bluuebunny/crossref_metadata_2025 huggingface dataset:
Pulse wave analysis measurements: important, underestimated and undervalued parameters in cardiovascular health problems
Authors: Claessens Philip Jan , Peeters Ruth , Claessens Louis , Claessens Christophe , Claessens Jan , Claessens Philip Maria
Published: November 2023

Background

Central aortic stiffness is established as a reliable measure of cardiovascular disease. While pulse wave velocity (PWV) analysis measures arterial distensibility, risk profile of cardiovascular diseases can be expanded with following pulse wave analysis measurements: central aortic systolic blood pressure (CABPS), central aortic pulse pressure (CAPP), central aortic reflection magnitude (CARM), central aortic augmented pressure (CAAP) and central aortic augmentation index (CAAIx). The aim of this study is to evaluate the clinical usefulness and importance of pulse wave analysis measurements in specific cardiovascular conditions and diseases, both in term of diagnosis and therapeutic monitoring.

Methods

One thousand sixty-six subjects were included. According to age bracket, four cohorts were investigated—healthy subjects (NL), hypertensive patients (HP), ischemic heart disease (IHD) and valvular heart disease (VHD) patients. Arterial stiffness was analyzed through Sphygmocor XCEL Central Blood Pressure Measurement System and Sphygmocor XCEL PWV Measurement System. Furthermore we observed the pulse wave analysis measurements of 14 patients with diagnose of ADHD who were referred by a child psychiatrist, in order to investigate the initiation of methylphenidate treatment.

Results

Statistically significant differences were found between NL and HP cohorts, across almost all age brackets, regarding pulse wave analysis measurements. In the risk stratification of arterial stiffness hypertension and especially central aortic blood pressure systolic (CABPS) seems a determining factor. Pulse wave analysis measurements for IHD and VHD cohort comparisons with NL counterparts, revealed non- statistically significant variations. Elevated CAAP, CAAIx and CARM within the youngest age group (0–10 years) in attention-deficit-hyperactivity-disorder (ADHD) patients warrant attention.

Conclusions

Following such investigations, CABPS appears as a robust predominant factor in problems of arterial stiffness. Pulse wave analysis and PWV are important parameters in the evaluation and monitoring of arterial hypertension and cardiovascular diseases. There is a hypothesis that CAAP could be an important and even decisive parameter in the diagnosis of ADHD. Further investigation needed.
Assessing optimal methods for transferring machine learning models to low-volume and imbalanced clinical datasets: experiences from predicting outcomes of Danish trauma patients
Authors: Millarch Andreas Skov , Bonde Alexander , Bonde Mikkel , Klein Kiril Vadomovic , Folke Fredrik , Rudolph Søren Steemann , Sillesen Martin
Published: November 2023

Introduction

Accurately predicting patient outcomes is crucial for improving healthcare delivery, but large-scale risk prediction models are often developed and tested on specific datasets where clinical parameters and outcomes may not fully reflect local clinical settings. Where this is the case, whether to opt for de-novo training of prediction models on local datasets, direct porting of externally trained models, or a transfer learning approach is not well studied, and constitutes the focus of this study. Using the clinical challenge of predicting mortality and hospital length of stay on a Danish trauma dataset, we hypothesized that a transfer learning approach of models trained on large external datasets would provide optimal prediction results compared to de-novo training on sparse but local datasets or directly porting externally trained models.

Methods

Using an external dataset of trauma patients from the US Trauma Quality Improvement Program (TQIP) and a local dataset aggregated from the Danish Trauma Database (DTD) enriched with Electronic Health Record data, we tested a range of model-level approaches focused on predicting trauma mortality and hospital length of stay on DTD data. Modeling approaches included de-novo training of models on DTD data, direct porting of models trained on TQIP data to the DTD, and a transfer learning approach by training a model on TQIP data with subsequent transfer and retraining on DTD data. Furthermore, data-level approaches, including mixed dataset training and methods countering imbalanced outcomes (e.g., low mortality rates), were also tested.

Results

Using a neural network trained on a mixed dataset consisting of a subset of TQIP and DTD, with class weighting and transfer learning (retraining on DTD), we achieved excellent results in predicting mortality, with a ROC-AUC of 0.988 and an F2-score of 0.866. The best-performing models for predicting long-term hospitalization were trained only on local data, achieving an ROC-AUC of 0.890 and an F1-score of 0.897, although only marginally better than alternative approaches.

Conclusion

Our results suggest that when assessing the optimal modeling approach, it is important to have domain knowledge of how incidence rates and workflows compare between hospital systems and datasets where models are trained. Including data from other health-care systems is particularly beneficial when outcomes are suffering from class imbalance and low incidence. Scenarios where outcomes are not directly comparable are best addressed through either de-novo local training or a transfer learning approach.
Excessive daytime napping independently associated with decreased insulin sensitivity in cross-sectional study – Hyogo Sleep Cardio-Autonomic Atherosclerosis cohort study
Authors: Kakutani-Hatayama Miki , Kadoya Manabu , Morimoto Akiko , Miyoshi Akio , Kosaka-Hamamoto Kae , Kanzaki Akinori , Konishi Kosuke , Kusunoki Yoshiki , Syoji Takuhito , Koyama Hidenori
Published: November 2023

Background

Although excessive daytime napping has been shown to be involved in diabetes occurrence, its impact on insulin secretion and sensitivity has not been elucidated. It is speculated that excessive napping disrupts the sleep-wake rhythm and increases sympathetic nerve activity during the day, resulting in decreased insulin sensitivity, which may be a mechanism leading to development of diabetes. We previously conducted a cross-sectional study that showed an association of autonomic dysfunction with decreased insulin sensitivity, though involvement of autonomic function in the association between napping and insulin sensitivity remained unclear. Furthermore, the effects of napping used to supplement to short nighttime sleep on insulin secretion and sensitivity are also unknown. In the present cross-sectional study, we examined the relationships of daytime nap duration and autonomic function with insulin secretion and sensitivity in 436 subjects enrolled in the Hyogo Sleep Cardio-Autonomic Atherosclerosis (HSCAA) Cohort Study who underwent a 75-g oral glucose tolerance test (75-g OGTT), after excluding those already diagnosed with diabetes.

Methods

Daytime nap duration was objectively measured using actigraphy, with the subjects divided into the short (≤1 hour) and long (>1 hour) nap groups. Insulin secretion and sensitivity were determined using 75-g OGTT findings. Standard deviation of normal to normal R-R interval (SDNN), a measure of autonomic function, was also determined based on heart rate variability. Subgroup analysis was performed for the associations of napping with insulin secretion and sensitivity, with the results stratified by nighttime sleep duration of less or greater than six hours.

Results

Subjects in the long nap group exhibited lower insulin sensitivity parameters (QUICKI: β=-0.135, p<0.01; Matsuda index: β=-0.119, p<0.05) independent of other clinical factors. In contrast, no associations with insulin secretion were found in either group. Furthermore, the association of long nap duration with insulin sensitivity was not confounded by SDNN. Specific subgroup analyses revealed more prominent associations of long nap habit with lower insulin sensitivity in subjects with a short nighttime sleep time (β=-0.137, p<0.05).

Conclusion

Long daytime nap duration may be a potential risk factor for decreased insulin sensitivity.
Association of the visceral adiposity index with femur bone mineral density and osteoporosis among the U.S. older adults from NHANES 2005–2020: a cross-sectional study
Authors: Sun Aochuan , Hu Jiayu , Wang Shushangzhi , Yin Fen , Liu Zhengtang
Published: November 2023

Background

The visceral adiposity index (VAI) is a marker of abdominal fat distribution and adipose tissue function. However, the association between VAI and femur bone mineral density (BMD) and osteoporosis is unclear among the U.S. older adults.

Methods

Cross-sectional data for adults aged 60 years and older from the 2007–2020 National Health and Nutrition Examination Survey (NHANES) were included. Multivariable linear and logistic regression were used to evaluate the association between VAI and femur BMD and osteoporosis. We used the smooth curve fitting to address nonlinearity. Moreover, a two-piecewise linear regression model was used to explain the nonlinearity further.

Results

The findings of the multivariable logistic regression models showed that as the VAI value increased by one unit, the prevalence of osteoporosis decreased by 1.2% after adjusting for covariates associated with osteoporosis. The multivariable linear regression models demonstrated that VAI was positively correlated with femur BMD. Further analysis revealed an inverted L-shaped and inverted U-shaped relationship between VAI and femur BMD at different sites.

Conclusions

Our findings indicated that an increased VAI is independently linked to a higher prevalence of osteoporosis among the U.S. older adults. Further analysis reveals that once VAI reaches a certain threshold, femur BMD no longer increases and may even decrease. This suggests that a moderate accumulation of visceral fat may be beneficial for bone health, while excessive visceral fat could potentially have detrimental effects.
Factors underlying a disproportionate increase in hospital admissions for adrenal insufficiency in women aged 20-29 years
Authors: Rushworth Rosemary Louise , Falhammar Henrik , Torpy David J.
Published: November 2023

Since the year 2000, admissions for adrenal insufficiency (AI) and adrenal crises (AC) have shown a particular increase in young adult females. We examined data on acute non-surgical hospitalisations for AI/AC from New South Wales, Australia, to determine relevant factors that may have contributed to this increase. Data were analysed to ascertain associations between various comorbid psychosocial issues, identified by relevant ICD-10-AM codes in each record, and ACs. From 2005 to 2021. There were 877 admissions for an acute non-surgical illness in this age group. The average admission rate for females [63.5/million/year] was almost twice that for males [34.0/million/year] (p<0.01), as was the average female AC admission rate [14.7/million/year] relative to that in males [6.75/million/year] (p=NS). Infection was present in 41.6% (n=365) of the admissions and Type 1 diabetes mellitus was present in 12.2% (n=107). Overall, psychosocial factors were considered by the senior clinician to have contributed to the illness episode in 22.1% of all admissions and 29.0% of AC admissions. Having one or more psychosocial problems was associated with an AC in females (37.4%, n=49, in those having an AC, p<0.001) but not males. Females with an AC also had a higher mean composite psychosocial, psychiatric and drug/alcohol score [0.47 (0.67)] than females without an AC [0.32 (0.62) p<0.05]. No comparable associations were found in male patients. An increase in the rates of hospitalisations that included a code for at least one psychosocial problem was highly correlated with increases in admission rates for both ACs (r=0.82, p<0.001) and all AI (r=0.98, p<0.001) in females but there was no such relationship in males. This new evidence suggests that psychosocial factors may play an important role in ongoing rates of ACs in treated AI (incidence approximately 6-8 ACs/100PY) particularly in young adult females. In order to minimize AC episodes, all barriers to self-management need exploration on an individual patient basis and with regard to the patient population as a whole.
A survey on voltage stability indices for power system transmission and distribution systems
Authors: Baleboina Guru Mohan , Mageshvaran R.
Published: November 2023

Voltage stability is a critical aspect of power system operation, ensuring the reliable and efficient delivery of electrical energy to consumers. Recently, voltage stability in the power system has received much attention. The primary cause of voltage instability is the lack of real and reactive power generation to cope with the continuous demand increment. Maintaining voltage stability while planning, controlling, and assessing the system’s security is a difficult task for power system engineers. From knowledge of past incidents, a lack of reactive power is identified as the primary cause of voltage instability, which may further lead to the total collapse of the system. The importance of voltage stability assessment is essential to maintain the integrity of power systems. It helps prevent voltage instability, which can lead to cascading failures and widespread outages. This paper uses various parameters, including load demand, generator capacity, and system impedance, to develop voltage stability indices (VSIs). The paper mainly focuses on the idea of VSIs that have been developed in order to monitor and control the criticality of the power system. The voltage stability indices for transmission and distributed systems, as well as their subclasses, are thoroughly reviewed in this study. Furthermore, traditional voltage stability methods, as well as various software tools for monitoring the voltage stability problems, are also discussed. In addition, the development of VSIs and its related concepts are clearly described in this paper. This comprehensive survey provides a decent groundwork for future work in this area, and assists professionals in selecting the optimal VSI for various applications. Moreover, it provides a concise overview of methods and the importance of voltage stability assessment in both transmission and distribution systems.
Walking with individualized 3D-printed minimal footwear increases foot strength and produces subtle changes in unroll pattern
Authors: Allen Alexandra , Pinheiro Manuel , Schoenmaekers Raf , D’Août Kristiaan , Willems Catherine
Published: November 2023

Introduction

This 5-month follow-up study, involving 66 subjects (38 intervention, 28 control; 34 females, 32 males), evaluated the biomechanics of walking while wearing bespoke, 3D-printed footwear.

Methods

A 3D scanner was used to obtain foot shape, which was subsequently modified to yield a suitable instep and additional room in the forefoot and toe areas, to allow for potential shape changes of the foot. Shoes were manufactured using TPU laser sintering. Pre (T0) and post (T1) the intervention, plantar pressures were collected using a plantar pressure plate (3 trials per foot) and toe flexor strength (5 trials per foot) was measured using a dynamometer, for control and intervention groups. Plantar pressure peak patterns and center-of-pressure (CoP) timing was analysed using 2D and 1D Statistical Parametric Mapping, respectively. Toe strength changes were expressed in percent and per individual as: 100 x ((strength@T1strength@T0) / strength@T0).

Results

Peak pressure distribution did not differ between control and intervention populations, or between T0 and T1. Center-of-pressure unroll differed between barefoot and shod conditions at T0 for the intervention group. When barefoot, the intervention group at T1 showed a more lateral CoP in early stance and a more anterior CoP in late stance compared to T0. In the intervention group, toe strength increased significantly by 48.5% between T0 and T1.

Discussion

Overall, the results indicate that the bespoke, 3D-printed footwear did not significantly affect peak pressure distribution compared to barefoot walking. However, center-of-pressure patterns during gait were influenced, particularly in the intervention group, with analysis indicative of barefoot subjects' CoP moving faster in early and mid-stance than when shod. Additionally, the intervention led to a significant increase in toe strength. These findings contribute to our understanding of the biomechanical effects of customized 3D-printed footwear and highlight the potential benefits of such interventions in improving foot function and strength.
Transcriptome analysis of Artemisia argyi following methyl jasmonate (MeJA) treatment and the mining of genes related to the stress resistance pathway
Authors: Wang Jing , Cui Yupeng , Li Shuyan , Gao Xinqiang , Zhang Kunpeng , Shen Xiangling
Published: November 2023

Artemisia argyi Lev. et Vant. (A. argyi) is a perennial grass in the Artemisia family, the plant has a strong aroma. Methyl jasmonate (MeJA) is critical to plant growth and development, stress response, and secondary metabolic processes. The experimental material Artemisia argyi was utilized in this study to investigate the treatment of A. argyi with exogenous MeJA at concentrations of 100 and 200 μmol/L for durations of 9 and 24 h respectively. Transcriptome sequencing was conducted using the Illumina HiSeq platform to identify stress resistance-related candidate genes. Finally, a total of 102.43 Gb of data were obtained and 162,272 unigenes were identified. Differential analysis before and after MeJA treatment resulted in the screening of 20,776 differentially expressed genes. The GO classification revealed that the annotated unigenes were categorized into three distinct groups: cellular component, molecular function, and biological process. Notably, binding, metabolic process, and cellular process emerged as the most prevalent categories among them. The results of KEGG pathway statistical analysis revealed that plant hormone signal transduction, MAPK signaling pathway-plant, and plant-pathogen interaction were significant transduction pathways in A. argyi’s response to exogenous MeJA-induced abiotic stress. With the alteration of exogenous MeJA concentration and duration, a significant upregulation was observed in the expression levels of calmodulin CaM4 (ID: EVM0136224) involved in MAPK signaling pathway-plant and auxin response factor ARF (ID: EVM0055178) associated with plant-pathogen interaction. The findings of this study establish a solid theoretical foundation for the future development of highly resistant varieties of A. argyi.
Reactome pathway analysis from whole-blood transcriptome reveals unique characteristics of systemic sclerosis patients at the preclinical stage
Authors: Bellocchi Chiara , Wang Xuan , Lyons Marka A. , Marchini Maurizio , Lorini Maurizio , Carbonelli Vincenzo , Montano Nicola , Assassi Shervin , Beretta Lorenzo
Published: November 2023

Objective

This study aims to characterize differential expressed pathways (DEP) in subjects with preclinical systemic sclerosis (PreSSc) characterized uniquely by Raynaud phenomenon, specific autoantibodies, and/or capillaroscopy positive for scleroderma pattern.

Methods

Whole-blood samples from 33 PreSSc with clinical prospective data (baseline and after 4 years of follow-up) and 16 matched healthy controls (HC) were analyzed for global gene expression transcriptome analysis via RNA sequencing. Functional Analysis of Individual Microarray Expression method annotated Reactome individualized pathways. ANOVA analysis identified DEP whose predictive capability were tested in logistic regression models after extensive internal validation.

Results

At 4 years, 42.4% subjects progressed (evolving PreSSc), while the others kept stable PreSSc clinical features (stable PreSSc). At baseline, out of 831 pathways, 541 DEP were significant at a false discovery rate <0.05, differentiating PreSSc versus HC with an AUROC = 0.792 ± 0.242 in regression models. Four clinical groups were identified via unsupervised clustering (HC, HC and PreSSc with HC-like features, PreSSc and HC with PreSSc-like features, and PreSSc). Biological signatures changed with disease progression while remaining unchanged in stable subjects. The magnitude of change was related to the baseline cluster, yet no DEP at baseline was predictive of progression. Disease progression was mostly related to changes in signal transduction pathways especially linked to calcium-related events and inositol 1,4,5-triphosphate metabolism.

Conclusion

PreSSc had distinguished Reactome pathway signatures compared to HC. Progression to definite SSc was characterized by a shift in biological fingertips. Calcium-related events promoting endothelial damage and vasculopathy may be relevant to disease progression.
A phospho-harmonic orchestra plays the NLRP3 score
Authors: Bornancin Frédéric , Dekker Carien
Published: November 2023

NLRP3 is a prototypical sensor protein connecting cellular stress to pro-inflammatory signaling. A complex array of regulatory steps is required to switch NLRP3 from an inactive state into a primed entity that is poised to assemble an inflammasome. Accumulating evidence suggests that post-translational mechanisms are critical. In particular, phosphorylation/dephosphorylation and ubiquitylation/deubiquitylation reactions have been reported to regulate NLRP3. Taken individually, several post-translational modifications appear to be essential. However, it remains difficult to understand how they may be coordinated, whether there is a unique sequence of regulatory steps accounting for the functional maturation of NLRP3, or whether the sequence is subject to variations depending on cell type, the stimulus, and other parameters such as the cellular context. This review will focus on the regulation of the NLRP3 inflammasome by phosphorylation and dephosphorylation, and on kinases and phosphatases that have been reported to modulate NLRP3 activity. The aim is to try to integrate the current understanding and highlight potential gaps for further studies.
Using a model-based geostatistical approach to design and analyse the prevalence of schistosomiasis in Kenya
Authors: Okoyo Collins , Minnery Mark , Orowe Idah , Owaga Chrispin , Wambugu Christin , Olick Nereah , Hagemann Jane , Omondi Wyckliff P. , Gichuki Paul M. , McCracken Kate , Montresor Antonio , Fronterre Claudio , Diggle Peter , Mwandawiro Charles
Published: November 2023

Background

Infections caused by both Schistosoma mansoni and Schistosoma haematobium are endemic in Kenya, with over six million children at risk. A national school-based deworming programme was launched in 2012 with the goal of eliminating parasitic worms as a public health problem. This study used a model-based geostatistical (MBG) approach to design and analyse the impact of the programme and inform treatment strategy changes for schistosomiasis (SCH).

Methods

A cross-sectional survey of 200 schools across 27 counties of Kenya was utilised. The study design, selection of the schools, and analysis followed the MBG approach, which incorporated historical data on treatment, morbidity, and environmental covariates.

Results

The overall SCH prevalence was 5.0% (95% CI 4.9%–5.2%) and was estimated, with a high predictive probability of 0.999, to be between 1% and< 10%. The predictive probabilities at county level revealed county heterogeneity, with that of four counties estimated to be between 0% and< 1%, that of 20 counties estimated to be between 1% and< 10%, that of two counties estimated to be between 10% and< 20%, and that of one county estimated to be between 20% and< 50%.

Conclusion

SCH treatment requirements can now be confidently refined based on the World Health Organization’s guidelines. The four counties with prevalences of between 0% and< 1% may consider suspending treatment only in areas (i.e., sub-counties and wards) where the prevalence is< 1%.
Parametric optimization of wear parameters of hybrid composites (LM6/B4C/fly ash) using Taguchi technique
Authors: Udaya Prakash Jayavelu , Ananth Subramani , Jebarose Juliyana Sunder , Cep Robert , Khedkar Nitin , Salunkhe Sachin , Abouel Nasr Emad , Kamrani Ali
Published: November 2023

Wear is prominent in sliding components, so tribology property plays a major role in automotive as well as in the aerospace industries. In this work, Aluminium alloy LM6/B4C/Fly Ash hybrid composites with three different weight percentages of reinforcement were fabricated using the low-cost stir casting technique, and the experiments were conducted based on the Design of Experiments (DoE) approach and optimized using Taguchi’s Signal to noise ratio (S/N) analysis. The analysis was conducted with process parameters like Sliding Speed (S), Sliding distance (D), load (L) and reinforcement percentage (R %), the responses are Coefficient of Friction (COF) and Specific wear rate (SWR). Aluminum alloy reinforced with 9 wt% hybrid (LM6 + 4.5% B4C + 4.5% Fly Ash) has a low density and high hardness compared with other composites and base alloys. The optimum parameters for obtaining minimum SWR are S - 1 m/s, D - 500 m, L - 45 N, and R% - 6 wt% Hybrid (3% Fly ash and 3% boron carbide). The optimum parameters for obtaining minimum COF are S - 1.5 m/s, D - 500 m, L - 30 N, and R% −9 wt% Hybrid (4.5% Fly ash and 4.5% boron carbide). Load (28.34%) is the most significant parameter for obtaining minimum SWR, and DL (31.62%) for obtaining minimum COF. SEM images of the worn pins show the various wear mechanisms of the AMCs. The hybrid composite produced is new and these may be used for piston liner and brake pad applications.
Complex interplay of gut microbiota between obesity and asthma in children
Authors: Hu Mingge , Zhao Xiaoman , Liu Yazun , Zhou Huan , You Yannan , Xue Zheng
Published: November 2023

Obesity is an important risk factor and common comorbidity of childhood asthma. Simultaneously, obesity-related asthma, a distinct asthma phenotype, has attracted significant attention owing to its association with more severe clinical manifestations, poorer disease control, and reduced quality of life. The establishment of the gut microbiota during early life is essential for maintaining metabolic balance and fostering the development of the immune system in children. Microbial dysbiosis influences host lipid metabolism, triggers chronic low-grade inflammation, and affects immune responses. It is intimately linked to the susceptibility to childhood obesity and asthma and plays a potentially crucial transitional role in the progression of obesity-related asthma. This review article summarizes the latest research on the interplay between asthma and obesity, with a particular focus on the mediating role of gut microbiota in the pathogenesis of obesity-related asthma. This study aims to provide valuable insight to enhance our understanding of this condition and offer preliminary evidence to support the development of therapeutic interventions.
Integrative transcriptome analysis reveals alternative polyadenylation potentially contributes to GCRV early infection
Authors: Tan Sheng , Zhang Jie , Peng Yonglin , Du Wenfei , Yan Jingxuan , Fang Qin
Published: November 2023

Introduction

Grass carp reovirus (GCRV), a member of the Aquareovirus genus in the Reoviridae family, is considered to be the most pathogenic aquareovirus. Productive viral infection requires extensive interactions between viruses and host cells. However, the molecular mechanisms underlying GCRV early infection remains elusive.

Methods

In this study we performed transcriptome and DNA methylome analyses with Ctenopharyngodon idellus kidney (CIK) cells infected with GCRV at 0, 4, and 8 h post infection (hpi), respectively.

Results

We found that at early infection stage the differentially expressed genes related to defense response and immune response in CIK cells are activated. Although DNA methylation pattern of CIK cells 8 hpi is similar to mock-infected cells, we identified a considerable number of genes that selectively utilize alternative polyadenylation sites. Particularly, we found that biological processes of cytoskeleton organization and regulation of microtubule polymerization are statistically enriched in the genes with altered 3’UTRs.

Discussion

Our results suggest that alternative polyadenylation potentially contributes to GCRV early infection.
Fermentation improves antioxidant capacity and γ-aminobutyric acid content of Ganmai Dazao Decoction by lactic acid bacteria
Authors: Wei Linya , Li Yiming , Hao Zina , Zheng Zhenjie , Yang Huixin , Xu Suixin , Li Shihan , Zhang Lili , Xu Yunhe
Published: November 2023

Introduction

Ganmai Dazao Decoction is a traditional Chinese recipe, and is composed of licorice, floating wheat, and jujube.

Methods

Effects of lactic acid bacteria fermentation on the physicochemical properties, antioxidant activity, and γ-aminobutyric acid of Ganmai Dazao Decoction were studied. The changes of small and medium molecules in Ganmai Dazao Decoction before and after fermentation were determined by LC–MS non-targeted metabolomics.

Results

The results showed that the contents of lactic acid, citric acid, acetic acid, and total phenol content increased significantly, DPPH free radical clearance and hydroxyl free radical clearance were significantly increased. γ-aminobutyric acid content was 12.06% higher after fermentation than before fermentation. A total of 553 differential metabolites were detected and identified from the Ganmai Dazao Decoction before and after fermentation by partial least squares discrimination and VIP analysis.

Discussion

Among the top 30 differential metabolites with VIP values, the content of five functional substances increased significantly. Our results showed that lactic acid bacteria fermentation of Ganmai Dazao Decoction improves its antioxidant effects and that fermentation of Ganmai Dazao Decoction with lactic acid bacteria is an innovative approach that improves the health-promoting ingredients of Ganmai Dazao Decoction.
Regulation of the proteostasis network by the neuronal system
Authors: Zhu Huadong , Cohen Ehud
Published: November 2023

The protein homeostasis (proteostasis) network is a nexus of molecular mechanisms that act in concert to maintain the integrity of the proteome and ensure proper cellular and organismal functionality. Early in life the proteostasis network efficiently preserves the functionality of the proteome, however, as the organism ages, or due to mutations or environmental insults, subsets of inherently unstable proteins misfold and form insoluble aggregates that accrue within the cell. These aberrant protein aggregates jeopardize cellular viability and, in some cases, underlie the development of devastating illnesses. Hence, the accumulation of protein aggregates activates different nodes of the proteostasis network that refold aberrantly folded polypeptides, or direct them for degradation. The proteostasis network apparently functions within the cell, however, a myriad of studies indicate that this nexus of mechanisms is regulated at the organismal level by signaling pathways. It was also discovered that the proteostasis network differentially responds to dissimilar proteotoxic insults by tailoring its response according to the specific challenge that cells encounter. In this mini-review, we delineate the proteostasis-regulating neuronal mechanisms, describe the indications that the proteostasis network differentially responds to distinct proteotoxic challenges, and highlight possible future clinical prospects of these insights.
Posterior reversible encephalopathy syndrome in children with malignancies – a single-center retrospective study
Authors: Kiermasz Aleksandra , Zapała Magdalena , Zwiernik Bartosz , Stręk-Cholewińska Angelika , Machnikowska-Sokołowska Magdalena , Mizia-Malarz Agnieszka
Published: November 2023

Background

Posterior reversible encephalopathy syndrome (PRES) diagnosis relies on clinical and radiological characteristics. Clinical manifestations include focal neurologic deficits, hemiparesis, seizures with symptoms of intracranial hypertension, headache, nausea, vomiting, and visual field disturbances. The majority of patients have typical changes in magnetic resonance imaging. The epidemiology and outcomes of PRES in the pediatric cancer population have not been well described. Most of the available data are from retrospective analyses.

Objective

The aim of our study was to evaluate the clinical and radiological presentation as well as the outcome of PRES in children treated for cancers in a single center.

Methods

We analyzed data from 1,053 patients diagnosed with malignancies in a single center over 15 years to determine the incidence of PRES.

Results

19/1053 (1.8%) patients developed PRES. The diagnosis was accompanied by a range of clinical symptoms including hypertension, seizures, altered mental status, and headaches. Magnetic resonance imaging was performed in all patients, and 14/19 (73.7%) exhibited typical findings consistent with PRES. Four patients (21.0%) required treatment in the Intensive Care Unit.

Conclusion

Posterior reversible encephalopathy syndrome (PRES) is a rare but significant complication in children with cancer.

There is a clear need to establish clinical criteria for PRES to improve the diagnosis and treatment of patients with PRES, particularly in the pediatric oncological population.

Further studies are needed to identify the risk factors for recurrent PRES, particularly in pediatric cancer patients undergoing chemotherapy or immunosuppressive treatment.
Metagenomic and metaproteomic analyses of microbial amino acid metabolism during Cantonese soy sauce fermentation
Authors: Chen Cong , Wen Lin Feng , Yang Li Xin , Li Jun , Kan Qi Xin , Xu Ting , Liu Zhan , Fu Jiang Yan , Cao Yong
Published: November 2023

Cantonese soy sauce is an important type of traditional Chinese brewed soy sauce that was developed in southern China, mainly in Guangdong. Due to the long fermentation period and complex microbiota in Cantonese soy sauce, there are few reports on the microbial metaproteomics of Cantonese soy sauce. In this study, integrative metagenomic and metaproteomic analyzes were used to identify the changes in the dominant microbiota and amino acid synthesis-related enzymes and metabolism during Cantonese soy sauce fermentation. Metagenomic analysis revealed that Tetragenococcus halophilus, Weissella confusa, Weissella paramesenteroides, Enterobacter hormaechei, and Aspergillus oryzae were the dominant microbiota. Using the Top 15 dominant microbiota identified by metagenomics as the database, LTQ Orbitrap Velos Pro ETD mass spectrometry was used to obtain metaproteomic information about the microbes in the soy sauce, and the results indicated that the active enzymes involved in the metabolism of amino acids were secreted by microorganisms such as A. oryzae, T. halophilus, and Zygosaccharomyces rouxii. During the Cantonese soy sauce fermentation process. Among them, early fermentation (0-15d) was dominated by A. oryzae and T. halophilus, mid-term fermentation (60-90d) was dominated by Z. rouxii, A. oryzae, and T. halophilus, and late fermentation (90-120d) was dominated by A. oryzae, Z. rouxii, and T. halophilus. Kyoto Encyclopedia of Genes and Genomes analysis revealed that the main enzymes involved in the metabolism of umami amino acids were aspartate aminotransferase, citrate synthase, aconitase, and isocitrate dehydrogenase, which were produced by Z. rouxii and A. oryzae during early fermentation (0–15 d) and the middle fermentation stage (60–90 d). This study constructed a regulatory network of enzymes potentially involved in the metabolism of flavor amino acids, which provided a theoretical basis for studying the amino acid metabolism of Cantonese soy sauce.
Protein composition and nutritional aspects of pea protein fractions obtained by a modified isoelectric precipitation method using fermentation
Authors: Emkani Mehrsa , Moundanga Sylvie , Oliete Bonastre , Saurel Rémi
Published: November 2023

Pea albumins are promising for their nutritional, biological, and techno-functional properties. However, this fraction is usually discarded in the industry due to its low protein content compared to globulin fraction and the presence of some anti-nutritional compounds. In the present study, we used an alternative method of pea protein extraction based on alkaline solubilization/isoelectric precipitation in which the reduction of pH was achieved by lactic acid fermentation using specific starters instead of mineral acids. Hence, the main objective of this study was to examine the protein profile and the content of anti-nutritional and nutritional active compounds in pea albumin-rich fractions obtained by the isoelectric extraction method without (control) or with fermentation with different lactic acid bacteria (Streptococcus thermophilus, Lactiplantibacillus plantarum, and their co-culture). Different pea cultivars (Cartouche, Ascension, and Assas) were used here for their differences in protein profile. The results revealed a higher total nitrogen content in albumin-rich fraction for fermented samples and, in particular, for co-culture. The majority of total nitrogen was determined as non-protein (~50%), suggesting the degradation of proteins by LAB to small peptides and amino acids, which were solubilized in the soluble fraction (albumin) as confirmed by size exclusion chromatography (SEC-HPLC) analysis. Moreover, the higher antioxidant activity of fermented albumin samples was attributed to the production of small peptides during extraction. Lactic acid fermentation also resulted in a significant reduction of trypsin inhibitor activity, α-galactoside, and phytic acid content of this fraction compared to control.
Influence of sarcopenia on postoperative complications in patients undergoing autologous microsurgical breast reconstruction: an inverse probability of treatment weighting analysis
Authors: Lee Seung-Jun , Yang Yun-Jung , Lee Dong-Won , Song Seung-Yong , Lew Dae-Hyun , Yang Eun-Jung
Published: November 2023

Background

Sarcopenia is characterized by the loss of skeletal muscle mass and power. Preoperative sarcopenia may be associated with an increased risk of postoperative complications after autologous free-flap breast reconstruction surgery; however, this relationship is controversial.

Objectives

This study aimed to determine whether preoperative sarcopenia is associated with a high complication rate in patients undergoing autologous free-flap breast reconstruction.

Methods

Patients who underwent autologous free-flap breast reconstruction at our hospital between 2019 and 2021 were included in the study. Data on significant complications requiring surgical intervention were retrospectively collected from the medical records. Sarcopenia was defined as having a skeletal muscle index value <41 cm2/m2. The skeletal muscle index was calculated by dividing the sum of the psoas and iliopsoas muscle areas at the level of the third lumbar vertebra by the patient’s height in meters squared. The relationship between preoperative sarcopenia and postoperative complications was investigated using an inverse probability of treatment weighting (IPTW) analysis.

Results

Among the 203 participants, 90 (44.33%) had preoperative sarcopenia. The general patient characteristics were similar between the sarcopenia and non-sarcopenia groups after IPTW adjustment. Sarcopenia did not significantly increase the risk of flap failure or emergency surgery related to breast reconstruction before IPTW adjustment. However, after IPTW adjustment, the rates of recipient site infection and hematoma were significantly higher in participants with sarcopenia than in those without sarcopenia (p < 0.001 and p = 0.014, respectively).

Conclusion

Preoperative sarcopenia may influence certain complications of autologous free-flap breast reconstruction surgery.
Prospective assessment of breast lesions AI classification model based on ultrasound dynamic videos and ACR BI-RADS characteristics
Authors: Qiu Shunmin , Zhuang Shuxin , Li Bin , Wang Jinhong , Zhuang Zhemin
Published: November 2023

Introduction

AI-assisted ultrasound diagnosis is considered a fast and accurate new method that can reduce the subjective and experience-dependent nature of handheld ultrasound. In order to meet clinical diagnostic needs better, we first proposed a breast lesions AI classification model based on ultrasound dynamic videos and ACR BI-RADS characteristics (hereafter, Auto BI-RADS). In this study, we prospectively verify its performance.

Methods

In this study, the model development was based on retrospective data including 480 ultrasound dynamic videos equivalent to 18122 static images of pathologically proven breast lesions from 420 patients. A total of 292 breast lesions ultrasound dynamic videos from the internal and external hospital were prospectively tested by Auto BI-RADS. The performance of Auto BI-RADS was compared with both experienced and junior radiologists using the DeLong method, Kappa test, and McNemar test.

Results

The Auto BI-RADS achieved an accuracy, sensitivity, and specificity of 0.87, 0.93, and 0.81, respectively. The consistency of the BI-RADS category between Auto BI-RADS and the experienced group (Kappa:0.82) was higher than that of the juniors (Kappa:0.60). The consistency rates between Auto BI-RADS and the experienced group were higher than those between Auto BI-RADS and the junior group for shape (93% vs. 80%; P = .01), orientation (90% vs. 84%; P = .02), margin (84% vs. 71%; P = .01), echo pattern (69% vs. 56%; P = .001) and posterior features (76% vs. 71%; P = .0046), While the difference of calcification was not significantly different.

Discussion

In this study, we aimed to prospectively verify a novel AI tool based on ultrasound dynamic videos and ACR BI-RADS characteristics. The prospective assessment suggested that the AI tool not only meets the clinical needs better but also reaches the diagnostic efficiency of experienced radiologists.
Results and complications of bilateral limb lengthening in achondroplasia: a retrospective analysis
Authors: Verdoni Fabio , Giorgino Riccardo , Virgilio Camilla , Nannini Alessandra , Viganò Marco , Curci Domenico , Peretti Giuseppe Michele , Mangiavini Laura
Published: November 2023

Background

Achondroplasia is one of the main causes of disharmonic dwarfism. Patients with achondroplasia might have physical and psychological limitations due to their disproportionate stature. Surgical limb lengthening is the only practical option available to achieve a stature comparable to normal population range. The purpose of this study is to analyze results and complications of our lengthening protocol.

Methods

A retrospective analysis was performed on 33 patients with achondroplasia (21 females and 12 males) undergoing simultaneous bilateral tibia or femur lengthening in four surgical stages from 2017 to 2021 (46 lengthening procedures, with a total of 56 tibias and 36 femurs). For each patient, patients’ characteristics and antero-posterior and lateral radiographs were obtained. The following parameters were analyzed: duration of lengthening with external fixator, amount of lengthening, complications or events that influenced outcomes and the healing index (HI).

Results

The average tibial and femoral gain was 7.9 cm and 6.9 cm, respectively. The tibiae achieved better results than the femurs (p = 0.005). Nineteen complications were reported for 92 segments (20.7%), and the variables influencing complications were: step (p = 0.002) and fixation duration (p = 0.061).

Conclusions

Bilateral parallel lower limb lengthening in four surgical steps may be a viable technique in patients with achondroplasia.
Influence of flowering on the anatomical structure, chemical components and carbohydrate metabolism of Bambusa tuldoides culms at different ages
Authors: Liu Jiaxin , Wu Yufang , Zhou Li , Zhang Anmian , Wang Sushuang , Liu Yi , Yang Dejia , Wang Shuguang
Published: November 2023

Bamboo forests, which have come to occupy large areas in recent years, naturally undergo the process of blooming. However, bamboo culms and rhizomes degenerate after the plants bloom, resulting in widespread loss of raw materials. Systematic research on the properties and physiology of bamboo culms after flowering is lacking, and whether flowering bamboo culms could be used as raw materials in industry is unclear. In this paper, we compared and measured the fiber morphology, chemical components, and sugar metabolism indexes of non-flowering and flowering Bambusa tuldoides culms at different ages. The results showed that the fibers in the middle internodes of both non-flowering and flowering B. tuldoides culms had the longest length. The fibers completed their elongation within 1 year, but the fiber walls were continually deposited with age. The levels of the chemical components in the nonflowering culms also continually increased with age. The nonstructural carbohydrate (NSC) content and sugar metabolism indexes showed the highest levels in the 2-year culms and then declined in the 3-year culms. Compared to young culms that had not yet flowered, the 3-month-old and 1-year-old flowering culms had a significant decrease in the fiber length and tangential diameter, and their holocellulose and lignin levels also decreased, while the levels of ash, SiO2, 1% NaOH extractives, and benzene-ethanol extractives increased. A correlation analysis showed that sugar catabolism was accelerated in the flowering cluster, which could lead to “starvation death” in bamboo and which had a significant negative impact on the anatomical and chemical properties of the bamboo culms. Generally, the flowering bamboo culms had shorter fibers, higher levels of extractives and ash, and lower holocellulose content, which indicated that bamboo flowering has an adverse effect on the application of such components in the production of pulp, in papermaking, and in other processing and utilization activities. This study revealed the physiological changes in flowering B. tuldoides culms and provided a theoretical basis to inform the utilization of culms in this species.
A new instrument to measure healthy workplace qualities: the People in the Office Scale
Authors: Pavlova Milada V. , Reznichenko Sofia I. , Nartova-Bochaver Sofya K.
Published: November 2023

This research is aimed at developing a new instrument to assess the healthy workplace qualities based on the environmental theory of stress, and ideas of salutogenic and biophilic design. A total of 319 respondents participated in the study (19–72 years; Mage = 40.86, SDage = 12.70; 69% women). Additionally, nine judges were invited to evaluate the items of the scale for content validity. Using a mixed inductive/deductive method, which included literature analysis and in-depth interviews, an initial pool of 56 items was collected. From the initial pool of 56 items, the more relevant ones were selected. This list named thePeople in the Office Scale (POS)was subjected to a full psychometric examination. Results of the Exploratory and Confirmatory Factor Analyses show thatPOShas satisfactory structural and content validity, reliability, and measurement invariance across sex and age. In its final form,POSincludes 27 items and five subscales:Ergonomics;Internal Communications;External Infrastructure;Freedom of Action; andWorkplace as a Life Narrative. Convergent validity measured by correlatingPOSscores with the variables of restorative environment, workplace attachment, and organizational cynicism was satisfactory. Divergent validity measured by correlating with mental health, was also satisfactory. This new instrument can be recommended for use in both practice and research to provide evidence-based design guidance.