrhage, the changes of the vitreous body are relatively minor earlier (2–4 weeks), but irreversible later. Specifically, the degree of liquefaction increases with a decrease in viscosity, and the chemotaxis of macrophages and bFGF induce incomplete PVD.
`Friend or foe’ and decision making initiative in complex conflict environments
Authors: Zuparic Mathew , Shelyag Sergiy , Angelova Maia , Zhu Ye , Kalloniatis Alexander
Published: February 2023

We present a novel mathematical model of two adversarial forces in the vicinity of a non-combatant population in order to explore the impact of each force pursuing specific decision-making strategies. Each force has the opportunity to draw support by enabling the decision-making initiative of the population, in tension with maintaining tactical and organisational effectiveness over their adversary. Each dynamic model component of force, population and decision-making, is defined by the archetypal Lanchester, Lotka-Volterra and Kuramoto-Sakaguchi models, with feedback between each component adding heterogeneity. Developing a scheme where cultural factors determine decision-making strategies for each force, this work highlights the parametric and topological factors that influence favourable results in a non-linear system where physical outcomes are highly dependent on the non-physical and cognitive nature of each force’s intended strategy.
Information sharing and deferral option in cybersecurity investment
Authors: Cai Chuanxi , Zhao Liurong
Published: February 2023

This study investigates the effect of information sharing and deferral option on a firm’s information security investment strategies by considering strategic interactions between a firm and an attacker. We find that 1) information sharing decreases a firm’s security investment rate. 2) If a deferral decision is possible, the firm will decrease its immediate investment, and avoid non-investment. 3) After information sharing, the probability of a firm’s deferral decision increases for low-benefit information (SL) but decreases for high-benefit information (SH). 4) When information sharing accuracy is low, a firm only defers decisions in a fraction of SL; when information sharing accuracy is high, the firm defers its decisions in all SL and a fraction of SH. 5) Information sharing can improve the effect of deferral decision when accuracy is low but weaken it when accuracy is high. These results contradict the literature, wherein information sharing reduces a firm’s uncertainty on cybersecurity investment and decreases deferment options associated with investment.
Synchronization of the ovulation and copulation timings increased the number of in vivo fertilized oocytes in superovulated female mice
Authors: Nakao Satohiro , Ito Kotono , Sugahara Chihiro , Watanabe Hitomi , Kondoh Gen , Nakagata Naomi , Takeo Toru
Published: February 2023

The number of sperm that reaches the oocytes in mammalian species is limited. In mice, 8–10 oocytes are ovulated, a similar number of sperm reaches the oocytes, and nearly all oocytes are fertilized via natural mating. Meanwhile, our improved superovulation technique (ultrasuperovulation: administration of inhibin antiserum and equine chorionic gonadotropin [IASe]) produced 100 oocytes from a single female C57BL/6 mouse but resulted in only approximately 20 fertilized oocytes via mating. We hypothesized that sperm shortage in the ampulla might cause this low fertilization rate. Mice were mated in the proestrus stage or after hormone injection, but ovulation timing was not considered. In clinical application, the rhythm method supports fertilization by testing the ovulation period and synchronizing the ovulation and copulation timings. Therefore, this study examined the effects of ovulation and copulation timings on in vivo fertilization in female mice with IASe. Synchronization of the ovulation and copulation timings increased fertilization efficiency in female mice with ultrasuperovulation. The number of embryos obtained post ovulation was three times higher than that obtained pre ovulation. This study suggests that synchronized ovulation and copulation timings improve the efficiency of in vivo fertilization in IASe-treated female mice. This technique can be used to produce genetically modified mice and develop technologies for infertility treatment.
The role of the T-cell mediated immune response to Cytomegalovirus infection in intrauterine transmission
Authors: Soriano-Ramos María , Esquivel-De la Fuente Estrella , Albert Vicent Eliseo , de la Calle María , Baquero-Artigao Fernando , Domínguez-Rodríguez Sara , Cabanes María , Gómez-Montes Enery , Goncé Anna , Valdés-Bango Marta , Viñuela-Benéitez Mª Carmen , Muñoz-Chápuli Gutiérrez Mar , Saavedra-Lozano Jesús , Cuadrado Pérez Irene , Encinas Begoña , Castells Vilella Laura , de la Serna Martínez María , Tagarro Alfredo , Rodríguez-Molino Paula , Giménez Quiles Estela , García Alcázar Diana , García Burguillo Antonio , Folgueira María Dolores , Navarro David , Blázquez-Gamero Daniel ,   the CYTRIC Study Group
Published: February 2023

Introduction

Prognostic markers for fetal transmission of Cytomegalovirus (CMV) infection during pregnancy are poorly understood. Maternal CMV-specific T-cell responses may help prevent fetal transmission and thus, we set out to assess whether this may be the case in pregnant women who develop a primary CMV infection.

Methods

A multicenter prospective study was carried out at 8 hospitals in Spain, from January 2017 to April 2020. Blood samples were collected from pregnant women at the time the primary CMV infection was diagnosed to assess the T-cell response. Quantitative analysis of interferon producing specific CMV-CD8+/CD4+ cells was performed by intracellular cytokine flow cytometry.

Results

In this study, 135 pregnant women with a suspected CMV infection were evaluated, 60 of whom had a primary CMV infection and samples available. Of these, 24 mothers transmitted the infection to the fetus and 36 did not. No association was found between the presence of specific CD4 or CD8 responses against CMV at the time maternal infection was diagnosed and the risk of fetal transmission. There was no transmission among women with an undetectable CMV viral load in blood at diagnosis.

Conclusions

In this cohort of pregnant women with a primary CMV infection, no association was found between the presence of a CMV T-cell response at the time of maternal infection and the risk of intrauterine transmission. A detectable CMV viral load in the maternal blood at diagnosis of the primary maternal infection may represent a relevant biomarker associated with fetal transmission.
Protocol for the systematic review and meta-analysis of factors associated with non-adherence to antidepressants in depressive disorders in those more than 18 years of age
Authors: Dhungana Saraswati , Rijal Rojal , Regmi Binit , Bajracharya Jala Shree , Sharma Subriddhi , Singh Sunil , Karn Nilam , Chapagai Manisha
Published: February 2023

Objective

We have developed a protocol for the systematic review and meta-analysis of the factors associated with nonadherence to antidepressants in depressive patients more than 18 years of age.

Methods

We will search articles with the databases PubMed- Medline, Scopus, Embase and PsychINFO. All the published literature reporting factors associated with nonadherence to antidepressants in depressive disorders in patients more than 18 years of age and fulfilling all the eligibility criteria till October 2022 will be included. The data will then be extracted and examined to be included in the systematic review. Finally, we will conduct meta-analysis for factors associated with non-adherence.

Conclusion

We will do extensive search on the proposed topic within the available literature and come up with a robust review of factors associated with nonadherence to antidepressants in patients age more than 18 years globally. The evidence generated would assist in designing interventions to address non-adherence in this group of patients leading to better productivity and quality of life.
Denuded Descemet’s membrane supports human embryonic stem cell-derived retinal pigment epithelial cell culture
Authors: Daniele Elena , Bosio Lorenzo , Hussain Noor Ahmed , Ferrari Barbara , Ferrari Stefano , Barbaro Vanessa , McArdle Brian , Rassu Nicolò , Mura Marco , Parmeggiani Francesco , Ponzin Diego
Published: February 2023

Recent clinical studies suggest that retinal pigment epithelial (RPE) cell replacement therapy may preserve vision in retinal degenerative diseases. Scaffold-based methods are being tested in ongoing clinical trials for delivering pluripotent-derived RPE cells to the back of the eye. The aim of this study was to investigate human embryonic stem cell-derived retinal pigment epithelial (hESC-RPE) cells survival and behaviour on a decellularized Descemet’s Membrane (DM), which may be of clinical relevance in retinal transplantation. DMs were isolated from human donor corneas and treated with thermolysin. The DM surface topology and the efficiency of the denudation method were evaluated by atomic force microscope, scanning electron microscopy and histology. hESC-RPE cells were seeded onto the endothelial-side surface of decellularized DM in order to determine the potential of the membrane to support hESC-RPE cell culture, alongside maintaining their viability. Integrity of the hESC-RPE monolayer was assessed by measuring transepithelial resistance. RPE-specific gene expression and growth factors secretion were assessed to confirm maturation and functionality of the cells over the new substrate. Thermolysin treatment did not affect the integrity of the tissue, thus ensuring a reliable method to standardize the preparation of decellularized DM. 24 hours post-seeding, hESC-RPE cell attachment and initial proliferation rate over the denuded DM were higher than hESC-RPE cells cultured on tissue culture inserts. On the new matrix, hESC-RPE cells succeeded in forming an intact monolayer with mature tight junctions. The resulting cell culture showed characteristic RPE cell morphology and proper protein localization. Gene expression analysis and VEGF secretion demonstrate DM provides supportive scaffolding and inductive properties to enhance hESC-RPE cells maturation. Decellularized DM was shown to be capable of sustaining hESC-RPE cells culture, thus confirming to be potentially a suitable candidate for retinal cell therapy.
Proportion of hyperemesis gravidarum and associated factors among pregnant women admitted into the obstetrics ward at Akesta general hospital, North East Ethiopia
Authors: Adane Kassaye Demewez , Zerga Aregash Abebayehu , Gebeyehu Fikre Bayu , Ayele Fanos Yeshanew
Published: February 2023

Introduction

Hyperemesis gravidarum is a condition of intractable vomiting during pregnancy that leads to fluid and electrolyte imbalance, nutrition deficiency and weight loss often requiring hospital admission. Approximately 0.3%-10.8% of pregnant women experience nausea and vomiting during the first trimester of pregnancy. It has been associated with both maternal and fetal morbidity. There is limited evidence about the proportion of hyperemesis gravidarum and associated factors in the study area.

Objective

The aim of this study was to determine the proportion of hyperemesis gravidarum and associated factors among pregnant women admitted into the obstetric ward at Akesta General Hospital, South Wollo Zone, Ethiopia.

Methods

This is hospital-based cross-sectional study of 355 pregnant mothers in Akesta general hospital in northeast Ethiopia from September 1/2018- to August 30 /2020. A simple random sampling technique was used to select the patient card from the whole admission of pregnant women cards during the study period. The diagnosis of hyperemesis gravidarum include persistent vomiting not related to other causes, an objective measure of acute starvation, electrolyte abnormalities and acid-base disturbances, as well as weight loss. The data analysis was done using SPSS version 25. Bivariable and multivariable binary logistic regression analysis was conducted to identify factors associated with hyperemesis gravidarum. Adjusted odds ratio (AOR) with 95% confidence intervals (CI) was reported to show the strength of the association. Statistical significance was stated at P-value < 0.05.

Results

The proportion of hyperemesis gravidarum was 11.3%. Women with previous history of hyperemesis gravidarum AOR (95%CI) = 10.9[2.46, 48.44], previous history of urinary tract infection AOR (95%CI) = 4.32[1.58, 11.86], previous history of gastrointestinal disease AOR (95% CI) = 4.12[1.40, 12.65], history of abortion AOR (95% CI) = 6.23[2.24, 17.52] were factors significantly associated with hyperemesis gravidarum.

Conclusion

In this study, the overall hospital proportion of hyperemesis gravidarum was high. History of gastrointestinal disease, previous history of urinary tract infection, history of hyperemesis gravidarum, and history of abortion were the major risk factors.
Psychological distress and quality of life among Opioid Agonist Treatment service users with a history of injecting and non-injecting drug use: A cross-sectional study in Kathmandu, Nepal
Authors: Pant Sagun Ballav , Thapa Suraj Bahadur , Howard John , Ojha Saroj Prasad , Lien Lars
Published: February 2023

Background

Opioid use disorder is a serious public health problem in Nepal. People who use opioids often experience psychological distress and poor quality of life. Opioid agonist Treatment (OAT) is central in managing opioid dependence. This study aimed to examine factors associated with quality of life and serious psychological distress among OAT service users in the Kathmandu Valley, Nepal and compare those who had injected opioids prior to OAT and those who had not.

Methods

A cross-sectional study with 231 was conducted using a semi-structured questionnaire, the Nepalese versions of the Kessler 6 psychological distress scale and World Health Organization Quality of Life scale (WHOQOL-BREF). Bivariate and multivariate analyses were undertaken to examine factors associated with quality of life and serious psychological distress.

Results

Most participants were males (92%) and about half had injected opioids before initiating OAT. Serious psychological distress in the past four weeks was significantly more prevalent among participants with a history of injecting (32.2%) than those who did not inject (15.9%). In the adjusted linear regression model, those who had history of injecting were likely to have lower physical quality of life compared to non-injectors. Those self-reporting a past history of mental illness were more than seven times and those with medical comorbidity twice more likely to have serious psychological distress over last four weeks. Lower socioeconomic status and a history of self-reported mental illness in the past were found to be significantly associated with lower quality of life on all four domains.

Conclusion

Those who had history of injecting were younger, had frequent quit attempts, higher medical comorbidity, lower socioeconomic status and remained longer in OAT services. Alongside OAT, the complex and entangled needs of service users, especially those with a history of injecting drugs, need to be addressed to improve quality of life and lessen psychological distress.
Basic biology education in high school and acceptance of genetically modified food in Japan
Authors: Mine Akihiro , Okamoto Sawako , Myojin Tomoya , Hamada Miki , Imamura Tomoaki
Published: February 2023

While many types of genetically modified (GM) food have become more available worldwide, the acceptance of GM food continues to be low. To increase this acceptance, various educational interventions have been conducted; however, conflicts remain about the safety and acceptability of GM food among laypeople, experts, and policymakers in several countries. Thus, this study aimed to clarify whether basic biology education influences Japanese people’s acceptance of GM food. We examined this idea by comparing individual experiences of high school biology education based on curriculum and proficiency level. We distributed online questionnaires to 1,594 people in Japan; 1,122 valid responses (70.4%) were obtained. Results showed that the acceptance rates of GM vegetables, fish, and meat were 33.6%, 29.0%, and 29.1%, respectively. Comparing the biology knowledge test scores according to different high school biology education levels (i.e., non-learners, basic, and advanced levels) showed no significant differences between the three age groups (20s, 30s, and 40s), which corresponded to different curricula (p = 0.90); however, there were significant differences between the high school biology education levels (p<0.01). Using logistic regression analysis, we then examined the effect of high school biology education on acceptance of GM food. The results showed no significant differences between different high school biology education levels but significantly lower acceptance by the 30s and 40s groups compared with the 20s group (p<0.05). This suggests that basic biology education alone is not sufficient to change people’s attitudes toward GM foods. These generational differences suggest factors other than high school biology curriculum affect different generations’ acceptance of GM foods. Overall, high school biology education did not directly affect acceptance of GM foods, although those who received a higher level of education had an increased knowledge of GM foods.
Innate sensing of picornavirus infection involves cGAS-STING-mediated antiviral responses triggered by mitochondrial DNA release
Authors: Liu Huisheng , Zhu Zixiang , Xue Qiao , Yang Fan , Li Zongqiang , Xue Zhaoning , Cao Weijun , He Jijun , Guo Jianhong , Liu Xiangtao , Shaw Andrew E. , King Donald P. , Zheng Haixue
Published: February 2023

Cyclic GMP-AMP synthase (cGAS) plays a key role in the innate immune responses to both DNA and RNA virus infection. Here, we found that enterovirus 71 (EV-A71), Seneca Valley virus (SVV), and foot-and-mouth disease virus (FMDV) infection triggered mitochondria damage and mitochondrial DNA (mtDNA) release in vitro and vivo. These responses were mediated by picornavirus 2B proteins which induced mtDNA release during viral replication. SVV infection caused the opening of mitochondrial permeability transition pore (mPTP) and led to voltage-dependent anion channel 1 (VDAC1)- and BCL2 antagonist/killer 1 (Bak) and Bak/BCL2-associated X (Bax)-dependent mtDNA leakage into the cytoplasm, while EV-A71 and FMDV infection induced mPTP opening and resulted in VDAC1-dependent mtDNA release. The released mtDNA bound to cGAS and activated cGAS-mediated antiviral immune response. cGAS was essential for inhibiting EV-A71, SVV, and FMDV replication by regulation of IFN-β production. cGAS deficiency contributed to higher mortality of EV-A71- or FMDV-infected mice. In addition, we found that SVV 2C protein was responsible for decreasing cGAS expression through the autophagy pathway. The 9th and 153rd amino acid sites in 2C were critical for induction of cGAS degradation. Furthermore, we also show that EV-A71, CA16, and EMCV 2C antagonize the cGAS-stimulator of interferon genes (STING) pathway through interaction with STING, and highly conserved amino acids Y155 and S156 were critical for this inhibitory effect. In conclusion, these data reveal novel mechanisms of picornaviruses to block the antiviral effect mediated by the cGAS-STING signaling pathway, which will provide insights for developing antiviral strategies against picornaviruses.
The APOBEC3B cytidine deaminase is an adenovirus restriction factor
Authors: Lejeune Noémie , Mathieu Sarah , Decloux Alexandra , Poulain Florian , Blockx Zoé , Raymond Kyle A. , Willemart Kévin , Vartanian Jean-Pierre , Suspène Rodolphe , Gillet Nicolas A.
Published: February 2023

Human adenoviruses (HAdVs) are a large family of DNA viruses counting more than a hundred strains divided into seven species (A to G). HAdVs induce respiratory tract infections, gastroenteritis and conjunctivitis. APOBEC3B is a cytidine deaminase that restricts several DNA viruses. APOBEC3B is also implicated in numerous cancers where it is responsible for the introduction of clustered mutations into the cellular genome.

In this study, we demonstrate that APOBEC3B is an adenovirus restriction factor acting through a deaminase-dependent mechanism. APOBEC3B introduces C-to-T clustered mutations into the adenovirus genome. APOBEC3B reduces the propagation of adenoviruses by limiting viral genome replication, progression to late phase, and production of infectious virions. APOBEC3B restriction efficiency varies between adenoviral strains, the A12 strain being more sensitive to APOBEC3B than the B3 or C2 strains. In A12-infected cells, APOBEC3B clusters in the viral replication centers. Importantly, we show that adenovirus infection leads to a reduction of the quantity and/or enzymatic activity of the APOBEC3B protein depending on the strains. The A12 strain seems less able to resist APOBEC3B than the B3 or C2 strains, a characteristic which could explain the strong depletion of the APOBEC3-targeted motifs in the A12 genome.

These findings suggest that adenoviruses evolved different mechanisms to antagonize APOBEC3B. Elucidating these mechanisms could benefit the design of cancer treatments. This study also identifies adenoviruses as triggers of the APOBEC3B-mediated innate response. The involvement of certain adenoviral strains in the genesis of the APOBEC3 mutational signature observed in tumors deserves further study.
Breathing new life into an old approach: The looking-east policy of the post-war Iraq
Authors: Azad Shirzad
Published: February 2023

After many years of devastating military conflicts and sweeping international sanction, the Middle Eastern country was devoid of sufficient financial and technological resources to rebuild in the post-war era. And since the West did not commit itself to a thorough programme of nation-building and reconstruction as widely expected, the Iraqis had to turn to eastern nations. By embarking upon a looking-east approach, therefore, Iraq aimed to particularly persuade a number of rich and resourceful Asian countries into close cooperation with Baghdad. Many Asian nations were equally interested in rekindling their connections to the post-Saddam Iraq at a critical time when the doubts and reluctance of western businesses could provide them with a potentially unique opportunity to invest especially in the sectors more conducive to their long-term vested interests in the Mideast country.
Iraqi ties to Yemen’s demise: Complicating the ‘Arab Cold War’ in South Arabia
Authors: Blumi Isa
Published: February 2023

The Cold War justifiably receives attention from scholars exploring interstate relations in the Middle East. While competition between the major nuclear powers invariably contributed to how regional politics transpired in the twentieth century, there may be much that is missing from the narrative adapting such a focus on external factors. This article provides a detailed analysis of intraregional relations that are informed by domestic, intra-Arab concerns. With special focus on the evolving relations between Iraq and Yemen over the course of the 1920–90 period, it is possible to argue for a new approach to the study of the Middle East and its relationship to the larger world during the Cold War. Domestic concerns prove as much an animating force in global affairs as those based in British, American and/or Soviet Bloc circles usually foregrounded.
The Bad Muslim Discount, Syed Masood (2022)
Authors: Belliel Katherine
Published: February 2023

Review of: The Bad Muslim Discount, Syed Masood (2022)

New York: First Anchor Books Edition, 357 pp.,

ISBN 978-1-98489-741-1, p/bk, $17.00