bluuebunny/crossref_metadata_2025 huggingface dataset:
Prevention and control of HPV and HPV-related cancers in France: the evolving landscape and the way forward – a meeting report
Authors: Waheed Dur-e-Nayab , Olivier Catherine Weil , Riethmuller Didier , Franco Eduardo L. , Prétet Jean Luc , Baay Marc , Munoz Nubia , Vorsters Alex
Published: August 2023

Misinformation regarding HPV vaccine safety and benefits has resulted in low coverage within the eligible French population. HPV vaccination is safe and efficacious in preventing HPV infections in adolescents. However, reaching optimal coverage in countries such as France is challenging due to misinformation, among other factors. Moreover, disparities exist in cervical cancer screening programs. To support the government health promotion policy aimed at improving prevention and control of HPV-related cancers in France, the Human Papillomavirus Prevention and Control Board (HPV-PCB), in collaboration with local experts, held a meeting in Annecy, France (December 2021).

HPV-PCB is an independent, multidisciplinary board of international experts that disseminates relevant information on HPV to a broad array of stakeholders and provides guidance on strategic, technical and policy issues in the implementation of HPV control programs.

After a one-and-a-half-day meeting, participants concluded that multi-pronged strategies are required to expand vaccination coverage and screening. Vaccine acceptance could be improved by: 1) strenghtening existing trust in clinicians by continuous training of current and upcoming/pre-service healthcare professionals (HCPs), 2) improving health literacy among adolescents and the public through school and social media platforms, and 3) providing full reimbursement of the gender-neutral HPV vaccine, as a strong signal that this vaccination is essential.

The discussions on HPV infections control focused on the need to: 1) encourage HCPs to facilitate patient data collection to support performance assessment of the national cervical cancer screening program, 2) advance the transition from cytology to HPV-based screening, 3) improve cancer prevention training and awareness for all HCPs involved in screening, including midwives, 4) identifying patient barriers to invitation acceptance, and 5) promoting urine or vaginal self-sampling screening techniques to improve acceptability, while establishing appropriate follow-up strategies for HPV-positive women. This report covers some critical findings, key challenges, and future steps to improve the status of HPV prevention and control measures in the country.
An insertion mutation of the MECP2 gene in severe neonatal encephalopathy and ocular and oropharyngeal dyskinesia: a case report
Authors: Liang Jianmin , Xin Cuijuan , Xin Meiying , Wang Guangliang , Wu Xuemei
Published: August 2023

Background

Pathogenic variation of the MECP2 gene presents mostly as Rett syndrome in females and is extremely rare in males. Most male patients with MECP2 gene mutation show MECP2 duplication syndrome.

Case presentation

Here we report a rare case in a 10-month-old boy with a hemizygous insertion mutation in MECP2 as NM_001110792, c.799_c.800insAGGAAGC, which results in a frameshift mutation (p.R267fs*6). The patient presented with severe encephalopathy in the neonatal period, accompanied by severe development backwardness, hypotonia, and ocular and oropharyngeal dyskinesia. This is the first report of this mutation, which highlights the phenotype variability associated with MECP2 variants.

Conclusions

This case helps to expand the clinical spectrum associated with MECP2 variants. Close attention should be paid to the growth and development of patients carrying a MECP2 variant or Xq28 duplication. Early interventions may help improve symptoms to some certain extent.
A novel PAX6 variant as the cause of aniridia in a Chinese patient with SRRRD
Authors: Wang Qian , Wei Wen Bin , Shi Xiang Yu , Rong Wei Ning
Published: August 2023

Background

The genotype characteristics and their associated clinical phenotypes in patients with aniridia were analyzed to explore pathogenic variants using whole-exome sequencing.

Methods

One patient with aniridia was enrolled at the Beijing Tongren Hospital. Comprehensive ophthalmic and general examinations were performed on the patient. DNA was extracted from the patient, and whole-exome sequencing was performed to identify the causative variant. The pathogenicity of the variant was predicted using in silico analysis and evaluated according to American College of Medical Genetics and Genomics guidelines. Relationships between genetic variants and clinical features were analyzed.

Results

In addition to the classical aniridia phenotype showing complete iris aplasia, foveal hypoplasia, and ectopic lentis, the patient also exhibited spontaneous reattachment rhegmatogenous retinal detachment (SRRRD). Whole-exome sequencing identified a novel heterozygous variant, exon8:c.640_646del:p.R214Pfs*28.

Conclusions

The present study broadens the range of genetic variants described in aniridia and presents an aniridia patient with SRRRD.
Risk factors for nosocomial rectal colonisation with carbapenem-resistant Gram-negative bacilli in children with haematological malignancies: a case-control study
Authors: Fang Chao , Zhou Zheng , Zhou Mingming , Li Jianping
Published: August 2023

Background

Rectal colonisation with carbapenem-resistant Gram-negative bacilli (CR-GNB) may cause CR-GNB infection in children with haematological malignancies (HMs) haematological. To date, information on its epidemiology is limited. This study aimed to assess the the risk factors for rectal colonisation with CR-GNB in children with HMs.

Methods

A case–control study in a tertiary children’s hospital in Hangzhou City, was conducted between July 2019, and September 2021. Based on the hospitalisation date, children in the CR-GNB colonisation group and control groups were matched at a ratio of 1:2. Conditional logistic regression models were used to compute the adjusted odds ratios (aORs) and 95% confidence intervals (CIs) of the risk factors for CR-GNB rectal colonisation in children with HMs.

Results

A total of 85 non-duplicated CR-GNB isolates were collected from rectal swab samples of 69 children with HMs. The 30-day mortality rates were 5.8% in the CR-GNB colonisation group and 0% in the control group (P = 0.020).colonisation In the conditional logistic regression model, the aORs were 6.84 (95% CI 1.86–25.20) for acute myeloid leukemia (AML) or acute lymphoblastic leukemia (ALL), 4.16 (95% CI 1.17–14.84) for prior concomitant infections within the last 1 month, 2.33 (95% CI 1.16–4.69) for prior carbapenems usage within the last 1 month and 7.46 (95% CI 1.81–30.67) for prior hematopoietic stem-cell transplantation (HSCT).

Conclusion

AML/ALL, prior concomitant infections within the last 1 month, prior carbapenems usage within the last 1 month, and prior HSCT are associated with an increased risk of rectal colonisation with CR-GNB in children with HMs.
Co-design and content validity of the movement measurement in the early years (MoveMEY) tool for assessing movement behaviour of pre-school aged children
Authors: Phillips Sophie M. , Summerbell Carolyn , Hesketh Kathryn R. , Saxena Sonia , Hillier-Brown Frances C.
Published: August 2023

Background

Movement behaviours (physical activity, sedentary behaviour, and sleep) are important for pre-school children’s health and development. Currently, no tools with appropriate content validity exist that concurrently capture these movement behaviours in young children. The aim of this study was to co-design and assess the content validity of a novel tool to concurrently measure movement behaviours in pre-school aged children (aged 3–4 years).

Methods

We followed four distinct steps to develop and assess the content validity of Movement Measurement in the Early Years (MoveMEY): (1) We conducted an extensive literature search, to identify pre-existing proxy measurement tools (questionnaires and diaries) to inform the design of a novel tool, which aimed to effectively capture movement behaviour guidelines of pre-school aged children. (2) We facilitated focus group discussions with parents and carers of pre-school aged children (n = 11) and (3) a qualitative survey with free text responses was completed by topic relevant researchers (n = 6), to co-design the measurement tool. (4) We assessed the content validity of the developed tool, MoveMEY, through interviews with parents of pre-school aged children (n = 12) following piloting of the tool.

Results

We developed an initial version of MoveMEY based on the format of an existing questionnaire and by mapping the content of questions to the guidelines. Co-design of MoveMEY resulted in changes to the format (e.g. short questionnaire to a seven-day diary) and content (e.g. inclusion of ‘general information’ questions on illness, disabilities and sleep disturbances; question on screen time before bed). Content validity assessment demonstrated that the items of MoveMEY were relevant and comprehensive for the assessment of children’s movement behaviours. MoveMEY was felt to be comprehensible, however, parental suggestions were implemented to finalise and improve MoveMEY (e.g. adding examples to questions aiming to detect moderate to vigorous physical activity).

Conclusion

MoveMEY is the first co-designed measurement tool that has relevance for assessing the movement behaviour guidelines of pre-school aged children. Parent/carer and topic relevant researcher involvement throughout the development process resulted in a seven-day daily reported activity diary that is comprehensive of children’s movement behaviours and comprehensible to parents and carers.
C1-C2 subluxation in enthesitis-related arthritis: two case reports and literature review of ten cases
Authors: Siu Wing Hin Stanford , Wang Chao-Jan , Wu Chieh-Tsai , Wu Chao-Yi , Ou Liang-Shiou
Published: August 2023

Background

C1-C2 subluxation is a rare complication of enthesitis-related arthritis (ERA). If left untreated, it may lead to functional impairment or cervical spinal cord compression. This study aims to highlight key points regarding the management of C1-C2 subluxation in ERA.

Case presentation

We present two cases of C1-C2 subluxation: an 8-year-old boy with ERA and 16-year-old boy with ERA with bilateral sacroiliitis. Ten cases of ERA in the literature were reviewed. The diagnosis of C1-C2 subluxation is mostly based on radiographs and cervical spine computed tomography. All patients were treated with non-steroidal anti-inflammatory drugs. Six ERA patients were treated surgically for cervical fusion. Most ERA patients with sacroiliitis had cervical collar protection. Neurologic abnormalities after treatment were not reported. Despite the use of cervical collar, cervical fusion and persisting ankylosis were found in two ERA patients with sacroiliitis without surgical treatment.

Conclusions

Cervical spine protection and ruling out spinal cord compression should be prioritized, in addition to controlling the underlying inflammation in ERA. Cervical halter traction may be applied after severe cervical inflammation is excluded. To reduce the risk of complications, early recognition and appropriate treatments of C1-C2 subluxation in ERA are essential.
Spatial–temporal trends in global childhood overweight and obesity from 1975 to 2030: a weight mean center and projection analysis of 191 countries
Authors: Gao Liwang , Peng Wen , Xue Hong , Wu Yang , Zhou Haixia , Jia Peng , Wang Youfa
Published: August 2023

Background

The geographic information science-based interactive map provided good prospects for the public health to study disease prevalence. The purpose of this study is to understand global spatial–temporal trends of childhood overweight and obesity and underlying causes help formulating intervention strategies.

Methods

This multiple cross-sectional study included data on childhood overweight and obesity prevalence, gross national income per capita, and urbanization rate for 191 countries from 1975–2016. Autoregressive integrated moving average model, standard deviational ellipse model and mixed-effects models were used to explore spatial–temporal trends of childhood overweight and obesity and associations with gross national income per capita and urbanization rate.

Results

Globally, childhood overweight and obesity rate would reach 30.0% in 2030 (boys: 34.2%, girls: 27.4%). By 2030, it would reach 58.3% in middle- and high-income countries and 68.1% in Western Pacific region. Spatial–temporal trendline for childhood overweight and obesity in 1975–2030 exhibited a “C” shape, migrating from 1975 (15.6。E, 24.6。N) to 2005 (10.6。E, 21.7。N), then to 2030 (14.8。E, 17.4。N). The trendline for urbanization rate was also an irregular "C", and the turning point appeared five years earlier than childhood overweight and obesity.

Conclusions

Globally, childhood overweight and obesity prevalence will continue to increase. Its weight mean center migrated from western countries to Asia and Africa following economic development.
PAI1 inhibits the pathogenesis of primary focal hyperhidrosis by targeting CHRNA1
Authors: Chen Jian-Feng , Lin Min , Li Xu , Lin Jian-Bo
Published: August 2023

Background

Primary focal hyperhidrosis (PFH) may be attributed to the up-regulation of the cholinergic receptor nicotinic alpha 1 subunit (CHRNA1) in eccrine glands. Plasminogen activator inhibitor-1 (PAI1, encoded by SERPINE1) is reported to inhibit the expression of CHRNA1, while the role of PAI1 in hyperhidrosis is unknown.

Methods

Serpine1 KO mice, Serpine1-Tg mice, and wild type BALB/c mice were intraperitoneally injected with pilocarpine hydrochloride to induce PFH. Cisatracurium (CIS, antagonist of CHRNA1) or PAI-039 (small-molecule inhibitor of PAI1) was pre-administrated before the induction of hyperhidrosis. On the other hand, Chrna1-expressing AAV was constructed and administered to Serpine1-Tg mice with hydrochloride stimulation. Hydrochloride-related biomarkers, such as acetylcholine (ACH) in the serum, calcium voltage-gated channel subunit alpha1 C (CACNA1C), and aquaporin 5 (AQP5) in sweat glands of mice were assayed with ELISA, RT-PCR, and Western blot.

Results

The administration of PAI-039 or Pai1 knock-out increased Chrna1 expression, sweat secretion, and hydrochloride-related biomarkers (ACH, CACNA1C, and AQP5) expression. On the other hand, CIS administration diminished the strengthened hyperhidrosis phenotype induced by Pai1 knock-out with decreased sweat gland secretion.

Conclusion

PAI1 inhibits CHRNA1-mediated hydrochloride-induced hyperhidrosis, with decreased sweat gland secretion and diminished ACH, AQP5, and CACNA1C expression. These results indicate the potential to utilize PAI1 to alleviate PFH.
Integrated bioinformatics analysis elucidates granulosa cell whole-transcriptome landscape of PCOS in China
Authors: Li Qingfang , Sang Yimiao , Chen Qingqing , Ye Bingru , Zhou Xiaoqian , Zhu Yimin
Published: August 2023

Background

Polycystic ovary syndrome (PCOS) is a common reproductive, neuroendocrine, and metabolic disorder in women of reproductive age that affects up to 5–10% of women of reproductive age. The aetiology of follicle development arrest and critical issues regarding the abnormal follicular development in PCOS remain unclear. The present study aims to systematically evaluate granulosa cell whole-transcriptome sequencing data to gain more insights into the transcriptomic landscape and molecular mechanism of PCOS in China.

Methods

In the present study, the microarray datasets GSE138518, GSE168404, GSE193123, GSE138572, GSE95728, and GSE145296 were downloaded from the Gene Expression Omnibus (GEO) database. Subsequently, differential expression analysis was performed on the PCOS and control groups, followed by functional interaction prediction analysis to investigate gene-regulatory circuits in PCOS. Finally, hub genes and their associated ncRNAs were validated by qPCR in human-luteinized granulosa (hGL) cells and were correlated with the clinical characteristics of the patients.

Results

A total of 200 differentially expressed mRNAs, 3 differentially expressed miRNAs, 52 differentially expressed lncRNAs, and 66 differentially expressed circRNAs were found in PCOS samples compared with controls. GO and KEGG enrichment analyses indicated that the DEGs were mostly enriched in phospholipid metabolic processes, steroid biosynthesis and inflammation related pathways. In addition, the upregulated miRNA hsa-miR-205-5p was significantly enriched in the ceRNA network, and two hub genes, MVD and PNPLA3, were regulated by hsa-miR-205-5p, which means that hsa-miR-205-5p may play a fundamental role in the pathogenesis of PCOS. We also found that MVD and PNPLA3 were related to metabolic processes and ovarian steroidogenesis, which may be the cause of the follicle development arrest in PCOS patients.

Conclusions

In summary, we systematically constructed a ceRNA network depicting the interactions between the ncRNAs and the hub genes in PCOS and control subjects and correlated the hub genes with the clinical characteristics of the patients, which provides valuable insights into the granulosa cell whole-transcriptome landscape of PCOS in China.
Cellulase–lactic acid bacteria synergy action regulates silage fermentation of woody plant
Authors: Du Zhumei , Yamasaki Seishi , Oya Tetsuji , Cai Yimin
Published: August 2023

Background

Feed shortage is an important factor limiting livestock production in the world. To effectively utilize natural woody plant resources, we used wilting and microbial additives to prepare an anaerobic fermentation feed of mulberry, and used PacBio single-molecule real-time (SMRT) sequencing technology to analyse the “enzyme–bacteria synergy” and fermentation mechanism.

Results

The fresh branches and leaves of mulberry have high levels of moisture and nutrients, and also contain a diverse range of epiphytic microorganisms. After ensiling, the microbial diversity decreased markedly, and the dominant bacteria rapidly shifted from Gram-negative Proteobacteria to Gram-positive Firmicutes. Lactic acid bacteria (LAB) emerged as the dominant microbial population, resulting in increased in the proportion of the carbohydrate metabolism and decreased in the proportion of the amino acid and “global and overview map” (GOM) metabolism categories. The combination of cellulase and LAB exhibited a synergistic effect, through which cellulases such as glycanase, pectinase, and carboxymethyl cellulase decomposed cellulose and hemicellulose into sugars. LAB converted these sugars into lactic acid through the glycolytic pathway, thereby improving the microbial community structure, metabolism and fermentation quality of mulberry silage. The GOM, carbohydrate metabolism, and amino acid metabolism were the main microbial metabolic categories during ensiling. The presence of LAB had an important effect on the microbial community and metabolic pathways during silage fermentation. A “co-occurrence microbial network” formed with LAB, effectively inhibiting the growth of harmful microorganisms, and dominating the anaerobic fermentation process.

Conclusions

In summary, PacBio SMRT was used to accurately analyse the microbial network information and regulatory mechanism of anaerobic fermentation, which provided a scientific basis for the study of woody silage fermentation theory. This study reveals for the first time the main principle of the enzyme–bacteria synergy in a woody silage fermentation system, which provides technical support for the development and utilization of woody feed resources, and achieves sustainable livestock production.
Prevalence of treated patients with Alzheimer’s disease: current trends and COVID-19 impact
Authors: Olazarán Javier , Carnero-Pardo Cristóbal , Fortea Juan , Sánchez-Juan Pascual , García-Ribas Guillermo , Viñuela Félix , Martínez-Lage Pablo , Boada Mercè
Published: August 2023

Background

There are few updated studies on the prevalence and management of Alzheimer’s disease (AD), which could be underdiagnosed or undertreated. The COVID-19 pandemic may have worsened the deficiencies in the diagnosis and treatment of these patients. Electronic medical records (EMR) offer an opportunity to assess the impact and management of medical processes and contingencies in the population.

Objective

To estimate AD prevalence in Spain over a 6-year period, based on treated patients, according to usual clinical practice. Additionally, to describe the management of AD-treated patients and the evolution of that treatment during the 2020 COVID-19 pandemic.

Methods

Retrospective study using the Spanish IQVIA EMR database. Patients treated with donepezil, galantamine, rivastigmine, and/or memantine were included in the study. Annual AD prevalence (2015–2020) was estimated and extrapolated to the national population level. Most frequent treatments and involved specialties were described. To assess the effect of COVID-19, the incidence of new AD cases in 2020 was calculated and compared with newly diagnosed cases in 2019.

Results

Crude AD prevalence (2015–2020) was estimated at 760.5 per 100,000 inhabitants, and age-standardized prevalence (2020) was 664.6 (male 595.7, female 711.0). Monotherapy was the most frequent way to treat AD (86.2%), in comparison with dual therapy (13.8%); rivastigmine was the most prescribed treatment (37.3%), followed by memantine (36.4%) and donepezil (33.0%). Rivastigmine was also the most utilized medication in newly treated patients (46.7%), followed by donepezil (29.8%), although donepezil persistence was longer (22.5 vs. 20.6 months). Overall, donepezil 10 mg, rivastigmine 9.5 mg, and memantine 20 mg were the most prescribed presentations. The incidence rate of AD decreased from 148.1/100,000 (95% confidence interval [CI] 147.0–149.2) in 2019 to 118.4/100,000 (95% CI 117.5–119.4) in 2020.

Conclusions

The obtained prevalence of AD-treated patients was consistent with previous face-to-face studies. In contrast with previous studies, rivastigmine, rather than donepezil, was the most frequent treatment. A decrease in the incidence of AD-treated patients was observed during 2020 in comparison with 2019, presumably due to the significant impact of the COVID-19 pandemic on both diagnosis and treatment. EMR databases emerge as valuable tools to monitor in real time the incidence and management of medical conditions in the population, as well as to assess the health impact of global contingencies and interventions.
Presence and role of viruses in anaerobic digestion of food waste under environmental variability
Authors: Fan Lu , Peng Wei , Duan Haowen , Lü Fan , Zhang Hua , He Pinjing
Published: August 2023

Background

The interaction among microorganisms in the anaerobic digestion of food waste (ADFW) reactors lead to the degradation of organics and the recycling of energy. Viruses are an important component of the microorganisms involved in ADFW, but are rarely investigated. Furthermore, little is known about how viruses affect methanogenesis.

Results

Thousands of viral sequences were recovered from five full-scale ADFW reactors. Gene-sharing networks indicated that the ADFW samples contained substantial numbers of unexplored anaerobic-specific viruses. Moreover, the viral communities in five full-scale reactors exhibited both commonalities and heterogeneities. The lab-scale dynamic analysis of typical ADFW scenarios suggested that the viruses had similar kinetic characteristics to their prokaryotic hosts. By associating with putative hosts, a majority of the bacteria and archaea phyla were found to be infected by viruses. Viruses may influence prokaryotic ecological niches, and thus methanogenesis, by infecting key functional microorganisms, such as sulfate-reducing bacteria (SRB), syntrophic acetate-oxidizing bacteria (SAOB), and methanogens. Metabolic predictions for the viruses suggested that they may collaborate with hosts at key steps of sulfur and long-chain fatty acid (LCFA) metabolism and could be involved in typical methanogenesis pathways to participate in methane production.

Conclusions

Our results expanded the diversity of viruses in ADFW systems and suggested two ways that viral manipulated ADFW biochemical processes.
Validation of Play Fairway Analysis of the geothermal potential of Camas Prairie, south-central Idaho, by an exploration well
Authors: Lachmar Thomas E. , Neupane Ghanashyam , Garg Sabodh K. , Dobson Patrick F. , Smith Connor J. , Newell Dennis L. , Shervais John W. , Evans James P. , Mink Leland L.
Published: August 2023

Play Fairway Analysis (PFA) methodology was adapted for geothermal exploration at Camas Prairie, Idaho. Geophysical data, structural and geologic mapping, volcanic rock ages and vent locations, and the distribution of thermal springs and wells all indicated a relatively high geothermal potential along the southern margin of the Prairie. An exploration well (USU Camas-1) was drilled to a depth of 618.3 m to validate the PFA. A permeable zone was encountered at ~ 357.5 m with a maximum measured temperature of ~ 80 °C, which was suppressed following the injection of cold water. A moderate transmissivity of ~ 0.25–1 cm2/s estimated from an injection test as well a seasonal artesian flow at ~ 0.7 L/s corroborate the presence of a permeable zone. The existence of a lacustrine clay seal was confirmed near the bottom of the basin-fill sediment occupying the upper 314 m of the well. Geothermometers suggest the USU Camas-1 well water equilibrated at a reservoir temperature of ~ 120 °C. Based on the locations of both thermal and cold wells, geothermal fluids appear to be flowing upward along one or both of two fault systems. The presence of young basalts and elevated helium isotope ratios suggest that the heat source of Camas Prairie is magmatic. However, the faults may be acting as a conduit for geothermal fluids to rise from great depth without a shallow magmatic source being present. Camas Prairie is a promising area for geothermal development, but the relatively low reservoir temperatures indicate this resource may not be suitable for electric generation. Perhaps the best use would be for heating.
Hydroxyapatite nanoparticles: an alternative to conventional phosphorus fertilizers in acidic culture media
Authors: Noruzi Masumeh , Hadian Parvin , Soleimanpour Leila , Ma’mani Leila , Shahbazi Karim
Published: August 2023

Background

Traditional phosphorus fertilizers generally have low efficiencies due to their immobilization in soil, and a large part of these fertilizers are not plant-available. Also, phosphorus resources are non-renewable. In recent years, a great deal of attention has been paid to nanofertilizers because of their slow or controlled release and also their very small particle size which increases the solubility and uptake of nanoparticles in plant. Hydroxyapatite nanoparticles are of great importance as phosphorus nanofertilizer thanks to their very low toxicity, biocompatibility, and the fact that products obtained from their degradation, i.e., phosphate and calcium ions, are naturally available in soils.

Results

In this study, hydroxyapatite nanoparticles were synthesized using the wet chemical precipitation method in three formulations and characterized with various techniques including electron microscopy, atomic force microscopy, X-ray diffraction, Fourier-transform infrared spectroscopy, and elemental analysis. Chemical and microscopic analyses showed that phosphorus was distributed in different parts of the wheat (Triticum aestivum L.) plant. To investigate the fertilizing effects of the nanoparticles, hydroxyapatite nanoparticles were used in different culture media including alkaline soil, acidic soil, the mixture of peat moss and perlite, and cocopeat. Based on our observations, hydroxyapatite nanoparticles showed fertilizing properties in all media. However, fertilizing potential strongly depended on the culture media. HAP nanoparticles demonstrated a high potential to be used as a fertilizer in acidic media. Nevertheless, only a slight fertilizing effect was observed in alkaline soils. Furthermore, the findings of our study showed fertilizing properties of powder hydroxyapatite nanoparticles without the need to convert them to suspension. Moreover, hydroxyapatite nanoparticles in all the three formulations showed low toxicity in such a way that their toxicity was even less than that of triple super phosphate.

Conclusions

Hydroxyapatite nanoparticles in both suspension and powder forms can be considered an alternative to conventional phosphorus fertilizers in acidic culture media. Our study revealed that hydroxyapatite nanoparticles were likely dissolved in the culture media and absorbed by plant mainly in the phosphate form.

Graphical Abstract
The impact of sedative and vasopressor agents on cerebrovascular reactivity in severe traumatic brain injury
Authors: Froese Logan , Hammarlund Emma , Åkerlund Cecilia A. I. , Tjerkaski Jonathan , Hong Erik , Lindblad Caroline , Nelson David W. , Thelin Eric P. , Zeiler Frederick A.
Published: August 2023

Background

The aim of this study is to evaluate the impact of commonly administered sedatives (Propofol, Alfentanil, Fentanyl, and Midazolam) and vasopressor (Dobutamine, Ephedrine, Noradrenaline and Vasopressin) agents on cerebrovascular reactivity in moderate/severe TBI patients. Cerebrovascular reactivity, as a surrogate for cerebral autoregulation was assessed using the long pressure reactivity index (LPRx). We evaluated the data in two phases, first we assessed the minute-by-minute data relationships between different dosing amounts of continuous infusion agents and physiological variables using boxplots, multiple linear regression and ANOVA. Next, we assessed the relationship between continuous/bolus infusion agents and physiological variables, assessing pre-/post- dose of medication change in physiology using a Wilcoxon signed-ranked test. Finally, we evaluated sub-groups of data for each individual dose change per medication, focusing on key physiological thresholds and demographics.

Results

Of the 475 patients with an average stay of 10 days resulting in over 3000 days of recorded information 367 (77.3%) were male with a median Glasgow coma score of 7 (4–9). The results of this retrospective observational study confirmed that the infusion of most administered agents do not impact cerebrovascular reactivity, which is confirmed by the multiple linear regression components having p value > 0.05. Incremental dose changes or bolus doses in these medications in general do not lead to significant changes in cerebrovascular reactivity (confirm by Wilcoxon signed-ranked p value > 0.05 for nearly all assessed relationships). Within the sub-group analysis that separated the data based on LPRx pre-dose, a significance between pre-/post-drug change in LPRx was seen, however this may be more of a result from patient state than drug impact.

Conclusions

Overall, this study indicates that commonly administered agents with incremental dosing changes have no clinically significant influence on cerebrovascular reactivity in TBI (nor do they impair cerebrovascular reactivity). Though further investigation in a larger and more diverse TBI patient population is required.
Feasibility and acceptability of a new web-based cognitive training platform for cognitively healthy older adults: the breakfast task
Authors: Sanz Simon Sharon , Ben-Eliezer Daniel , Pondikos Maria , Stern Yaakov , Gopher Daniel
Published: August 2023

Background

Developing efficient cognitive training for the older population is a major public health goal due to its potential cognitive benefits. A promising training target is executive control, critical for multitasking in everyday life. The aim of this pilot study was to establish the feasibility and acceptability of the Breakfast Task training in older adults, a new web-based cognitive training platform that simulates real-life multitasking demands.

Methods

A community-based sample of 24 cognitively healthy participants aged between 60 and 75 (M = 69.12, SD = 3.83) underwent 5-session cognitive training protocol, delivered online. Each session lasted 45 min and occurred twice a week at participant’s homes. Performance was recorded, and participants completed questionnaires at baseline and after the intervention.

Results

Feasibility metrics showed overall high recruitment (82.7%), adherence and retention rates (100%). Acceptability was considered good based on participant’s quantitative and qualitative responses. On average, participants rated the game as interesting, enjoyable and did not report difficulties in accessing the game online without supervision or in understanding the instructions. Participants showed a learning curve across sessions, suggesting improvement in the game outcomes and potential benefits from the emphasis change training approach. The study identified relevant areas that need improvements and adjustments, such as technical issues, session’s structure, and dose.

Conclusions

The findings provide preliminary support for the feasibility and acceptability of the web-based Breakfast Task training platform in cognitively healthy older adults. Results suggest the value of further research to investigate the Breakfast Task training features and dose-response relationship, as well as its potential efficacy in older adults via larger randomized controlled trials.

Trial registration

ClinicalTrials.gov: NCT04195230 (Registered 11 December 2019).
Pipeline versus Tubridge in the treatment of unruptured posterior circulation aneurysms
Authors: Jin Hengwei , Lv Jian , Meng Xiangyu , Liu Xinke , He Hongwei , Li Youxiang
Published: August 2023

Background

To compare the safety and efficacy of pipeline embolization device (PED) and Tubridge flow diverter (TFD) for unruptured posterior circulation aneurysms.

Methods

Posterior aneurysm patients treated with PED or TFD between January, 2019, and December, 2021, were retrospectively reviewed. Patients’ demographics, aneurysm characteristics, treatment details, complications, and follow-up information were collected. The procedural-related complications and angiographic and clinical outcome were compared.

Results

A total of 107 patients were involved; PED was applied for 55 patients and TFD for 52 patients. A total of 9 (8.4%) procedural-related complications occurred, including 4 (7.3%) in PED group and 5 (9.6%) in TFD group. During a mean of 10.3-month angiographic follow-up for 81 patients, complete occlusion was achieved in 35 (85.4%) patients in PED group and 30 (75.0%) in TFD group. The occlusion rate of PED group is slightly higher than that of TFD group. A mean of 25.0-month clinical follow-up for 107 patients showed that favorable clinical outcome was achieved in 53 (96.4%) patients in PED group and 50 (96.2%) patients in TFD group, respectively. No statistical difference was found in terms of procedural-related complications (p = 0.737), occlusion rate (p = 0.241), and favorable clinical outcome (0.954) between groups.

Conclusions

The current study found no difference in complication, occlusion, and clinical outcome between PED and TFD for unruptured PCAs.
National hepatitis registry in Pakistan: a dire need for hepatitis surveillance and control
Authors: Farhan Muhammad , Fazal Faizan , Dave Tirth , Butt Armeen , Basit Jawad , Maqbool Shahzaib
Published: August 2023

Hepatitis is a major public health issue in Pakistan, with an estimated 11.55% prevalence of HCV infection in the adult population. The country ranks second globally in terms of hepatitis C virus (HCV) infections, with approximately one in every 20 Pakistanis already infected. The mortality rates due to HBV and HCV stand at 563,000 and 366,000 annually, respectively. However, the absence of a national registry or database system and the lack of coordination among provinces pose significant obstacles in combating this disease effectively. To address this issue, the establishment of a centralized national database registry is crucial, allowing comprehensive analysis, tracking of hepatitis prevalence, and identification of high-risk areas for targeted interventions. By fostering collaboration among provinces, the government, and non-governmental organizations, the registry would facilitate joint decision-making, minimize duplication of efforts, and address inconsistencies in diagnosis and treatment. Collaborating with student-run organizations and leveraging enhanced laboratory capacities post-COVID era can strengthen the hepatitis control program. The centralized approach and unified efforts are necessary to achieve the goal of a hepatitis-free Pakistan, where a healthier future can be realized.
Graded prioritisation of targets in search: reward diminishes the low prevalence effect
Authors: Hadjipanayi Veronica , Ludwig Casimir J. H. , Kent Christopher
Published: August 2023

In many real-life contexts, observers are required to search for targets that are rarely present (e.g. tumours in X-rays; dangerous items in airport security screenings). Despite the rarity of these items, they are of enormous importance for the health and safety of the public, yet they are easily missed during visual search. This is referred to as the prevalence effect. In the current series of experiments, we investigate whether unequal reward can modulate the prevalence effect, in amultipletarget search task. Having first established the impact of prevalence (Experiment 1) and reward (Experiment 2) on how efficiently participants can find one of several targets in the current paradigm, we then combined the two forms of priority to investigate their interaction. Anunequalreward distribution (where lower prevalence items are more rewarded; Experiment 3) was found to diminish the effect of prevalence, compared to anequalreward distribution (Experiment 4) as indicated by faster response times and fewer misses. These findings suggest that when combined with an unequal reward distribution, the low prevalence effect can be diminished.
Effect of a waste management intervention program on knowledge, attitude, and practice (KAP) of nurses and housekeepers: a quasi-experimental study, Egypt
Authors: Khashaba Eman , El-Gilany Abdel Hady , Denewar Khadija
Published: August 2023

Background

Improper healthcare waste management practice is alarming in developing countries because resources are inadequate and waste management is often delegated to poorly educated and untrained laborers. This study aimed to compare the pre-KAP versus post-KAP towards the waste management program for nurses and housekeepers. In addition, it aimed to explore possible factors affecting the pre- and post-KAP in Mansoura Emergency University Hospital, Egypt.

Subjects and methods

One hundred thirty-three newly employed nurses, housekeepers, and those who need refreshment training as nominated by head nurses and link occupational health and safety nurses in the hospital were recruited for the study. The study’s intervention included multiple training sessions using a PowerPoint presentation in Arabic with appropriate illustrations followed by an open discussion. An Arabic self-administered questionnaire containing demographic and occupational history, knowledge (27 questions), attitude (10 questions), and practice (9 questions) was used pre- and post-intervention.

Results

The overall KAP scores among the studied healthcare workers were significantly higher after the intervention. The pre- and post-knowledge scores were significantly different with respect to education, job description, and duration of employment (p < 0.05). The post-attitude scores were significantly different with respect to education and job description only (p < 0.05). The total pre-practice scores were significantly different with respect to education and job description (p < 0.05). However, the post-practice scores were significantly different with respect to sex, age, education, and job description (p < 0.05).

Conclusion

There was a significant improvement in the KAP scores post-intervention. The post-knowledge and attitude scores were significantly better in nurses and participants with a higher education. The post-practice score was significantly better for females, participants with an age ≥ 30 years, higher education, and nursing jobs. The combination of training and supervision was crucial for the success of waste management programs. Higher education levels are required for housekeepers to be capable of gaining better knowledge, follow rules, and be ready for any challenges in the future.
Metformin versus levonorgestrel-releasing intrauterine system in the management of endometrial hyperplasia: a randomized clinical trial
Authors: Taha Omima T. , Abd-Elgelil Mohammed M. , Kishk Eman A. , Shaaban Mohammed , Khamees Rasha E.
Published: August 2023

Background

Endometrial hyperplasia is one of the common causes of bleeding in perimenopausal women. Variable treatment options aim to induce regression. The current study evaluated the regression rate of endometrial hyperplasia after treatment with levonorgestrel intrauterine system (LNG- IUS) versus Metformin.

Methods

This randomized clinical trial was conducted at the obstetrics and gynecology department of Suez Canal University hospital. We recruited women diagnosed with endometrial hyperplasia without atypia. Patients were allocated into two groups. Group one included patients treated with levonorgestrel-releasing intrauterine system and group two treated with Metformin. The rate of regression of hyperplasia in both groups after six months of intervention was the main outcome measure.

Results

Significant regression of hyperplasia was noted in the LNG-IUS group (96% versus 64%, p-value 0.009). There was a significant decrease in the endometrial thickness after treatment in both groups (17.65 ± 4.62 and 5.3 ± 2.01 in the LNG- IUS with a p-value < 0.001) (19.57 ± 6.84 and 11.22 ± 7.51 in the metformin group with a p-value < 0.001). Factors that correlated with the Δ endometrial thickness included parity in the LNG- IUS group (p-value 0.019) and age and BMI in the metformin group (p-value 0.043 and 0.004 respectively).

Conclusion

Metformin had a regressive effect on endometrial hyperplasia; however, it was not significant as that achieved with the levonorgestrel intrauterine system.

Trial registrations

PACTR201908498370196.

Date of registration: 21/8/2019.

Date of first patient enrollment: 25/8/2019.

URL: https://pactr.samrc.ac.za/Researcher/TrialRegister.aspx?TrialID=9335
Incidence of hearing loss in neonates at a secondary care hospital in North India—a pilot UNHS study
Authors: Rawat Vijay , Arora Rubeena , Singh Jitendra , Gupta Aradhana
Published: August 2023

Background

To evaluate the incidence of hearing loss in neonates in our secondary care hospital under pilot UNHS programme. To assess association between various risk factors and neonatal hearing loss.

Methods

Prospective, observational cohort study was done in a secondary level hospital in North India after ethical approval, for 1 year. Inclusion criteria are as follows: neonates born in hospital during study period, consenting to testing. Exclusion criteria are as follows: sick neonates, non-consenting parents. Neonates underwent TEOAE at 48 h of birth; those failing retested at 1 month. Neonates failing 2nd stage are tested after 3 months using BERA. Neonates were evaluated for the presence of maternal/neonatal high-risk factors.

Results

Out of 506 neonates, 143 passed 1st OAE screening, 363 were refer, and referral rate is 71.7%. A total of 341/345 neonates passed 2nd stage; 4 were diagnosed with hearing loss on BERA at 3 months. (18 neonates lost to follow-up, excluded from final cohort.) Overall incidence of hearing loss was 0.82%, 1.08% for males and 0.44% for females (p = 0.87, NS). One-hundred nine neonates were high risk (prematurity, 36; consanguinity, 4; caesarean section for relevant indications, 68; craniofacial abnormalities, 1). Incidence of hearing loss for high-risk group was 1.83% and 0.53% for well-born neonates (p = 0.19, NS).

Conclusion

Incidence of hearing loss in our district in North India is as follows: 8.2 per 1000 live births for well neonates, 18.3 per 1000 live births for high-risk neonates, and respective overall national incidence rates were 1.59 to 8.8 per 1000 and 7 to 49 per 1000. UNHS programmes must be implemented in all hospitals; protocol may be varied according to local population profile and resources available.
Induced polarization of clay-rich materials — Part 2: The effect of anisotropy
Authors: Revil André , Ghorbani Ahmad , Jougnot Damien , Yven Béatrice , Grgic Dragan , Bretaudeau Francois , Deparis Jacques
Published: August 2023

The anisotropy in the complex conductivity of a clay-rock formation is investigated through laboratory and in situ measurements. Laboratory measurements have been conducted on four samples from two cores of the Callovo-Oxfordian Formation from the Paris Basin (France). This clay-rock formation is anisotropic with a well-defined bedding plane. Two of the cylindrical core samples are taken in the transverse direction with respect to the bedding plane, whereas two other core samples are taken in the in-plane direction. The complex conductivity spectra are performed in the frequency range of 20 mHz to 45 kHz and in a broad pore water saturation range from near saturation to a residual saturation of approximately 25%. The complex conductivity spectra are fitted with a double Cole-Cole model, whereas the low-frequency contribution corresponding to the induced polarization effect and the high-frequency contribution is related to the Maxwell-Wagner polarization. The six Cole-Cole parameters are investigated as a function of saturation, and we evaluate their degree of anisotropy versus the effect of saturation. The low-frequency instantaneous conductivity and normalized chargeability indicate a consistent degree of anisotropy with an anisotropy ratio equal to 3.8 ± 0.5 for one core sample and 6.5 ± 0.9 for the second core sample. These values represent a substantial level of anisotropy. The low-frequency Cole-Cole exponent and relaxation time do not indicate substantial amount of anisotropy. The monitoring of the evolution of the weight in the controlled humidity chamber seems to indicate that their relative permeabilities do not indicate a strong anisotropic behavior. Finally, the laboratory data are discussed in the context of field data obtained with an azimuthal array of 12 electrodes.
Sparse unscaled time-frequency transform and its application on seismic attenuation delineation
Authors: Liu Naihao , Wei Shengtao , Li Shengjun , Yang Yang , Zhang Yijie , Gao Jinghuai
Published: August 2023

Seismic attenuation can be qualitatively delineated by the difference between low- and high-frequency components before and after attenuation. Time-frequency (TF) transform is a useful tool that is commonly used in the characterization of frequency component changes caused by seismic attenuation, in which the representative S-transform (ST) often is used for solving this issue. However, ST has a fixed TF localization and a significant frequency shift issue, leading to low resolution and accuracy of the results when used for qualitative attenuation estimation. To solve these issues, this study introduces an unscaled generalized ST (UGST) based on the unscaled ST to avoid the dominant frequency shift and achieve flexible adjustment of the TF localization. To further improve the resolution of TF, the solution of UGST is regarded as a convex optimization process with [Formula: see text]-[Formula: see text]-norm joint constraints, and the sparse UGST (SUGST) is solved by using the Bregman iterative algorithm. Synthetic experiments indicate that SUGST has high TF resolution and dominant frequency fidelity. Qualitative attenuation delineations of synthetic and field data are consistent with the synthetic model and reservoir interpretation. Its resolution and accuracy also are better than contrast methods, which further demonstrate the validity and advantage of the SUGST-based workflow in seismic attenuation delineation and reservoir interpretation.