bluuebunny/crossref_metadata_2025 huggingface dataset:
Supplementing routine hospital surveillance of malaria to capture excess mortality and epidemiological trends: a five-year observational study
Authors: Kabuya Jean-Bertin Bukasa , Bond Caitlin , Hauser Manuela , Sikalima Jay , Phiri Bruce , Phiri Dickson , Matoba Japhet , Hughes Jayme , Banda Proscovia Miiye , Lupiya James Sichivula , Chongwe Gershom , Thuma Philip E. , Moss William J. , Ippolito Matthew M.
Published: April 2024

Introduction

Malaria surveillance in Africa is conducted largely through health facility-based health management information systems (HMIS) which provide aggregated data to malaria control programs. Supplementation of HMIS surveillance with other routinely collected hospital data can provide vital statistics on malaria control in regions of high burden.

Methods

To assess the utility of supplementing HMIS data, we implemented a pilot program of enhanced malaria surveillance in a district hospital in northern Zambia over a five-year period. Data were tabulated from existing nursing records, central pharmacy inventories, laboratory logbooks, and ward registers and cross-referenced with routinely collected HMIS data.

Results

The additional data collections captured excess malaria deaths resulting from pharmacy and blood bank stockouts (10.3 excess deaths/year) and revealed small but significant changes over time in the age distribution of patients that likely reflect underlying shifts in the local epidemiology due to malaria control programming or other factors (median age from 1.9 to 2.4 months old, P=0.001).

Discussion

Readily available data can supplement existing HMIS surveillance in high malaria burden areas to provide actionable information about the local epidemiology and impacts of control efforts. Excess malaria deaths due to health systems factors can be feasibly captured and tracked and fed back to national malaria control programs and the World Health Organization to present a fuller picture of malaria burden.
Development, assessment and educational impact of a blended e-learning training program on pharmacovigilance implemented in four African countries
Authors: Schievano Francesco , Mwamwitwa Kissa W. , Kisenge Seth , Mmari Elice , Duga Alemayehu , Nhlabatsi Siphesihle , Elagbaje Cassandra , Abiola Abiodun Sadikat , Meshesha Solomon Getnet , Pagani Silvia , Lora Riccardo , Sabaini Alberto , Cobelens Frank , Härmark Linda , Eko Eric Battey , Conforti Anita , Venegoni Mauro , Magro Lara , Moretti Ugo
Published: April 2024

Introduction

Efforts to improve medication access in low-and middle-income countries, particularly in Sub-Saharan Africa, have made progress, especially in the fight against infectious diseases such as tuberculosis. However, challenges exist in establishing effective pharmacovigilance systems. The PhArmacoVIgilance Africa (PAVIA) project was committed to enhancing pharmacovigilance in Tanzania, Eswatini, Nigeria, and Ethiopia, with an emphasis on anti-tuberculosis drugs, utilizing various methods, including training. This study evaluates the PAVIA training program’s effectiveness and its adaptation during the COVID-19 pandemic.

Methods

A blended e-learning program, incorporating two courses and a platform for educational materials, was developed. This program, designed to train healthcare professionals in pharmacovigilance, was incorporated into a Training of Trainers model. To evaluate the program effectiveness, we used multiple measures such as assessing knowledge gain through pre-and post-test scores, assessing learners’ satisfaction and attitudes via questionnaires, and analyzing Individual Case Safety Reports (ICSRs) in VigiBase to determine the impact on spontaneous reporting systems in the PAVIA countries.

Results

121 learners enrolled in the pilot trainings, including 36 from Tanzania, 34 from Eswatini, 25 from Nigeria, and 26 from Ethiopia. Notably, post-test scores were significantly higher than pre-test scores in all four countries. Following the pilot trainings, multiple step-down training sessions were held in Tanzania, Eswatini, and Nigeria, with a total of 827 learners registering and 421 successfully completing the program. Learners’ scores on the post-tests were significantly higher than on the pre-tests for both courses in all three countries. Learners’ feedback on the training was overwhelmingly positive. Additionally, a qualitative analysis of ICSRs revealed a substantial increase in reports after the training in Tanzania, Eswatini, and Nigeria.

Discussion

An innovative e-learning program trained healthcare professionals in pharmacovigilance and anti-tuberculosis drug safety over 3 years in four PAVIA countries. The program effectively improved participants’ knowledge, received positive feedback, and likely had an impact on reporting rates in Tanzania, Eswatini, and Nigeria, although a direct causal link could not be definitively established due to data limitations and other factors, such as the heightened reporting rates associated with COVID-19 vaccines, that could have contributed to the notable increase in ICSRs.
Pulmonary infection with Aeromonas dhakensis in a patient with acute T lymphoblastic leukemia: a case report and review of the literature
Authors: Wang Chaoyang , Wei Nan , Zhang Moyuan , Zhang Xiaoju
Published: April 2024

Background

Aeromonas dhakensis is a gram-negative bacterium. In recent years, Aeromonas dhakensis has gradually attracted increasing attention due to its strong virulence and poor prognosis. Clinical reports of pulmonary infection caused by Aeromonas dhakensis are rare.

Case presentation

A patient with acute T lymphoblastic leukemia experienced myelosuppression after chemotherapy, developed a secondary pulmonary infection with Aeromonas dhakensis and was hospitalized due to fever. The patient underwent testing for inflammatory markers, chest imaging, blood culture, bronchoalveolar lavage, pleural drainage, and metagenomic next-generation sequencing of alveolar lavage fluid and pleural fluid to obtain evidence of Aeromonas dhakensis infection, and was treated with four generations of cephalosporin combined with fluoroquinolone antibiotics. The patient’s condition significantly improved.

Discussion

Among pulmonary infectious pathogens, Aeromonas dhakensis is relatively rare. Once an Aeromonas strain is cultured in the clinical work, pathogenic sequencing should be performed on the detected samples for early accurate diagnosis and effective anti-infection treatment.
Identification of novel small molecule inhibitors of twin arginine translocation (Tat) pathway and their effect on the control of Campylobacter jejuni in chickens
Authors: Deblais Loïc , Drozd Mary , Kumar Anand , Antwi Janet , Fuchs James , Khupse Rahul , Helmy Yosra A. , Rajashekara Gireesh
Published: April 2024

Introduction

Control of Campylobacter from farm to fork is challenging due to the frequent emergence of antimicrobial-resistant isolates. Furthermore, poultry production systems are known reservoirs of Campylobacter. The twin-arginine translocation (Tat) pathway is a crucial bacterial secretion system that allows Campylobacter to colonize the host intestinal tract by using formate as the main source of energy. However, Tat pathway is also a major contributing factor for resistance to copper sulfate (CuSO4).

Methods

Since mammals and chickens do not have proteins or receptors that are homologous to bacterial Tat proteins, identification of small molecule (SM) inhibitors targeting the Tat system would allow the development of safe and effective control methods to mitigate Campylobacter in infected or colonized hosts in both pre-harvest and post-harvest. In this study, we screened 11 commercial libraries (n = 50,917 SM) for increased susceptibility to CuSO4 (1 mM) in C. jejuni 81–176, a human isolate which is widely studied.

Results

Furthermore, we evaluated 177 SM hits (2.5 μg/mL and above) that increased the susceptibility to CuSO4 for the inhibition of formate dehydrogenase (Fdh) activity, a Tat-dependent substrate. Eight Tat-dependent inhibitors (T1–T8) were selected for further studies. These selected eight Tat inhibitors cleared all tested Campylobacter strains (n = 12) at >10 ng/mL in the presence of 0.5 mM CuSO4in vitro. These selected SMs were non-toxic to colon epithelial (Caco-2) cells when treated with 50 μg/mL for 24 h and completely cleared intracellular C. jejuni cells when treated with 0.63 μg/mL of SM for 24 h in the presence of 0.5 mM of CuSO4. Furthermore, 3 and 5-week-old chicks treated with SM candidates for 5 days had significantly decreased cecal colonization (up to 1.2 log; p < 0.01) with minimal disruption of microbiota. In silico analyses predicted that T7 has better drug-like properties than T2 inhibitor and might target a key amino acid residue (glutamine 165), which is located in the hydrophobic core of TatC protein.

Discussion

Thus, we have identified novel SM inhibitors of the Tat pathway, which represent a potential strategy to control C. jejuni spread on farms.
Occurrence of COVID-19 in cystic fibrosis patients: a review
Authors: Abolhasani Fatemeh Sadat , Moein Masood , Rezaie Niloofar , Sheikhimehrabadi Parimah , Shafiei Morvarid , Afkhami Hamed , Modaresi Mohammadreza
Published: April 2024

Cystic fibrosis (CF) is a genetic ailment caused by mutations in the cystic fibrosis transmembrane conductance regulator (CFTR) gene. This autosomal recessive disorder is characterized by diverse pathobiological abnormalities, such as the disorder of CFTR channels in mucosal surfaces, caused by inadequate clearance of mucus and sputum, in addition to the malfunctioning of mucous organs. However, the primary motive of mortality in CF patients is pulmonary failure, which is attributed to the colonization of opportunistic microorganisms, formation of resistant biofilms, and a subsequent decline in lung characteristics. In December 2019, the World Health Organization (WHO) declared the outbreak of the radical coronavirus disease 2019 (COVID-19) as a worldwide public health crisis, which unexpectedly spread not only within China but also globally. Given that the respiration system is the primary target of the COVID-19 virus, it is crucial to investigate the impact of COVID-19 on the pathogenesis and mortality of CF patients, mainly in the context of acute respiratory distress syndrome (ARDS). Therefore, the goal of this review is to comprehensively review the present literature on the relationship between cystic fibrosis, COVID-19 contamination, and development of ARDS. Several investigations performed during the early stages of the virus outbreak have discovered unexpected findings regarding the occurrence and effectiveness of COVID-19 in individuals with CF. Contrary to initial expectancies, the rate of infection and the effectiveness of the virus in CF patients are lower than those in the overall population. This finding may be attributed to different factors, including the presence of thick mucus, social avoidance, using remedies that include azithromycin, the fairly younger age of CF patients, decreased presence of ACE-2 receptors, and the effect of CFTR channel disorder on the replication cycle and infectivity of the virus. However, it is important to notice that certain situations, which include undergoing a transplant, can also doubtlessly boost the susceptibility of CF patients to COVID-19. Furthermore, with an increase in age in CF patients, it is vital to take into account the prevalence of the SARS-CoV-2 virus in this population. Therefore, ordinary surveillance of CF patients is vital to evaluate and save the population from the capability of transmission of the virus given the various factors that contribute to the spread of the SARS-CoV-2 outbreak in this precise organization.
Characterization of the composition, structure, and functional potential of bamboo rhizosphere archaeal communities along a chromium gradient
Authors: Zhang Xiaoping , Li Qiaoling , Zhong Zheke , Huang Zhiyuan , Bian Fangyuan
Published: April 2024

Introduction

Bamboo can be used in the phytoremediation of heavy metal pollution. However, the characteristics of the bamboo rhizosphere archaeal community in Cr-contaminated soil under field conditions remain unclear.

Methods

In this study, high-throughput sequencing was used to examine the rhizosphere soil archaeal communities of Lei bamboo (Phyllostachys precox) plantations along a Cr pollution gradient.

Results

The results revealed U-shaped relationships between Cr [total Cr (TCr) or HCl-extractable Cr (ACr)] and two alpha indices (Chao1 and Shannon) of archaea. We also established that high Cr concentrations were associated with a significant increase in the abundance of Thaumarchaeota and significant reductions in the abundances of Crenarchaeota and Euryarchaeota. The archaeal co-occurrence networks reduced in complexity with Cr pollution, decreasing the community’s resistance to environmental disturbance. Candidatus nitrosotalea and Nitrososphaeraceae_unclassified (two genera of Thaumarchaeota) were identified as keystone taxa. The community structure of soil archaeal communities was also found to be affected by TCr, ACr, pH, total organic C, and available nutrient (N, P, and K) concentrations, with pH being identified as the most reliable predictor of the archaeal community in assessed soils.

Discussion

These findings enhance our understanding of microbial responses to Cr pollution and provide a basis for developing more refined approaches for the use of bamboo in the remediation of Cr-contaminated soils.
The impact of antibiotic exposure on antibiotic resistance gene dynamics in the gut microbiota of inflammatory bowel disease patients
Authors: Zhang Yufei , Xue Gaogao , Wang Fan , Zhang Jing , Xu Lida , Yu Changyuan
Published: April 2024

Background

While antibiotics are commonly used to treat inflammatory bowel disease (IBD), their widespread application can disturb the gut microbiota and foster the emergence and spread of antibiotic resistance. However, the dynamic changes to the human gut microbiota and direction of resistance gene transmission under antibiotic effects have not been clearly elucidated.

Methods

Based on the Human Microbiome Project, a total of 90 fecal samples were collected from 30 IBD patients before, during and after antibiotic treatment. Through the analysis workflow of metagenomics, we described the dynamic process of changes in bacterial communities and resistance genes pre-treatment, during and post-treatment. We explored potential consistent relationships between gut microbiota and resistance genes, and established gene transmission networks among species before and after antibiotic use.

Results

Exposure to antibiotics can induce alterations in the composition of the gut microbiota in IBD patients, particularly a reduction in probiotics, which gradually recovers to a new steady state after cessation of antibiotics. Network analyses revealed intra-phylum transfers of resistance genes, predominantly between taxonomically close organisms. Specific resistance genes showed increased prevalence and inter-species mobility after antibiotic cessation.

Conclusion

This study demonstrates that antibiotics shape the gut resistome through selective enrichment and promotion of horizontal gene transfer. The findings provide insights into ecological processes governing resistance gene dynamics and dissemination upon antibiotic perturbation of the microbiota. Optimizing antibiotic usage may help limit unintended consequences like increased resistance in gut bacteria during IBD management.
A study of antibiotic resistance pattern of clinical bacterial pathogens isolated from patients in a tertiary care hospital
Authors: Handa Vishal L. , Patel Bhoomi N. , Bhattacharya Dr. Arpita , Kothari Ramesh K. , Kavathia Dr. Ghanshyam , Vyas B. R. M.
Published: April 2024

We investigated antibiotic resistance pattern in clinical bacterial pathogens isolated from in-patients and out-patients, and compared it with non-clinical bacterial isolates. 475 bacterial strains isolated from patients were examined for antibiotic resistance. Staphylococcus spp. (148; 31.1%) were found to be the most prevalent, followed by Klebsiella pneumoniae (135; 28.4%), Escherichia coli (74; 15.5%), Pseudomonas aeruginosa (65; 13.6%), Enterobacter spp. (28; 5.8%), and Acinetobacter spp. (25; 5.2%). Drug-resistant bacteria isolated were extended spectrum-β-lactamase K. pneumoniae (8.8%), E. coli (20%), metallo-β-lactamase P. aeruginosa (14; 2.9%), erythromycin-inducing clindamycin resistant (7.4%), and methicillin-resistant Staphylococcus species (21.6%). Pathogens belonging to the Enterobacteriaceae family were observed to undergo directional selection developing resistance against antibiotics ciprofloxacin, piperacillin-tazobactam, cefepime, and cefuroxime. Pathogens in the surgical ward exhibited higher levels of antibiotic resistance, while non-clinical P. aeruginosa and K. pneumoniae strains were more antibiotic-susceptible. Our research assisted in identifying the drugs that can be used to control infections caused by antimicrobial resistant bacteria in the population and in monitoring the prevalence of drug-resistant bacterial pathogens.
Unraveling the evolutionary origin of the P5CS gene: a story of gene fusion and horizontal transfer
Authors: Filgueiras João Pedro Carmo , Zámocký Marcel , Turchetto-Zolet Andreia Carina
Published: April 2024

The accumulation of proline in response to the most diverse types of stress is a widespread defense mechanism. In prokaryotes, fungi, and certain unicellular eukaryotes (green algae), the first two reactions of proline biosynthesis occur through two distinct enzymes, γ-glutamyl kinase (GK E.C. 2.7.2.11) and γ-glutamyl phosphate reductase (GPR E.C. 1.2.1.41), encoded by two different genes, ProB and ProA, respectively. Plants, animals, and a few unicellular eukaryotes carry out these reactions through a single bifunctional enzyme, the Δ1-pyrroline-5-carboxylate synthase (P5CS), which has the GK and GPR domains fused. To better understand the origin and diversification of the P5CS gene, we use a robust phylogenetic approach with a broad sampling of the P5CS, ProB and ProA genes, including species from all three domains of life. Our results suggest that the collected P5CS genes have arisen from a single fusion event between the ProA and ProB gene paralogs. A peculiar fusion event occurred in an ancestral eukaryotic lineage and was spread to other lineages through horizontal gene transfer. As for the diversification of this gene family, the phylogeny of the P5CS gene in plants shows that there have been multiple independent processes of duplication and loss of this gene, with the duplications being related to old polyploidy events.
Prediction of emotion distribution of images based on weighted K-nearest neighbor-attention mechanism
Authors: Cheng Kai
Published: April 2024

Existing methods for classifying image emotions often overlook the subjective impact emotions evoke in observers, focusing primarily on emotion categories. However, this approach falls short in meeting practical needs as it neglects the nuanced emotional responses captured within an image. This study proposes a novel approach employing the weighted closest neighbor algorithm to predict the discrete distribution of emotion in abstract paintings. Initially, emotional features are extracted from the images and assigned varying K-values. Subsequently, an encoder-decoder architecture is utilized to derive sentiment features from abstract paintings, augmented by a pre-trained model to enhance classification model generalization and convergence speed. By incorporating a blank attention mechanism into the decoder and integrating it with the encoder's output sequence, the semantics of abstract painting images are learned, facilitating precise and sensible emotional understanding. Experimental results demonstrate that the classification algorithm, utilizing the attention mechanism, achieves a higher accuracy of 80.7% compared to current methods. This innovative approach successfully addresses the intricate challenge of discerning emotions in abstract paintings, underscoring the significance of considering subjective emotional responses in image classification. The integration of advanced techniques such as weighted closest neighbor algorithm and attention mechanisms holds promise for enhancing the comprehension and classification of emotional content in visual art.
Baseline characteristics and outcome of stroke patients after endovascular therapy according to previous symptomatic vascular disease and sex
Authors: Peycheva Marieta , Padlina Giovanna , Genceviciute Kotryna , Krasteva Marina P. , Boronylo Anna , Goeldlin Martina B. , Müller Madlaine , Wenz Elena S. , Müller Mandy D. , Hammer Helly , Bücke Philipp , Bigi Sandra , Simonetti Barbara Goeggel , Hoffmann Angelika , Umarova Roza M. , Pilgram-Pastor Sara , Gralla Jan , Mordasini Pasquale , Antonenko Kateryna , Heldner Mirjam R.
Published: April 2024

Aim

The aim of this study was to investigate baseline characteristics and outcome of patients after endovascular therapy (EVT) for acute large vessel occlusion (LVO) in relation to their history of symptomatic vascular disease and sex.

Methods

Consecutive EVT-eligible patients with LVO in the anterior circulation admitted to our stroke center between 04/2015 and 04/2020 were included in this observational cohort study. All patients were treated according to a standardized acute ischaemic stroke (AIS) protocol. Baseline characteristics and successful reperfusion, recurrent/progressive in-hospital ischaemic stroke, symptomatic in-hospital intracranial hemorrhage, death at discharge and at 3 months, and functional outcome at 3 months were analyzed according to previous symptomatic vascular disease and sex.

Results

995 patients with LVO in the anterior circulation (49.4% women, median age 76 years, median admission NIHSS score 14) were included. Patients with multiple vs. no previous vascular events showed higher mortality at discharge (20% vs. 9.3%, age/sex − adjustedOR = 1.43, p = 0.030) and less independency at 3 months (28.8% vs. 48.8%, age/sex − adjustedOR = 0.72, p = 0.020). All patients and men alone with one or multiple vs. patients and men with no previous vascular events showed more recurrent/progressive in-hospital ischaemic strokes (19.9% vs. 6.4% in all patients, age/sex − adjustedOR = 1.76, p = 0.028) (16.7% vs. 5.8% in men, age-adjustedOR = 2.20, p = 0.035). Men vs. women showed more in-hospital symptomatic intracranial hemorrhage among patients with one or multiple vs. no previous vascular events (23.7% vs. 6.6% in men and 15.4% vs. 5.5% in women, OR = 2.32, p = 0.035/age − adjustedOR = 2.36, p = 0.035).

Conclusions

Previous vascular events increased the risk of in-hospital complications and poorer outcome in the analyzed patients with EVT-eligible LVO-AIS. Our findings may support risk assessment in these stroke patients and could contribute to the design of future studies.
Triple semicircular canal occlusion with endolymphatic sac decompression for intractable Meniere’s disease
Authors: Tian Jiawang , Yin Gendi , Zhang Qian , Zhang Shuqi , Zeng Xiangli , Li Yongqi
Published: April 2024

Background

Meniere’s disease (MD) is characterized by idiopathic endolymphatic hydrops (ELH). Frequent vertigo attacks is the most disabling symptom of MD.

Objective

This study evaluated the efficacy of triple semicircular canal occlusion combined with endolymphatic sac decompression in the treatment of frequent vertigo in patients with MD.

Methods

Eleven patients with complete medical records were included in this study conducted from May 2021 to April 2022. All patients were enrolled to undergo triple semicircular canal occlusion (TSCO) with endolymphatic sac decompression (ESD). Various tests including pure tone audiometry (PTA), vestibular evoked myogenic potentials (VEMPs), the video head impulse test (v-HIT), caloric test data, the Dizziness Handicap Inventory (DHI), the Berg Balance Scale (BBS), and the Tinnitus Handicap Inventory (THI) were performed both before and after the surgery.

Results

The successful control rate of vertigo was 100% (9/9) in the average 23-month postoperative follow-up period, with complete control rate of 88.89% (8/9) and substantial control rate of 11.11% (1/9).

Conclusion

Triple semicircular canal occlusion combined with ESD may be an effective treatment option for managing frequent vertigo attacks in patients with MD. This combination therapy has the potential to become a significant addition to the treatment framework for MD.
The prevalence and associated factors for primary headache disorders in adolescents in eastern Sudan: a community-based cross-sectional study
Authors: Omar Saeed M. , Osman Osman M. , Al-Nafeesah Abdullah , AlEed Ashwaq , Alfaifi Jaber , Adam Ishag
Published: April 2024

Background

Headache disorder is the second-highest cause of disability worldwide; however, data are scarce on headache among adolescents, especially in Africa. There has yet to be published data on headache among adolescents in Sudan, the third-largest country in Africa. This study aimed to assess the prevalence of primary headache disorders and associated factors among adolescents (10–19 years) in eastern Sudan.

Methods

A community-based cross-sectional study was conducted in the city of Gadarif in eastern Sudan. Questionnaires were used to gather the adolescents’ sociodemographic characteristics. Headache diagnostic questions were based on the beta version of the International Classification of Headache Disorders-III (ICHD-3). Multivariate analysis was conducted to assess the associated factors for primary headache disorders, and the results were expressed as risk ratios (RRs) and 95.0% confidence interval (CI).

Results

Of the 401 enrolled adolescents, 186 (46.4%) and 215 (53.6%) were male and female, respectively. The median (IQR) age was 14.0 (12.1–16.2) years. Eighty-one (20.2%) of the 401 adolescents reported experiencing primary headache disorders, including migraine with aura in 16 (4.0%), migraine without aura in 33 (8.2%), tension-type in 14 (3.5%), and undifferentiated headache in 18 (4.5%) adolescents. The prevalence of primary headache disorders was significantly higher in females than in males [55/215 (67.9%) vs. 26/186 (32.1%),p = 0.004]. In the multivariate analysis, increased age (RR= 1.09, 95.0CI= 1.02–1.16) and being female (RR= 1.75, 95.0CI= 1.14–2.67) were associated with increased RR of primary headache disorders. Parents’ education level and occupation, smoking/snuff use, and body mass index were not associated with primary headache disorders.

Conclusion

One-fifth of the adolescents in eastern Sudan reported experiencing primary headache disorders, which was more common in females and with increased age.
Epigenetic alterations in creatine transporter deficiency: a new marker for dodecyl creatine ester therapeutic efficacy monitoring
Authors: Broca-Brisson Léa , Disdier Clémence , Harati Rania , Hamoudi Rifat , Mabondzo Aloïse
Published: April 2024

Creatine transporter deficiency (CTD) is an X-linked disease caused by mutations in the Slc6a8 gene. The impaired creatine uptake in the brain leads to developmental delays with intellectual disability. We hypothesized that deficient creatine uptake in CTD cerebral cells impact methylation balance leading to alterations of genes and proteins expression by epigenetic mechanism. In this study, we determined the status of nucleic acid methylation in both Slc6a8 knockout mouse model and brain organoids derived from CTD patients’ cells. We also investigated the effect of dodecyl creatine ester (DCE), a promising prodrug that increases brain creatine content in the mouse model of CTD. The level of nucleic acid methylation was significantly reduced compared to healthy controls in both in vivo and in vitro CTD models. This hypo-methylation tended to be regulated by DCE treatment in vivo. These results suggest that increased brain creatine after DCE treatment restores normal levels of DNA methylation, unveiling the potential of using DNA methylation as a marker to monitor the drug efficacy.
Radiation chemical processes in the water layer on the surface of PuO2
Authors: Sims Howard E. , Orr Robin M.
Published: April 2024

It is generally accepted that radiolysis of water on the surface of PuO2 by alpha particles is the source of H2 which can cause pressurisation in sealed storage containers if the material is not adequately conditioned before packing. The mechanisms for this have not been discussed in detail previously. Radiolysis mechanisms of bulk water are summarised and then applied to water at the surface of PuO2. It is shown that the radiolysis processes occurring on timescales of less than 1 ps after energy deposition could have an impact on the storage behaviour of the PuO2 and the potential gas volume generated. Some of the radiolysis products are highly reactive and would be expected to react with plutonium at the surface, affecting the usual water radiolysis processes. A corollary of this observation is that the surface should not be considered a completely crystalline PuO2 solid. It is also highlighted that whilst there are significant uncertainties in the radiolysis process at the PuO2 surface there are also significant uncertainties in H2 formation mechanisms in bulk water. Finally, methods to model the radiolysis process at the surface and the prospects for predictive models are briefly discussed with suggestions for future areas of development.
Mitochondria-associated endoplasmic reticulum membranes as a therapeutic target for cardiovascular diseases
Authors: Ding Yanqiu , Liu Nanyang , Zhang Dawu , Guo Lijun , Shang Qinghua , Liu Yicheng , Ren Gaocan , Ma Xiaochang
Published: April 2024

Cardiovascular diseases (CVDs) are currently the leading cause of death worldwide. In 2022, the CVDs contributed to 19.8 million deaths globally, accounting for one-third of all global deaths. With an aging population and changing lifestyles, CVDs pose a major threat to human health. Mitochondria-associated endoplasmic reticulum membranes (MAMs) are communication platforms between cellular organelles and regulate cellular physiological functions, including apoptosis, autophagy, and programmed necrosis. Further research has shown that MAMs play a critical role in the pathogenesis of CVDs, including myocardial ischemia and reperfusion injury, heart failure, pulmonary hypertension, and coronary atherosclerosis. This suggests that MAMs could be an important therapeutic target for managing CVDs. The goal of this study is to summarize the protein complex of MAMs, discuss its role in the pathological mechanisms of CVDs in terms of its functions such as Ca2+ transport, apoptotic signaling, and lipid metabolism, and suggest the possibility of MAMs as a potential therapeutic approach.
Assessing the functional vulnerability of woody plant communities within a large scale tropical rainforest dynamics plot
Authors: Sun Cheng , Yao Jie , Xu Han , Zhou Chaofan , Zang Runguo
Published: April 2024

Introduction

Tropical forests are characterized by intricate mosaics of species-rich and structurally complex forest communities. Evaluating the functional vulnerability of distinct community patches is of significant importance in establishing conservation priorities within tropical forests. However, previous assessments of functional vulnerability in tropical forests have often focused solely on isolated factors or individual disturbance events, with limited consideration for a broad spectrum of disturbances and the responses of diverse species.

Methods

We assessed the functional vulnerability of woody plant communities in a 60-ha dynamic plot within a tropical montane rainforest by conducting in silico simulations of a wide range disturbances. These simulations combined plant functional traits and community properties, including the distribution of functional redundancy across the entire trait space, the distribution of abundance across species, and the relationship between species trait distinctiveness and species abundance. We also investigated the spatial distribution patterns of functional vulnerability and their scale effects, and employed a spatial autoregressive model to examine the relationships between both biotic and abiotic factors and functional vulnerability at different scales.

Results

The functional vulnerability of tropical montane rainforest woody plant communities was generally high (the functional vulnerability of observed communities was very close to that of the most vulnerable virtual community, with a value of 72.41% on average at the 20m×20m quadrat scale), and they exhibited significant spatial heterogeneity. Functional vulnerability decreased with increasing spatial scale and the influence of both biotic and abiotic factors on functional vulnerability was regulated by spatial scale, with soil properties playing a dominant role.

Discussion

Our study provides new specific insights into the comprehensive assessment of functional vulnerability in the tropical rainforest. We highlighted that functional vulnerabilities of woody plant communities and their sensitivity to environmental factors varied significantly within and across spatial scales in the tropical rainforest landscape. Preserving and maintaining the functionality of tropical ecosystems should take into consideration the variations in functional vulnerability among different plant communities and their sensitivity to environmental factors.
Education, relationships, and place: life choices in the narratives of university master students
Authors: Mikhaylova Oxana , Bochaver Alexandra , Yerofeyeva Victoria
Published: April 2024

Choice is one of the most roughly defined concepts in contemporary social sciences. Previous studies have elucidated the factors that influence young people’s choices in different life situations. However, it is still unclear how young people evaluate these choices and how they integrate them into their biographies. In this study, we examine the narratives of 30 first-year master’s students at HSE University with regard to two categories of life choices: those that they perceive as fortunate and those that they perceive as unfortunate. Using a written online survey, the data was collected in the spring of 2022. To categorize the different decision kinds, thematic analysis was applied. Overall, we discovered that narratives about the life choices made by master students concentrated on education, relationships and place.
A study of the mediating effect of social support on self-disclosure and demoralization in Chinese older adult homebound breast cancer patients
Authors: Liu Meifeng , Qin Fawei , Wang Deyu
Published: April 2024

Purpose

Demoralization is common in older adult homebound breast cancer patients, seriously affecting their quality of life. This study aimed to investigate the demoralization of older adult homebound breast cancer patients and to analyse the mediating effects of social support between self-disclosure and demoralization.

Methods

The study enrolled 368 older adult homebound breast cancer patients reviewed in outpatient clinics of three hospitals from January 2022 to August 2023. A questionnaire survey was conducted using the general information questionnaire, the distress disclosure index (DDI), the social support revalued scale (SSRS), and the demoralization scale (DS). Path analysis was conducted to test the hypothesised serial mediation model.

Results

The total scores of self-disclosure, social support, and demoralization were 37 (25–42), 34 (19–48.75), and 46.5 (35–68), respectively. The results indicated a positive correlation between self-disclosure and social support (p < 0.01). In contrast, a statistically significant negative correlation was observed between self-disclosure, social support, and various demoralization dimensions (p < 0.01). Social support played a partial mediation effects between self-disclosure and demoralization, indirect effect =0.6362, SE = −0.591, 95% CI (−0.785 ~ −0.415); Self-disclosure direct effect demoralization, direct effect =0.3638, SE = −0.337, 95% CI (−0.525 ~ −0.144); total effect, SE = −0.929, 95% CI (−0.945 ~ −0.904).

Discussion

Social support a partial mediated between self-disclosure and demoralization in Chinese older adult homebound breast cancer patients. Clinical staff should focus on developing a social support system for Chinese older adult homebound breast cancer patients, encouraging patients to reveal their minds, and providing psychological counselling to enhance self-confidence and rebirth from adversity.
Psychological status and related factors of resident physicians during the release of COVID-19 pandemic restrictions in China
Authors: Zhang Qing , Pan Ruibo , Pan Qi , Qian Yandan , Zhou Xiao , Chen Qiaozhen
Published: April 2024

Background

Resident physicians at the standardized training stage had undergone significant physical and mental stress during the release of the COVID-19 pandemic restrictions at the end of 2022 in China. This study aimed to investigate the psychological status (including anxiety, depression, somatic symptoms, job burnout, and vicarious trauma) of resident physicians and identify its influencing factors under these special periods.

Methods

Survey was conducted one month after the release of the COVID-19 pandemic restrictions on resident training physicians from a tertiary first-class hospital in Zhejiang, China. Resident physicians completed the psychological status questionnaire. Chi-square tests, Mann–Whitney U tests, and logistic regression analyses were used to estimate the group differences and variable associations.

Results

The prevalence of anxiety, depression, and somatic discomfort in this study was 20.88, 28.53, and 41.47%, respectively. Female resident physicians were more likely to experience somatic symptoms [adjusted odds ratio (OR) = 2.36, 95% confidence interval (CI): 1.33–4.18]. Resident physicians with problem-focused coping styles were less prone to psychological health issues [depression (adjusted OR = 0.92, 95% CI: 0.88–0.96), anxiety (adjusted OR = 0.94, 95% CI: 0.90–0.98), somatic symptoms (adjusted OR = 0.93, 95% CI: 0.89–0.97), job burnout (adjusted OR = 0.91, 95% CI: 0.87–0.96) and vicarious trauma (adjusted OR = 0.94, 95% CI: 0.90–0.98)]. Inversely, resident physicians with emotion-focused coping styles and experienced negative life events were more prone to psychological health issues.

Conclusion

Resident training physicians had a high risk of anxiety, depression, and somatic symptoms under the special COVID-19 pandemic restriction release period. Females, with lower training stages, degrees, negative life events, and emotion-focused coping styles had a disadvantaged effect on psychological status. The medical teaching management department needs to monitor and reduce the workload and working hours of resident physicians, ensure sufficient sleep time, and pay attention to the psychological status of resident physicians. By strengthening regular communication and mental health education or intervention, which can help them improve their ability to cope with complex tasks.
The Ghana heart initiative – a health system strengthening approach as index intervention model to solving Ghana’s cardiovascular disease burden
Authors: Doku Alfred K. , Tetteh John , Edzeame Juliette , Peters Ron J. G. , Agyemang Charles , Otchi Elom Hillary , Yawson Alfred Edwin
Published: April 2024

Cardiovascular diseases (CVD) are the leading cause of death worldwide, with 80% of these deaths occurring in low-middle income countries (LMICs). In Ghana and across Africa, CVDs have emerged as the leading causes of death primarily due to undetected and under treated hypertension, yet less than 5% of resources allocated to health in these resource-poor countries go into non-communicable diseases (NCD) including CVD prevention and management. Consequently, most countries in Africa do not have contextually appropriate and sustainable health system framework to prevent, detect and manage CVD to achieve Universal Health Coverage (UHC) in CVD care through improved Primary Health Care (PHC) with the aim of achieving Sustainable Development Goals (SDG) in CVD/NCD. In view of this, the Ghana Heart Initiative (GHI) was envisaged as a national strategy to address the identified gaps using a health system and a population-based approach to reduce the national burden of CVDs. The GHI intervention includes the development of guidelines and training manuals; training, equipment support, establishment of a national call/support center, and improvement in the national data capturing system for CVDs and NCD, management of Hypertension, Deep Vein Thrombosis (DVT) and Heart Failure (HF). Following the implementation of the GHI concept, a national CVD Management Guideline was developed and 300-health facilities across the different levels of care including one teaching hospital, was also supported with basic life-saving equipment. In addition, more than 1,500 healthcare workers also reported improvement in their knowledge and skills in the management and treatment of CVD-related cases in their health facilities. These are key contributions to strengthening the health system for CVD care and learning lessons for scale up.
Prevalence and bidirectional association of sleep quality and gut health among Chinese midwives: a large population, multi-center cross-sectional study
Authors: Li Jia-Ning , Zheng Qing-Xiang , Jiang Xiu-Min , Chen Xiao-Qian , Huang Ling , Pan Yu-Qing , Liu Ru-Lin , Zhu Yu
Published: April 2024

Background

Shift work can disrupt sleep quality and gut health. Nurses and midwives constitute approximately half of the global healthcare shift-working workforce. Our previous study revealed that most midwives were experiencing suboptimal health conditions, characterized by poor sleep quality and a high prevalence of gastrointestinal diseases. The gut–brain axis theory highlights the potential interplay between sleep quality and gut health. However, limited research focuses on this relationship among midwives.

Methods

A cross-sectional survey included 2041 midwives from 87 Chinese hospitals between March and October 2023. Participants completed standardized questionnaires assessing sleep quality, gut health, depression, anxiety, and work stress. Binary logistic regression analyzed factors associated with poor sleep, and multiple linear regression examined the influence of sleep quality on gut health.

Results

Over 60% of midwives reported poor sleep, with many experiencing gastrointestinal disorders. We observed a bidirectional relationship between sleep quality and gut health among midwives. After multivariable adjustments, midwives with higher gut health scores were more likely to experience poor sleep quality (odds ratio = 1.042, 95% confidence interval = 1.03–1.054). Conversely, midwives with higher sleep quality scores were also more likely to have poor gut health (β = 0.222, 95% confidence interval = 0.529–0.797). These associations remained robust across sensitivity analyses. Furthermore, depression, anxiety, and work stress significantly affected both sleep quality and gut health among midwives.

Conclusion

This study enhances our understanding of the intricate relationship between sleep quality and gut health among midwives. Poor gut health was associated with a higher risk of poor sleep, and vice versa. To improve the overall wellbeing of midwives, the findings emphasize the importance of addressing poor sleep quality and promoting gut health through maintaining a healthy diet, lifestyle, and good mental health. Further studies are needed to confirm our findings and clarify the underlying mechanisms.
The study of ableism in population health: a critical review
Authors: Mannor Kara M. , Needham Belinda L.
Published: April 2024

Over the past three decades, health equity has become a guiding framework for documenting, explaining, and informing the promotion of population health. With these developments, scholars have widened public health’s aperture, bringing systems of oppression sharply into focus. Additionally, some researchers in disability and health have advocated for utilizing socially grounded frameworks to investigate the health of disabled people. Yet, naming ableism, much less operationalizing it for the empirical study of health, remains scant. This paper critically reviews the study of ableism as a social determinant of disabled people’s health within population health research. First, we provide an orientation to the present state of this literature by looking to the past. We briefly trace a history of traditional approaches to studying disability and health and alternatives that have emerged from critiques of the individualized lens that has dominated this work. Next, we delineate the operation of ableism across social levels. We characterize how ableism has been studied in population health in terms of levels of analysis (intrapersonal, interpersonal, institutional, and structural) and measures of interest. To conclude, we discuss hinderances to and promising avenues toward population health research that advances health equity for disabled people.
Cognitive training interventions for substance use disorders: what they really offer?
Authors: Pazoki Zahra , Kheirkhah Mohammad Taghi , Gharibzadeh Shahriar
Published: April 2024

Cognitive training (CT) has emerged as a potential therapeutic approach for substance use disorders (SUD), aiming to restore cognitive impairments and potentially improve treatment outcomes. However, despite promising findings, the effectiveness of CT in real-life applications and its impact on SUD symptoms has remained unclear. This perspective article critically examines the existing evidence on CT for SUD and explores the challenges and gaps in implementing CT interventions. It emphasizes the need for clarity in expectations and decision-making from a public health standpoint, advocating for comprehensive studies that consider a broader range of SUD consequences and utilize measures that reflect patients’ actual experiences.
Polymer materials—challenges and hope
Authors: Kowalczuk Marek
Published: April 2024

Polymer materials play an important role in various aspects of our lives. Most of them are solid, therefore, the key importance of such polymeric materials is related to their versatility, lightness, economy, durability and strength, corrosion resistance, electrical and thermal insulation (except conductive polymers), appropriate interface between the body and medical devices, and as well as design flexibility. In general, the importance of polymeric materials lies in their versatile properties, cost-effectiveness, and applicability in a variety of industries, including automotive, aerospace, electronics, healthcare, construction, packaging, and more. The purpose of this mini-review is to encourage future authors to submit outstanding contributions related to various aspects and frontiers of polymeric materials in the years to come.