Search Results (82)

Bacterial communities within the female upper genital tract may influence the risk of ovarian cancer. In this retrospective cohort pilot study, we aim to detect different communities of bacteria between ovarian cancer and normal controls using topic modeling, a natural language processing tool. RNA was extracted and analyzed using the VITCOMIC2 pipeline. Topic modeling assessed differences in bacterial communities. Idatuning identified an optimal latent topic number and Latent Dirichlet Allocation (LDA) assessed topic differences between high-grade serous ovarian cancer (HGSOC) and controls. Results were validated using The Cancer Genome Atlas (TCGA) HGSOC dataset. A total of 801 unique taxa were identified, with 13 bacteria significantly differing between HGSOC and normal controls. LDA modeling revealed a latent topic associated with HGSOC samples, containing bacteria Escherichia/Shigella and Corynebacterineae. Pathway analysis using KEGG databases suggest differences in several biologic pathways including oocyte meiosis, aldosterone-regulated sodium reabsorption, gastric acid secretion, and long-term potentiation. These findings support the hypothesis that bacterial communities in the upper female genital tract may influence the development of HGSOC by altering the local environment, with potential functional implications between HGSOC and normal controls. However, further validation is required to confirms these associations and determine mechanistic relevance. Full article

Background/Objectives: Rapid development of vaccines against SARS-CoV-2 was pivotal to controlling the COVID-19 pandemic. The emergency also provided a rare opportunity to test novel vaccine platforms such as mRNA in large clinical trials. Most of the early vaccines used SARS-CoV-2 Spike protein as the target antigen. Nevertheless, subsequent studies have shown that Receptor Binding Domain (RBD) of Spike also can yield efficacious vaccines, and we previously demonstrated that chemical conjugation of RBD to a carrier protein, EcoCRM^®, enhanced antibody responses and induced strong virus neutralization activity in mice. Methods: Here, we compared the immunogenicity of this conjugate to that of an approved mRNA vaccine from Pfizer/BioNTech in rhesus macaques over a period of nine months. Results: AS01-adjuvanted RBD conjugate induced a similar or better antibody response, receptor binding inhibition, and virus neutralization activity against different variants of SARS-CoV-2, compared to mRNA. IgG subclass profiles induced by conjugate and mRNA vaccines were initially dominated by IgG1 and IgG3 then switched to IgG2 and IgG4 dominant profiles during the subsequent six-month period. Polyclonal immune sera from the conjugate and mRNA had similar antibody avidity at multiple time points. Conclusions: In summary, antibody responses in rhesus macaques induced by the RBD-EcoCRM conjugate and the Spike mRNA vaccine are very similar. These results demonstrate the potential for the RBD-EcoCRM conjugate as a vaccine against SARS-CoV-2. Full article

Despite the growing acceptance of the varieties of English, standard language ideology continues to cause some to be valorized and denigrated. This paper examines the attitudes of Filipino-Americans within an inner-circle English variety zone towards Philippine English (PhE), focusing on its status, development, lexicon, intelligibility, and acceptability. The study surveyed 113 Filipino-American speakers of American English (AmE) who were familiar with Philippine culture and PhE. Studies show that some first-language English speakers exhibit negative attitudes towards new English varieties. Contrary to this trend, our findings reveal positive attitudes among AmE speakers towards PhE. However, although it is commonly understood, these positive attitudes do not guarantee the full acceptability of PhE. Notably, there is a growing trend towards the acceptability of PhE neologisms, especially in formal and scientific contexts, indicating a shift in previous perceptions. Additionally, the findings of the study highlight that word-formation processes significantly influence the acceptability of new terms across different speech domains, a novel finding that merits further investigation. Acceptability plays a vital role in the dissemination of local expressions and in shaping the status of a language variety. This research may contribute to understanding the evolving dynamics of the acceptability of PhE and its status in local and international contexts. The positive attitudes towards PhE among American English speakers indicate a shift in perceptions. Language teaching can build on this trend by fostering an environment where students are encouraged to appreciate and respect different English varieties. This can be achieved through exposure to diverse linguistic inputs and discussions on language attitudes. Full article

Neurotechnology is a rapidly emerging field with vast potential within healthcare, but also has inherent concerns. There is, therefore, a need to ensure the responsible and ethical development and regulation of these technologies. This horizon scan aimed to provide an overview of neurotechnologies in development and those approved by the FDA as of June 2024 for a range of conditions relating to mental health, healthy ageing, and physical disability. Searches of clinical trials, conferences, journals, and news were performed in March 2024. Relevant technologies were identified through a process of screening, data extraction and synthesis. A total of 81 unique neurotechnologies were identified, with 23 relating to mental health, 31 to healthy ageing, and 42 to physical disability. A total of 79% percent did not yet have FDA approval and 77.4% were at earlier stages of development (pilot/feasibility studies), with 22.6% at pivotal or post-market stages. Digital elements were common features of the technologies, including software, apps, and connectivity to other devices; however, there were only three technologies with an identifiable AI component. A complex regulatory landscape and unique ethical and safety concerns associated with neurotechnology could pose challenges to innovators, though the emerging nature of the field also provides an opportunity to pre-emptively address potential issues. Full article

Calcium ion sensors are essential in clinical diagnosis, particularly in the management of chronic kidney disease. Multiple approaches have been developed to measure calcium ions, including flame photometry and ion chromatography. However, these devices are bulky and require specialized staff for operation and evaluation. The integration of all-solid-state ion-selective determination allows the design of miniaturized and low-cost sensing that can be used for the continuous monitoring of electrolytes. However, clinical use has been limited due to the low electrochemical stability and selectivity and high noise rate. This manuscript reports for the first time a novel miniaturized Ca²⁺ ion-selective sensor, developed by using a two-layer nanocomposite thin film (5 µm thick). The device consists of functionalized silica nanoparticles embedded in a poly(vinyl chloride) (PVC) film, which was deposited onto a nanoporous zirconium silicate nanoparticle layer that served as the sensing surface. Systematic evaluation revealed that perfluoroalkane-functionalized silica nanoparticles enhanced Ca²⁺ selectivity by minimizing K⁺ diffusion, confirmed by both potentiometric measurements and quartz microbalance studies. The final sensor demonstrated a super-Nernstian sensitivity of 37 mV/Log[Ca²⁺], a low signal drift of 28 µV/s, a limit of detection of 1 µM, and exceptional selectivity against Na⁺, K⁺, and Mg²⁺ ions. Long-term testing showed stable performance over three months of continuous operation. Clinical testing was conducted on patients with chronic kidney disease. An accurate real-time monitoring of electrolyte dynamics in dialysate samples was observed, where final concentrations matched those observed in physiological conditions. Full article

Day care centers in Zamboanga City in western Mindanao, Philippines use the home language as a medium of communication as they carry out daily lessons for young children through songs, stories, games, and various social activities. Workers at the study’s day care site disclosed that the pandemic has significantly impacted language use among children in the community in favor of English. Internet connection and access to popular programs, particularly YouTube, have provided very young children easy access to English. As guardians and parents were forced to work from home at the height of the pandemic, the home became an extension of work, with most homes having a space for work using a laptop, a tablet, a cellphone, or other similar gadgets. It is within this set-up that children who were born between 2019 and 2020, who grew up within the lockdown period imposed by the deadly spread of COVID-19, and attended day care for the first time when they were around three to four years of age were observed to speak in English. Data from an experimental task where 3–4-year-old children were asked to describe animals using target language forms in Chabacano reveal that young Zamboangueño children spoke English most of the time. Excerpts from the data demonstrate how children generally spoke in English even while the task was delivered primarily in Chabacano. Demographic data and linguistic background of both the children and adults as provided by the parents or guardians of these children through a questionnaire help explain this phenomenon in greater detail. A closer look at the data reveals translanguaging at work among these multilingual children. Full article

Billions of people are exposed to fine particulate matter (PM_2.5) levels above the USEPA’s annual standard of 9 μg/m³. Common emission sources are anthropogenic, producing complex aerosolized toxins. Ultrafine particulate matter (UFPM) and industrial nanoparticles (NPs) have major detrimental effects on the brain, but the USA does not measure UFPM on a routine basis. This review focuses on the development and progression of common neurodegenerative diseases, as diagnosed through neuropathology, among young residents in Metropolitan Mexico City (MMC). MMC is one of the most polluted megacities in the world, with a population of 22 million residents, many of whom are unaware of the brain effects caused by their polluted atmosphere. Fatal neurodegenerative diseases (such as Alzheimer’s and Parkinson’s) that begin in childhood in populations living in air polluted environments are preventable. We conclude that UFPM/NPs are capable of disrupting neural homeostasis and give rise to relentless neurodegenerative processes throughout the entire life of the highly exposed population in MMC. The paradigm of reaching old age to have neurodegeneration is no longer supported. Neurodegenerative changes start early in pediatric ages and are irreversible. It is time to invest in preventive medicine. Full article

A high proteolytic-resistant hexapeptide (α_s1-CN 181–186) (1) along with two known 2,5-diketopiperazines, namely cyclo-(L-Pro-L-Phe) (2) and cyclo-(L-Pro-L-Tyr) (3), as well as the carboxylic acid 2-hydroxyphenylacetic acid (4), were isolated from the actinomycete strain CA287887. The morphological 16S rRNA gene sequence and phylogenetic data of the strain exhibited high similarity with members of the genus Actinomycetospora. The structure of 1 was thoroughly investigated for the first time through the extensive use of 1D and 2D NMR experiments while its absolute configuration was determined by Marfey’s analysis. The anti-tyrosinase effects of the aforementioned compounds were investigated in vitro using kojic acid as the positive control (IC₅₀ 14.07 μΜ). Compound 3 exhibited the highest activity (IC₅₀ 28.69 μΜ), followed by compound 4 (IC₅₀ 98.29 μΜ). Compound 1 was further evaluated for cytotoxicity against HepG2, A2058, A549, and MiaPaca-2 cell lines. At all the tested concentrations (0.01–200 μg/mL), no cytotoxic effect was observed. Full article

Women diagnosed with advanced-stage ovarian cancer have a much worse survival rate than women diagnosed with early-stage ovarian cancer, but the early detection of this disease remains a clinical challenge. Some recent reports indicate that genetic variations could be useful for the early detection of several malignancies. In this pilot observational retrospective study, we aimed to assess whether mitochondrial DNA (mtDNA) variations could discriminate the most frequent type of ovarian cancer, high-grade serous carcinoma (HGSC), from normal tissue. We identified mtDNA variations from 20 whole-exome sequenced (WES) HGSC samples and 14 controls (normal tubes) using the best practices of genome sequencing. We built prediction models of cancer with these variants, with good performance measured by the area under the curve (AUC) of 0.88 (CI: 0.74–1.00). The variants included in the best model were correlated with gene expression to assess the potentially affected processes. These analyses were validated with the Cancer Genome Atlas (TCGA) dataset, (including over 420 samples), with a fair performance in AUC terms (0.63–0.71). In summary, we identified a set of mtDNA variations that can discriminate HGSC with good performance. Specifically, variations in the MT-CYB gene increased the risk for HGSC by over 30%, and MT-CYB expression was significantly decreased in HGSC patients. Robust models of ovarian cancer detection with mtDNA variations could be applied to liquid biopsy technology, like those which have been applied to other cancers, with a special focus on the early detection of this lethal disease. Full article

Trachoma recrudescence is a serious concern for trachoma control programs. Programs define recrudescence as the return of trachomatous inflammation-follicular (TF) prevalence above elimination threshold (≥5%) on district-level trachoma surveillance surveys (TSSs). This study aimed to determine potential correlates of trachoma recrudescence within a historically highly endemic region. Between 2015 and 2021, population-based TSSs were conducted in 51 districts of Amhara, Ethiopia. District estimates were calculated accounting for multistage design; logistic regression was used to estimate the association of key correlates with recrudescence at the district level. Among the 51 districts, 17 (33%) were recrudescent. Correlates of recrudescence included indicators of historic trachoma burden, such as higher trachomatous inflammation-intense (TI) prevalence (odds ratio [OR]: 2.6, CI: 1.4–5.3) and higher Chlamydia trachomatis (Ct) infection prevalence (OR: 2.9, CI: 1.1–9.9) at the first recorded impact survey. The increased prevalence of children with clean faces (OR: 0.4, CI: 0.21–1.0) and the increased prevalence of travel time to a water source ≤ 30 min (OR: 0.5, CI: 0.2–1.1) at the TSS were associated with a protective effect from recrudescence. Data on historical trachoma burden as well as current water and sanitation conditions may help programs predict where recrudescence is more likely to occur and thus help programs sustain elimination as a public health problem. Full article

Background: The relative level of functional impairment in stroke patients is a significant determinant of post-acute care. The Activity Measure for Post Acute Care 6-Clicks (AM-PAC) scores for basic mobility and daily activity are rapid standardized assessments whose utilities in predicting long-term stroke outcomes have not yet been studied. Methods: We performed a retrospective analysis of acute ischemic stroke patients and their outcomes. We evaluated the distribution of outcomes using the chi-square test. We then compared the proportions of patients with good stroke outcomes for different combinations of favorable scores. We performed two-proportion z-tests to determine the significance, and p < 0.05 was considered significant. Results: 282 patients met all of the inclusion criteria between 12 January 2017 and 19 March 2023 (M age = 66.4, 59.9% female). After dichotomizing the scores as “favorable” vs. “unfavorable”, we found that 128/155 (82.6%) patients with favorable basic mobility had good stroke outcomes vs. 20/127 (15.7%) with unfavorable basic mobility (p < 0.0001). Similarly, for favorable daily activity, it was 103/113 (91.2%) vs. 45/169 (26.6%), for both favorable, it was 100/109 (91.7%) vs. 48/173 (27.7%), and for neither favorable, it was 17/123 (13.8%) vs. 131/159 (82.4%), all with p < 0.0001. When comparing among groups, both favorable patients differed significantly from those with favorable basic mobility alone (p = 0.033) but not those with favorable daily activity alone (p = 0.875). Even after adjusting for age, the odds ratios of favorable scores were greater than 20 for any combination (p < 0.001). Conclusions: Basic mobility and daily activity AM-PAC scores at discharge are independent predictors of anterior circulation acute ischemic stroke outcomes at 90 days. Full article

Background/Objectives: Firefighters, tactical police officers, and warriors often engage in periodic, intermittent, high-intensity physical work in austere environmental conditions and have a heightened risk of premature mortality. In addition, tough decision-making challenges, routine sleep deprivation, and trauma exacerbate this risk. Therefore, identifying strategies to bolster these personnel’s health and occupational performance is critical. Creatine monohydrate (CrM) supplementation may offer several benefits to firefighters and tactical athletes (e.g., police, security, and soldiers) due to its efficacy regarding physical performance, muscle, cardiovascular health, mental health, and cognitive performance. Methods: We conducted a narrative review of the literature with a focus on the benefits and application of creatine monohydrate among firefighters. Results: Recent evidence demonstrates that CrM can improve anaerobic exercise capacity and muscular fitness performance outcomes and aid in thermoregulation, decision-making, sleep, recovery from traumatic brain injuries (TBIs), and mental health. Emerging evidence also suggests that CrM may confer an antioxidant/anti-inflammatory effect, which may be particularly important for firefighters and those performing tactical occupations exposed to oxidative and physiological stress, which can elicit systemic inflammation and increase the risk of chronic diseases. Conclusions: This narrative review highlights the potential applications of CrM for related tactical occupations, with a particular focus on firefighters, and calls for further research into these populations. Full article

To study the performance of lightweight foamed concrete (LWFC) in widened embankments of high-speed railways, this study first conducted numerous strength, permeability, and water immersion tests to investigate the mechanical properties and water resistance of LWFC with designed dry densities of 550, 600, and 650 kg/m³. Secondly, a field test was performed to analyze the behavior of the deformation and the internal pressure within the LWFC-filled portions. Furthermore, a parametric study via numerical modeling was performed to investigate the effects of four key factors on the performance of the LWFC-filled, widened embankments. Results showed that LWFC possesses adequate bearing capacity and impermeability to meet high-speed railway embankment widening requirements. However, water seepage reduces LWFC strength. The additional pressure from LWFC filling increases initially but then decreases once dehydration occurs. The settlement induced by LWFC accounted for 71% of the total filling height, which is only 37.5% of the total settlement after construction. The parametric study results show that the maximum settlement of widened and existing portions induced by LWFC was 46.3–49.6% and 48.3–53.2% of those induced by traditional fillers due to the LWFC’s lower density as well as their better self-supporting ability. Making an appropriate reduction in the thickness of the retain wall installed against the LWFC-filled widened embankment of the high-speed railway generates a few variations in the lateral deformation of the wall. Furthermore, the effects of the pile offset on the deformation of the LWFC-filled embankment were more sensitive compared to the diameter of the piles. Full article

Dietary patterns contribute to overall health and diseases of ageing but are understudied in older adults. As such, we first aimed to develop dietary indices to quantify Mediterranean Diet Score (MDS) utilisation and Ultra-processed Food (UPF) intake in a well-characterised cohort of relatively healthy community-dwelling older Australian adults. Second, we aimed to understand the relationship between these scores and the association of these scores with prevalent cardiometabolic disease and frailty. Our major findings are that in this population of older adults, (a) pre-frailty and frailty are associated with reduced MDS and increased UPF intake; (b) adherence to MDS eating patterns does not preclude relatively high intake of UPF (and vice versa); and (c) high utilisation of an MDS eating pattern does not prevent an increased risk of frailty with higher UPF intakes. As such, the Mediterranean Diet pattern should be encouraged in older adults to potentially reduce the risk of frailty, while the impact of UPF intake should be further explored given the convenience these foods provide to a population whose access to unprocessed food may be limited due to socioeconomic, health, and lifestyle factors. Full article

In the absence of forest ecosystem time series data, monitoring proxies such as the enhanced vegetation index (EVI) can inform the capacity of forests to provide ecosystem services. We used MODIS-derived EVI at 250 m and 16-day resolution and Breaks for Additive and Seasonal Trend (BFAST) algorithms to monitor forest EVI changes (breaks and trends) in and around the Algonquin Provincial Park (Ontario, Canada) from 2003 to 2022. We found that relatively little change occurred in forest EVI pixels and that most of the change occurred in non-protected forest areas. Only 5.3% (12,348) of forest pixels experienced one or more EVI breaks and 27.8% showed detectable EVI trends. Most breaks were negative (11,969, 75.3%; positive breaks: 3935, 24.7%) with a median magnitude of change of −755.5 (median positive magnitude: 722.6). A peak of negative breaks (2487, 21%) occurred in the year 2013 while no clear peak was seen among positive breaks. Most breaks (negative and positive) and trends occurred in the eastern region of the study area. Boosted regression trees revealed that the most important predictors of the magnitude of change were forest age, summer droughts, and warm winters. These were among the most important variables that explained the magnitude of negative (R² = 0.639) and positive breaks (R² = 0.352). Forest composition and protection status were only marginally important. Future work should focus on assessing spatial clusters of EVI breaks and trends to understand local drivers of forest vegetation health and their potential relation to forest ecosystem services. Full article