Changes In Status Research Articles

The Evolution of Women's Roles and Status in Chinese Modern-Themed Films and Television Shows Between 2014 and 2024

Abstract: This paper devotes to study the changes in the role status and positioning of female characters in the context of modern Chinese film and television shows in the last ten years. This paper is based on the literature research method, case study, and comparative analysis method. Papers in related fields are studied to analyze the differences in the status and positioning of female characters in film and television works in various periods. In conclusion, this research finds that the evolution of female roles in modern Chinese film and television is a testament to the awareness and appreciation of gender diversity and female empowerment. As society continues to develop, future productions will embrace and celebrate the richness of women's careers and family lives. The film and television industry will continue to challenge and redefine traditional gender roles. The industry's response to audience feedback and the need for more realistic representations of women will elicit further innovation and diversity in the representation of female characters on screen.

Improvement in quality of life in MDS patients who become transfusion independent after treatment

Myelodysplastic syndromes (MDSs) treatment focuses on improving quality of life (QOL), affected by anemia and transfusion dependence (TD). Using the MDS-CAN registry, we studied how changes in transfusion status – TD to transfusion independence (TI) (group A), or vice versa (group B), and maintaining TD (group C) or TI (group D) – affected OS and QOL in 1120 MDS patients. Analysis showed superior OS for those remaining TI, poorer for those remaining TD, and intermediate for those with changes. Among 656 treated patients, group A (n = 54) showed improved QOL, with trends toward improved physical and social function scores. Group B (n = 151) experienced declines in global QOL measures after switching to TD, particularly in fatigue and physical, role, and social functioning. Group C had notable fatigue worsening, while group D showed milder declines across multiple QOL aspects. Achieving TI in MDS correlates with improved QOL, whereas reverting to TD more significantly worsens overall QOL and function scores.

Colonoscopy Assisted Laparoscopic Wedge Resection for Colonic Lesions: Impact on Quality of LifE: Results from the LIMERIC Study.

The LIMERIC study has proven that colonoscopy-assisted laparoscopic wedge resection effectively and safely removes benign colonic lesions unsuitable for endoscopic removal, thereby avoiding the need for major surgery. To evaluate the impact of colonoscopy-assisted laparoscopic wedge on health-related quality of life of patients who participated in the LIMERIC study. Prospective multicenter study. The LIMERIC study was performed between 2016 and 2020 in 13 Dutch hospitals. EQ-5D-5L questionnaires were administered at baseline and 3 months after the procedure. Patients with incomplete pre- or postoperative questionnaires or those undergoing combined interventions were excluded from the intention-to-treat analysis. Those for whom CAL-WR was not feasible or who underwent completion surgery were excluded from the per-protocol analysis. Colonoscopy-assisted laparoscopic wedge for either (1) colon polyp unsuitable for endoscopic resection; (2) non-lifting residual or recurrent polyp within scar tissue following previous polypectomy; or (3) Rx/R1 endoscopic removal of a low-risk pT1 colon carcinoma. Three-month health-related quality of life. Colonoscopy-assisted laparoscopic wedge did not affect health-related quality of life in the per-protocol analysis (n = 56), or in the intention-to-treat analysis (n = 67). The majority of patients reported no change in health status (57%). No significant differences were observed in the distribution of responses across all 5 dimensions before and after colonoscopy-assisted laparoscopic wedge. Patients' self-rated EQ-VAS was also unaffected by colonoscopy-assisted laparoscopic wedge, with a median VAS score of 82.5 at baseline and 80 after surgery in the per-protocol analysis (p = 0.63). Solely a patient-reported outcome measure evaluating global health-related quality of life was used, rather than one specifically assessing disease-related quality of life, such as the QLQ-CR29. Colonoscopy-assisted laparoscopic wedge has no significant impact on the health-related quality of life in patients with benign colonic lesions and should therefore be considered before major surgery is performed. See Video Abstract.

Influence of endoxifen on mammographic density-results from the KARISMA trial.

Monitoring metabolites of tamoxifen, such as endoxifen, has been suggested as a strategy to ascertain therapeutic effect of tamoxifen therapy but clinical guidelines are missing. Herein we aim to investigate the outcome of endoxifen concentrations of low dose tamoxifen, using change in mammographic breast density (MBD) as a proxy for therapy response. In the randomized KARISMA trial, including five doses of tamoxifen, measurements of plasma endoxifen concentrations, determination of CYP2D6 metabolizer status and MBD change over the trial period, were carried out. Association between endoxifen concentrations and relative MBD change after 6 months treatment was analysed using linear regression in a spline model. A total of 824 women (335 premenopausal, 489 postmenopausal) were included. In analyses of premenopausal women, a spline model described a MBD decrease, equivalent to the mean (-18.5%) seen in women exposed to 20 mg tamoxifen, at endoxifen concentrations of 2-3 ng/mL. The MBD decrease reached a nadir at endoxifen levels of 3 ng/mL and did not decrease further at higher endoxifen concentrations. Most intermediate and normal tamoxifen-metabolizers (≈ 90% of all participants) reached an endoxifen concentration of > 2 ng/mL at tamoxifen doses of 5 and 10 mg. No MBD decrease was seen in the postmenopausal group. We have identified a possible window of effect on MBD at endoxifen concentrations of 2-3 ng/mL in premenopausal women, which corresponds to the doses of 5 and 10 mg tamoxifen. Since MBD change was used as a surrogate marker for therapy response, results should be confirmed using clinically established outcomes measures. ClinicalTrials.gov ID: NCT03346200.

A study of feature importance for king salmon health classification with feature selection

King salmon is important for aquaculture in New Zealand, contributing significant economic value. Fish health is a priority for the industry, and the change in the health status of king salmon needs to be accurately detected at the earliest possible stage. Many factors affect the health of king salmon, such as temperature. Identifying the key features that influence health prediction is a crucial step toward achieving this goal. This study utilizes trial data collected by the Cawthron Institute, which includes diverse information on king salmon, such as blood biochemistry and hematology. We explore the data by employing statistical methods and feature selection techniques in machine learning to identify the most relevant features for king salmon health prediction, aiming to classify individuals as healthy or unhealthy with a small number of features. The results show that although the most efficient feature selection techniques on different datasets vary, overall, feature selection approaches can successfully identify relevant and informative features for king salmon health classification. Through the incorporation of a few selected features, the learned classifiers could still achieve statistically equal or better classification performance. This study not only contributes to the understanding of the health indicators of king salmon but also provides crucial insights into health prediction, which will be beneficial to the improvement of the health of king salmon, leading to the development of more effective management strategies for aquaculture.

Diabetic Ketoacidosis as a Debut and Immune-Mediated Complication Caused by Pembrolizumab: Case Report

Background/Objectives: Diabetic ketoacidosis (DKA) is an acute and potentially life-threatening complication characterized by the accumulation of ketone bodies in the blood, primarily occurring in patients with type 1 diabetes and occasionally in those with type 2 diabetes under certain conditions. DKA presents with symptoms such as polyuria, polydipsia, polyphagia, and, in severe cases, mental status changes. Identifying the triggering factor is crucial to prevent complications and effectively manage this medical emergency. Methods: This report describes the case of a 58-year-old male patient with stage IIIb nodular melanoma, diagnosed in November 2022. Results: After receiving five cycles of pembrolizumab, the patient developed de novo DKA, presenting with blurred vision, asthenia, adynamia, polyuria, and polydipsia. He was admitted to the emergency department with a blood glucose level of 764 mg/dL, confirming hyperglycemia and metabolic acidosis. He was transferred to the intensive care unit for fluid resuscitation and insulin infusion. After adequate clinical evolution and meeting the criteria for DKA resolution, possible autoimmune endocrinopathies secondary to immunotherapy were considered. Due to this complication, the oncological treatment was changed. Finally, the patient was discharged with the need to continue insulin therapy and oral hypoglycemic agents, along with thyroid hormone supplementation. Conclusions: The novelty of this case lies in the presentation of DKA as an immune-mediated complication induced by pembrolizumab, highlighting the importance of closely monitoring patients receiving immune checkpoint inhibitors to detect and manage emerging autoimmune endocrinopathies. It is essential to adjust oncological treatment according to the patient’s response and promptly manage autoimmune endocrinopathies to improve clinical outcomes and the patient’s quality of life.

A review of vitamin D deficiency and vitamin D receptor polymorphisms in endocrine related disorders.

The endocrine system is a complex network of glands that produce and release hormones that regulate various physiological processes. In the past few decades, the human skin has been identified as an important peripheral endocrine organ that is the main site for the synthesis of vitamin D through exposure to sunlight. Mutations in downstream vitamin D-related gene pathways are associated with disease development. The vitamin D receptor (VDR) gene, which regulates the pleiotropic effects of vitamin D, has been extensively studied in adult populations. Several studies have reported the prevalence of vitamin D deficiency in children and adolescents. With changes in socioeconomic status and lifestyle, vitamin D-deficient individuals are prone to developing the disease at a young age. However, geographical and racial differences affect the association between VDR gene polymorphisms and vitamin D endocrine disorders, explaining the non-consensus effects of polymorphisms and their association with disease development across populations. In this review, we discuss the connection between the vitamin D endocrine system and polymorphisms in the gene encoding VDR in children and adolescents, focusing on its effects on growth, puberty, insulin resistance, and the immune system.

Evaluation of Cardioprotective Activity of <i>Corchorus aestuans</i> L. Leaves

Background: The effectiveness of several medicinal herbs with antioxidant qualities in MI has been assessed and demonstrated. Corchorus aestuans L. is one such medicinal plant that has been shown to have hypocholesteremic and antioxidant properties. C. aestuans L. is also well-known for its bitter tonic, cardiotonic, and stomach relieving properties. Aim: In order to assess the impact of C. aestuans methanol extract against ISO-induced changes in myocardial enzymes, antioxidant status, and cardiac pathology in experimentally induced myocardial infarction, this study was conducted. Methods: Male wistar albino rats were used to create an Isoproterenol (ISO) induced Myocardial Infarction (MI) in order to study the possible cardiovascular preventative effects of the methanol extract of the medicinal plant C. aestuans. Six groups of eight animals each were created from the 180-250 g range of animals, and during the study, the animals in groups one (normal control) and two (model control) were given distilled water. Group three received ascorbic acid (250 mg/kg), while groups four to six received methanol extract of C. aestuans (MECA; 50, 100, and 150 mg/kg, respectively) once a day for 28 days. Animals in group’s two to six received the first dosage of ISO (100 mg/kg, S.C.) on day 27 and the second dose 24 hours later. Rats were anesthetized using chloroform, then their hearts were isolated and serum was collected. Twelve hours following the second large dose, the rats anesthetized, killed, and samples of their hearts and serum were taken. After the heart was cleaned with ice-cold saline, it was weighed. A histology study was conducted on heart tissue, while biochemical markers were analyzed in serum and heart homogenate. Results: When isoproterenol was administered, the concentrations of CK-MB (Creatinine Kinase - Myocardial Band), LDH (Lactate Dehydrogenase), and NA+ (Sodium) increased dramatically, but the concentrations of K+ (Potassium) and MDA (Malondialdehyde) dropped. The incidence of these alterations was dramatically decreased by ascorbic acid and MECA (Methanol extract of C. aestuans) treatment. Consequently, the cardioprotective effect can be explained by decreased levels of cardiac marker enzymes. Conclusion: MECA (50 mg / kg, 100 mg / kg and 150 mg /kg p.o. once for 28 days) attenuated serum enzymes and marker, increased tissue calcium and sodium levels, decreased potassium levels, and inhibited lipid peroxidation to significantly counteract the effect of experimentally induced MI.

Association between functional capacity and family functionality with frailty in older adults with cardiovascular risk in southwestern Colombia

The changes associated with aging are multidimensional and multifactorial, with the geriatric syndrome of frailty being its most problematic and complex expression. This syndrome leads to vulnerability, disproportionate changes in health status, and functional decline, making its effective identification and comprehensive management necessary. To describe the sociodemographic, clinical, and functional characteristics of older adults with cardiovascular risk in Southwestern Colombia. This study has an observational, cross-sectional, and analytical design. The selected population included older adults enrolled in a cardiovascular and metabolic risk program in Popayán (Cauca). A multivariate analysis explored the relationship between frailty and certain sociodemographic, clinical, and functional variables. A total of 293 older adults participated, primarily women (69.6%), with an average age of 71.23 years. Among them, 77.1% were classified as independent in basic activities and 56.3% in instrumental activities of daily living, with autonomy being more prevalent among men. Additionally, 71.1% of women and 43.8% of men were classified as prefrail. The bivariate analysis identified a relationship between frailty and variables such as sex, age, marital status, educational level, occupation, calf circumference, functional capacity, instrumental capacity, and family functionality. The multivariate analysis showed a higher frailty/prefrailty prevalence (55%) in women. Most participants were classified as prefrail; dependency and frailty were more prevalent in women, suggesting the need for preventive strategies and interventions from a gender-differentiated approach.

Weight Status Change from Birth to Childhood and High Blood Pressure in Childhood

Background: While both high birth weight and childhood overweight/obesity have been associated with a heightened risk of high blood pressure (BP) during childhood, the association between weight status change from birth to childhood and the risk of high BP has not been fully explored. This study aimed to investigate how changes in weight status from birth to childhood influence the development of high BP in childhood. Methods: The data for this study were obtained from the baseline survey of the Huantai Childhood Cardiovascular Health Cohort Study, which included 1237 children aged 6 to 11. Children with a birth weight under 2500 g or a body mass index (BMI) below the fifth percentile for their age and sex during childhood were excluded. Based on birth weight (high birth weight [>4000 g] vs. healthy [≤4000 g]) and childhood weight status (overweight [including obesity] vs. healthy weight), participants were categorized into four groups: consistently healthy weight, weight decrease, weight increase, and consistently excess weight. Results: Compared to children who maintained a healthy weight from birth to childhood, higher odds of childhood high BP was observed among those with consistently excess weight (odds ratio [OR] = 2.73, 95% confidence interval [CI] = 1.46–5.12) and those with a weight increase (OR = 2.77, 95% CI = 1.91–4.02). In contrast, children with a weight decrease did not exhibit significantly higher odds of childhood high BP (OR = 0.94, 95% CI = 0.36–2.45). Conclusion: Children who become overweight in childhood or who consistently had excess weight from birth were at higher risk of childhood high BP. However, the risk of high BP in childhood may be mitigated or eliminated in individuals with high birth weight who achieve a healthy weight by childhood.

Clinical Efficacy of CBCT and 3D-Printed Replicas in Molar Autotransplantation: A Controlled Clinical Trial.

To evaluate the efficacy of the combined cone-beam (CBCT)/3D-replicas protocol on the clinical and radiographic outcomes of autotransplanted molars. Controlled clinical trial registered ISRCTN13563091 from August 2019 to September 2022. Patients aged 13-22 years requiring permanent premolar extraction and having at least one non-erupted third molar were enrolled at the Institute of Stomatology, Stradins University, Riga, Latvia. Patients in the 3D-replicas (n = 30) underwent maxillary CBCT scans and had 3D-printed replicas of the third molar fabricated, while the control group (n = 28) did not. The clinical outcomes included tooth mobility, bleeding on probing, and periodontal pocket depth assessed at 3, 6, and 12 months. The radiographic outcomes included root development, obliteration, periapical status, and crown changes at 12 months. Of the 55 patients assigned to interventions, 46 completed the study. No significant differences in survival and radiographic outcomes were found between the control (n = 22) and 3D-replica group (n = 24): root development (p = 0.3), root resorption (p = 0.057), periapical status (p = 0.7), and crown/root ratio change (p = 0.4). Logistic regression showed no significant associations between radiologic predictors (root resorption: p = 0.4; periapical status: p > 0.9; root development: p = 0.8). Significant clinical outcome predictors included total operative time (β = 0.0043, p = 0.049), Moorrees' stage (stage 4: β = -0.31, p < 0.001; stage 5: β = -0.39, p < 0.001), and four donor placement times (β = 0.93, p < 0.001), but group assignment was not a significant predictor. The CBCT/3D-replica protocol showed no significant differences in the clinical or radiological outcomes. The high success rates in both groups suggest that the protocol is valuable primarily for optimizing surgical efficiency and as a training tool for clinicians.

Detection of spatial and temporal variation characteristics of vegetation cover in the Lower Mekong region and the influencing factors

As the main component of terrestrial ecosystem, vegetation plays a very important role in regional ecosystem environmental change, global carbon cycle and climate regulation. The Lower Mekong region (LMR) is at the core of Southeast Asia, its vegetation changes will affect the regional ecosystem and climate. Five countries of LMR were selected as the study area, based on MODIS (Moderate-Resolution Imaging Spectroradiometer) NDVI(Normal Difference Vegetation Index) data from 2000 to 2022, using the Sen’s slope estimator, Mann–Kendall trend test and geographic detector to study the spatial and temporal variation trends and driving forces of vegetation coverage. The results showed that:(1) From 2000 to 2022,the vegetation coverage in the LMR showed an overall fluctuating upward trend, the annual average Fractional Vegetation Cover(FVC) value was 0.70, mainly with high vegetation coverage and relatively high vegetation coverage. Vegetation distribution had obviously spatial heterogeneity, and the vegetation of Myanmar, Laos and Vietnam was significantly larger than Thailand and Cambodia.(2) The variation trend analysis of Sen_MK showed that the proportion of improved and degraded vegetation coverage areas in the LMR were 56.33% and 37.55% respectively. The vegetation improvement area was much larger than the vegetation degradation area during 2000–2022. According to the variation trend analysis of different countries, the vegetation coverage improvement area in Vietnam, Myanmar and Thailand were larger than the degraded , the overall vegetation coverage variation trend were good. However, in Laos and Cambodia, the degraded areas were larger than the improved, the overall variation trends of coverage were not good.(3) The results of geographic detector showed that the Land Use and Land Cover(LULC) had the greatest influence on vegetation coverage in the study area.The influencing factors of vegetation coverage were different in the LMR. For Vietnam, Thailand and Laos,elevation and slope factors were second only to LULC, for Myanmar and Cambodia, the influence of precipitation factor was second only to LULC. The results provide scientific data support for understanding the ecological environment status and future changes in the research area.

Mitochondrial donation as a mechanism of participation by mesenchymal stromal cells in regenerative processes

Mesenchymal stromal cells (MSCs) are universal regulators of regenerative processes due to their ability to secrete regulatory molecules or replace dead cells through differentiation in the appropriate direction. Recently, another mechanism for the beneficial effects of MSCs on damaged tissue has been discovered, such as the transfer of mitochondria into its cells in response to stress signals. MSCs can transfer mitochondria through tunneling nanotubes that form a communication bridge between cells, through gap junctions, by release as part of extracellular vesicles or in free form, and as a result of complete or partial fusion with recipient cells. In damaged cells that received mitochondria from MSCs, impaired energy metabolism is restored and oxidative stress is reduced, which is accompanied by increased survival, and in some cases also increased proliferation or a change in differentiation status. The restoration of energy after the transfer of mitochondria from MSCs has a beneficial effect on the functional activity of recipient cells and suppresses inflammatory reactions. A significant contribution of the MSC mitochondrial donation to the therapeutic efficacy of MSCs has been repeatedly demonstrated in models of damage to various organs in experimental animals. This stimulates the search for methods to enhance the process of mitochondrial donation. However, it should be taken into account that MSCs are able to transfer mitochondria to malignant cells as well, thereby stimulating tumor growth and increasing its resistance to chemotherapy. These data make it necessary to evaluate the prospects for the use of MSCs in cell therapy with caution. On the other hand, they can serve as a basis for the search for new therapeutic targets in the treatment of oncological diseases.

Variations in the level of available phosphorus with changes in the status of water-soluble organic matter derived from different organic materials in soil

The combined application of organic material and phosphorus fertilizer is an effective method to enhance phosphorus use efficiency for plant growth. This is partly because the presence of water-soluble organic matter (WSOM) derived from different organic materials can enhance the level of available phosphorus in the soil; however, it is poorly understood how this level varies with changes in the WSOM status (i.e., decomposed, dissolved, and retained) in the soil depending on WSOM types. This study aimed to (i) understand how changes in the WSOM status enhances the available phosphorus level in the soil, and (ii) determine the WSOM type that contributes to such enhancement. The incubation test showed that fractions of 73%–92% and 8%–27% of WSOM-derived organic carbon were retained and dissolved, respectively, at the beginning of incubation, while 31%–45% was decomposed during the incubation period. The WSOM derived from cattle manure compost (CM) and sewage sludge compost (SSC) that was initially retained was maintained until the late stage of the incubation test, whereas that derived from hydrothermal decomposed liquid fertilizer (HDLF) was rapidly desorbed during the first 14 days of the incubation period. The available phosphorus level was higher under the combined application of CM- and SSC-derived WSOM than under the single phosphorus application throughout the incubation period, while it was high only during the first 3 days of incubation under the application of HDLF-derived WSOM. The amounts of retained organic carbon at each sampling point during the incubation period compared to those at the beginning were positively and linearly correlated to the available phosphorus levels that were enhanced by the WSOM present in the soil. This study for the first time provides quantitative experimental evidence that 1) the longer the WSOM continues to be retained, the higher the amount of available phosphorus remaining in the soil, and 2) the available phosphorus level decreases with WSOM sorption or decomposition. Furthermore, it was shown that highly humified WSOM has a great potential for the maintenance of higher available phosphorus levels. This study provides the insight that a combined application of highly humified organic materials with a chemical fertilizer is necessary for not only cost effective but also sustainable fertilization design.

Psychedelic mushroom-containing chocolate exposures: Case series

IntroductionThe recreational use of psilocybin or psilocin-containing products, a chemical found naturally in certain mushroom species, is on the rise across the United States. Several cases of serious clinical effects related to mushroom-containing products have recently been reported to the Food and Drug Administration (FDA). The emergence of these new products and their health consequences are not yet well understood. This case series aims to characterize exposures to mushroom-containing chocolate products, including patient characteristics, clinical effects, treatment(s), and clinical outcome severity, reported to a poison center network. Material and methodsThis was a retrospective case series conducted in patients exposed to mushroom-containing chocolate products across three poison centers between January 2023 to August 2024. Patients were identified via a database search of ToxSentry®. Patients were included if they were exposed to a mushroom-containing chocolate product. Patients were excluded if they ingested an unrelated product or if there was insufficient information documented within ToxSentry®. The primary endpoint was to describe clinical outcome severity after exposure to mushroom-containing chocolate products. ResultsA query of ToxSentry® identified 164 cases; 36 cases met study criteria. The median age of patients in this case series was 17 years old. For most patients (23, 64 %), the reason for the exposure was intentional, with 20 reporting intentional abuse or misuse of the product. Common clinical effects reported included mental status changes (26, 76 %), paranoia/hallucinations (10, 28 %), dysrhythmias (7, 19 %) and gastrointestinal discomfort (6, 17 %). There was one report of seizure. Most clinical effects lasted between 3 and 24 h after ingestion (29, 81 %). Intravenous fluids (18, 50 %) and benzodiazepines (7, 19 %) were the most common treatments given. No fatalities were reported. DiscussionWhile most patients in this series experienced minor clinical effects, some developed serious effects after ingestion of a mushroom-containing chocolate product. Findings from this study further characterize the limited patient demographics, clinical effects, and outcomes published thus far. Further characterization in a larger cohort of patients could expand on our initial findings and is needed to better identify factors that may influence clinical outcomes.

Feasibility of a Multimodal Prehabilitation Program Before Elective Knee and Hip Arthroplasty in Older Adults

ObjectivesHip osteoarthritis and knee osteoarthritis cause significant disability and pain in older adults, often leading to hip or knee replacement surgery. Prehabilitation programs have been established for these surgeries, but there are few programs for orthogeriatrics. We evaluated the feasibility of a new multimodal prehabilitation program (MPP) for older adults before hip or knee replacement due to arthrosis: the Prehabilitation for Os (PRE4OS) study. DesignWe conducted a multicenter feasibility study in the Greater Paris area. Setting and ParticipantsEligible adults were ≥75 years old awaiting hip or knee replacement with at least a 6-week delay before surgery and able to participate in the MPP follow-up. The MPP included weekly hospital sessions providing nutritional, psychological, functional, and cognitive support, along with weekly home sessions featuring physiotherapist visits. MethodsThe primary outcome was at least 80% of 1-day hospital (ODH) sessions performed by 80% of participants. Secondary outcomes included intervention achievement, quality of life, and nutritional and functional status changes. Participant's satisfaction was qualitatively assessed via structured phone interviews presurgery and at 30 days postsurgery. ResultsFrom September 2021 to September 2023, a total of 27 individuals participated in the PRE4OS study. The mean (SD) age was 83 (4.3) years, with 7 males (26%) and median baseline Activities of Daily Living score 5.5 (interquartile range 5.5–6.0). Surgeries were for insertion of hip prosthesis in 17 participants (63%) and knee prosthesis in 10 (37%). The primary outcome was achieved in 89% of participants, with comparable rates for hip and knee prostheses. In total, 60% of participants rated the MPP as “excellent” presurgery and 100% at 30 days postsurgery, expressing a willingness to recommend the protocol to a friend or family. Conclusion and ImplicationsThe MPP was feasible for individuals before hip or knee replacement and was well received. Further randomized trials are needed to assess its clinical impact.

Electrokinetic indices of erythrocytes as diagnostic criteria for preeclampsia

Objective. To evaluate the features of changes in the morphofunctional status of peripheral blood erythrocytes during normal pregnancy and in preeclampsia based on rapid analysis of biophysical parameters of cells.Materials and methods. A total of 136 pregnant women were examined at 22–24 and 34–35 weeks of gestation. The comparison groups included: 40 pregnant women with moderate preeclampsia (PE), 30 pregnant women with severe preeclampsia, 30 pregnant women with chronic arterial hypertension (CAH), 36 women with normal pregnancy who do not have signs of hypertensive disorders. Electrokinetic features of peripheral blood erythrocytes were studied using cellular microelectrophoresis, the average value of the amplitude of oscillations of mobile erythrocytes (μm) and the proportion of mobile cells (%) were analyzed.Results. At 22–24 weeks, the percentage of immobile erythrocytes in pregnant women with moderate PE increased by 2.8 times (p&lt;0.05), the amplitude of oscillations of mobile cells decreased by 21% (p&lt;0.05). In pregnant women with severe PE, the proportion of immobile erythrocytes increased by 3.2 times (p&lt;0.05), the amplitude decreased by 30% (p&lt;0.05). In pregnant women with CAH, a slight increase in the percentage of immobile cells (8.2 vs 6.8%) and a tendency to a decrease in the average amplitude (21.5 vs 23.2 μm) were noted. At 34–35 weeks in the group with moderate PE, the% of immobile erythrocytes exceeded the corresponding indicator in women with physiological pregnancy by 3.3 times (p&lt;0.05), the average amplitude decreased by 28% (p&lt;0.05), in pregnant women with severe PE, the% of immobile erythrocytes increased by 3.7 times (p&lt;0.05), the amplitude decreased by 36% (p&lt;0.05). In pregnant women with CAH, there was a tendency for a slight increase in the proportion of immobile erythrocytes.Conclusion. The functional and morphological usefulness of erythrocytes as active participants in the pathogenesis of preeclampsia can be objectively assessed using indicators of electrokinetic activity of cells, and erythrocytes can be considered as biomarkers of the disease and a promising tool for stratifying patients for early detection of high-risk pregnancies.

Changes in HRD status during treatment for ovarian high-grade serous carcinoma

Changes in HRD status during treatment for ovarian high-grade serous carcinoma

Multidimensional Benefits of a Tailored Exercise Program in Preventing Frailty: A Community-Based Approach.

Frailty is a significant health concern in the aging population, particularly in Japan's super-aging society. Community-based interventions show promise in frailty prevention; however, their effectiveness requires further investigation. This study aimed to evaluate the impact of a continuous municipal rehabilitation program on frailty status and physical function in older adults living in suburban Japan. This prospective observational study included 52 participants aged ≥ 65 years (13 males and 39 females) who underwent assessments at baseline and after six months. Participants were divided into Pre-old (65-74 years) and Older (≥75 years) groups. Frailty was assessed using the Kihon checklist (KCL), and physical function was evaluated using the New Physical Fitness Test. Changes in frailty status, physical function, and KCL subcategories were analyzed. Frailty prevalence decreased significantly from baseline to 6 months (21.2% to 7.7%, p = 0.018). In the Pre-old group, significant improvements were observed in the sit-up (p = 0.035) and six-minute walking (p = 0.017) scores. The Older group showed significant improvements in KCL lifestyle (p = 0.023) and physical function (p = 0.018). Seven of ten initially frailty participants transitioned to a non-frailty status after 6 months. The Co-Creative Well-being System was associated with a reduction in frailty prevalence and improvements in physical function, with age-specific benefits observed. This community-based approach presents a promising strategy for addressing frailty in aging populations.

Does succulence in woody plants delay desiccation, and is stored water used to maintain physiological function during drought conditions?

Succulence is a trait that describes water storage in plant organs and tissues regardless of life form. Plants use the stored water to maintain physiological function and delay desiccation. However, it is unclear whether succulence in leaves, stems and roots of woody plants delays desiccation, whether it provides 'utilizable water' to maintain physiological function, or buffers changes in water status in drying soils through capacitance. We conducted a pot dry-down experiment with nine shrub species to determine whether woody plants with greater leaf, stem, or root succulence have greater shoot utilizable water or capacitance. We also investigated whether greater succulence delays desiccation, represented by cumulative VPD, until evapotranspiration ceased or until utilizable water was exhausted. Greater leaf and stem succulence were strongly related to greater shoot utilizable water and capacitance. However, desiccation time was not delayed in plants with greater total shoot succulence, utilizable water, or capacitance. Instead, woody plants with greater root succulence had longer desiccation times. This suggests that woody plants use aboveground succulence to maintain physiological function and water status during drought, whereas root succulence extends desiccation time. Our study improves the mechanistic understanding of how woody plants use stored water to survive in dryland ecosystems.