World Population Research Articles

Guest Editorial: Special Issue on “Sustainable urban energy systems – Governance and citizen involvement”

Cities are responsible for over 75% of the total amount of global greenhouse gas emissions. They are also home to the majority of the Earth's population. Ambitious climate mitigation goals can only be realized by transforming fossil based urban energy systems into sustainable, low-carbon ones. This is a multidisciplinary challenge that goes way beyond the technological dimension. In the Special Issue to which this Guest Editorial contributes, a multi-disciplinary perspective is used, exploring governance, institutional, ethical and other aspects, pertaining to citizen involvement in sustainable urban energy systems. The main research questions are, “How can we address key challenges to the analysis and design of sustainable urban energy systems, as regards their governance and institutions, values, social acceptance, and citizen involvement?”, and “How can this contribute to shaping a multi-disciplinary academic research agenda?” Based on the main findings from the ten contributions to the Special Issue key challenges to sustainable urban energy system design, planning, and implementation are presented, including suggestions for future research.

Cost effectiveness analysis of a fixed dose combination pill for primary prevention of cardiovascular disease from an individual participant data meta-analysis

Cardiovascular disease (CVD) continues to impart a large burden on the global population, especially in lower income countries where affordability limits the use of cardiovascular medicines. A fixed dose combination strategy of at least 2 blood pressure lowering medications and a statin with aspirin in a single pill has been shown to reduce the risk of incident CVD by 38% in primary prevention in a recent meta-analysis. We report the in-trial (median follow-up: 5 years) cost-effectiveness of a fixed dose combination (FDC) pill in different income groups based on data from that meta-analysis. Countries were categorized using World Bank economic groups: Lower Middle Income Countries (LMIC), Upper Middle Income Countries (UMIC) and High Income Countries (HIC). Country specific costs were obtained for hospitalized events, procedures, and non-study medications (2020 USD). FDC price was based on the cheapest equivalent substitute (CES) for each component. For the CES-FDC pill versus control the difference in cost was $346 (95% CI: $294-$398) per participant in Lower Middle Income Countries, $838 (95% CI: $781-$895) in Upper Middle Income Countries and $42 (95% CI:-$155 to $239) (cost-neutral) in High Income Countries. During the study period the CES-FDC pill was associated with incremental gain in quality-adjusted life years of 0.06 (95% CI: 0.04-0.08) resulting in an incremental cost-effectiveness ratio (ICER) of $5767 (95% CI: 5735-$5799), $13,937 (95% CI: $13,893-$14,041) and $700 (95% CI: $662-$738) respectively. In subgroups analyses, the highest 10 years CVD risk subgroup had ICERs of $2033, $7322 and-$6000/QALY. A FDC pill produced at CES costs is cost-neutral in HIC. Governments of LMI and UMI countries should assess these results based on the ICER threshold accepted in their own country and own specific health care priorities but should consider prioritizing this strategy for patients with high 10 years CVD risk as a first step. Population Health Research Institute.

Myofascial release for adults with chronic neck pain and depression

BackgroundDepression affects a significant portion of the global adult population, with chronic pain patients being particularly susceptible to severe depression. Pain and mental illness contribute to an imbalance in the autonomic nervous system, affecting heart function. Myofascial release promises to improve mental and physical health by addressing fascial dysfunctions. ObjectiveThis study aims to investigate the influence of myofascial release on emotional states and autonomic nervous system functioning in individuals with chronic neck pain and depression. Additionally, it seeks to evaluate the myofascial release effect on fascial properties, pain intensity and sensitivity, and cervical spine range of motion. MethodExperimental Study. ResultThe study revealed significant enhancements in the myofascial release group, such as a substantial reduction in pain perception and stiffness, increased range of motion of the cervical spine, heart rate variability, positive affect, and pressure pain threshold. The effect sizes of these improvements ranged from small to large. No significant differences were observed in elasticity and tone. ConclusionThe findings suggest that myofascial release has a positive impact on individuals with chronic neck pain and depression, particularly in reducing pain intensity. Integrating myofascial release into treatment approaches may be beneficial. However, further research is needed to confirm and expand upon these findings, explore long-term effects, and better understand the clinical significance of certain outcomes. Trial registrationhttp://www.osf.io, doi.org/10.17605/OSF.IO/6F5RS

Variability in the prevalence of inappropriate medication use among older adults: A review highlighting the importance of screening methods and database types.

The global older population is growing rapidly, and the rise in polypharmacy has increased potentially inappropriate medication (PIM) encounters. PIMs pose health risks, but detecting them automatically in large medical databases is complex. This review aimed to uncover PIM prevalence in individuals aged 65 years or older using health databases and emphasized the risk of underestimating PIM prevalence due to underutilization of detection tools. This study conducted a broad search on the Medline database to identify articles about the prevalence of PIMs in older adults using various databases. Articles published between January 2010 and June 2023 were included, and specific criteria were applied for study selection. Two literature reviews conducted before our study period were integrated to obtain a perspective from the 1990s to the present day. The selected papers were analysed for variables including database type, screening method, adaptations and PIM prevalence. The study categorized databases and original screening tools for clarity, examined adaptations and assessed concordance among different screening methods. This study encompassed 48 manuscripts, covering 58 sample evaluations. The mean prevalence of PIMs within the general population aged over 65 years was 27.8%. Relevant heterogeneity emerged in both the utilized databases and the detection methods. Adaptation of original screening tools was observed in 86.2% (50/58) of cases. Half of the original screening tools used for assessing PIMs belonged to the simple category. About a third of the studies employed less than half of the original criteria after adaptation. Only three studies used over 75% of the original criteria and more than 50 criteria. This extensive review highlights PIM prevalence among the older adults, emphasizing method intricacies and the potential for underestimation due to data limitations and algorithm adjustments. The findings call for enhanced methodologies, transparent algorithms and a deeper understanding of intricate rules' impact on public health implications.

Does Collectivism Make a Difference? A Comparative Test of Common Ingroup Strategies to Reduce Affective Polarization

Abstract Common national identity appeals have been identified as one of the most promising strategies to reduce affective political polarization. However, research on this is concentrated in highly individualistic Western democracies. Because much of the global population lives in more collectivist societies, it is important to conduct comparative tests to see if common national identity appeals operate similarly when considering the increasingly global problem of polarization. In this study, we investigate how the individualism–collectivism dimension of culture interacts with national identity salience as a polarization reduction strategy. Survey experiments were conducted in South Korea and the US. We find that priming national identity increases national pride much more in collectivist societies, but that the depolarizing effect of our national identity prime was only indirect and limited.

Analysis of the Relationship between Rheumatoid Arthritis and Osteoporosis Based on Mendelian Randomization.

As the global population ages, the World Health Organization has found a yearly increase in the incidence of rheumatoid arthritis and osteoporosis. This trend poses a challenge to public health and healthcare and calls for the implementation of more preventive and treatment measures to address these health issues. This study aims to investigate the causal relationship between rheumatoid arthritis (RA) and osteoporosis (OP) using the Mendelian randomization (MR) method. OP diagnosis was based on the gold standard of bone mineral density (BMD). Single nucleotide polymorphisms (SNPs) were identified from the genome-wide association research database formed by RA and BMD, with a parameter setting of P < 5×10-8, chain imbalance r2<0.01, and kb = 10,000. Five complementary MR methods, including inverse variance weighted (IVW), MR-Egger regression, weighted median, simple mode estimation based on mode, and weighted estimation based on mode, were used to evaluate the causal relationship between RA and OP/BMD using odds ratio (OR) values and 95% confidence intervals (CI). Sensitivity analyses were performed using heterogeneity tests, horizontal pleiotropy, and individual rejection tests. A total of 78 instrumental variables were identified that were closely related to both RA and BMD in mixed populations, while 14 instrumental variables were identified in the European population and 38 instrumental variables were identified in the Asian population. Using IVW as the main analysis method, the MR analysis results of RA and BMD showed the following: mixed population OR = 0.96, 95%CI: 0.93-1.00; European population OR = 0.55, 95%CI: 0.27-1.12; and Asian population OR = 0.95, 95%CI: 0.90-1.01. Sensitivity analyses showed that the MR results were robust. The study found insufficient evidence of a causal relationship between RA and OP/BMD, suggesting that RA may not have a direct effect on OP/BMD.

Technological Progress and Wage Share of Old Workers

Abstract Technological progress may be less beneficial for older workers than younger workers. In this paper, we empirically examine the relationship between technological change and the wage share of old workers. More specifically, we look at five different types of technological advancement using data from 30 European and Asian countries at the forefront of global population aging. Our findings indicate that recent technological developments centered on information and communication technology, software, and robots do not adversely affect old workers. One possible explanation is that old workers may be more open to and capable of learning new technologies than widely presumed.

Integrated Environmental Management: Achieving Sustainable Development through the Lens of Water, Air and Waste

This paper explores the global status, primary issues, challenges, and implications of water, air, and waste management for sustainable development. Water management is crucial to achieving sustainable development goals. Currently, half of the global population faces severe water shortages annually, and a quarter faces "extremely high" water stress. Air management is closely tied to energy consumption, urbanization, and industrialization, with air pollution causing millions of premature deaths each year, especially in low- and middle-income countries. Waste management faces challenges from plastic pollution, electronic waste, and food waste, urgently requiring global improvements in infrastructure and regulations. The paper emphasizes the importance of an integrated approach to water, air, and waste management, as they are interconnected and impact the environment, health, and the economy. It calls for policy innovation, technological advancements, and societal behavior change, and emphasizes global cooperation and local action to achieve sustainable development goals.

Between a rock and a hard place: A geosocial approach to water insecurity in Kabul

Approximately 50% of the global population currently experiences severe water scarcity, a situation likely to intensify due to climate change. At the same time, the poorest population segments bear the greatest burden of water insecurity. This intersection of geophysical, geochemical, and socio-economic dimensions of water (in)security challenges requires a geosocial perspective, one that attends simultaneously to geophysical, geochemical, and socio-economic dimensions. Our qualitative study, conducted through 68 semi-structured interviews across two distinct sub-basins in Kabul, revealed disparities in groundwater levels, water quality, water prices, and lived experiences of water insecurity. While environmental stressors like drought and groundwater contamination contribute to water insecurity, socio-economic factors such as gender and property ownership exacerbate these impacts: Women and children bear a heavy burden of securing water, with children’s involvement in water-fetching leading to instances of violence. Furthermore, trucked water costs 33 times that of piped water, echoing alarming global trends where less privileged communities endure disproportionately greater challenges of water inaccessibility. We outline policy implications for monitoring groundwater abstraction and underscore the need for tailored strategies to combat water scarcity, such as pro-poor water strategies. Additionally, our work draws attention to the role of local gatekeepers who have informally regulated water usage in response to drought-induced scarcity, particularly in the absence of functioning government policies, underscoring the importance of collaboration with local stakeholders to ensure sustainable access to water. We argue that a geosocial approach to water (in)security can provide high-resolution findings and reveal critical gaps between common metrics and the realities of water (in)security, which also underlines the need for integrated approaches incorporating both quantitative and qualitative research.

Age-related changes in the susceptibility to visual illusions of size.

As the global population ages, understanding of the effect of aging on visual perception is of growing importance. This study investigates age-related changes in adulthood along size perception through the lens of three visual illusions: the Ponzo, Ebbinghaus, and Height-width illusions. Utilizing the Bayesian conceptualization of the aging brain, which posits increased reliance on prior knowledge with age, we explored potential differences in the susceptibility to visual illusions across different age groups in adults (ages 20-85 years). To this end, we used the BTPI (Ben-Gurion University Test for Perceptual Illusions), an online validated battery of visual illusions developed in our lab. The findings revealed distinct patterns of age-related changes for each of the illusions, challenging the idea of a generalized increase in reliance on prior knowledge with age. Specifically, we observed a systematic reduction in susceptibility to the Ebbinghaus illusion with age, while susceptibility to the Height-width illusion increased with age. As for the Ponzo illusion, there were no significant changes with age. These results underscore the complexity of age-related changes in visual perception and converge with previous findings to support the idea that different visual illusions of size are mediated by distinct perceptual mechanisms.

ToxoNet: A high confidence map of protein-protein interactions in Toxoplasma gondii.

The apicomplexan intracellular parasite Toxoplasma gondii is a major food borne pathogen that is highly prevalent in the global population. The majority of the T. gondii proteome remains uncharacterized and the organization of proteins into complexes is unclear. To overcome this knowledge gap, we used a biochemical fractionation strategy to predict interactions by correlation profiling. To overcome the deficit of high-quality training data in non-model organisms, we complemented a supervised machine learning strategy, with an unsupervised approach, based on similarity network fusion. The resulting combined high confidence network, ToxoNet, comprises 2,063 interactions connecting 652 proteins. Clustering identifies 93 protein complexes. We identified clusters enriched in mitochondrial machinery that include previously uncharacterized proteins that likely represent novel adaptations to oxidative phosphorylation. Furthermore, complexes enriched in proteins localized to secretory organelles and the inner membrane complex, predict additional novel components representing novel targets for detailed functional characterization. We present ToxoNet as a publicly available resource with the expectation that it will help drive future hypotheses within the research community.

Treatment Options and Continuity of Care in Metabolic-associated Fatty Liver Disease: A Multidisciplinary Approach

The terms non-alcoholic fatty liver disease and non-alcoholic steatohepatitis have some limitations as they use exclusionary confounder terms and the use of potentially stigmatising language. Recently, a study with content experts and patients has been set to change this nomenclature. The term chosen to replace non-alcoholic fatty liver disease was metabolic dysfunction-associated steatotic liver disease (MASLD), which avoids stigmatising and helps improve awareness and patient identification. MASLD is the most common cause of chronic liver disease with an increasing prevalence, accounting for 25% of the global population. It is considered the hepatic manifestation of the metabolic syndrome with lifestyle playing a fundamental role in its physiopathology. Diet change and physical activity are the cornerstones of treatment, encompassing weight loss and healthier behaviours and a holistic approach. In Europe, there is no approved drug for MASLD to date and there is a substantial unmet medical need for effective treatments for patients with MASLD. This review not only provides an update on advances in evidence for nutrition and physical activity interventions but also explores the different therapeutic options that are being investigated and whose development focuses on the restitution of metabolic derangements and halting inflammatory and fibrogenic pathways.

Adoptive Cell Therapy in Mice Sensitized to a Grass Pollen Allergen.

The proportion of patients with type I allergy in the world population has been increasing and with it the number of people suffering from allergic symptoms. Recently we showed that prophylactic cell therapy employing allergen-expressing bone marrow (BM) cells or splenic B cells induced allergen-specific tolerance in naïve mice. Here we investigated if cell therapy can modulate an established secondary allergen-specific immune response in pre-immunized mice. We sensitized mice against the grass pollen allergen Phl p 5 and an unrelated control allergen, Bet v 1, from birch pollen before the transfer of Phl p 5-expressing BM cells. Mice were conditioned with several combinations of low-dose irradiation, costimulation blockade, rapamycin and T cell-depleting anti-thymocyte globulin (ATG). Levels of allergen-specific IgE and IgG1 in serum after cell transfer were measured via ELISA and alterations in cellular responses were measured via an in vitro proliferation assay and transplantation of Phl p 5+ skin grafts. None of the tested treatment protocols impacted Phl p 5-specific antibody levels. Transient low-level chimerism of Phl p 5+ leukocytes as well as a markedly prolonged skin graft survival were observed in mice conditioned with high numbers of Phl p 5+ BMC or no sensitization events between the day of cell therapy and skin grafting. The data presented herein demonstrate that a pre-existing secondary allergen-specific immune response poses a substantial hurdle opposing tolerization through cell therapy and underscore the importance of prophylactic approaches for the prevention of IgE-mediated allergy.

COVID-19 Pandemic, Economic Livelihoods, and the Division of Labor in Rural Communities of Delta and Edo States in Nigeria

The COVID-19 pandemic affected economic, social, health, and political aspects of most global, national, and local populations, including urban and rural communities. Government measures like lockdowns resulted in the closure of schools and businesses, while social distancing preventing group gatherings impacted public and private spaces. Based on key informants’ interviews with 36 participants drawn equally from three senatorial districts of Edo and Delta states of Nigeria, we analyzed the impact of the COVID-19 pandemic on the type of work men and women do and division of household activities, such as cooking, child, and family care. The findings show that traditional gender role ideology (GRI) defines and shapes rural men’s and women’s work, with women more engaged in farming, rearing livestock, and trading while men are engaged in farming, rearing livestock, and carrying out skilled jobs like carpentry, plumbing, and blacksmithing. The lockdown of schools and workplaces resulted in women disproportionately bearing the burden of cooking and caring for children, the elderly, and the sick. A few rural men shared childcare, while women spent more time on housework and childcare activities than in the pre-pandemic period when children were in school for 6–7 h daily. During the pandemic, rural men and women spent more time with the children, such that rural women stayed at home or took children to the farms and marketplaces where possible. Older siblings and the elderly also provided support for women. In conclusion, work and family activities during COVID were, to an extent, difficult to manage as parents had to cope with increasing food insecurity, economic and transportation costs, and social deprivation fostered by social norms, values, and practices that perpetuate gender inequality and marginalization of women.

Liver Cell Mitophagy in Metabolic Dysfunction-Associated Steatotic Liver Disease and Liver Fibrosis.

Metabolic dysfunction-associated steatotic liver disease (MASLD) affects approximately one-third of the global population. MASLD and its advanced-stage liver fibrosis and cirrhosis are the leading causes of liver failure and liver-related death worldwide. Mitochondria are crucial organelles in liver cells for energy generation and the oxidative metabolism of fatty acids and carbohydrates. Recently, mitochondrial dysfunction in liver cells has been shown to play a vital role in the pathogenesis of MASLD and liver fibrosis. Mitophagy, a selective form of autophagy, removes and recycles impaired mitochondria. Although significant advances have been made in understanding mitophagy in liver diseases, adequate summaries concerning the contribution of liver cell mitophagy to MASLD and liver fibrosis are lacking. This review will clarify the mechanism of liver cell mitophagy in the development of MASLD and liver fibrosis, including in hepatocytes, macrophages, hepatic stellate cells, and liver sinusoidal endothelial cells. In addition, therapeutic strategies or compounds related to hepatic mitophagy are also summarized. In conclusion, mitophagy-related therapeutic strategies or compounds might be translational for the clinical treatment of MASLD and liver fibrosis.

Recent Advances in Microfluidics for the Early Detection of Plant Diseases in Vegetables, Fruits, and Grains Caused by Bacteria, Fungi, and Viruses.

In the context of global population growth expected in the future, enhancing the agri-food yield is crucial. Plant diseases significantly impact crop production and food security. Modern microfluidics offers a compact and convenient approach for detecting these defects. Although this field is still in its infancy and few comprehensive reviews have explored this topic, practical research has great potential. This paper reviews the principles, materials, and applications of microfluidic technology for detecting plant diseases caused by various pathogens. Its performance in realizing the separation, enrichment, and detection of different pathogens is discussed in depth to shed light on its prospects. With its versatile design, microfluidics has been developed for rapid, sensitive, and low-cost monitoring of plant diseases. Incorporating modules for separation, preconcentration, amplification, and detection enables the early detection of trace amounts of pathogens, enhancing crop security. Coupling with imaging systems, smart and digital devices are increasingly being reported as advanced solutions.

Attenuation of Nerve Agent Induced Neurodegenerative and Neuroinflammatory Changes in Rats with New Combination Treatment of Galantamine, Atropine and Midazolam.

Acute nerve agent exposure can kill a person within minutes or produce multiple neurotoxic effects and subsequent brain damage with potential long-term adverse outcomes. Recent abuse of nerve-agents on Syrian civilians, during Japan terrorist attacks, and personal assassinations in the UK, and Malaysia indicate their potential threat to world population. Existing nerve agent antidotes offer only incomplete protection especially, if the treatment is delayed. To develop the effective drugs, it is advantageous to elucidate the underlying mechanisms of nerve agent-induced multiple neurological impairments. This study aimed to investigate the molecular basis of neuroinflammation during nerve agent toxicity with focus on inflammasome-associated proteins and neurodegeneration. In rats, NOD-like receptor family pyrin domain containing 3 (NLRP3), and glial fibrillary acidic protein (GFAP) immunoreactivity levels were considerably increased in the hippocampus, piriform cortex, and amygdala areas after single subcutaneous soman exposure (90µg/kg-1). Western analysis indicated a notable increase in the neuroinflammatory indicator proteins, high mobility group box 1 (HMGB1) and inducible nitric oxide synthase (iNOS) levels. The presence of fluorojade-C-stained degenerating neurons in distinct rat brain areas is indicating the neurodegeneration during nerve agent toxicity. Pre-treatment with galantamine (3mg/kg, - 30min) followed by post-treatment of atropine (10mg/kg, i.m.) and midazolam (5mg/kg, i.m.), has completely protected animals from death induced by supra-lethal dose of soman (2XLD50) and reduced the neuroinflammatory and neurodegenerative changes. Results highlight that this new prophylactic and therapeutic drug combination might be an effective treatment option for soldiers deployed in conflict areas and first responders dealing with accidental/deliberate release of nerve agents.

Comprehensive analysis of resilience of human airway epithelial barrier against short-term PM2.5 inorganic dust exposure using invitro microfluidic chip and exvivo human airway models.

The updated World Health Organization (WHO) air quality guideline recommends an annual mean concentration of fine particulate matter (PM2.5) not exceeding 5 or 15 μg/m3 in the short-term (24 h) for no more than 3-4 days annually. However, more than 90% of the global population is currently exposed to daily concentrations surpassing these limits, especially during extreme weather conditions and due to transboundary dust transport influenced by climate change. Herein, the effect of respirable <PM2.5 inorganic silica particle exposures on epithelial barrier integrity was simultaneously evaluated within the biomimetic microfluidic platform-based airway epithelial barrier (AEB)-on-a-chip and human bronchoscopic exvivo airway tissue models, comparatively. Silica particles at an average size of 1 μm, referred to as <PM2.5, dose-dependently tested by MTT and LDH analyses. The elicited dose of 800 μg/mL was applied to human airway epithelial cells (Calu-3) seeded to the membrane at air-liquid interface in the AEB-on-a-chip platform, which is operated under static and dynamic conditions and to exvivo human bronchoscopy bronchial tissue slices for 72 h. For both models, healthy and exposed groups were comparatively investigated. Computational fluid dynamics simulations were performed to assess shear stress profiles under different flow conditions. Qualitative and quantitative analyses were carried out to evaluate the resilience of the epithelial barrier via cell survivability, morphology, barrier integrity, permeability, and inflammation. In the AEB-on-a-chip platform, short-term exposure to 800 μg/mL PM2.5 disrupted AEB integrity via increasing barrier permeability, decreasing cell adhesion-barrier markers such as ZO-1, Vinculin, ACE2, and CD31, impaired cell viability and increased the expression levels of proinflammatory markers; IFNs, IL-6, IL-1s, TNF-α, CD68, CD80, and Inos, mostly under dynamic conditions. Besides, decreased tissue viability, impaired tissue integrity via decreasing of Vinculin, ACE2, β-catenin, and E-cadherin, and also proinflammatory response with elevated CD68, IL-1α, IL-6, IFN-Ɣ, Inos, and CD80 markers, were observed after PM2.5 exposure in exvivo tissue. The duration and concentration of PM2.5 that can be exposed during extreme weather conditions and natural events aligns with our exposure model (0-800 μg/mL 72 h). At this level of exposure, the resilience of the epithelial barrier is demonstrated by both AEB-on-a-chip platform emulating dynamic forces in the body and exvivo bronchial biopsy slices. Lung-on-a-chip models will serve as reliable exposure models in this context.

DETECTION OF LPG VEHICLES IN RISKY AREAS WITH COMPUTER VISION TECHNIQUES

Vehicle use is becoming more widespread day by day due to the world population growth. Within the scope of intelligent transportation systems, the information technologies sector and the transportation sector work in an integrated manner to solve the problems caused by the increasing number of vehicles. Data obtained with sensors and cameras are analyzed with artificial intelligence-based information technologies and used in autonomous vehicles, security, traffic management, navigation and passenger information systems. Computer vision enables machines to extract meaningful patterns and relationships from images by combining image processing and deep learning technologies. Computer vision techniques are applied in many fields such as tourism, health, industry, defense, transportation, service, e-commerce, etc. The applications developed provide solutions to various challenges in the transportation sector. For vehicles using Liquified Petroleum Gas (LPG) fuel, the gases in LPG tanks are flammable and pose a potential explosion hazard, especially in certain areas in cities. Entry of LPG vehicles is prohibited in institutions and organizations such as hospitals, shopping malls, hotels that have indoor parking services. The control method of the ban is carried out by assigning a personnel and checking the vehicle trunks. In this study, LPG fueled vehicles were automatically detected using computer vision techniques. Vehicle image data captured by mobile cameras in different provinces in Turkey were trained and compared with four different deep learning models. As a result of training and performance tests on the models, the YOLOv8 model was more effective than the other models with an accuracy of 0.994 mAP and a speed of 11.6 ms. It has been shown to be a stable model in terms of real-time monitoring in real life. It is envisaged that the developed system can contribute to the applications of computer vision techniques as well as benefit the national economy, public life safety and environmental protection.

Network analysis combined with experimental assessment to explore the therapeutic mechanisms of New Shenqi Pills formula targeting mitochondria on senile diabetes mellitus

BackgroundThe escalation of global population aging has accentuated the prominence of senile diabetes mellitus (SDM) as a consequential public health concern. Oxidative stress and chronic inflammatory cascades prevalent in individuals with senile diabetes significantly amplify disease progression and complication rates. Traditional Chinese Medicine (TCM) emerges as a pivotal player in enhancing blood sugar homeostasis and retarding complication onset in the clinical management of senile diabetes. Nonetheless, an evident research gap persists regarding the integration of TCM’s renal tonification pharmacological mechanisms with experimental validation within the realm of senile diabetes therapeutics.AimsThe objective of this study was to investigate the mechanisms of action of New Shenqi Pills (SQP) in the treatment of SDM and make an experimental assessment.MethodsNetwork analysis is used to evaluate target pathways related to SQP and SDM. Mitochondrial-related genes were obtained from the MitoCarta3.0 database and intersected with the common target genes of the disease and drugs, then constructing a protein-protein interaction (PPI) network making use of the GeneMANIA database. Representative compounds in the SQP were quantitatively measured using high performance liquid chromatography-tandem mass spectrometry (HPLC-MS/MS) to ensure quality control and quantitative analysis of the compounds. A type 2 diabetes mice (C57BL/6) model was used to investigate the pharmacodynamics of SQP. The glucose lowering efficacy of SQP was assessed through various metrics including body weight and fasting blood glucose (FBG). To elucidate the modulatory effects of SQP on pancreatic beta cell function, we measured oral glucose tolerance test (OGTT), insulin histochemical staining and tunel apoptosis detection, then assessed the insulin-mediated phosphoinositide 3-kinase (PI3K)/protein kinase A (Akt)/glycogen synthase kinase-3β (GSK-3β) pathway in diabetic mice via Western blotting. Additionally, we observe the structural changes of the nucleus, cytoplasmic granules and mitochondria of pancreatic islet β cells.ResultsIn this investigation, we identified a total of 1876 genes associated with senile diabetes, 278 targets of SQP, and 166 overlapping target genes, primarily enriched in pathways pertinent to oxidative stress response, peptide response, and oxygen level modulation. Moreover, an intersection analysis involving 1,136 human mitochondrial genes and comorbidity targets yielded 15 mitochondria-related therapeutic targets. Quality control assessments and quantitative analyses of SQP revealed the predominant presence of five compounds with elevated concentrations: Catalpol, Cinnamon Aldehyde, Rehmanthin D, Trigonelline, and Paeonol Phenol. Vivo experiments demonstrated notable findings. Relative to the control group, mice in the model group exhibited significant increases in body weight and fasting blood glucose levels, alongside decreased insulin secretion and heightened islet cell apoptosis. Moreover, β-cells nuclear condensation and mitochondrial cristae disappearance were observed, accompanied by reduced expression levels of p-GSK-3β protein in islet cells (p &amp;lt; 0.05 or p &amp;lt; 0.01). Conversely, treatment groups administered SQP and Rg displayed augmented expressions of the aforementioned protein markers (p &amp;lt; 0.05 or p &amp;lt; 0.01), alongside preserved mitochondrial cristae structure in islet β cells.ConclusionOur findings suggest that SQP can ameliorate diabetes by reducing islet cell apoptosis and resist oxidative stress. These insulin-mediated PI3K/AKT/GSK-3β pathway plays an important regulatory role in this process.