Research Institute Research Articles

Anxiety and Depression Among Patients with Diabetes in Saudi Arabia and Egypt

Background: Mental stress plagued type II diabetes (T2DM) patients. The psychological and emotional issues related to diabetes and its effects include depression, anxiety, poor diet, and hypoglycemia fear. Aim: Compare the impact of diabetes on depression and anxiety in Egyptian and Saudi diabetics. Methods: The diabetes, gastroenterology, and hepatology sections of University of Ha’il Clinic, KSA, and the Theodor Bilharz Research Institute, Egypt, conducted this retrospective study. Everyone gave informed consent before participating. Interviews with male and female outpatients and inpatients were conducted from June 2021 to December 2022. The self-administered validated Generalized Anxiety Disorder-7 (GAD-7) and the Patient Health Questionnaire-9 (PHQ-9) scale measured sociodemographic characteristics and symptoms of depression and anxiety. Results: In patients with diabetes, the prevalence of depression was higher in KSA [34.8%] than in Egypt [18%], while anxiety was higher in Egypt [40%] than in KSA [29.1%]. Most depressed patients were 31–55 years old (61.2%) from KSA and 97.8% (41–55 years old) from Egypt. Female anxiety was 70.7% in KSA and 51.0% in Egypt, with no significant difference. The duration of diabetes in depressed patients was 5–10 years ([46.9%, Saudis] vs. [57.8%, Egyptians]), while anxious patients (5–10 years [39.0%, Saudis] vs. >20 years [65.0%, Egyptians]) were mainly type-2. Most depressive patients had an HbA1c (59.2%) from 7–10% (Saudis) and 77.8% [>10% Egyptians] compared to anxiety patients (46.3%) and 48.0% [>10% Egyptians]. Depressed and anxious patients from both nations had higher glucose, triglycerides, and cholesterol levels. Saudis and Egyptians with obesity had higher rates of sadness (75.5% vs. 68.9%) and anxiety (82.9% vs. 69.0%). Treatment adherence and serum glucose monitoring were not significantly different from depression in diabetes individuals in both ethnicities. Conclusions: Anxiety was more common among Egyptian patients because of overcrowding, working whole days to fulfill life requirements, and the unavailability of health insurance to all citizens. Meanwhile, in KSA, obesity, unhealthy food, and less exercise reflect the high percentage of depression among patients with diabetes. The detection of depression and anxiety in the context of DM should be critical for the physical health and quality of life of Saudi and Egyptian diabetics. Further investigation is warranted to encompass anxiety and depression within the scope of future research.

Expecting the expected – learning from the past to provide forward scenarios through geomorphic change detection, monitoring and modeling

This paper tells the story of a landslide, its origins, its activity and the actions undertaken to mitigate the risks that it poses. The Rotolon landslide is a large Deep-seated Gravitational Slope Deformation (DGSD), located in the Eastern Italian Alps, whose unremitting movements provide a sediment supply for large-scale debris flow events. It has been active since at least 1789, threatening the valley where the thermal baths town of Recoaro Terme is located. In 2010, a major reactivation of the landslide channelled 320,000 m3 of material towards the town causing significant concern, the evacuation of the exposed population and threatening several buildings. A few days after the emergency, the personnel of the Research Institute for Geo-Hydrological Protection of the Italian Research Council (IRPI-CNR) deployed a monitoring system consisting of an automatic total station, several extensometers and web cameras to monitor the evolution of the unstable slope and set up an early warning and alarm system equipped with sirens to warn the local population. Subsequently, after the emergency phase, the 2010 event was studied through multi-temporal LiDAR Digital Terrain Models (DTMs) and modeling. The authors have continued monitoring and actively studying this landslide ever since. In 2020, a new LiDAR survey of the area allowed assessment of the sediment dynamics within the catchment through the comparison with the post-2010 event LiDAR DTM. Based on DEM of difference maps, new insight into the behaviour of the catchment emerged, which appears to be influenced both by natural processes and anthropic activities. The authors were able to assess the amount of sediment that could be stored in the channel without causing overflooding and to calculate the expected damage to the built environment should another event occur. Furthermore, the considerable amount of data collected by the monitoring system throughout the years has allowed identification of two active sectors of the DGSD that may be prone to detachment, and through numerical modeling, future hazard scenarios were produced. Based on these outcomes, a second-tier targeted monitoring campaign was implemented, consisting of a network of four permanent GNSS receivers, additional topographic benchmarks and web cameras, and a new early warning protocol, in an ever-updating cycle of monitoring, modeling and mitigation.

Cortical Alterations Associated with Executive Function Deficits in Youth with a Congenital Heart Defect

Abstract Adolescents and young adults born with a complex congenital heart defect (CHD) are at risk for executive function (ExF) impairments, which contribute to the psychological and everyday burden of CHD. Cortical dysmaturation has been well described in fetuses and neonates with CHD and early evidence suggests that cortical alterations in thickness, surface area, and gyrification index are non-transient and can be observed in adolescents with CHD. However, cortical alterations have yet to be correlated with ExF deficits in youth with CHD. This study aims to use a data-driven approach to identify the most important cortical features associated with ExF deficits in adolescents and young adults with CHD. To do so, we combined two comparable datasets acquired at the Research Institute of the McGill University Health Centre and the University Children’s Hospital Zurich each including both youth with CHD and healthy controls. For each participant, a high-resolution T1-weighted magnetic resonance image, a self-reported ExF assessment (the Behaviour Rating Inventory of Executive Function— Adult Scale), and their clinical and demographic characteristics were available. Corticometric Iterative Vertex-Based Estimation of Thickness (CIVET) was used to extract cortical thickness, cortical surface area, and local gyrification index measures. Using orthogonal projective non-negative matrix factorization (OPNMF), we identified non-overlapping spatial components that integrate cortical thickness, cortical surface area, and local gyrification index and capture structural covariance across these features. Behavioural partial least squares correlation (bPLS) analysis was then used to compute correlations between the individual variability in the OPNMF covariance patterns and ExF outcomes for each subject. A total of 56 youth with CHD who underwent cardiopulmonary bypass surgery before three years of age and 56 age- and sex-matched healthy controls were included in our analyses. Cortical grey matter volume, cortical thickness, and cortical surface area were found to be significantly reduced in CHD patients compared to controls. OPNMF identified 12 stable cortex-wide components summarizing the inter-subject variability in cortical thickness, cortical surface area, and local gyrification index. bPLS revealed two significant latent variables (LV) accounting for a total of 82.8% of the variance in the sample, each describing distinct patterns between the brain and cognitive data. LV1 summarized a pattern of belonging to the CHD group, worse scores on most BRIEF-A scales, younger age at MRI, and female sex. This pattern was associated with increased cortical thickness, local gyrification index, and decreased cortical surface area in several OPNMF components. Finally, we identified a positive relationship between the LV1 brain-behaviour pattern and total aortic cross-clamp time in the CHD group, indicating that longer aortic cross-clamp time was associated with worse neurodevelopmental outcomes. In this study, we uncover novel multivariate relationships between ExF and alterations in cortical thickness, surface area, and local gyrification index in adolescents and young adults with CHD using a data-driven approach. Although our findings highlight the important role played by the cortex in higher order cognitive processes, future studies are needed to elucidate the individual contribution of individual and clinical attributes into the deficits observed in this population.

Peer non-cognitive self-perception and school performance: estimates using the student friendship network at classroom level

This article investigates whether the individual academic performance is affected by peers’ self-perception about own personality and being valued in the classroom. The empirical estimations use a unique educational dataset that comes from a research institute of the Brazilian Ministry of Education (Fundação Joaquim Nabuco – FUNDAJ/ MEC, 2013), which provides crucial information for the proposed identification strategies. These strategies are based on: (i) the architecture of friendships network composed of heterogeneous reference groups within the classroom, (ii) the use of longitudinal evaluation of scholastic achievement, where all the students surveyed are submitted to a math test in the beginning and at the end of scholar year and (iii) the control of the network fixed effects. The results show students perform better when their friends demonstrate a positive self-perception of own personality and do not feel left behind in the classroom. Furthermore, when omitted variable bias is controlled for, the impact of peers’ socio emotional skills on individual achievement is even stronger.

Isotopic composition of natural waters of Kuzbass in coalbed methane production areas

Relevance. In Kuzbass, a coalbed methane production project is being implemented for the first time in Russia. Formation water extracted together with coalbed methane plays an important role, since it has been in contact with the coal-bearing rocks for a long time, therefore it contains rich geochemical information. Over the period 2002–2022, new isotopic data were accumulated both on the waters of the region coal deposits and on overlying waters, including surface waters. Aim. Based on the material accumulated on the isotopic composition (δD, δ18O, δ13C, 34S, 3H, 14C) of natural waters in coal-bearing areas, create an evolutionary scheme for the formation of waters within the framework of the developed hypothesis on the interaction of water-rock-coal-methane. Objects. River, underground waters of the zone of active water exchange, upper and lower parts of the zone of slow water exchange (extracted together with coalbed methane). Methods. Studies of the isotopic composition of waters were carried out in several laboratories: in the Multielement and Isotope Research Center of the SB RAS, the Technical Branch of the Federal State Unitary Enterprise “SNIIGGIMS”, in the radiocarbon AMS laboratory based on the Center for Collective Use “Cenozoic Geochronology” and in the Pacific Oceanological Institute Far Eastern Branch Russian Academy of Sciences (POI) FEB RAS. Results and conclusions. The paper introduces the data on δD, δ18О, δ13С и δ34S for surface and groundwater in Kuzbass in coalbed methane production areas. It is shown that all the waters under consideration are infiltration based on their isotopic composition (δD and δ18О). The waters of the lower part of the slow water exchange, produced together with coalbed methane, are characterized by a positive oxygen shift and very light hydrogen. A diagram of the evolution of the isotopic composition of water-dissolved carbon in the region has been compiled according to the data obtained. It is noted that the atmospheric source of CO2 is characteristic only of river waters, and only biogenic carbon dioxide is present in groundwater. The wide range of δ13СDIC values of the latter is explained by the varying degrees of participation of light soil carbon dioxide and heavy biochemical carbon dioxide formed during methane formation in the coal seam. The heaviest values are typical for waters produced together with coalbed methane, which is associated with long-term interaction with coal and methane. The time of such interaction was determined using the radiocarbon method: 17–30 thousand years. In areas where coalbed methane is produced, an increase in δ13СDIC values for all natural waters is observed, which requires further study.

OPTIMISING EFFORT CAPACITY IN TRIATHLON

Background. My personal triathlon practice inspired the creation of a specialized training regimen to improve triathlon training in Romania. This program aims to enhance performance, well-being, and injury prevention for athletes. At the INTERDISCIPLINARY RESEARCH CENTRE (CCI) “Dr. Alexandru Partheniu” of UNEFS, we used AEROSCAN technology to assess exercise capacity, measuring heart and breathing rates with the Bruce Protocol for precise physiological monitoring. Objectives. This research demonstrates that tailored training cycles for swimming, cycling, and running can significantly enhance triathlon performance. The goal was to create a customizable, comprehensive training program to maximize the overall training process and provide a scientific foundation for triathlon training in Romania. This research aims to demonstrate that tailored training cycles can significantly enhance triathlon performance. Methods. We used observation, experimental, statistical-mathematical, and bibliographic study methods to interpret the experiment's outcomes. The bibliographic study provided the theoretical basis, while observation and experimental methods enabled real-time data collection. Statistical analysis was crucial for interpreting the data. Results. Using AEROSCAN and the Polar system, we evaluated exercise capacity and tracked heart rate. The Bruce protocol was applied for both initial and final tests. The data showed significant improvements in endurance, speed, and overall performance, supported by statistical analysis, after implementing the customized training program. Conclusion: Our research indicates that tailored athletic training regimens for each triathlon discipline can significantly enhance performance and promote athletes' health and longevity. The results highlight the importance of individualized training plans and suggest potential improvements in Romanian triathlon training practices. Individualized training programs lead to notable improvements in performance and athlete well-being.

Autism Diagnosis Among US Children and Adults, 2011-2022

An improved understanding of autism spectrum disorder (ASD) prevalence over time and across the lifespan can inform health care service delivery for the growing population of autistic children and adults. To describe trends in the prevalence of ASD diagnoses using electronic records data from a large network of health systems in the US. This cross-sectional study examined annual diagnosis rates in health records of patients in US health systems from January 1, 2011, to December 31, 2022. Eligible individuals were included in the study sample for a given calendar year if they were enrolled in a participating health system for at least 10 months out of the year. Data were extracted from 12 sites participating in the Mental Health Research Network, a consortium of research centers embedded within large, diverse health care systems. Diagnoses of ASD were ascertained using International Classification of Diseases, Ninth Revision (ICD-9) and International Statistical Classification of Diseases and Related Health Problems, Tenth Revision (ICD-10) revision codes. Annual diagnosis rates were calculated as the number of unique members diagnosed, divided by the total members enrolled. A total of 12 264 003 members were enrolled in 2022 (2 359 359 children aged 0 to 17 years [19.2%]; 6 400 222 female [52.2%]; 93 002 American Indian or Alaska Native [0.8%], 1 711 950 Asian [14.0%], 952 287 Black or African American [7.8%], 2 971 355 Hispanic [24.2%], 166 144 Native Hawaiian or Pacific Islander [1.4%], and 6 462 298 White [52.7%]). The ASD diagnosis rate was greatest among 5-to-8-year-olds throughout the study period and increased by 175% among the full sample, from 2.3 per 1000 in 2011 to 6.3 per 1000 in 2022. The greatest relative increase in diagnosis rate from 2011 to 2022 occurred among 26-to-34-year-olds (450%) and increases were greater for female vs male individuals among children (305% [estimated annual percentage change (EAPC), 13.62 percentage points; 95% CI, 12.49-14.75 percentage points] vs 185% [EAPC, 9.63 percentage points; 95% CI, 8.54-10.72 percentage points], respectively) and adults (315% [EAPC, 13.73 percentage points; 95% CI, 12.61-14.86 percentage points] vs 215% [EAPC, 10.33 percentage points; 95% CI, 9.24-11.43 percentage points]). Relative increases were greater in racial and ethnic minority groups compared with White individuals among children, but not adults. In this cross-sectional study of children and adults in the US, ASD diagnosis rates increased substantially between 2011 and 2022, particularly among young adults, female children and adults, and children from some racial or ethnic minority groups. Diagnosis prevalence trends generated using health system data can inform the allocation of resources to meet the service needs of this growing, medically complex population.

Extracutaneous Lesions in Patients with Focal Scleroderma of Craniofacial Localization: a Retrospective Cross-Sectional Study

Background. Focal scleroderma is rare, acquired disease characterized by inflammation, sclerosis, skin and underlying tissues atrophy, with no lesions to internal organs. However, craniofacial localized scleroderma (CLS) can lead to neurological, ophthalmic, and maxillofacial changes. Extracutaneous lesions at limited scleroderma remain poorly studied despite its high prevalence. Objective. The aim of the study is to characterize brain anomalies revealed at neuroimaging and to analyze their incidence in pediatric patients with focal scleroderma, as well as to describe comorbid neurological and ophthalmic disorders. Methods. Descriptive retrospective cross-sectional study included 33 pediatric patients who underwent hospital treatment at dermatology and allergology department of National Medical Research Center of Children’s Health with diagnosis of focal scleroderma from 2016 to 2024. All patients were examined by neurologist and ophthalmologist during hospitalization, as well as magnetic resonance imaging (MRI) was performed. The incidence of neurological, ophthalmic, and radiological signs was evaluated in the studied patients as well as their correlations within the data analysis. Results. 33 pediatric patients from 3 to 17 years old were studied. The number of boys and girls was not significantly different (p=0.46). MRI neuroimaging changes were revealed in 17 of 33 patients (51.5%). 12 patients (36.4%) had isolated disorders, 5 (15.1%) — multiple (two or more types) according to MRI data. Neurological disorders were reported in 8 out of 33 patients (24%). Ophthalmic disorders — in 10 out of 33 (30.3%). The study has revealed correlation indicating that the presence of epilepsy in CLS is associated with changes in the brain structure according to MRI (hyperintensive signal at T2-weighted image and FLAIR) (p=0,022). Also, such changes as hypointense signal during T2-VI are correlated with tension headache (p=0.03). No correlation between ophthalmic changes and neuroimaging changes was revealed. Conclusion. Significant number of pediatric patients with CLS have wide range of ophthalmic and neurological manifestations, including neuroimaging abnormalities. Precise and timely diagnosis of these symptoms is crucial for determining treatment intervention.

Effect of Fall- and Spring-Planted Cover Crops and Residual Herbicide on Emergence Dynamics of Glyphosate-Resistant Kochia (Bassia scoparia)

Abstract Two separate field experiments were conducted during the 2021-22 and 2022-23 growing seasons at Kansas State University Agricultural Research Center near Hays, KS to understand the emergence dynamics of glyphosate-resistant (GR) kochia [Bassia scoparia (L.) A. J. Scott] as influenced by fall- and spring-planted cover crops (CC) and residual herbicide. Study sites were under winter wheat (Triticum aestivum L.)-sorghum [Sorghum bicolor (L.) Moench]-fallow rotation with a natural seedbank of GR B. scoparia. In experiment 1, fall-planted CC mixture (triticale/winter peas/radish/rapeseed) was planted after wheat harvest and terminated at triticale [xTriticosecale Wittm. Ex A. Camus [Secale x Triticum] heading stage (next spring before sorghum planting). In experiment 2, spring-planted CC mixture (oats/barley/spring peas) was planted in sorghum stubbles and terminated at oats (Avena sativa L.) heading stage. Four treatments were established in each experiment: (1) nontreated control (no CC and no herbicide), (2) chemical fallow (no CC but glyphosate + acetochlor/atrazine or flumioxazin/pyroxasulfone + dicamba were used to control weeds), (3) CC terminated with glyphosate, and (4) CC terminated with glyphosate plus residual herbicide (acetochlor/atrazine for fall-planted CC and flumioxazin/pyroxasulfone for spring-planted CC). Results indicated that fall-planted CC delayed GR B. scoparia emergence by 3 to 5 weeks whereas spring-planted CC delayed emergence by 0 to 2 weeks compared to nontreated. Fall-planted CC terminated with glyphosate plus acetochlor/atrazine reduced the cumulative emergence of GR B. scoparia by 90 to 95% compared to nontreated across both yrs. Similarly, spring-planted CC terminated with glyphosate plus flumioxazin/pyroxasulfone reduced the cumulative emergence of GR B. scoparia by 83 to 90% compared to nontreated. These results suggest that fall- or spring-planted CC in combination with residual herbicide at termination can be utilized for GR B. scoparia suppression. Results from this study will help in developing prediction models for GR B. scoparia emergence under different CC strategies.

Russian thistle (Salsola tragus) ecology in wheat cropping systems of the Pacific Northwest

Abstract Russian thistle (Salsola tragus L.) is a significant summer annual weed in the semi-arid Pacific Northwest (PNW), causing yield losses of up to 50%. Understanding the biology and ecology of S. tragus is vital for developing effective integrated weed management (IWM) strategies. This study focused on 1) S. tragus emergence and seedbank persistence in two cropping systems: fallow–winter wheat (Triticum aestivum L.) and spring wheat–fallow–winter wheat rotations, and 2) S. tragus plant biomass and viable seed production in fallow and spring wheat fields. A four-year experiment (2020-2023) was conducted at the Columbia Basin Agriculture Research Center (CBARC) in Adams, OR, using a randomized block design with four replications. Salsola tragus seeds were sprinkled only at the beginning of the experiment, and seedling numbers were recorded throughout. Most seedlings emerged in the first year, with the highest rates in spring wheat (72%) and fallow (32%), followed by significantly lower rates (0.25-5%) in subsequent years. Seedling emergence began in late March and early April for the first two years but was delayed to May for the third year. Plant biomass and viable seed production were greater in fallow than in spring wheat, with early-season plants having more biomass than later-emerging plants. Plants emerged between early and mid-May produced the most viable seeds. Viable seed production was very low until it peaked in mid-September. Findings indicated that most S. tragus seedlings emerged in the first year after dispersal coinciding with spring precipitation and lasting approximately two months. Additionally, most S. tragus plants produce viable seeds in September, and seeds persist in the soil for more than two years. These results demonstrate the need for growers to control S. tragus emergence to prevent reinfestations and ultimately the need to control S. tragus plants before September to prevent the species from producing viable seed.

Corneal Endothelial Microscopy: Does a Manual Recognition of the Endothelial Cells Help the Morphometric Analysis Compared to a Fully Automatic Approach?

This study investigated whether manual integration in the recognition of the endothelial cells produces different outcomes of morphometric parameters compared to a fully automatic approach. Eight hundred and ninety endothelial images, originally acquired by the Perseus Specular Microscope (CSO, Florence, Italy), from seven positions of right and left corneas were selected from the database of the Research Centre in Optics and Optometry at the University of Milano-Bicocca. For each image selected, two procedures of cell identification were performed by the Perseus: an automatic identification and a manual-integrated procedure to add potential additional cells with the available editing tool. At the end of both procedures, the endothelial cell density (ECD), coefficient of variation (CV), and hexagonality (HEX) of the mosaic were calculated. The HEX in the two procedures was significantly different for all comparisons (p < 0.001), but clinically negligible. No significant differences were found for the CV and ECD in the images of both eyes irrespective of the corneal position of acquisition (except for ECD in three corneal portions, p < 0.05). To conclude, it is possible to recognise a significantly higher number of cells using the manual-integrated procedure than it is using the fully automatic one, but this does not change the morphological parameters achieved.

The association between ADAMTS14/rs4747096 gene polymorphism and some risk factors and knee osteoarthritis

Knee osteoarthritis (KOA) is an important cause of disability in the world and it denotes a public health defiance of the upcoming years.Aim To examine the connection between ADAMTS14 gene rs4747096 polymorphism and KOA and to assess risk factors associated with KOA.Methods A case control study was conducted on 158 patients with KOA and 120 controls with comparable age and sex randomly recruited from National Research Centre employees. All participants were subjected to full history taking, assessment of KOA severity using WOMAC scoring system, and thorough clinical examination. Blood sample was collected for detection of ADAMTS14/rs4747096 gene polymorphism.Results The frequency of ADAMTS14 gene rs4747096 genotypes among patients with KOA was 73.5% for AA, 25.7% for AG, and 0.7% for GG compared to controls 963%, 31.3%, and 5.6% respectively and the frequency of alleles among patients was 86.4% for A and 78.7% for G compared to controls (78.7% and 21.3% respectively, P < 0.05. The study found that the median levels of total WOMAC score and its domains were significantly higher among KOA patients than controls. The logistic regression analysis revealed that age ≥ 50 years, BMI ≥ 35, and long standing at work were predictive factors for KOA (P < 0.05). Regarding different genetic patterns, only the A recessive pattern of inheritance was found to be a predictive risk factor for KOA.Conclusion For ADAMTS14 rs4747096 genotype, the AA and AG genotypes significantly increased the risk of KOA. The recessive pattern of inheritance, older age, morbid obesity, and prolonged standing at work were the predictive risk factors for KOA. Further studies with larger sample size are encouraged to investigate the mechanism by which this genotype can affect the development of KOA.

Empowering health: exploring the vital role of facilitator organisations in supporting chronic disease patients in Assam, India

BackgroundThe research centers on an underrated type of mediator organization namely facilitator organizations (FO) that work in the health care setting. These organizations are mediators that bridge the gap between patients (healthcare customers) and medical services. The facilitator organizations considered for the study are non-governmental organizations situated in Assam that works in align to chronic diseases, particularly cancer.MethodsThe data collection was done through organizational referrals for the study making it a snowball sampling, progressively incorporating additional contemporary entities. The study's respondents were facilitator organizations (i.e.Non-Government Organizations) actively involved in addressing chronic disease. Data were gathered from these facilitator organizations situated in Assam, India, supporting healthcare customers specifically those with cancer. Key informant interviews and semi-structured questionnaires were used for data collection, the responses were documented using a field diary and the Lovelock service model was used as a reference for the construction of the questionnaire and developing the research framework.ResultsThe analysis of data shows that facilitator organisations maintain continuity in relationships, which enhances health management and outcomes for customers. The shift in cancer care towards a patient-centred approach and the crucial role of FOs in providing comprehensive and individualized care, addressing diverse patient needs thereby addressing the holistic development of the health care customer is vital. In addition, effective patient-centred communication, incorporating trust, compassion, respect and comprehensive support including mental health therapy, occupational therapy, and rehabilitation plays a crucial role in leading a normal life. `ConclusionThe facilitator organizations dealing with Cancer have to meet a broad range of services outside the core medical service providers for their healthcare customers. These efforts contribute to the overall recovery of both the healthcare customer with cancer and their family.

Comparative Evaluation of Calcium Sources and their Mode of Use on Apple Production in Acidic Soil under High Density Plantation System

Apples grown in Kashmir province are extremely prone to deterioration, particularly in post-harvest storage. Calcium is amongst the vital mineral element deceiving apple fruit quality, predominantly in acid soils deficit in available calcium. Calcium in sufficient quantity helps to retain apple fruit firmness and reduces the occurrence of physiological disorders, it also plays essential role to improve yield and quality of produce. Modes of calcium application and its different doses on two apple varieties was tested to improve yield and quality at Ambri Apple Research Centre, Sher-e-Kashmir University of Agricultural Sciences and Technology, Kashmir, India. The direct application of calcium to apple as spray is most effective method for escalating fruit calcium content and quality. Among sources and their mode of application calcium nitrate foliar application performed better than foliar application of calcium chloride in improving fruit quality and yield of Golden Delicious than Red Chief Camspur, whereas soil application of calcium nitrate showed least response to improve fruit quality and yield in both varieties under acidic soil atmosphere. Physiological loss in weight at 30 days and 60 days after harvesting was lower in foliar applied calcium than soil calcium application. The significant variation in total sugar content and TSS of apple fruits were observed in different calcium sources and their mode of application. Calcium nitrate foliar spray performed better than calcium chloride foliar spray in improving fruit quality. Our study did not find any adversity of dosage in plants whether applied to soil or directly to plant and we did observe better yields and quality at higher calcium doses. Among varieties Golden Delicious performed better than Red Chief Camspur. Results of research evidenced that preharvest calcium sprays increase yield, improved fruit quality and reduced its deterioration in post-harvest storage.

Variation in the metagenomic analysis of fecal microbiome composition calls for a standardized operating approach.

The reproducibility in microbiome studies is limited due to the lack of one gold-standard operating procedure. The aim of this study was to examine the impact of protocol variations on microbiome composition using metagenomic data sets from a single center. We assessed the variation in a data set consisted of 2,722 subjects, including 9 subcohorts harboring healthy subjects and patients with various disorders, such as inflammatory bowel disease, colorectal cancer, and type 2 diabetes. Two different DNA extraction kits, with or without lyticase, and two sample storage methods were compared. Our results indicated that DNA extraction had the largest impact on gut microbiota diversity among all host factors and sample operating procedures. Healthy subjects matched by age, body mass index, and sample operating methods exhibited reduced, yet significant differences (PERMANOVA, P < 0.05) in gut microbiota composition across studies. The variations contributed by DNA extraction were primarily driven by different recovery efficiency of gram-positive bacteria, e.g., phyla Firmicutes and Actinobacteria. This was further confirmed by a parallel comparison of fecal samples from five healthy subjects and a standard mock community. In addition, the DNA extraction method influenced DNA biomass, quality, and the detection of specific lineage-associated diseases. Sample operating approach and batch effects should be considered for cohorts with large sample size or longitudinal cohorts to ensure that source data were appropriately generated and analyzed. Comparison between samples processed with inconsistent methods should be dealt with caution. This study will promote the establishment of a sample operating standard to enhance our understanding of microbiome and translating in clinical practice.IMPORTANCEThe reproducibility of human gut microbiome studies has been suboptimal across cohorts and study design choices. One possible reason for the disagreement is the introduction of systemic biases due to differences in methodologies. In our study, we utilized microbial metagenomic data sets from 2,722 fecal samples generated from a single research center to examine the extent to which sample storage and DNA extraction influence the quantification of microbial composition and compared this variable with other sources of technical and biological variation. Our research highlights the impact of DNA extraction methods when analyzing microbiome data and suggests that the microbiome profile may be influenced by differences in the extraction efficiency of bacterial species. With metagenomics sequencing being increasingly used in clinical biology, our findings provide insight into the challenges using metagenomics sequencing in clinical diagnostics, where the detection of certain species and its abundance relative to a "healthy reference" is key.

Study of Complete Surgical Response of Stage III Oral Carcinoma Patients in Comparison to Primary Surgery Versus Neoadjuvant Methotrexate With Surgery.

Objective This study aims to compare the efficacy of neoadjuvant methotrexate therapy followed by surgery versus primary surgical management in patients with stage III oral carcinoma. Methods Thirty patients diagnosed with stage III oral carcinoma were enrolled in this prospective study at a tertiary cancer research center. The patients were divided into two groups: 15 patients received neoadjuvant methotrexate therapy followed by surgery, while 15 underwent primary surgical management. Outcomes were evaluated based on tumor downstaging, surgical margins, postoperative complications, and the requirement for adjuvant radiotherapy. Results Patients in the neoadjuvant methotrexate group demonstrated significant tumor downstaging, allowing for less extensive surgical procedures, with 33.3% (n=5) undergoing wide local excision (WLE) compared to 13.3% (n=2) in the primary surgery group. Negative surgical margins were achieved in 93.33% (n=14) of patients in the neoadjuvant group versus 53.33% (n=8) in the surgical group. Additionally, only 13.3% (n=1) of patients in the neoadjuvant group required postoperative radiotherapy, compared to 53.33% (n=8) in the surgical group. The recurrence rate over a six-month follow-up period was comparable between the two groups. Discussion Neoadjuvant methotrexate therapy resulted in better surgical and oncological outcomes by downstaging the tumor, reducing the extent of surgery, and minimizing the need for postoperative radiotherapy. The findings suggest that methotrexate, as a neoadjuvant agent, is effective in improving patient outcomes with fewer side effects compared to standard cisplatin-based regimens. Conclusion Neoadjuvant methotrexate therapy offers a viable treatment option for stage III oral carcinoma, demonstrating improved oncological and surgical outcomes, including less invasive surgery, higher rates of negative surgical margins, and reduced postoperative radiotherapy requirements. Further research with long-term follow-up is necessary to validate these findings and explore the long-term impact on survival and recurrence rates.

Lichen-associated Fungi Inhabiting from a Mangrove Ecosystem in Sri Lanka: A Novel Source of Antibacterial Agents

The global threat of antimicrobial resistance has spurred interest in discovering innovative antimicrobial agents from diverse sources. Amid the rise of new diseases, the quest for novel drug leads has intensified. This study explores the antibacterial potential of lichen-associated fungi in mangrove ecosystems, using NARA Regional Research Centre in Kalpitiya, Sri Lanka as the study site. Lichen-associated fungi were isolated from collected lichens and the antibacterial activities of the isolates were tested using two gram-positive bacteria: Staphylococcus aureus (ATCC 25923) and Bacillus cereus (ATCC 11778) and two gram-negative bacteria: Pseudomonas aeruginosa (ATCC 25853) and Escherichia coli (ATCC 25922). Putative fungal isolates were primarily screened using agar plug diffusion assay and ethyl acetate extracts of fungal isolates with marked activity were secondarily screened using the well diffusion assay in triplicate. Isolate LIF 0803 identified as Trichosporon faecale showed the most outstanding antibacterial activities as 2.58, 3.43, 4.2, 4.5 cm of zone diameter at 100 mg/mL, and 1.95, 3.08, 3.7, 4.3 cm of zone diameter at 50 mg/mL against P. aeruginosa, S. aureus, B. cereus, and E. coli respectively. All nine fungal isolates showed promising antibacterial activity against both gram-positive and negative bacteria. Therefore, this study showed that lichen-associated fungi in mangrove ecosystems have potent antibacterial activities. Hence, bioassay-guided fractionation of active compounds from lichen-associated fungi and structure elucidation are warranted.

Integrated membranes system for water application in microbiology/molecular biology

An integrated membrane filtration system was developed to make water purity suitable for microbiology/molecular biology research. Water samples were collected from outlets in different buildings of the National Research Center and analyzed for their composition before filtration. An integrated membrane system was developed based on mathematical modeling. Flat sheet membranes were produced, including microfiltration, ultrafiltration, and nanofiltration membranes. The flat sheet membranes were converted to a spiral wound module filter to simulate the local market filters and applied in the integrated membrane system that was designed and installed. The produced water was analyzed and compared to molecular-grade water used in different molecular biology/microbiology applications. Both PCR, agarose gel electrophoresis, bacterial liquid cultures, and viral propagation indicated that treated water using the herein-developed system exhibited comparable performance to the molecular grade water provided with imported reagent kits. So, this research can offer a promising solution for producing high-quality water suitable for sensitive laboratory applications.

Efficacy and safety of Danlou tablets in the treatment of stable angina pectoris with intermingled phlegm and blood stasis syndrome in coronary heart disease: a multicenter randomized controlled study

ObjectivesIn this study, we assessed the clinical efficacy and safety of Danlou tablets in the treatment of stable angina pectoris (SAP) with intermingled phlegm and blood stasis (IPBS), to provide high-quality evidence-based medical evidence for the prevention and treatment of coronary heart disease.MethodsIn this multicenter randomized controlled study, 304 patients diagnosed with stable angina pectoris with IPBS enrolled from 12 national traditional Chinese medicine (TCM) clinical research centers in China were randomly assigned to the treatment group and the control group at a ratio of 1:1. Each group was divided into four subgroups based on the results of TCM syndrome differentiation: IPBS, IPBS combined with qi deficiency, IPBS combined with qi stagnation, and IPBS combined with toxin accumulation. The control group was treated with routine Western medicine. In addition to routine Western medicine treatment, the treatment group (the IPBS group) was treated with Danlou tablets or Danlou tablets supplemented by interventional therapies based on the results of traditional Chinese medicine differentiation. The frequency of angina attacks per week was the main efficacy evaluation indicator and the secondary efficacy evaluation indicators included angina symptom score, Seattle Angina Questionnaire, an electrocardiogram (ECG) efficacy evaluation, a cardiac Doppler two-dimensional ultrasound, an electrocardiogram treadmill exercise test, blood lipids, blood glucose, a coagulation function test, hemorheology indicators, homocysteine, C-reactive protein (CRP) or high sensitivity-CRP, TCM syndromes (syndrome score, tongue, pulse), and long-term prognosis (endpoint outcome, cardiovascular events).ResultsThere were 300 cases in the full analysis set (FAS), 266 in the per-protocol set (PPS), and 300 in the safety set. Regarding the main efficacy indicator, after treatment, the reduction in the frequency of weekly angina attacks in the treatment group was significantly greater than that in the control group (P &amp;lt; 0.05). The results of the FAS and PPS were consistent. Regarding the secondary efficacy evaluation indicators, the angina symptom, TCM syndrome, ECG evaluation, Seattle Angina Pectoris Questionnaire, and 36-item Health Status Survey Summary Form scores of the treatment group were significantly higher than the control group (P &amp;lt; 0.05) and the homocysteine levels of the treatment group were significantly reduced (P &amp;lt; 0.05). The results of the FAS and PPS were consistent. In the PPS, the triglyceride levels in the treatment group were significantly lower than those in the control group after treatment (P &amp;lt; 0.05). The activated partial thromboplastin time in the treatment group decreased significantly (P &amp;lt; 0.05). There was no statistically significant difference in the safety indicators and incidence of adverse reactions between the two groups.ConclusionTreatment with Danlou tablets and the modified combination therapy based on Western medicine treatment could improve angina pectoris symptoms of patients with SAP and IPBS syndrome and its concurrent syndromes, and improve patients’ quality of life. Furthermore, the treatment is safe, has a long-term prognosis, and is worth further promotion and application in clinical practice.Clinical Trial Registrationhttps://www.chictr.org.cn/showprojEN.html?proj=235570, ChiCTR registry, ChiCTR1900023708.

Data Delivery Indicators in EIDA: Designing a Consistent Metrics System in a Distributed Services Environment

The European Integrated Data Archive (EIDA) is a data service within Observatories and Research Facilities for European Seismology (ORFEUS) which distributes seismological waveform data across, presently, 12 federated data centres, so-called EIDA nodes. EIDA is also integrated into the European Research Infrastructure EPOS (European Plate Observing System). The increasing need of quantifying the scientific impact of such Research Infrastructures at all levels of operations has led EIDA to develop a unified system able to provide global indicators for data delivery across all EIDA nodes. To achieve this goal, EIDA implemented a system where the numbers are collected and aggregated by each EIDA node and ingested in a centralised database, accessible through an online API. The successful implementation of the system stems from carefully identifying the relevant indicators for well-defined groups of users. The implementation combines simplicity and robustness whilst respecting the distributed design of EIDA. The architecture and implementation choices may be of interest to other multi-site data distribution research infrastructures that face the challenge of providing meaningful key performance indicators.