Additional Beneficial Effects Research Articles

Synergistic effects of Pt and Y addition in (Ni, Pt)CrAlY bond coat on oxide spallation resistance and growth of interdiffusion zone between bond coat and Ni-based single crystal superalloy

This study shows the beneficial effect of Pt addition to the (β+γ)-NiCrAlY coating. Adding Y in NiCrAl increases oxide growth kinetics but improves spallation resistance. Pt with Y does not change the oxidation rate compared to only adding Y but significantly reduces spallation when cooled to room temperature. Continuous layers of Al2O3 and Cr2O3, along with other oxides such as YAlO3, NiCr2O4, and NiAl2O4, are observed. Moreover, Pt addition reduces the thickness of the interdiffusion zone where Al goes through an uphill diffusion profile, minimizing Al loss and significantly decreasing the growth of deleterious TCP phases.

Genetic iron overload aggravates and pharmacological iron restriction improves MDS pathophysiology in preclinical study

Although iron overload is a common feature in myelodysplastic syndromes (MDS), it remains unclear how iron excess is detrimental for disease pathophysiology. Taking advantage of complementary approaches, we analyzed the impact of iron overload and restriction achieved through genetic activation (FPNC326S) and pharmacologic inhibition (vamifeport) of the iron exporter ferroportin in a MDS mouse model, respectively. While FPNC326S-induced iron overload did not significantly improve the late stages of erythroid maturation, vamifeport-mediated iron restriction ameliorated anemia and red blood cell maturation in MDS mice, through the reduction of oxidative stress and apoptosis in erythroid progenitors. Iron overload aggravated and restriction alleviated ROS formation, DNA damage and cell death in hematopoietic stem and progenitor cells, resulting in altered cell survival and quality. Finally, myeloid bias, indicated by expanded bone marrow myeloid progenitors and circulating immature myeloid blasts, was exacerbated by iron excess and attenuated by iron restriction. Overall, vamifeport treatment resulted in improved anemia and significant survival increment in MDS mice. Interestingly, the combined therapy with vamifeport and the erythroid maturation agent luspatercept has superior effect in improving anemia and myeloid bias as compared to single treatments, and offers additive beneficial effects in MDS. Our results prove for the first time in a preclinical model that iron plays a pathologic role in transfusion-independent MDS. This is likely aggravated by transfusional iron overload, as suggested by observations in the FPNC326SMDS model. Ultimately, the beneficial effects of pharmacologic FPN inhibition uncovers the therapeutic potential of early prevention of iron toxicity in transfusion-independent MDS.

Strategies for managing corn crop residue in the context of greenhouse gas emissions.

Food production is one of the most important sources of greenhouse gas (GHG) emissions, both in primary production and in processing and the logistics chain. The most problematic and risky is the optimization of environmental effects in the stage of primary production. This is due to the significant influence of factors related to climate and soil that are difficult to predict. The scientific literature offers much information on the impact of crop residue management, but the context for assessing the impact of crop residue management in corn production on the carbon footprint is still unclear. The effectiveness of using organic additives like biochar, compost, corn, or straw to maintain soil productivity is well acknowledged. Information about the effects of particular crop residue management strategies on soil carbon sequestration, soil quality, and crop yield in corn cultivation is currently scarce. The research aimed to assess the potential for optimizing corn production through modifications in crop residue management, with a focus on the efficiency indicator being the level of greenhouse gas emissions per functional unit of the product. A 3-year growing experiment was conducted to investigate the impact of different corn crop residue management strategies. The modifications of the corn cultivation technology in terms of the crop residue management strategy had a significant impact on the yield of plants and the amount of GHG emissions. The conversion of corn straw to biochar and its introduction into the soil reduced the GHG emissions from corn cultivation per functional unit, despite the energy expenditure related to straw transport and biochar production. From a 3-year time perspective, a beneficial effect of biochar addition on the size of the commercial yield of plants was observed. In variants with biochar and a reduced level of nitrogen fertilization, no reduction in yields was observed. This confirmed the hypothesis that biochar could be a useful material for the production of slow-acting fertilizers.

Seasickness and partial peripheral vision obstruction with versus without an artificial horizon

Motion sickness (MS) is common when subjects are exposed to unfamiliar motion and affect individuals during travel. This study examines the immediate effect of two visual devices, in the form of glasses, on MS symptoms and associated physiological effects. The hypothesis is that peripheral vision obstruction reduces MS and that an additional beneficial effect could be observed when it is combined with an artificial horizon. Fifteen subjects with moderate to severe susceptibility to MS were exposed to a boat simulator in three conditions. Symptoms were assessed immediately after exposure. Time spent in the simulator, heart rate, and temperature were also recorded. The intensity of symptoms at the end of the experience did not differ, but time spent in the simulator before the onset of symptoms was significantly longer with peripheral vision obstruction (+36 %) and with both techniques combined (+40 %) than in the control condition. No difference was observed between the combined condition and peripheral vision obstruction alone. The glasses device used in this study (with or without an artificial horizon) delays the onset of symptoms. Further research is needed to confirm the mechanism that explains the benefits and to evaluate these effects during prolonged exposure to MS-inducing stimuli or after a period of familiarization with the device.

Comparing post-deposition and post-metallization annealing treatments on Al2O3/GaN capacitors for different metal gates

Vertical Metal–Insulator–Semiconductor (MIS) capacitors with an Al2O3 thin film as a gate insulator have been fabricated on homoepitaxial GaN-on-GaN samples. The effect of the annealing treatments on the MIS characteristics has been investigated exploring two different approaches: Post-insulator-Deposition-Annealing (PDA) and Post-gate-Metallization-Annealing (PMA), i.e., annealing on the bare Al2O3 layer and annealing after the gate metallization deposition on Al2O3. The direct comparison between PDA and PMA is crucial to understand the impact of the metal/dielectric interface quality on the behavior of the Al2O3/GaN MIS capacitors. The efficacy of annealing has been monitored as a function of metal gates having different work functions: nickel (Ni), molybdenum (Mo), and tantalum (Ta). It has been found that both PDA and PMA approaches are equally able to improve the Al2O3/GaN interface electrical quality. However, the PMA demonstrates an additional beneficial effect on the metal/Al2O3 interface. In particular, the possible chemical reactions activated by the annealing process at the metal/dielectric interface can perturb the known metal/dielectric dipole responsible for Fermi-level pinning phenomena, causing a positive shift of the flat voltage (VFB), which depends on the metal, and approaching the theoretical value in the case of Mo and Ta.

33 Beyond bacteria: Impact of live yeast as a probiotic on the intestinal health of dogs

Abstract Inactivated yeast and yeast-based products are commonly used in pet food to improve palatability, contribute to dietary protein content, and improve gastrointestinal functionality. However, the use of viable yeast Saccharomyces as a probiotic may contribute to additional beneficial effects on dogs and cats. Considering that, in this presentation, we will focus on the use of viable yeast as a probiotic for dogs. A study conducted at the Federal University of Parana, Brazil, observed that Beagle dogs supplemented with a probiotic yeast presented reduced fecal concentrations of total biogenic amines, ammonia, and aromatic compounds and greater fecal concentrations of butyrate. The supplemented dogs also presented an improvement in dysbiosis index, a greater abundance of Bifidobacterium and Turicibacter, and a reduced abundance of Escherichia coli in feces. In addition, control group dogs presented upregulation in microbial genes related to virulence factors (such as lipopolysaccharide export system), antibiotic resistance, and osmotic stress, compared with the probiotic group. These results may indicate a possible protective effect of the yeast probiotic against potential pathogenic bacteria in the gut. The mechanisms by which yeast probiotics may contribute to gastrointestinal functionality in dogs and cats are not fully elucidated. However, they are usually attributed to the stimulation of brush edge disaccharidases; competition for adhesion sites against potential pathogens; stimulation of nonspecific immunity; neutralization of toxins; and direct effect against potentially pathogenic microorganisms. Many of these mechanisms are influenced directly by yeast cell wall components, such as mannans and beta-glucans. One of the main mechanisms of action of mannans is the elimination of bacteria with pathogenic potential that present type-1 fimbriae, such as some strains of E. coli and Salmonella, preventing their adhesion and colonization to the host mucosa. This may also contribute to the establishment of beneficial bacteria in the gut. We can conclude that viable yeast Saccharomyces as a probiotic may have promising beneficial effects on intestinal functionality of dogs.

Effects of Vitamin C on the Gonad Growth, Texture Traits, Collagen Content and Synthesis Related Gene Expression of Sea Urchin (Mesocentrotus nudus).

The market value of sea urchin gonads is determined by the specific characteristics associated with gonad size and texture. Formulated feeds can effectively promote the gonad growth of sea urchins but cannot assure essential gonad texture traits. The objective of this study was to investigate the impact of vitamin C (VC) on the gonad growth, texture, collagen content, and the expression of genes involved in the collagen synthesis of sea urchins (Mesocentrotus nudus). Graded amounts of VC (0, 3000 and 6000 mg/kg) were supplemented to make three formulated feeds. Fresh kelp (Saccharina japonica) was used as the control diet. Each diet was randomly distributed to three tanks of M. nudus. The results indicated that the gonadosomatic index (GSI) and texture traits of M. nudus fed C3000 were significantly greater than those fed C0 and C6000. Collagen type I (Col I) in the gonads of M. nudus fed C3000 showed significantly greater areas than those fed C0 and C6000. Consistently, the expression levels of collagen alpha-1 (colp1α) of M. nudus fed C3000 were significantly higher than those fed C0 and C6000. As for the transforming growth factor beta (tgf-β)/Smads pathway, the expression levels of collagen synthesis genes (tgf-β receptor 1 and 2, smad nuclear-interacting protein 1 (snip1) and prolyl 4-hydroxylase subunit beta (p4hβ)) in the C3000 group were significantly greater than those in the C0, C6000 and kelp groups. On the contrary, the expression levels of collagen degradation genes (lysyl oxidase-like 2 (loxl2) and matrix metalloproteinase 14 (mmp14)) in the C3000 group were significantly lower than those in the C0, C6000 and kelp groups. In conclusion, VC at an addition level of 3000 mg/kg significantly increased the gonad texture and collagen contents of M. nudus, which could be accomplished by increasing collagen synthesis and inhibiting collagen degradation through the tgf-β/Smads pathway. These results could contribute to better understanding the beneficial effects of VC addition on the gonad texture quality of M. nudus.

Effects of ascorbic acid augmented albumin platelet-rich fibrin on the wound healing activity of human gingival fibroblasts: an in vitro trial.

The current in vitro study aimed to assess the effects of ascorbic acid augmented albumin platelet-rich fibrin (AA Alb-PRF) on the wound healing activity of human gingival fibroblasts (HGFs) purported to be a regenerative biomaterial in surgical procedures. All assays were performed on three HGF groups, group I: complete media; group II: Alb-PRF, and group III: AA Alb- PRF. Alb-PRF was prepared following the protocol by Fujioka-Kobayashi et al. (2021). For preparation of AA Alb-PRF, 2,500 μg AA was added to the blood pre-centrifugation. All groups were subjected to 3-(4,5-dimethythiazol-2-yl)-2,5-diphenyl tetrazolium bromide (MTT) assay to estimate cell viability and proliferation, scratch assay for migration (0, 4, 12, and 24 hours) and transwell migration assay for chemotactic migration assessment (24 hours). Outcome variables were optical density (OD) for MTT assay, percentage of wound closure in scratch assay, and number of migrated cells in transwell migration assay. One-way ANOVA for MTT and transwell migration assays and two-way ANOVA for scratch assay with Bonferroni correction were performed with significance set at P<0.05. Cell viability and proliferation (OD: 0.684±0.003 and proliferation: 28%) and wound closure (49.92%±1.62% at 4 hours and 61.39%±0.88% at 12 hours) were significantly higher in group III, while group II demonstrated the maximum number of HGFs migrating across the transwell membrane (9.25±2.49) with P<0.05. HGFs demonstrated a significant increase in viability and proliferation along with rapid wound closure in the presence AA Alb-PRF compared to Alb-PRF alone, indicating additional beneficial effects of AA. Thus, AA Alb-PRF potentiates the wound healing activity of HGFs and could be employed in oral, maxillofacial, and periodontal surgeries as a regenerative biomaterial.

Effects of a 4-week free-sugar avoidance during periodontal therapy: An explorative randomized controlled clinical trial.

This study investigated the effect of a 4-week free-sugar avoidance on periodontal parameters during periodontal therapy. Twenty-one patients with untreated periodontitis and daily free-sugar intake were allocated to a sugar avoidance group (SAG) and a control group (CG). The SAG received a 45-min dietary consultation and was instructed to avoid free sugars during the following 4 weeks after subgingival instrumentation, while the CG continued with their regular diet. Bleeding on probing (BOP), plaque control record, body weight (BW), visceral fat (FATv), and a food frequency questionnaire (FFQ) were collected at baseline (T1), 4 weeks (T2), and 8 weeks (T3) after subgingival instrumentation. The main outcome parameter BOP was significantly reduced at T2 by 40.3% ± 15.54 in the SAG and 34% ± 12.47 in the CG (intra-p value both <0.001, inter-p value 0.361). A linear regression analysis of changes at patient level adjusted for age and FATv revealed a significant group difference for BOP (regression coefficient = -6.8; p = 0.019). Significant reductions were observed in BW, FATv and mean daily intake of free sugars (-14.4g/day), and a significant increase of vitamin C derived from fruits (75.89mg/day) at T2 in the SAG only. This study may indicate additional beneficial effects of a sugar avoidance on periodontal and metabolic parameters, and nutritional intake during periodontal therapy. German Clinical Trials Register (DRKS00026699). The current widespread free-sugar consumption is linked to an increasing incidence of chronic non-communicable diseases. Data indicate a relationship between sugar intake and a higher prevalence of periodontitis and increased gingival inflammation. This study showed that free-sugar avoidance after periodontal therapy had additional beneficial effects on periodontal and metabolic parameters in 10 test and 11 control patients. After 4 weeks of avoiding free sugars like sweets, processed white flour, juice, and so forth, periodontal bleeding was significantly reduced in both groups (-40.3% test group, -34% control group). Further regression analysis revealed a significant difference between groups favoring the intervention. Additionally, body weight and visceral fat were significantly reduced in the intervention group, only. To avoid sugar, patients were allowed to replace it with whole fruit, which led to increased levels of micronutrients such as vitamin C. Therefore, free-sugar avoidance may be of therapeutic benefit in addition to periodontal therapy. Further research is needed to investigate this effect in larger cohorts.

CoSex and CoSex/Reduced GO Composites as Electrocatalysts for Water Splitting

Hydrogen stands as an attractive energy source, offering a way to meet increasing energy demands without the reliance on fossil fuels and thus harming the environment. Renewable energy sources such as wind, wave and solar power can be used to generate inexpensive electricity, which we can then use to power water electrolysis.1 The generated hydrogen can then be converted back into electricity by using fuel cells, leaving only water as a by-product, rendering this technology clean and devoid of harmful emissions. The electrolysis cell can be operated at normal room temperatures without the need for high pressure rectors. At present, the practical application of hydrogen production using electrochemical water splitting is hindered by electrocatalyst limitations. Currently, the best electrocatalytic materials for water splitting are Platinum-based for the hydrogen evolution reaction (HER) and Ruthenium-based for the oxygen evolution reaction (OER). These materials are expensive and have limited reserves, 2 and therefore cost-effective alternatives must be developed. Transition metal dichalcogenides (TMDs) are of particular interest due to their tuneable structures. 3,4 Herein we have chosen to investigate CoSe2 as a potential electrocatalyst for overall water splitting (OWS). We describe both the electrochemical and solvothermal synthesis of CoSex. The CoSex was then combined with a carbon substrate to create a total of four electrocatalysts. Reduced graphene oxide (rGO) was employed as the carbon substrate and was synthesised via modified Hummer’s method, drop casted on to a GCE and electrochemically reduced to create a rGO modified GCE. The electrodeposited CoSex/rGO composite (ED-CoSex/rGO) was prepared by immersing a rGO modified GCE in an electrodeposition solution and deposited by holding the electrode at a fixed potential for a period of time (Figure 1). The solvothermal/rGO composite ST-CoSex/rGO was prepared by drop casting the solvothermally prepared CoSex ink on top of a rGO modified GCE. While most of the investigation on these electrocatalysts was done using simple glassy carbon electrode (GCE), the best performing material was then screened on a more porous electrode such as Nickel Foam (NF).Materials were characterised using a combination of HR-SEM, XRD, Raman and XPS, while cyclic voltammetry, linear sweep voltammetry and chronoamperometry were employed to examine catalytic activity of the materials. SEM unveiled distinct morphologies, with the electrochemically formed CoSex appearing as flower-like deposits, while sheet-like morphology was seen with the solvothermal synthesis. The solvothermally produced CoSex was more crystalline, as evidenced from XRD. Despite the morphological differences, both CoSex variants exhibited commendable electrochemical attributes.Materials also showed good stability over a period of 18 hours with the ED-CoSex material showing the best performance over 18 hours. Interestingly, all materials showed improved HER performance when subsequently tested after 18 hours via polarisation curves. All materials exhibited high electrochemical active surface areas (ECSA), stability, and favourable low overpotentials for both the hydrogen evolution reaction (HER) and the Oxygen evolution (OER) in alkaline media, however. It is worth noting that while the introduction of rGO significantly lowers the overpotential of electrodeposited and solvothermally synthesised materials, following chronoamperometry, it appears the beneficial effect of the rGO addition is less evident. These results underscore the potential efficacy of CoSex and CoSex composites in facilitating efficient water splitting for hydrogen production, with the potential to rival the performance of platinum-based electrocatalysts. The significance of this research lies in offering sustainable alternatives to platinum in electrolysers, a crucial step toward establishing a more accessible and eco-friendly hydrogen economy.References(1) Jacobson, M. Z.; Delucchi, M. A.; Bazouin, G.; Bauer, Z. A. F.; Heavey, C. C.; Fisher, E.; Morris, S. B.; Piekutowski, D. J. Y.; Vencill, T. A.; Yeskoo, T. W. 100% Clean and Renewable Wind, Water, and Sunlight (WWS) All-Sector Energy Roadmaps for the 50 United States. Energy Environ Sci 2015, 8 (7). https://doi.org/10.1039/c5ee01283j.(2) Anantharaj, S.; Ede, S. R.; Sakthikumar, K.; Karthick, K.; Mishra, S.; Kundu, S. Recent Trends and Perspectives in Electrochemical Water Splitting with an Emphasis on Sulfide, Selenide, and Phosphide Catalysts of Fe, Co, and Ni: A Review. ACS Catalysis. 2016. https://doi.org/10.1021/acscatal.6b02479.(3) Minadakis, M. P.; Tagmatarchis, N. Exfoliated Transition Metal Dichalcogenide-Based Electrocatalysts for Oxygen Evolution Reaction. Advanced Sustainable Systems. 2023. https://doi.org/10.1002/adsu.202300193.(4) Sukanya, R.; da Silva Alves, D. C.; Breslin, C. B. Review—Recent Developments in the Applications of 2D Transition Metal Dichalcogenides as Electrocatalysts in the Generation of Hydrogen for Renewable Energy Conversion. J Electrochem Soc 2022, 169 (6). https://doi.org/10.1149/1945-7111/ac7172. Figure 1

Can metformin prevent cancer relative to sulfonylureas? A target trial emulation accounting for competing risks and poor overlap via double/debiased machine learning estimators.

There is mounting interest in the possibility that metformin, indicated for glycemic control in type 2 diabetes, has a range of additional beneficial effects. Randomized trials have shown that metformin prevents adverse cardiovascular events, and metformin use has also been associated with reduced cognitive decline and cancer incidence. In this paper, we dig more deeply into whether metformin prevents cancer by emulating target randomized trials comparing metformin to sulfonylureas as first line diabetes therapy using data from Clinical Practice Research Datalink, a U.K. primary care database (1987-2018). We included individuals with diabetes, no prior cancer diagnosis, no chronic kidney disease, and no prior diabetes therapy who initiated metformin (N=93353) or a sulfonylurea (N=13864). In our cohort, the estimated overlap weighted additive separable direct effect of metformin compared to sulfonylureas on cancer risk at 6 years was -1% (.95 CI=-2.2%, 0.1%), which is consistent with metformin providing no direct protection against cancer incidence or substantial protection. The analysis faced two methodological challenges-poor overlap, and pre-cancer death as a competing risk. To address these issues while minimizing nuisance model misspecification, we develop and apply double/debiased machine learning estimators of overlap weighted separable effects in addition to more traditional effect estimates.

Potential Beneficial Effects of Mineral Sunscreens on Acne-Prone Skin

Background: Sunscreens are critical products used against harmful ultraviolet (UV) radiation. However, beyond the effect of sun protection, the inorganic UV filters zinc oxide and titanium dioxide have shown antimicrobial activity. Objective: This study aimed to evaluate the potential additional beneficial effects of mineral sunscreens containing zinc oxide and titanium dioxide as antimicrobial agents on acne-prone skin. Methods: Transepidermal water loss, skin hydration, and skin pH of twelve volunteers were measured before and 2 h after the application of three mineral sunscreens. The antimicrobial activity of the mineral sunscreens was determined against Cutibacterium acnes, Staphylococcus aureus, and Staphylococcus epidermidis in a time-kill test. Results and Discussion: The studied mineral sunscreens did not affect either the stratum corneum hydration or its integrity, but they increased the skin pH from 4 to 6, which could impact the skin microbiota balance. At the same time, the tested mineral sunscreens inhibited Cutibacterium acnes, Staphylococcus epidermidis, and Staphylococcus aureus. Conclusion: This study suggests that the two UV filters can have positive effects on acne-prone skin and, thus, extend the benefits of photoprotective formulations. Nevertheless, further research is currently being conducted.

Effects of Two Prey Species Combinations on Larval Development of the Predatory Ladybird Cheilomenes propinqua.

Feeding on mixed, alternating, or changing diets often favor insect development. With the aim to optimize mass rearing and use for the biological control of insect pests, we investigated the effects of various combinations of high-quality (the green peach aphid Myzus persicae) and low-quality (eggs of the grain moth Sitotroga cerealella) foods on the larval development of a predatory ladybird Cheilomenes propinqua. In the first experiment, eggs and aphids were mixed in different proportions; in the second experiment, larvae switched from feeding on aphids to feeding on eggs. Although the beneficial additive effect of mixed foods was detected in some treatments with limited diets, feeding on various combinations of eggs with aphids never resulted in higher survival, faster development, or a larger size of emerging adults than those observed for feeding on unlimited amounts of aphids. For the practice of biological control, we conclude that, if necessary (for example, in the case of temporary shortage or a lack of aphids in mass rearing facilities or in the case of preventing release of C. propinqua adults in greenhouses), C. propinqua larvae can be fed with grain moth eggs by replacing, mixing, or alternating with aphids, although this will inevitably result in a proportional decrease in pre-adult survival, rate of development, weight, and size of the emerging adults. On the other hand, even a minimal addition of aphids can have a substantial positive effect on larvae fed with grain moth eggs.

Lower incidence of vaginal cancer after cervical human papillomavirus screening - long-term follow-up of Finnish randomized screening trial

ObjectiveAround 70% of vaginal cancers and 40–50% of vulvar cancers are attributable to human papillomavirus (HPV). Globally the burden of these diseases is estimated to grow due to the increasing HPV prevalence and rapidly aging global population. We aimed to examine if HPV screening for cervical cancer has an additional beneficial effect in preventing vaginal and vulvar cancers. To assess this, we used long-term follow-up data from the Finnish randomized HPV screening trial. MethodsBetween 2003 and 2008, over 236,000 women were individually randomized (1:1) to primary HPV or cytology screening in Southern Finland. We followed this cohort up to the year 2020. To compare the study arms, we calculated site-specific and pooled incidence rate ratios (IRRs) and mortality rate ratios (MRRs) for vaginal and vulvar cancers using Poisson regression. ResultsDuring 3,5 million person-years of follow-up, the IRR for vaginal cancer in the HPV arm compared to the cytology arm was 0.40 (95% CI 0.17–0.88) and the corresponding MRR was 0.74 (95% 0.21–2.24). The corresponding IRR for vulvar cancer was 0.73 (95% 0.50–1.08) and the MRR was 0.64 (95% 0.23–1.62). The pooled IRR was 0.67 (95% 0.47 ̶ 0.95) and MRR 0.67 (95% 0.31 ̶ 1.37). ConclusionWe found lower incidence of vaginal cancers with HPV screening compared to cytology screening. To validate our results, we recommend analyzing data on vaginal and vulvar cancers also from other HPV screening studies.

Role of lifestyle and glucagon-like peptide-1 receptor agonists for weight loss in obesity, type 2 diabetes and steatotic liver diseases.

The current obesity pandemic has given rise to associated comorbidities and complications, including type 2 diabetes and metabolic dysfunction-associated steatotic liver disease (MASLD). During the last decade, certain glucagon-like peptide 1 receptor agonists (GLP-1RA), originally developed as antihyperglycemic drugs, also demonstrated efficacy for weight loss. To review shared pathophysiologic features of common metabolic diseases and compare therapeutic strategies to reduce body weight and related complications. We performed an extensive literature research to describe the effects of lifestyle modification, first-generation anti-obesity drugs, and GLP-1RA on weight loss in humans with obesity, type 2 diabetes and MASLD. Until recently, treatment of obesity has been limited to lifestyle modification, which offer moderate degree and sustainability of weight loss. The few approved first-generation anti-obesity drugs are either limited to short term use or to certain forms of obesity. Some GLP-1RA significantly decrease caloric intake and body weight. Liraglutide and semaglutide have therefore been approved for treating people with obesity. They also lead to a reduction of hepatic fat content and inflammation in people with biopsy-confirmed MASLD. Possible limitations comprise adverse effects, treatment adherence and persistence. Certain GLP-1RA are superior to lifestyle modification and first-generation anti-obesity drugs in inducing weight loss. They have therefore markedly changed the portfolio of obesity treatment with additional beneficial effects on steatotic liver disease.

Effects of povidone-iodine wound irrigation on surgical site infection in gastroenterological surgery: A randomized controlled trial

BackgroundThe irrigation efficacy of a povidone-iodine solution to prevent surgical site infection is still controversial. We assessed the irrigation effect with a povidone-iodine solution on the incidence of surgical site infection after gastroenterological surgery. MethodsThis study is a single-center, prospective, randomized, blinded-end point superiority trial for surgical wound irrigation. Patients undergoing gastroenterological surgery were randomly assigned in a 1:1 replacement ratio using computer-generated randomization. Patients were grouped according to their surgical wound treatment into the control group using the normal sterile saline and the povidone-iodine group using 10% povidone-iodine solution after the NS solution. The main finding was 30-day surgical site infections assessed in the full analysis set. ResultsFrom November 2020 to December 2022, 697 of 894 patients were eligible for the study, among which 347 were in the povidone-iodine group and 350 in the control group. Thirty-day surgical site infections occurred in 100 (14%) patients—54 (16%) in the povidone-iodine group and 46 (13%) in the control group (odds ratio, 1.229; 95% CI, 0.800–1.889; P = .406). Superficial incisional surgical site infections occurred in 30 (9%) and 15 (4%) patients, respectively (odds ratio, 2.154; 95% CI, 1.134–4.090; P = .026). Only 3 patients (1%) in the control group developed adverse skin reactions. ConclusionThis study examined the irrigation efficacy of povidone-iodine for surgical site infection prevention compared to control in gastroenterological surgery. Povidone-iodine wound irrigation has shown no additional beneficial effect on the occurrence of surgical site infections.

A Review Article on the Formulation and Evaluation of Herbal Hair Oil

The excellent activity of herbal formulations and their little or nonexistent adverse effects as compared to synthetic medications have always drawn a lot of attention. This study's objective is to make herbal hair oil using amla, hibiscus, Brahmi, and methi. and it will be assessed to see if it promotes healthy hair development, the oil of different concentrations was water soluble, water insoluble, sulphated, total ash, acid insoluble, and moisture content are among the characteristics that make it suitable for proximate analysis. Excellent outcomes for hair development were observed in the formulation made using the boiling method for preparing oils. In order to achieve this goal, the current study will prepare herbal hair oil using substances such as Amlawhich is known as Jatamansi or hibiscus Bhringraj Raw garlic includes methi, mimosa pudica handspringing, papaya leaves, curry-leaf Moringa, guava leaves, and muskmelon seeds.. Based on the aforementioned findings, a combination of unrefined medications was made by boiling and then formed into herbal hair oil. Using various herbal drugs, we have created five different formulas, all of which exhibit anti-hair fall properties along with additional beneficial effects like reducing hair pigmentation, improving the flow of blood to the forehead and roots, reducing dandruff, and reducing hair whitening.

Combined use of Donepezil and Memantine increases the probability of five-year survival of Alzheimer’s disease patients

BackgroundAlzheimer’s disease (AD) is the most common neurodegenerative disease. Studying the effects of drug treatments on multiple health outcomes related to AD could be beneficial in demonstrating which drugs reduce the disease burden and increase survival.MethodsWe conducted a comprehensive causal inference study implementing doubly robust estimators and using one of the largest high-quality medical databases, the Oracle Electronic Health Records (EHR) Real-World Data. Our work was focused on the estimation of the effects of the two common Alzheimer’s disease drugs, Donepezil and Memantine, and their combined use on the five-year survival since initial diagnosis of AD patients. Also, we formally tested for the presence of interaction between these drugs.ResultsHere, we show that the combined use of Donepezil and Memantine significantly elevates the probability of five-year survival. In particular, their combined use increases the probability of five-year survival by 0.050 (0.021, 0.078) (6.4%), 0.049 (0.012, 0.085), (6.3%), 0.065 (0.035, 0.095) (8.3%) compared to no drug treatment, the Memantine monotherapy, and the Donepezil monotherapy respectively. We also identify a significant beneficial additive drug-drug interaction effect between Donepezil and Memantine of 0.064 (0.030, 0.098).ConclusionsBased on our findings, adopting combined treatment of Memantine and Donepezil could extend the lives of approximately 303,000 people with AD living in the USA to be beyond five-years from diagnosis. If these patients instead have no drug treatment, Memantine monotherapy or Donepezil monotherapy they would be expected to die within five years.

#1418 Phase II dose-selection, randomised, controlled trial of ASi BI 690517 with and without EMPA in CKD: subgroup analysis by T2D status

Abstract Background and Aims High aldosterone levels accelerate chronic kidney disease (CKD) progression. BI 690517 is a highly selective aldosterone synthase inhibitor (ASi) in clinical development for CKD treatment. ASi may reduce deleterious haemodynamic, inflammatory, and fibrotic actions of aldosterone. Coadministration of BI 690517 with a sodium-glucose cotransporter-2 inhibitor may also mitigate the risk of hyperkalaemia. This multinational, randomised, dose-finding, Phase II trial (NCT05182840) investigated the efficacy and safety of BI 690517, given either alone or in combination with empagliflozin (EMPA), in people who had CKD with or without type 2 diabetes (T2D) [1, 2]. Here, we present an analysis by T2D status (pooled for background randomizedon to EMPA or placebo [PBOEMPA]). Method Adults with CKD receiving a maximally tolerated dose of a renin-angiotensin system inhibitor were randomized (R1) 1:1 to an 8-week run-in to receive background EMPA 10 mg or PBOEMPA, then randomized again (R2) 1:1:1:1 to receive BI 690517 (3 mg, 10 mg, or 20 mg) or PBOASI for 14 weeks. The primary endpoint was the change from R2 baseline in urine albumin:creatinine ratio (UACR) in the first morning void of urine at Week 14. A secondary endpoint was UACR response (≥30% reduction from R2 baseline in UACR at Week 14). Changes in systolic blood pressure (SBP) and estimated glomerular filtration rate (eGFR) from R2 baseline to Week 14 were also assessed, as were safety outcomes. Results Of 586 people randomized at R2, 414 (70.6%) were reported to have T2D and 172 (29.4%) did not have T2D. Baseline demographics and clinical characteristics were mostly similar between these two groups [1]; however, those with T2D had higher mean BMI (30.6 vs 28.3 kg/m2), SBP (135.3 vs 130.2 mmHg) and eGFR (53.0 vs 49.4 mL/min/1.73 m2), and higher median UACR (444.7 vs 409.2 mg/g) than those without T2D. BI 690517 consistently reduced UACR versus PBOASI in people with and without T2D (p = 0.38, indicating no difference in treatment effect between these groups), with the largest reductions observed in the 10 mg and 20 mg dose groups; however, for the 3 mg dose group, UACR reduction was only observed in people with T2D (Figure). UACR response rates (≥30% reduction) were achieved in more than half of people with and without T2D in the BI 690517 10 mg and 20 mg dose groups, with the highest response rates in those also receiving EMPA (10 mg dose group: with T2D, 74.3%; without T2D, 64.0%). Decreases in SBP and small decreases in eGFR were also observed in people with and without T2D in response to BI 690517 10 mg and 20 mg, and were consistent with the observed changes in the overall population; however, for the 3 mg dose group, eGFR reduction was only observed in people with T2D. Adverse events leading to discontinuation in BI 690517 10 mg and 20 mg dose groups were more common among people with T2D than those without T2D who were receiving the same dose of BI 690517. Conclusion In people who had CKD, with or without T2D, BI 690517 dose-dependently reduced UACR, with high rates of UACR response suggestive of additive beneficial effects when given with EMPA.

Aerobic granulation and resource production under continuous and intermittent saline stress

Three sequential batch reactors (SBR) were operated to evaluate salt addition's impact on granulation, performance, and biopolymer production in aerobic granular sludge (AGS) systems. System R1 was fed without adding salt (control); system R2 operated with saline pulses, i.e., one cycle with salt (2.5 g NaCl/L) addition followed by another without salt; and R3 received continuous supplementation of 2.5 g NaCl/L. The results indicated that the reactors supplemented with salt presented higher concentrations of mixed liquor volatile suspended solids (MLVSS) and better settleability than R1, showing that osmotic pressure contributed to biomass growth, accelerated granulation, and improved physical characteristics. The faster granulation occurred in R2, thus proving the beneficial effects of intermittent salt addition through alternating pulses. Salt addition did not impair the simultaneous removal of carbon, nitrogen, and phosphorus. In fact, R2 showed better carbon removals. In conclusion, continuous or intermittent (pulsed) supplementation of 2.5 g NaCl/L did not lead to increased production of extracellular polymeric substances (EPS) and alginate-like exopolymers (ALE). This outcome could be attributed to the low saline concentration employed, a higher food-to-microorganism (F/M) ratio observed in R1, and possibly greater endogenous consumption of biopolymers in the famine period in R2 and R3 due to the greater solids retention time (SRT). Therefore, this study brings important results that contribute to a better understanding of the effect of salt in continuous dosing or in pulses as a selection pressure strategy to accelerate granulation, as well as the behavior of the AGS systems for saline effluents.