bluuebunny/crossref_metadata_2025 huggingface dataset:
Modeling mortality risk in patients with severe COVID-19 from Mexico
Authors: Cortes-Telles Arturo , Figueroa-Hurtado Esperanza , Ortiz-Farias Diana Lizbeth , Zavorsky Gerald Stanley
Published: May 2023

Background

Severe acute respiratory syndrome caused by a coronavirus (SARS-CoV-2) is responsible for the COVID-19 disease pandemic that began in Wuhan, China, in December 2019. Since then, nearly seven million deaths have occurred worldwide due to COVID-19. Mexicans are especially vulnerable to the COVID-19 pandemic as Mexico has nearly the worst observed case-fatality ratio (4.5%). As Mexican Latinos represent a vulnerable population, this study aimed to determine significant predictors of mortality in Mexicans with COVID-19 who were admitted to a large acute care hospital.

Methods

In this observational, cross-sectional study, 247 adult patients participated. These patients were consecutively admitted to a third-level referral center in Yucatan, Mexico, from March 1st, 2020, to August 31st, 2020, with COVID-19-related symptoms. Lasso logistic and binary logistic regression were used to identify clinical predictors of death.

Results

After a hospital stay of about eight days, 146 (60%) patients were discharged; however, 40% died by the twelfth day (on average) after hospital admission. Out of 22 possible predictors, five crucial predictors of death were found, ranked by the most to least important: (1) needing to be placed on a mechanical ventilator, (2) reduced platelet concentration at admission, (3) increased derived neutrophil to lymphocyte ratio, (4) increased age, and (5) reduced pulse oximetry saturation at admission. The model revealed that these five variables shared ~83% variance in outcome.

Conclusion

Of the 247 Mexican Latinos patients admitted with COVID-19, 40% died 12  days after admission. The patients’ need for mechanical ventilation (due to severe illness) was the most important predictor of mortality, as it increased the odds of death by nearly 200-fold.
Bile acids supplementation modulates lipid metabolism, intestinal function, and cecal microbiota in geese
Authors: Li Guangquan , Wang Xianze , Liu Yi , Gong Shaoming , Yang Yunzhou , Wang Cui , Wang Huiying , He Daqian
Published: May 2023

Bile acids(BAs) are important components of bile and play a significant role in fat metabolism. However, there is currently no systematic evaluation of the use of BAs as feed additives for geese.This study aimed to investigate the effects of adding BAs to goose feed on growth performance, lipid metabolism, intestinal morphology, mucosal barrier function, and cecal microbiota. A total of 168 28-day-old geese were randomly assigned to four treatment groups and fed diets supplemented with 0, 75, 150, or 300 mg/kg of BAs for 28 days. The addition of 75 and 150 mg/kg of BAs significantly improved the feed/gain (F/G) (p  < 0.05).The addition of BAs decreased abdominal fat percentage and serum total cholesterol (TC) levels, with 150 mg/kg of BAs significantly reducing serum triglyceride levels and increased expression of Farnesoid X Receptor (FXR) mRNA in the liver(p  < 0.05), 300 mg/kg of BAs significantly increasing the expression level of liver peroxisome proliferator-activated receptor α (PPARα) (p < 0.05). In terms of intestinal morphology and mucosal barrier function, 150 mg/kg of BAs significantly increased villus height (VH) and VH/crypt depth (CD) in the jejunum (p < 0.05). The addition of 150 and 300 mg/kg of BAs significantly reduced the CD in the ileum, while increasing VH and VH/CD (p<0.05). Additionally, the addition of 150 and 300 mg/kg of BAs significantly increased the expression levels of zonula occludens-1 (ZO-1) and occludin in the jejunum. Simultaneously 150mg/kg and 300mg/kg BAs increased the total short-chain fatty acids (SCFA) concentrations in the jejunum and cecum(p < 0.05).Supplementation with BAs resulted in a significant increase in the ɑ-diversity of cecal microbiota and a decrease in the abundance of Proteobacteria in the cecum. The addition of 150 mg/kg of BAs significantly reduced the abundance of Bacteroidetes and increased the abundance of Firmicutes. Moreover,Linear discriminant analysis Effect Size analysis (LEfSe) showed that the abundances of bacteria producing SCFA and bile salt hydrolases (BSH) were increased in the BAs-treated group. Furthermore, Spearman’s analysis showed that the genus Balutia, which is negatively correlated with visceral fat area, was positively correlated with serum high-density lipoprotein cholesterol (HDL-C), while Clostridium was positively correlated with intestinal VH and VH/CD. In conclusion, BAs can be considered an effective feed additive for geese, as they increased SCFA concentration, improve lipid metabolism and intestinal health by enhancing the intestinal mucosal barrier, improving intestinal morphology, and altering the cecal microbiota structure.
A systematic review and meta-analysis of acupuncture in Parkinson's disease with dysphagia
Authors: Wu Jing , Wang Yi , Wang Xueyan , Xie Yujia , Li Weihong
Published: May 2023

Objective

The systematic review and meta-analysis aimed to comprehensively evaluate acupuncture's efficacy and safety in treating dysphagia in Parkinson's disease (PD).

Methods

We searched PubMed, Cochrane Library, Embase, Web of Science, China Knowledge Infrastructure (CNKI), China Science Journal Database (VIP), Wan-fang Database, and the China Biomedical Literature Service System (CBM) for randomized controlled trials (RCTs) comparing the efficacy of acupuncture alone or in combination with control treatment in improving dysphagia by October 2022. The degree of dysphagia was the primary outcome indicator, with secondary outcomes including serum albumin (ALB) and hemoglobin (Hb) levels, the incidence of pneumonia, and adverse events. Two investigators independently extracted information according to the inclusion and exclusion criteria. Data synthesis was calculated by RevMan (V.5.4.1) software.

Results

This study included ten randomized controlled trials with 724 patients. Most RCTs have a high or uncertain risk of bias due to the lack of a blinded design. Meta-analysis showed that acupuncture combined with control treatment was superior to control treatment alone in improving Videofluoroscopic Swallowing Study (VFSS) scores (MD: 1.48; 95% CI: 1.16, 1.81; P < 0.00001) and reducing Standardized Swallowing Assessment (SSA) scores (MD: −3.08; 95% CI: −4.01, −2.15; P < 0.00001). Acupuncture combined with control therapy has a more significant benefit in improving the clinical efficiency of dysphagia in PD (RR: 1.40; 95%CI: 1.25, 1.58; P < 0.00001). Compared to the control group without acupuncture, acupuncture improved the nutritional status of patients and increased their serum ALB (MD: 3.38, 95%CI: 1.83, 4.92, P < 0.00001) and Hb levels (MD: 7.66; 95%CI: 5.57, 9.75; P < 0.00001). Three RCTs reported that the rate of pulmonary infections in the acupuncture group was lower than without acupuncture intervention (RR: 0.29, 95% CI: 0.14, 0.63; P = 0.001).

Conclusion

Acupuncture could be recommended as an adjunctive treatment for dysphagia in PD. However, due to the high risk of bias in the included studies, more high-quality evidence is needed to confirm the efficacy and safety of acupuncture for dysphagia in PD.

Systematic review registration

https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42022370221.
Computational approaches for the reconstruction of optic nerve fibers along the visual pathway from medical images: a comprehensive review
Authors: Jin Richu , Cai Yongning , Zhang Shiyang , Yang Ting , Feng Haibo , Jiang Hongyang , Zhang Xiaoqing , Hu Yan , Liu Jiang
Published: May 2023

Optic never fibers in the visual pathway play significant roles in vision formation. Damages of optic nerve fibers are biomarkers for the diagnosis of various ophthalmological and neurological diseases; also, there is a need to prevent the optic nerve fibers from getting damaged in neurosurgery and radiation therapy. Reconstruction of optic nerve fibers from medical images can facilitate all these clinical applications. Although many computational methods are developed for the reconstruction of optic nerve fibers, a comprehensive review of these methods is still lacking. This paper described both the two strategies for optic nerve fiber reconstruction applied in existing studies, i.e., image segmentation and fiber tracking. In comparison to image segmentation, fiber tracking can delineate more detailed structures of optic nerve fibers. For each strategy, both conventional and AI-based approaches were introduced, and the latter usually demonstrates better performance than the former. From the review, we concluded that AI-based methods are the trend for optic nerve fiber reconstruction and some new techniques like generative AI can help address the current challenges in optic nerve fiber reconstruction.
A new tumorgraft panel to accelerate precision medicine in prostate cancer
Authors: Béraud Claire , Bidan Nadege , Lassalle Myriam , Lang Hervé , Lindner Véronique , Krucker Clémentine , Masliah-Planchon Julien , Potiron Eric , Lluel Philippe , Massfelder Thierry , Allory Yves , Misseri Yolande
Published: May 2023

Background

Despite the significant advances in the management of advanced prostate cancer (PCa), metastatic PCa is currently considered incurable. For further investigations in precision treatment, the development of preclinical models representing the complex prostate tumor heterogeneity are mandatory. Accordingly, we aimed to establish a resource of patient-derived xenograft (PDX) models that exemplify each phase of this multistage disease for accurate and rapid evaluation of candidate therapies.

Methods

Fresh tumor samples along with normal corresponding tissues were obtained directly from patients at surgery. To ensure that the established models reproduce the main features of patient’s tumor, both PDX tumors at multiple passages and patient’s primary tumors, were processed for histological characteristics. STR profile analyses were also performed to confirm patient identity. Finally, the responses of the PDX models to androgen deprivation, PARP inhibitors and chemotherapy were also evaluated.

Results

In this study, we described the development and characterization of 5 new PDX models of PCa. Within this collection, hormone-naïve, androgen-sensitive and castration-resistant (CRPC) primary tumors as well as prostate carcinoma with neuroendocrine differentiation (CRPC-NE) were represented. Interestingly, the comprehensive genomic characterization of the models identified recurrent cancer driver alterations in androgen signaling, DNA repair and PI3K, among others. Results were supported by expression patterns highlighting new potential targets among gene drivers and the metabolic pathway. In addition, in vivo results showed heterogeneity of response to androgen deprivation and chemotherapy, like the responses of patients to these treatments. Importantly, the neuroendocrine model has been shown to be responsive to PARP inhibitor.

Conclusion

We have developed a biobank of 5 PDX models from hormone-naïve, androgen-sensitive to CRPC primary tumors and CRPC-NE. Increased copy-number alterations and accumulation of mutations within cancer driver genes as well as the metabolism shift are consistent with the increased resistance mechanisms to treatment. The pharmacological characterization suggested that the CRPC-NE could benefit from the PARP inhibitor treatment. Given the difficulties in developing such models, this relevant panel of PDX models of PCa will provide the scientific community with an additional resource for the further development of PDAC research.
A mainstreaming oncogenomics model: improving the identification of Lynch syndrome
Authors: O’Shea Rosie , Crook Ashley , Jacobs Chris , Kentwell Maira , Gleeson Margaret , Tucker Katherine M. , Hampel Heather , Rahm Alanna Kulchak , Taylor Natalie , Lewis Sarah , Rankin Nicole M.
Published: May 2023

Introduction

“Mainstreaming” is a proposed strategy to integrate genomic testing into oncology. The aim of this paper is to develop a mainstreaming oncogenomics model by identifying health system interventions and implementation strategies for mainstreaming Lynch syndrome genomic testing.

Methods

A rigorous theoretical approach inclusive of conducting a systematic review and qualitative and quantitative studies was undertaken using the Consolidated Framework for Implementation Research. Theory-informed implementation data were mapped to the Genomic Medicine Integrative Research framework to generate potential strategies.

Results

The systematic review identified a lack of theory-guided health system interventions and evaluation for Lynch syndrome and other mainstreaming programs. The qualitative study phase included 22 participants from 12 health organizations. The quantitative Lynch syndrome survey included 198 responses: 26% and 66% from genetic and oncology health professionals, respectively. Studies identified the relative advantage and clinical utility of mainstreaming to improve genetic test access and to streamline care, and adaptation of current processes was recognized for results delivery and follow-up. Barriers identified included funding, infrastructure and resources, and the need for process and role delineation. The interventions to overcome barriers were as follows: embedded mainstream genetic counselors, electronic medical record genetic test ordering, results tracking, and mainstreaming education resources. Implementation evidence was connected through the Genomic Medicine Integrative Research framework resulting in a mainstreaming oncogenomics model.

Discussion

The proposed mainstreaming oncogenomics model acts as a complex intervention. It features an adaptable suite of implementation strategies to inform Lynch syndrome and other hereditary cancer service delivery. Implementation and evaluation of the model are required in future research.
Medicago Sativa Defensin1 as a tumor sensitizer for improving chemotherapy: translation from anti-fungal agent to a potential anti-cancer agent
Authors: Pandurangi Raghu , Karwa Amol , Sagaram Uma Shankar , Henzler-Wildman Katherine , Shah Dilip
Published: May 2023

Plant defensins including Medicago Sativa defensin 1 (MsDef1) are cysteine-rich antifungal peptides which are known for potent broad-spectrum antifungal activity against bacterial or fungal pathogens of plants. The antimicrobial activities of these cationic defensins are attributed to their capacity to bind to cell membranes to create potentially structural defects tin the cell membranes to interact with intracellular target (s) and mediates cytotoxic effects. Our earlier work identified Glucosylceramide (GlcCer) of fungus F. graminearum as a potential target for biological activity. Multi-drug resistant (MDR) cancer cells overexpress GlcCer on the surface of plasma membrane. Hence, MsDef1 may have a potential to bind to GlcCer of MDR cancer cells to induce cell death. We have characterized the three-dimensional structure of MsDef1 and the solution dynamics using of 15N-labeled MsDef1 nuclear magnetic resonance (NMR) spectroscopy which showed that GlcCer binds MsDef1 at two specific sites on the peptide molecule. The ability of MsDef1 to permeate MDR cancer cells was demonstrated by measuring the release of apoptotic ceramide in drug resistant MCF-7R cells. It was also shown that MsDef1 activated dual cell death pathways ceramide and Apoptosis Stimulating Kinase ASK1 by disintegrating GlcCer and oxidizing tumor specific biomarker thioredoxin (Trx) respectively. As a result, MsDef1 sensitizes MDR cancer cells to evoke a better response from Doxorubicin, a front-line chemotherapy for triple negative breast cancer (TNBC) treatment. The combination of MsDef1 and Doxorubicin induced 5 to10-fold greater apoptosis in vitro MDR cells MDA-MB-231R compared to either MsDef1 or Doxorubicin alone. Confocal microscopy revealed that MsDef1 facilitates a) influx of Doxorubicin in MDR cancer cells, b) preferential uptake by MDR cells but not by normal fibroblasts and breast epithelial cells (MCF-10A). These results suggest that MsDef1 targets MDR cancer cells and may find utility as a neoadjuvant chemotherapy. Hence, the extension of antifungal properties of MsDef1 to cancer my result in addressing the MDR problems in cancer.
Case report: Post-COVID new-onset neurocognitive decline with bilateral mesial-temporal hypometabolism in two previously healthy sisters
Authors: Cocciolillo Fabrizio , Chieffo Daniela Pia Rosaria , Giordano Alessandro , Arcangeli Valentina , Lazzareschi Ilaria , Morello Rosa , Zampino Giuseppe , Valentini Piero , Buonsenso Danilo
Published: May 2023

Background

Long coronavirus disease (COVID) is increasingly recognized in adults and children; however, it is still poorly characterized from a clinical and diagnostic perspective, particularly in the younger populations.

Case presentation

We described the story of two sisters—with high social and academic performance before their severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection—who reported severe neurocognitive problems, initially classified as psychologic pandemic distress and eventually found to have significant brain hypometabolism.

Conclusions

We provided a detailed clinical presentation of neurocognitive symptoms in two sisters with long COVID associated with brain hypometabolism documented in both sisters. We believe that the evidence of objective findings in these children further supports the hypothesis that organic events cause persisting symptoms in a cohort of children after SARS-CoV-2 infection. Such findings highlight the importance of discovering diagnostics and therapeutics.
Underestimated diversity in high elevations of a global biodiversity hotspot: two new endemic species of Aethionema (Brassicaceae) from the alpine zone of Iran
Authors: Moazzeni Hamid , Mahmoodi Mohammad , Jafari Mohammad , Schneeweiss Gerald M. , Noroozi Jalil
Published: May 2023

Although the mountains in South-West Asia are a global biodiversity hotspot, our understanding of their biodiversity, especially in the commonly remote alpine and subnival zones, is still limited. This is well exemplified here by Aethionema umbellatum (Brassicaceae), a species considered to have a wide yet disjoint distribution in the Zagros and Yazd-Kerman mountains of western and central Iran. Morphological and molecular phylogenetic data (based on plastid trnL-trnF and nuclear ITS sequences) show that A. umbellatum is restricted to a single mountain range in southwestern Iran (Dena Mts., southern Zagros), whereas populations from central Iran (Yazd-Kerman and central Zagros) and from western Iran (central Zagros) belong to species new to science, A. alpinum and A. zagricum, respectively. Both new species are phylogenetically and morphologically close to A. umbellatum, with which they share unilocular fruits and one-seeded locules. However, they are easily distinguishable by leaf shape, petal size, and fruit characters. This study confirms that the alpine flora of the Irano-Anatolian region is still poorly known. As the proportion of rare and local endemic species in alpine habitats is high, these habitats are of prime interest for conservation efforts.
The Kenny music performance anxiety inventory (K-MPAI): Scale construction, cross-cultural validation, theoretical underpinnings, and diagnostic and therapeutic utility
Authors: Kenny Dianna Theadora
Published: May 2023

I commenced my academic exploration of music performance anxiety in a study with opera chorus artists from Opera Australia in 2004. I subsequently postulated a new theory of the aetiology of music performance anxiety and began the development of theKenny Music Performance Anxiety Inventory(K-MPAI) to assess the hypothesized theoretical constructs underpinning its diverse clinical presentations. I proposed a new definition of music performance anxiety in 2009 and revised the item content of the K-MPAI from 26 to 40 in 2011. Over the ensuing years, many researchers have used the K-MPAI in studies on a wide variety of musicians, including vocalists and instrumentalists, popular and classical musicians, tertiary music students, and professional, solo, orchestral, ensemble, band, and community musicians. To date, the K-MPAI has been reported in more than 400 studies and has been translated into 22 languages. It has been the subject of more than 39 dissertations. In this paper, I examine the research that has used the K-MPAI to assess the theory and to ascertain how well the assessment tool, and its cross-cultural validation have provided evidence for its factorial structure, robustness, and utility. The evidence indicates that the factorial structure remains consistent across cultures and different populations of musicians. It has good discriminative ability and utility for diagnostic purposes. I conclude with some reflections on how the K-MPAI can guide therapeutic interventions and with some thoughts on future directions.
Teaching interprofessional collaboration among future healthcare professionals
Authors: Kauff Mathias , Bührmann Thorsten , Gölz Friederike , Simon Liane , Lüers Georg , van Kampen Simone , Kraus de Camargo Olaf , Snyman Stefanus , Wulfhorst Britta
Published: May 2023

Healthcare has become more complex in recent years. Such complexity can best be addressed by interprofessional teams. We argue that to ensure successful communication and cooperation in interprofessional teams, it is important to establish interprofessional education in health-related study programs. More precisely, we argue that students in health-related programs need to develop interprofessional competencies and a common language, experience interprofessional contact, build inclusive identities and establish beliefs in the benefit of interprofessional diversity. We give examples how these goals can be implemented in interprofessional education. We also discuss challenges and future avenues for respective research healthcare professionals.
The nature and structure of maternal parenting practices and infant behaviors in U.S. national and international samples
Authors: Bornstein Marc H. , Putnick Diane L. , Esposito Gianluca , Pearson Rebecca M.
Published: May 2023

Methods

Twenty maternal parenting practices and 15 behaviors of their 5½-month-old infants in a U.S. national sample (N = 360) and 9 international samples (N = 653) were microcoded from videorecords of naturalistic interactions at home and aggregated into domains. Altogether, the samples were recruited from Argentina, Belgium, Brazil, France, Israel, Italy, Japan, Kenya, as well as the United States.

Background and Rationale

A previous test of three competing models of the nature and structure of the maternal parenting practices supported a hybrid 2 factor/6 domain model as superior to a 1-factor dimensional model and a multi-factor style model: Maternal parenting practices are structured into nurture, physical, social, didactic, material, and language domains undergirded by dyadic and extradyadic factors. Infant behaviors were organized into physical, social, exploration, nondistress vocalization, and distress communication domains. The current study sought to examine links connecting these previously identified maternal domains and factors with infant behavior domains using structural equation models.

Results

Mothers' dyadic factor is associated with infant social behaviors with mother; and mothers' extradyadic factor and encouragement of infant physical development are associated with infant exploration of their immediate physical environment and physical development. Infant distress communication (and less nondistress vocalization) is associated with more maternal nurturing.

Discussion

Mothers' parenting practices in the middle of the first year of infant life are commonly structured and adapted to specific needs and developmental tasks of infants. Evaluations of mother-infant interactions with national and international samples permit a wide yet judicious analysis of common vs. specific models of mother-infant relationships.
Absent mindfulness: mediation analyses of the relationship between adverse childhood experiences and disordered eating among young adults
Authors: Royer Michael F. , Cosgrove Kelly , Wharton Christopher
Published: May 2023

Recent evidence has indicated that adverse childhood experiences (ACEs) involving abuse, neglect, and other potentially traumatic occurrences are predictive of disordered eating among young adults. Previous findings have suggested that ACEs and disordered eating were both inversely related to mindfulness. No known studies have examined the extent to which mindfulness mediates the link between ACEs and disordered eating. This study was conducted among a sample of 144 young adults in the U.S. between the ages of 18 and 26 years. Primary study variables included ACEs, mindfulness, and disordered eating. Univariate and multivariable regression analyses assessed the link between ACEs and disordered eating. Mediation analyses examined whether mindfulness mediated the link between ACEs and disordered eating. Multivariable analyses statistically adjusted for the covariates of age, sex, race/ethnicity, and income. Findings suggested ACEs were inversely related to mindfulness (B = −0.04, SE = 0.01; 95% CI = −0.07, −0.01; p < 0.05), mindfulness was inversely related to disordered eating (B = −1.27, SE = 0.23; 95% CI = −1.74, −0.80; p < 0.0001), and ACEs were positively related to disordered eating before (B = 0.17, SE = 0.04; 95% CI = 0.09, 0.26; p = 0.0001) and after (B = 0.13, SE = 0.04; 95% CI = 0.05, 0.21; p = 0.002) adjusting for mindfulness. Mediation analysis results indicated that the link between ACEs and disordered eating was significantly mediated by mindfulness (B = 0.05, SE = 0.02; 95% CI = 0.01, 0.09; p < 0.05). Evidence produced in this study confirmed existing findings concerning the positive association between ACEs and disordered eating among young adults, and these outcomes helped fill a knowledge gap regarding whether mindfulness mediates the link between ACEs and disordered eating. Future intervention studies should identify health-enhancing mindfulness approaches and then test whether the adoption of mindfulness practices can alleviate and prevent disordered eating among young adults with high ACEs.
Concentration of milk oxylipins after heat and homogenization treatments
Authors: Thum Caroline , Cirelli Amanda , Otoki Yurika , Ozturk Gulustan , Taha Ameer Y. , McNabb Warren C. , Roy Nicole C. , Leite Nobrega de Moura Bell Juliana Maria
Published: May 2023

Heat treatment and homogenization of milk are common processing steps intended to reduce microbial load for safe human consumption, and to avoid creaming, respectively. Although the effects of combined pasteurization and homogenization on free fatty acids (FFA) and lipid oxidation markers such as hydroperoxides, and thiobarbituric acid reactive species (TBARS) have been well characterized, their effects on primary oxidized fatty acids known as oxylipins have not yet been determined. This study aimed to determine the effects of two heat treatments: milk pasteurization [high-temperature short time, 72°C for 15 s (HTST)] and sterilization [ultra-high temperature, 135°C for 3 s (UHT)] with or without homogenization (10, 17 or 24 MPa) on FFA (%), primary (hydroperoxides and oxylipins) and secondary oxidation compounds (TBARS). Heat treatments alone significantly reduced most oxylipins compared with raw milk, but did not alter % FFA, hydroperoxide, and TBARS levels. The combination of UHT and homogenization at 24 MPa increased % FFA, hydroperoxide value, and some oxylipins, compared to raw milk and other treatments. Overall, the combination of heat treatment and homogenization significantly increased oxylipin formation compared with heat treatment alone.
The Health Economic Assessment Tool (HEAT) for walking and cycling - experiences from 10 years of application of a health impact assessment tool in policy and practice
Authors: Kahlmeier Sonja , Cavill Nick , Thondoo Meelan , Rutter Harry , de Sa Thiago Herick , Racioppi Francesca , Gotschi Thomas
Published: May 2023

Introduction

In recent years, walking and cycling have moved into the focus as promising approaches to achieve public health, sustainable transport, climate goals and better urban resilience. However, they are only realistic transport and activity options for a large proportion of the population when they are safe, inclusive and convenient. One way to increase their recognition in transport policy is the inclusion of health impacts of walking and cycling into transport economic appraisals.

Methods

The Health Economic Assessment Tool (HEAT) for walking and cycling calculates: if x people walk or cycle a distance of y on most days, what is the economic value of impacts on premature mortality, taking into account effects of physical activity, air pollution and road fatalities, as well as effects on carbon emissions. Different data sources were collated to examine how the HEAT in more than 10 years of existence, and to identify lessons learned and challenges.

Results

Since its launch in 2009, the HEAT has gained wide recognition as a user friendly, yet robust, evidence-based tool usable by academics, policymakers, and practitioners. Originally designed for use in Europe, it has since been expanded for global use.

Discussion

Challenges for a wider uptake of health-impact assessment (HIA) tools including active transport such as HEAT are the promotion and dissemination to local practitioners and policy makers also outside European and English-speaking regions and in low- and middle-income contexts, further increasing usability, and more generally the advancement of systematic data collection and impact quantification related to walking and cycling.
Three-dimensional simulation/printing-assisted surgery for symptomatic metastatic epidural spinal cord compression of posterior column: efficacy assessment based on 2-year follow-up
Authors: Sun Zhicheng , Jia Runze , Wang Xiyang , Pang Xiaoyang
Published: May 2023

Background

Surgical intervention is necessary for resolving the symptoms of the spinal cord and nerve compression caused by symptomatic metastatic epidural spinal cord compression. However, surgeons are constantly seeking ways to improve surgical efficiency and safety. This study aims to evaluate the efficacy of 3D simulation/printing-assisted surgery for symptomatic metastatic epidural spinal cord compression of the posterior column.

Methods

We retrospectively analyzed the clinical data of patients who underwent surgical treatment for symptomatic metastatic epidural spinal cord compression of the posterior column in our hospital from January 2015 to January 2020. The simulated group underwent a 3D digital simulation of the lesion area using imaging data before surgery. Twelve patients in the simulated group also received 3D printing, while the direct surgery group did not receive any 3D simulation or printing. All patients were followed up for at least 2 years. We collected clinical data, including operation time, intraoperative blood loss, pedicle screw adjustment rate, intraoperative fluoroscopy times, the incidence of dural injury and cerebrospinal fluid leakage, VAS score, postoperative neurological function improvement, and tumor recurrence. Statistical analysis was performed using SPSS23.0, and P < 0.05 was considered statistically significant.

Results

A total of 46 patients were included in this study, with 20 in the simulated group and 26 in the non-simulated group. The simulated group had better operation time, intraoperative blood loss, screw adjustment rate, fluoroscopy times, and incidence of dural injury/cerebrospinal fluid leakage compared to the non-simulated group. The VAS scores of the two groups improved significantly after the operation and at the last follow-up compared to before the operation. However, there was no statistically significant difference between the two groups. There was also no statistically significant difference in neurological function improvement between the two groups. In the simulated group, 25% of patients relapsed, while in the non-simulated group, 34.61% of patients relapsed. However, there was no statistical difference between the two groups.

Conclusion

Preoperative 3D simulation/printing-assisted surgery is a practical and feasible approach for treating symptomatic metastatic epidural spinal cord compression of the posterior column.
Disposition of a single oral dose of a cannabidiol medication in healthy cats
Authors: Jukier Tom , Cruz-Espindola Crisanta , Martin Doug , Boothe Dawn M.
Published: May 2023

The historical use of the marijuana plant for medicinal purposes is long. One of the historical uses has been for the treatment of epilepsy. Recently, the Food and Drug Administration has approved a highly purified cannabidiol medication for the add on therapy in people with certain forms of epilepsy. With the increase interest of the use of cannabidiol in the veterinary community, the aim of this study was to describe the disposition of a single dose of a cannabidiol medication in healthy cats in both the fed and fasted state. Pharmacokinetic analysis reveals that relative bioavailability of cannabidiol shows a near eleven-fold increase when administered in the fed state compared to the fasted state. Additionally, concentrations achieved at a dose of 5 mg/kg, may be sufficient to explore the therapeutic potential in cats with epilepsy.
Long-Term Fertilization Alters the Storage and Stability of Soil Organic Carbon in Chinese Paddy Soil
Authors: Mustafa Adnan , Xu Hu , Sun Nan , Liu Kailou , Huang Qinghai , Nezhad Mohammad Tahsin Karimi , Xu Minggang
Published: May 2023

The storage of soil organic carbon (SOC) in cropland soils is an essential strategy that serves the dual purpose of enhancing soil fertility and mitigating climate change. However, how the stability of stored carbon is altered under long-term fertilization has not been well understood, especially in the double rice cropping system in Chinese paddy soils. In this study, we explored the SOC storage and consequent stability of SOC under long-term fertilization. The soil samples were fractionated chemically to isolate various fractions and constituent pools of SOC (i.e., very labile C/VLC, labile C/LC, less labile C/LLC, and non-labile C/NLC). The following treatments were tested: control (CK), recommended rate of inorganic fertilizer (NPK), double the amount of recommended rate of inorganic fertilizer (2NPK), and NPK combined with manure (NPKM). The results showed that, relative to the initial level, the application of NPKM significantly improved the SOC storage as compared to the control. The long-term NPKM increased the total SOC in the paddy soil and this increased SOC was mainly stored in LLC, as revealed by the highest increase (142%) over the control. Furthermore, the highest proportion of labile pool was associated with unfertilized CK, while the reverse was true for the recalcitrant pool, which was highest under NPKM. This supports the role of combining manure with NPK to improve the stability of SOC, further verified by the high recalcitrance index under NPKM (56.75% for 0–20 cm and 57.69% for 20–40 cm) as compared to the control.
Combined Application of Biochar and Pruned Tea Plant Litter Benefits Nitrogen Availability for Tea and Alters Microbial Community Structure
Authors: Luo Yi , Zhang Yongli , Wang Yejun , Sun Yulong , Xia Xianjiang , Su Youjian , Liao Wanyou
Published: May 2023

The application of biochar is one of the promising management practices to alleviate soil acidification and improve soil fertility. However, it has been found to reduce the content of ammonium nitrogen (NH4+−N) in the soil, which is the most important form of nitrogen (N) for tea tree growth. To investigate the response of soil NH4+−N content to the combined application of biochar and pruned tea plant litter, a pot trial was performed with three treatments: control (CK); biochar (BC); biochar + tea plant litter (BC + L). Soil chemistry properties and ammonification rates were determined, and the microbial community composition was analyzed by high-throughput sequencing. The results showed that the NH4+−N content in BC + L treatment was 1.7–9.5 fold higher than CK and BC treatments after 15 days of application, with no difference in the proportion of ammonia oxidation phyla such as Nitrospirae. The proportion of soil fungus Ascomycota was strongly correlated with the content of soil available nitrogen (p = 0.032), and the relationship was well described by a linear equation (R2 = 0.876, p = 0.01). Further redundancy analysis revealed that soil pH, soil organic carbon (SOC), the ratio of SOC to total nitrogen and the ratio of SOC to alkaline hydrolyzable nitrogen appeared to be important factors influencing the separation of BC + L from CK and BC groups. In summary, the addition of biochar and pruned tea plant litter alters soil properties and may influence the composition of microorganisms with various trophic groups, thus affecting ecosystem function. Our results also highlight the importance of returning pruned materials with biochar application in tea plantation ecosystems.
A Refined Apple Binocular Positioning Method with Segmentation-Based Deep Learning for Robotic Picking
Authors: Zhang Huijun , Tang Chunhong , Sun Xiaoming , Fu Longsheng
Published: May 2023

An apple-picking robot is now the most widely accepted method in the substitution of low-efficiency and high-cost labor-intensive apple harvesting. Although most current research on apple-picking robots works well in the laboratory, most of them are unworkable in an orchard environment due to unsatisfied apple positioning performance. In general, an accurate, fast, and widely used apple positioning method for an apple-picking robot remains lacking. Some positioning methods with detection-based deep learning reached an acceptable performance in some orchards. However, apples occluded by apples, leaves, and branches are ignored in these methods with detection-based deep learning. Therefore, an apple binocular positioning method based on a Mask Region Convolutional Neural Network (Mask R-CNN, an instance segmentation network) was developed to achieve better apple positioning. A binocular camera (Bumblebee XB3) was adapted to capture binocular images of apples. After that, a Mask R-CNN was applied to implement instance segmentation of apple binocular images. Then, template matching with a parallel polar line constraint was applied for the stereo matching of apples. Finally, four feature point pairs of apples from binocular images were selected to calculate disparity and depth. The trained Mask R-CNN reached a detection and segmentation intersection over union (IoU) of 80.11% and 84.39%, respectively. The coefficient of variation (CoV) and positioning accuracy (PA) of binocular positioning were 5.28 mm and 99.49%, respectively. The research developed a new method to fulfill binocular positioning with a segmentation-based neural network.
Effects of Fluctuating Thermal Regimes and Pesticides on Egg Hatching of a Natural Enemy Harmonia axyridis (Coleoptera Coccinellidae)
Authors: Yu Jingya , Li Chong , Dong Likun , Mao Runping , Wang Zhihua , Pei Zhangxin , Xu Letian
Published: May 2023

The harlequin ladybird, Harmonia axyridis, is a valuable asset in integrated pest management (IPM); however, issues related to low-temperature storage and transportation have resulted in low hatching rate, while the use of pesticides may lead to non-target effects against this natural enemy during field application. Fluctuating thermal regimes (FTR) have been shown to be beneficial during the low-temperature storage, and the type and concentration of insecticides used are crucial for field application of H. axyridis. Despite this, little research has been conducted on the effects of FTR on the hatching rate of ladybird eggs, and the impact of pesticides on their egg viability remains unclear. To address these gaps, we investigated the effects of different thermal temperatures, recovery frequencies (the number of changes in temperature conditions per unit time), and recovery durations (the duration of the treated temperature condition) on egg hatching under constant low-temperature conditions. We also examined the toxicity and safety of seven commonly used insecticides on egg hatching. Our results indicate that the temperature during FTR application did not significantly affect egg hatching, but the interaction between temperature and recovery frequency can significantly affect egg hatching. Moreover, the recovery frequency and recovery duration had a significant impact on hatching. Under specific conditions, the hatching rate of eggs subjected to FTR was similar to that of eggs stored at 25 °C. Furthermore, we found that matrine (a kind of alkaloid pesticide isolated from Sophora flavescens) had low toxicity to ladybird eggs and is a safe pesticide for use in conjunction with this natural enemy. The study provides valuable information on effectively managing H. axyridis by taking into account both storage temperature and pesticide exposure.
Screening of Klebsiella pneumoniae Isolates for Carbapenemase and Hypervirulence-Associated Genes by Combining the Eazyplex® Superbug CRE and hvKp Assays
Authors: Rödel Jürgen , Pfeifer Yvonne , Fischer Martin A. , Edel Birgit , Stoll Sylvia , Pfister Wolfgang , Löffler Bettina
Published: May 2023

The acquisition of hypervirulence-associated genes by carbapenemase-producing Klebsiella pneumoniae is being increasingly observed, and easy-to-use diagnostic tests are needed for the surveillance of the hypervirulent K. pneumoniae (hvKp). In this pilot study, 87 K. pneumoniae isolates from invasive infections collected in 2022 and 2023 were analysed using the LAMP-based eazyplex® Superbug CRE and hvKp assays for the simultaneous identification of carbapenemases and virulence genes (rmpA/A2, iuC, iroC, ybt, clb). Nine isolates showed a Kleborate virulence score of 4 or 5 (10.3%). The time for the results of the eazyplex® assays ranged from 6.5 to 13 min, and the total turnaround time, including sample preparation, was less than 30 min. Five isolates, three of which produced New Delhi metallo-beta lactamase (NDM), were subjected to whole-genome sequencing (WGS) analysis for further characterisation. The eazyplex® test results for beta-lactamase and virulence genes were confirmed. The eazyplex® hvKp, currently only available as a Research Use Only assay, may be a useful tool for the rapid identification of hvKp without significant additional workload when combined with the eazyplex® Superbug CRE assay for the detection of carbapenemases.
Loss of PRDX6 Aborts Proliferative and Migratory Signaling in Hepatocarcinoma Cell Lines
Authors: Lagal Daniel J. , López-Grueso María J. , Pedrajas José R. , Leto Thomas L. , Bárcena J. Antonio , Requejo-Aguilar Raquel , Padilla C. Alicia
Published: May 2023

Peroxiredoxin 6 (PRDX6), the only mammalian 1-Cys member of the peroxiredoxin family, has peroxidase, phospholipase A2 (PLA2), and lysophosphatidylcholine (LPC) acyltransferase (LPCAT) activities. It has been associated with tumor progression and cancer metastasis, but the mechanisms involved are not clear. We constructed an SNU475 hepatocarcinoma cell line knockout for PRDX6 to study the processes of migration and invasiveness in these mesenchymal cells. They showed lipid peroxidation but inhibition of the NRF2 transcriptional regulator, mitochondrial dysfunction, metabolic reprogramming, an altered cytoskeleton, down-regulation of PCNA, and a diminished growth rate. LPC regulatory action was inhibited, indicating that loss of both the peroxidase and PLA2 activities of PRDX6 are involved. Upstream regulators MYC, ATF4, HNF4A, and HNF4G were activated. Despite AKT activation and GSK3β inhibition, the prosurvival pathway and the SNAI1-induced EMT program were aborted in the absence of PRDX6, as indicated by diminished migration and invasiveness, down-regulation of bottom-line markers of the EMT program, MMP2, cytoskeletal proteins, and triggering of the “cadherin switch”. These changes point to a role for PRDX6 in tumor development and metastasis, so it can be considered a candidate for antitumoral therapies.
Melatonin: A Potential Regulator of DNA Methylation
Authors: Linowiecka Kinga , Slominski Andrzej T. , Reiter Russel J. , Böhm Markus , Steinbrink Kerstin , Paus Ralf , Kleszczyński Konrad
Published: May 2023

The pineal gland-derived indoleamine hormone, melatonin, regulates multiple cellular processes, ranging from chronobiology, proliferation, apoptosis, and oxidative damage to pigmentation, immune regulation, and mitochondrial metabolism. While melatonin is best known as a master regulator of the circadian rhythm, previous studies also have revealed connections between circadian cycle disruption and genomic instability, including epigenetic changes in the pattern of DNA methylation. For example, melatonin secretion is associated with differential circadian gene methylation in night shift workers and the regulation of genomic methylation during embryonic development, and there is accumulating evidence that melatonin can modify DNA methylation. Since the latter one impacts cancer initiation, and also, non-malignant diseases development, and that targeting DNA methylation has become a novel intervention target in clinical therapy, this review discusses the potential role of melatonin as an under-investigated candidate epigenetic regulator, namely by modulating DNA methylation via changes in mRNA and the protein expression of DNA methyltransferases (DNMTs) and ten-eleven translocation (TET) proteins. Furthermore, since melatonin may impact changes in the DNA methylation pattern, the authors of the review suggest its possible use in combination therapy with epigenetic drugs as a new anticancer strategy.
Mechanical Properties of the Shield Tail Brush and Its Pressure Distribution Acting upon the Segment
Authors: Ding Wenqi , Qiu Yanling , Qiao Yafei , Chen Xiaoqing
Published: May 2023

Shield tunnels are widely used in underground transportation. The shield tail brush is an important component of the shield machine, but also can exert an adverse influence on the segment as it can induce considerable and uneven pressure thereon. Therefore, it is necessary to consider the tail brush pressure in calculations on the segment. However, there are few studies on the calculation method of this pressure. As a consequence, this study carried out laboratory tests on the tail brush, and revealed the two-stage nature of its pressure-compression curve, which can be fitted well by a line together with a polynomial function. In addition, formulas describing the tail brush pressure distribution along the circumference were derived by theoretical analysis. Furthermore, by summarizing the distribution law, simplified formulas for the tail brush pressure acting upon the segment along the circumference and lengthwise due to vertical shield posture adjustment were established. The results can be used in calculations on the segment to improve the segment design and provide guidance for shield tunnel construction.