bluuebunny/crossref_metadata_2025 huggingface dataset:
Feasibility study of high-power electron linac for clinical X-ray ROAD-FLASH therapy system
Authors: Kutsaev Sergey V. , Agustsson Ronald , Boucher Salime , Carriere Paul , Ghoniem Nasr , Kaneta Kenichi , Kravchenko Maksim , Li Alan , Moro Adam , Patel Sohun , Sheng Ke
Published: June 2024

Introduction: This study examines how a practical source of X-ray radiation, capable of delivering unprecedented X-ray of 100 Gy/s at 1 m for X-ray FLASH radiotherapy can be designed.

Methods: We proposed the design of a linac, capable of accelerating 18 MeV 8 mA electron beam with further conversion to bremsstrahlung X-rays. The design is based on L-band traveling wave accelerating structures with high power efficiency, operating in a short-burst/long-pulse regime that allows operating power supply in a regime, beyond its specifications.

Results: This study demonstrates the feasibility of a high-power linac for a clinical X-ray FLASH therapy system, using detailed analysis and simulations. Despite ∼500x higher output than a standard clinical linac, the design utilizes available accelerator components for maximal practicality.

Discussion: Recent studies have demonstrated that the FLASH effect that allows to effectively kill tumor cells while sparing normal tissue occurs when large dose rates (≥40 Gy/s) are delivered in less than 1 s. Photons are very attractive since modest energies of several MeV are needed, which can be achieved with compact and cost-efficient accelerators. However, since the efficiency of electron-to-photon conversion is only a few percent, the required beam intensity must be an order of magnitude higher than that state-of-the-art accelerators can provide. The proposed ROAD-FLASH accelerator layout allows achieving both the FLASH dose rate and superior dose conformity, comparing to the similar projects. The current paper focuses on providing a technical roadmap for building an economical and practical linear accelerator for ROAD X-ray FLASH delivery.
Astragalus mongholicus Bunge and Curcuma aromatica Salisb. modulate gut microbiome and bile acid metabolism to inhibit colon cancer progression
Authors: Wang Xu , Zhu Boyang , Hua Yongzhi , Sun Ruolan , Tan Xiying , Chang Xiangwei , Tang Decai , Gu Junfei
Published: June 2024

Introduction

Alterations in the gut microbiome and bile acid metabolism are known to play a role in the development and progression of colon cancer. Medicinal plants like Astragalus mongholicus Bunge and Curcuma aromatica Salisb. (AC) have shown preferable therapeutic effect on cancer therapy, especially digestive tract tumors like colon cancer. However, the precise mechanisms of AC inhibiting colon cancer, particularly in relation to the gut microbiome and bile acid dynamics, are not fully understood.

Methods

Our research aimed to investigate the anti-tumor properties of AC in mice with CT26 colon cancer and further investigate its underlying mechanism via intestinal microbiota. The size and pathological changes of solid tumors in colon cancer are used to evaluate the inhibitory effect of AC on colon cancer. Metagenomics and 16s rRNA gene sequencing were employed to clarify the dysbiosis in the gut microbiome of colon cancer and its impact on colon cancer. The levels of bile acids (BAs) in the feces of mice from each group were measured using UPLC-Qtrap-MS/MS.

Results

AC effectively suppressed the growth of colon cancer and reduced histological damage. Notably, AC treatment led to changes in the gut microbiome composition, with a decrease in pathogenic species like Citrobacter and Candidatus_Arthromitus, and an increase in beneficial microbial populations including Adlercreutzia, Lachnospiraceae_UCG-001, and Parvibacter. Additionally, AC altered bile acid profiles, resulting in a significant decrease in pro-carcinogenic bile acids such as deoxycholic acid (DCA) and lithocholic acid (LCA), while increasing the concentration of the cancer-inhibitory bile acid, ursodeoxycholic acid (UDCA). Tracking and analyzing the data, AC may mainly upregulate FabG and baiA genes by increasing the relative abundance of Adlercreutzia and Parvibacter bacteria, which promoting the metabolism of pro-carcinogenic LCA.

Discussion

These findings provide strong evidence supporting the role of AC in regulating gut microbiome-mediated bile acid metabolism, which is crucial in impeding the progression of colon cancer.
The research landscape of ferroptosis in neurodegenerative disease: a bibliometric analysis
Authors: Liu Yun , Feng Dan , Shui Ling , Wang Yu-jie , Yu Li , Liu Yu-qi , Tian Jin-yong
Published: June 2024

Background

Ferroptosis, a newly proposed concept of programmed cell death, has garnered significant attention in research across different diseases in the last decade. Despite thorough citation analyses in neuroscience, there is a scarcity of information on ferroptosis research specifically related to neurodegenerative diseases.

Method

The Web of Science Core Collection database retrieved relevant articles and reviews. Data on publications, countries, institutions, authors, journals, citations, and keywords in the included studies were systematically analyzed using Microsoft Excel 2019 and CiteSpace 6.2.R7 software.

Result

A comprehensive analysis and visualization of 563 research papers on ferroptosis in neurodegenerative diseases from 2014 to 2023 revealed emerging research hotspots and trends. The number of annual publications in this field of study has displayed a pattern of stabilization in the early years of the decade, followed by a notable increase in the later years and peaking in 2023 with 196 publications. Regarding publication volume and total citations, notable research contributions were observed from countries, institutions, and authors in North America, Western Europe, and China. Current research endeavors primarily focus on understanding the intervention mechanisms of neurodegenerative diseases through the ferroptosis pathway and exploring and identifying potential therapeutic targets.

Conclusion

The study highlights key areas of interest and emerging trends in ferroptosis research on neurodegenerative diseases, offering valuable insights for further exploration and potential directions for diagnosing and treating such conditions.
Neural dynamics of delayed feedback in robot teleoperation: insights from fNIRS analysis
Authors: Zhou Tianyu , Ye Yang , Zhu Qi , Vann William , Du Jing
Published: June 2024

Introduction

As robot teleoperation increasingly becomes integral in executing tasks in distant, hazardous, or inaccessible environments, operational delays remain a significant obstacle. These delays, inherent in signal transmission and processing, adversely affect operator performance, particularly in tasks requiring precision and timeliness. While current research has made strides in mitigating these delays through advanced control strategies and training methods, a crucial gap persists in understanding the neurofunctional impacts of these delays and the efficacy of countermeasures from a cognitive perspective.

Methods

This study addresses the gap by leveraging functional Near-Infrared Spectroscopy (fNIRS) to examine the neurofunctional implications of simulated haptic feedback on cognitive activity and motor coordination under delayed conditions. In a human-subject experiment (N = 41), sensory feedback was manipulated to observe its influences on various brain regions of interest (ROIs) during teleoperation tasks. The fNIRS data provided a detailed assessment of cerebral activity, particularly in ROIs implicated in time perception and the execution of precise movements.

Results

Our results reveal that the anchoring condition, which provided immediate simulated haptic feedback with a delayed visual cue, significantly optimized neural functions related to time perception and motor coordination. This condition also improved motor performance compared to the asynchronous condition, where visual and haptic feedback were misaligned.

Discussion

These findings provide empirical evidence about the neurofunctional basis of the enhanced motor performance with simulated synthetic force feedback in the presence of teleoperation delays. The study highlights the potential for immediate haptic feedback to mitigate the adverse effects of operational delays, thereby improving the efficacy of teleoperation in critical applications.
Effects of exoskeleton-assisted walking on bowel function in motor-complete spinal cord injury patients: involvement of the brain–gut axis, a pilot study
Authors: Hu Xiaomin , Feng Jing , Lu Jiachun , Pang Rizhao , Zhang Anren , Liu Jiancheng , Gou Xiang , Bai Xingang , Wang Junyu , Chang Cong , Yin Jie , Wang Yunyun , Xiao Hua , Wang Qian , Cheng Hong , Chang Youjun , Wang Wenchun
Published: June 2024

Evidence has demonstrated that exoskeleton robots can improve intestinal function in patients with spinal cord injury (SCI). However, the underlying mechanisms remain unelucidated. This study investigated the effects of exoskeleton-assisted walking (EAW) on intestinal function and intestinal flora structure in T2-L1 motor complete paraplegia patients. The results showed that five participants in the EAW group and three in the conventional group reported improvements in at least one bowel management index, including an increased frequency of bowel evacuations, less time spent on bowel management per day, and less external assistance (manual digital stimulation, medication, and enema usage). After 8 weeks of training, the amount of glycerol used in the EAW group decreased significantly (p <0.05). The EAW group showed an increasing trend in the neurogenic bowel dysfunction (NBD) score after 8 weeks of training, while the conventional group showed a worsening trend. Patients who received the EAW intervention exhibited a decreased abundance of Bacteroidetes and Verrucomicrobia, while Firmicutes, Proteobacteria, and Actinobacteria were upregulated. In addition, there were decreases in the abundances of Bacteroides, Prevotella, Parabacteroides, Akkermansia, Blautia, Ruminococcus 2, and Megamonas. In contrast, Ruminococcus 1, Ruminococcaceae UCG002, Faecalibacterium, Dialister, Ralstonia, Escherichia-Shigella, and Bifidobacterium showed upregulation among the top 15 genera. The abundance of Ralstonia was significantly higher in the EAW group than in the conventional group, and Dialister increased significantly in EAW individuals at 8 weeks. This study suggests that EAW can improve intestinal function of SCI patients in a limited way, and may be associated with changes in the abundance of intestinal flora, especially an increase in beneficial bacteria. In the future, we need to further understand the changes in microbial groups caused by EAW training and all related impact mechanisms, especially intestinal flora metabolites.

Clinical trial registration: https://www.chictr.org.cn/.
Effects of chronic light cycle disruption during adolescence on circadian clock, neuronal activity rhythms, and behavior in mice
Authors: Bonilla Pablo , Shanks Alexandria , Nerella Yatin , Porcu Alessandra
Published: June 2024

The advent of artificial lighting, particularly during the evening and night, has significantly altered the predictable daily light and dark cycles in recent times. Altered light environments disrupt the biological clock and negatively impact mood and cognition. Although adolescents commonly experience chronic changes in light/dark cycles, our understanding of how the adolescents’ brain adapts to altered light environments remains limited. Here, we investigated the impact of chronic light cycle disruption (LCD) during adolescence, exposing adolescent mice to 19 h of light and 5 h of darkness for 5 days and 12 L:12D for 2 days per week (LCD group) for 4 weeks. We showed that LCD exposure did not affect circadian locomotor activity but impaired memory and increased avoidance response in adolescent mice. Clock gene expression and neuronal activity rhythms analysis revealed that LCD disrupted local molecular clock and neuronal activity in the dentate gyrus (DG) and in the medial amygdala (MeA) but not in the circadian pacemaker (SCN). In addition, we characterized the photoresponsiveness of the MeA and showed that somatostatin neurons are affected by acute and chronic aberrant light exposure during adolescence. Our research provides new evidence highlighting the potential consequences of altered light environments during pubertal development on neuronal physiology and behaviors.
Recovery kinetics of dual AAV-mediated human otoferlin expression
Authors: Sellon Jonathan B. , So Kathy S. , D'Arcangelo Andrew , Cancelarich Sarah , Drummond Meghan C. , Slade Peter G. , Pan Ning , Gibson Tyler M. , Yang Tian , Burns Joseph C. , Palermo Adam T. , Becker Lars
Published: June 2024

Deafness-causing deficiencies in otoferlin (OTOF) have been addressed preclinically using dual adeno-associated virus (AAV)-based approaches. However, timing of transduction, recombination of mRNA, and protein expression with dual hybrid AAV methods methods have not previously been characterized. Here, we have established an ex vivo assay to determine the kinetics of dual-AAV mediated expression of OTOF in hair cells of the mouse utricle. We utilized two different recombinant vectors that comprise DB-OTO, one containing the 5′ portion of OTOF under the control of the hair cell-specific Myo15 promoter, and the other the 3′ portion of OTOF. We explored specificity of the Myo15 promoter in hair cells of the mouse utricle, established dose response characteristics of DB-OTO ex vivo in an OTOF-deficient mouse model, and demonstrated tolerability of AAV1 in utricular hair cells. Furthermore, we established deviations from a one-to-one ratio of 5′ to 3′ vectors with little impact on recombined OTOF. Finally, we established a plateau in quantity of recombined OTOF mRNA and protein expression by 14 to 21 days ex vivo with comparable recovery timing to that in vivo model. These findings demonstrate the utility of an ex vivo model system for exploring expression kinetics and establish in vivo and ex vivo recovery timing of dual AAV-mediated OTOF expression.
Dietary patterns interfere with gut microbiota to combat obesity
Authors: Lou Xiaofan , Li Pusen , Luo Xiaoyan , Lei Zhu , Liu Xudong , Liu Yang , Gao Lulu , Xu Weiwei , Liu Xiaomeng
Published: June 2024

Obesity and obesity-related metabolic disorders are global epidemics that occur when there is chronic energy intake exceeding energy expenditure. Growing evidence suggests that healthy dietary patterns not only decrease the risk of obesity but also influence the composition and function of the gut microbiota. Numerous studies manifest that the development of obesity is associated with gut microbiota. One promising supplementation strategy is modulating gut microbiota composition by dietary patterns to combat obesity. In this review, we discuss the changes of gut microbiota in obesity and obesity-related metabolic disorders, with a particular emphasis on the impact of dietary components on gut microbiota and how common food patterns can intervene in gut microbiota to prevent obesity. While there is promise in intervening with the gut microbiota to combat obesity through the regulation of dietary patterns, numerous key questions remain unanswered. In this review, we critically review the associations between dietary patterns, gut microbes, and obesity, aiming to contribute to the further development and application of dietary patterns against obesity in humans.
Non-immune functions of B7-H3: bridging tumor cells and the tumor vasculature
Authors: Wu Shuo , Hu Chenxi , Hui Kaiyuan , Jiang Xiaodong
Published: June 2024

B7-H3 (CD276), an immune checkpoint molecule, is overexpressed in various types of cancer and their tumor vasculature, demonstrating significant associations with adverse clinical outcomes. In addition to its well-known immune functions, B7-H3 exhibits dual co-stimulatory/co-inhibitory roles in normal physiology and the tumor microenvironment. The non-immune functions of B7-H3 in tumor cells and the tumor vasculature, including promoting tumor cell anti-apoptosis, proliferation, invasion, migration, drug resistance, radioresistance, as well as affecting cellular metabolism and angiogenesis, have increasingly gained attention from researchers. Particularly, the co-expression of B7-H3 in both tumor cells and tumor endothelial cells highlights the higher potential and clinical utility of therapeutic strategies targeting B7-H3. This review aims to summarize the recent advances in understanding the non-immune functions of B7-H3 in tumors and provide insights into therapeutic approaches targeting B7-H3, focusing on its co-expression in tumor cells and endothelial cells. The aim is to establish a theoretical foundation and practical reference for the development and optimization of B7-H3-targeted therapies.
Effect of repeated intraperitoneal injections of different concentrations of oxycodone on immune function in mice
Authors: Chen Sumeng , Liu Jingjing , Huang Shaoqiang
Published: June 2024

Background

The effect of oxycodone as an opioid receptor agonist on immune function is still controversial. In this study, we investigated the possible effects of oxycodone on immune function in mice and its possible mechanisms of action.

Methods

By repeated intraperitoneal injections of 25 mg/kg morphine and 5 mg/kg, 20 mg/kg, and 60 mg/kg oxycodone, we assessed possible changes in the number of splenic lymphocytes and inflammatory cytokines in the serum of mice. CD4+ T cells and CD8+ T cells were sorted from the spleen to observe whether the expression levels of opioid receptors and downstream signals were altered.

Results

Repeated administration of oxycodone at a dose above 20 mg/kg resulted in significant weight loss. Repeated administration of oxycodone exhibits significant dose-dependent reduction in CD4+ T cells, with little effect on CD8+ T cells and little effect on inflammatory cytokine levels. Low- and intermediate-dose oxycodone increased the mRNA expression level of MOR, KOR, and DOR to varying degrees. Moreover, oxycodone increases the mRNA expression levels of the TLR4 signaling pathway to varying degrees.

Conclusion

Repeated intraperitoneal injection of oxycodone induces immunosuppression in mice.
Novel RPTPγ and RPTPζ splice variants from mixed neuron–astrocyte hippocampal cultures as well as from the hippocampi of newborn and adult mice
Authors: Taki Sara , Boron Walter F. , Moss Fraser J.
Published: June 2024

Receptor protein tyrosine phosphatases γ and ζ (RPTPγ and RPTPζ) are transmembrane signaling proteins with extracellular carbonic anhydrase–like domains that play vital roles in the development and functioning of the central nervous system (CNS) and are implicated in tumor suppression, neurodegeneration, and sensing of extracellular [CO2] and [HCO3−]. RPTPγ expresses throughout the body, whereas RPTPζ preferentially expresses in the CNS. Here, we investigate differential RPTPγ-RPTPζ expression in three sources derived from a wild-type laboratory strain of C57BL/6 mice: (a) mixed neuron–astrocyte hippocampal (HC) cultures 14 days post isolation from P0–P2 pups; (b) P0–P2 pup hippocampi; and (c) 9- to 12-week-old adult hippocampi. Regarding RPTPγ, we detect the Ptprg variant-1 (V1) transcript, representing canonical exons 1–30. Moreover, we newly validate the hypothetical assembly [XM_006517956] (propose name, Ptprg-V3), which lacks exon 14. Both transcripts are in all three HC sources. Regarding RPTPζ, we confirm the expression of Ptprz1-V1, detecting it in pups and adults but not in cultures, and Ptprz1-V3 through Ptprz1-V7 in all three preparations. We newly validate hypothetical assemblies Ptprz1-X1 (in cultures and pups), Ptprz1-X2 (in all three), and Ptprz1-X5 (in pups and adults) and propose to re-designate them as Ptprz1-V0, Ptprz1-V2, and Ptprz1-V8, respectively. The diversity of RPTPγ and RPTPζ splice variants likely corresponds to distinct signaling functions, in different cellular compartments, during development vs later life. In contrast to previous studies that report divergent RPTPγ and RPTPζ protein expressions in neurons and sometimes in the glia, we observe that RPTPγ and RPTPζ co-express in the somata and processes of almost all HC neurons but not in astrocytes, in all three HC preparations.
Converging forms: an examination of sub-Arctic, circumarctic, and Central Asian Ranunculus auricomus agg. populations
Authors: Bradican John Paul , Tomasello Salvatore , Vollmer Judith , Hörandl Elvira
Published: June 2024

Introduction

Phenotypic complexity in species complexes and recently radiated lineages has resulted in a diversity of forms that have historically been classified into separate taxa. Increasingly, with the proliferation of high-throughput sequencing methods, additional layers of complexity have been recognized, such as frequent hybridization and reticulation, which may call into question the previous morphological groupings of closely related organisms.

Methods

We investigated Northern European, Asian, and Beringian populations of Ranunculus auricomus agg. with phylogenomic analysis of 736 genes and 27,586 SNPs in order to deduce the interrelatedness and hybrid origin of this phenotypically and taxonomically complicated group from Europe characterized by a history of hybridization, polyploidy, apomixis, and recent radiation. The ploidy levels and the reproductive mode of the Northern European populations were assessed via flow cytometric seed screening. In addition, in order to examine the phenotypic plasticity of the dwarf forms previously described as species and summarized as the Ranunculus monophyllus group, we conducted climate chamber experiments under cold (northern) and warm (temperate) conditions.

Results

The Northern European populations are tetra- to hexaploid and propagate primarily through apomixis. The complex is characterized by highly reticulate relationships. Genetic differentiation of the main clusters has occurred between the above-mentioned geographical regions. We find evidence for the hybrid origin of the taxa in these areas with differing genomic contributions from the geographically nearest European sexual progenitor species. Furthermore, polyphyly in the taxa of the R. monophyllus group is supported. Experiments show low lability in the traits associated with the R. monophyllus group.

Discussion

We conclude that multiple adaptations of hybrids to colder climates and shorter vegetation periods have shaped the phenotypes of the R. monophyllus group, and we suggest a formal classification as nothotaxa within the R. auricomus group.
In the I of the beholder: an attempt to capture the implicit self-concept regarding psychopathy
Authors: Krüppel Jonas , Yoon Dahlnym , Zerres Katharina , Brunner Franziska , Mokros Andreas
Published: June 2024

This article explores the implicit self-concept pertaining to psychopathy. Two online studies showed inconsistent results, with Study 1 (n = 243) suggesting that psychopathy is linked to an implicit self-concept marked by low empathy and Study 2 (n = 230) implying no such relationship. In a sample of offenders and community controls (Study 3a, n = 166), higher scores on the Psychopathy Checklist-Revised (PCL-R) were related to an implicit self-concept of being less rather than more antisocial, and the implicit self-concept showed incremental validity compared to the explicit self-concept. The retesting of an offender subsample (Study 3b, n = 47) yielded no evidence for temporal stability or convergent validity. The implicit self-concept of highly psychopathic individuals thus appears to vary, depending on the social context. Future studies should replicate these results in different samples, using additional external correlates.
Active aging and health among older adults in China: a perspective based on downward intergenerational economic support
Authors: Yuanfeng Liu , Xu Zhang
Published: June 2024

Introduction

In China, the rapid progression of population aging presents significant challenges to society and the economy, drawing widespread attention to the health conditions of older adults. While aging is often seen as a societal burden, the phenomenon of intergenerational economic support reveals the potential for older adults to continue playing an active role within their families. This study delves into how older parents’ financial support to their children can reciprocally influence their own health, exploring the potential non-linear relationships involved.

Methods

This research, utilizing data from the 2018 China Health and Retirement Longitudinal Study, employs instrumental variable techniques and cross-sectional threshold models to examine how financial support provided by older adults to their children affects their health. It particularly highlights the varied impacts of economic support on older adults’ health at different levels of support.

Results

The findings indicate that moderate intergenerational economic support significantly enhances the health of older adults, while either minimal or excessive financial support does not demonstrate the same positive effect. Additionally, subjective life expectancy plays a mediating role between intergenerational economic support and the health of older adults, further emphasizing the beneficial impact of economic support.

Discussion

The study underscores the importance of moderate intergenerational economic support in improving the health of older adults amidst aging challenges. Future policies and practices should consider how to encourage and optimize such support to address the challenges of an aging society, enhance the welfare of older adults, and promote healthy aging.
Clinical and virological characteristics of coexistent hepatitis B surface antigen and antibody in treatment-naive children with chronic hepatitis B virus infection
Authors: Xu Yi , Li ShuangJie , OuYang WenXian , Yao Zhenzhen , Lai Xin , Gu Yingping , Yang Meng , Ye Ling , Li Sisi , Peng Songxu
Published: June 2024

Serological pattern of simultaneous positivity for hepatitis B surface antigen (HBsAg) and antibody against HBsAg (anti-HBs) is considered a specific and atypical phenomenon among patients with chronic hepatitis B virus (HBV) infection, especially in pediatric patients. Unfortunately, there is limited understanding of the clinical and virological characteristics among children having chronic HBV infection and the coexistence of HBsAg and anti-HBs. Hence, our objective was to determine the prevalence of coexistent HBsAg and anti-HBs and to explore the associated clinical and virological features in this patient population. The researchers conducted a retrospective cohort study on the 413 pediatric patients with chronic HBV infection from December 2011 to June 2022. The patients were stratified into two groups based on their anti-HBs status. Demographic, serum biochemical and virological parameters of two group were compared. Of the total 413 enrolled subjects, 94 (22.8%) were tested positive for both HBsAg and anti-HBs. Patients with anti-HBs were younger and demonstrated significantly higher ratio of albumin to globulin (A/G), elevated serum levels of alanine transaminase (ALT), lower ratio of aspartate transaminase (AST)/ALT (AST/ALT) and reduced serum levels of globulin, HBsAg and HBV DNA, Additionally, these patients were more likely to show coexistent HBeAg and anti-HBe when compared to patients without anti-HBs. The results of multivariate logistical analysis revealed that AST/ALT, serum levels of globulin and HBsAg were negatively associated with coexistence of HBsAg and anti-HBs. Our data demonstrated a considerable prevalence of coexisting HBsAg and anti-HBs in pediatric patients. Children with this specific serological pattern were commonly of a younger age, seemly predisposing them to early liver impairment and lower HBV replication activity.
Clinical Microbiology: where do we stand?
Authors: Vatopoulos Alkiviadis
Published: June 2024

Clinical Microbiology has developed during the last 100 years, simultaneous with the discovery of microorganisms as causes of infections. Globalization and One Health determine present needs whereas molecular biology, automation, artificial intelligence, and bioinformatics are new tools that characterize the new developments in the field.
Barriers and facilitators to screen for and address social needs in primary care practices in Maryland: a qualitative study
Authors: Kazi Sadaf , Starling Claire , Milicia Arianna , Buckley Bryan , Grisham Rachel , Gruber Emily , Miller Kristen , Arem Hannah
Published: June 2024

Background

Social needs screening can help modify care delivery to meet patient needs and address non-medical barriers to optimal health. However, there is a need to understand how factors that exist at multiple levels of the healthcare ecosystem influence the collection of these data in primary care settings.

Methods

We conducted 20 semi-structured interviews involving healthcare providers and primary care clinic staff who represented 16 primary care practices. Interviews focused on barriers and facilitators to awareness of and assistance for patients' social needs in primary care settings in Maryland. The interviews were coded to abstract themes highlighting barriers and facilitators to conducting social needs screening. The themes were organized through an inductive approach using the socio-ecological model delineating individual-, clinic-, and system-level barriers and facilitators to identifying and addressing patients' social needs.

Results

We identified several individual barriers to awareness, including patient stigma about verbalizing social needs, provider frustration at eliciting needs they were unable to address, and provider unfamiliarity with community-based resources to address social needs. Clinic-level barriers to awareness included limited appointment times and connecting patients to appropriate community-based organizations. System-level barriers to awareness included navigating documentation challenges on the electronic health record.

Conclusions

Overcoming barriers to effective screening for social needs in primary care requires not only practice- and provider-level process change but also an alignment of community resources and advocacy of policies to redistribute community assets to address social needs.
Effects of multiple relaxation times in the annular flow of pulsatile electro-osmotic flow of a complex biological fluid: blood with low and high cholesterol
Authors: Herrera-Valencia Edtson Emilio , Ramírez-Torres Luis Antonio , Soriano-Correa Catalina , Sánchez-Villavicencio Mayra Luz , Bautista Oscar , Hernández-Abad Vicente Jesús , Calderas Fausto
Published: June 2024

This study investigates the electro-osmotic flow of a biological fluid (blood with varying cholesterol levels) in annular flow to simulate a first approximation to arterial occlusion. The fluid´s rheology is characterized by a multi-modal convected Maxwell model equation. The charge density follows the Boltzmann distribution, governing the electrical field. Mathematically, this scenario can be modeled by the Poisson–Boltzmann partial differential equation. Assuming a small zeta potential (less than 25 mV) using the Debye–Huckel approximation and considering a pulsatile electrical field, analytical solutions are derived using the Fourier transform formalism. These solutions, expressed in terms of the modified Bessel function, provide transfer functions for axial velocity and volumetric flow as functions of material parameters represented by characteristic dimensionless numbers. This study further analyzes thermal, electric, inertial, viscoelastic, and various interactions within the plasma, hematocrit, hematocrit–cholesterol, and cholesterol–cholesterol as well as weight concentration through numerical simulations. Finally, the flow and rheology predictions are validated using experimental data on human blood with varying cholesterol levels. The obtained transfer functions reveal that the electric–thermal–viscoelastic effects and the multiple geometric relationships contribute to the dynamic response of the interactions between the input electrical field and output volumetric flow and shear stress functions, leading to and evolution of resonance curves. It is noteworthy that electro-osmotic flow in blood with pathologies associated with low and high cholesterol has been scarcely reported in the literature on rheology. Thus, this work represents a significant contribution to the field.
Epidemiological investigation of foot-and-mouth disease outbreaks in a Vietnamese bear rescue centre
Authors: Ludi Anna B. , Baker Hannah , Sanki Rachel , De Jong Rosanne M. F. , Maryan Julie , Walker Martin , King Donald P. , Gubbins Simon , Limon Georgina , Officer Kirsty
Published: June 2024

Foot-and-mouth disease (FMD) outbreaks affecting Asiatic black bears (Ursus thibetanus) and a Malayan sun bear (Helarctos malayanus) were previously reported in 2011 in two housing facilities at a Vietnamese bear rescue centre. In this study, demographic data of all animals housed in the centre at the time of the outbreaks (n = 79) were collected. Blood samples drawn from 23 bears at different timepoints were tested for FMDV-specific antibodies targeting using a non-structural protein (NSP) ELISA and by virus neutralisation test (VNT). The relationship between seroconversion and clinical signs was explored and epidemic curves and transmission diagrams were generated for each outbreak, where FMD cases were defined as animals showing FMD clinical signs. Outbreak-specific attack rates were 18.75 and 77.77%, with corresponding basic reproduction numbers of 1.11 and 1.92, for the first and second outbreaks, respectively. Analyses of risk factors showed that after adjusting for sex there was strong evidence for a decrease in odds of showing clinical signs per year of age. All samples collected from bears before the outbreak tested negative to NSP and VNT. All cases tested positive to VNT following onset of clinical signs and remained positive during the rest of the follow up period, while only 6 out of 17 cases tested positive to NSP after developing clinical signs. Six animals without clinical signs were tested post outbreaks; five seroconverted using VNT and three animals were seropositive using NSP ELISA. This study provides initial epidemiological parameters of FMD in captive bears, showing that FMDV is easily spread between bears in close proximity and can cause clinical and subclinical disease, both of which appear to induce rapid and long-lasting immunity.
Burden and Management of Multi-Drug Resistant Organism Infections in Solid Organ Transplant Recipients Across the World: A Narrative Review
Authors: Freire Maristela Pinheiro , Pouch Stephanie , Manesh Abi , Giannella Maddalena
Published: June 2024

Solid organ transplant (SOT) recipients are particularly susceptible to infections caused by multidrug-resistant organisms (MDRO) and are often the first to be affected by an emerging resistant pathogen. Unfortunately, their prevalence and impact on morbidity and mortality according to the type of graft is not systematically reported from high-as well as from low and middle-income countries (HIC and LMIC). Thus, epidemiology on MDRO in SOT recipients could be subjected to reporting bias. In addition, screening practices and diagnostic resources may vary between countries, as well as the availability of new drugs. In this review, we aimed to depict the burden of main Gram-negative MDRO in SOT patients across HIC and LMIC and to provide an overview of current diagnostic and therapeutic resources.
Inclusive Leadership and Employee Engagement as Critical Drivers of Sustainability in Telecommunication Companies
Authors: Atiku Sulaiman Olusegun , Itembu-Naunyango Kristofine Aili , Oladejo Olufemi Michael
Published: June 2024

There has been a growing concern about the influence of inclusive leadership on employee engagement in the telecommunications industry. The telecommunications industry is undergoing rapid technological advancements, leading to increased competition and pressure on employees. Creating an inclusive workplace in such a dynamic environment is essential to attracting and retaining talented professionals and driving eco-innovation for sustainable development in Industry 4.0. Despite the importance of inclusive leadership, there is dearth of studies exploring the influence of inclusive leadership on employee engagement in the telecommunications industry. Hence, this study sought to examine the influence of inclusive leadership on employee engagement in selected telecommunication companies in Namibia. A qualitative approach was adopted, where face-to-face interviews were conducted using a semi-structured interview guide. The participants (22 executives) were selected for interviews from two telecommunication companies in Namibia using a purposive sampling method. Data collection involved recording and transcribing participant interviews using Microsoft Word. Thematic analysis was conducted using NVivo 20 software. Results show the importance of empathy and non-hierarchical leadership behaviour as the most critical factor influencing team engagement and discretionary effort in the telecommunications industry in Namibia. Meanwhile, clear career advancement pathways, work autonomy, cross-departmental collaboration, and supervisory support are major contributors to employee engagement for innovative performance and sustainability in the telecommunications industry.
Study on the Active Control of the Dynamic Stall of Rotor Airfoils Based on Plasma Excitation
Authors: Kong Weihong , Guo Keyi , Li You
Published: June 2024

This paper studies a rotor dynamic stall control method using an alternating current dielectric barrier discharge (AC DBD) plasma actuator through numerical simulation methods. The flow field evolution during a dynamic stalling process under the excitation of AC DBD plasma discharge is analyzed using the two-dimensional Reynolds time-averaged (RANS) method. The impact of the AC DBD plasma discharge on the flow field is then simulated using the phenomenological method. The influence of the position and intensity of the plasma excitation on the static stall characteristics of the NACA0012 airfoil is also studied. Deformed mesh and dynamic mesh techniques are used to simulate an aerodynamic environment with variable incoming flow and variable angles of attraction on a rotor airfoil. The application of AC DBD plasma excitation for controlling mild and deep dynamic stalls of rotor blades is investigated. The obtained results show that the AC DBD plasma excitation accelerated the evolution and shedding of dynamic stall vortices and facilitated the reattachment of airflow. The application of plasma excitation allowed for significantly increasing the static stall angle of the airfoil and improving the lift coefficient. In addition, the intensity of the plasma excitation is a key factor affecting the control. Moreover, the application of AC DBD plasma excitation for rotor dynamic stalls allowed for reducing the size of the dynamic stall vortex, which helped mitigate the aerodynamic hysteresis effect caused by the dynamic stall and accelerated the recovery from aerodynamic forces.
Water Recuperation from Regolith at Martian, Lunar & Micro-Gravity during Parabolic Flight
Authors: Farina Dario , Machrafi Hatim , Queeckers Patrick , Minetti Christophe , Iorio Carlo Saverio
Published: June 2024

Recent discoveries of potential ice particles and ice-cemented regolith on extraterrestrial bodies like the Moon and Mars have opened new opportunities for developing technologies to extract water, facilitating future space missions and activities on these extraterrestrial body surfaces. This study explores the potential for water extraction from regolith through an experiment designed to test water recuperation from regolith simulant under varying gravitational conditions. The resultant water vapor extracted from the regolith is re-condensed on a substrate surface and collected in liquid form. Three types of substrates, hydrophobic, hydrophilic, and grooved, are explored. The system’s functionality was assessed during a parabolic flight campaign simulating three distinct gravity levels: microgravity, lunar gravity, and Martian gravity. Our findings reveal that the hydrophobic surface demonstrates the highest efficiency due to drop-wise condensation, and lower gravity levels result in increased water condensation on the substrates. The experiments aimed to understand the performance of specific substrates under lunar, Martian, and microgravity conditions, providing an approach for in-situ water recovery, which is crucial for establishing economically sustainable water supplies for future missions. To enhance clarity and readability, in this paper, “H2O” will be referred to as “water”.
Adaptive Expression and ncRNA Regulation of Genes Related to Digestion and Metabolism in Stomach of Red Pandas during Suckling and Adult Periods
Authors: Li Lu , Zhang Liang , Luo Lijun , Shen Fujun , Zhao Yanni , Wu Honglin , Huang Yan , Hou Rong , Yue Bisong , Zhang Xiuyue
Published: June 2024

Red pandas evolved from carnivores to herbivores and are unique within Carnivora. Red pandas and carnivorous mammals consume milk during the suckling period, while they consume bamboo and meat during the adult period, respectively. Red pandas and carnivorous mammal ferrets have a close phylogenetic relationship. To further investigate the molecular mechanisms of dietary changes and nutrient utilization in red pandas from suckling to adult, comparative analysis of the whole transcriptome was performed on stomach tissues from red pandas and ferrets during the suckling and adult periods. The main results are as follows: (1) we identified ncRNAs for the first time in stomach tissues of both species, and found significant expression changes of 109 lncRNAs and 106 miRNAs in red pandas and 756 lncRNAs and 109 miRNAs in ferrets between the two periods; (2) up-regulated genes related to amino acid transport regulated by lncRNA-miRNA-mRNA networks may efficiently utilize limited bamboo amino acids in adult red pandas, while up-regulated genes related to amino acid degradation regulated by lncRNAs may maintain the balance of amino acid metabolism due to larger daily intakes in adult ferrets; and (3) some up-regulated genes related to lipid digestion may contribute to the utilization of rich nutrients in milk for the rapid growth and development of suckling red pandas, while up-regulated genes associated with linoleic acid metabolism regulated by lncRNA-miRNA-mRNA networks may promote cholesterol decomposition to reduce health risks for carnivorous adult ferrets. Collectively, our study offers evidence of gene expression adaptation and ncRNA regulation in response to specific dietary changes and nutrient utilization in red pandas during suckling and adult periods.
Effect of Adding Yeast Cultures to High-Grain Conditions on Production Performance, Rumen Fermentation Profile, Microbial Abundance, and Immunity in Goats
Authors: Qi Pei , Wang Lizhi
Published: June 2024

It is a common practice among farmers to utilize high-grain diets with the intention of promoting ruminant growth. However, this approach bears the risk of inducing rumen disorders and nutrient metabolism diseases. Yeast culture (YC) showed advantages in ruminant applications. The objective of this study was to evaluate the effects of adding two different types of YC to high-grain conditions on production performance, rumen fermentation profile, microbial abundance, and immunity in goats. A total of 30 male goats with similar body condition were randomly distributed into 3 dietary treatments with 10 replicates per treatment as follows: basic diet group (CON); basic diet + 0.5% yeast culture 1 (YC1) group; basic diet + 0.5% yeast culture 2 (YC2) group. The trial lasted for 36 days. The results demonstrated that dietary YC supplementation led to an increase in the average daily gain and a reduction in feed intake and weight gain ratio in goats. It increased the apparent digestibility of crude protein, NDF, and ADF (p < 0.05). The serum concentrations of interleukin (IL)-1β, IL-6, and Tumor Necrosis Factor-α in the control group were significantly higher than those of the YC groups (p < 0.05). The serum concentrations of Immunoglobulin (Ig)A and IgG in the control group were significantly lower than those in the YC groups (p < 0.05). The rumen concentration of microbial protein (MCP) in the control group was significantly lower than that in the YC groups (p < 0.05). There was a negative correlation between the concentration of IL-10 and Bacteroidota, Spirochaetota, and Succinivibrio, while there was a positive correlation between concentrations of IL-10 and Firmicutes. Nevertheless, discrepancies were observed in the impact of the two different types of YC on the physiological and biochemical indicators of the animals. The concentration of triglyceride in the YC1 group was significantly higher than that of the CON and YC2 groups, while the concentration of urea in the YC2 group was significantly higher than that of the CON and YC1 groups (p < 0.05). At the phylum level, the addition of YC2 to the diet significantly increased the relative abundance of Bacteroidota and Fibrobacterota and significantly decreased Firmicutes compared to the control. At the genus level, the addition of YC1 to the HGD significantly reduced the relative abundance of Rikenellaceae_RC9_gut_group, while the addition of YC2 to the HGD significantly increased the relative abundance of Prevotellace-ae_UCG-001, Fibrobacter, and Prevotellaceae_UCG-003 (p < 0.05). The addition of YC significantly improved growth performance, increased nutrient digestibility, beneficially manipulated ruminal fermentation and microbial diversity, and improved immune function. The choice of yeast cultures can be customized according to specific production conditions.
Study on Spatial-Temporal Evolution, Decoupling Effect and Influencing Factors of Tourism Transportation Carbon Emissions: Taking North China as an Example
Authors: Feng Dongni , Li Cheng , Li Yangzhou
Published: June 2024

As global warming intensifies, reducing carbon emissions has become a global common mission. Tourism transportation is one of the important sources of carbon emissions, and reducing its carbon emissions is a key part of achieving China’s carbon reduction goals. Based on the panel data of various provinces and cities in North China from 2000 to 2022, this paper calculates the carbon emissions of tourism transportation by using the carbon emission coefficients of different transportation modes in different segments. Moreover, the temporal and spatial evolution of the tourism economy is systematically analyzed. The Tapio decoupling model and LMDI addition decomposition model are used to analyze the relationship between carbon emissions and tourism economic growth and the effects of 11 influencing factors on carbon emissions. The results show that: (1) The carbon emission of tourism transportation in North China has experienced four stages: a steady growth period, a transitional adaptation period, a stable equilibrium period, and a drastic decline period. The overall carbon emission level of tourism transportation is as follows: Hebei Province > Shanxi Province > Inner Mongolia Autonomous Region > Beijing City > Tianjin City. (2) The decoupling coefficient between tourism traffic carbon emissions and economic development fluctuates but mainly shows a weak decoupling state. (3) In terms of influencing factors, passenger size and passenger density have the greatest impact on the carbon emissions of tourism transportation.