bluuebunny/crossref_metadata_2025 huggingface dataset:
New species, new combinations, and morphological notes of South American Ambrysinae (Heteroptera: Naucoridae)
Authors: RODRIGUES HIGOR D. D. , CANEJO RAFAEL P. R. , SITES ROBERT W.
Published: May 2024

Although recent studies have been published on Ambrysinae (Naucoridae) from the Neotropical region, few efforts have been made to improve the taxonomic knowledge of this subfamily in Brazil. Two genera of Ambrysinae containing the greatest number of species in South America were recently established to accommodate species previously classified as Ambrysus Stål: Australambrysus Reynoso & Sites and Maculambrysus Reynoso & Sites. The subgeneric classification of Ambrysus has also changed, including the elevation of Melloiella De Carlo back to full generic status. In the present study, three new species of Ambrysinae from Brazil are described, two belonging to Australambrysus and one to Maculambrysus: Australambrysus minutus n. sp., A. tuberculatus n. sp., and Maculambrysus transversus n. sp. In addition, morphological notes are provided for Australambrysus planus (La Rivers) and A. partridgei (De Carlo), the placement of A. fraternus (Montandon) is confirmed, and the following new combinations are proposed: Maculambrysus attenuatus (Montandon) n. comb., and Maculambrysus obscuratus (Montandon) n. comb., species that are transferred from the genus Australambrysus and Ambrysus, respectively. Two of the species treated here (A. fraternus and A. tuberculatus) are included in the Australambrysus plax (La Rivers) species complex, and a morphological redefinition of the complex is presented. Also, the macropterous form and male genitalia of Melloiella truncaticollis De Carlo are described, including new records from southern Brazil.
Sexual dimorphism in the genus Acothrura Melichar, 1915 (Hemiptera: Lophopidae) and description of male and female specimens of A. impunctata (Jacobi, 1905)
Authors: LIU YIDI , REN YUJIE , WANG MENGLIN
Published: May 2024

The sexual dimorphism of Acothrura impunctata (Jacobi, 1905) is confirmed by molecular analysis. Its male morphological characteristics are firstly reported. A key to species of Acothrura is provided.
Macromia kannharaiensis, a new species of dragonfly (Insecta: Odonata: Macromiidae) from Maharashtra, India
Authors: DALVI AKSHAY , KOLI YOGESH , THAKUR RAHUL
Published: May 2024

We describe a new species of dragonfly Macromia kannharaiensis sp. nov., based on a male and a female specimens collected from Dodamarg taluka, Sindhudurg district, Maharashtra. The new species belongs to the calliope–group (species group initially discussed by Laidlaw 1922), and it can be distinguished by its congeners on the bases of specific colour pattern on postclypeus, markings on S2 and S8, shape and structure of caudal appendages and accessory genitalia.
Enduring the Earthquake: Rediscovery of the Critically Endangered Mesilau Stream Toad, Ansonia guibei Inger, 1966 (Anura, Bufonidae) and its conservation implications
Authors: QUAH EVAN S.H. , IMBUN PAUL YAMBUN , YEK SZE HUEI
Published: May 2024

The Mesilau Stream Toad (Ansonia guibei) is a species of bufonid endemic to Sabah, Borneo, and restricted to a single mountainous location above 1600m in elevation. The species is only known from the type locality, the Mesilau watershed on Mount Kinabalu. An earthquake in 2015 resulted in massive landslides, causing extensive damage to the species’ habitat at Mesilau. This event was expected to have caused significant population declines of at least 80% or even the potential extinction of the species. A survey in 2017 at Mesilau failed to locate any individuals, which resulted in it being listed as Critically Endangered by the IUCN. Surveys in late 2023 to reassess the status of the species and its habitat resulted in the rediscovery of a single subadult specimen of A. guibei. Tadpoles of the species were recorded in the main Mesilau River and one additional tributary, which indicates the species survives and is breeding. Studies are ongoing to collect more ecological data on the species and determine its current distribution. The data gathered will be used to construct a robust conservation plan for the species. Nevertheless, these preliminary observations bode well for the future of the species as it demonstrates that it is resilient and capable of recovering from the damages caused by the earthquake.
Generic redescription of Chinaria Davis, 1934 with a new cicada genus for the Dominican species previously assigned to the genus (Hemiptera: Cicadidae: Cicadinae: Zammarini)
Authors: SANBORN ALLEN F.
Published: May 2024

A complete description of the cicada genus Chinaria Davis, 1934 is provided. The genus Heatharia n. gen. is described and illustrated for the Dominican species originally classified in Chinaria. The new genus is supported through morphological, biogeographical, and genetic evidence. Heatharia vivianae (Ramos, 1983) n. comb. is reassigned as the only species of the new genus. The first record of Odopoea suffusa (Walker, 1850) is provided for Haiti.
Lyriothemis lucifera spec. nov. from the Andaman Islands, India (Odonata: Libellulidae)
Authors: SEEHAUSEN MALTE , DAWN PROSENJIT
Published: May 2024

Lyriothemis lucifera spec. nov. (holotype ♂: 18.iv.1998, Long Island, Rangat county, North and Middle Andaman district, Andaman Islands, India, ex.-coll. M. Hämäläinen, Wen-Chi Yeh, RMNH.INS. 1152914; deposited at Naturalis Biodiversity Centre Leiden, the Netherlands), is described and figured. This new species belongs to the 3rd group of Lyriothemis Brauer, 1868. Photographs of the name-bearing specimens of Lyriothemis magnificata (Selys, 1878), Lyriothemis daui Krüger, 1902, and Lyriothemis laui Krüger, 1902 are provided.
A new species of Neofilchneria (Plecoptera: Perlodidae) from China, with supplementary information on N. wanglanga Chen, 2019
Authors: ZHANG YAO , LI WENLIANG , LI WEIHAI
Published: May 2024

A new species of the perlodid genus Neofilchneria Zwick, 1973, N. cheni sp. nov. from Hubei Province of central China, is described, illustrated, and compared with related congeners. Neofilchneria wanglanga Chen, 2019 is newly recorded from Yunnan Province. The hitherto unknown aedeagus of N. wanglanga is described for the first time.
Exploring the causes of the prevalence of vancomycin-resistant Enterococcus faecalis
Authors: Zhao Yi-Chang , Sun Zhi-Hua , Li Jia-Kai , Liu Huai-yuan , Cai Hua-Lin , Cao Wei , Yu Feng , Zhang Bi-Kui , Yan Miao
Published: May 2024

Background

Bacterial drug resistance represents a significant global concern, with vancomycin-resistant Enterococcus faecalis posing a particularly grave threat to contemporary healthcare systems. This study aims to reveal the reasons for the prevalence of VRE in China.

Methods

This study collected data from the China Antimicrobial Resistance Detection System, China Statistical Yearbook, and China Meteorological Network. The collected data are meticulously organized and subjected to both single-factor and multi-factor analyses. An accurate multiple linear regression model was developed by utilizing this comprehensive dataset.

Results

Single-factor analysis revealed significant regional variations in the resistance rate of vancomycin-resistant Enterococcus faecalis (P = 0.003). Specifically, there were noteworthy disparities observed between regions experiencing temperate and monsoon climates (P = 0.029; P = 0.005). Furthermore, multi-factor regression analysis demonstrated a negative correlation between the drug resistance rate and both rainfall and rGDP, while a positive correlation was observed with nPI.

Conclusion

We successfully established a prediction model for the VRE and found that the resistance rate was low in areas with high rainfall and high per capita economic income, but high in areas with many specialized public health institutions. This is critical for public health strategies and helps policymakers and healthcare practitioners tailor antibiotic resistance approaches to local geography, meteorology, economic conditions.
A novel chimeric vaccine containing multiple epitopes for simulating robust immune activation against Klebsiella pneumoniae
Authors: Hakimian Morteza , Doosti Abbas , Sharifzadeh Ali
Published: May 2024

Background

Due to antibiotic resistance, the Klebsiella genus is linked to morbidity and death, necessitating the development of a universally protective vaccine against Klebsiella pathogens.

Methods

Core sequence analysis prioritized non-redundant host molecules and expected lipid bilayer peptides from fully sequenced Klebsiella genomes. These proteins were refined to identify epitopes, examining their immunogenicity, toxicity, solubility, and interaction with MHC alleles. Epitopes were linked to CPG ODN C274 via EAAAK, HEYGAEALERAG, and GGGS linkers to enhance immunological responses. The vaccine’s tertiary structure was modelled and docked with MHC-I and MHC-II.

Results

Fifty-five proteins were recognized in the Vaxign collection as having remarkable features. Twenty-three proteins with potential pathogenicity were then identified. Eight options for vaccines emerged after the immunogenicity of proteins was examined. The best antigens were three proteins: MrkD, Iron-regulated lipid membrane polypeptides, and RmpA. These compounds were selected for their sensitivity. The structural protein sequences of K. pneumoniae were utilized to identify seven CTL epitopes, seven HTL epitopes, and seven LBL epitopes, respectively. The produced immunization displayed a stable contact with the receptors, based on molecular dynamic simulations lasting 250 nanoseconds. Intermolecular binding free energies also indicated the dominance of the van der Waals and electrostatic energies.

Conclusion

In summary, the results of this study might help scientists develop a novel vaccine to prevent K. pneumoniae infections.
miR-30a-5p attenuates hypoxia/reoxygenation-induced cardiomyocyte apoptosis by regulating PTEN protein expression and activating PI3K/Akt signaling pathway
Authors: Liang Guoxin , Guo Chang , Tang Hongyue , Zhang Mingming
Published: May 2024

Background

This study was designed to investigate the mechanism by which miR-30a-5p mediates cardiomyocyte apoptosis after acute myocardial infarction (AMI) induced by hypoxia/reoxygenation (H/R).

Methods

Differentially expressed miRNAs were analyzed by RNA high-throughput sequencing in acute myocardial infarction (ST-elevation myocardial infarction) patients versus healthy individuals (controls). The H/R model was used to assess the regulatory mechanism of miRNAs in AMI. Lentivirus-associated vectors were used to overexpress or knock down miR-30a-5p in cellular models. The pathological mechanisms of miR-30a-5p regulating the development of acute myocardial infarction were serially explored by qPCR, bioinformatics, target gene prediction, dual luciferase, enzyme-linked immunosorbent assays (ELISAs) and Western blotting.

Results

The results showed that the expression of miR-30a-5p was significantly increased in AMI patients and H9C2 cells. Hypoxia decreased cardiomyocyte survival over time, and reoxygenation further reduced cell survival. Bax and Phosphatase and tensin homolog (PTEN)were suppressed, while Bcl-2 was upregulated. Additionally, miR-30a-5p specifically targeted the PTEN gene. According to the GO and KEGG analyses, miR-30a-5p may participate in apoptosis by interacting with PTEN. The miR-30a-5p mimic decreased the expression of apoptosis-related proteins and the levels of the proinflammatory markers IL-1β, IL-6, and TNF-α by activating the PTEN/PI3K/Akt signaling pathway. Conversely, anti-miR-30a-5p treatment attenuated these effects. Additionally, silencing PTEN and anti-miR-30a-5p had opposite effects on H/R-induced cell apoptosis.

Conclusions

miR-30a-5p plays a crucial role in cardiomyocyte apoptosis after hypoxia-induced acute myocardial infarction. Our findings provide translational evidence that miR-30a-5p is a novel potential therapeutic target for AMI.
Investigation of left atrial mechanical function and left ventricular systolic and diastolic parameters in athletes performing resistance exercise and combined exercise
Authors: Kurtoğlu Ahmet , Akgümüş Alkame , Balun Ahmet , Aydın Engin , Kurtoğlu Ertuğrul , Çar Bekir , Konar Nurettin , Eken Özgür , Nobari Hadi
Published: May 2024

Some individuals who go to fitness centers for various purposes perform resistance exercise (RE) alone, while others engage in combined exercise (CE) by including cardio exercises along with RE. Studying the effects of these two different training methods on left ventricular (LV) systolic and diastolic parameters and left atrial mechanical function is an important step toward understanding the effects of different types of exercise on cardiac function. This knowledge has significant implications for public health, as it can inform the development of targeted and effective exercise programs that prioritize cardiovascular health and reduce the risk of adverse outcomes. Therefore, the primary aim of this study is to comprehensively investigate the LV systolic and diastolic parameters of athletes who engage in RE and CE using ECHO, to contribute to the growing body of literature on the cardiovascular effects of different types of exercise. Forty-two amateur athletes aged between 17 and 52 were included in our study. The participants consisted of the RE (n = 26) group who did only resistance exercise during the weekly exercise period, and the CE group (n = 16) who also did cardio exercise with resistance exercises. After determining sports age (year), weekly exercise frequency (day), and training volume (min) in addition to demographic information of RE and CE groups, left ventricular systolic and diastolic parameters and left atrial functions were determined by ECHO. Findings from our study revealed that parameters including the left ventricular end-diastolic diameter (LVEDD) (p = .008), left ventricular end-diastolic volume (LVEDV) (p = .020), stroke volume index (SV-I) (p = .048), conduit volume (CV-I) (p = .001), and aortic strain (AS) (p = .017) were notably higher in the RE group compared to the CE group. Also left atrial active emptying volüme (LAAEV) of CE was higher than the RE group (p = .031). In conclusion, the cardiac parameters of the RE group showed more athlete’s heart characteristics than the CE group. These results may help to optimize the cardiovascular benefits of exercise routines while minimizing the potential risks associated with improper training.
Through the eyes of grandparents: an in-depth exploration of the nexus between grandchild caring and the psychological well-being of older grandparents
Authors: Barman Papai , Sahoo Harihar
Published: May 2024

Background

Grandchild caring has positive as well as negative impact on the grandparents’ psychological well-being and the findings are varied by culture and country.

Methods

Present study was intended to understand the relationship between caring for grandchildren and psychological well-being of grandparents living in skipped (SGH) and multi-generational households (MGH) in Indian demographical context. The present research involved In-depth Interviews (IDI) focusing on grandparents above 60 and grandchildren below 18, where the elder played a crucial role in caregiving. The study area was Malda, a district of West Bengal in India. Purposively 24 IDIs were selected. Psychological well-being was measured using open-ended questions. Thematic and content analyses were adopted to understand the perspective of grandparents.

Results

Most of the grandparents from SGH reported depression word frequently, while grandparents from MGH reported happy. In the content analysis, grandparents from SGH expressed tension, mental turmoil, and worry about grandchild’s future. On the contrary, grandparents from MGH expressed happy, companionship, and worry about grandchild’s future. Further, full time caring, compulsive reason behind grandchild caring, and working status were linked with living in SGH and grandchild caring, which were in turn connected with deteriorate psychological health. However, in MGH, a different scenario was observed, most grandparents were partially and non-compulsively engaged in grandchild caring and had expressed positive mental health.

Conclusions

The Findings provide an intervention implication, particularly in the context of India’s ageing population and their well-being by acknowledging the influence of household structure, caring intensity, motive behind grandchild caring, and working status on their psychological health. Understanding the importance of these key factors may help the policy maker and the individual to incorporate the most effective intervention to achieve sustainable development goal 3 and healthy ageing.
The quality of life of men experiencing infertility: a systematic review
Authors: Kiani Zahra , Simbar Masoumeh , Rashidi Farzaneh , Zayeri Farid , Banaderakhsh Homayoon
Published: May 2024

Background

Men experiencing infertility encounter numerous problems at the individual, family, and social levels as well as quality of life (QOL). This study was designed to investigate the QOL of men experiencing infertility through a systematic review.

Materials and methods

This systematic review was conducted without any time limitation (Retrieval date: July 1, 2023) in international databases such as Scopus, Web of Science, PubMed, and Google Scholar. The search was performed by two reviewers separately using keywords such as QOL, infertility, and men. Studies were selected based on inclusion and exclusion criteria. The quality of the articles were evaluated based on the Newcastle-Ottawa Scale. In the initial search, 308 studies were reviewed, and after removing duplicates and checking the title and abstract, the full text of 87 studies were evaluated.

Results

Finally, 24 studies were included in the final review based on the research objectives. Based on the results, men’s QOL scores in different studies varied from 55.15 ± 13.52 to 91.45 ± 13.66%. Of the total reviewed articles, the lowest and highest scores were related to mental health problems and physical dimensions, respectively.

Conclusion

The reported findings vary across various studies conducted in different countries. Analysis of the factors affecting these differences is necessary, and it is recommended to design a standard tool for assessing the quality of life of infertile men. Given the importance of the QOL in men experiencing infertility, it is crucial to consider it in the health system. Moreover, a plan should be designed, implemented and evaluated according to each country’s contex to improve the quality of life of infertile men.
The learning curve in endoscopic transsphenoidal skull-base surgery: a systematic review
Authors: Alomari Abdulraheem , Alsarraj Mazin , Alqarni Sarah
Published: May 2024

Background

The endoscopic endonasal transsphenoidal approach (EETA) has revolutionized skull-base surgery; however, it is associated with a steep learning curve (LC), necessitating additional attention from surgeons to ensure patient safety and surgical efficacy. The current literature is constrained by the small sample sizes of studies and their observational nature. This systematic review aims to evaluate the literature and identify strengths and weaknesses related to the assessment of EETA-LC.

Methods

A systematic review was conducted following the PRISMA guidelines. PubMed and Google Scholar were searched for clinical studies on EETA-LC using detailed search strategies, including pertinent keywords and Medical Subject Headings. The selection criteria included studies comparing the outcomes of skull-base surgeries involving pure EETA in the early and late stages of surgeons’ experience, studies that assessed the learning curve of at least one surgical parameter, and articles published in English.

Results

The systematic review identified 34 studies encompassing 5,648 patients published between 2002 and 2022, focusing on the EETA learning curve. Most studies were retrospective cohort designs (88%). Various patient assortment methods were noted, including group-based and case-based analyses. Statistical analyses included descriptive and comparative methods, along with regression analyses and curve modeling techniques. Pituitary adenoma (PA) being the most studied pathology (82%). Among the evaluated variables, improvements in outcomes across variables like EC, OT, postoperative CSF leak, and GTR. Overcoming the initial EETA learning curve was associated with sustained outcome improvements, with a median estimated case requirement of 32, ranging from 9 to 120 cases. These findings underscore the complexity of EETA-LC assessment and the importance of sustained outcome improvement as a marker of proficiency.

Conclusions

The review highlights the complexity of assessing the learning curve in EETA and underscores the need for standardized reporting and prospective studies to enhance the reliability of findings and guide clinical practice effectively.
Relationship between classic indicators of health behaviour and contraceptive choices in women in Flanders
Authors: Van Eekert Nina , Biegel Naomi , De Kort Leen , Verhoeven Veronique , Gehrmann Thies , Masquillier Caroline , Ahannach Sarah , Lebeer Sarah
Published: May 2024

Background

In this study we shed light on ongoing trends in contraceptive use in Flanders (Belgium). Building on the fundamental cause theory and social diffusion of innovation theory, we examine socio-economic gradients in contraceptive use and the relationship to health behaviours.

Methods

Using the unique and recently collected (2020) ISALA data, we used multinomial logistic regression to model the uptake of contraceptives and its association to educational level and health behaviour (N:4316 women).

Results

Higher educated women, and women with a healthy lifestyle especially, tend to use non-hormonal contraceptives or perceived lower-dosage hormonal contraceptives that are still trustworthy from a medical point of view. Moreover, we identified a potentially vulnerable group in terms of health as our results indicate that women who do not engage in preventive health behaviours are more likely to use no, or no modern, contraceptive method.

Discussion

The fact that higher educated women and women with a healthy lifestyle are less likely to use hormonal contraceptive methods is in line with patient empowerment, as women no longer necessarily follow recommendations by healthcare professionals, and there is a growing demand for naturalness in Western societies.

Conclusion

The results of this study can therefore be used to inform policy makers and reproductive healthcare professionals, since up-to-date understanding of women’s contraceptive choices is clearly needed in order to develop effective strategies to prevent sexually transmitted infections and unplanned pregnancies, and in which women can take control over their sexuality and fertility in a comfortable and pleasurable way.
Feasibility and impact of three-dimensional (3D) printing technology in simulated teaching of congenital malformations
Authors: Gao Qi , Wang Qi , Li Mingming , lu Chaoxiang
Published: May 2024

Aims

This study aimed to investigate the feasibility and effectiveness of utilizing three-dimensional (3D) printing technology in the simulation teaching of congenital malformations.

Methods

We conducted a comparative analysis between an experimental group that received traditional teaching supplemented with 3D printing model demonstrations and hands-on model operation, and a control group that received traditional teaching methods. Various parameters, including classroom interest, classroom interaction, learning enthusiasm, disease awareness, teaching satisfaction, and independent operation confidence, were assessed, along with theoretical and practical tests.

Results

The results showed no significant difference in theoretical test scores between the two groups (91.92 ± 15.04 vs. 89.44 ± 14.89), but the practical test revealed a significantly higher number of qualified trainees in the experimental group compared to the control group (23 vs. 8). In terms of classroom engagement, both groups exhibited similar levels of interest (8.08 ± 1.52 vs. 8.74 ± 0.984), classroom interaction (7.88 ± 1.97 vs. 8.7 ± 1.33), learning enthusiasm (8.81 ± 1.021 vs. 8.52 ± 1.189), and disease awareness (8.58 ± 0.99 vs. 8.58 ± 0.99). However, the experimental group demonstrated significantly higher teaching satisfaction (8.81 ± 1.06 vs. 9.19 ± 0.96) and greater operation confidence (7.67 ± 2.56 vs. 5.5 ± 2.79) than the control group.

Conclusion

3D printing technology can be effectively utilized to create surgical teaching models, enhancing the confidence of standardized training doctors and improving teaching outcomes.
A qualitative interview study to determine barriers and facilitators of implementing automated decision support tools for genomic data access
Authors: Rahimzadeh Vasiliki , Baek Jinyoung , Lawson Jonathan , Dove Edward S.
Published: May 2024

Data access committees (DAC) gatekeep access to secured genomic and related health datasets yet are challenged to keep pace with the rising volume and complexity of data generation. Automated decision support (ADS) systems have been shown to support consistency, compliance, and coordination of data access review decisions. However, we lack understanding of how DAC members perceive the value add of ADS, if any, on the quality and effectiveness of their reviews. In this qualitative study, we report findings from 13 semi-structured interviews with DAC members from around the world to identify relevant barriers and facilitators to implementing ADS for genomic data access management. Participants generally supported pilot studies that test ADS performance, for example in cataloging data types, verifying user credentials and tagging datasets for use terms. Concerns related to over-automation, lack of human oversight, low prioritization, and misalignment with institutional missions tempered enthusiasm for ADS among the DAC members we engaged. Tensions for change in institutional settings within which DACs operated was a powerful motivator for why DAC members considered the implementation of ADS into their access workflows, as well as perceptions of the relative advantage of ADS over the status quo. Future research is needed to build the evidence base around the comparative effectiveness and decisional outcomes of institutions that do/not use ADS into their workflows.
Mechanically strained osteocyte-derived exosomes contained miR-3110-5p and miR-3058-3p and promoted osteoblastic differentiation
Authors: Zhu Yingwen , Li Yanan , Cao Zhen , Xue Jindong , Wang Xiaoyan , Hu Tingting , Han Biao , Guo Yong
Published: May 2024

Background

Osteocytes are critical mechanosensory cells in bone, and mechanically stimulated osteocytes produce exosomes that can induce osteogenesis. MicroRNAs (miRNAs) are important constituents of exosomes, and some miRNAs in osteocytes regulate osteogenic differentiation; previous studies have indicated that some differentially expressed miRNAs in mechanically strained osteocytes likely influence osteoblastic differentiation. Therefore, screening and selection of miRNAs that regulate osteogenic differentiation in exosomes of mechanically stimulated osteocytes are important.

Results

A mechanical tensile strain of 2500 με at 0.5 Hz 1 h per day for 3 days, elevated prostaglandin E2 (PGE2) and insulin-like growth factor-1 (IGF-1) levels and nitric oxide synthase (NOS) activity of MLO-Y4 osteocytes, and promoted osteogenic differentiation of MC3T3-E1 osteoblasts. Fourteen miRNAs differentially expressed only in MLO-Y4 osteocytes which were stimulated with mechanical tensile strain, were screened, and the miRNAs related to osteogenesis were identified. Four differentially expressed miRNAs (miR-1930-3p, miR-3110-5p, miR-3090-3p, and miR-3058-3p) were found only in mechanically strained osteocytes, and the four miRNAs, eight targeted mRNAs which were differentially expressed only in mechanically strained osteoblasts, were also identified. In addition, the mechanically strained osteocyte-derived exosomes promoted the osteoblastic differentiation of MC3T3-E1 cells in vitro, the exosomes were internalized by osteoblasts, and the up-regulated miR-3110-5p and miR-3058-3p in mechanically strained osteocytes, were both increased in the exosomes, which was verified via reverse transcription quantitative polymerase chain reaction (RT-qPCR).

Conclusions

In osteocytes, a mechanical tensile strain of 2500 με at 0.5 Hz induced the fourteen differentially expressed miRNAs which probably were in exosomes of osteocytes and involved in osteogenesis. The mechanically strained osteocyte-derived exosomes which contained increased miR-3110-5p and miR-3058-3p (two of the 14 miRNAs), promoted osteoblastic differentiation.
A multi-task learning model using RR intervals and respiratory effort to assess sleep disordered breathing
Authors: Xie Jiali , Fonseca Pedro , van Dijk Johannes , Overeem Sebastiaan , Long Xi
Published: May 2024

Background

Sleep-disordered breathing (SDB) affects a significant portion of the population. As such, there is a need for accessible and affordable assessment methods for diagnosis but also case-finding and long-term follow-up. Research has focused on exploiting cardiac and respiratory signals to extract proxy measures for sleep combined with SDB event detection. We introduce a novel multi-task model combining cardiac activity and respiratory effort to perform sleep–wake classification and SDB event detection in order to automatically estimate the apnea–hypopnea index (AHI) as severity indicator.

Methods

The proposed multi-task model utilized both convolutional and recurrent neural networks and was formed by a shared part for common feature extraction, a task-specific part for sleep–wake classification, and a task-specific part for SDB event detection. The model was trained with RR intervals derived from electrocardiogram and respiratory effort signals. To assess performance, overnight polysomnography (PSG) recordings from 198 patients with varying degree of SDB were included, with manually annotated sleep stages and SDB events.

Results

We achieved a Cohen’s kappa of 0.70 in the sleep–wake classification task, corresponding to a Spearman’s correlation coefficient (R) of 0.830 between the estimated total sleep time (TST) and the TST obtained from PSG-based sleep scoring. Combining the sleep–wake classification and SDB detection results of the multi-task model, we obtained an R of 0.891 between the estimated and the reference AHI. For severity classification of SBD groups based on AHI, a Cohen’s kappa of 0.58 was achieved. The multi-task model performed better than a single-task model proposed in a previous study for AHI estimation, in particular for patients with a lower sleep efficiency (R of 0.861 with the multi-task model and R of 0.746 with single-task model with subjects having sleep efficiency < 60%).

Conclusion

Assisted with automatic sleep–wake classification, our multi-task model demonstrated proficiency in estimating AHI and assessing SDB severity based on AHI in a fully automatic manner using RR intervals and respiratory effort. This shows the potential for improving SDB screening with unobtrusive sensors also for subjects with low sleep efficiency without adding additional sensors for sleep–wake detection.
Irradiated microparticles suppress prostate cancer by tumor microenvironment reprogramming and ferroptosis
Authors: Deng Zihan , Li Binghui , Yang Muyang , Lu Lisen , Shi Xiujuan , Lovell Jonathan F. , Zeng Xiantao , Hu Weidong , Jin Honglin
Published: May 2024

Immunogenic cell death (ICD) plays a crucial role in triggering the antitumor immune response in the tumor microenvironment (TME). Recently, considerable attention has been dedicated to ferroptosis, a type of ICD that is induced by intracellular iron and has been demonstrated to change the immune desert status of the TME. However, among cancers that are characterized by an immune desert, such as prostate cancer, strategies for inducing high levels of ferroptosis remain limited. Radiated tumor cell-derived microparticles (RMPs) are radiotherapy mimetics that have been shown to activate the cGAS-STING pathway, induce tumor cell ferroptosis, and inhibit M2 macrophage polarization. RMPs can also act as carriers of agents with biocompatibility. In the present study, we designed a therapeutic system wherein the ferroptosis inducer RSL-3 was loaded into RMPs, which were tested in in vitro and in vivo prostate carcinoma models established using RM-1 cells. The apoptosis inducer CT20 peptide (CT20p) was also added to the RMPs to aggravate ferroptosis. Our results showed that RSL-3- and CT20p-loaded RMPs (RC@RMPs) led to ferroptosis and apoptosis of RM-1 cells. Moreover, CT20p had a synergistic effect on ferroptosis by promoting reactive oxygen species (ROS) production, lipid hydroperoxide production, and mitochondrial instability. RC@RMPs elevated dendritic cell (DC) expression of MHCII, CD80, and CD86 and facilitated M1 macrophage polarization. In a subcutaneously transplanted RM-1 tumor model in mice, RC@RMPs inhibited tumor growth and prolonged survival time via DC activation, macrophage reprogramming, enhancement of CD8+ T cell infiltration, and proinflammatory cytokine production in the tumor. Moreover, combination treatment with anti-PD-1 improved RM-1 tumor inhibition. This study provides a strategy for the synergistic enhancement of ferroptosis for prostate cancer immunotherapies.

Graphical Abstract
A cost-benefit analysis of mass prostate cancer screening
Authors: Farabi Hiro , Moradi Najmeh , Ahmadzadeh Aziz , Aghamir Seyed Mohammad Kazem , Mohammadi Abdolreza , Rezapour Aziz
Published: May 2024

Background

Prostate cancer (PCa) causes a substantial health and financial burden worldwide, underscoring the need for efficient mass screening approaches. This study attempts to evaluate the Net Cost-Benefit Index (NCBI) of PCa screening in Iran to offer insights for informed decision-making and resource allocation.

Method

The Net Cost-Benefit Index (NCBI) was calculated for four age groups (40 years and above) using a decision-analysis model. Two screening strategies, prostate-specific antigen (PSA) solely and PSA with Digital Rectal Examination (DRE), were evaluated from the health system perspective. A retrospective assessment of 1402 prostate cancer (PCa) patients’ profiles were conducted, and direct medical and non-medical costs were calculated based on the 2021 official tariff rates, patient records, and interviews. The monetary value of mass screening was determined through Willingness to Pay (WTP) assessments, which served as a measure for the benefit aspect.

Result

The combined PSA and DRE strategy of screening is cost-effective, yields up to $3 saving in costs per case and emerges as the dominant strategy over PSA alone. Screening for men aged 70 and above does not meet economic justification, indicated by a negative Net Cost-Benefit Index (NCBI). The 40–49 age group exhibits the highest net benefit, $13.81 based on basic information and $13.54 based on comprehensive information. Sensitivity analysis strongly supports the cost-effectiveness of the combined screening approach.

Conclusion

This study advocates prostate cancer screening with PSA and DRE, is economically justified for men aged 40–69. The results of the study recommend that policymakers prioritize resource allocation for PCa screening programs based on age and budget constraints. Men’s willingness to pay, especially for the 40–49 age group which had the highest net benefit, leverages their financial participation in screening services. Additionally, screening services for other age groups, such as 50–54 or 55–59, can be provided either for free or at a reduced cost.
Exoskeleton-based exercises for overground gait and balance rehabilitation in spinal cord injury: a systematic review of dose and dosage parameters
Authors: Nepomuceno Patrik , Souza Wagner H. , Pakosh Maureen , Musselman Kristin E. , Craven B. Catharine
Published: May 2024

Background

Exoskeletons are increasingly applied during overground gait and balance rehabilitation following neurological impairment, although optimal parameters for specific indications are yet to be established.

Objective

This systematic review aimed to identify dose and dosage of exoskeleton-based therapy protocols for overground locomotor training in spinal cord injury/disease.

Methods

A systematic review was conducted in accordance with the Preferred Reporting Items Systematic Reviews and Meta-Analyses guidelines. A literature search was performed using the CINAHL Complete, Embase, Emcare Nursing, Medline ALL, and Web of Science databases. Studies in adults with subacute and/or chronic spinal cord injury/disease were included if they reported (1) dose (e.g., single session duration and total number of sessions) and dosage (e.g., frequency of sessions/week and total duration of intervention) parameters, and (2) at least one gait and/or balance outcome measure.

Results

Of 2,108 studies identified, after removing duplicates and filtering for inclusion, 19 were selected and dose, dosage and efficacy were abstracted. Data revealed a great heterogeneity in dose, dosage, and indications, with overall recommendation of 60-min sessions delivered 3 times a week, for 9 weeks in 27 sessions. Specific protocols were also identified for functional restoration (60-min, 3 times a week, for 8 weeks/24 sessions) and cardiorespiratory rehabilitation (60-min, 3 times a week, for 12 weeks/36 sessions).

Conclusion

This review provides evidence-based best practice recommendations for overground exoskeleton training among individuals with spinal cord injury/disease based on individual therapeutic goals – functional restoration or cardiorespiratory rehabilitation. There is a need for structured exoskeleton clinical translation studies based on standardized methods and common therapeutic outcomes.
Demonstrating the effectiveness of intra-articular prolotherapy combined with peri-articular perineural injection in knee osteoarthritis: a randomized controlled trial
Authors: Fu Yiling , Du Yukun , Li Jianyi , Xi Yongming , Ji Wenbin , Li Tieshan
Published: May 2024

Background

This study aimed to compare the efficacy of intra-articular prolotherapy (IG) combined with peri-articular perineural injection (PG) in the management of knee osteoarthritis (KOA).

Methods

A total of 60 patients with the diagnosis of KOA were included in this double-blinded randomized controlled clinical trials. The inclusion criteria were as follow: (1) 48–80 years old; (2) the diagnose of KOA; (3) the grade 2 and 3 of the Kellgern–Lawrence grading scale; (4) the pain, crepitation, and knee joint stiffness continuing for 3 months at least. The main exclusion criteria were as follow: (1) any infection involving the knee skin; (2) history of any Influencing factors of disease. All patients were divided into three groups and received either IG, PG and I + PG under the ultrasound guidance and the 2, 4 and 8 weeks follow-up data of patients were available. (IG n = 20 or PG n = 20, I + PG n = 20). Visual Analogue Scale (VAS), The Western Ontario McMaster University Osteoarthritis Index (WOMAC) and the pressure pain threshold (PPT) were used as outcome measures at baseline, 2, 4 and 8 weeks.

Results

There were no statistically significant differences in terms of age, sex, BMI, duration of current condition and baseline assessments of pain intensity, WOMAC scores and PPT. After treatment, the improvement of VAS activity, WOMAC and PPT values was showed compared with pre-treatment in all groups (p < 0.05). At 4 and 8 weeks after treatment, the VAS and WOMAC scores of the I + PG were significantly lower than those of the PG or IG, and the difference was statistically significant (p < 0.05). The PPT values of PG and I + PG were significantly improved compared to IG at 2, 4, and 8 weeks after treatment.

Conclusion

The ultrasound guided I + PG of 5% glucose seem to be more effective to alleviate pain and improve knee joint function than single therapy in short term. Clinical rehabilitators could clinically try this combination of I + PG to improve clinical symptoms in patients with KOA.
Primary omental smooth muscle tumor in an adult male: a diagnostic dilemma for leiomyoma: a case report
Authors: Ono Yukari , Okubo Yoichiro , Washimi Kota , Mikayama Yo , Doiuch Tsunehiro , Hasegawa Chie , Yoshioka Emi , Ono Kyoko , Shiozawa Manabu , Yokose Tomoyuki
Published: May 2024

Background

The greater omentum comprises peritoneal, adipose, vascular, and lymphoid tissues. Most omental malignancies are metastatic tumors, and the incidence of primary tumors is rare. We report on a prior omental smooth muscle tumor case in an adult male patient.

Case presentation

A 54-year-old Japanese male patient with no relevant medical history was diagnosed with an abdominal mass during a routine medical checkup. Subsequent contrast-enhanced computed tomography revealed a mass of approximately 3 cm in size in the greater omentum, and a laparotomy was performed. A 27 × 25 × 20 mm raised lesion was found in the omentum. Microscopically, spindle cells were observed and arranged in whorls and fascicles. Individual tumor cells had short spindle-shaped nuclei with slightly increased chromatin and were characterized by a slightly eosinophilic, spindle-shaped cytoplasm. The mitotic count was less than 1 per 50 high-power fields. The tumor cells showed positive immunoreactivity for α smooth muscle actin, HHF35, and desmin on immunohistochemical examination. The Ki-67 labeling index using the average method was 1.76% (261/14806). No immunoreactivity was observed for any of the other tested markers. We considered leiomyoma owing to a lack of malignant findings. However, primary omental leiomyoma has rarely been reported, and it can be difficult to completely rule out the malignant potential of smooth muscle tumors in soft tissues. Our patient was decisively diagnosed with a primary omental smooth muscle tumor considering leiomyoma. Consequently, the patient did not undergo additional adjuvant therapy and was followed up. The patient was satisfied with treatment and showed neither recurrence nor metastasis at the 13-month postoperative follow-up.

Discussion and conclusion

We encountered a primary smooth muscle tumor of the greater omentum with no histological findings suggestive of malignancy in an adult male patient. However, omental smooth muscle tumors are extremely difficult to define as benign, requiring careful diagnosis. Further case reports with long-term follow-up and case series are required to determine whether a true omental benign smooth muscle tumor (leiomyoma) exists. In addition, proper interpretation of the Ki-67 labeling index should be established. This case study is a foundation for future research.
Takotsubo cardiomyopathy following pacemaker insertion complicated with polymorphic ventricular tachycardia: a case report
Authors: Dev Damanpreet , El-Din Mohammed , Vijayakumar Siddharth , Mitrakrishnan Rayno Navinan
Published: May 2024

Background

Takotsubo cardiomyopathy is a novel form of rapidly reversible heart failure occurring secondary to a stressor that mimics an acute coronary event. The underlying etiology of the stressor is highly variable and can include medical procedures. Pacemaker insertion is an infrequent cause of Takotsubo cardiomyopathy.

Case presentation

An 86-year-old Caucasian woman underwent an uncomplicated pacemaker insertion for symptomatic complete heart block in the background of slow atrial fibrillation. A transient episode of polymorphic ventricular tachycardia was noted on day 1 following the procedure; however, her pacemaker was checked and, as she remained stable, she was discharged home. She presented again 5 days later with symptomatic heart failure. Chest X-ray confirmed pulmonary edema. Echocardiography confirmed new onset severe left ventricle dysfunction. Pacemaker checks were normal and lead placement was confirmed. Though her troponin I was elevated, her coronary angiogram was normal. Contrast enhanced echocardiography suggested apical ballooning favoring Takotsubo cardiomyopathy. She was treated for heart failure and made a good recovery. Her follow-up echocardiography a month later showed significant improvement in left ventricle function.

Conclusions

Takotsubo cardiomyopathy is mediated by a neuro-cardiogenic mechanism due to hypothalamic–pituitary–adrenal axis activation. It generally has a good prognosis. Complications though uncommon, can occur and include arrhythmias. Pacemaker insertion as a precipitant stressor is an infrequent cause of Takotsubo cardiomyopathy. As pacemaker insertions are more frequent in the elderly age group, this phenomenon should be recognized as a potential complication.
Numerical Simulation Study on the Seismic Performance of Prefabricated Fiber-Reinforced Concrete Beam–Column Joints With Grouted Sleeve Connections
Authors: Zhuang Mei-Ling , Cheng Jinsheng , Fei Dongsong , Sun Chuanzhi , Wang Zhenbo , Chen Baodong , Qiao Yan
Published: May 2024

Based on the available experimental data, fiber models for four prefabricated fiber-reinforced concrete beam–column joint specimens with grouted sleeve connections are first developed in OpenSees software. Then, the simulated seismic performance of the specimens is compared with the experimental results. Finally, the effects of axial load ratio and shear-to-span ratio on the seismic performance of the specimens are further investigated numerically. The results indicate that Concrete02 material model and Reinforcing Steel material model can accurately simulate the constitutive relationship of concrete and reinforcing steel, respectively; the beam–column joint elements can accurately simulate different damage behaviors of the joint zone. Fiber-reinforced concrete can significantly improve the seismic performance of the specimens. The relative errors of the simulated seismic performance indexes are about 15%. It is recommended that the optimum value of shear-to-span ratio for prefabricated FRC BCJs is 2.0–2.5. The effect of axial load ratio on the seismic behavior of PBCJs-CM is very small, and can be negligible in the case that the prefabricated FRC BCJs has a moderate value of shear-to-span ratio. The fiber model developed in this article can provide a numerical simulation basis for subsequent studies of prefabricated fiber-reinforced concrete beam–column joint specimens with grouted sleeve connections.