Search Results (501)

Traditional acupuncture relies on the precise selection of acupuncture points to adjust Qi flow along meridians. Traditionally, acupuncture points are localized using cun (or body-relative cun) as a proportional measurement. However, locating specific points can be challenging, even for experienced practitioners. This study aims to enhance the accuracy and efficiency of acupuncture point localization by introducing an augmented reality (AR) navigation system utilizing AR glasses (Magic Leap One). The system employs a Six-Point Landmark-Based AR Registration method to overlay an acupuncture point model onto a patient’s head without the need for external markers. Methods included testing with traditional Chinese medicine students, measuring positional errors, and evaluating stability. Results demonstrated an average error of 5.01 ± 2.64 mm, which is well within the therapeutic range of 2 cun (about 5 cm), with minimal drift during stability tests. This AR system provides an accurate and intuitive tool for practitioners and learners, reducing variability in acupuncture point selection and offering promise for broader clinical applications. Full article

Weaning stress damages the intestines and disrupts the intestinal barrier in piglets, which significantly impacts the pig farming industry’s economy. We aimed to examine the effects of ShenQiGan extract (CAG) on intestinal barrier function and explore the underlying molecular mechanisms in stress-challenged weaned piglets. The experimental design involved 80 weaned piglets aged 28 days (with an average body weight of 7.78 ± 0.074 kg) that were randomly allocated into four groups: Control, LCAG (0.1% CAG), MCAG (0.5% CAG), and HCAG (1.0% CAG). After a 28-day trial period, the growth performance and incidence of diarrhea in piglets were evaluated. CAG increased the average daily gain of weaned piglets, reduced the feed-to-gain ratio, and decreased the incidence of diarrhea. It significantly lowered serum inflammatory cytokine levels while elevating immunoglobulin levels. The supplement notably enhanced concentrations of acetic acid, propionic acid, butyric acid, and isobutyric acid. Furthermore, CAG demonstrated intestinal morphology restoration and upregulation of tight junction proteins and MUC2 protein expression in jejunum. At the mRNA level, it significantly upregulated the expression of Occludin, Claudin1, and MUC2 genes. CAG improves growth performance and mitigates diarrhea in weaned piglets by enhancing intestinal barrier integrity, modulating systemic inflammatory responses, elevating immunoglobulin levels, and promoting short-chain fatty acids (SCFAs) production in the cecum. Full article

Garlic root maggots are the main pest of garlic in Qi County, Henan Province, China, which has become an important factor restricting the development of the garlic industry. Earwigs play an important role in controlling root maggots because of their similar ecological niches. In this study, through DNA barcoding and morphological identification, the following root maggots and main earwigs species from Qi County were quickly identified: Delia platura (Meigen), Bradysia odoriphaga Yang et Zhang, Delia antiqua (Meigen), Muscina angustifrons (Loew), Lucilia sericata (Meigan), and the main species of earwigs was Gonolabis marginalis (Dohrn). D. platura was the dominant species and accounted for 98% among all garlic root maggots. The predation ability for each stage of G. distincta on the larvae and pupae of D. platura showed that G. distincta at different developmental stages preyed on both the the larvae and the entire pupae of D. platura. Among them, female adults had the strongest predation ability and the largest daily predation on first instar larvae of gray D. platura (71.25 ± 0.66). First instar nymphs of G. distincta also had a certain predation ability with the daily predation of first instar larvae being (1.85 ± 0.13). The predation ability of G. distincta at different instars on the larvae of the same instar of D. platura increased with the increasing of the instar. For the first to second instar larvae of D. platura, the female adult of G. distincta had the strongest predation ability, followed by the male adult of G. distincta, and then the fifth instar nymph of G. distincta. There was no significant difference in the predation ability between the male and female adults of G. distincta, but the adults’ predation capacities were significantly higher than that of the fifth instar nymph of G. distincta. The capacity of the fifth instar nymph of G. distincta was significantly higher than the fourth instar nymph of G. distincta, the fourth instar nymph of G. distincta was significantly higher than the first to third instar nymphs, and there was no significant difference in the predation amount among the first to third instar nymphs. The predation selection experiment indicated that the fifth instar nymphs and the male and female adults of G. distincta showed a positive preference for the first to third instar larvae of D. platura and a negative preference for the pupae of D. platura. Our study provided a preliminary scientific basis for green prevention and control of garlic root maggot. Full article

Background: The emergency department (ED) often represents the entry point to care for patients that require urgent medical attention or have no alternative for medical treatment. This has implications on scope of practice and how quality of care is measured. A diverse array of methodologies has been developed to evaluate the quality of clinical care and broadly includes quality improvement (QI), quality assurance (QA), observational research (OR) and clinical quality registries (CQRs). Considering the overlap between QI, QA, OR and CQRs, we conceptualized a modular framework for TECOR to effectively and efficiently streamline clinical quality evaluations. Streamlining is both appropriate and justified as it reduces redundancy, enhances clarity and optimizes resource utilization, thereby allowing clinicians to focus on delivering high-quality patient care without being overwhelmed by excessive data and procedural complexities. The objective of this study is to describe the process for designing a modular framework for ED CQRs using TECOR as a case study. Methods: We performed a scoping audit of all quality projects performed in our ED over a 1-year period (1 January 2021 to 31 December 2021) as well as data mapping and categorical formulation of key themes from the TECOR dataset with clinical data sources. Both these processes then informed the design of TECOR. Results: For the audit of quality projects, we identified 29 projects. The quality evaluation methodologies for these projects included 12 QI projects, 5 CQRs and 12 OR projects. Data mapping identified that clinical information was fragmented across 11 distinct data sources. Through thematic analysis during data mapping, we identified three extraction techniques: self-extractable, manual entry and on request. Conclusions: The modular framework for TECOR aims to enable an efficient streamlined approach that caters to all aspects of clinical quality evaluation to enable higher throughput of clinician-led quality evaluations and improvements. TECOR is also an essential component in the development of a learning health system to drive evidence-based practice and the subject of future research. Full article

Smart glasses are promising alternatives for the continuous, unobtrusive monitoring of heart rate (HR). This study validates HR estimates obtained with the “Essilor Connected Glasses” (SmartEW) during sedentary activities. Thirty participants wore the SmartEW, equipped with an IMU sensor for HR estimation, a commercial smartwatch (Garmin Venu 3), and an ECG device (Movesense Flash). The protocol included six static tasks performed under controlled laboratory conditions. The SmartEW algorithm analyzed 22.5 s signal windows using spectral analysis to estimate HR and provide a quality index (QI). Statistical analyses assessed agreement with ECG and the impact of QI on HR accuracy. SmartEW showed high agreement with ECG, especially with QI threshold equal to 70, as a trade-off between accuracy, low error, and acceptable data coverage (80%). Correlation for QI ≥ 70 was high across all the experimental phases (r² up to 0.96), and the accuracy within ±5 bpm reached 95%. QI ≥ 70 also allowed biases to decrease (e.g., from −1.83 to −0.19 bpm while standing), with narrower limits of agreement, compared to ECG. SmartEW showed promising HR accuracy across sedentary activities, yielding high correlation and strong agreement with ECG and Garmin. SmartEW appears suitable for HR monitoring in static conditions, particularly when data quality is ensured. Full article

Objective: The aim of this study was to determine the relationship between the components of physical fitness (PF), creativity and fluid intelligence, as well as to determine which components of PF are predictors of the analysed cognitive potential. Material and Methods: A total of 584 Spanish schoolchildren (6−11 years old; age = 8.62 ± 1.77 years) took part in this study. Creativity was assessed using the Torrance Tests of Creative Thinking (TTCT) and fluid intelligence through TEA-1. Moreover, PF components were evaluated using a 25 m sprint, handgrip strength, standing long jump and 20 m SRT. Results: Boys exhibited a better PF performance than girls (p range from = < 0.001 to 0.05), as well as higher creativity score (p < 0.001), the fluid intelligence score and QI score (p < 0.05, respectively). Moreover, PF components (CRF, strength and speed) were positively associated with creativity (p range from = < 0.001 to 0.001) and fluid intelligence (p range from = < 0.001 to 0.015). Regression analysis showed that the creativity model explained between 31.4% and 36.6% of the variance (R² = 0.314−0.366, p < 0.001), while the fluid intelligence model accounted for 25.5% to 33.1% of the variance (R² = 0.255−0.331, p < 0.001 to 0.001). Conclusions: A positive relationship was found between creativity, fluid intelligence, and PF components. Children with higher PF levels scored better in creativity, with notable differences between boys and girls. These findings highlight the educational value of incorporating structured physical activity into school settings to support both cognitive and physical development. Full article

Background/Objectives: Adult vaccination remains suboptimal, particularly among older adults and individuals with chronic conditions. Hospitals represent a strategic setting for improving vaccination coverage among these high-risk populations. This systematic review and meta-analysis evaluated hospital-based interventions aimed at enhancing vaccine uptake in adults aged ≥60 years or 18–64 years with at-risk medical conditions. Methods: We conducted a systematic review and meta-analysis following PRISMA and MOOSE guidelines. Searches in PubMed, EMBASE, and Scopus identified studies published in the last 10 years evaluating hospital-based interventions reporting vaccination uptake. The risk of bias was assessed using validated tools (NOS, RoB 2, ROBINS-I, QI-MQCS). A meta-analysis was conducted for categories with ≥3 eligible studies reporting pre- and post-intervention vaccination coverage in the same population. Results: We included 44 studies. Multi-component strategies (n = 21) showed the most consistent results (e.g., pneumococcal uptake from 2.2% to 43.4%, p < 0.001). Reminder-based interventions (n = 4) achieved influenza coverage increases from 31.0% to 68.0% and a COVID-19 booster uptake boost of +38% after SMS reminders. Educational strategies (n = 11) varied in effectiveness, with one study reporting influenza coverage rising from 1.6% to 12.2% (+662.5%, OR 8.86, p < 0.01). Standing order protocols increased pneumococcal vaccination from 10% to 60% in high-risk adults. Hospital-based catch-up programs improved DTaP-IPV uptake from 56.2% to 80.8% (p < 0.001). For patient education, the pooled OR was 2.11 (95% CI: 1.96–2.27; p < 0.001, I² = 97.2%) under a fixed-effects model, and 2.47 (95% CI: 1.53–3.98; p < 0.001) under a random-effects model. For multi-component strategies, the OR was 2.39 (95% CI: 2.33–2.44; p < 0.001, I² = 98.0%) with fixed effects, and 3.12 (95% CI: 2.49–3.92; p < 0.001) with random effects. No publication bias was detected. Conclusions: Hospital-based interventions, particularly those using multi-component approaches, effectively improve vaccine coverage in older and high-risk adults. Embedding vaccination into routine hospital care offers a scalable opportunity to reduce disparities and enhance population-level protection. Future policies should prioritize the institutional integration of such strategies to support healthy aging and vaccine equity. Full article

Integrating Industry 4.0 technologies into food manufacturing processes transforms traditional quality management practices. This study aims to understand how these technologies are applied across managerial quality functions in the food industry. A systematic literature review was conducted using the Scopus and Web of Science databases, selecting 69 peer-reviewed articles. The analysis identified quality control (QC) and quality assurance (QA) as the most frequently addressed functions. Sensor technology was the most cited, followed by blockchain and artificial intelligence, mainly supporting food safety, process monitoring, and traceability. In contrast, quality design (QD), quality improvement (QI), and quality policy and strategy (QPS) were underrepresented, revealing a gap in strategic and innovation-focused applications. Based on these insights, the Food Quality Management 4.0 (FQM 4.0) framework was developed, mapping the relationship between Industry 4.0 technologies and the five managerial quality functions, with food safety positioned as a transversal dimension. The framework contributes to academia and industry by offering a structured view of technological integration in food quality management and identifying future research and implementation directions. This study highlights the need for broader adoption of advanced technologies to improve transparency, responsiveness, and overall quality performance in the food sector. Full article

Background: China’s rapidly aging population has increased the need for effective community-based eldercare services. However, the lack of standardized, culturally relevant evaluation frameworks hinders consistent service quality assessment and improvement. Objective: This systematic review aims to identify, synthesize, and critically evaluate the existing quality indicators (QIs) currently utilized for home-based community elderly care HCEC in China. It also aims to highlight gaps to inform the development of a more comprehensive and context-appropriate quality framework. Methods: Following PRISMA guidelines, systematic searches were conducted across Web of Science, PubMed, Wiley, and CNKI databases for studies published in English and Chinese from 2008 onward. Extracted QIs from eligible studies were categorized using Donabedian’s structure–process–outcome (SPO) model. Results: Fifteen studies met the inclusion criteria, with QI sets ranging from 5 to 64 indicators. Most studies emphasized structural and procedural aspects, while outcome measures were limited. Key gaps include inconsistent terminology, insufficient medical care integration, narrow stakeholder engagement, and limited cultural adaptation of Western theoretical frameworks. Furthermore, subjective weighting methods predominated, impacting indicator reliability. Conclusions: Currently, there is no formal quality framework to guide service providers in HCEC, and therefore, quality indicators can be described as fragmented and lack cultural specificity, medical integration, and methodological robustness. Future research should prioritize developing culturally anchored and medically comprehensive QI frameworks, standardize indicator terminology, actively involve diverse stakeholders through participatory methods, and adopt hybrid methodological approaches combining subjective expert insights and objective, data-driven techniques. Alignment with established international standards, such as the OECD long-term care quality indicators, is essential to enhance eldercare quality and support evidence-based policymaking. Full article

Background: Previous proteomic studies provided valuable information about cataracts, but unclarified issues, such as sex and ethnicity-associated differences, remain. This study aimed to provide additional data on cataract-related proteins regarding age, sex, and cataract type. Methods: Twenty-six female and seven male Turkish cataract patients were screened for visual acuity and dysfunctional lens index. A nano-LC-MS/MS system and Progenesis QI software v3.0 were used for protein identification and quantification. The remaining data were evaluated with SPSS Version 29.0 software. Results: Proteins that showed age-associated changes were mainly involved in cytoskeletal organization. A glyoxalase enzyme, caveolin 1, and HS90B were lower, and RAB8B and ATP6V1B1 were higher in lenses in women. Proteins with lower levels in cataractous lenses than in transparent lenses included filensin and phakinin, concurrent with previous publications, and LCTL, GDI, HSPB1, and EIF4A2, not reported before. Corticonuclear cataracts constituted the only group showing depletions in putatively protective proteins, while the cortical type was the least influenced. ANXA1 and DNHD1 positively, and TCPD, SEC14L2, and PRPS1 proteins negatively correlated with visual acuity. Conclusions: This study revealed cataract-related proteins concurrent with earlier studies and new ones hitherto unreported. Despite the low number of patients investigated, the results merit further research, as these new proteins are highly likely to be involved in cataractogenesis. Full article

Inks from the 12th to the 17th century were aged, and a multi-analytical approach was used for their identification based on HPLC–DAD–MS, microFTIR, and microRaman. Colorimetry analysis was also performed. After 6 years of application on filter paper, three inks were selected to be cleaned using a novel green approach based on a chemically crosslinked gel to remove unwanted materials from the ink surface. A Braga ink produced in 2018 was also tested. Two degradation products were identified; iron sulfate was the main degradation product in the Braga ink. For Montpellier, Guadalupe, and QI.8 inks, the main degradation product was a complex of iron with ellagic acid. These compounds were accurately confirmed using microFTIR. Several tests were performed to clean these degradation products with the gels. The Braga ink was cleaned with 10% ethanol in water, which was included in the gel, and the iron sulfate was removed within 15 s of application. On the other hand, the complex of iron with ellagic acid demanded longer application times; we used 2 min and repeated the application until the compound was removed. The novelty of this research has practical implications for the conservation of historical documents and artworks. Full article

Pea (Pisum sativum L.) is a significant source of dietary protein, starch, fiber, and minerals, offering health benefits and serving as both a green vegetable and dry grain. The pigment contents in pea pods with different colors and related genes are still unclear. We conducted an integrated transcriptome and metabolome analysis on three cultivars, including QiZhen (QZ) with green immature pods, FengMi (FM) with yellow immature pods, and ZiYu (ZY) with purple immature pods, to identify the key genes and metabolites involved in anthocyanin accumulation. ZY showed the highest total anthocyanin content compared with FM and QZ. Subsequent quantification revealed that four metabolites, including Delphinidin-3-O-galactoside, Delphinidin-3-O-(6″-O-xylosyl)glucoside, Cyanidin-3-O-galactoside, and Pelargonidin-3-O-(xylosyl)glucoside, were the most highly accumulated in the ZY cultivar, suggesting their role in the purple pigmentation of ZY pea pods. There were 49 differentially accumulated anthocyanidins in ZY vs. FM, 43 differentially accumulated anthocyanidins in ZY vs. QZ, and 21 differentially accumulated anthocyanidins in FM vs. QZ. These findings highlight the importance of the type and concentration of anthocyanin compounds, especially those based on delphinidin, cyanidin, and pelargonidin, in the development of purple pea pods. The transcriptomic analysis revealed that certain anthocyanin biosynthetic genes were expressed at higher levels in ZY than in FM and QZ. In ZY, the higher expression levels of five key genes (PAL, 4CL, CHS, F3H, and UFGT) resulted in elevated anthocyanin content compared to FM and QZ. Furthermore, the BSA-seq analysis identified a candidate region associated with purple color in pea pods, which is located on chromosome 6 and contains 21 DEGs. Sequence variation in KIW84_061698, which encodes a bHLH transcription factor, was identified as the key candidate gene controlling anthocyanin content. This study clarifies the molecular mechanisms behind pea pod coloration and identifies potential genetic engineering targets for breeding anthocyanin-rich sugar snap peas. Full article

Several trichomonad species have already been reported from cattle, including Tetratrichomonas buttreyi and Pentatrichomonas hominis. However, there is currently a lack of information concerning the prevalence of trichomonad species in cattle in Shanxi Province, North China. In this study, 761 fecal samples from cattle across three counties in Shanxi Province, namely Qi, Jishan, and Shanyin, were examined for the presence of T. buttreyi and P. hominis DNA through a nested PCR assay targeting a specific segment of the small subunit ribosomal RNA (SSU rRNA) gene. The results showed that the total prevalence of T. buttreyi in cattle was found to be 74.5%, with region and sex identified as risk factors for infection. P. hominis exhibited an overall prevalence of 3.0%, with strong associations observed between infection and both region and age. Sequencing analysis indicated that some T. buttreyi isolates and all P. hominis isolates were identical to those reported previously based on the analysis of SSU rRNA sequences, while certain T. buttreyi isolates exhibited minor allelic variations. These results enhance our understanding of the geographical distribution and genetic characterization of T. buttreyi and P. hominis in cattle. Full article

Synthetic herbicides such as glyphosate and 2,4-D are widely used in agriculture but can negatively impact non-target organisms, including microorganisms essential for ecological balance. Yeasts associated with pollinating insects play crucial roles in plant–insect interactions, yet their responses to herbicides remain understudied. This study aimed to evaluate the capacity of yeasts isolated from bees and beetles to produce indole-3-acetic acid (IAA), a plant-growth-promoting hormone, as well as their ability to tolerate or degrade glyphosate (in the commercial herbicide Zapp QI 620^®) and 2,4-D (in the commercial Aminol 806^®). Seven yeast strains were isolated from insects, identified via ITS sequencing, and assessed for IAA production in YPD medium. Growth assays were conducted under varying herbicide concentrations, and 2,4-D degradation was analyzed using high-performance liquid chromatography. All strains produced IAA, with Papiliotrema siamensis CHAP-239 exhibiting the highest yield (4.17 mg/L). Glyphosate completely inhibited growth in all strains, while 2,4-D showed dose-dependent effects, with four strains tolerating lower concentrations. Notably, Meyerozyma caribbica CHAP-248 degraded up to 46% of 2,4-D at 6.045 g/L. These findings highlight the ecological risks herbicides pose to beneficial yeasts and suggest the potential of certain strains for bioremediation in herbicide-contaminated environments. Overall, the study underscores the importance of preserving microbial biodiversity in the context of sustainable agriculture. Full article