Changes In Proportion Research Articles

Immunocyte profiling changes in patients received epidural versus intravenous analgesia after pancreatectomy: A randomized controlled trial

BackgroundPerioperative immunosuppressants, such as surgical stress and opioid use may downregulate anti-cancer immunocytes for patients undergoing pancreatectomy. Thoracic epidural analgesia (TEA) may attenuate these negative effects and provide better anti-cancer immunocyte profile change than intravenous analgesia using opioid. MethodsWe randomly assigned 108 adult patients undergoing pancreatectomy to receive one of two 72-h postoperative analgesia protocols: one was TEA, and the other was intravenous patient-controlled analgesia (IV-PCA). The perioperative proportional changes of immunocytes relevant to anticancer immunity—namely natural killer (NK) cells, cytotoxic T cells, helper T cells, mature dendritic cells, and regulatory T (Treg) cells were determined at 1 day before surgery, at the end of surgery and on postoperative day 1,4 and 7 using flow cytometry. In addition, the progression-free survival and overall survival between the two groups were compared. ResultsAfter surgery, the proportions of NK cells and cytotoxic T cells were significantly decreased; the proportion of B cells and mature dendritic cells and Treg cells were significantly increased. However, the proportions of helper T cells exhibited no significant change. These results were comparable between the two groups. Furthermore, there were no significant differences in progression-free survival (52.75 [39.96] and 57.48 [43.66] months for patients in the TEA and IV–PCA groups, respectively; p = 0.5600) and overall survival (62.71 [35.48] and 75.11 [33.10] months for patients in the TEA and IV–PCA groups, respectively; p = 0.0644). ConclusionsTEA was neither associated with favorable anticancer immunity nor favorable oncological outcomes for patients undergoing pancreatectomy.

Silicate Extinction Profile Based on the Stellar Spectrum by Spitzer/IRS

The 9.7 and 18 μm interstellar spectral features, arising from the Si–O stretching and O–Si–O bending modes of amorphous silicate dust, are the strongest extinction features in the infrared. Here we use the “pair method” to determine the silicate extinction profile by comparing the Spitzer/IRS spectra of 49 target stars with obvious extinction with those of unreddened stars of the same spectral type. The 9.7 μm extinction profile is determined from all the 49 stars and the 18 μm profile is determined from six stars. It is found that the profile has a peak wavelength at ∼9.2–9.8 and ∼18–22 μm, respectively. The peak wavelength of the 9.7 μm feature seems to become shorter for stars of late spectral types; meanwhile the FWHM seems irrelevant to the spectral type, which may be related to circumstellar silicate emission. The silicate optical depth at 9.7 μm, Δτ 9.7, mostly increases with the color excess in J − K S ( EJKS ). The mean ratio of the visual extinction to the 9.7 μm silicate absorption optical depth is A V /Δτ 9.7 ≈ 17.8, in close agreement with that of the solar-neighborhood diffuse interstellar medium. When EJKS>4 , this proportionality changes. The correlation coefficient between the peak wavelength and the FWHM of the 9.7 μm feature is 0.4, which indicates a positive correlation considering the uncertainties of the parameters. The method is compared with replacing the reference star by an atmospheric model spectral energy distribution and no significant difference is observed.

Variation in stable carbon (δ13C) and nitrogen (δ15N) isotope compositions along antlers of Qamanirjuaq caribou (Rangifer tarandus groenlandicus).

Annual antler growth begins in the spring and is completed by late summer for male caribou (Rangifer tarandus groenlandicus) from the Qamanirjuaq herd (Nunavut, Canada), aligned with both the spring migration and a seasonal dietary shift. Antlers may provide a non-lethal means of studying short- and long-term changes in caribou ecology through incorporated isotopes of carbon (δ13C) and nitrogen (δ15N). We sampled the antlers of 12 male caribou from the Qamanirjuaq herd culled in September 1967. We predicted that serial sampling of antlers would reflect the known seasonal dietary change from lichen to grass-like and shrub diet based on rumen contents from individuals culled during the same period. The δ13C and δ15N were analyzed in food sources and every 3 cm along each antler's length. The carbon isotope compositions of collagen (δ13Ccol) varied by ~0.5‰ among individuals and within antlers, while the carbon isotope compositions of antler bioapatite (δ13CCO3) increased by 1-1.5‰ from pedicle to tip. Values of δ15Ncol increased within antlers by 1-3‰ from pedicle to tip and varied by 3‰ among the individuals sampled. Antler collagen was lower in δ15Ncol by ~1‰ relative to bone collagen. Bayesian mixing models were conducted to test for changes in dietary proportions from antler isotope compositions. Mixing models did not indicate significant dietary shifts for any individual during antler formation, showing consistently mixed diets of fungi, horsetail, lichen, and woody plants. Increases in δ15Ncol in antler tissue could, therefore, correspond to subtle seasonal dietary changes and/or the physiological stress of antler tissue development.

Andexanet Alfa for the Reversal of Factor Xa Inhibitor Activity: Prespecified Subgroup Analysis of the ANNEXA-4 Study in Japan.

Andexanet alfa, a specific antidote to factor Xa (FXa) inhibitors, has been approved for clinical use in several countries, including Japan, based on the results from the phase 3 trial ANNEXA-4. We aimed to assess the efficacy and safety of andexanet alfa treatment in FXa inhibitor-related acute major bleeding in patients enrolled for ANNEXA-4 in Japan. This prespecified analysis included patients enrolled at Japanese sites in the prospective, open-label, single-arm ANNEXA-4 trial. Eligible patients had major bleeding within 18 hours of oral FXa inhibitor administration. The coprimary efficacy endpoints were percent change in anti-FXa activity and proportion of patients achieving excellent or good hemostatic efficacy 12 hours post-treatment. A total of 19 patients were enrolled, all of whom had intracranial hemorrhage; 16 patients were evaluable for efficacy. Median percent reduction in anti-FXa activity from baseline to nadir was 95.4% in patients taking apixaban, 96.1% in patients taking rivaroxaban, and 82.2% in patients taking edoxaban. Overall, 14/16 patients (88%) achieved excellent or good hemostasis (apixaban, 5/5; rivaroxaban, 6/7; edoxaban, 3/4). Within 30 days, treatment-related adverse events (AEs) and serious AEs occurred in 2 and 5 patients, respectively. One patient died during follow-up, and 2 patients experienced thrombotic events. Treatment with andexanet alfa rapidly reduced anti-FXa activity with favorable hemostatic efficacy in Japanese patients with acute major bleeding. Serious AEs of thrombotic events during rapid reversal of anti-FXa activity arose as particular safety concerns in this population as with previous studies.

Investigating the change of proportions of the dome of Safavid mosques in the context of its creation

Investigating the change of proportions of the dome of Safavid mosques in the context of its creation

Sacubitril/Valsartan in Patients Hospitalized With Decompensated Heart Failure

BackgroundThe efficacy and safety of sacubitril/valsartan in patients hospitalized with heart failure (HF) across the spectrum of left ventricular ejection fraction (EF) has not been described. ObjectivesData from randomized trials of sacubitril/valsartan in HF patients with EF ≤40% (PIONEER-HF [Comparison of Sacubitril/Valsartan Versus Enalapril on Effect of NT-proBNP in Patients Stabilized From an Acute Heart Failure Episode] trial) and >40% (PARAGLIDE-HF [Prospective comparison of ARNI with ARB Given following stabiLization In DEcompensated HFpEF] trial) following recent worsening heart failure (WHF) were pooled to examine treatment effect across the EF spectrum. MethodsThe PIONEER-HF and PARAGLIDE-HF trials were double-blind, randomized trials of sacubitril/valsartan vs control therapy (enalapril or valsartan, respectively). All participants in the PIONEER-HF trial and 69.5% in the PARAGLIDE-HF trial were enrolled during hospitalization for HF after stabilization. The remainder in the PARAGLIDE-HF trial were enrolled ≤30 days after a WHF event. The primary endpoint of both trials was time-averaged proportional change in N-terminal pro–B-type natriuretic peptide (NT-proBNP) from baseline through weeks 4 and 8. Adjudicated clinical endpoints were analyzed through the end of follow-up, adjusting for trial. ResultsThe pooled analysis included 1,347 patients (881 from PIONEER-HF, 466 from PARAGLIDE-HF). Baseline characteristics included median age 66 years, 36% women, 31% Black, 34% de novo HF, and median EF 30%. The reduction in NT-proBNP was 24% greater with sacubitril/valsartan vs control therapy (n = 1,130; ratio of change = 0.76; 95% CI: 0.69-0.83; P < 0.0001). Cardiovascular death or hospitalization for HF was reduced by 30% with sacubitril/valsartan vs control therapy (HR: 0.70; 95% CI: 0.54-0.91; P = 0.0077). This effect was consistent across the spectrum of EF ≤60%. Sacubitril/valsartan increased symptomatic hypotension (risk ratio: 1.35; 95% CI: 1.05-1.72). ConclusionsIn patients stabilized after WHF, sacubitril/valsartan led to a greater reduction in plasma NT-proBNP and improved clinical outcome compared with control therapy, in particular across the spectrum of EF ≤60%. (Comparison of Sacubitril/Valsartan Versus Enalapril on Effect of NT-proBNP in Patients Stabilized From an Acute Heart Failure Episode [PIONEER-HF]; NCT02554890; Changes in NT-proBNP, Safety, and Tolerability in HFpEF Patients With a WHF Event [HFpEF Decompensation] Who Have Been Stabilized and Initiated at the Time of or Within 30 Days Post-decompensation [PARAGLIDE-HF]; NCT03988634)

Geographic variation in inpatient medical expenditure among older adults aged 75 years and above in Japan: a three-level multilevel analysis of nationwide data.

In Japan, a country at the forefront of population ageing, significant geographic variation has been observed in inpatient medical expenditures for older adults aged 75 and above (IMEP75), both at the small- and large-area levels. However, our understanding of how different levels of administrative (geographic) units contribute to the overall geographic disparities remains incomplete. Thus, this study aimed to assess the degree to which geographic variation in IMEP75 can be attributed to municipality-, secondary medical area (SMA)-, and prefecture-level characteristics, and identify key factors associated with IMEP75. Using nationwide aggregate health insurance claims data of municipalities for the period of April 2018 to March 2019, we conducted a multilevel linear regression analysis with three levels: municipalities, SMA, and prefectures. The contribution of municipality-, SMA-, and prefecture-level correlates to the overall geographic variation in IMEP75 was evaluated using the proportional change in variance across six constructed models. The effects of individual factors on IMEP75 in the multilevel models were assessed by estimating beta coefficients with their 95% confidence intervals. We analysed data of 1,888 municipalities, 344 SMAs, and 47 prefectures. The availability of healthcare resources at the SMA-level and broader regions to which prefectures belonged together explained 57.3% of the overall geographic variance in IMEP75, whereas the effects of factors influencing healthcare demands at the municipality-level were relatively minor, contributing an additional explanatory power of 2.5%. Factors related to long-term and end-of-life care needs and provision such as the proportion of older adults certified as needing long-term care, long-term care benefit expenditure per recipient, and the availability of hospital beds for psychiatric and chronic care and end-of-life care support at home were associated with IMEP75. To ameliorate the geographic variation in IMEP75 in Japan, the reallocation of healthcare resources across SMAs should be considered, and drivers of broader regional disparities need to be further explored. Moreover, healthcare systems for older adults must integrate an infrastructure of efficient long-term care and end-of-life care delivery outside hospitals to alleviate the burden on inpatient care.

The effects of acute social ostracism on subsequent snacking behavior and future body mass index in children.

Ostracism may lead to increased food intake, yet it is unclear whether greater reactivity to ostracism contributes to higher body mass index (BMI). We investigated whether children who exhibited greater stress to social exclusion subsequently consume more energy and whether this predicts BMI 6- and 18-months later. Children (8.5 years-old) (N = 262, males = 50.4%; Chinese = 58.4%) completed a laboratory-based manipulation of social exclusion (the Cyberball task) prior to an ad-libitum snack. Heart rate variability (HRV) was measured during the inclusion and exclusion conditions and proportionate changes were calculated as a physiological measure of exclusion-related stress. Social anxiety and social-emotional assets were also measured as moderators. Greater stress (as measured physiologically or by self-report) did not directly, or indirectly via energy intake, predict later BMI (at 9- and 10-years). However, among children reporting higher social anxiety, greater stress as measured by proportionate changes in HRV was associated with increased energy intake (B = 532.88, SE = 226.49, t(255) = 2.35, [CI95 = 86.85,978.92]). A significant moderated mediation was also observed (index: (b = 0.01, bootSE = 0.01, [CI95 = 0.001, 0.036]), such that among children reporting higher social anxiety, greater stress from social exclusion predicted increased energy intake from a subsequent snack, which in turn predicted higher BMI 1.5 years later. This prospective study suggests that a pattern of greater snack intake in response to heightened vulnerability to the effects of ostracism may contribute to increases in child BMI scores.

Revisiting thermo-physical property models of Al2O3-Water nanofluid for natural convective flow

One of the comprehensive ways of heat transport performance augmentation of thermo-fluid systems is to use nanofluid over base fluid. This study mainly scrutinizes several existing models of thermal conduction coefficient and absolute viscosity of Al2O3-water nanofluid with the experimental data. A benchmark problem of natural convective flow is selected to test the performance of the available nanofluid models. The Rayleigh number varies between 103 and 109, while the solid-volume proportion (φ) changes from 0 to 4%. The governing mathematical model is numerically discretized via the Galerkin finite element procedure under appropriate auxiliary conditions. The results produced by the models are verified with the existing experimental findings based on the evaluation of the Prandtl number and average Nusselt number. It has been confirmed that the AH model (Azmi's viscosity and Ho's conductivity models) is suitable for lower nanoparticle concentration (φ = 0.01), the AM model (Azmi's viscosity and Maxwell's conductivity models) for moderate concentration (0.01 < φ < 0.04), and the NH model (Ngueyn's viscosity and Ho's conductivity models) for higher value of the solid-volume proportion (φ = 0.04).

Single-Cell Transcriptomics Reveals the Ameliorative Effect of Oridonin on Septic Liver Injury.

Sepsis is a life-threatening syndrome leading to hemodynamic instability and potential organ dysfunction. Oridonin, commonly used in Traditional Chinese Medicine (TCM), exhibits significant anti-inflammation activity. To explore the protective mechanisms of oridonin against the pathophysiological changes, the authors conducted single-cell transcriptome (scRNA-seq) analysis on septic liver models induced by cecal ligation and puncture (CLP). They obtained a total of 63,486 cells, distributed across 11 major cell clusters, and concentrated their analysis on four specific clusters (hepatocytes/Heps, macrophages, endothelial/Endos and T/NK) based on their changes in proportion during sepsis and under oridonin treatment. Firstly, biological changes in Hep, which are related to metabolic dysregulation and pro-inflammatory signaling, are observed during sepsis. Secondly, they uncovered the dynamic profiles of macrophage's phenotype, indicating that a substantial number of macrophages exhibited a M1-skewed phenotype associated with pro-inflammatory characteristics in septic model. Thirdly, they detected an upregulation of both inflammatory cytokines and transcriptomic factor Nfkb1 expression within Endo, along with slight capillarization during sepsis. Moreover, excessive accumulation of cytotoxic NK led to an immune imbalance. Though, oridonin ameliorated inflammatory-related responses and improved the liver dysfunction in septic mice. This study provides fundamental evidence of the protective effects of oridonin against sepsis-induced cytokine storm.

Mapping socio-geographical disparities in the occurrence of teenage maternity in Colombia using multilevel analysis of individual heterogeneity and discriminatory accuracy (MAIHDA)

BackgroundThe prevalence of teenage pregnancy in Colombia is higher than the worldwide average. The identification of socio-geographical disparities might help to prioritize public health interventions.AimTo describe variation in the probability of teenage maternity across geopolitical departments and socio-geographical intersectional strata in Colombia.MethodsA cross-sectional study based on live birth certificates in Colombia. Teenage maternity was defined as a woman giving birth aged 19 or younger. Multilevel analysis of individual heterogeneity and discriminatory accuracy (MAIHDA) was applied using multilevel Poisson and logistic regression. Two different approaches were used: (1) intersectional: using strata defined by the combination of health insurance, region, area of residency, and ethnicity as the second level (2) geographical: using geopolitical departments as the second level. Null, partial, and full models were obtained. General contextual effect (GCE) based on the variance partition coefficient (VPC) was considered as the measure of disparity. Proportional change in variance (PCV) was used to identify the contribution of each variable to the between-strata variation and to identify whether this variation, if any, was due to additive or interaction effects. Residuals were used to identify strata with potential higher-order interactions.ResultsThe prevalence of teenage mothers in Colombia was 18.30% (95% CI 18.20–18.40). The highest prevalence was observed in Vichada, 25.65% (95% CI: 23.71–27.78), and in the stratum containing mothers with Subsidized/Unaffiliated healthcare insurance, Mestizo, Rural area in the Caribbean region, 29.08% (95% CI 28.55–29.61). The VPC from the null model was 1.70% and 9.16% using the geographical and socio-geographical intersectional approaches, respectively. The higher PCV for the intersectional model was attributed to health insurance. Positive and negative interactions of effects were observed.ConclusionDisparities were observed between intersectional socio-geographical strata but not between geo-political departments. Our results indicate that if resources for prevention are limited, using an intersectional socio-geographical approach would be more effective than focusing on geopolitical departments especially when focusing resources on those groups which show the highest prevalence. MAIHDA could potentially be applied to many other health outcomes where resource decisions must be made.

HISTORICAL AND ARCHITECTURAL RECONSTRUCTION OF THE PARASKEVA CHURCH IN THE VILLAGE OF KOSMACH, KOSIV DISTRICT, IVANO-FRANKIV REGION

The study analyzed historical, archival and architectural materials related to the church of St. Paraskeva in the village of Kosmach, Kosiv district, Ivano-Frankivsk region. The church was in a neglected and dilapidated condition since the 1970s, and was destroyed in the 1980s. Schematic dimensions and photographs of the architect-restorer Zenovy Sokolovsky have been preserved. A project was also developed to rebuild the church, but this did not happen and burials began to take place on the site of the lost church. Part of the territory has been fenced off and is now free of burials. The study substantiates the need for further archaeological and scientific research of the territory where the church was located, and as a result - the creation of an interactive space. On the basis of dimensional drawings, archival photos and the church reconstruction project, drawings and visualizations of three defined construction periods were developed. Since its construction in 1718–1735, the building has undergone several reconstructions and changes in height proportions. Developed drawings and visualizations can become part of an interactive space at the site of the destroyed temple. To implement this idea, it is worth using the premises of the authentic bell tower located next to it. This will allow to create a modern museum space.

Effects of low-load resistance training with blood flow restriction on muscle fiber myofibrillar and extracellular area.

Blood flow restriction applied during low-load resistance training (LL-BFR) induces a similar increase in the cross-sectional area of muscle fibers (fCSA) compared to traditional high-load resistance training (HL-RT). However, it is unclear whether LL-BFR leads to differential changes in myofibrillar spacing in muscle fibers and/or extracellular area compared to HL-RT. Therefore, this study aimed to investigate whether the hypertrophy of type I and II fibers induced by LL-BFR or HL-RT is accompanied by differential changes in myofibrillar and non-myofibrillar areas. In addition, we examined if extracellular spacing was differentially affected between these two training protocols. Twenty recreationally active participants were assigned to LL-BFR or HL-RT groups and underwent a 6-week training program. Muscle biopsies were taken before and after the training period. The fCSA of type I and II fibers, the area occupied by myofibrillar and non-myofibrillar components, and extracellular spacing were analyzed using immunohistochemistry techniques. Despite the significant increase in type II and mean (type I + II) fCSA (p < 0.05), there were no significant changes in the proportionality of the myofibrillar and non-myofibrillar areas [∼86% and ∼14%, respectively (p > 0.05)], indicating that initial adaptations to LL-BFR are primarily characterized by conventional hypertrophy rather than disproportionate non-myofibrillar expansion. Additionally, extracellular spacing was not significantly altered between protocols. In summary, our study reveals that LL-BFR, like HL-RT, induces skeletal muscle hypertrophy with proportional changes in the areas occupied by myofibrillar, non-myofibrillar, and extracellular components.

Variation in body size and weight status among Hindu and Muslim Indian males born in the 1890s through the 1950s

Hindus and Muslims represent the two largest religions in India, and also differ in nutritional status, health-related habits and standard of living associated with economic disparities. In this context, the present study considered estimated secular changes in body size, proportions, and weight status among Hindu and Muslim Indian men. The data are from anthropological surveys in the 1970s which included measurements of height, weight and sitting height of 43,950 males 18–84 years (birth years 1891–1957). Leg length was estimated; the BMI and sitting height/height ratio were calculated. Heights of men 35 + years were adjusted for estimated height loss with age. Weight status was also classified relative to WHO criteria for the BMI. Anthropometric characteristics of the two groups were compared with MANCOVA with age and geographic region as covariates. Linear regression of height on year of birth was also used to estimate secular change in each group. Heights, weights, and BMIs tended to be, on average, greater among Muslim than Hindu men at most ages, while distributions by weight status between groups were negligible. Sitting height was greater among Muslim men but estimated leg length did not differ between groups; the sitting height/height ratio thus suggested proportionally shorter legs among Muslim men. Results of the regression analyses indicated negligible differences in secular change between groups across the total span of birth years but indicated a decline in adjusted heights of men in both groups born between 1891 through 1930s and little secular change among those born in the 1930s through 1957. The variation in heights, weights and BMIs between Muslim and Hindu men at most ages suggested variation in socio-economic status and dietary habits between the groups, whereas the negligible estimated secular changes in height between groups likely reflected economic, social, and nutritional conditions during the interval of British rule and the transition to independence.

Study Of Work Order Variation And Its Influence On Project Performance In Terms Of Cost And Implementation Time In The Tenjoresmi Area Arrangement Project

This research highlights the impact of Variation Orders in construction projects, especially in the Tenjoresmi Area Arrangement. The results of the field study showed that the Variation Order caused significant changes to the Cost Budget Plan (RAB) and the performance of the implementing contractor. Some of the work affected includes changing the brand of air conditioner, replacing the amphitheater with a jogging track, dismantling railings, sanitary dismantling, plumbing dismantling, air conditioning dismantling, removing demolition debris, glass window frames, reinstalling aluminum door and window frames, wall handrails, doors. iron, disposing of excavated gravel, and planting shrubs. RAB analysis revealed changes in cost proportions for various works, such as increases in demolition and architecture and decreases in structures. In October and November, there was a delay in implementing the work due to a contract addendum, which was only approved in mid-October. However, the implementing contractor did not experience financial problems, and even experienced an increase in profit of 0.79%. In conclusion, Variation Orders can affect project time and costs, but flexible contractors can manage them well, and even optimize profits. Effective management is needed to cope with change and ensure the smooth implementation of construction projects.

Necessity and Urgency Study on Promoting Regional Economic and Social Integration in China: A Case Study of the Yangtze River Delta Urban Agglomeration

Urban agglomerations mirror the highest level of spatial organization in urban development. They are characterized by one or more mega-cities serving as central hubs within a delineated region, upheld by three or more major cities. With advanced transportation, communication, and other facilities as the foundation, these agglomerations establish close spatial and economic ties, achieving a high degree of urbanization and integration. Against the backdrop of global and anti-globalization forces leading to shifts in foreign situations, coupled with domestic economic downturns resulting from changes in pandemic policies, the imperative to form an integrated regional economic society has become increasingly prominent. This study takes the construction and development of the Yangtze River Delta Urban Agglomeration (YRDUA) as an example, examining the necessity and urgency of promoting regional economic and social integration through the proportional changes in the three major industries of each city. As the earliest and representative urban agglomeration in national planning, the YRDUA serves as an illustrative model. The findings indicate that applying the experiences of regional economic and social integration in the YRDUA to the entire country is representative and offers valuable insights.

Intersectional analysis of social disparities in type 2 diabetes risk among adults in Germany: results from a nationwide population-based survey

BackgroundDifferences in type 2 diabetes risk have been reported for several sociodemographic determinants including sex/gender or socioeconomic status. From an intersectional perspective, it is important to not only consider the role of social dimensions individually, but also their intersections. This allows for a deeper understanding of diabetes risk and preventive needs among diverse population groups.MethodsAs an intersectionality-informed approach, multilevel analysis of individual heterogeneity and discriminatory accuracy (MAIHDA) was used in a population-based sample of adults without known diabetes in Germany from the cross-sectional survey “Disease knowledge and information needs– Diabetes mellitus (2017)”. Diabetes risk was assessed by the German Diabetes Risk Score (GDRS, range 0-122 points), estimating the individual risk of developing type 2 diabetes within the next 5 years based on established self-reported risk factors. Nesting individuals in 12 intersectional strata defined by combining sex/gender, educational level, and history of migration, we calculated measures to quantify the extent to which individual differences in diabetes risk were explained at strata level, and how much this was due to additive or multiplicative intersectional effects of social determinants.ResultsDrawing on data of 2,253 participants, we found good discriminatory accuracy of intersectional strata (variance partition coefficient = 14.00% in the simple intersectional model). Model-predicted GDRS means varied between 29.97 (corresponding to a “low risk” of < 2%) in women with high educational level and a history of migration, and 52.73 (“still low risk” of 2–5%) in men with low educational level without a history of migration. Variance in GDRS between strata was mainly explained by additive effects of social determinants (proportional change in variance to intersectional interaction model = 77.95%) with being male and having low educational level being associated with higher GDRS. There was no evidence of multiplicative effects in individual strata.ConclusionsType 2 diabetes risk differed between intersectional strata and can to some extent be explained at strata level. The role of intersectional effects was minor and needs to be further investigated. Findings suggest a need for specific preventive measures targeted at large groups with increased diabetes risk, such as men and persons with low educational level.

Single-cell transcriptomic Atlas of aging macaque ocular outflow tissues.

The progressive degradation in the trabecular meshwork (TM) is related to age-related ocular diseases like primary open-angle glaucoma. However, the molecular basis and biological significance of the aging process in TM have not been fully elucidated. Here, we established a dynamic single-cell transcriptomic landscape of aged macaque TM, wherein we classified the outflow tissue into 12 cell subtypes and identified mitochondrial dysfunction as a prominent feature of TM aging. Furthermore, we divided TM cells into 13 clusters and performed an in-depth analysis on cluster 0, which had the highest aging score and the most significant changes in cell proportions between the two groups. Ultimately, we found that the APOE gene was an important differentially expressed gene in cluster 0 during the aging process, highlighting the close relationship between cell migration and extracellular matrix regulation, and TM function. Our work further demonstrated that silencing the APOE gene could increase migration and reduce apoptosis by releasing the inhibition on the PI3K-AKT pathway and downregulating the expression of extracellular matrix components, thereby increasing the aqueous outflow rate and maintaining intraocular pressure within the normal range. Our work provides valuable insights for future clinical diagnosis and treatment of glaucoma.

Changes in the degree of lateral root trait plasticity and trade-offs of maize under long-term no tillage.

While no tillage (NT) can significantly influence soil structure stratification compared to conventional tillage (CT), a comprehensive understanding of the degree of root trait plasticity and trade-offs of lateral roots of crops at various growth stages along a deep soil profile in response to NT remains elusive. This knowledge gap is important for understanding soil resource acquisition strategies and yield of crops. We systematically investigated the traits of lateral roots at jointing and flowering stages in a long-term (12 years) experiment in Northeast China where maize (Zea mays) has been continuously planted under CT and NT with or without maize residue mulch on soil surface. We also measured soil penetration resistance and bulk density. Soil penetration resistance was reduced at the jointing stage, and was increased at the flowering stage under NT especially at a depth of 10 - 40 cm. Root length density decreased under NT across the two growth stages by on average 22%. In contrast, specific root length and diameter showed greater plasticity, ranging from -14% to 20% and from -11% to 8%, respectively, relative to those under CT. These responses could be attributed to changes in root length proportions with different diameters associated with differences in soil penetration resistance between tillage practices. The negative relationships between root traits were stronger under CT than NT, and became weaker from the jointing stage to the flowering stage. To the best of our knowledge, for the first time, our study provides empirical evidence for pivotal root trait plasticity and trade-offs across growth stages as key indicators of changes in soil structure and resources in response to NT. These insights contribute to a better understanding of soil resource acquisition strategies of crops under NT.

Grazing led to an increase in the root: shoot ratio and a shallow root system in an alpine meadow of the Tibetan plateau

Grazing is a main land use of natural grasslands in the world, which has both positive and negative impact on plant community structure and ecosystem functioning. However, the effects of long-term grazing management on the plant–soil system, in particular above- and belowground community characteristics, are still not well understood in alpine meadow community. In this study, we investigated the vegetation, roots, and soil properties under three management types (16 years of fencing since 2004-2020, moderate grazing and heavy grazing managements) in an alpine meadow on the Tibetan Plateau. The results showed that, compared with moderate grazing meadows, long-term fencing increased plant community cover, above- and belowground biomass, proportion of grass and litter but reduced forbs and soil bulk density, which caused the increases in soil organic carbon, total nitrogen and water content and the decreases in soil pH. However, heavy grazing led to opposite changes in proportion of grass, community biomass and soil physicochemical properties. The maximum of species richness and plant density appeared in moderate grazing meadows, supporting the intermediate disturbance hypothesis, and it can maintain above- and belowground biomass and soil physicochemical properties at medium level. Grazing increased the root: shoot ratio and caused root system shallow, which is consistent with the optimal partitioning hypothesis. Overall, our study suggested that moderate grazing is a more reasonable grazing management for sustainable development in alpine meadows of Tibetan Plateau, fencing could be an effective management strategy for vegetation restoration as well as for nutrient sequestration in degraded grasslands, but long-term fencing dose not benefit for biodiversity maintenance.