bluuebunny/crossref_metadata_2025 huggingface dataset:
Estudo de revisão sobre a Tecnologia Assistiva no ensino de crianças com Transtorno do Espectro Autista (TEA)
Authors: Paloma Aparecida Oliveira Ratuchne  , Maria Luiza da Luz Munhoz  , Ana Aparecida de Oliveira Machado Barby  , Rosangela Trabuco Malvestio da Silva  , Gabriela Christine Scariott
Published: April 2024

A Tecnologia Assistiva (TA) engloba uma grande variedade de recursos, estratégias, metodologias e conhecimentos multidisciplinares que, aplicados em sala de aula, podem contribuir para a promoção da aprendizagem, inclusão e interação social de estudantes com Transtorno do Espectro Autista (TEA). Diante disso, o presente estudo propõe a seguinte problemática de pesquisa: quais são os resultados dos estudos brasileiros sobre o uso da TA como estratégia pedagógica para intervir na educação de alunos com TEA? O principal objetivo da pesquisa é analisar os resultados dos estudos brasileiros sobre o uso da TA para indivíduos com TEA no contexto educacional. Os artigos que integram esta pesquisa foram selecionados nas plataformas CAPES, SciELO e Google Acadêmico, com os descritores: (a) Tecnologia Assistiva, (b) Transtorno do Espectro Autista, (c) TEA, (d) autista, (e) autismo e (f) inclusão, combinados com o operador booleano and, entre os anos de 2016 e 2023. A metodologia empregada é de análise qualitativa, com revisão bibliográfica. Como resultado, foram encontrados 627 artigos, dentre os quais, 9 (1,4 %) atenderam aos critérios de elegibilidade. Os estudos revelaram que a inclusão da TA no ambiente educacional, com a utilização do PECS, dispositivos móveis, livro-objeto e videogame, trouxe resultados satisfatórios em relação à aprendizagem escolar e à interação social dos estudantes com TEA. Na comunicação, as Tecnologias Assistivas suplementaram ou substituíram a linguagem verbal. Concluiu-se que as pesquisas sobre esse tema são recentes e escassas, envolvendo um número limitado de participantes. É imperativo aprofundar tais estudos, promovendo a formação contínua de professores e implementando políticas públicas que garantam a Tecnologia Assistiva como um recurso pedagógico eficaz em ambiente escolar.
A alfabetização de alunos com Transtorno do Espectro do Autismo (TEA) no ensino comum
Authors: Sabrina Konkel  , Elizabeth Regina Streisky de Farias
Published: April 2024

A presente pesquisa intitulada “A alfabetização de alunos com Transtorno do Espectro do Autismo (TEA) no ensino comum” é desenvolvida no âmbito do Programa de Pós-Graduação em Educação Inclusiva – PROFEI da Universidade Estadual do Paraná-UNESPAR e está inserido na Linha de Pesquisa práticas e processos formativos de educadores para a educação inclusiva. O trabalho visa refletir sobre as práticas pedagógicas desenvolvidas no processo de inclusão e alfabetização de alunos diagnosticados com Transtorno do Espectro Autista, matriculados em escolas públicas, procurando assim compreender qual é o papel do professor no processo de inclusão e alfabetização. O interesse por esta pesquisa originou-se a partir de estudos e relatos vivenciados por docentes em conselhos de classes das escolas municipais de Paulo Frontin-PR no ano letivo de 2022, os quais na sua maioria apresentam dificuldade em flexibilizar o currículo e alterar a sua metodologia de atuação para dar o suporte necessário aos alunos com TEA. Esta pesquisa foi planejada em três etapas, a primeira consiste em uma pesquisa bibliográfica sobre o TEA e processo de alfabetização, a fim de fundamentar os estudos e aprimorar o conhecimento. A segunda diz respeito à pesquisa de campo, do tipo exploratória, por meio de uma entrevista semiestruturada aplicada aos professores da rede, a fim de identificar as concepções e desafios sobre o processo de inclusão e alfabetização. A terceira etapa trata da proposta formativa continuada, com foco no processo de inclusão na perspectiva da historiografia da educação. Tais ações buscam evidenciar as necessidades de flexibilizações no currículo para ampliar a autonomia, superar os déficits, para que novos conhecimentos sejam construídos com os alunos com TEA. Por tratar-se de um projeto em andamento, as etapas estão em pleno desenvolvimento. Com base nas informações obtidas até aqui pretende-se contribuir para práticas mais inclusivas no contexto escolar.
Effect of negative pressure therapy on the treatment response to scar thickness and viscoelasticity
Authors: Shen Wei-Cheng , Cheng Hsu-Tang , Jan Yih-Kuen , Liau Ben-Yi , Hsieh Chang-Wei , Bau Jian-Guo , Tai Chien-Cheng , Lung Chi-Wen
Published: April 2024

Patients with scars face a grave threat to their mental and physical health. Negative pressure has been used for scar therapy in medical care and provides a microenvironment conducive to scar healing while stimulating cell regeneration. Negative pressure may disrupt scar tissue regeneration when the pressure is too high or too low, so finding a suitable negative pressure is important. We hypothesized that different negative pressure magnitudes would affect scar tissue properties differently. This research aimed to provide practical recommendations for scar therapy. This study used three negative pressures (−105 mmHg, −125 mmHg, and −145 mmHg) to compare scar material properties. We measured scar tissue thickness and viscoelasticity with a motor-driven ultrasound indentation system. According to the results of this study, scar thickness is most effectively reduced at a negative pressure of −105 mmHg. In comparison, scar viscoelasticity continuously increases at a negative pressure of −125 mmHg. Negative pressure therapy can be recommended to scar care clinics based on the results of this study.
Characterization and efficacy against carbapenem-resistant Acinetobacter baumannii of a novel Friunavirus phage from sewage
Authors: Wang Zhitao , Yang Xue , Wang Hui , Wang Shuxian , Fang Ren , Li Xiaotian , Xing Jiayin , Wu Qianqian , Li Zhaoli , Song Ningning
Published: April 2024

Carbapenem-resistant Acinetobacter baumannii (CRAB) has become a new threat in recent years, owing to its rapidly increasing resistance to antibiotics and new effective therapies are needed to combat this pathogen. Phage therapy is considered to be the most promising alternative for treating CRAB infections. In this study, a novel phage, Ab_WF01, which can lyse clinical CRAB, was isolated and characterized from hospital sewage. The multiplicity of infection, morphology, one-step growth curve, stability, sensitivity, and lytic activity of the phage were also investigated. The genome of phage Ab_WF01 was 41, 317 bp in size with a GC content of 39.12% and encoded 51 open reading frames (ORFs). tRNA, virulence, and antibiotic resistance genes were not detected in the phage genome. Comparative genomic and phylogenetic analyses suggest that phage Ab_WF01 is a novel species of the genus Friunavirus, subfamily Beijerinckvirinae, and family Autographiviridae. The in vivo results showed that phage Ab_WF01 significantly increased the survival rate of CRAB-infected Galleria mellonella (from 0% to 70% at 48 h) and mice (from 0% to 60% for 7 days). Moreover, after day 3 post-infection, phage Ab_WF01 reduced inflammatory response, with strongly ameliorated histological damage and bacterial clearance in infected tissue organs (lungs, liver, and spleen) in mouse CRAB infection model. Taken together, these results show that phage Ab_WF01 holds great promise as a potential alternative agent with excellent stability for against CRAB infections.
Vitamin A – discovery, metabolism, receptor signaling and effects on bone mass and fracture susceptibility
Authors: Lerner Ulf H.
Published: April 2024

The first evidence of the existence of vitamin A was the observation 1881 that a substance present in small amounts in milk was necessary for normal development and life. It was not until more than 100 years later that it was understood that vitamin A acts as a hormone through nuclear receptors. Unlike classical hormones, vitamin A cannot be synthesized by the body but needs to be supplied by the food as retinyl esters in animal products and ß-carotene in vegetables and fruits. Globally, vitamin A deficiency is a huge health problem, but in the industrialized world excess of vitamin A has been suggested to be a risk factor for secondary osteoporosis and enhanced susceptibility to fractures. Preclinical studies unequivocally have shown that increased amounts of vitamin A cause decreased cortical bone mass and weaker bones due to enhanced periosteal bone resorption. Initial clinical studies demonstrated a negative association between intake of vitamin A, as well as serum levels of vitamin A, and bone mass and fracture susceptibility. In some studies, these observations have been confirmed, but in other studies no such associations have been observed. One meta-analysis found that both low and high serum levels of vitamin A were associated with increased relative risk of hip fractures. Another meta-analysis also found that low levels of serum vitamin A increased the risk for hip fracture but could not find any association with high serum levels of vitamin A and hip fracture. It is apparent that more clinical studies, including large numbers of incident fractures, are needed to determine which levels of vitamin A that are harmful or beneficial for bone mass and fracture. It is the aim of the present review to describe how vitamin A was discovered and how vitamin A is absorbed, metabolized and is acting as a ligand for nuclear receptors. The effects by vitamin A in preclinical studies are summarized and the clinical investigations studying the effect by vitamin A on bone mass and fracture susceptibility are discussed in detail.
Two-dimensional spectrum characteristics and oil movability study of the shale oil reservoir
Authors: Cai Changhong , Wang Li , Zhang Rui , Kang Qiang , Zhang Qingxiu , Zhao Dan , Guo Jingsu , Chen Manfei , Chen Hongbin , Lei Lei , Wang Ke , He Jiahuan
Published: April 2024

Shale oil is mainly stored in the nano–micro-pores of shale in the form of adsorption or in a free state. Among them, only free-state oil is the main contributor to shale oil production under natural elastic energy. Therefore, it is crucial to evaluate the movability of crude oil effectively. In this paper, focusing on the Jurassic shale oil reservoir core in the middle-eastern Sichuan region of China, low-field nuclear magnetic resonance (NMR) technology is used to analyze the basic characteristics of shale oil core samples. Experiments on the low-field NMR one-dimensional and two-dimensional spectrum characteristics of the original core, heat-treated core, and thermogravimetric-treated shale core are carried out. The effects of the TG-MS method, T2 method, and the volatilization of light oil components on the movability of shale oil reservoirs are analyzed, and the movability characteristics of shale oil reservoirs in the middle-eastern Sichuan region are preliminarily clarified. The results show that under thermal treatment, the distribution range of the two-dimensional spectrum of the core oil occurrence area is significantly reduced, and the T1 and T2 distribution ranges are reduced by 10.9% and 60.7%, respectively. According to the TG-MS method, the mobile oil, bound oil, and adsorbed oil account for 74.7%, 8.1%, and 17.2%, respectively. The quantitative calculation of movable oil saturation by NMR combined with heat treatment is 65.6%, which is lower than that calculated using the thermogravimetric method. In order to calculate the movability more accurately, the scale effect between different samples should be considered. This study could provide a theoretical basis for the subsequent shale oil development program.
Physiological responses of Bassia dasyphylla to drought during seed germination from different provenances
Authors: Chen Juanli , Luo Yongqing , Zhao Xueyong , Li Yan , Gao Biao , Wang Ruolan , Lou Yuanxin , Mu Junpeng
Published: April 2024

Bassia dasyphylla is a prevalent herbaceous plant that exhibits enhanced resilience to dryness and elevated temperatures. It is frequently found in dispersed or grouped formation on sandy soil within steppe, semi-desert, and desert regions. Herein, we conducted experiments to examine the growth and physiological traits of B. dasyphylla seeds originated from various regions in response to water scarcity. The study seeks to investigate the ability of these seeds to germinate under drought conditions and offer valuable insights for the development and breeding of high-quality germplasm resources in Inner Mongolia. The results demonstrated that B. dasyphylla originating from desert steppe (DS) exhibited a greater capacity to endure drought conditions in comparison to its counterparts from sandy land (SL). At a water potential of -0.30 MPa, the Seed germination rate from DS was 33.3%, while from SL it was 22.7%. With the increase in drought duration and intensity, germination rate, plumule length, both single-seed weight (SSW) and seed water content (SWC) of B. dasyphylla declined. The protective enzyme activity exhibited an initial increase, followed by a subsequent decline as the duration of the drought increased. Notably, we found that the protective enzyme activity from DS was higher than that from SL. During the initial and intermediate stages of dryness, the soluble sugar and protein of the plant from DS effectively inhibited the peroxidation of membrane lipids, whereas the osmoregulatory properties from SL did not have a significant impact. The findings suggest that the ability of B. dasyphylla to withstand drought conditions in DS can be attributed to its elevated amounts of protective enzymes and osmoregulatory factors, which serve to safeguard the cell membrane during periods of drought.
Single-cell transcriptomics and Mendelian randomization reveal LUCAT1’s role in right-sided colorectal cancer risk
Authors: Shang Zhihao , Xi Songyang , Lai Yueyang , Cheng Haibo
Published: April 2024

Background: Colorectal cancer (CRC) is a malignancy with high incidence and mortality rates globally, categorized into left-sided and right-sided CRC, each exhibiting significant differences in molecular characteristics, clinical manifestations, and prognosis.

Methods: This study employed single-cell transcriptomic data and various bioinformatics approaches, such as two-sample Mendelian randomization, reverse Mendelian randomization, colocalization analysis, directed filtering, pseudotime analysis, and intercellular communication analysis. It analyzed cellular-level disparities between left-sided and right-sided CRC, identifying distinct subpopulations with characteristic variations. For these cells, two-sample Mendelian randomization was utilized to explore gene-to-one-sided CRC causality.

Results: LUCAT1 was enriched in high-abundance monocyte subpopulations in right-sided CRC and demonstrated potential risk factor status through Mendelian randomization analysis. The specific single-nucleotide polymorphism (SNP) rs10774624 was associated with an increased risk of CRC. Moreover, metabolic pathway analysis revealed that LUCAT1+ monocytes exhibit lower communication activity in the tumor microenvironment and heightened activity in metabolic functions like glycosaminoglycan degradation. Its biological functions are related to the positive regulation of interleukin-6 production and NF-kappa B signaling, among others.

Conclusion: This study confirmed a potential causal relationship between LUCAT1 and right-sided CRC risk through Mendelian randomization analysis. These findings provide novel insights into the pathogenesis of right-sided CRC and may aid in developing early detection and treatment strategies for right-sided CRC.
Case report: Experience and insights on the treatment of two cases of cryptococcal meningitis during the later stages of the COVID-19 pandemic
Authors: Zhou Yuli , Qiu Bingfeng , Jiang Jun , Chen Tianwen , Wang Liqian , Yang Yunxing , Ruan Senlin , Chen Yanlei , Fang Huanli , Jin Juan , Yang Nan
Published: April 2024

In the late stages of the COVID-19 pandemic, there’s an increasing trend in opportunistic infections, including bacterial and fungal infections. This study discusses the treatment process of two cases of cryptococcal meningitis during the COVID-19 pandemic. It highlights the importance of laboratory testing for these co-infections and stresses the need for vigilance, early diagnosis, and proactive treatment to improve patient outcomes in the post-pandemic era.
The top 100 most cited articles in the past 30 years of wheat allergy: a bibliometric analysis
Authors: Zhan Mengyuan , Hou Yibo , Wen Liping , Xu Tengda
Published: April 2024

Background

Wheat allergy (WA), characterized by immunological responses to wheat proteins, is a gluten-related disorder that has become increasingly recognized in recent years. Bibliometrics involves the quantitative assessment of publications within a specific academic domain.

Objectives

We aimed to execute an extensive bibliometric study, focusing on the past 30 years of literature related to wheat allergy.

Methods

We searched the Web of Science database on 5th Dec 2023. We used the keywords “wheat allergy or wheat anaphylaxis or wheat hypersensitivity,” “gliadin allergy or gliadin anaphylaxis or gliadin hypersensitivity,” “wheat-dependent exercise-induced anaphylaxis,” and “baker's asthma” for our search. All items published between 1993 and 2023 were included. The top 100 most cited articles were identified and analyzed.

Results

Our study conducted an in-depth bibliometric analysis of the 100 most-cited articles in the field of wheat allergy, published between 2002 and 2019. These articles originated from 20 different countries, predominantly Japan and Germany. The majority of these articles were centered on the pathogenesis and treatment of wheat allergy (WA). The Journal of Allergy and Clinical Immunology (JACI) was the most prolific contributor to this list, publishing 14 articles. The article with the highest citation count was published by Biomed Central (BMC) and garnered 748 citations. The peak citation year was 2015, with a total of 774 citations, while the years 1998, 2001, and 2005 saw the highest publication frequency, each with 7 articles.

Conclusion

Our study aims to provide physicians and researchers with a historical perspective for the scientific progress of wheat allergy, and help clinicians effectively obtain useful articles that have a significant impact on the field of wheat allergy.
Patterns of summer ichthyoplankton distribution, including invasive species, in the Bering and Chukchi Seas
Authors: Kim Sung Hoon , Son Wuju , Yoo Jaeill , Cho Kyoung-Ho , Park Taewook , Yang Eun Jin , Kang Sung-Ho , La Hyoung Sul
Published: April 2024

A multidisciplinary survey was carried out in the Pacific Arctic and sub-Arctic regions of the North Pacific Ocean on the Korean icebreaking research vessel Araon. During this survey, ichthyoplankton fishes in the Pacific Arctic and sub-Arctic region ranged from the Bering Sea to the northern Chukchi Shelf in summer. The most dominant species was Gadus chalcogrammus, followed by Pleuronectes quadrituberculatus and Boreogadus saida. Gadus chalcogrammus and P. quadrituberculatus were particularly abundant near the Bering Sea and Bering Strait, whereas B. saida was dominant in the Chukchi Sea. Hierarchical cluster analysis revealed four distinct ichthyoplankton communities in Pacific Arctic and sub-Arctic regions based on geographical regions. However, Eleginus gracilis, which was previously known to be seen between latitudes 66.5°N and 69.5°N, was found above 70°N, suggesting that its distribution extends further north. Furthermore, we noticed that Benthosema glaciale, which is usually found in the Atlantic sector of Arctic Ocean, was observed in the northern Chukchi Sea. In addition to these unusual species distributions, several species that are mainly observed in coastal areas are observed in the Chukchi Sea region. The observed influx of various uncommon fish species into the Chukchi Sea can be attributed to multiple factors, including freshwater inflow from the East Siberian Sea and the intrusion of warm Atlantic and Pacific waters, which are strongly affected by global warming. Consequently, it is imperative to conduct rigorous monitoring of the Pacific Arctic region, with a particular focus on the Chukchi Sea, to better understand the implications of global warming.
Evaluation of the cytotoxic and antimicrobial potential of epiphytic biomass obtained from Laminaria hyperborea biorefinery side-streams
Authors: Barouti Angeliki , Herfindal Lars , Vagolu Siva Krishna , Homberset Håvard , Tønjum Tone , Kopplin Georg , Jordheim Monica
Published: April 2024

Harvested Laminaria hyperborea contributes to approximately 3.3 million tonnes of epiphytes discarded as waste despite containing organisms such as red algae and bryozoa, known to produce a range of high-value and bioactive compounds. Our research aim is to valorize epiphyte biomass by exploring the cytotoxic and antimicrobial potential in various extracts and optimized fractionation by flash chromatography. All extracts and fractions were tested for cytotoxicity towards cell lines derived from Acute Myeloid Leukemia (AML), prostate cancer (PC-3), and breast cancer (MCF-7), as well as non-tumorigenic cell lines from the kidney and heart using metabolic activity as a read-out. Antimicrobial activity was assessed using microplate based Alamar Blue assay and minimum inhibitory concentration (MIC) to determine the MIC against various human pathogens. Six extracts demonstrated significant cytotoxicity across all five cell lines (EC50 values below 46 µg/mL), while hexane extract selectively targeted AML cells with EC50 of 1.1 µg/mL. The hexane and ethyl acetate extracts displayed antimycobacterial and antifungal activity (MIC 100 µg/mL). A multistep flash fractionation of the methanolic extract revealed several cytotoxic and antimicrobial activities. The flash fractions displayed a selective activity pattern depending on the elution solvent. Nine fractions were cytotoxic towards all cell lines (EC50 below 72 µg/mL), and four were highly cytotoxic (EC50 below 5.4 µg/mL). Two non-polar fractions were selective for the AML cell line. These results highlight the potential for discovering anticancer and antimicrobial compounds in epiphytes from Laminaria, necessitating further research on their active compounds. Overall, this work underscores the environmental and scientific value of converting marine by-products into a valuable resource, aligning with sustainability and ethical goals.
Correlation between serum leptin level and sleep monitoring indexes in patients with obstructive sleep apnea hypopnea syndrome and its predictive value: a cross-sectional analysis
Authors: Li Ji , Zhou Kejing , Chen Xing , Lu Xu , Kong Deqiu
Published: April 2024

Objective

To investigate the association between serum leptin (LP) level and polysomnography (PSG) parameters in patients with obstructive sleep apnea hypopnea syndrome (OSAHS).

Methods

A cross-sectional study was conducted. The data of subjects who underwent PSG at hospital between January 2021 and December 2022 were collected retrospectively, 220 participants were included. The subjects were categorized into simple snoring group (n = 45), mild OSAHS group (n = 63), moderate OSAHS group (n = 52), and severe OSAHS group (n = 60). The general characteristics, PSG indices, and serological indices were collected retrospectively. Pearson correlation analysis was used to observe the correlation between serum LP level and PSG parameters. The value of serum LP level in predicting OSAHS was analyzed by receiver operating characteristic curve.

Results

The serum LP level was positively correlated with micro-arousal count, micro-arousal index (MAI), high apnea hypopnea index, times of blood oxygen decreased by≥3% and time in saturation lower 90%, and negatively correlated with lowest nocturnal oxygen saturation and mean oxygen saturation (p < 0.05). The area under the curve (AUC) of serum LP level in predicting the occurrence of OSAHS was 0.8276 (95% CI: 0.7713–0.8839), and when the Youden index was 0.587, the sensitivity was 72.00%, and the specificity was 86.67% (p < 0.0001). In the population with high MAI, the AUC of serum LP level in predicting the occurrence of OSAHS was 0.8825 (95% CI: 0.7833–0.9817), and when the Youden index was 0.690, the sensitivity was 79.00% and the specificity was 90.00% (p < 0.0001).

Conclusion

Serum LP level is associated with the severity of OSAHS. Serum LP level demonstrates a strong predictive value for the occurrence of OSAHS, particularly in population with high MAI.
Polylactic acid electrospun membrane loaded with cerium nitrogen co-doped titanium dioxide for visible light-triggered antibacterial photocatalytic therapy
Authors: Lv Hanlin , Xia Xiaomin , Sun Sa , Niu Zhaojun , Liu Jie , Li Xue
Published: April 2024

Wound infection caused by multidrug-resistant bacteria poses a serious threat to antibiotic therapy. Therefore, it is of vital importance to find new methods and modes for antibacterial therapy. The cerium nitrogen co-doped titanium dioxide nanoparticles (N-TiO2, 0.05Ce-N-TiO2, 0.1Ce-N-TiO2, and 0.2Ce-N-TiO2) were synthesized using the hydrothermal method in this study. Subsequently, electrospinning was employed to fabricate polylactic acid (PLA) electrospun membranes loaded with the above-mentioned nanoparticles (PLA-N, PLA-0.05, PLA-0.1, and PLA-0.2). The results indicated that cerium and nitrogen co-doping tetrabutyl titanate enhanced the visible light photocatalytic efficiency of TiO2 nanoparticles and enabled the conversion of ultraviolet light into harmless visible light. The photocatalytic reaction under visible light irradiation induced the generation of ROS, which could effectively inhibit the bacterial growth. The antibacterial assay showed that it was effective in eliminating S. aureus and E. coli and the survival rates of two types of bacteria under 30 min of irradiation were significantly below 20% in the PLA-0.2 experimental group. Moreover, the bactericidal membranes also have excellent biocompatibility performance. This bio-friendly and biodegradable membrane may be applied to skin trauma and infection in future to curb drug-resistant bacteria and provide more alternative options for antimicrobial therapy.
Enzymatic mechanism of MlrB for catalyzing linearized microcystins by Sphingopyxis sp. USTB-05
Authors: Teng Junhui , Xu Qianqian , Zhang Haiyang , Yu Ruipeng , Liu Chao , Song Meijie , Cao Xiaoyu , Du Xinyue , Tao Suxuan , Yan Hai
Published: April 2024

Microcystins (MCs) are the most widespread cyanobacterial toxins in eutrophic water body. As high toxic intermediate metabolites, linearized MCs are further catalyzed by linearized microcystinase (MlrB) of Sphingopyxis sp. USTB-05. Here MlrB structure was studied by comprizing with a model representative of the penicillin-recognizing enzyme family via homology modeling. The key active sites of MlrB were predicted by molecular docking, and further verified by site-directed mutagenesis. A comprehensive enzymatic mechanism for linearized MCs biodegradation by MlrB was proposed: S77 transferred a proton to H307 to promote a nucleophilic attack on the peptide bond (Ala-Leu in MC-LR or Ala-Arg in MC-RR) of linearized MCs to form the amide intermediate. Then water was involved to break the peptide bond and produced the tetrapeptide as product. Meanwhile, four amino acid residues (K80, Y171, N173 and D245) acted synergistically to stabilize the substrate and intermediate transition states. This study firstly revealed the enzymatic mechanism of MlrB for biodegrading linearized MCs with both computer simulation and experimental verification.
Exploring the link between obesity and hypothyroidism in autoimmune thyroid diseases: a metabolic perspective
Authors: Jing Mengzhe , Shao Shanshan , Ma Shizhan , Gao Ling , Wang Qian , Zhou Meng
Published: April 2024

Background: The management of primary hypothyroidism demands a comprehensive approach that encompasses both the implications of autoimmune thyroid disease and the distinct effects posed by obesity and metabolic irregularities. Despite its clinical importance, the interplay between obesity and hypothyroidism, especially in the context of metabolic perspectives, is insufficiently explored in existing research. This study endeavors to classify hypothyroidism by considering the presence of autoimmune thyroid disease and to examine its correlation with various metabolic obesity phenotypes.

Method: This research was conducted by analyzing data from 1,170 individuals enrolled in the Thyroid Disease Database of Shandong Provincial Hospital. We assessed four distinct metabolic health statuses among the participants: Metabolically Healthy No Obese Metabolically Healthy Obese Metabolically Unhealthy No Obese and Metabolically Unhealthy Obese Utilizing logistic regression, we investigated the association between various metabolic obesity phenotypes and hypothyroidism.

Results: The study revealed a significant correlation between the Metabolically Unhealthy Obese (MUO) phenotype and hypothyroidism, particularly among women who do not have thyroid autoimmunity. Notably, the Metabolically Unhealthy No Obese (MUNO) phenotype showed a significant association with hypothyroidism in individuals with thyroid autoimmunity, with a pronounced prevalence in women. Furthermore, elevated levels of triglycerides and blood glucose were found to be significantly associated with hypothyroidism in men with thyroid autoimmunity and in women without thyroid autoimmunity.

Conclusion: Effective treatment of hypothyroidism requires a thorough understanding of the process of thyroid autoimmune development. In patients without concurrent thyroid autoimmunity, there is a notable correlation between obesity and metabolic issues with reduced thyroid function. Conversely, for patients with thyroid autoimmunity, a focused approach on managing metabolic abnormalities, especially triglyceride levels, is crucial.
Residual learning-based robotic image analysis model for low-voltage distributed photovoltaic fault identification and positioning
Authors: Zhang Xudong , Ge Yunlong , Wang Yifeng , Wang Jun , Wang Wenhao , Lu Lijun
Published: April 2024

With the fast development of large-scale Photovoltaic (PV) plants, the automatic PV fault identification and positioning have become an important task for the PV intelligent systems, aiming to guarantee the safety, reliability, and productivity of large-scale PV plants. In this paper, we propose a residual learning-based robotic (UAV) image analysis model for low-voltage distributed PV fault identification and positioning. In our target scenario, the unmanned aerial vehicles (UAVs) are deployed to acquire moving images of low-voltage distributed PV power plants. To get desired robustness and accuracy of PV image detection, we integrate residual learning with attention mechanism into the UAV image analysis model based on you only look once v4 (YOLOv4) network. Then, we design the sophisticated multi-scale spatial pyramid fusion and use it to optimize the YOLOv4 network for the nuanced task of fault localization within PV arrays, where the Complete-IOU loss is incorporated in the predictive modeling phase, significantly enhancing the accuracy and efficiency of fault detection. A series of experimental comparisons in terms of the accuracy of fault positioning are conducted, and the experimental results verify the feasibility and effectiveness of the proposed model in dealing with the safety and reliability maintenance of low-voltage distributed PV systems.
Gender and kidney transplantation
Authors: Nautiyal Arushi , Bagchi Soumita , Bansal Shyam Bihari
Published: April 2024

Kidney transplantation provides the best form of kidney replacement therapy with improvement in quality of life and longevity. However, disparity exists in its availability, utilisation and outcomes, not only due to donor availability or financial constraints but also arising from the influence of biological sex and its sociocultural attribute i.e., Gender. Women make up the majority of kidney donors but are less likely to be counselled regarding transpantation, be waitlisted or receive living/deceased donor kidney. Biological differences also contribute to differences in kidney transplantation among the sexes. Women are more likely to be sensitised owing to pregnancy, especially in multiparous individuals, complicating donor compatibility. A heightened immune system in women, evidenced by more autoimmune illnesses, increases the risk of allograft rejection and loss. Differences in the pharmacokinetics of transplant drugs owing to biological variances could also contribute to variability in outcomes. Transgender medicine is also increasingly becoming a relevant topic of study, providing greater challenges in the form of hormonal manipulations and anatomic changes. It is thus important to determine and study transplantation and its nuances in this backdrop to be able to provide relevant sex and gender-specific interventions and design better practices for optimum kidney transplant utilisation and outcomes.
Effectiveness of tranexamic acid on chronic subdural hematoma recurrence: a meta-analysis and systematic review
Authors: Pan Wani , Hu Jinyang , Huang Xin , Jin Erlang , Yao Longfei , Han Jing , Liu Tiantian
Published: April 2024

Objectives

Our objective was to compare the effectiveness of TXA in improving recurrence in patients with chronic subdural hematoma (CSDH).

Methods

Eligible randomized controlled trials (RCTs), prospective trials and retrospective cohort studies were searched in PubMed, Cochrane Library, Embase, and CNKI from database inception to December 2023. After the available studies following inclusion and exclusion criteria were screened, the main outcome measures were strictly extracted. Reman v5.4. was used to assess the overall recurrence rate. A random-effects model was used to assess pooled ORs, with the Mantel–Haenszel estimation method applied. Cochran Q (Chi-square) test and I2 statistics were used to assess inter-study heterogeneity. Funnel plots were used to evaluate publication bias.

Results

From the 141 articles found during initial citation screening, 9 literatures were ultimately included in our study. Our NMA results illustrated that patients with newly diagnosed Chronic subdural hematoma revealed a significantly improved recurrence rate when patients were treated with Tranexamic acid (OR: 0.33; 95% CI 0.26–0.41; p < 0.00001) compared with standard neurosurgical treatment. There was no significant difference in the incidence rates of thrombosis (OR: 0.84; 95% CI 0.63–1.12; p = 0.23) and mortality (OR: 1.0; 95% CI 0.57–11.76; p = 0.99), Occurrence of myocardial infarction was significantly less frequent in TXA users than in nonusers (OR: 0.18; 95% CI 0.04–0.82; p = 0.03).

Conclusion

TXA can effectively improve the recurrence rate of CDSH. It provides a high level of evidence-based medicine for clinical treatment. In addition, multicenter randomized controlled trials, with dose adjustments, are still needed to determine whether TXA intervention improves neurological function or prognosis.
Efficacy of repetitive transcranial magnetic stimulation in post-stroke cognitive impairment: an overview of systematic reviews
Authors: Zhang Linli , Gao Shan , Wang Chengshuo , Li Yuanyuan , Yuan Huateng , Cao Longjun , Gao Chong
Published: April 2024

Objective

The reliability of clinical evidence depends on high-quality meta-analyses/ systematic reviews (MAs/SRs). However, there has been no assessment of the quality of MAs/SRs for repetitive transcranial magnetic stimulation (rTMS) in post-stroke cognitive impairment (PSCI), both nationally and internationally. This article seeks to use radar plotting to visually present the quality of MAs/SRs on rTMS for improving cognitive function in PSCI, aiming to offer an intuitive foundation for clinical research.

Methods

Eight Chinese or English databases were systematically searched to collect comprehensive literature, and the retrieval time ranged from inception to 26 March 2024. Literature ranking was calculated using six dimensions: publication year, design type, AMSTAR-2 score, PRISMA score, publication bias, and homogeneity. Finally, radar plots were drafted to present a multivariate literature evaluation. The GRADE tool assessed the strength of evidence for the outcome indicators included in the MAs/SRs.

Results

The 17 articles included had average scores of 12.29, 17, 9.88, 9.71, 12.88, and 12.76 for each dimension. The radar plot showed that an article published in 2023 had the highest rank and a large radar plot area, while an article published in 2021 had the lowest rank and a small radar plot area. The GRADE tool evaluation revealed that 51 pieces of evidence were of very low quality, 67 were of low quality, 12 were of moderate quality, and only one was of high quality.

Conclusion

The average rank score of literature ranged from 8.50 to 17, with higher rankings indicating greater significance in literature reference. Variations in literature quality were attributed to inadequate study planning, irregular literature search and screening, insufficient description of inclusion criteria for studies, and inadequate consideration of bias risk in the included studies. Most MAs/SRs indicated that rTMS was more effective than the control group in enhancing the global cognitive function and activities of daily living in PSCI patients. However, the overall quality of the literature was generally low and needs validation from future high-quality evidence.

Systematic review registration:https://www.crd.york.ac.uk/prospero/, identifier CRD42023491280.
Article biodiversity inside bottles: animals, fungi, and plants in traditional alcoholic drinks
Authors: Juárez-Aragón María Cruz , Moreno-Ramírez Yolanda del Rocio , Torres-Acosta Reyna Ivonne , Torres-Castillo Jorge Ariel
Published: April 2024

The use of animals, fungi, and plants as a source of bioactive compounds has been widely practiced in diverse cultures throughout the world, particularly in alcoholic drinks. The nature of the biological material, method of preparation and alcohol concentration play a predominant role in the extraction of bioactive compounds and the achievement of desired results. However, certain aspects must be considered to guarantee the innocuity of these drinks and reduce the risk of intoxication, infections and allergic reactions, aspects which are sometimes overlooked. In addition, the implications of using threatened or protected species must be considered to reduce the negative impact on their populations. The authors recommend the establishment of production systems which guarantee products with adequate quality controls and ensure the benefits to the consumer.
Changing trends in the disease burden of uterine cancer globally from 1990 to 2019 and its predicted level in 25 years
Authors: Song Shuang , Zhang Dandan , Wang Yizi , Song Zixuan
Published: April 2024

Background

We aim to evaluate the global, regional, and national burden of Uterine Cancer (UC) from 1990 to 2019.

Methods

We gathered UC data across 204 countries and regions for the period 1990-2019, utilizing the Global Burden of Disease Database (GBD) 2019 public dataset. Joinpoint regression analysis was employed to pinpoint the year of the most significant changes in global trends. To project the UC trajectory from 2020 to 2044, we applied the Nordpred analysis, extrapolating based on the average trend observed in the data. Furthermore, the Bayesian Age-Period-Cohort (BAPC) model with integrated nested Laplace approximations was implemented to confirm the stability of the Nordpred analysis predictions.

Results

Globally, the age-standardized rate (ASR) of incidence for UC has increased from 1990 to 2019 with an Average Annual Percentage Change (AAPC) of 0.50%. The ASR for death has declined within the same period (AAPC: -0.8%). An increase in the ASR of incidence was observed across all Socio-demographic Index (SDI) regions, particularly in High SDI regions (AAPC: 1.12%), while the ASR for death decreased in all but the Low SDI regions. Over the past 30 years, the highest incidence rate was observed in individuals aged 55-59 (AAPC: 0.76%). Among 204 countries and regions, there was an increase in the ASR of incidence in 165 countries and an increase in the ASR of deaths in 77 countries. Our projections suggest that both the incidence and death rates for UC are likely to continue their decline from 2020 to 2044.

Conclusions

UC has significantly impacted global health negatively, with its influence stemming from a range of factors including geographical location, age-related and racial disparities, and SDI.
Double-dose osimertinib combined with intrathecal injection of pemetrexed improves the efficacy of EGFR-mutant non-small cell lung cancer and leptomeningeal metastasis: case report and literature review
Authors: Zhong Wenjuan , Wu Longqiu , Huang Lixing , Wang Jianfeng , Shi Huaqiu , Wu Shugui
Published: April 2024

Leptomeningeal metastasis (LM) is a complication of non-small cell lung cancer (NSCLC) characterized by poor prognosis and short survival. A variety of therapeutic approaches have been sought to improve the efficacy of LM. Here we present a clinical case and conduct a literature review to investigate the effectiveness and safety of double-dose osimertinib combined with a pemetrexed intrathecal injection. This is an older man who underwent thoracoscopic pneumonectomy and was diagnosed with stage IIA lung adenocarcinoma with EGFR21 L858R mutation. He experienced thoracic vertebral metastases 33 months postoperatively and received first-line treatment with gefitinib combined with radiotherapy for vertebral metastases. However, the patient developed a grade 3 rash with unacceptable toxicity and his CEA levels were significantly increased 22 months later, leading to a targeted treatment adjustment to 80 mg of osimertinib orally once daily. Four months later, the patient developed LM and osimertinib dosage was increased to 160 mg once daily; however, neurological symptoms did not improve, and cerebrospinal fluid (CSF) tumor cells remained detected. Accordingly, the patient received an intrathecal injection of pemetrexed (dose 30 mg) every 2-3 months, 2-3 times per course (4-6 days each time), and continued to receive a double dose of osimertinib. After three courses of intrathecal chemotherapy, CSF tumor cells were eliminated, and neurological symptoms significantly improved. During the treatment, he experienced a one-degree rash, leukopenia, thrombocytopenia, and fatigue. This patient has been alive and well with disease control for 28 months since the diagnosis of meningeal metastases. Combining double-dose osimertinib and an intrathecal injection of pemetrexed demonstrated therapeutic efficacy and manageable adverse effects in this patient with advanced NSCLC with EGFR-mutant and LM.
Program of All-Inclusive Care for the Elderly: an untapped setting for research to advance pain care in older persons
Authors: Riffin Catherine , Mei Lauren , Brody Lilla , Herr Keela , Pillemer Karl A. , Reid M. Carrington
Published: April 2024

The Program of All-Inclusive Care for the Elderly (PACE) is a community-based care model in the United States that provides comprehensive health and social services to frail, nursing home-eligible adults aged 55 years and older. PACE organizations aim to support adequate pain control in their participants, yet few evidence-based pain interventions have been adopted or integrated into this setting. This article provides a roadmap for researchers who are interested in collaborating with PACE organizations to embed and evaluate evidence-based pain tools and interventions. We situate our discussion within the Consolidated Framework for Implementation Research (CFIR), a meta-theoretical framework that considers multi-level influences to implementation and evaluation of evidence-based programs. Within each CFIR domain, we identify key factors informed by our own work that merit consideration by research teams and PACE collaborators. Inner setting components pertain to the organizational culture of each PACE organization, the type and quality of electronic health record data, and availability of staff to assist with data abstraction. Outer setting components include external policies and regulations by the National PACE Association and audits conducted by the Centers for Medicare and Medicaid Services, which have implications for research participant recruitment and enrollment. Individual-level characteristics of PACE organization leaders include their receptivity toward new innovations and perceived ability to implement them. Forming and sustaining research-PACE partnerships to deliver evidence-based pain interventions pain will require attention to multi-level factors that may influence future uptake and provides a way to improve the health and well-being of patients served by these programs.
Clinical exome sequencing by general pediatricians: high clinical utility and no evidence of inappropriate testing
Authors: Baz Danya Salah , Baz Dareen , Alrwuili Fawzah , Aldowaish Abdullah , Shamseldin Hanan E. , Elhomoudi Ayman , Alkuraya Fowzan S.
Published: April 2024

Background

Genetic disorders account for a large percentage of admissions and outpatient visits to children's hospitals around the world. Clinical exome sequencing (CES) is a valuable diagnostic tool in the workup of these disorders; however, it is not routinely requested by general pediatricians. This may represent a missed opportunity to increase patient access to this powerful diagnostic tool. In our institution, general pediatricians can directly order CES. In this context, this study aims to evaluate the appropriateness of CES and its clinical utility when ordered by general pediatricians.

Methods

We retrospectively reviewed all CES tests ordered by general pediatricians in our institution between 2019 and 2023 and recorded their indications and results. General pediatricians were interviewed to evaluate how CES impacted the domains of clinical utility by assessing changes in management, communication, subsequent testing, and counseling. In addition, feedback was obtained, and barriers faced by general pediatricians to order CES were assessed.

Results

The study cohort (n = 30) included children from the inpatient (60%) and outpatient (40%) departments. A positive finding (a pathogenic or likely pathogenic variant that explains the phenotype) was observed in 11 of 30 cases (37%), while 3 (10%) and 16 (53%) received ambiguous (variant of uncertain significance) and negative results, respectively. The indication was deemed appropriate in all 30 cases (100%). Clinical utility was reported in all 11 positive cases (100%). Reproductive counseling is a notable utility in this highly consanguineous population, as all variants identified, in the 11 positive cases, were autosomal recessive.

Conclusion

We show that CES ordered by general pediatricians is appropriately indicated and provides a diagnostic yield comparable to that requested by specialists. In addition, we note the high clinical utility of positive results as judged by the ordering pediatricians. The findings of this study can empower general pediatricians to advocate for expanded CES adoption to improve patient access and shorten their diagnostic odyssey.