bluuebunny/crossref_metadata_2025 huggingface dataset:
Developing and assessing pre- and in-service science and engineering teachers’ systems thinking and modeling skills through an asynchronous online course
Authors: Peretz Roee , Dori Dov , Dori Yehudit Judy
Published: April 2023

Systems thinking and modeling are two critical 21st-century skills that teachers and educators are expected to impart to students, and students are expected to acquire and master them as part of their preparation to become literate citizens of a society and environment that is becoming ever more complex. Systems thinking is a thought process in which assumptions about interactions among interconnected elements of a system or a phenomenon can help predict the system’s behavior, outcomes, and in the case of human-made artifacts, the value to its beneficiaries. Conceptual modeling involves the simultaneous visual and textual representation of one’s ideas about a phenomenon or system in science or engineering. The qualitative study described here aimed to examine the effect of an online interdisciplinary asynchronous course on the development of systems thinking and conceptual modeling skills among pre- and in-service science and engineering teachers. Engaging in a qualitative case study with an exploratory orientation, we investigated how science and engineering teachers and teacher educators coped with (a) online learning of conceptual modeling and systems thinking using Object-Process Methodology in a food and sustainability context, and (b) developing an online assignment for teaching those skills to their students and assessing them. Research tools included the online assignment that the participants developed, a dedicated rubric for analyzing their assignments, accounting for use of modeling and systems concepts and the integration of sustainability and COVID-19 issues, a variety of thinking skills, visualizations and disciplines, and a mix of closed- and open-ended questions. Additionally, the participants’ reflections were analyzed to characterize their sense of self-efficacy and academic progression. We characterize five teacher-developed assignment cases along with the related teachers’ reflections, which exposed the benefits they had gained from the online course, as well as the systems thinking and modeling challenges they had faced. Analysis of the effect of the course with emphasis on the final task reveals that this approach is effective for developing the systems thinking and modeling skills of the teachers and serves as a catalyst for their professional development. The study offers a methodological contribution by providing a basis for evaluating teachers’ assessment knowledge and skills using a six attributes rubric.
Examining whether and how instructional coordination occurs within introductory undergraduate STEM courses
Authors: Couch Brian A. , Prevost Luanna B. , Stains Marilyne , Whitt Blake , Marcy Ariel E. , Apkarian Naneh , Dancy Melissa H. , Henderson Charles , Johnson Estrella , Raker Jeffrey R. , Yik Brandon J. , Earl Brittnee , Shadle Susan E. , Skvoretz John , Ziker John P.
Published: April 2023

Instructors’ interactions can foster knowledge sharing around teaching and the use of research-based instructional strategies (RBIS). Coordinated teaching presents an impetus for instructors’ interactions and creates opportunities for instructional improvement but also potentially limits an instructor’s autonomy. In this study, we sought to characterize the extent of coordination present in introductory undergraduate courses and to understand how departments and instructors implement and experience course coordination. We examined survey data from 3,641 chemistry, mathematics, and physics instructors at three institution types and conducted follow-up interviews with a subset of 24 survey respondents to determine what types of coordination existed, what factors led to coordination, how coordination constrained instruction, and how instructors maintained autonomy within coordinated contexts. We classified three approaches to coordination at both the overall course and course component levels: independent (i.e., not coordinated), collaborative (decision-making by instructor and others), controlled (decision-making by others, not instructor). Two course components, content coverage and textbooks, were highly coordinated. These curricular components were often decided through formal or informal committees, but these decisions were seldom revisited. This limited the ability for instructors to participate in the decision-making process, the level of interactions between instructors, and the pedagogical growth that could have occurred through these conversations. Decision-making around the other two course components, instructional methods and exams, was more likely to be independently determined by the instructors, who valued this autonomy. Participants in the study identified various ways in which collaborative coordination of courses can promote but also inhibit pedagogical growth. Our findings indicate that the benefits of collaborative course coordination can be realized when departments develop coordinated approaches that value each instructor’s autonomy, incorporate shared and ongoing decision-making, and facilitate collaborative interactions and knowledge sharing among instructors.
Microdialysis as a tool for antibiotic assessment in patients with diabetic foot: a review
Authors: Fejfarová Vladimíra , Jarošíková Radka , Polák Jan , Sommerová Blanka , Husáková Jitka , Wosková Veronika , Dubský Michal , Tůma Petr
Published: April 2023

Diabetic foot is a serious late complication frequently caused by infection and ischaemia. Both require prompt and aggressive treatment to avoid lower limb amputation. The effectiveness of peripheral arterial disease therapy can be easily verified using triplex ultrasound, ankle-brachial/toe-brachial index examination, or transcutaneous oxygen pressure. However, the success of infection treatment is difficult to establish in patients with diabetic foot. Intravenous systemic antibiotics are recommended for the treatment of infectious complications in patients with moderate or serious stages of infection. Antibiotic therapy should be initiated promptly and aggressively to achieve sufficient serum and peripheral antibiotic concentrations. Antibiotic serum levels are easily evaluated by pharmacokinetic assessment. However, antibiotic concentrations in peripheral tissues, especially in diabetic foot, are not routinely detectable. This review describes microdialysis techniques that have shown promise in determining antibiotic levels in the surroundings of diabetic foot lesions.
Optimization of the process variables on biodegradable industrial lubricant basestock synthesis from Jatropha curcas seed oil via response surface methodology
Authors: Ifeanyi-Nze Favour Okechi , Akhiehiero Ejiro Thelma
Published: April 2023

The synthesis of biolubricants from renewable feedstocks is currently gaining attention. Over 95% of the market is comprised of lubricants made from petroleum. Due to their limited biodegradability and high eco-toxicity, lubricants generated from petroleum constitute a significant environmental hazard. As pollution levels increase and oil supplies decline, there is a rising need to develop biobased alternatives. Manufacturing cleaner fuel products will mitigate the negative environmental impact of greenhouse gas emissions, which contribute to global warming. Jatropha curcas seed oil is an efficient renewable feedstock for biolubricant synthesis. This study optimized the process variables on biodegradable lubricant basestock production from J. curcas seed oil. A central composite design was used to maximize the chemical interaction between J. curcas methyl ester and ethylene glycol (EG) as a polyol. A total of 20 experimental runs were done to examine reaction temperature, time, and the ethylene glycol to fatty acid methyl ester (EG-to-FAME) molar ratio. A statistical model indicated that the maximum conversion yield of jatropha biolubricant (JBL) would be 92.48% under the following optimum reaction conditions: 128.95°C, 202.40 min, and ethylene glycol to fatty acid methyl ester (EG-to-FAME) molar ratio of 3.87:1. At these optimum conditions, an average jatropha biolubricant (JBL) yield of 94.12% was achieved under experimental conditions, and this value was well within the range predicted (92.48%) by the model. The quadratic model predicted the biolubricant output (R2 = 0.9919). The synthesized biolubricant met the requirements of Viscosity Grade 46 (ISO VG 46) set by the International Organization for Standardization.
Cyclical browning in a subtropical lake inferred from diatom records
Authors: Emery Boeck Meredith A. , Gaiser Evelyn E. , Swain Hilary M. , Brenner Mark , Curtis Jason H. , Kenney William F.
Published: April 2023

Changing climate and land use activity are altering inputs of colored dissolved organic carbon (cDOC) into lakes. Increased cDOC reduces water transparency (browning) and changes lake physicochemistry, with biological consequences. Identifying the drivers and effects of changing cDOC inputs is critical for mitigating the consequences of climate change on lake ecosystems through adaptive watershed management. This study focused on determining the drivers of lake browning by evaluating shifts in diatom assemblages in subtropical, oligotrophic Lake Annie (FL, United States), which is known to experience climate-driven oscillations in transparency associated with watershed inputs of cDOC. We combined long-term limnological monitoring data and paleolimnological techniques to determine how diatoms respond to changes in cDOC and to infer past cDOC fluctuations relative to records of past climate and land use changes in the watershed. Diatom assemblage composition in a 14-year phytoplankton dataset was strongly correlated with cDOC-driven transparency fluctuations. Likewise, diatom assemblages in the upper 35 cm of the sediment core, which corresponded to a 35-year lake monitoring record, were also strongly related to past water transparency, yielding a strong transfer function (paleo model, R2 = 0.72). When the model was applied to the diatom record from a 166-cm sediment core, diatom-inferred transparency and rates of nutrient input showed that localized ditching in the 1930s enhanced the effect of climate oscillations on water transparency, intensifying cyclical browning thereafter. Integration of long-term monitoring and paleoecological data provided valuable insights into the history of the aquatic ecosystem, enabling implementation of adaptive management strategies to contend with a changing climate.
Seasonal differences in Varroa destructor population growth in western honey bee (Apis mellifera) colonies
Authors: Jack Cameron J. , de Bem Oliveira Ivone , Kimmel Chase B. , Ellis James D.
Published: April 2023

Varroa destructor is a major threat for apiculture worldwide. A successful approach to control this parasite must include the application of effective treatments at the correct time. To understand the effect that treatment timing has on Varroa populations at different seasons, we conducted an experiment using a dataset comprising two separate field trials over multiple years, both trials containing four apiary sites composed of 20 honey bee colonies across an area representative of north central Florida environments. Before the start of the season, colonies were treated with two acaricides simultaneously to bring the Varroa populations to ∼0.25 mites/100 bees. Following treatment, we monitored the mite populations monthly via alcohol washes. Our results show that the temporal efficacy of Varroa treatments varies across seasons. We observed that it takes about 4–5 months after treatment in winter and spring for mite populations to return to the standard economical threshold (3 mites/100 bees). Nevertheless, there is a steeper increase in mite populations (<3 months to exceed the economic threshold) after treating colonies in summer and fall. The level of infestation that leads to colony collapse and the rate of colony decline also varied by season. To our knowledge, this is the first study evaluating seasonal effects on Varroa population growth and the first model of Varroa population growth in Florida, USA. Our results serve as a foundation for Varroa treatment models, aiding beekeepers in the future as a part of a holistic approach to control this devastating honey bee parasite.
Isotopic niche modelling of the Pondaung mammal fauna (middle Eocene, Myanmar) shows microhabitat differences. Insights into paleoecology and early anthropoid primate habitats
Authors: Habinger Sophie G. , Chavasseau Olivier , Ducrocq Stéphane , Chaimanee Yaowalak , Jaeger Jean-Jacques , Sein Chit , Soe Aung Naing , Stern Samuel , Bocherens Hervé
Published: April 2023

The late Middle Eocene Pondaung Fm. is a window to understand the environment and ecosystem dynamics of a past greenhouse world and the paleoenvironments where modern mammal clades such as anthropoid primates originated. Previous studies focused on the overall climate and vegetation of this Eocene habitat and provided first evidence for an early monsoon onset before the orogenesis of the Himalayan-Tibetan range. Here, we wanted to investigate how the mammal fauna used this habitat and which different ecological niches and microhabitats they occupied. We analyzed the carbonate fraction of dental enamel of a fossil mammal assemblage from various localities of the Pondaung Fm. in Myanmar. Bayesian niche modelling of the δ13C and δ18O values allowed us to quantify aspects of the ecological core niches occupied by these taxa, to calculate niche overlap and to use these data to infer directional competition potential in this mammal assemblage. Furthermore, comparison of different areas of the Pondaung Fm. revealed two different microhabitats whose distribution is consistent with existing vegetation models. Most primate taxa were found in both described environments, which gives a first indication about their ecological flexibility.
Vegetation greenness and photosynthetic phenology in response to climatic determinants
Authors: Dang Chaoya , Shao Zhenfeng , Huang Xiao , Zhuang Qingwei , Cheng Gui , Qian Jiaxin
Published: April 2023

Vegetation phenology is a key indicator of vegetation-climate interactions and carbon sink changes in ecosystems. Therefore, it is very important to understand the temporal and spatial variability of vegetation phenology and the driving climatic determinants [e.g., temperature (Ts) and soil moisture (SM)]. Vegetation greenness and photosynthetic phenology were derived using the double logistic (DL) method to enhance vegetation index (EVI) and solar-induced chlorophyll fluorescence (SIF) spring and autumn phenology, respectively. The growing season length (GSL) of greenness phenology (about 100 days) derived EVI was longer than GSL of photosynthetic phenology (about 80 days) derived SIF. Although their overall spatiotemporal pattern trends were consistent, photosynthetic phenology varied 1.4 to 3.1 times more than greenness phenology over time. In addition, SIF-based photosynthetic phenology and EVI-based greenness phenology showed consistent factors of drivers but differed to some extent in spatial patterns and the most relevant preseason dates. Spring photosynthetic phenology was mainly influenced by pre-season mean cumulative Ts (about 90 days). However, greenness phenology was controlled by both pre-seasons mean cumulative Ts [(about 55 days) and mean cumulative SM (about 40 days)]. Autumn photosynthetic phenology was controlled by both periods’ mean cumulative Ts [(about 20 days) and SM (about 20 days)], but autumn greenness phenology was mainly influenced by pre-season mean cumulative Ts (85 days). The comparison analysis of SIF and EVI phenology helps to understand the difference between photosynthetic phenology and greenness phenology at a regional scale.
Genome-wide identification of alternative splicing and splicing regulated in immune infiltration in osteosarcoma patients
Authors: Dai Zhibing , Sun Yachao , Maihemuti Maierdanjiang , Jiang Renbing
Published: April 2023

Background: Osteosarcoma typically occurs in adolescents, and the survival rate of patients with metastatic and recurrent osteosarcoma remains low. Abnormal regulation of alternative splicing is associated with the development of osteosarcoma. However, there is no genome-wide analysis of the function and regulatory mechanisms of aberrant alternative splicing associated with osteosarcoma.

Methods: Published transcriptome data on osteosarcoma (GSE126209) derived from osteosarcoma patient tissue were downloaded. Gene expression profiling by high-throughput sequencing was performed on 9 normal samples and 10 tumor samples for genome-wide identification of osteosarcoma-related alternative splicing events. The potential function of osteosarcoma-associated alternative splicing events was examined by immune infiltration and correlation analysis. Regulation of aberrantly expressed RNA-binding proteins (RBPs) related to alternative splicing in osteosarcoma was clarified by co-expression analysis.

Results: A total of 63 alternative splicing events, which are highly credible and dominant, were identified. GO enrichment analysis indicated that alternative splicing may be closely related to the immune response process. Immune infiltration analysis showed significant changes in the percentages of CD8 T cells, resting memory CD4 T cells, activated memory CD4 T cells, monocytes, resting dendritic cells, and activated mast cells in tumors compared to normal tissues, indicating the involvement of these immune cell types in the occurrence of osteosarcoma. Moreover, the analysis identified alternative splicing events that were co-altered with resting memory CD4 T cells, resting dendritic cells, and activated mast cells, events that may be associated with regulation of the osteosarcoma immune microenvironment. In addition, a co-regulatory network (RBP-RAS-immune) of osteosarcoma-associated RBPs with aberrant alternative splicing and altered immune cells was established. These RBPs include NOP58, FAM120C, DYNC1H1, TRAP1, and LMNA, which may serve as molecular targets for osteosarcoma immune regulation.

Conclusion: These findings allow us to further understand the causes of osteosarcoma development and provide a new research direction for osteosarcoma immunotherapy or targeted therapy.
R-loop landscape in mature human sperm: Regulatory and evolutionary implications
Authors: Scheuren Maurice , Möhner Jonas , Zischler Hans
Published: April 2023

R-loops are three-stranded nucleic acid structures consisting of an RNA:DNA hybrid and a displaced DNA strand. While R-loops pose a potential threat to genome integrity, they constitute 5% of the human genome. The role of R-loops in transcriptional regulation, DNA replication, and chromatin signature is becoming increasingly clear. R-loops are associated with various histone modifications, suggesting that they may modulate chromatin accessibility. To potentially harness transcription-coupled repair mechanisms in the germline, nearly the entire genome is expressed during the early stages of male gametogenesis in mammals, providing ample opportunity for the formation of a transcriptome-dependent R-loop landscape in male germ cells. In this study, our data demonstrated the presence of R-loops in fully mature human and bonobo sperm heads and their partial correspondence to transcribed regions and chromatin structure, which is massively reorganized from mainly histone to mainly protamine-packed chromatin in mature sperm. The sperm R-loop landscape resembles characteristic patterns of somatic cells. Surprisingly, we detected R-loops in both residual histone and protamine-packed chromatin and localize them to still-active retroposons, ALUs and SINE-VNTR-ALUs (SVAs), the latter has recently arisen in hominoid primates. We detected both evolutionarily conserved and species-specific localizations. Comparing our DNA-RNA immunoprecipitation (DRIP) data with published DNA methylation and histone chromatin immunoprecipitation (ChIP) data, we hypothesize that R-loops epigenetically reduce methylation of SVAs. Strikingly, we observe a strong influence of R-loops on the transcriptomes of zygotes from early developmental stages before zygotic genome activation. Overall, these findings suggest that chromatin accessibility influenced by R-loops may represent a system of inherited gene regulation.
Exploring the impact of clonal definition on B-cell diversity: implications for the analysis of immune repertoires
Authors: Pelissier Aurelien , Luo Siyuan , Stratigopoulou Maria , Guikema Jeroen E. J. , Rodríguez Martínez María
Published: April 2023

The adaptive immune system has the extraordinary ability to produce a broad range of immunoglobulins that can bind a wide variety of antigens. During adaptive immune responses, activated B cells duplicate and undergo somatic hypermutation in their B-cell receptor (BCR) genes, resulting in clonal families of diversified B cells that can be related back to a common ancestor. Advances in high-throughput sequencing technologies have enabled the high-throughput characterization of B-cell repertoires, however, the accurate identification of clonally related BCR sequences remains a major challenge. In this study, we compare three different clone identification methods on both simulated and experimental data, and investigate their impact on the characterization of B-cell diversity. We observe that different methods lead to different clonal definitions, which affects the quantification of clonal diversity in repertoire data. Our analyses show that direct comparisons between clonal clusterings and clonal diversity of different repertoires should be avoided if different clone identification methods were used to define the clones. Despite this variability, the diversity indices inferred from the repertoires’ clonal characterization across samples show similar patterns of variation regardless of the clonal identification method used. We find the Shannon entropy to be the most robust in terms of the variability of diversity rank across samples. Our analysis also suggests that the traditional germline gene alignment-based method for clonal identification remains the most accurate when the complete information about the sequence is known, but that alignment-free methods may be preferred for shorter sequencing read lengths. We make our implementation freely available as a Python library cdiversity.
Enhanced protein synthesis is a defining requirement for neonatal B cell development
Authors: Åkerstrand Hugo , Boldrin Elena , Montano Giorgia , Vanhee Stijn , Olsson Karin , Krausse Niklas , Vergani Stefano , Cieśla Maciej , Bellodi Cristian , Yuan Joan
Published: April 2023

The LIN28B RNA binding protein exhibits an ontogenically restricted expression pattern and is a key molecular regulator of fetal and neonatal B lymphopoiesis. It enhances the positive selection of CD5+ immature B cells early in life through amplifying the CD19/PI3K/c-MYC pathway and is sufficient to reinitiate self-reactive B-1a cell output when ectopically expressed in the adult. In this study, interactome analysis in primary B cell precursors showed direct binding by LIN28B to numerous ribosomal protein transcripts, consistent with a regulatory role in cellular protein synthesis. Induction of LIN28B expression in the adult setting is sufficient to promote enhanced protein synthesis during the small Pre-B and immature B cell stages, but not during the Pro-B cell stage. This stage dependent effect was dictated by IL-7 mediated signaling, which masked the impact of LIN28B through an overpowering stimulation on the c-MYC/protein synthesis axis in Pro-B cells. Importantly, elevated protein synthesis was a distinguishing feature between neonatal and adult B cell development that was critically supported by endogenous Lin28b expression early in life. Finally, we used a ribosomal hypomorphic mouse model to demonstrate that subdued protein synthesis is specifically detrimental for neonatal B lymphopoiesis and the output of B-1a cells, without affecting B cell development in the adult. Taken together, we identify elevated protein synthesis as a defining requirement for early-life B cell development that critically depends on Lin28b. Our findings offer new mechanistic insights into the layered formation of the complex adult B cell repertoire.
Efficacy and safety of different JAK inhibitors in the treatment of alopecia areata: a network meta-analysis
Authors: Wei Dongfan , Chen Yi , Shen Yuqing , Xie Bo , Song Xiuzu
Published: April 2023

Background

Alopecia areata (AA) is an immune disease characterized by non-scarring hair loss. With the widespread application of JAK inhibitors in immune-related diseases, attention is being given to their role in the treatment of AA. However, it is unclear which JAK inhibitors have a satisfactory or positive effect on AA. This network meta-analysis aimed to compare the efficacy and safety of different JAK inhibitors in the treatment of AA.

Methods

The network meta-analysis was performed according to the PRISMA guidelines. We included randomized controlled trials as well as a small number of cohort studies. The differences in efficacy and safety between the treatment and control groups were compared.

Results

Five randomized controlled trials, two retrospective studies, and two prospective studies involving 1689 patients were included in this network meta-analysis. In terms of efficacy, oral baricitinib and ruxolitinib significantly improved the response rate of patients compared to placebo [MD = 8.44, 95% CI (3.63, 19.63)] and [MD = 6.94, 95% CI, (1.72, 28.05)],respectively. Oral baricitinib treatment significantly improved the response rate compared to non-oral JAK inhibitor treatment [MD=7.56, 95% CI (1.32,43.36)]. Oral baricitinib, tofacitinib, and ruxolitinib treatments significantly improved the complete response rate compared to placebo [MD = 12.21, 95% CI (3.41, 43.79)], [MD = 10.16, 95% CI (1.02, 101.54)], and [MD = 9.79, 95% CI, (1.29, 74.27)], respectively. In terms of safety, oral baricitinib, tofacitinib, and ruxolitinib treatments significantly reduced treatment-emergent adverse event rates compared with conventional steroid treatment [MD = 0.08, 95% CI (0.02, 0.42)], [MD = 0.14, 95% CI (0.04, 0.55)], and [MD = 0.35, 95% CI, (0.14, 0.88)], respectively.

Conclusion

Oral baricitinib and ruxolitinib are excellent options for the treatment of AA owing to their good efficacy and safety profiles. In contrast, non-oral JAK inhibitors do not appear to have satisfactory efficacy in treating AA. However, further studies are required to verify the optimal dose of JAK inhibitors for AA therapy.
Understanding CD4+ T cells in autoimmune bullous diseases
Authors: Lee A Yeong , Kim Taehee , Kim Jong Hoon
Published: April 2023

Autoimmune bullous diseases (AIBDs) are a group of life-threatening blistering diseases caused by autoantibodies that target proteins in the skin and mucosa. Autoantibodies are the most important mediator in the pathogenesis of AIBDs, and various immune mechanisms contribute to the production of these pathogenic autoantibodies. Recently, significant progress has been made in understanding how CD4+ T cells drive autoantibody production in these diseases. Here, we review the critical role of CD4+ T cells in the production of pathogenic autoantibodies for the initiation and perpetuation of humoral response in AIBDs. To gain an in-depth understanding of CD4+ T-cell pathogenicity, antigen specificity, and mechanisms of immune tolerance, this review covers comprehensive mouse and human studies of pemphigus and bullous pemphigoid. Further exploration of pathogenic CD4+ T cells will potentially provide immune targets for improved treatment of AIBDs.
Effects of the interactions between platelets with other cells in tumor growth and progression
Authors: Li Yaxin , Wang Haiyan , Zhao Zhen , Yang Yuanming , Meng Zifan , Qin Lifeng
Published: April 2023

It has been confirmed that platelets play a key role in tumorigenesis. Tumor-activated platelets can recruit blood cells and immune cells to migrate, establish an inflammatory tumor microenvironment at the sites of primary and metastatic tumors. On the other hand, they can also promote the differentiation of mesenchymal cells, which can accelerate the proliferation, genesis and migration of blood vessels. The role of platelets in tumors has been well studied. However, a growing number of studies suggest that interactions between platelets and immune cells (e.g., dendritic cells, natural killer cells, monocytes, and red blood cells) also play an important role in tumorigenesis and tumor development. In this review, we summarize the major cells that are closely associated with platelets and discuss the essential role of the interaction between platelets with these cells in tumorigenesis and tumor development.
The effect of paternal psoriasis on neonatal outcomes: a nationwide population-based study
Authors: Huang Yu-Huei , Chiou Meng-Jiun , Yang Shun-Fa , Kuo Chang-Fu
Published: April 2023

Background

Psoriasis is a chronic autoimmune disease involving both environmental and genetic risk factors. Maternal psoriasis often results in poor pregnancies that influence both mothers and newborns. However, the influence of paternal psoriasis on the newborn remains unknown. The aim of this study was to investigate whether paternal psoriasis is associated with increased risk of adverse neonatal outcomes, within a nationwide population-based data setting.

Methods

Singleton pregnancies were identified in the Taiwan National Health Insurance database and National Birth Registry between 2004-2011 and classified into four study groups according to whether mothers and spouses had psoriasis (paternal(−)/maternal(−), paternal(+)/maternal(−), paternal(−)/maternal(+), and paternal(+)/maternal(+)). Data were analyzed retrospectively. Adjusted odds ratios (aOR) or hazard ratios (aHR) were calculated to evaluate the risk of neonatal outcomes between groups.

Results

A total of 1,498,892 singleton pregnancies were recruited. Newborns of fathers with psoriasis but not of mothers with psoriasis were associated with an aHR (95% CI) of 3.69 (1.65–8.26) for psoriasis, 1.13 (1.06–1.21) for atopic dermatitis and 1.05 (1.01–1.10) for allergic rhinitis. Newborns of mothers with psoriasis but not of fathers with psoriasis were associated with an aOR (95% CI) of 1.26 (1.12-1.43) for low birth weight (<2500 g) and 1.64 (1.10–2.43) for low Apgar scores, and an aHR of 5.70 (2.71–11.99) for psoriasis.

Conclusion

Newborns of fathers with psoriasis are associated with significantly higher risk of developing atopic dermatitis, allergic rhinitis and psoriasis. Caution is advised for adverse neonatal outcomes when either or both parents have psoriasis.
Vertical distribution of Fe, P and correlation with organic carbon in coastal sediments of Yellow Sea, Eastern China
Authors: Qi Zizhen , Gao Lei , Chen Daixing , Wang Xuhao , Liu Huan , Yang Yang , Zhao Yulian , Lu Xiancai
Published: April 2023

The coastal zone is considered as a major carbon pool. Iron minerals and phosphates are vital factors affecting the amounts and occurrence of total organic carbon (TOC) in sediments. However, coupling mechanisms of iron (Fe) and phosphorous (P) in the source-sink transition of TOC in coastal sediments is poorly understood. This study characterized the distribution of Fe, P and TOC contents of three independent 170 cm sediment cores sampled from a coastal aquaculture area in the eastern Jiangsu Province, and quantified the correlations among Fe, P, median grain diameter (Dx(50)), and TOC. The results showed total phosphorus (TP) content ranges in a scope of 337.4-578.0 mg/kg, and many depths recorded moderate P eutrophication. Inorganic phosphorus (DA + IP) and biogenic apatite were the primary components of TP, accounting for 25.19–55.00 and 26.71–49.62%, respectively. The Fe contents varied from 987.9 mg/kg to 2900.7 mg/kg, in which oxidized iron (Feox) accounted for about 62.2–79.4%. In the vertical profile, the TOC was positively correlated with the contents of low-crystallinity Fe-bearing carbonates (Fecarb), high crystallinity pyrite (FePy), iron-bound phosphorus (PCDB), manganeses (Mn), and nitrogen (N), while it was negatively correlated with DA + IP, organic phosphorus (OP), and Dx(50). Based on the the partial least squares (PLS) model, we proposed that the higher FePy, Mn, magnetite (FeMag), Fecarb, PCDB, amorphous exchangeable Fe (Ex-Fe), and authigenic apatite phosphorus (Bio-P) in sediments represent the high capacity for TOC sink, whereas, higher DA + IP, and OP indicate a TOC conversion to the source. The non-siginificat indication of Feox on TOC source-sink is due to its surplus and strong reactivity relative to TOC content. These revealed correlations provide a theoretical reference for understanding and regulating the burial rate and storage of TOC by changing the input of Fe minerals and P components into coastal sediments.
Assessing key influences on the distribution and life-history of Arctic and boreal Calanus: are online databases up to the challenge?
Authors: Freer Jennifer J. , Tarling Geraint A.
Published: April 2023

Despite the importance of calanoid copepods to healthy ecosystem functioning of the Arctic Ocean and Subarctic Seas, many aspects of their biogeography, particularly in winter months, remain unresolved. At the same time, online databases that digitize species distribution records are growing in popularity as a tool to investigate ecological patterns at macro scales. The value of such databases for Calanus research requires investigation - the long history of Calanus sampling holds promise for such databases, while conditions at high latitudes may impose limits through spatial and temporal biases. We collated records of three Calanus species (C. finmarchicus, C. glacialis, and C. hyperboreus) from the Ocean Biodiversity Information System (OBIS) and the Global Biodiversity Information Facility (GBIF) providing over 230,000 unique records spanning 150 years and over 100 individual datasets. After quality control and cleaning, the latitudinal and vertical distribution of occurrences were explored, as well as the completeness of informative metadata fields. Calanus sampling was found to be temporally and spatially biased towards surfacemost layers (<10m) in spring and summer. Only 3.5% of records had an average collection depth ≥400m, approximately half of these in months important for diapause. Just over 40% of records lacked associated information on sampling protocol while 11% of records lacked life-stage information. OBIS data contained fields for maximum and minimum collection depth and so were subset into discrete “shallow summer” and “deep winter” life cycle phases and matched to sea-ice and temperature conditions. 23% of OBIS records north of 66° latitude were located in regions of seasonal sea-ice presence and occurrences show species-specific thermal optima during the shallow summer period. The collection depth of C. finmarchicus was significantly different to C. hyperboreus during the deep winter. Overall, online databases contain a vast number of Calanus records but sampling biases should be acknowledged when they are used to investigate patterns of biogeography. We advocate efforts to integrate additional data sources within online portals. Particular gaps to be filled by existing or future collections are (i) widening the spatial extent of sampling during spring/summer months, (ii) increasing the frequency of sampling during winter, particularly at depths below 400m, and (iii) improving the quality, quantity and consistency of metadata reporting.
Risk factors and outcomes of lower respiratory tract infections after traumatic brain injury: a retrospective observational study
Authors: Caceres Eder , Olivella Juan C. , Yanez Miguel , Viñan Emilio , Estupiñan Laura , Boada Natalia , Martin-Loeches Ignacio , Reyes Luis Felipe
Published: April 2023

Background

Traumatic brain injury (TBI) is a public health problem with a high burden in terms of disability and death. Infections are a common complication, with respiratory infections being the most frequent. Most available studies have addressed the impact of ventilator-associated pneumonia (VAP) after TBI; therefore, we aim to characterize the hospital impact of a broader entity, lower respiratory tract infections (LRTIs).

Methods

This observational, retrospective, single-center cohort study describes the clinical features and risk factors associated with LRTIs in patients with TBI admitted to an intensive care unit (ICU). We used bivariate and multivariate logistic regressions to identify the risk factors associated with developing LRTI and determine its impact on hospital mortality.

Results

We included 291 patients, of whom 77% (225/291) were men. The median (IQR) age was 38 years (28–52 years). The most common cause of injury was road traffic accidents 72% (210/291), followed by falls 18% (52/291) and assault at 3% (9/291). The median (IQR) Glasgow Coma Scale (GCS) score on admission was 9 (6–14), and 47% (136/291) were classified as severe TBI, 13% (37/291) as moderate TBI, and 40% (114/291) as mild TBI. The median (IQR) injury severity score (ISS) was 24 (16–30). Nearly 48% (141/291) of patients presented at least one infection during hospitalization, and from those, 77% (109/141) were classified as LRTIs, which included tracheitis 55% (61/109), ventilator-associated pneumonia (VAP) 34% (37/109), and hospital-acquired pneumoniae (HAP) 19% (21/109). After multivariable analysis, the following variables were significantly associated with LRTIs: age (OR 1.1, 95% CI 1.01–1.2), severe TBI (OR 2.7, 95% CI 1.1–6.9), AIS thorax (OR 1.4, 95 CI 1.1–1.8), and mechanical ventilation on admission (OR 3.7, 95% CI 1.1–13.5). At the same time, hospital mortality did not differ between groups (LRTI 18.6% vs. No LRTI 20.1%, p = 0.7), and ICU and hospital length of stay (LOS) were longer in the LRTI group (median [IQR] 12 [9–17] vs. 5 [3–9], p < 0.01) and (median [IQR] 21 [13–33] vs. 10 [5–18], p = 0.01), respectively. Time on the ventilator was longer for those with LRTIs.

Conclusion

The most common site/location of infection in patients with TBI admitted to ICU is respiratory. Age, severe TBI, thoracic trauma, and mechanical ventilation were identified as potential risk factors. LRTI was associated with prolonged ICU, hospital stay, and more days on a ventilator, but not with mortality.
The association between sleep duration, respiratory symptoms, asthma, and COPD in adults
Authors: Ruan Zhishen , Li Dan , Cheng Xiaomeng , Jin Minyan , liu Ying , Qiu Zhanjun , Chen Xianhai
Published: April 2023

Introduction

The association between sleep duration and cough, wheezing, and dyspnea was unclear. This research aimed to test this relationship.

Methods

Research data were obtained from people who participated in the National Health and Nutrition Examination Survey (NHANES) from 2005 to 2012. We used weighted logistic regression analysis and fitted curves to explore the association between sleep and respiratory symptoms. In addition, we investigated the association between sleep duration, chronic obstructive pulmonary disease (COPD), and asthma. The stratified analysis is used to analyze inflection points and specific populations.

Results

The 14,742 subjects are weighted to reflect the 45,678,491 population across the United States. Weighted logistic regression and fitted curves show a U-shaped relationship between sleep duration and cough and dyspnea. This U-shaped relationship remained in people without COPD and asthma. The stratified analysis confirmed that sleep duration before 7.5 h was negatively associated with cough (HR 0.80, 95% CI 0.73–0.87) and dyspnea (HR 0.82, 95% CI 0.77–0.88). In contrast, it was positively associated with cough and (HR 1.30, 95% CI 1.14–1.48) dyspnea (HR 1.12, 95% CI 1.00–1.26) when sleep duration was >7.5 h. In addition, short sleep duration is associated with wheezing, asthma, and COPD.

Conclusion

Both long and short sleep duration are associated with cough and dyspnea. And short sleep duration is also an independent risk factor for wheezing, asthma, and COPD. This finding provides new insights into the management of respiratory symptoms and diseases.
Case report: Severe pneumonia and pneumomediastinum in a previously robust adolescent caused by Omicron BA.5.2
Authors: Xiang Tianxin , Fang Jianhua , Cheng Tao , Li Zhongmin , Wu Daxian , Zhang Shouhua , Ge Shanfei , Zhang Wei
Published: April 2023

The manifestation of severe pneumonia is only occasional, and pneumomediastinum is a condition that occurs rarely in Coronavirus disease 2019 (COVID-19) patients, especially in those patients who are infected with the Omicron variant. In addition, whether severe pneumonia or pneumomediastinum often occurs in patients in older age, in poor physical condition, or with underlying diseases remains to be ascertained. To date, severe pneumonia and pneumomediastinum due to Omicron infection had not been reported in a young patient with an excellent physical condition. In this study, we report such a case with the aforementioned manifestations in a robust adolescent infected with Omicron BA.5.2.
Technology-enhanced simulation for healthcare professionals: A meta-analysis
Authors: Mitchell Aaron A. , Ivimey-Cook Edward R.
Published: April 2023

Aim

There have been substantial changes in the simulation technology landscape, in particular virtual reality (VR), during the past decade, which have resulted in increased abundance and decreased cost. We therefore updated a previous meta-analysis conducted in 2011, aiming to quantify the impact of digital technology-enhanced simulation (T-ES) compared with traditional teaching in physicians, physicians-in-training, nurses, and nursing students.

Design

We conducted a meta-analysis consisting of randomized controlled trials published in English between January 2011 and December 2021 in peer-reviewed journals indexed in seven databases. Moderators for study duration, instruction, type of healthcare worker, type of simulation, outcome measure, and study quality rated by Medical Education Research Study Quality Instrument (MERSQI) score were included in our model and used to calculate estimated marginal means (EMMs).

Results

The overall effect of T-ES was positive across the 59 studies included in the analysis compared with traditional teaching [overall effect size 0.80 (95% CI 0.60, 1.00)]. This indicates that T-ES is effective in improving outcomes across a wide variety of settings and participants. The impact of T-ES was found to be greatest for expert-rated product metrics such as procedural success, and process metrics such as efficiency, compared with knowledge and procedure time metrics.

Conclusions

The impacts of T-ES training on the outcome measures included in our study were greatest in nurses, nursing students and resident physicians. T-ES was strongest in studies featuring physical high-fidelity mannequins or centers, compared with VR sensory environment T-ES, though there was considerable uncertainty in all statistical analyses. Further high-quality studies are required to assess direct effects of simulation training on patient and public health outcomes.
Comparison of immune cell profiles associated with heatstroke, sepsis, or cardiopulmonary bypass: Study protocol for an exploratory, case-control study trial
Authors: Wu Juan , Yang Sha , Wang Tingting , Wu Qinjuan , Liao Xinyi , Yao Rong , Du Lei
Published: April 2023

Introduction

Heatstroke is a life-threatening illness involving extreme hyperthermia and multi-organ failure, and it is associated with high mortality. The immune profiles of heatstroke have not been fully elucidated, and diagnostic and prognostic biomarkers of heatstroke are lacking. This study will analyze immune profiles in heatstroke patients as they differ from profiles in patients with sepsis or aseptic inflammation patients in order to identify diagnostic and prognostic biomarkers.

Methods

This exploratory, case–control study will recruit patients with heatstroke, patients with sepsis, patients undergoing cardiopulmonary bypass as well as healthy controls at West China Hospital of Sichuan University from 1 January 2023 to 31 October 2023. The four cohorts will be profiled at one time point in terms of lymphocytes, monocytes, natural killer cells, and granulocytes using flow cytometry, and cell populations will be visualized in two dimensions using t-SNE and UMAP, then clustered using PhenoGraph and FlowSOM. Gene expression in the specific immune cell populations will also be compared across the four cohorts, as will levels of plasma cytokines using enzyme-linked immunosorbent assays. Outcomes in the cohorts will be monitored during 30-day follow-up.

Discussion

This trial is, to our knowledge, the first attempt to improve the diagnosis of heatstroke and prediction of prognosis based on immune cell profiles. The study is also likely to generate new insights into immune responses during heatstroke, which may help clarify the disease process and lay the foundation for immunotherapies.
Identification of novel pathways and immune profiles related to sarcopenia
Authors: Abdelrahman Zeinab , Wang Xiaosheng , Wang Daming , Zhang Tianfang , Zhang Yue , Wang Xuhua , Chen Zuobing
Published: April 2023

Introduction

Sarcopenia is a progressive deterioration of skeletal muscle mass strength and function.

Methods

To uncover the underlying cellular and biological mechanisms, we studied the association between sarcopenia's three stages and the patient's ethnicity, identified a gene regulatory network based on motif enrichment in the upregulated gene set of sarcopenia, and compared the immunological landscape among sarcopenia stages.

Results

We found that sarcopenia (S) was associated with GnRH, neurotrophin, Rap1, Ras, and p53 signaling pathways. Low muscle mass (LMM) patients showed activated pathways of VEGF signaling, B-cell receptor signaling, ErbB signaling, and T-cell receptor signaling. Low muscle mass and physical performance (LMM_LP) patients showed lower enrichment scores in B-cell receptor signaling, apoptosis, HIF-1 signaling, and the adaptive immune response pathways. Five common genes among DEGs and the elastic net regression model, TTC39DP, SLURP1, LCE1C, PTCD2P1, and OR7E109P, were expressed between S patients and healthy controls. SLURP1 and LCE1C showed the highest expression levels among sarcopenic Chinese descent than Caucasians and Afro-Caribbeans. Gene regulatory analysis of top upregulated genes in S patients yielded a top-scoring regulon containing GATA1, GATA2, and GATA3 as master regulators and nine predicted direct target genes. Two genes were associated with locomotion: POSTN and SLURP1. TTC39DP upregulation was associated with a better prognosis and stronger immune profile in S patients. The upregulation of SLURP1 and LCE1C was associated with a worse prognosis and weaker immune profile.

Conclusion

This study provides new insight into sarcopenia's cellular and immunological prospects and evaluates the age and sarcopenia-related modifications of skeletal muscle.