bluuebunny/crossref_metadata_2025 huggingface dataset:
Fully automated high-throughput immuno-µPlaque assay for live-attenuated tetravalent dengue vaccine development
Authors: Wang Yi , Troutman Matthew C. , Hofmann Carl , Gonzalez Ariel , Song Liping , Levin Robert , Pixley Heidi Yoder , Kearns Kristine , DePhillips Pete , Loughney John W.
Published: February 2024

Dengue fever has remained a continuing global medical threat that impacts half of the world’s population. Developing a highly effective dengue vaccine, with live-attenuated tetravalent vaccines as leading candidates, remains essential in preventing this disease. For the development of live virus vaccines (LVVs), potency measurements play a vital role in quantifying the active components of vaccine drug substance as well as drug product during various stages of research, development, and post-licensure evaluations. Traditional plaque-based assays are one of the most common potency test methods, but they generally take up to weeks to complete. Less labor and time-intensive potency assays are thus called for to aid in the acceleration of vaccine development, especially for multivalent LVVs. Here, we introduce a fully automated, 96-well format µPlaque assay that has been optimized as a high-throughput tool to evaluate process and formulation development of a live-attenuated tetravalent dengue vaccine. To the best of our knowledge, this is the first report of a miniaturized viral plaque method for dengue with full automation via an integrated robotic system. Compared to the traditional manual plaque assay, this newly developed method substantially reduces testing time by approximately half and allows for the evaluation of over ten times more samples per run. The fully automated workflow, from cell culture to plaque counting, significantly minimizes analyst hands-on time and improves assay repeatability. The study presents a pioneering solution for the rapid measurement of LVV viral titers, offering promising prospects for advancing vaccine development through high-throughput analytics.
Smart win–win waste management: superhydrophobic filter using valorized cellulose acetate from discarded cigarette butts for cleaning up marine oil spill at Hurghada Red Sea shore in Egypt
Authors: Nabwey Hossam A. , Abdelkreem Maha , Tony Maha A. , Al Hoseny Noha F.
Published: February 2024

The essential target of academics and the industrial sector is the innovation of an industrial ecology approach. Worldwide, cigarette butts (CBs) comprise the most predominant form of litter that spreads into the ecosystem and inland. In the meantime, oil is spilled into marine life from various activities and transportation. The result is a complex oil–water composition in a high concentration that causes severe hazards to the environment and to aquatic life. In this regard, the current investigation focuses on obtaining hydrophobic cellulose acetate from CBs for use as a filter media. The filter is applied in marine oil spill separation as a win–win industrial ecology technique. Initially, the separated CB residuals were prepared by successive washing. Subsequently, the obtained cellulose acetate fibers were characterized by Fourier transform infrared spectroscopy (FTIR) and scanning electron microscopy (SEM). Furthermore, the new CB-based filters were used in the separation/adsorption of marine oil wastewater spill. Subsequently, a group of experiments were conducted. The results showed that the cleanup efficiency could be up to 99% in terms of chemical oxygen demand (COD). Moreover, the products were recovered by washing with hot water for further use, which showed high removal activity that reached 95% after successive uses. In comparison to commercial oil sorption materials, the results were promising as the RP-C18 cartridge revealed a maximum oil removal of 90%. Such preliminary data on a cellulose acetate filter scheme are a good indicator in the development of an oil spill facility, being a suitable candidate for controlling oil wastewater effluent streams.
Quantifying blue carbon stocks in interconnected seagrass, coral reef, and sandy coastline ecosystems in the Western Gulf of Thailand
Authors: Yeemin Thamasak , Sutthacheep Makamas , Pengsakun Sittiporn , Klinthong Wanlaya , Chamchoy Charernmee , Suebpala Wichin
Published: February 2024

Coastal and marine ecosystems play a major role in the global carbon cycle. Connected marine and coastal ecosystems are commonly observed in the Western Gulf of Thailand. Little is known about the blue carbon potential of these interconnected ecosystems and seascapes. This study aims to quantify blue carbon stocks in the interconnected seagrass-coral reef-sandy coastal ecosystems at Samui Island, the Western Gulf of Thailand. At each study site, the samples of seagrasses, algae, and sediments, were collected from the different zones along a transect of interconnected sandy beach-seagrass bed-coral reef habitats, and the organic carbon contents were quantified using elemental analysis and loss on ignition (LOI). Our findings indicate that the habitats may provide a potential blue carbon opportunity. With a total area of 178.04 hectares (ha), consisting of sand (47.70 ha), seagrass beds (122.44 ha), macroalgal beds (2.40 ha), and live corals (5.50 ha), the estimated carbon storage was as much as 9,222.75 MgC; 74.03% of which was stored in sediment, while the rest was as biomass (25.97%). About 96 percent of the total carbon storage was found in seagrass beds (122.44 ha) with a total amount of carbon storage of 8,876.99 MgC, consisting of 8,781.01 MgC and 95.98 MgC of shallow- and deep-seagrass beds, respectively. The carbon stocks in seagrass, algal biomass, and sediment ranged from 1.58 - 19.10 MgC.ha-1, 2.51 -10.45 MgC.ha-1, and 0.93 - 58.46 MgC.ha-1, respectively. Comparing the carbon storage at each study site, Ko Tan showed the highest value of carbon storage, accounting for 4,232.21 MgC, followed by Ao Phangka (2,901.83 MgC), Ao Thong Tanod (1,459.57 MgC) and Ko Mudsum (629.14 MgC). The quantities of carbon stocks varied considerably among microhabitats and the connectivity of these coastal and marine ecosystems may support the carbon stocks potential of the interconnected ecosystems. Ultimately, the findings from this study provide baseline data that supports Thailand’s nationally determined contribution and highlight the importance of interconnected coastal ecosystems in carbon sequestration and storage that should not be overlooked.
No deleterious circumference effects for T90 codends in an Australian fish trawl targeting tiger flathead, Platycephalus richardsoni
Authors: Broadhurst Matt K. , Millar Russell B.
Published: February 2024

In an attempt to improve the selectivity of Australian fish trawls targeting tiger flathead, Platycephalus richardsoni (≥28 cm total length), the utility of four-seam codends with shortened lastridge ropes and comprising 71-mm meshes turned 90° (T90) hung at the narrowest and widest coherent circumferences was compared against a traditional 91-mm diamond-mesh (T0) codend. Significant effects of codend configuration were limited to an increase in the catches of another commercially important species, latchet, Pterygotrigla polyommata, by both T90 codends, and greater escape of some small tiger flathead from the wide 71-mm T90 codend than from the 91-mm T0 codend. Notwithstanding a need to investigate slightly larger T90 mesh sizes for the fishery, the data imply that unlike most codend configurations, circumference does not negatively affect selection in the stated designs and might not require future regulation.
In vivo low-dose phase-contrast CT for quantification of functional and anatomical alterations in lungs of an experimental allergic airway disease mouse model
Authors: Dullin Christian , Albers Jonas , Tagat Aishwarya , Lorenzon Andrea , D'Amico Lorenzo , Chiriotti Sabina , Sodini Nicola , Dreossi Diego , Alves Frauke , Bergamaschi Anna , Tromba Giuliana
Published: February 2024

Introduction

Synchrotron-based propagation-based imaging (PBI) is ideally suited for lung imaging and has successfully been applied in a variety of in vivo small animal studies. Virtually all these experiments were tailored to achieve extremely high spatial resolution close to the alveolar level while delivering high x-ray doses that would not permit longitudinal studies. However, the main rationale for performing lung imaging studies in vivo in small animal models is the ability to follow disease progression or monitor treatment response in the same animal over time. Thus, an in vivo imaging strategy should ideally allow performing longitudinal studies.

Methods

Here, we demonstrate our findings of using PBI-based planar and CT imaging with two different detectors—MÖNCH 0.3 direct conversion detector and a complementary metal-oxide-semiconductor (CMOS) detector (Photonics Science)—in an Ovalbumin induced experimental allergic airway disease mouse model in comparison with healthy controls. The mice were imaged free breathing under isoflurane anesthesia.

Results

At x-ray dose levels below those once used by commercial small animal CT devices at similar spatial resolutions, we were able to resolve structural changes at a pixel size down to 25 μm and demonstrate the reduction in elastic recoil in the asthmatic mice in cinematic planar x-ray imaging with a frame rate of up to 100 fps.

Discussion

Thus, we believe that our approach will permit longitudinal small animal lung disease studies, closely following the mice over longer time spans.
Fecal microbiota transplantation unveils sex-specific differences in a controlled cortical impact injury mouse model
Authors: Pasam Tulasi , Dandekar Manoj P.
Published: February 2024

Introduction

Contusion type of traumatic brain injury (TBI) is a major cause of locomotor disability and mortality worldwide. While post-TBI deleterious consequences are influenced by gender and gut dysbiosis, the sex-specific importance of commensal gut microbiota is underexplored after TBI. In this study, we investigated the impact of controlled cortical impact (CCI) injury on gut microbiota signature in a sex-specific manner in mice.

Methods

We depleted the gut microflora of male and female C57BL/6 mice using antibiotic treatment. Thereafter, male mice were colonized by the gut microbiota of female mice and vice versa, employing the fecal microbiota transplantation (FMT) method. CCI surgery was executed using a stereotaxic impactor (Impact One™). For the 16S rRNA gene amplicon study, fecal boli of mice were collected at 3 days post-CCI (dpi).

Results and discussion

CCI-operated male and female mice exhibited a significant alteration in the genera of Akkermansia, Alistipes, Bacteroides, Clostridium, Lactobacillus, Prevotella, and Ruminococcus. At the species level, less abundance of Lactobacillus helveticus and Lactobacillus hamsteri was observed in female mice, implicating the importance of sex-specific bacteriotherapy in CCI-induced neurological deficits. FMT from female donor mice to male mice displayed an increase in genera of Alistipes, Lactobacillus, and Ruminococcus and species of Bacteroides acidifaciens and Ruminococcus gnavus. Female FMT-recipient mice from male donors showed an upsurge in the genus Lactobacillus and species of Lactobacillus helveticus, Lactobacillus hamsteri, and Prevotella copri. These results suggest that the post-CCI neurological complications may be influenced by the differential gut microbiota perturbation in male and female mice.
Three new species of arbuscular mycorrhizal fungi (Glomeromycota) and Acaulospora gedanensis revised
Authors: Niezgoda Piotr , Błaszkowski Janusz , Błaszkowski Tomasz , Stanisławczyk Anna , Zubek Szymon , Milczarski Paweł , Malinowski Ryszard , Meller Edward , Malicka Monika , Goto Bruno Tomio , Uszok Sylwia , Casieri Leonardo , Magurno Franco
Published: February 2024

Studies of the morphology and the 45S nuc rDNA phylogeny of three potentially undescribed arbuscular mycorrhizal fungi (phylum Glomeromycota) grown in cultures showed that one of these fungi is a new species of the genus Diversispora in the family Diversisporaceae; the other two fungi are new Scutellospora species in Scutellosporaceae. Diversispora vistulana sp. nov. came from maritime sand dunes of the Vistula Spit in northern Poland, and S. graeca sp. nov. and S. intraundulata sp. nov. originally inhabited the Mediterranean dunes of the Peloponnese Peninsula, Greece. In addition, the morphological description of spores of Acaulospora gedanensis, originally described in 1988, was emended based on newly found specimens, and the so far unknown phylogeny of this species was determined. The phylogenetic analyses of 45S sequences placed this species among Acaulospora species with atypical phenotypic and histochemical features of components of the two inner germinal walls.
Cell-free protein synthesis for nonribosomal peptide synthetic biology
Authors: Sword Tien T. , Abbas Ghaeath S. K. , Bailey Constance B.
Published: February 2024

Peptide natural products have a wide range of useful applications as pesticides, veterinary agents, pharmaceuticals, and bioproducts. To discover new natural products, manipulate them for analog generation, and to harness the potential of these bioactive compounds for synthetic biology, it is necessary to develop robust methods for the expression of biosynthetic genes. Cell-free synthetic biology is emerging as an important complementary approach because it is highly desirable to express protein on a more rapid timescale and does not rely upon the genetic tractability of a strain thus improving the throughput of design-build-test-learn cycles. Additionally, generating metabolites outside the cell can overcome issues such as cellular toxicity which can hamper applications like antibiotic development. In this review, we focus on the cell-free production of peptide natural products generated by non-ribosomal peptide synthetase. Nonribsomal peptides are biosynthesized by non-ribosomal peptide synthetases which are large “mega” enzymes that provide specific challenges to heterologous expression. First, we summarize NRPSs and their corresponding peptide metabolites that are expressed in cell-free systems. With that, we discuss the requirements and challenges to express such large proteins in cell-free protein synthesis as well as host machineries that have been developed for cell-free protein synthesis that could be particularly relevant to generating non-ribosomal peptide metabolites in the future. The development of cell-free systems can then be used for prototyping to accelerate efforts towards engineered biosynthesis of these complex pathways.
Ketogenic diet reduces a neurobiological craving signature in inpatients with alcohol use disorder
Authors: Wiers Corinde E. , Manza Peter , Wang Gene-Jack , Volkow Nora D.
Published: February 2024

Background and aims

Increasing evidence suggests that a ketogenic (high-fat, low-carbohydrate) diet (KD) intervention reduces alcohol withdrawal severity and alcohol craving in individuals with alcohol use disorder (AUD) by shifting brain energetics from glucose to ketones. We hypothesized that the KD would reduce a neurobiological craving signature when individuals undergoing alcohol detoxification treatment were exposed to alcohol cues.

Methods

We performed a secondary analysis of functional magnetic resonance data of 33 adults with an AUD who were randomized to a KD (n = 19) or a standard American diet (SA; n = 14) and underwent 3 weeks of inpatient alcohol detoxification treatment. Once per week, participants performed an alcohol cue-reactivity paradigm with functional magnetic resonance imaging. We extracted brain responses to food and alcohol cues and quantified the degree to which each set of brain images shared a pattern of activation with a recently established ‘Neurobiological Craving Signature’ (NCS). We then performed a group-by-time repeated measures ANOVA to test for differences in craving signature expression between the dietary groups over the three-week treatment period. We also correlated these expression patterns with self-reported wanting ratings for alcohol cues.

Results

For alcohol relative to food cues, there was a main effect of group, such that the KD group showed lower NCS expression across all 3 weeks of treatment. The main effect of time and the group-by-time interaction were not significant. Self-reported wanting for alcohol cues reduced with KD compared to SA but did not correlate with the NCS score.

Conclusion

A ketogenic diet reduces self-reported alcohol wanting, and induced lower NCS to alcohol cues during inpatient treatment for AUD. However, in the KD group alcohol wanting continued to decrease across the 3 weeks of abstinence while the NCS scores remained stable, suggesting that this cue-induced NCS may not fully capture ongoing, non-cue-induced alcohol desire.
The causal impact of saturated fatty acids on rheumatoid arthritis: a bidirectional Mendelian randomisation study
Authors: Yao Xiaoling , Yang Yuzheng , Jiang Zong , Ma Wukai , Yao Xueming
Published: February 2024

Objective

The causal relationship between saturated fatty acids (SFAs) and rheumatoid arthritis (RA) remains poorly understood. This study aimed to determine whether SFAs are causally related to RA using Mendelian randomisation (MR) analyses.

Methods

Genome-wide association study (GWAS) summary data for RA (ukb-d-M13_RHEUMA) and SFAs (met-d-SFA) were obtained from the Integrative Epidemiology Unit OpenGWAS database. A bidirectional MR analysis was performed using a suite of algorithms, namely the MR-Egger, weighted median, simple mode, weighted mode, and inverse-variance weighted (IVW) algorithms, all integrated using the “MR” function. The robustness of the MR findings was further evaluated through sensitivity analyses, including heterogeneity, horizontal pleiotropy, and leave-one-out tests.

Results

The IVW algorithm in the forward MR analysis indicated a causal link between SFAs and RA (p = 0.025), identifying SFAs as a risk factor for RA (odds ratio = 1.001). Sensitivity analyses indicated no significant heterogeneity, horizontal pleiotropy, or severe bias, reinforcing the credibility of the forward MR results. However, the reverse MR analysis revealed that RA does not causally affect SFA levels (p = 0.195), and this finding was supported by corresponding sensitivity analyses.

Conclusion

The findings of this study substantiate the positive causal effect of SFAs on the incidence of RA through bidirectional MR analysis, thereby offering a consequential direction for future research on the diagnosis and treatment of RA.
The impact of intermittent fasting on gut microbiota: a systematic review of human studies
Authors: Paukkonen Isa , Törrönen Elli-Noora , Lok Johnson , Schwab Ursula , El-Nezami Hani
Published: February 2024

Background

Intermittent fasting (IF) has gained popularity in interventions targeting overweight, obesity and metabolic syndrome. IF may affect the gut microbiome composition and therefore have various effects on gut microbiome mediated functions in humans. Research on the effects of IF on human gut microbiome is limited. Therefore, the objective of this systematic review was to determine how different types of IF affect the human gut microbiome.

Methods

A literature search was conducted for studies investigating the association of different types of IF and gut microbiota richness, alpha and beta diversity, and composition in human subjects. Databases included Cochrane Library (RRID:SCR_013000), PubMed (RRID:SCR_004846), Scopus (RRID:SCR_022559) and Web of Science (RRID:SCR_022706). A total of 1,332 studies were retrieved, of which 940 remained after removing duplicates. Ultimately, a total of 8 studies were included in the review. The included studies were randomized controlled trials, quasi-experimental studies and pilot studies implementing an IF intervention (time-restricted eating, alternate day fasting or 5:2 diet) in healthy subjects or subjects with any disease.

Results

Most studies found an association between IF and gut microbiota richness, diversity and compositional changes. There was heterogeneity in the results, and bacteria which were found to be statistically significantly affected by IF varied widely depending on the study.

Conclusion

The findings in this systematic review suggest that IF influences gut microbiota. It seems possible that IF can improve richness and alpha diversity. Due to the substantial heterogeneity of the results, more research is required to validate these findings and clarify whether the compositional changes might be beneficial to human health.

Systematic Review Registration

https://www.crd.york.ac.uk/prospero/, identifier CRD42021241619.
Mammography with deep learning for breast cancer detection
Authors: Wang Lulu
Published: February 2024

X-ray mammography is currently considered the golden standard method for breast cancer screening, however, it has limitations in terms of sensitivity and specificity. With the rapid advancements in deep learning techniques, it is possible to customize mammography for each patient, providing more accurate information for risk assessment, prognosis, and treatment planning. This paper aims to study the recent achievements of deep learning-based mammography for breast cancer detection and classification. This review paper highlights the potential of deep learning-assisted X-ray mammography in improving the accuracy of breast cancer screening. While the potential benefits are clear, it is essential to address the challenges associated with implementing this technology in clinical settings. Future research should focus on refining deep learning algorithms, ensuring data privacy, improving model interpretability, and establishing generalizability to successfully integrate deep learning-assisted mammography into routine breast cancer screening programs. It is hoped that the research findings will assist investigators, engineers, and clinicians in developing more effective breast imaging tools that provide accurate diagnosis, sensitivity, and specificity for breast cancer.
Revision surgery for periprosthetic fracture of distal femur after endoprosthetic replacement of knee joint following resection of osteosarcoma
Authors: Jin Qing-lin , Su Hao-bin , Du Shao-hua , Hou Chang-he , Lu Ming , Dai Shuang-wu , Lei Zi-xiong , Chen Wei , Li Hao-miao
Published: February 2024

Purpose

Periprosthetic fracture (PPF) is one of the severe complications in patients with osteosarcoma and carries the risk of limb loss. This study describes the characteristics, treatment strategies, and outcomes of this complication.

Methods

Patients were consecutively included who were treated at our institution between 2016 and 2020 with a PPF of distal femur. The treatment strategies included two types: 1) open reduction and internal fixation with plates and screws and 2) replacement with long-stem endoprosthesis and reinforcement with wire rope if necessary.

Results

A total of 11 patients (mean age 12.2 years (9–14)) were included, and the mean follow-up period was 36.5 (21–54) months. Most fractures were caused by direct or indirect trauma (n = 8), and others (n = 3) underwent PPF without obvious cause. The first type of treatment was performed on four patients, and the second type was performed on seven patients. The mean Musculoskeletal Tumor Society (MSTS) score was 20 (17–23). All patients recovered from the complication, and limb preservation could be achieved.

Conclusion

PPF is a big challenge for musculoskeletal oncologists, particularly in younger patients. Additionally, PPF poses a challenge for orthopedic surgeons, as limb preservation should be an important goal. Hence, internal fixation with plates and endoprosthetic replacement are optional treatment strategies based on fracture type and patient needs.
Retroperitoneal Castlemans disease mimicking a liver cancer: a case report
Authors: Kang Mao-Ji , Zhang Jin-Chang , Fang Cheng , Li Bo , Su Song
Published: February 2024

Castleman disease (CD), a distinct lymphoproliferative disorder, is infrequently encountered in clinical practice and poses significant diagnostic challenges. We present the case of a 48-year-old asymptomatic female, admitted for evaluation of a hepatic mass detected in the liver’s right lobe. Preoperative laboratory tests were within normal limits. Diagnostic imaging, including contrast-enhanced magnetic resonance imaging (MRI), was suggestive of hepatocellular carcinoma. Furthermore, contrast-enhanced abdominal computed tomography (CT) scans were indicative of hepatic malignancy. Subsequently, the patient underwent laparoscopic surgery targeting a retroperitoneal mass. During the surgical procedure, it was observed that the tumor was a retroperitoneal mass situated posterior to the liver, exhibiting localized adhesion to hepatic tissue. The postoperative histopathological analysis revealed the mass to be hyaline-vascular type Castleman disease (HV-CD), thereby refuting the initial diagnosis of a hepatic malignancy. This case underscores the complexity of diagnosing retroperitoneal Castleman disease, particularly when it masquerades as a hepatic tumor.
A clinical informatics approach to bronchopulmonary dysplasia: current barriers and future possibilities
Authors: Moreira Alvaro G. , Husain Ameena , Knake Lindsey A. , Aziz Khyzer , Simek Kelsey , Valadie Charles T. , Pandillapalli Nisha Reddy , Trivino Vanessa , Barry James S
Published: February 2024

Bronchopulmonary dysplasia (BPD) is a complex, multifactorial lung disease affecting preterm neonates that can result in long-term pulmonary and non-pulmonary complications. Current therapies mainly focus on symptom management after the development of BPD, indicating a need for innovative approaches to predict and identify neonates who would benefit most from targeted or earlier interventions. Clinical informatics, a subfield of biomedical informatics, is transforming healthcare by integrating computational methods with patient data to improve patient outcomes. The application of clinical informatics to develop and enhance clinical therapies for BPD presents opportunities by leveraging electronic health record data, applying machine learning algorithms, and implementing clinical decision support systems. This review highlights the current barriers and the future potential of clinical informatics in identifying clinically relevant BPD phenotypes and developing clinical decision support tools to improve the management of extremely preterm neonates developing or with established BPD. However, the full potential of clinical informatics in advancing our understanding of BPD with the goal of improving patient outcomes cannot be achieved unless we address current challenges such as data collection, storage, privacy, and inherent data bias.
Post-discharge outcomes of hospitalized children diagnosed with acute SARS-CoV-2 or MIS-C
Authors: Fink Ericka L. , Alcamo Alicia M. , Lovett Marlina , Hartman Mary , Williams Cydni , Garcia Angela , Rasmussen Lindsey , Pal Ria , Drury Kurt , MackDiaz Elizabeth , Ferrazzano Peter A. , Dervan Leslie , Appavu Brian , Snooks Kellie , Stulce Casey , Rubin Pamela , Pate Bianca , Toney Nicole , Robertson Courtney L. , Wainwright Mark S. , Roa Juan D. , Schober Michelle E. , Slomine Beth S.
Published: February 2024

Introduction

Hospitalized children diagnosed with SARS-CoV-2-related conditions are at risk for new or persistent symptoms and functional impairments. Our objective was to analyze post-hospital symptoms, healthcare utilization, and outcomes of children previously hospitalized and diagnosed with acute SARS-CoV-2 infection or Multisystem Inflammatory Syndrome in Children (MIS-C).

Methods

Prospective, multicenter electronic survey of parents of children <18 years of age surviving hospitalization from 12 U.S. centers between January 2020 and July 2021. The primary outcome was a parent report of child recovery status at the time of the survey (recovered vs. not recovered). Secondary outcomes included new or persistent symptoms, readmissions, and health-related quality of life. Multivariable backward stepwise logistic regression was performed for the association of patient, disease, laboratory, and treatment variables with recovered status.

Results

The children [n = 79; 30 (38.0%) female] with acute SARS-CoV-2 (75.7%) or MIS-C (24.3%) had a median age of 6.5 years (interquartile range 2.0–13.0) and 51 (64.6%) had a preexisting condition. Fifty children (63.3%) required critical care. One-third [23/79 (29.1%)] were not recovered at follow-up [43 (31, 54) months post-discharge]. Admission C-reactive protein levels were higher in children not recovered vs. recovered [5.7 (1.3, 25.1) vs. 1.3 (0.4, 6.3) mg/dl, p = 0.02]. At follow-up, 67% overall had new or persistent symptoms. The most common symptoms were fatigue (37%), weakness (25%), and headache (24%), all with frequencies higher in children not recovered. Forty percent had at least one return emergency visit and 24% had a hospital readmission. Recovered status was associated with better total HRQOL [87 (77, 95) vs. 77 (51, 83), p = 0.01]. In multivariable analysis, lower admission C-reactive protein [odds ratio 0.90 (95% confidence interval 0.82, 0.99)] and higher admission lymphocyte count [1.001 (1.0002, 1.002)] were associated with recovered status.

Conclusions

Children considered recovered by their parents following hospitalization with SARS-CoV-2-related conditions had less symptom frequency and better HRQOL than those reported as not recovered. Increased inflammation and lower lymphocyte count on hospital admission may help to identify children needing longitudinal, multidisciplinary care.

Clinical Trial Registration

ClinicalTrials.gov (NCT04379089).
Acute kidney injury: exploring endoplasmic reticulum stress-mediated cell death
Authors: Cheng Cong , Yuan Yuan , Yuan Fang , Li Xin
Published: February 2024

Acute kidney injury (AKI) is a global health problem, given its substantial morbidity and mortality rates. A better understanding of the mechanisms and factors contributing to AKI has the potential to guide interventions aimed at mitigating the risk of AKI and its subsequent unfavorable outcomes. Endoplasmic reticulum stress (ERS) is an intrinsic protective mechanism against external stressors. ERS occurs when the endoplasmic reticulum (ER) cannot deal with accumulated misfolded proteins completely. Excess ERS can eventually cause pathological reactions, triggering various programmed cell death (autophagy, ferroptosis, apoptosis, pyroptosis). This article provides an overview of the latest research progress in deciphering the interaction between ERS and different programmed cell death. Additionally, the report consolidates insights into the roles of ERS in AKI and highlights the potential avenues for targeting ERS as a treatment direction toward for AKI.
Optimization of training for professional rugby union players: investigating the impact of different small-sided games models on GPS-derived performance metrics
Authors: Ren Xiangyu , Henry Mathieu , Boisbluche Simon , Philippe Kilian , Demy Mathieu , Ding Shuzhe , Prioux Jacques
Published: February 2024

Introduction: Professional rugby union players can improve their performance by engaging in small-sided games (SSGs), which simulate the movement patterns of the game. This study collected metrics related to running performance and mechanical workload and their relative values from both forward and back positions, aiming to explore the impact of different SSGs factors on athlete workload, as well as the workload difference between official games (OGs) and SSGs.

Methods: The monitored GPS data were collected from SSGs with different player numbers and pitch sizes (five sessions), SSG rules (5 weeks, four sessions per week), and OGs conducted throughout the year. Additionally, the study compared changes in players’ sprinting performance before and after two SSG sessions.

Results: Backs had greater workload than forwards. Less space and number of players SSG (4 vs. 4, 660 m2) was conducive to facilitating training for players in acceleration and deceleration. Conversely, larger spaces were associated with improved running performance. However, the introduction of a floater had no significant impact on performance improvement. Additionally, the 7 vs. 4 model (seven players engaged with four opponents) resulted in the greatest workload during medium-hard accelerations (F = 52.76–88.23, p < 0.001, ηp2 = 0.19–0.28). Japan touch model allowed for more high-speed running training (F = 47.93–243.55, p < 0.001, ηp2 = 1.52). The workload performed by SSGs can almost cover that of OGs (F = 23.36–454.21, p < 0.05, ηp2 = 0.03–0.57). In the context of ηp2, values around 0.01, 0.06 and 0.14 indicate small, medium and large effects respectively.

Discussion: However, given the significantly higher workload of SSGs and the slight decrease in sprinting performance, further research is required to examine the training patterns of SSGs. This study provided insight into the impact of player numbers, pitch size, and rules on rugby-specific SSGs. Coaches should optimize SSG setups for enhanced training outcomes, ensuring the long-term development of physical capacity, technical and tactical skills.
Comprehensive analysis of sesame LRR-RLKs: structure, evolution and dynamic expression profiles under Macrophomina phaseolina stress
Authors: Yan Wenqing , Ni Yunxia , Zhao Hui , Liu Xintao , Jia Min , Zhao Xinbei , Li Yongdong , Miao Hongmei , Liu Hongyan , Zhang Haiyang
Published: February 2024

Leucine-rich repeat receptor-like kinases (LRR-RLKs) can participate in the regulation of plant growth and development, immunity and signal transduction. Sesamum indicum, one of the most important oil crops, has a significant role in promoting human health. In this study, 175 SiLRR-RLK genes were identified in S. indicum, and they were subdivided into 12 subfamilies by phylogenetic analysis. Gene duplication analysis showed that the expansion of the SiLRR-RLK family members in the sesame was mainly due to segmental duplication. Moreover, the gene expansion of subfamilies IV and III contributed to the perception of stimuli under M. phaseolina stress in the sesame. The collinearity analysis with other plant species revealed that the duplication of SiLRR-RLK genes occurred after the differentiation of dicotyledons and monocotyledons. The expression profile analysis and functional annotation of SiLRR-RLK genes indicated that they play a vital role in biotic stress. Furthermore, the protein−protein interaction and coexpression networks suggested that SiLRR-RLKs contributed to sesame resistance to Macrophomina phaseolina by acting alone or as a polymer with other SiLRR-RLKs. In conclusion, the comprehensive analysis of the SiLRR-RLK gene family provided a framework for further functional studies on SiLRR-RLK genes.
Predictors of expectant fathers’ parental leave-taking intentions before birth: masculinity, fatherhood beliefs, and social support
Authors: Scheifele Carolin , Van Laar Colette , Steffens Melanie C.
Published: February 2024

Despite continuing progress, men remain underrepresented in childcare, domestic labor, and other care work. Because parental leave is discussed as a gateway to increasing men’s childcare engagement, we aimed to gain insights into predictors of men’s parental leave-taking intentions during the transition to parenthood. Using outcomes on a continuum from behavioral preferences to more behavior-oriented measures, we examine how masculinity and fatherhood beliefs as well as social support become relevant during men’s formation of their leave-taking intentions. Planned analyses of data collected from 143 expectant fathers in Belgium and Germany revealed that the support men perceive from their partners for taking leave predicts their parental leave-taking desire, intention, and planned length of leave. Moreover, men’s conception of a prototypical man, especially in terms of agency, was linked to their desire to take leave. Against expectations, father role attitudes and workplace support did not emerge as relevant predictors of men’s intended leave-taking. Results of exploratory analyses suggest that care engagement of peers, expected backlash, and self-efficacy beliefs additionally play a role in men’s intended leave-taking. We discuss parental leave as a negotiation process within couples and review the role of men’s normative environment for their intended leave-taking.
The new normal of remote work: exploring individual and organizational factors affecting work-related outcomes and well-being in academia
Authors: Capone Vincenza , Schettino Giovanni , Marino Leda , Camerlingo Carla , Smith Alessandro , Depolo Marco
Published: February 2024

Background

Flexible work arrangements have become increasingly popular, driven by the widespread adoption of digital technologies in the workplace because of the pandemic. However, there is a scarcity of studies concerning remote work, especially related to technical-administrative staff (TAS) in academia. Therefore, the current study, adopting the Job Demands-Resources model, aimed to investigate the relationships between remote working self-efficacy, organizational support, techno-complexity, mental well-being, and job performance among TAS during remote working.

Methods

A total of 373 individuals from TAS of a large Italian university participated in this study by completing a self-report questionnaire.

Results

The findings showed positive and significant relationships between remote self-efficacy and job satisfaction as well as between such a perceived efficacy and mental well-being. Perceived support from supervisors acted as a protective factor against techno-complexity. In contrast, perceived support from colleagues emerged as able to promote well-being and job satisfaction. In addition, the latter was positively associated with well-being. Finally, individual job performance was positively affected by job satisfaction and negatively by techno-complexity.

Conclusion

This study highlights the need for interventions to support TAS in remote working environments by leveraging employees’ self-efficacy as a key factor in reducing stress related to new technologies as well as enhancing well-being, job satisfaction, and, in turn, their performance.
Systematic review and meta-analysis of cardiac neurosis for development of clinical practice guidelines of Korean medicine
Authors: Park Hui-Yeong , Lee Hyun Woo , Song Geum-Ju , Hong Sunggyu , Hong Sunghee , Suh Hyo-Weon , Yoon Seok-In , Park Chan , Chung Sun-Yong , Kim Jong Woo
Published: February 2024

Background

The development of clinical practice guidelines in traditional medicine requires evidence that sufficiently reflects the medical field. Cardiac neurosis is a disease that occurs because of problems in the autonomic nervous system and is characterized by symptoms of the circulatory system that are representative of autonomic dysfunction. In traditional medicine, the heart is considered to be involved in mental health problems, and cardiac neurosis is accompanied by a variety of mental symptoms. Furthermore, there is a categorized diagnosis for cardiac neurosis, and active empirical research is being conducted in China.

Objective

This study aimed to systematically review and quantitatively synthesize the effects of Korean medicine treatments in patients with cardiac neurosis to develop evidence-based clinical practice guidelines for the treatment of autonomic dysfunction.

Methods

Nine databases were searched for articles published before September 13, 2022. The methodological quality of the studies was assessed using the RoB tool. The primary outcomes were somatization, depression, anxiety, and effectiveness rate. The secondary outcome was the rate of adverse effects.

Results

Based on a systematic literature review, 151 randomized controlled trials were selected and analyzed. For patients with cardiac neurosis, herbal medicine, combined treatment of herbal medicine and Western medicine, combined treatment of herbal medicine and acupuncture, acupuncture, and combined treatment of acupuncture and Western medicine showed better overall effects than Western medicine alone. Furthermore, the combined treatment of herbal medicine and psychotherapy and that of herbal medicine, psychotherapy, and Western medicine showed an overall better effect than the combined treatment of Western medicine and psychotherapy.

Conclusion

A meta-analysis of articles revealed the effectiveness of Korean medicine treatments and verified the effectiveness of a Korean medicine treatment alone, Korean medicine combined treatment, and combined treatment of Korean medicine and Western medicine on cardiac neurosis. Limitations included the inability to verify the cause of high heterogeneity between studies and the poor quality of the included studies. Nevertheless, this systematic review and meta-analysis of cardiac neurosis showed that the disease concept of traditional medicine can also be organized based on the latest research. Future research related to traditional diseases such as these should be conducted.

Systematic review registration

https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42022347992, identifier CRD42022347992.
Association of height, foot length, and pubertal development in children aged 3–18: a cross-sectional survey in China
Authors: Wu Hua-Hong , Zhang Ya-Qin , Yu Cheng-Dong , Yang Li , Tao Chen , Shu Wen , Li Tao , Huang Guimin , Hou Dongqing , Chen Fang-Fang , Liu Jun-Ting , Li Shao-li , Zong Xin-Nan
Published: February 2024

Objective

This study aimed to analyze the growth patterns of height and foot length (FL) among Chinese children aged 3–18 and examine their associations with puberty development.

Methods

A cross-sectional survey was conducted in September 2022 in Beijing. Data were collected through questionnaires and on-site physical examinations. The growth patterns and velocity of height and FL in different age groups were described, and their associations with puberty development were analyzed.

Results

From an age perspective, the peak FL growth occurred between 9 and 11 years (boys were 11 years and girls were 9 years), while the peak height growth occurred at 11 ~ 13 years for boys and 9 ~ 11 years for girls. Additionally, boys and girls reached 99.0% of their final FL at the ages of 14 and 13, respectively, while they reached 99.0% of their final height at the ages of 16 and 15, respectively. From the perspective of Tanner stage, the age of peak FL growth in boys coincided with the age of the G2 stage, while in girls it occurred slightly earlier than the mean age of the B2 stage. The peak height growth for both boys and girls occurred between Tanner stages 2 and 3.

Conclusion

Boys and girls reach their peak FL growth at 11 and 9 years old, respectively, which were both 2 years earlier than their peak height growth. The peak FL growth occurred around the onset of puberty, while the peak height growth occurred between Tanner stages 2 and 3.
How a laboratory-based antimicrobial resistance (AMR) regional surveillance system can address large-scale and local AMR epidemiology: the MICRO-BIO experience
Authors: Comelli Agnese , Zanforlini Martina , Mazzone Arianna , Pedroni Palmino , De Castro Umberto , Scarioni Simona , D’Amelio Anna Carole , Renisi Giulia , Bandera Alessandra , Gori Andrea , Schiatti Simone , Cereda Danilo ,   the MICROBIO LR Group
Published: February 2024

Antimicrobial resistance is a significant threat to public health, with Italy experiencing substantial challenges in terms of AMR rate, surveillance system and activities to combat AMR. In response, the MICRO-BIO project was initiated as part of the National Plan to Combat Antibiotic Resistance by Region Lombardy health department. It was launched in 2018 with the aim of creating a surveillance tool by integrating data on bacterial isolates from microbiology laboratories. The participating laboratories were directly involved in reviewing and addressing discrepancies in the transmission data quality assessment. Despite the disruptions caused by COVID-19, 30 out of 33 laboratories in the Lombardy Region were successfully integrated by October 2023, with 1,201,000 microbiological data collected in the first nine months of 2023. In 2022 the analysis yielded 15,037 blood culture results from 20 labs passing validation. Data regarding the antimicrobial resistance profile of high-priority pathogens was analyzed at regional and single-hospital levels. The MICRO-BIO project represents a significant step toward strengthening AMR surveillance in a highly populated region. As a multi-disciplinary tool encompassing the fields of public health and IT (information technology), this tool has the potential to inform regional and local AMR epidemiology.
Mental health in children with disabilities and their families: red flags, services' impact, facilitators, barriers, and proposed solutions
Authors: Heslon Kayla , Hanson Jessica Helena , Ogourtsova Tatiana
Published: February 2024

Background

Children and youth with neurodevelopmental disabilities (NDDs) and their caregivers are at a high risk of experiencing mental health challenges, that in turn can significantly affect their functioning, productivity, and quality of life. In this already vulnerable population, mental health difficulties are now more frequently reported and pronounced secondary to the isolation and uncertainties experienced during the pandemic. Our previous work has shown important mental health services' gaps for children/youth with NDDs and their families, highlighting the need to optimize and tailor existing practices.

Objective

To explore mental health services' barriers, facilitators, impact, and solutions from the perspectives of HCPs and CGs, and to describe common precursors to mental health challenges in children with NDDs from the perspectives of these two groups.

Methods

In a triangulation mixed-method study design embedding quantitative and qualitative approaches, participants completed a survey and a semi-structured interview. Descriptive statistics and a hybrid inductive/deductive thematic approach were used for data analysis.

Results

Over 700 utterances were analyzed (247 from caregivers [n = 10], 531 from clinicians [n = 16]) and included 143 and 173 statements related to the precursors and barriers/facilitators, respectively. Common precursors to mental health challenges (n = 7 categories) were identified and included reported feelings/perception of self, behavioral and physical manifestations, emotional dysregulation, and school-related factors, among others. Clinicians reported a widespread need for pediatric, family-centered mental health services and conveyed lacking mental health resources/training to meet the demand. Caregivers indicated being only moderately satisfied when care was received. Salient facilitators identified by clinicians were having an interdisciplinary team and caregiver's engagement in the therapeutic processes. Participants recommended improvements to increase accessibility to mediate the existing discrepancy between the emergence of precursors and care received; that services must target a broader population and be more comprehensive (e.g., family-centered care, addressing high-risk transition periods); and training/toolkits to support clinicians’ evidence-based practice.

Conclusion

Our findings emphasize the necessity of a systematic and standardized approach to mental health services for children with NDDs and their families. Enhancing caregiver support, addressing barriers, and adopting a proactive, family-centered approach are crucial for improving accessibility and quality. These proposed solutions provide valuable insights for shaping policies and practices in pediatric mental health services.