bluuebunny/crossref_metadata_2025 huggingface dataset:
Growth responses to elevated environmental humidity vary between phenological forms of Picea abies
Authors: Sellin Arne , Heinsoo Katrin , Kupper Priit , Meier Riho , Õunapuu-Pikas Eele , Reinthal Taavi , Rosenvald Katrin , Tullus Arvo
Published: April 2024

Introduction

Global warming promotes geographical variability in climate, although the trends differ for the lower and higher latitudes of the Northern Hemisphere. By the end of the current century, the climate models project an increase of up to 20–30% in summer precipitation for northern Europe, accompanied by an increase in atmospheric humidity. Information on the effects of increasing precipitation and air humidity on the performance of northern trees is scant.

Methods

We studied the effects of artificially elevated air relative humidity (RH) and soil moisture on growth, phenology and needle/shoot morphology of 5-year-old Norway spruce (Picea abies) saplings at the Free Air Humidity Manipulation (FAHM) experimental site in eastern Estonia. The trees were subjected to three treatments: C – control, ambient conditions; H – air humidification, mean relative humidity ~ + 5%; I – soil irrigation, precipitation +15%. Trees from pure stands were sampled from three experimental plots per treatment in 2022.

Results

The needle morphology of P. abies was insensitive to moderate changes in air humidity and soil water content in northern mesic conditions. In contrast, the humidity treatments significantly affected shoot size, which decreased in the following order: C > I > H. This finding indicates a certain deceleration of the development of trees’ assimilating surface under elevated air humidity. The humidity manipulation did not influence the timing of bud burst, but the trees differentiated between two phenological forms – early-and late-flushing forms. Trees growing under elevated RH exhibited slower growth rates compared to trees in C and I treatments. The early-flushing trees grew faster, while the late-flushing trees performed better under increasing environmental humidity.

Conclusion

At high latitudes, the increasing precipitation and concomitant rise in atmospheric humidity counteract the enhancement of trees’ growth and forest productivity predicted for boreal forests due to global warming. Given that the late phenological form of P. abies is more tolerant of wetter climates and less threatened by late spring frosts, it has a greater potential to adapt to regional climate trends predicted for northern Europe.
Rapid generation of human recombinant monoclonal antibodies from antibody-secreting cells using ferrofluid-based technology
Authors: Strazza Veronica , Rossi Marco , Avati Andrea , Tiseo Giusy , Falcone Marco , Cusi Maria Grazia , Menichetti Francesco , Ricciardi-Castagnoli Paola , Tinti Cristina , Pileri Piero
Published: April 2024

Monoclonal antibodies (mAbs) are one of the most important classes of biologics with high therapeutic and diagnostic value, but traditional methods for mAbs generation, such as hybridoma screening and phage display, have limitations, including low efficiency and loss of natural chain pairing. To overcome these challenges, novel single B cell antibody technologies have emerged, but they also have limitations such as in vitro differentiation of memory B cells and expensive cell sorters. In this study, we present a rapid and efficient workflow for obtaining human recombinant monoclonal antibodies directly from single antigen-specific antibody secreting cells (ASCs) in the peripheral blood of convalescent COVID-19 patients using ferrofluid technology. This process allows the identification and expression of recombinant antigen-specific mAbs in less than 10 days, using RT-PCR to generate linear Ig heavy and light chain gene expression cassettes, called “minigenes”, for rapid expression of recombinant antibodies without cloning procedures. This approach has several advantages. First, it saves time and resources by eliminating the need for in vitro differentiation. It also allows individual antigen-specific ASCs to be screened for effector function prior to recombinant antibody cloning, enabling the selection of mAbs with desired characteristics and functional activity. In addition, the method allows comprehensive analysis of variable region repertoires in combination with functional assays to evaluate the specificity and function of the generated antigen-specific antibodies. Our approach, which rapidly generates recombinant monoclonal antibodies from single antigen-specific ASCs, could help to identify functional antibodies and deepen our understanding of antibody dynamics in the immune response through combined antibody repertoire sequence analysis and functional reactivity testing.
Exploring the depths of IgG4: insights into autoimmunity and novel treatments
Authors: Ünlü Selen , Sánchez Navarro Blanca G. , Cakan Elif , Berchtold Daniel , Meleka Hanna Rafael , Vural Secil , Vural Atay , Meisel Andreas , Fichtner Miriam L.
Published: April 2024

IgG4 subclass antibodies represent the rarest subclass of IgG antibodies, comprising only 3-5% of antibodies circulating in the bloodstream. These antibodies possess unique structural features, notably their ability to undergo a process known as fragment-antigen binding (Fab)-arm exchange, wherein they exchange half-molecules with other IgG4 antibodies. Functionally, IgG4 antibodies primarily block and exert immunomodulatory effects, particularly in the context of IgE isotype-mediated hypersensitivity reactions. In the context of disease, IgG4 antibodies are prominently observed in various autoimmune diseases combined under the term IgG4 autoimmune diseases (IgG4-AID). These diseases include myasthenia gravis (MG) with autoantibodies against muscle-specific tyrosine kinase (MuSK), nodo-paranodopathies with autoantibodies against paranodal and nodal proteins, pemphigus vulgaris and foliaceus with antibodies against desmoglein and encephalitis with antibodies against LGI1/CASPR2. Additionally, IgG4 antibodies are a prominent feature in the rare entity of IgG4 related disease (IgG4-RD). Intriguingly, both IgG4-AID and IgG4-RD demonstrate a remarkable responsiveness to anti-CD20-mediated B cell depletion therapy (BCDT), suggesting shared underlying immunopathologies. This review aims to provide a comprehensive exploration of B cells, antibody subclasses, and their general properties before examining the distinctive characteristics of IgG4 subclass antibodies in the context of health, IgG4-AID and IgG4-RD. Furthermore, we will examine potential therapeutic strategies for these conditions, with a special focus on leveraging insights gained from anti-CD20-mediated BCDT. Through this analysis, we aim to enhance our understanding of the pathogenesis of IgG4-mediated diseases and identify promising possibilities for targeted therapeutic intervention.
Pharmacological effects of ginseng and ginsenosides on intestinal inflammation and the immune system
Authors: Zhao Linxian , Zhang Tongbo , Zhang Kai
Published: April 2024

Intestinal inflammatory imbalance and immune dysfunction may lead to a spectrum of intestinal diseases, such as inflammatory bowel disease (IBD) and gastrointestinal tumors. As the king of herbs, ginseng has exerted a wide range of pharmacological effects in various diseases. Especially, it has been shown that ginseng and ginsenosides have strong immunomodulatory and anti-inflammatory abilities in intestinal system. In this review, we summarized how ginseng and various extracts influence intestinal inflammation and immune function, including regulating the immune balance, modulating the expression of inflammatory mediators and cytokines, promoting intestinal mucosal wound healing, preventing colitis-associated colorectal cancer, recovering gut microbiota and metabolism imbalance, alleviating antibiotic-induced diarrhea, and relieving the symptoms of irritable bowel syndrome. In addition, the specific experimental methods and key control mechanisms are also briefly described.
Challenges in autoimmune polyendocrine syndrome type 2 with the full triad induced by anti-programmed cell death 1: a case report and review of the literature
Authors: Pan Qin , Li Ping
Published: April 2024

Background

Immune checkpoint inhibitors (ICPis) induce autoimmune diseases, including autoimmune polyendocrine syndrome type 2 (APS-2), which is defined as a combination of at least two of the following endocrinopathies: autoimmune thyroid disease, type 1 diabetes, and Addison’s disease. Cases with the full triad are rare. We present a case of an elderly woman who developed APS-2 with the complete triad shortly after starting anti-programmed cell death 1 (anti-PD1) treatment and review the related literature.

Case

A 60-year-old woman, without any personal or family history of autoimmune and endocrine diseases, started the immunotherapy of anti-PD1 (camrelizumab) for squamous cell carcinoma of the urethral meatus. She developed primary hypothyroidism with elevated antibodies to thyroid peroxidase and thyroglobulin after 25 weeks of treatment, and developed primary adrenal insufficiency with adrenal crisis and fulminant type 1 diabetes with ketoacidosis after 45 weeks. Therefore, this patient met the diagnosis of APS-2 and was given multiple hormone replacement including glucocorticoid, levothyroxine and insulin therapy. Continuous improvement was achieved through regular monitoring and titration of the dosage.

Conclusions

Different components of APS-2 may appear at different time points after anti-PD1 administration, and can be acute and life-threatening. A good prognosis can be obtained by appropriate replacement with multiple hormones.

Insights

With the clinical application of ICPis to APS-2, the complexity of its treatment should be paid enough attention.
Steroid receptor coactivators in Treg and Th17 cell biology and function
Authors: Gilad Yosi , Shimon Ortal , Han Sang Jun , Lonard David M. , O’Malley Bert W.
Published: April 2024

Steroid receptor coactivators (SRCs) are master regulators of transcription that play key roles in human physiology and pathology. SRCs are particularly important for the regulation of the immune system with major roles in lymphocyte fate determination and function, macrophage activity, regulation of nuclear factor κB (NF-κB) transcriptional activity and other immune system biology. The three members of the p160 SRC family comprise a network of immune-regulatory proteins that can function independently or act in synergy with each other, and compensate for - or moderate - the activity of other SRCs. Recent evidence indicates that the SRCs are key participants in governing numerous aspects of CD4+ T cell biology. Here we review findings that establish the SRCs as essential regulators of regulatory T cells (Tregs) and T helper 17 (Th17) cells, with a focus on their crucial roles in Treg immunity in cancer and Treg-Th17 cell phenotypic plasticity.
Protein localization of aquaporins in the adult female disease vector mosquito, Aedes aegypti
Authors: Picinic Britney , Paluzzi Jean-Paul V. , Donini Andrew
Published: April 2024

The female Aedes aegypti mosquito is a vector for several arboviral diseases, due to their blood feeding behavior and their association with urban communities. While ion transport in Ae. aegypti has been studied, much less is known about mechanisms of water transport. Rapid water and ion excretion occurs in the adult female mosquito post blood meal and involves a set of organs including the midgut, Malpighian tubules (MTs), and hindgut. The MTs are responsible for the formation of primary urine and are considered the most important site for active transport of ions. Within the cells of the MTs, along with various ion transporters, there are aquaporin water channels that aid in the transport of water across the tubule cell membrane. Six aquaporin genes have been molecularly identified in Ae. aegypti (AQP1–6) and found to be responsible for the transport of water and in some cases, small solutes such as glycerol. In this study, we used immunohistochemistry to localize AaAQP1, 2, 4, 5, and 6 in the adult female Ae. aegypti, in non-blood fed and post blood feeding (0.5 and 24hr) conditions. We further examined the main water transporting aquaporin, AaAQP1, using western blotting to determine protein abundance changes in isolated MTs pre- and post-blood feeding. Using fluorescence in situ hybridization, aqp1 mRNA was found exclusively in the principal cells of female MTs. Finally, we used immunogold staining with transmission electron microscopy to determine subcellular localization of AaAQP1 in the Malpighian tubules under non-blood fed conditions. Interestingly, AaAQP1 was found to be predominantly in the principal cells of the MTs, dispersed throughout the brush border; however, there was also evidence of some AaAQP1 localization in the stellate cells of the MTs.
Leaving no one behind: hernia, a neglected surgical condition identified during hydrocele surgery camps in Tanzania
Authors: Zongo Kelly , Lyamuya Faraja , Kamara Kimberly , Mberu Martha , Kivuyo Nashivai , Akoko Larry
Published: April 2024

Programs focused on elimination of lymphatic filariasis include the provision of surgery to address hydrocele, a complication of infection. Corrective surgical interventions are fully funded so that affected men in Tanzania can live normal and productive lives. Active case finding is used to identify candidates for hydrocele surgery. Oftentimes this results in men being identified as needing a hydrocelectomy when they actually have inguinal hernias. Given different funding streams, men with hernias do not have access to funded surgeries and are turned away during hydrocele surgical camps despite a clear need for surgical intervention; this poses an ethical dilemma. Also, hernias can occur in conjunction with hydroceles or be misdiagnosed as hydrocele. When misdiagnosis is identified during surgery, and there are no prior preparations to address both, complications can occur. Support from the private sector to complement NTD programs as a viable solution to providing hernia surgeries during hydrocelectomy camps has been used on a small scale in Tanzania and could be replicated on a larger scale.
Mechanical properties and hydration mechanism of super-sulfated cement prepared with ordinary Portland cement, carbide slag, and sodium silicate
Authors: Qi Guangzheng , Zhang Qiang , Sun Zhengning
Published: April 2024

Super-sulfated cement (SSC) is known for its low-carbon footprint, energy efficiency, and eco-friendliness (mainly derived from industrial by-products) with promising applications. However, SSC’s slow early strength development results in inadequate initial hardening, compromising its durability and limiting its use in practical engineering projects. This study aims to enhance SSC’s early performance by incorporating ordinary Portland cement (OPC), carbide slag (CS), and sodium silicate as alkaline activators alongside anhydrite. The effects of varying proportions of OPC, CS, and sodium silicate on SSC’s compressive strength and hydration mechanism have been investigated experimentally in this study. Results show that using 2% OPC, 2% CS, and 1% sodium silicate as alkaline activators effectively activates slag hydration in SSC-2, achieving a compressive strength of 9.6 MPa at 1 day of hydration. As hydration progresses, SSC’s compressive strength continues to increase. In the early hydration stage, OPC and CS create an alkaline environment for SSC, facilitating rapid slag reaction with anhydrite and sodium silicate, resulting in ettringite and C–S–H formation. Simultaneously, slag hydration produces C–S–H and OH-hydrotalcite, filling voids in the ettringite-formed skeleton structure, leading to a denser microstructure and significantly enhancing SSC’s early compressive strength. From 28 to 90 days of hydration, the ettringite formation rate decreases in the SSC system, but some anhydrite remains, while C–S–H production continues to rise, further enhancing late-stage compressive strength.
Design and research of an automatic grasping system for a robot arm based on visual image capture technology
Authors: Liu Xiaofan , Ren Shaomeng , Wang Guili , Ma Liming , Sun Yanchao
Published: April 2024

Traditional robotic arms rely on complex programming and predefined trajectories to operate, which limits their applicability. To improve the flexibility and adaptability of the robot arm, the research focuses on improving the grasping performance of the robot arm based on vision technology. Kinect technology is used to capture human arm movements, and Kalman filter is introduced to smooth image data, so as to optimize the motion recognition process. In this study, the residual network model is further improved, and ELU activation function and pre-activation mechanism are introduced to enhance the classification accuracy of gesture images. The results showed that the improved ResNet50 model achieves 95% recognition accuracy after 25 iterations of training, while the original model is 80%. The application of Kalman filter makes the motion tracking curve smoother and shows the correction effect of this method. In simulation tests, the robotic arm is able to identify different elbow bending angles with 90–96 percent accuracy, while mimicking five specific hand gestures with 96–98 percent accuracy. These data support the practicability and effectiveness of the application of vision capture technology and deep learning model in the field of intelligent control of robotic arms.
Analysis of fungal diversity in the gut feces of wild takin (Budorcas taxicolor)
Authors: Ma Xiaoping , Li Zhiguo , Cai Lijun , Xiao Mei , He Fang , Liu Zhen , Chen Dong , Wang Ya , Shen Limin , Gu Yu
Published: April 2024

Introduction

The composition of the intestinal microbiome correlates significantly with an animal’s health status. Hence, this indicator is highly important and sensitive for protecting endangered animals. However, data regarding the fungal diversity of the wild Budorcas taxicolor (takin) gut remain scarce. Therefore, this study analyzes the fungal diversity, community structure, and pathogen composition in the feces of wild B. taxicolor.

Methods

To ensure comprehensive data analyses, we collected 82 fecal samples from five geographical sites. Amplicon sequencing of the internal transcribed spacer (ITS) rRNA was used to assess fecal core microbiota and potential pathogens to determine whether the microflora composition is related to geographical location or diet. We further validated the ITS rRNA sequencing results via amplicon metagenomic sequencing and culturing of fecal fungi.

Results and discussion

The fungal diversity in the feces of wild Budorcas taxicolor primarily comprised three phyla (99.69%): Ascomycota (82.19%), Fungi_unclassified (10.37%), and Basidiomycota (7.13%). At the genus level, the predominant fungi included Thelebolus (30.93%), Functional_unclassified (15.35%), and Ascomycota_unclassified (10.37%). Within these genera, certain strains exhibit pathogenic properties, such as Thelebolus, Cryptococcus, Trichosporon, Candida, Zopfiella, and Podospora. Collectively, this study offers valuable information for evaluating the health status of B. taxicolor and formulating protective strategies.
HIV-1 envelope facilitates the development of protease inhibitor resistance through acquiring mutations associated with viral entry and immune escape
Authors: Maphumulo Ntombikhona F. , Gordon Michele L.
Published: April 2024

Introduction

There is increasing evidence supporting a role for HIV-1 envelope in the development of Protease Inhibitor drug resistance, and a recent report from our group suggested that Env mutations co-evolve with Gag-Protease mutations in the pathway to Lopinavir resistance. In this study, we investigated the effect of co-evolving Env mutations on virus function and structure.

Methods

Co-receptor usage and n-linked glycosylation were investigated using Geno2Pheno as well as tools available at the Los Alamos sequence database. Molecular dynamics simulations were performed using Amber 18 and analyzed using Cpptraj, and molecular interactions were calculated using the Ring server.

Results

The results showed that under Protease Inhibitor drug selection pressure, the envelope gene modulates viral entry by protecting the virus from antibody recognition through the increased length and number of N-glycosylation sites observed in V1/V2 and to some extent V5. Furthermore, gp120 mutations appear to modulate viral entry through a switch to the CXCR4 coreceptor, induced by higher charge in the V3 region and specific mutations at the coreceptor binding sites. In gp41, S534A formed a hydrogen bond with L602 found in the disulfide loop region between the Heptad Repeat 1 and Heptad Repeat 2 domains and could negatively affect the association of gp120-gp41 during viral entry. Lastly, P724Q/S formed both intermolecular and intramolecular interactions with residues within the Kennedy loop, a known epitope.

Discussion

In conclusion, the results suggest that mutations in envelope during Protease Inhibitor treatment failure are related to immune escape and that S534A mutants could preferentially use the cell-to-cell route of infection.
SV2A PET imaging in human neurodegenerative diseases
Authors: Bavarsad Mahsa Shanaki , Grinberg Lea T.
Published: April 2024

This manuscript presents a thorough review of synaptic vesicle glycoprotein 2A (SV2A) as a biomarker for synaptic integrity using Positron Emission Tomography (PET) in neurodegenerative diseases. Synaptic pathology, characterized by synaptic loss, has been linked to various brain diseases. Therefore, there is a need for a minimally invasive approach to measuring synaptic density in living human patients. Several radiotracers targeting synaptic vesicle protein 2A (SV2A) have been created and effectively adapted for use in human subjects through PET scans. SV2A is an integral glycoprotein found in the membranes of synaptic vesicles in all synaptic terminals and is widely distributed throughout the brain. The review delves into the development of SV2A-specific PET radiotracers, highlighting their advancements and limitations in neurodegenerative diseases. Among these tracers, 11C-UCB-J is the most used so far. We summarize and discuss an increasing body of research that compares measurements of synaptic density using SV2A PET with other established indicators of neurodegenerative diseases, including cognitive performance and radiological findings, thus providing a comprehensive analysis of SV2A’s effectiveness and reliability as a diagnostic tool in contrast to traditional markers. Although the literature overall suggests the promise of SV2A as a diagnostic and therapeutic monitoring tool, uncertainties persist regarding the superiority of SV2A as a biomarker compared to other available markers. The review also underscores the paucity of studies characterizing SV2A distribution and loss in human brain tissue from patients with neurodegenerative diseases, emphasizing the need to generate quantitative neuropathological maps of SV2A density in cases with neurodegenerative diseases to fully harness the potential of SV2A PET imaging in clinical settings. We conclude by outlining future research directions, stressing the importance of integrating SV2A PET imaging with other biomarkers and clinical assessments and the need for longitudinal studies to track SV2A changes throughout neurodegenerative disease progression, which could lead to breakthroughs in early diagnosis and the evaluation of new treatments.
Endovascular thrombectomy is cost-saving in patients with acute ischemic stroke with large infarct
Authors: Schwarting Julian , Froelich Matthias F. , Kirschke Jan S. , Mehrens Dirk , Bodden Jannis , Sepp Dominik , Reis Jonas , Dimitriadis Konstantinos , Ricke Jens , Zimmer Claus , Boeckh-Behrens Tobias , Kunz Wolfgang G.
Published: April 2024

Objective

Endovascular thrombectomy (EVT) is the standard of care for acute large vessel occlusion stroke. Recently, the ANGEL-ASPECT and SELECT 2 trials showed improved outcomes in patients with acute ischemic Stroke presenting with large infarcts. The cost-effectiveness of EVT for this subpopulation of stroke patients has only been calculated using data from the previously published RESCUE-Japan LIMIT trial. It is, therefore, limited in its generalizability to an international population. With this study we primarily simulated patient-level costs to analyze the economic potential of EVT for patients with large ischemic stroke from a public health payer perspective based on the recently published data and secondarily identified determinants of cost-effectiveness.

Methods

Costs and outcome of patients treated with EVT or only with the best medical care based on the recent prospective clinical trials ANGEL-ASPECT, SELECT2 and RESCUE-Japan LIMIT. A A Markov model was developed using treamtment outcomes derived from the most recent available literature. Deterministic and probabilistic sensitivity analyses addressed uncertainty.

Results

Endovascular treatment resulted in an incremental gain of 1.32 QALYs per procedure with cost savings of $17,318 per patient. Lifetime costs resulted to be most sensitive to the costs of the endovascular procedure.

Conclusion

EVT is a cost-saving (i.e., dominant) strategy for patients presenting with large ischemic cores defined by inclusion criteria of the recently published ANGEL-ASPECT, SELECT2, and RESCUE-Japan LIMIT trials in comparison to best medical care in our simulation. Prospective data of individual patients need to be collected to validate these results.
Role of microbiota-gut-brain axis in natural aging-related alterations in behavior
Authors: Jing Yingli , Wang Qiuying , Bai Fan , Li Zihan , Li Yan , Liu Weijin , Yan Yitong , Zhang Shuangyue , Gao Chen , Yu Yan
Published: April 2024

Introduction

Aging is a complex, time-dependent biological process that involves a decline of overall function. Over the past decade, the field of intestinal microbiota associated with aging has received considerable attention. However, there is limited information surrounding microbiota-gut-brain axis (MGBA) to further reveal the mechanism of aging.

Methods

In this study, locomotory function and sensory function were evaluated through a series of behavioral tests.Metabolic profiling were determined by using indirect calorimetry.16s rRNA sequence and targeted metabolomics analyses were performed to investigate alterations in the gut microbiota and fecal short-chain fatty acids (SCFAs). The serum cytokines were detected by a multiplex cytokine assay.The expression of proinflammatory factors were detected by western blotting.

Results

Decreased locomotor activity, decreased pain sensitivity, and reduced respiratory metabolic profiling were observed in aged mice. High-throughput sequencing revealed that the levels of genus Lactobacillus and Dubosiella were reduced, and the levels of genus Alistipes and Bacteroides were increased in aged mice. Certain bacterial genus were directly associated with the decline of physiological behaviors in aged mice. Furthermore, the amount of fecal SCFAs in aged mice was decreased, accompanied by an upregulation in the circulating pro-inflammatory cytokines and increased expression of inflammatory factors in the brain.

Discussion

Aging-induced microbial dysbiosis was closely related with the overall decline in behavior, which may attribute to the changes in metabolic products, e.g., SCFAs, caused by an alteration in the gut microbiota, leading to inflammaging and contributing to neurological deficits. Investigating the MGBA might provide a novel viewpoint to exploring the pathogenesis of aging and expanding appropriate therapeutic targets.
Delaying age at first sexual intercourse provides protection against oral cavity cancer: a mendelian randomization study
Authors: Sun Ting , He Xin , Chen Xing , Huaqing Yang , Zhang Haimei , Zhao Min , Du Li , Zhao Bin , Hou Junping , Li Xudong , Liu Yu
Published: April 2024

Aim

To investigate whether age at first sexual intercourse could lead to any changes in the risk of oral cavity cancer.

Methods

A two-sample mendelian randomization was conducted using genetic variants associated with age at first sexual intercourse in UK biobank as instrumental variables. Summary data of Northern American from a previous genome-wide association study aimed at oral cavity cancer was served as outcome. Three analytical methods: inverse variance-weighted, mendelian randomization Egger, and weighted median were used to perform the analysis, among which inverse variance-weighted was set as the primary method. Robustness of the results was assessed through Cochran Q test, mendelian randomization Egger intercept tests, MR PRESSO, leave one out analysis and funnel plot.

Results

The primary analysis provided substantial evidence of a positive causal relationship age at first sexual intercourse and the risk of oral cavity cancer (p = 0.0002), while a delayed age at first sexual intercourse would lead to a decreased risk of suffering oral cavity cancer (β = -1.013). The secondary outcomes confirmed the results (all β < 0) and all assessments supported the robustness, too (all p > 0.05).

Conclusion

The study demonstrates that a delayed sexual debut would provide protection against OCC, thus education on delaying sexual intercourse should be recommended.
Management of irradiated post-mastectomy wound dehiscence with synthetic electrospun fiber matrix: a case report
Authors: Montminy Tess , Oppenheimer Nicole E. , Cocco Daniela
Published: April 2024

Breast-conserving surgery (BCS) is a well-established standard treatment option alternative to mastectomy for patients with early breast cancer that consists of a lumpectomy followed by adjuvant radiotherapy. However, irradiated tissues are at an increased risk of wound healing complications when post-treatment surgical management is required. The management of an irradiated wound dehiscence can be challenging, as it often requires a multimodal treatment approach that includes more invasive interventions when compared to a traditional surgical wound dehiscence. We present a 64 year old female patient with a remote history of right BCS with radiation therapy for early breast cancer 12 years ago, who recently required a simple mastectomy due to ipsilateral breast cancer recurrence. The post-operative course was complicated by dehiscence of the mastectomy wound. After standard wound care therapies failed, her surgical wound successfully healed after treatment with a synthetic electrospun fiber matrix application. Patients with additional comorbidities often do not qualify for invasive reconstructive options; therefore, effective local management options are warranted. This is the first reported case documenting synthetic electrospun fiber matrix efficacy and safety in healing a dehisced surgical wound within a previously irradiated fibrotic area, without the need for further invasive surgical intervention. Larger scale research, such as a prospective cohort study or randomized control trial, is needed to investigate its novel use in irradiated wounds.
Unraveling the role of C1GALT1 in abnormal glycosylation and colorectal cancer progression
Authors: Tian Hong , Yu Jia-Li , Chu Xiaoli , Guan Qi , Liu Juan , Liu Ying
Published: April 2024

C1GALT1 plays a pivotal role in colorectal cancer (CRC) development and progression through its involvement in various molecular mechanisms. This enzyme is central to the O-glycosylation process, producing tumor-associated carbohydrate antigens (TACA) like Tn and sTn, which are linked to cancer metastasis and poor prognosis. The interaction between C1GALT1 and core 3 synthase is crucial for the synthesis of core 3 O-glycans, essential for gastrointestinal health and mucosal barrier integrity. Aberrations in this pathway can lead to CRC development. Furthermore, C1GALT1's function is significantly influenced by its molecular chaperone, Cosmc, which is necessary for the proper folding of T-synthase. Dysregulation in this complex interaction contributes to abnormal O-glycan regulation, facilitating cancer progression. Moreover, C1GALT1 affects downstream signaling pathways and cellular behaviors, such as the epithelial-mesenchymal transition (EMT), by modifying O-glycans on key receptors like FGFR2, enhancing cancer cell invasiveness and metastatic potential. Additionally, the enzyme's relationship with MUC1, a mucin protein with abnormal glycosylation in CRC, highlights its role in cancer cell immune evasion and metastasis. Given these insights, targeting C1GALT1 presents a promising therapeutic strategy for CRC, necessitating further research to develop targeted inhibitors or activators. Future efforts should also explore C1GALT1's potential as a biomarker for early diagnosis, prognosis, and treatment response monitoring in CRC, alongside investigating combination therapies to improve patient outcomes.
The prognostic value of prognostic nutritional index in postoperative onset of PAH in children with isolated VSD: a prospective cohort study based on propensity score matching analysis
Authors: Zhang Zeying , Su Jing , Li Chenyang , Cao Shirui , Sun Chao , Lin Qiuzhen , Luo Haiyan , Xiao Zhenghui , Xiao Yunbin , Liu Qiming
Published: April 2024

Background

The mechanism of pulmonary arterial hypertension (PAH) after surgery/intervention for isolated venticlular septal defect (VSD) in children is unknown. Reliable prognostic indicators for predicting postoperative PAH are urgently needed. Prognostic nutration index (PNI) is widely used to predict postoperative complications and survival in adults, but it is unclear whether it can be used as an indicator of prognosis in children.

Methods

A total of 251 children underwent VSD repair surgery or interventional closure in Hunan Children's Hospital from 2020 to 2023 were collected. A 1:1 propensity score matching (PSM) analysis was performed using the nearest neighbor method with a caliper size of 0.2 Logistics regression analysis is used to examine factors associated with the development of PAH.

Results

The cut-off value for PNI was determined as 58.0. After 1:1 PSM analysis, 49 patients in the low PNI group were matched with high PNI group. Children in the low PNI group had higher risk of postoperative PAH (P = 0.002) than those in the high PNI group. Multivariate logistics regression analysis showed that PNI (RR: 0.903, 95% CI: 0.816–0.999, P = 0.049) and tricuspid regurgitation velocity (RR: 4.743, 95% CI: 1.131–19.897, P = 0.033) were independent prognostic factors for the development of PAH.

Conclusion

PNI can be used as a prognostic indicator for PAH development after surgery/intervention in children with isolated VSD.
Case report and literature review: Asymptomatic littoral cell angioma in a 3-year-old girl
Authors: Mou Yanling , Yang Liucheng , Wang Jianjun , Chen Qinming , Zhang Mengzhen , Zhang Xi , Tan Rongying , Adam Mahamat Djibril , Wu Kai
Published: April 2024

Background

Littoral cell angioma (LCA) is an extremely uncommon benign vascular tumor of the spleen. Cases of LCA in infants are rarely reported, and due to the rarity of the tumor and non-specific symptoms, the diagnosis of LCA is often overlooked in clinical practice.

Case report

We present a 3-year-old girl with pulmonary inflammation who was admitted to the hospital due to the discovery of a space-occupying lesion in the spleen. Pathology after splenectomy confirmed LCA, and there was no recurrence observed at the 5-month follow-up examination.

Conclusion

LCA should be considered when a child shows asymptomatic splenomegaly, with antigen expression indicating dual positivity of endothelial and histiocytic markers. Laparoscopic splenectomy remains the primary method of treating LCA.
Maternal postpartum bonding impairment and increased substance use to cope with pandemic-related stress
Authors: Roland Alysa , Dressler Caitlin M. , Shreffler Karina M.
Published: April 2024

Substance use rates, particularly among women, increased substantially during the COVID-19 pandemic. Psychological and economic risks disproportionately experienced by women were associated with increase in substance use patterns during the pandemic. Using substances (i.e., tobacco, alcohol, cannabis) to cope with stress is well-documented; what is less known are protective factors that were associated with less substance use during the pandemic. We examined whether mothers of young children (N = 96) who reported postpartum bonding impairment before the start of the pandemic reported greater substance use during the pandemic as a means to cope. Results from linear regression analyses found that mothers who reported higher levels of pre-pandemic mother-infant bonding impairments reported greater use of alcohol and other substances as a means to cope with pandemic stressors. These findings suggest that social connections might be a strategy to reduce substance use as a maladaptive coping behavior, especially during widespread crises such as the recent pandemic or for mothers of young children. In particular, promoting postpartum bonding through interventions might help to reduce substance use among new mothers.
How do the cognitive processes matter in the event-based preschoolers’ prospective memory?
Authors: Szpakiewicz Elżbieta , Stępień-Nycz Małgorzata
Published: April 2024

Background

Prospective memory (PM) is the ability to remember to perform an intended action at a specific future moment. The current study examined the impact of age, task focality, and cue salience on PM in children aged 2 to 6 years, based on the multiprocess theory of PM and the executive framework of PM development. Additionally, the study explored the relationship between various cognitive abilities and their association with PM performance.

Methods

A total of 224 preschool-aged children, aged 2–6, engaged in event-based PM tasks with varying cognitive demands. The tasks were either focal or nonfocal, with salient or nonsalient cues. Additionally, individual differences in cognitive abilities were measured.

Results

The results support previous indications that even very young children can successfully complete event-based PM tasks. The accuracy of PM display improved with age, especially between the ages of 3 and 4. Better performance was observed in focal PM tasks compared to nonfocal PM tasks. Additionally, preschoolers’ PM performance correlated with various cognitive abilities, including fluid intelligence, retrospective memory, inhibitory control, working memory, and language ability. These correlations varied depending on the child’s age and the task’s nature. For both focal and nonfocal PM tasks, cognitive abilities partially mediated the relationship between age and PM performance.

Conclusion

In summary, this study comprehensively explores the specific roles played by age and fundamental cognitive abilities in event-based PM performance among preschool-aged children.
A study on the positive and negative effects of different supervisor monitoring in remote workplaces
Authors: Li Shuang , Wang Yumei
Published: April 2024

The current academic research on whether and how the different supervisor monitoring effect in remote workplace is relatively scarce. Based on the Job demand-resource (JD-R) Model, this study proposes that as a kind of work resource, interactional monitoring will enhance employees’ self-efficacy, further enhance remote employees’ work engagement and reduce their deviant behaviors. While as a kind of work requirement, electronic monitoring will decrease employees’ self-efficacy, further reduce remote employee’s work engagement and increase their deviant behaviors. This study gets the empirical date of 299 employees who experienced remote work. Amos 23.0, SPSS 23.0 software and process plug-in were used to do the hierarchical regression, bootstrap and simple slope analysis, so that to test the hypothesis. This study broadens the research situation and mechanism of different supervisor monitoring, so as to enrich the comprehensive understanding of the effect of them, and also to provide some inspiration and reference for relevant management practices.
Association between residential environment and emotional wellbeing among older adults in China: the mediating effect of health lifestyle
Authors: Huijie Zhu , Haojun Jiang , Zhiping Zhu , Zhaoyu Yao
Published: April 2024

Introduction

The association between the residential environment and emotional wellbeing (EWB) in older adults has received extensive attention from gerontologists, especially during the COVID-19 pandemic; however, the mediating mechanism of how residential environment affects emotional wellbeing has not been fully explored. This study examined the effects of the residential environment on EWB and the mediating role of health lifestyle.

Methods

This study analyzed the survey data of 493 rural and 515 urban older adults from 2021 Chinese General Social Survey. General linear regression and structural equation models were used to examine the effects of residential environment and health lifestyle.

Results

Urban participants exhibited clear advantages in EWB, residential environment, and physical activity. Residential environment significantly affected the EWB of older adults, and health lifestyle played a mediating role in this relationship. The residential environment and health lifestyle did not significantly affect EWB in rural participants.

Discussion

This study revealed differences in the effects of health lifestyles and residential environments on EWB among older adults in rural and urban settings in China. This study provided empirical evidence of mental health disparities between older rural and urban Chinese residents.
Understanding the experiences of PHC nurses in caring for older patients in the post-fifth wave of the COVID-19 pandemic: an exploratory qualitative study
Authors: Ślusarska Barbara , Nowicki Grzegorz Józef , Chrzan-Rodak Agnieszka , Marcinowicz Ludmiła
Published: April 2024

Objective

To ensure the best possible care, the perspective of PHC nurse work experience during the COVID-19 pandemic should be considered when developing nursing care protocols for older patients who receive PHC services.

Method

This exploratory qualitative study was conducted with 18 nurses working continuously in PHC between the first and fifth waves of the pandemic. Semi-structured thematic interviews were undertaken. Qualitative thematic content analysis was conducted to identify and group the themes that emerged from the discourse. Interviews were transcribed and analyzed using thematic analysis.

Results

The first topic describes the nurses’ experiences of physical and mental suffering in caring for older patients in response to the pandemic. The second topic covers the experience of reorganizing PHC work. The third topic focuses on the difficulties of caring for older patients. The final topic includes issues of support needs for nurses in PHC work.

Conclusion

The experience and understanding of PHC nurses in caring for older people during the COVID pandemic should lead to significant changes in the system of nursing care for geriatric patients and in the cooperative role within geriatric care specialist teams. Drawing on the experience of COVID-19, it is necessary to work on the weak points of PHC exposed by the pandemic in order to improve the quality of care and life for geriatric patients.
Effective analysis of job satisfaction among medical staff in Chinese public hospitals: a random forest model
Authors: Li Chengcheng , Meng Xuehui
Published: April 2024

Objective

This study explored the factors and influence degree of job satisfaction among medical staff in Chinese public hospitals by constructing the optimal discriminant model.

Methods

The participant sample is based on the service volume of 12,405 officially appointed medical staff from different departments of 16 public hospitals for three consecutive years from 2017 to 2019. All medical staff (doctors, nurses, administrative personnel) invited to participate in the survey for the current year will no longer repeat their participation. The importance of all associated factors and the optimal evaluation model has been calculated.

Results

The overall job satisfaction of medical staff is 25.62%. The most important factors affecting medical staff satisfaction are: Value staff opinions (Q10), Get recognition for your work (Q11), Democracy (Q9), and Performance Evaluation Satisfaction (Q5). The random forest model is the best evaluation model for medical staff satisfaction, and its prediction accuracy is higher than other similar models.

Conclusion

The improvement of medical staff job satisfaction is significantly related to the improvement of democracy, recognition of work, and increased employee performance. It has shown that improving these five key variables can maximize the job satisfaction and motivation of medical staff. The random forest model can maximize the accuracy and effectiveness of similar research.
Temporal change in multimorbidity prevalence, clustering patterns, and the association with mortality: findings from the China Kadoorie Biobank study in Jiangsu Province
Authors: Yu Hao , Tao Ran , Zhou Jinyi , Su Jian , Lu Yan , Hua Yujie , Jin Jianrong , Pei Pei , Yu Canqing , Sun Dianjianyi , Chen Zhengming , Li Liming , Lv Jun
Published: April 2024

Objectives

The characteristics of multimorbidity in the Chinese population are currently unclear. We aimed to determine the temporal change in multimorbidity prevalence, clustering patterns, and the association of multimorbidity with mortality from all causes and four major chronic diseases.

Methods

This study analyzed data from the China Kadoorie Biobank study performed in Wuzhong District, Jiangsu Province. A total of 53,269 participants aged 30–79 years were recruited between 2004 and 2008. New diagnoses of 15 chronic diseases and death events were collected during the mean follow-up of 10.9 years. Yule's Q cluster analysis method was used to determine the clustering patterns of multimorbidity. A Cox proportional hazards model was used to estimate the associations of multimorbidity with mortalities.

Results

The overall multimorbidity prevalence rate was 21.1% at baseline and 27.7% at the end of follow-up. Multimorbidity increased more rapidly during the follow-up in individuals who had a higher risk at baseline. Three main multimorbidity patterns were identified: (i) cardiometabolic multimorbidity (diabetes, coronary heart disease, stroke, and hypertension), (ii) respiratory multimorbidity (tuberculosis, asthma, and chronic obstructive pulmonary disease), and (iii) mental, kidney and arthritis multimorbidity (neurasthenia, psychiatric disorders, chronic kidney disease, and rheumatoid arthritis). There were 3,433 deaths during the follow-up. The mortality risk increased by 24% with each additional disease [hazard ratio (HR) = 1.24, 95% confidence interval (CI) = 1.20–1.29]. Compared with those without multimorbidity at baseline, both cardiometabolic multimorbidity and respiratory multimorbidity were associated with increased mortality from all causes and four major chronic diseases. Cardiometabolic multimorbidity was additionally associated with mortality from cardiovascular diseases and diabetes, with HRs of 2.64 (95% CI = 2.19–3.19) and 28.19 (95% CI = 14.85–53.51), respectively. Respiratory multimorbidity was associated with respiratory disease mortality, with an HR of 9.76 (95% CI = 6.22–15.31).

Conclusion

The prevalence of multimorbidity has increased substantially over the past decade. This study has revealed that cardiometabolic multimorbidity and respiratory multimorbidity have significantly increased mortality rates. These findings indicate the need to consider high-risk populations and to provide local evidence for intervention strategies and health management in economically developed regions.