bluuebunny/crossref_metadata_2025 huggingface dataset:
Database for the Fault Displacement Hazard Initiative Project
Authors: Sarmiento Alexandra , Madugo Danielle , Shen Andi , Dawson Timothy , Madugo Chris , Thompson Stephen , Bozorgnia Yousef , Baize Stéphane , Boncio Paolo , Kottke Albert , Lavrentiadis Grigorios , Mazzoni Silvia , Milliner Christopher , Nurminen Fiia , Visini Francesco
Published: July 2024

New predictive models for fault displacement and surface rupture hazard analysis developed through the Fault Displacement Hazard Initiative (FDHI) research program require a high-quality empirical database to apply advanced statistical methods and improve hazard estimates. This article discusses the development and contents of the FDHI Project database. We systematically collected, reviewed, and organized fault displacement measurements, surface rupture maps, and supporting information from the scientific literature. A framework was developed and implemented to classify principal and distributed faulting. Best-estimate net displacement amplitudes were calculated from slip component measurements and quality codes were assigned to all net displacement values. The database contains 75 historical, surface-rupturing crustal earthquakes ranging from M 4.9 to 8.0. Thirty-five earthquakes have a strike-slip faulting mechanism, while 25 and 15 events are reverse/reverse-oblique and normal/normal-oblique, respectively. Although most of the earthquakes are from Western North America, Japan, and other active tectonic regions, there are nine reverse faulting events from the stable continental region of Australia. The database contains over 40,000 individual fault displacement measurements for various slip components from roughly 28,000 observation sites. Geographic coordinates are included for all data, and event-specific coordinate systems are provided for each earthquake that transform data into an along-strike dimension. Our new database provides a standardized collection of surface rupture and fault displacement data and metadata that is the result of a comprehensive effort to create a reliable and stable product for the FDHI model development teams and the geoscience community.
Effects of Lithium bis(trifluoromethanesulfonyl) imide loading on thermal, mechanical and ion conducting properties of specialty interlayer films derived from scrap Polyvinyl butyral
Authors: Wootthikanokkhan Jatuphorn , Areerug Piyada , Azarian Mohammad Hossein , Laungchaisri Chumphon
Published: July 2024

This work investigates the feasibility of using scrap poly(vinyl butyral) (PVB) film derived from laminated glass factories as an ion-conductive interlayer film for producing electrochromic glass. The process uses PVB films made from masterbatches containing 10 to 60 wt% lithium bis(trifluoromethane sulfonyl)imide (LiTFSI). The investigation focused on how LiTFSI loading affected both the PVB masterbatches and the final PVB films. Higher LiTFSI loading correlated with increased ionic conductivity. The best electrochromic devices are obtained when the PVB films are directly prepared from the masterbatch without additional PVB flakes dilution during extrusion. The highest ionic conductivity 2.72 × 10−4 S/cm, is achieved from a masterbatch containing neat PVB and scrap PVB flakes with 60 wt% LiTFSI. Additionally, LiTFSI acted as a plasticizer for PVB, lowering the glass transition temperature and increasing the PVB film percent elongation.
Chemical fractionation of heavy metals and zinc isotope source identification in sediments of the Huangpu River, Shanghai, China
Authors: Li Yalong , Tu Yaojen , Li Gaojun , Pu Yali , Chien Meichuan , Duan Yanping
Published: July 2024

Background

The Huangpu River serves as a vital water source for around 24 million individuals residing in the metropolitan area of Shanghai. Despite this, elevated levels of heavy metals persist in the sediments of the river, with their chemical fractionation and sources remaining inadequately understood.

Results

To improve the management of heavy metal contamination, sequential extractions and zinc (Zn) isotopic compositions were utilized to evaluate pollution levels in the Huangpu River. The findings reveal that the majority of heavy metals in the river sediments are present in residual fractions, constituting an average of 67.5% for Cd, 57.6% for Cu, 60.6% for Ni, 56.2% for Pb, and 74.4% for Cr, with the exception of Zn (33.8%). Furthermore, a substantial portion of Zn, exceeding 66%, was found in acid-exchangeable, reducible, and oxidizable fractions, indicating a high potential for Zn release into aquatic ecosystems.

Conclusion

Further analysis of Zn isotopes pinpointed traffic emissions, including exhaust fumes and tire wear particles (account for ~ 34.0%), along with anthropogenic emissions and fertilizer (~ 31.7%), as the major culprits behind this contamination. These findings highlight the critical need for stricter regulations to control heavy metal contamination from traffic and domestic sources within the Huangpu River basin.
Comparative transcriptome analysis reveals the impact of daily temperature difference on male sterility in photo-thermo-sensitive male sterile wheat
Authors: Niu Fuqiang , Liu Zihan , Liu Yongjie , Bai Jianfang , Zhang Tianbao , Yuan Shaohua , Bai Xiucheng , Zhao Changping , Zhang Fengting , Sun Hui , Zhang Liping , Song Xiyue
Published: July 2024

Background

Photo-thermo-sensitive male sterility (PTMS), which refers to the male sterility triggered by variations in photoperiod and temperature, is a crucial element in the wheat two-line hybrid system. The development of safe production and efficient propagation for male sterile lines holds utmost importance in two-line hybrid wheat. Under the stable photoperiod condition, PTMS is mainly induced by high or low temperatures in wheat, but the effect of daily temperature difference (DTD) on the fertility conversion of PTMS lines has not been reported. Here, three BS type PTMS lines including BS108, BS138, and BS366, as well as a control wheat variety J411 were used to analyze the correlation between fertility and DTD using differentially sowing tests, photo-thermo-control experiments, and transcriptome sequencing.

Results

The differentially sowing tests suggested that the optimal sowing time for safe seed production of the three PTMS lines was from October 5th to 25th in Dengzhou, China. Under the condition of 12 h 12 °C, the PTMS lines were greatly affected by DTD and exhibited complete male sterility at a temperature difference of 15 °C. Furthermore, under different temperature difference conditions, a total of 20,677 differentially expressed genes (DEGs) were obtained using RNA sequencing. Moreover, through weighted gene co-expression network analysis (WGCNA) and KEGG enrichment analysis, the identified DEGs had a close association with “starch and sucrose metabolism”, “phenylpropanoid biosynthesis”, “MAPK signaling pathway-plant”, “flavonoid biosynthesis”, and “cutin, and suberine and wax biosynthesis”. qRT-PCR analysis showed the expression levels of core genes related to KEGG pathways significantly decreased at a temperature difference of 15 ° C. Finally, we constructed a transcriptome mediated network of temperature difference affecting male sterility.

Conclusions

The findings provide important theoretical insights into the correlation between temperature difference and male sterility, providing guidance for the identification and selection of more secure and effective PTMS lines.
Assessing different metrics of pedigree and genomic inbreeding and inbreeding effect on growth, fertility, and feed efficiency traits in a closed-herd Nellore cattle population
Authors: Bem Ricardo D. , Benfica Lorena F. , Silva Delvan A. , Carrara Eula R. , Brito Luiz F. , Mulim Henrique A. , Borges Marcelo S. , Cyrillo Joslaine N. S. G. , Canesin Roberta C. , Bonilha Sarah F. M. , Mercadante Maria E. Z.
Published: July 2024

Background

The selection of individuals based on their predicted breeding values and mating of related individuals can increase the proportion of identical-by-descent alleles. In this context, the objectives of this study were to estimate inbreeding coefficients based on alternative metrics and data sources such as pedigree (FPED), hybrid genomic relationship matrix H (FH), and ROH of different length (FROH); and calculate Pearson correlations between the different metrics in a closed Nellore cattle population selected for body weight adjusted to 378 days of age (W378). In addition to total FROH (all classes) coefficients were also estimated based on the size class of the ROH segments: FROH1 (1–2 Mb), FROH2 (2–4 Mb), FROH3 (4–8 Mb), FROH4 (8–16 Mb), and FROH5 (> 16 Mb), and for each chromosome (FROH_CHR). Furthermore, we assessed the effect of each inbreeding metric on birth weight (BW), body weights adjusted to 210 (W210) and W378, scrotal circumference (SC), and residual feed intake (RFI). We also evaluated the chromosome-specific effects of inbreeding on growth traits.

Results

The correlation between FPED and FROH was 0.60 while between FH and FROH and FH and FPED were 0.69 and 0.61, respectively. The annual rate of inbreeding was 0.16% for FPED, 0.02% for FH, and 0.16% for FROH. A 1% increase in FROH5 resulted in a reduction of up to -1.327 ± 0.495 kg in W210 and W378. Four inbreeding coefficients (FPED, FH, FROH2, and FROH5) had a significant effect on W378, with reductions of up to -3.810 ± 1.753 kg per 1% increase in FROH2. There was an unfavorable effect of FPED on RFI (0.01 ± 0.0002 kg dry matter/day) and of FROH on SC (-0.056 ± 0.022 cm). The FROH_CHR coefficients calculated for BTA3, BTA5, and BTA8 significantly affected the growth traits.

Conclusions

Inbreeding depression was observed for all traits evaluated. However, these effects were greater for the criterion used for selection of the animals (i.e., W378). The increase in the genomic inbreeding was associated with a higher inbreeding depression on the traits evaluated when compared to pedigree-based inbreeding. Genomic information should be used as a tool during mating to optimize control of inbreeding and, consequently, minimize inbreeding depression in Nellore cattle.
Unearthing Lactococcus lactis and Scheffersomyeces symbionts from edible wood-boring beetle larvae as a bio-resource for industrial applications
Authors: Kibet Shadrack , Mudalungu Cynthia M. , Kimani Njogu M. , Makwatta JohnMark O. , Kabii James , Sevgan Subramanian , Kelemu Segenet , Tanga Chrysantus M.
Published: July 2024

Background

Gut microbiota have several advantages in influencing the host nutrition, metabolism, immunity and growth. However, the understanding of the gut microbiota in key edible wood-boring beetle larvae remain largely undefined. In the present study, the characteristics of the gut microbiota of two edible wood-boring species (Titocerus jaspideus and Passalus punctiger) from two indigenous forested areas were investigated.

Results

Over 50% of Amplicon Sequence Variants (ASVs) constituted of Firmicutes in T. jaspideus. The dominant phyla in both beetle species were Bacteroidota (4.20–19.79%) and Proteobacteria (15.10–23.90%). Lactococcus lactis was the most abundant and core prokaryote in the guts of T. jaspideus. The fungi identified in the gut of both insects belong to the phylum Obazoa (66%) and Ascomycota (> 15%). Scheffersomyeces sp. was the core eukaryote recorded. The diversity of gut microbiota in both insect species did not vary significantly. Most of the prokaryotic genes expressed were predominantly associated with biosynthesis and metabolism.

Conclusion

Our findings demonstrated that Lactococcus lactis and Scheffersomyeces are core gut microbes of wood boring beetle larvae with desirable probiotic properties and promising use in food product fermentation for improved growth performance, gut barrier health, intestinal flora balance and immune protection for human and animals. Further studies to highlight the latest medical-based applications of L. lactis as live-delivery vector for the administration of therapeutics against both communicable and non-communicable diseases are warranted.
Pathogen elicitor peptide (pep), systemin, and their receptors in tomato: sequence analysis sheds light on standing disagreements about biotic stress signaling components
Authors: Zelman Alice Kira , Ma Yi , Berkowitz Gerald Alan
Published: July 2024

Peps are endogenous damage-associated polypeptides that evoke defense responses in plants. Like other damage-associated molecular patterns, Pep signals are transduced by receptors. PEPRs are the receptors that transduce Pep danger signals. This paper identifies new putative Peps in the Solanaceae (including Solanum spp., Nicotiana spp., and Petunia spp.) and Coffea and explores their properties. Using these newly identified Peps we derive sequence logos that present a refinement of the current understanding of the importance of specific residues in the Pep signaling molecules in Solanaceae, including several arginines, prolines that restrict peptide’s conformations, and C-terminal asparagine. We examine the degree of disorder in Pep, which is likely important to the mechanism of Pep perception. This work also calls into question some of the evolutionary relationships between Peps in Solanaceae and specific Arabidopsis Peps published in previous literature, culminating in a conclusion that SlPep should not be named SlPep6 due to the lack of conservation of protein sequences in AtPROPEP6 and SlPROPEP, and that SlPep probably does not have two receptors in tomato, based on phylogenetic analysis. Our analyses advance understanding of the Pep signaling system in Solanaceae.
Methodology of clinical trials on sodium-glucose cotransporter 2 inhibitors registered on ClinicalTrials.gov: a cross-sectional study
Authors: Šaler Fran , Viđak Marin , Puljak Livia
Published: July 2024

Background/Objective

The research on sodium-glucose cotransporter 2 (SGLT2) inhibitors has been increasing rapidly in the last decade, as well as indications for their use. This study aimed to analyze the methodological characteristics of clinical trials on SGLT2 inhibitors registered on ClinicalTrials.gov.

Design

We conducted a cross-sectional study of trials on SGLT2 inhibitors registered on ClinicalTrials.gov up to November 11, 2022. We included clinical trials that tested SGLT2 inhibitors for any clinical condition, as a single or combined SGLT2 therapy, compared to any other medication or placebo and mapped their characteristics.

Results

We identified 1102 eligible trials on 14 different SGLT2 inhibitors. The first trial registration was in 2005. There were 993 (90%) interventional and 109 (10%) observational trials. Most trials were in Phase 1 (29%), Phase 3 (23%), or Phase 4 (24%). Interventional trials were mostly randomized (85%); almost half of them did not use masking (44%). Trials on empagliflozin, dapagliflozin, and canagliflozin accounted for 75% of all trials. More than 60% of trials included patients with diabetes mellitus, 13% included only healthy subjects, and 12% included patients with heart diseases. Overall, these trials included more than 9.5 million participants (~ 312,000 of which in interventional studies). Almost 65% of all clinical trials were industry-funded. Most trials were completed (60%) and 35% of those reported results. For trials that are obligated to report results by the Food and Drugs Administration (FDA), 88% of them did so. Trials fully or partially funded by industry more frequently published results compared to non-industry funded trials (46.1% vs. 11.2%; p < 0.001).

Conclusions

The number of registered trials on SGLT2 inhibitors is increasing progressively along with expanding indications for its use, shifting from diabetes mellitus to cardiovascular and renal diseases. Public reporting of trial results improved with time but remains suboptimal.
An analysis of protective health behavior and polypharmacy among older patients: a nationwide cohort study
Authors: Piao Zhaoyan , Oh Kyung sun , Han Euna
Published: July 2024

Background

This study analyzed the relationship between protective health behaviors and polypharmacy in individuals aged 65 years and older.

Methods

We used data from a nationwide survey (KNHANES) from 2012 to 2016 in conjunction with the health insurance claims databases. A total of 3297 adults aged 65 or older were included in the study. Polypharmacy was defined as more than 30 prescription days in 6 months with five or more different drugs. Health-related behaviors (BMI, smoking, drinking, regular walking, and living alone) were extracted for 6 months before measuring polypharmacy. We used multivariable logistic regression on polypharmacy for each protective health behavior, as well as a composite score of protective health behavior. Subgroup analysis was also conducted by age and sex.

Results

Among protective health behaviors, BMI < 25 (OR, 0.76; 95% CI, 0.66–0.88) and never smoking (OR, 0.78; 95% CI, 0.62–0.98) were associated with a lower risk of polypharmacy. Polypharmacy was significantly associated with BMI < 25 in both sex subgroups (male: OR, 0.71; 95% CI, 0.56–0.88; female: OR, 0.81; 95% CI, 0.67–0.99) and 65–79 subgroup (OR, 0.74; 95% CI, 0.63–0.86). The association between never smoking and polypharmacy was only significant in the 65–79 subgroup (OR, 0.71; 95% CI, 0.55–0.91). Participants with five protective health behaviors had a lower risk of polypharmacy than participants with zero or one health behavior, which was only statistically significant in the subgroup analysis of participants aged 65–79 years (OR, 0.52; 95% CI, 0.29–0.94).

Conclusions

This study finds that health behaviors such as obesity and smoking are associated with a higher risk of polypharmacy. Furthermore, we confirm that a high score of protective health behaviors is associated with a lower risk of polypharmacy. Our findings indicate the need for geriatric-centered management of protective health behaviors to prevent polypharmacy.
An efficient multi-level thresholding method for breast thermograms analysis based on an improved BWO algorithm
Authors: Singh Simrandeep , Singh Harbinder , Mittal Nitin , Singh Supreet , Askar S. S. , Alshamrani Ahmad M. , Abouhawwash Mohamed
Published: July 2024

Breast cancer is a prevalent disease and the second leading cause of death in women globally. Various imaging techniques, including mammography, ultrasonography, X-ray, and magnetic resonance, are employed for detection. Thermography shows significant promise for early breast disease detection, offering advantages such as being non-ionizing, non-invasive, cost-effective, and providing real-time results. Medical image segmentation is crucial in image analysis, and this study introduces a thermographic image segmentation algorithm using the improved Black Widow Optimization Algorithm (IBWOA). While the standard BWOA is effective for complex optimization problems, it has issues with stagnation and balancing exploration and exploitation. The proposed method enhances exploration with Levy flights and improves exploitation with quasi-opposition-based learning. Comparing IBWOA with other algorithms like Harris Hawks Optimization (HHO), Linear Success-History based Adaptive Differential Evolution (LSHADE), and the whale optimization algorithm (WOA), sine cosine algorithm (SCA), and black widow optimization (BWO) using otsu and Kapur's entropy method. Results show IBWOA delivers superior performance in both qualitative and quantitative analyses including visual inspection and metrics such as fitness value, threshold values, peak signal-to-noise ratio (PSNR), structural similarity index measure (SSIM), and feature similarity index (FSIM). Experimental results demonstrate the outperformance of the proposed IBWOA, validating its effectiveness and superiority.
Acute and chronic complication profiles among patients with chronic kidney disease in Alberta, Canada: a retrospective observational study
Authors: Lau David C. W. , Shaw Eileen , McMullen Suzanne , Cowling Tara , Witges Kelcie , Amitay Efrat L. , Steubl Dominik , Girard Louis P.
Published: July 2024

Background

Chronic kidney disease (CKD) poses a substantial burden to individuals, caregivers, and healthcare systems. CKD is associated with higher risk for adverse events, including renal failure, cardiovascular disease, and death. This study aims to describe comorbidities and complications in patients with CKD.

Methods

We conducted a retrospective observational study linking administrative health databases in Alberta, Canada. Adults with CKD were identified (April 1, 2010 and March 31, 2019) and indexed on the first diagnostic code or laboratory test date meeting the CKD algorithm criteria. Cardiovascular, renal, diabetic, and other comorbidities were described in the two years before index; complications were described for events after index date. Complications were stratified by CKD stage, atherosclerotic cardiovascular disease (ASCVD), and type 2 diabetes mellitus (T2DM) status at index.

Results

The cohort included 588,170 patients. Common chronic comorbidities were hypertension (36.9%) and T2DM (24.1%), while 11.4% and 2.6% had ASCVD and chronic heart failure, respectively. Common acute complications were infection (58.2%) and cardiovascular hospitalization (24.4%), with rates (95% confidence interval [CI]) of 29.4 (29.3–29.5) and 8.37 (8.32–8.42) per 100 person-years, respectively. Common chronic complications were dyslipidemia (17.3%), anemia (14.7%), and hypertension (11.1%), with rates (95% CI) of 11.9 (11.7–12.1), 4.76 (4.69–4.83), and 13.0 (12.8–13.3) per 100 person-years, respectively. Patients with more advanced CKD, ASCVD, and T2DM at index exhibited higher complication rates.

Conclusions

Over two-thirds of patients with CKD experienced complications, with higher rates observed in those with cardio-renal-metabolic comorbidities. Strategies to mitigate risk factors and complications can reduce patient burden.
Bacterial stroke-associated pneumonia: microbiological analysis and mortality outcome
Authors: Aboulfotooh Alshaimaa M. , Aziz Heba Sherif Abdel , Zein Marwa M. , Sayed Mohamed , Ibrahim Ahmed R. N. , Abdelaty Lamiaa N. , Magdy Rehab
Published: July 2024

Background

Stroke-associated pneumonia (SAP) considerably burden healthcare systems. This study aimed to identify predictors of developing SAP in acute ischemic stroke patients admitted to the Stroke Unit at Manial Specialized Hospital factors with microbiological causality and impact on 30-day mortality.

Methods

This was a retrospective cohort study. All patients with acute ischemic stroke admitted to the Stroke Unit at Manial Specialized Hospital (from February 2021 to August 2023) were divided into the SAP and non-SAP groups. Detailed clinical characteristics and microbiological results were recorded.

Results

Five hundred twenty-two patients diagnosed with acute ischemic stroke (mean age of 55 ± 10) were included. One hundred sixty-nine (32.4%) of stroke patients developed SAP; Klebsiella pneumoniae was the most commonly detected pathogen (40.2%), followed by Pseudomonas aeruginosa (20.7%). Bacteremia was identified in nine cases (5.3%). The number of deaths was 11, all of whom were diagnosed with SAP, whereas none from the non-SAP group died (P < 0.001). The binary logistic regression model identified three independent predictors of the occurrence of SAP: previous history of TIA/stroke (OR = 3.014, 95%CI = 1.281–7.092), mechanical ventilation (OR = 4.883, 95%CI = 1.544–15.436), and bulbar dysfunction (OR = 200.460, 95%CI = 80.831-497.143).

Conclusions

Stroke-associated pneumonia was reported in one-third of patients with acute ischemic stroke, adversely affecting mortality outcomes. Findings showed that the main predictors of SAP were bulbar dysfunction, the use of mechanical ventilation and previous history of TIA/stroke. More attention to these vulnerable patients is necessary to reduce mortality.
Vaping habits and respiratory symptoms using a smartphone app platform
Authors: Lee Mi-Sun S. , Eum Ki-Do , Allen Joseph G. , Onnela Jukka-Pekka , Christiani David C.
Published: July 2024

Background

Widespread use of e-cigarette (EC) or vaping products causes respiratory disorders including the nationwide outbreak of e-cigarette or vaping product use-associated lung injury (EVALI) in 2019. Chronic adverse health effects are now being reported as well. To address this important public health issue, an innovative approach of epidemic control and epidemiologic study is required. We aimed to assess the association between short-term and long-term use of EC products and respiratory health in adults using smartphone app data.

Methods

A population-based, repeated measures, longitudinal smartphone app study that performed 8-day survey participation over 60 days for each participant from August 2020 to March 2021, including 306 participants aged 21 years and older in the US. The participants were asked to complete the respiratory health questionnaire daily, weekly, and monthly on their smartphone app. We analyzed the association between vaping habits and respiratory health using generalized linear mixed models (GLMMs).

Results

EC use in the previous 7 days was associated with frequent cough (OR: 5.15, 95% CI: 2.18, 12.21), chronic cough (OR: 3.92, 95% CI: 1.62, 9.45), frequent phlegm (OR: 3.99, 95% CI: 1.44, 11.10), chronic phlegm (OR: 3.55, 95% CI: 1.41, 8.96), episodes of cough and phlegm (OR: 4.68, 95% CI: 1.94, 11.28), mMRC grade 3–4 dyspnea (OR: 3.32, 95% CI: 1.35 to 8.13), chest cold (OR: 3.07, 95% CI: 1.29, 7.33), eye irritation (OR: 2.94, 95% CI: 1.34, 6.47) and nose irritation (OR : 2.02, 95% CI: 0.95, 4.30). Relatively long-term effects of the past 90 days EC use was associated with an increased risk of wheeze (OR: 3.04, 95% CI: 1.31, 7.03), wheeze attack (OR: 2.78, 95% CI: 1.07, 7.24), mMRC grade 3–4 dyspnea (OR: 2.54, 9% CI: 1.05 to 6.18), eye irritation (OR: 3.16, 95% CI: 1.49, 6.68), and eye irritation during the past month (OR: 3.50, 95% CI: 1.52, 8.04).

Conclusions

In this smartphone app-based repeated measures study, short-term and relatively long-term use of EC increased the risk of respiratory symptoms.
Early childhood height is a determinant of young adult stature in rural Nepal
Authors: Chen Jiaxin , Adhikari Ramesh K. , Wu Lee S-F , Khatry Subarna K. , Christian Parul , LeClerq Steven C. , Katz Joanne , West Keith P.
Published: July 2024

Background

Does preschool height predict adult stature in undernourished settings? The extent to which preschool length or height forecasts young adult stature is unclear in chronically undernourished populations.

Methods

In 2006-8, we assessed height in a cohort of 2074 young adults, aged 16–23 years, in rural Nepal who, as preschoolers (≤ 4 year), were measured at baseline and again 16 months later during a vitamin A supplementation trial in 1989-91. We assessed by linear regression the ability of preschool length (L, measured < 24 mo) or height (Ht, 24–59 mo), at each year of age to predict 16–23 year old height, adjusted for month of young adult age, interval duration (in months), caste, preschool weight-for-height z-score and, in young women, time since menarche, marriage status and pregnancy history.

Results

Young women were a mean of 0.81, 1.11, 0.82, 0.24, 0.44 cm taller (all p < 0.01) and young men, 0.84, 1.18, 0.74, 0.64 and 0.48 cm taller (all p < 0.001) per cm of attained L/Ht at each successive preschool year of age and, overall, were 2.04 and 2.40 cm taller for each unit increase in preschool L/Ht z-score (L/HAZ) (both p < 0.001). Coefficients were generally larger for 16-month follow-up measurements. The percent of young adult height attained by children with normal L/HAZ (>-1) increased from 38–40% mid-infancy to ∼ 69–74% by 6 years of age. By 3–6 years of age heights of stunted children (L/HAZ<-2) were consistently ∼ 4–7% lower in their young adult height versus normal statured children. There was no effect of preschool vitamin A receipt.

Conclusions

Shorter young children become shorter adults but predictive effects can vary by sex, age assessed, and may be influenced by year or season of measurement.
Exposure behaviour to Escherichia coli among households in Imvepi refugee settlement, Terego district Uganda
Authors: Nalugya Aisha , Ssempebwa John C. , Muleme James , Wafula Solomon T. , Tamale Bridget Nagawa , Tigaiza Arnold , Nakalembe Doreen , Kansiime Winnifred K. , Isunju John Bosco , Ssekamatte Tonny , Mugambe Richard K.
Published: July 2024

Introduction

Exposure to Escherichia coli (E. coli) is a risk factor for diarrhoeal diseases, which pose a significant problem in refugee settlements. Refugee populations are exposed to faecal microorganisms through multiple pathways including sub-optimal sanitary facilities, contaminated drinking water, produce and food, flood water, bathing water, and soil among others. While these pathways are well-documented, specific exposure behaviours remain underexplored. We assessed exposure behaviour to E. coli among households in Imvepi refugee settlement, Uganda, and provided evidence-based recommendations for the design of interventions to reduce excreta-related disease in refugee settlements.

Methods

Guided by the Sanitation Safety Planning approach, we surveyed 426 households in Imvepi refugee settlement, Uganda, using a digitized questionnaire and an observation checklist. We collected data on the background characteristics and exposure behaviour of women and emancipated girls (minors living on their own, having borne a child, married, or pregnant). The outcome variable, E. coli exposure behaviour, was measured using a five-point Likert scale, assessing behaviours that increase the risk of exposure. Data were cleaned in Microsoft Excel and analyzed in Stata version 17. Descriptive statistics were performed to summarize the data. We used modified Poisson regression to determine the factors associated with the outcome.

Results

Over 59.4% (253) exhibited high-risk exposure behaviour. Residing in compound homes (Adjusted Prevalence Ratio (APR) = 0.72, 95% Confidence interval (CI): 0.58–0.90), being aged 35–49 years (APR = 0.76, 95% CI: 0.60–0.97), having household heads with post-primary education (APR = 0.54, 95% CI: 0.38–0.77), high knowledge (APR = 0.69, 95% CI: 0.59–0.80), and high-risk perceptions regarding exposure to E. coli (APR = 0.75, 95% CI: 0.64–0.88) were associated with a lower prevalence of high-risk E. coli exposure behaviours. Conversely, having sanitary facilities with excreta overflowing from the squat hole (APR = 1.26, 95% CI: 1.08–1.48) was associated with a higher prevalence of high-risk exposure behaviours.

Conclusion

The study indicates a substantial prevalence of high-risk E. coli exposure behaviours in the refugee settlement.. There’s a need to implement behaviour change interventions targeted at preventing or minimizing exposure, especially among households whose heads have low education attainment, those with young caretakers and those with limited knowledge and low-risk perceptions regarding exposure to E. coli.
Cardiorespiratory fitness and body mass index on metabolic syndrome in middle-aged Japanese adults under national health guidance: a cross-sectional study
Authors: Zhai Xiangyu , Sawada Susumu S. , Kurosawa Sayaka , Koriyama Sakura , Dimitroff Serena A. , Sato Shinji , Oguma Yuko , Nakata Yoshio , Maruo Kazushi , Miyachi Motohiko , Gando Yuko , Oka Koichiro , Lee Duck-chul
Published: July 2024

Objectives

Poor cardiorespiratory fitness (CRF) and high body mass index (BMI) increased the risk of developing metabolic Syndrome (MetS) mostly in Caucasians. However, the sex-specific combined association of CRF and BMI on MetS considering health-related behaviors has yet to be thoroughly examined in Japanese. This study aims to investigate the sex-specific independent and combined associations of CRF and BMI with MetS in middle-aged Japanese adults.

Methods

421 participants were included in this cross-sectional study. CRF was estimated using a submaximal cycle ergometer. CRF and BMI were respectively divided into three categories according to tertile distribution. MetS was diagnosed based on five risk factors: waist circumference, triglycerides, high-density lipoprotein cholesterol, blood pressure, and fasting glucose. Multivariable logistic regression models were used to estimate independent and combined association of CRF and BMI with MetS.

Results

Results showed that 154 (57.5%) and 70 (45.8%) of men and women had MetS, respectively. Compared to men with lower CRF or higher BMI, men with middle and higher CRF or middle and lower BMI were less likely to have MetS. Compared with ‘unfit and higher BMI’ group, ‘unfit and lower BMI’, ‘fit and higher BMI’, and ‘fit and lower BMI’ groups in men showed statistically significant decreased prevalences of MetS. However, no significant associations were found in women.

Conclusions

This study found significant independent and combined associations of CRF and BMI with MetS only in men, but not in women. However, prospective studies are warranted to confirm sex-specific associations of CRF and BMI with MetS.
Effect of community-based public health service on health-related quality of life among middle-aged and older adults with chronic diseases in China
Authors: Wu Jingxian , Chen Danlei , Li Cong , Wang Yingwen
Published: July 2024

Background

The growing prevalence of non-communicable chronic diseases poses a significant public health challenge globally, particularly impacting the well-being of aging populations. This study aims to assess the impact of community-based public health service (PHS) on the health-related quality of life (HRQoL) among middle-aged and older adults with chronic diseases in China.

Methods

Utilizing data from the China Health and Retirement Longitudinal Study, we constructed a novel scale based on the 36-Item Short Form Health Survey (SF-36) to measure the HRQoL of middle-aged and older patients with hypertension and/or type-2 diabetes. Multivariate linear regression models with Instrument Variables and Propensity Score Matching techniques were applied to examine the effect of PHS on the HRQoL of identified chronic disease patients.

Results

Among 8,403 hypertensive and/or diabetic patients, only 10.98% had received PHS. After adjusting for covariates, PHS exhibited a significant association with an elevated overall SF-36 score (β = 3.539, p < 0.001). Similar effects were observed in the physical and mental component summary scores, with increases of 1.982 (p < 0.001) and 5.095 (p < 0.001), respectively. Sensitive analysis affirmed the robustness of these findings. Heterogeneity analysis revealed significant HRQoL improvements among males, females, those aged 70 and older, patients with comorbidities, and urban residents, while the effect was less pronounced in the middle-aged, those without comorbidities, or rural dwellers.

Conclusion

Community-based PHS has exerted a positive impact on both the physiological and psychological aspects of HRQoL among middle-aged and older chronic disease patients, with effects varying among individuals with different characteristics. Our findings advocate for enhancing the delivery and utilization of government-funded PHS, increasing health literacy, and promoting early prevention strategies for chronic diseases. Furthermore, targeted health management initiatives for patients with comorbidities and enhancements in the quality of community healthcare services, particularly in rural areas, are deemed necessary.
Clustering analysis of HRCT parameters measured using a texture-based automated system: relationship with clinical outcomes of IPF
Authors: Lee Jong-Uk , Park Jong-Sook , Seo Eunjeong , Kim Jin Seol , Lee Hae Ung , Chang Yongjin , Park Jai Seong , Park Choon-Sik
Published: July 2024

Purpose

The extent of honeycombing and reticulation predict the clinical prognosis of IPF. Emphysema, consolidation, and ground glass opacity are visible in HRCT scans. To date, there have been few comprehensive studies that have used these parameters. We conducted automated quantitative analysis to identify predictive parameters for clinical outcomes and then grouped the subjects accordingly.

Methods

CT images were obtained while patients held their breath at full inspiration. Parameters were analyzed using an automated lung texture quantification system. Cluster analysis was conducted on 159 IPF patients and clinical profiles were compared between clusters in terms of survival.

Results

Kaplan-Meier analysis revealed that survival rates declined as fibrosis, reticulation, honeycombing, consolidation, and emphysema scores increased. Cox regression analysis revealed that reticulation had the most significant impact on survival rate, followed by honeycombing, consolidation, and emphysema scores. Hierarchical and K-means cluster analyses revealed 3 clusters. Cluster 1 (n = 126) with the lowest values for all parameters had the longest survival duration, and relatively-well preserved FVC and DLCO. Cluster 2 (n = 15) with high reticulation and consolidation scores had the lowest FVC and DLCO values with a predominance of female, while cluster 3 (n = 18) with high honeycombing and emphysema scores predominantly consisted of male smokers. Kaplan-Meier analysis revealed that cluster 2 had the lowest survival rate, followed by cluster 3 and cluster 1.

Conclusion

Automated quantitative CT analysis provides valuable information for predicting clinical outcomes, and clustering based on these parameters may help identify the high-risk group for management.
Association between glucose levels at admission and outcomes of pneumonia: a systematic review and meta-analysis
Authors: Yuan Siqi , Chen Yixia , Xie Ling
Published: July 2024

Background

Elevated blood glucose at hospital admission is frequently observed and has been associated with adverse outcomes in various patient populations. This meta-analysis sought to consolidate existing evidence to assess the association between elevated blood glucose at admission and clinical outcomes amongst pneumonia patients.

Methods

We searched PubMed, Medline, Cochrane library, Web of Science (WoS), and Scopus databases for studies, published up to 31 August 2023, and reporting on the clinical outcomes and the blood glucose levels at admission. Data were extracted by two independent reviewers. Random-effects meta-analyses were used to pool odds ratios (ORs) with 95% confidence intervals (CI) for dichotomous outcomes and weighted mean differences (WMDs) for continuous outcomes.

Results

A total of 23 studies with 34,000 participants were included. Elevated blood glucose at admission was significantly associated with increased short-term (pooled OR: 2.67; 95%CI: 1.73–4.12) and long-term mortality (pooled OR: 1.70; 95%CI: 1.20–2.42). Patients with raised glucose levels were more likely to require ICU admission (pooled OR: 1.86; 95%CI: 1.31–2.64). Trends also suggested increased risks for hospital readmission and mechanical ventilation, though these were not statistically significant. Elevated blood glucose was linked with approximately 0.72 days longer duration of hospital stay.

Conclusion

Elevated blood glucose level at the time of hospital admission is associated with several adverse clinical outcomes, especially mortality, in patients with pneumonia. These findings underscore the importance of recognizing hyperglycemia as significant prognostic marker in pneumonia patients. Further research is needed to determine whether targeted interventions to control glucose levels can improve these outcomes.
Free medial femoral condyle osteocutaneous flap for repairing stage IIIB osteonecrosis of the lunate: a case report
Authors: Guo Liang , Chen Liang , Lin Shi-bei , Chen Chu , Wu Xue-jun
Published: July 2024

Background

There are several surgical options for osteonecrosis of the lunate, and confirming the effectiveness of various surgical methods remains challenging. Here, we present a case of stage IIIB osteonecrosis of the lunate repaired with a free medial femoral condyle osteocutaneous flap.

Case presentation

A 43-year-old male construction worker was admitted to our hospital due to right wrist pain, impaired mobility, and pain aggravated by activity for 10 months. The patient was diagnosed with stage IIIB osteonecrosis of the lunate based on the orthopantomogram and magnetic resonance imaging of the right wrist. Considering the patient’s medical history, physical examination, auxiliary examination, and wishes, reconstruction was performed using a free medial femoral condyle osteocutaneous flap. After the flap survived completely, the K-wires were removed one month after the operation, the external brace was removed two months after the operation, and functional wrist rehabilitation was initiated. After six months of follow-up, the wrist swelling and pain resolved, and the reconstructed lunate bone was viable. Additionally, the last follow-up was conducted in the sixth month after surgery; the affected hand grip strength improved from about 70% (28 kg) to 80% (32 kg) compared with the healthy side (40 kg); the visual analog scale score decreased from 6.5 points before the operation to 1 point; and the MAYO score increased from 60 points before the operation to 85 points.

Conclusions

The success of this case reinforces the potential of the free medial femoral condyle osteocutaneous flap as a new treatment option for stage IIIB osteonecrosis of the lunate and further expands the existing treatment options. Using a free medial femoral condyle osteocutaneous flap to reconstruct the lunate and restore the carpal anatomy may.
Extranodal natural killer/T-cell lymphoma with tonsil involvement: a case report
Authors: Xiao Yang , Zhang Xing , Gao Yingqin , Lin Ken , Chi Wenyue , Zhou Kaijian , Ma Jing , Zhang Tiesong
Published: July 2024

Background

Extranodal natural killer/T-cell lymphoma (ENKTL) with tonsil involvement is not common, especially in children.

Case presentation

A 13-year-old girl presented with an unexplained sore throat for more than 2 months, together with intermittent fever and suppurative tonsilitis. Nasopharyngoscopy revealed a pharyngeal mass. Enhanced computed tomography (CT) scan showed tonsillar hypertrophy and punctate calcification. Chronic pyogenic granulomatous inflammation with pseudoepithelial squamous epithelial hyperplasia was observed in left tonsil, and pyogenic granulomatous inflammation and a small number of T-lymphoid cells were detected in the right tonsil. The immunohistochemical results showed CD2+, CD3+, CD4+, CD5+, CD8+, granzyme B+, and TIA-1+. The Ki-67 proliferation index was 20%. The case showed T cell receptor gene rearrangement. Finally, the case was diagnosed as ENKTL of stage II with tonsil involvement. The patient received 6 cycles of chemotherapy with SMILE regimen, and showed complete response with no recurrence in the follow-up.

Conclusion

We presented a rare case of ENKTL with tonsil involvement in a child. The patient showed complete response to the SMILE chemotherapy with no recurrence.
Effect of shade and thickness on the microhardness of resin-based composite specimens at different points considering curing light beam’s inhomogeneity
Authors: Wang Lan , Ku Hyemin , Kim Dohyun , Park Sung-Ho
Published: July 2024

Background

Recent studies have reported the inhomogeneity in the light emitted by dental light-curing units (LCUs). It is essential to understand how this uneven light distribution affects the physical properties of resin-based composites (RBCs) at various points across their surfaces. This study aimed to evaluate the effect of LCU beam’s inhomogeneity on the microhardness of RBCs with different shades and thicknesses.

Methods

Four body (A1B, A2B, A3B, and A4B), one dentin (A3D), and one enamel shade (A3E) of RBC (Filtek Z350 XT) were examined. The specimens were fabricated in four thicknesses (1, 2, 3, and 4 mm) and subjected to a 40-second light-curing. Vickers microhardness testing was performed at the center point, and 3 mm left and right from the center at the bottom surface of each sample. The LCU beam profile was characterized using a beam profiler, while irradiance after specimen passage was measured using a spectrometer. One-way analysis of variance (ANOVA) and Tukey’s post-hoc tests were used to analyze the effects of shades and thicknesses on irradiance and microhardness, respectively. One-way repeated-measures ANOVA was used to compare the microhardness across different points. Pearson’s correlation analysis examined the relationship between irradiance and microhardness.

Results

The beam profile of LCU revealed inhomogeneous light distribution. Light irradiance was decreased with both the increase in thickness and darker shade of the specimens (p < 0.05). Microhardness was found to decline with an increase in sample thickness (p < 0.05), and was consistently higher at the center point compared to the periphery, particularly in thicker (3 and 4 mm) and darker shades (A3B, A4B, and A3D). A positive correlation was found between the irradiance and microhardness across all evaluated points (p < 0.05).

Conclusions

Inhomogeneous light emission from LCU significantly influences the microhardness of RBC samples, depending on the thicknesses and shades. The findings underline the importance of considering LCU beam inhomogeneity in clinical settings to ensure optimal polymerization of RBC.
Effect of dairy products fortified with vitamin d3 on restless legs syndrome in women with premenstrual syndrome, abdominal obesity and vitamin d deficiency: a pilot study
Authors: Sharifan Payam , Sahranavard Toktam , Rashidmayvan Mohammad , Darroudi Susan , Fard Mohammad Vahedi , Mohammadhasani Kimia , Mansoori Amin , Eslami Saeid , Safarian Mohamad , Afshari Asma , Bagherniya Mohammad , Tayefi Maryam , Khadem-Rezaiyan Majid , Ghazizadeh Hamideh , Ferns Gordon , Rezaie Mitra , Ghayour-Mobarhan Majid
Published: July 2024

Backgrounds

Restless legs syndrome (RLS) is an unpleasant condition that affects the quality of life of patients. Its prevalence in increased in women with premenstrual syndrome (PMS). Vitamin D plays a key role in female reproduction through its impact on calcium homeostasis and neurotransmitters. We aimed to evaluate the effect of dairy products fortified with Vitamin D3 on RLS in women with PMS.

Materials and methods

We conducted a 2.5-month, randomized, total-blinded clinical trial to evaluate the effectiveness of low-fat milk and yogurt fortified with vitamin D on RLS in women with PMS. Among 141 middle-aged women with abdominal obesity, 71 and 70 cases received fortified and non-fortified low-fat dairy products, respectively. All subjects completed a Symptoms Screening Tool (PSST) and RLS questionnaires.

Results

The results showed that in the women with severe PMS (PSST > 28), serum levels of vitamin D increased significantly following vitamin D fortification. The mean restless legs score in the severe PMS subgroup (PSST > 28) was significantly lower after the intervention (p < 0.05. Serum Vitamin D levels significantly differed between intervention and control groups in all individuals (PSST < 19, PSST 19–28, and PSST > 28) (p < 0.05), but no significant differences were found between RLS scores of the intervention and control groups in the three PMS subgroups (p > 0.05).

Conclusion

Fortifying dairy products with vitamin D3 can increase the serum levels of vitamin D and reduce the RLS severity in women with severe PMS, but not in other groups.