Integrative Functions Research Articles

A Carbazole‐Centered Expanded Helicene Stabilized with Hexabenzocoronene (HBC) Units

The synthesis and stabilization of heteroatom‐doped nanocarbon molecules, such as carbazole‐containing (super)helicenes, present significant challenges due to the complexities involved in maintaining structural integrity and electronic functionality. In this study, we successfully synthesized a carbazole‐centered expanded tris‐hexabenzo[7]helicene (1) via a facile FeCl3‐mediated Scholl coupling reaction. 1 exhibits both chemical and chiral stability and demonstrates fluorescence at 628 nm with a quantum yield of 0.40. Additionally, the enantiomers of 1 display pronounced chiroptical properties, including a distinct circular dichroism (CD) signal spanning from 300 to 600 nm. The absorption dissymmetry factor (|gabs|) is determined to be 2.98 × 10−3, while the circularly polarized luminescence brightness (BCPL) is measured as 32.50 M−1 cm−1.

Programmable Robotic Shape Shifting and Color Morphing Dynamics Through Magneto-Mechano-Chromic Coupling.

Recreating natural organisms' dynamic shape-morphing and adaptive color-changing capabilities in a compact structure poses significant challenges but unlocks unprecedented hybridized robotic-visual applications. Overcoming programmability and predictability obstacles is key to achieving real-time, responsive changes in appearance and functionality, enhancing robot-environment-user interactions in ways previously unattainable. Herein, a Soft Magneto-Mechano-Chromic (SoMMeC) structure comprising a magnetic actuating and a synthetic photonic film, mirroring the intricate color-tuning mechanism of chameleons is devised. A model combining numerical simulation and a strain-dependent color evolution map enables precise predictions and controllable shape-color alterations across various geometrical and magnetization profiles. The SoMMeC exhibits rapid (0.1s), broad (full-visible spectrum), tether-free (remote magnetic manipulation), and programmable (model-guided control) color transformations, surpassing traditional limitations with its real-time response, broad and omnidirectional coloration for enhanced visibility, and robustness against external disturbances. The SoMMeC translates into dynamic advertising iridescence, adaptive camouflage, self-sensing, and multi-level encryption, and transcends traditional robotics by seamlessly blending dynamic movement with nuanced visual changes. It opens up a spectrum of applications that redefine robotic functionality through dynamic appearance modulation, making robotic systems more versatile, adaptive, and suitable for unexplored integrative functions.

Hydrophobic ion pairing as a novel approach to co-axial electrospraying of peptide-PLGA particles

Electrospraying is a processing technique that has gained much interest to prepare polymeric particles. The technique operates at ambient temperature, thereby avoiding heat induced degradation of labile therapeutics (e.g. peptides and proteins). Exposure to organic solvents can be minimised by co-axial electrospraying through separation of core (aqueous) and shell (organic) solvents. However, aqueous solutions are often difficult to electrospray due to high surface tension. Immiscibility between the core–shell solvents creates a further process challenge. Herein, we describe for the first time the use of hydrophobic ion pairing (HIP) to encapsulate a polypeptide into polymeric particles prepared by co-axial electrospraying. Peptide ion pairs were prepared to incorporate a model peptide – teriparatide – into an organic solvent, permitting facile electrospraying while also protecting the peptide from denaturation. Teriparatide loaded PLGA particles were generated by electrospraying from aqueous or ethanolic peptide solutions (core). A PLGA solution in chloroform (with and without co-solvents) was employed as the shell solution. The aqueous core solution led to a teriparatide encapsulation efficiency of 79.2 ± 19.8 %, which was not significantly different from the ethanolic core (57.1 ± 14.5 %). When aqueous solutions were used the process lacked reproducibility, resulting in low process yields (61.3 ± 4.0 %). In contrast, when an organic core was used a dry powder bed was achieved with a yield of 102.2 ± 8.8 %. The peptide’s integrity and biological functionality were retained after electrospraying as ion pairs, as evidenced in a cell-based PTH1R receptor binding assay.

Abnormal intrinsic brain functional network dynamics in patients with retinal detachment based on graph theory and machine learning

Backgroundand purpose: The investigation of functional plasticity and remodeling of the brain in patients with retinal detachment (RD) has gained increasing attention and validation. However, the precise alterations in the topological configuration of dynamic functional networks are still not fully understood. This study aimed to investigate the topological structure of dynamic brain functional networks in RD patients. MethodsWe recruited 32 patients with RD and 33 healthy controls (HCs) to participate in resting-state fMRI. Employing the sliding time window analysis and K-means clustering method, we sought to identify dynamic functional connectivity (dFC) variability patterns in both groups. The investigation into the topological structure of whole-brain functional networks utilized a graph theoretical approach. Furthermore, we employed machine learning analysis, selecting altered topological properties as classification features to distinguish RD patients from HCs. ResultsAll participants exhibited four distinct states of dynamic functional connectivity. Compared to the healthy control (HC) group, patients with RD experienced a significant reduction in the number of transitions among these four states. Additionally, the dynamic topological properties of RD patients demonstrated notable changes in both global and node-specific characteristics, with these changes correlating with clinical parameters. The support vector machine (SVM) model used for classification achieved an accuracy of 0.938, an area under the curve (AUC) of 0.988, and both sensitivity and specificity of 0.937. ConclusionThe alterations in the topological properties of the brain in RD patients may indicate the integration function and information exchange efficiency of the whole brain network were reduced. In addition, the topological properties hold considerable promise for distinguishing between RD and HCs.

Body ownership alterations in stroke emerge from reduced proprioceptive precision and damage to the frontoparietal network.

Stroke patients often experience alterations in their subjective feeling of ownership for the affected limb, which can hinder motor function and interfere with rehabilitation. In this study, we aimed at disentangling the complex relationship between sensory impairment, body ownership (BO), and motor control in stroke patients. We recruited 20 stroke patients with unilateral upper limb sensory deficits and 35 age-matched controls. Participants performed a virtual reality reaching task with a varying displacement between their real unseen hand and a visible virtual hand. We measured reaching errors and subjective ownership ratings as indicators of hand ownership. Reaching errors were modeled using a probabilistic causal inference model, in which ownership for the virtual hand is inferred from the level of congruency between visual and proprioceptive inputs and used to weigh the amount of visual adjustment to reaching movements. Stroke patients were more likely to experience ownership over an incongruent virtual hand and integrate it into their motor plans. The model explained this tendency in terms of a decreased capability of detecting visuo-proprioceptive incongruences, proportionally to the amount of proprioceptive deficit. Lesion analysis further revealed that BO alterations, not fully explained by the proprioceptive deficit, are linked to frontoparietal network damage, suggesting a disruption in higher-level multisensory integration functions. Collectively, our results show that BO alterations in stroke patients can be quantitatively predicted and explained in a computational framework as the result of sensory loss and higher-level multisensory integration deficits. Swiss National Science Foundation (163951).

Decrease in walking ability with increased functional connectivity between multiple brain areas in Parkinson's disease: a functional near-infrared spectroscopy study.

Gait disturbances significantly impact the mobility and quality of life of individuals with Parkinson's disease (PD). This study aims to delve into the cortical mechanisms underlying gait disorders in PD, specifically focusing on the prefrontal cortex (PFC), premotor cortex (PMC), and primary somatosensory cortex (PSC). To compare the functional connectivity of the PFC, PMC, and PSC regions during walking between individuals with PD and healthy controls. The study included 30 individuals with PD (mean age 62.40 ± 7.16 years) and 22 healthy older adults (mean age 60.95 ± 6.34 years). All participants were requested to walk back and forth at a comfortable pace for 30 s over a 10-meter course three times. A mobile functional near-infrared spectroscopy (fNIRS) system was employed to evaluate the oxyhemoglobin concentration change (∆HbO2). To assess the interactions between the PFC, PMC, and PSC, the connectivity strength between different fNIRS channels was computed. Individuals with PD in the off-state exhibited significantly decreased walking speed and shorter stride length compared to the healthy controls. For six brain regions including the left (L) and right (R) PFC, PMC, and PSC, no significant differences in functional connectivity within each region were found between the PD and control groups. However, when it comes to the functional connectivity between every two regions, the PD group exhibited stronger functional connectivity than the control group in the LPFC-LPMC, LPFC-RPMC, LPFC-LPSC, RPFC-LPMC, RPFC-LPSC, LPMC-LPSC, LPMC-RPSC, and RPMC-RPSC. Positive correlations were found between gait performance (speed and stride length) and functional connectivity within the RPMC as well as between the RPMC and the RPSC. Individuals with PD exhibit notable gait disturbances and increased functional connectivity in brain regions responsible for sensorimotor integration and motor function in their off-state. Strengthening the functional connectivity within the RPMC and between the RPMC and the RPSC could be a potential target for future treatments of gait impairments in PD.

Driving Abilities and Wearing-Off in Parkinson’s Disease: A Driving Simulation Study

Background/Objectives: Driving abilities require the synchronized activity of cerebral networks associated with sensorimotor integration, motricity, and executive functions. Drivers with Parkinson’s disease (DwP) have impaired driving ability, but little is known about the impact of “wearing-off” and therapies in addition to L-DOPA on driving capacities. This study aimed to (i) compare driving performance between DwP during different motor states and healthy controls and (ii) assess the impact of add-on therapies on driving abilities. Methods: DwP (n = 26) were enrolled as individuals experiencing wearing-off symptoms and treated (within 6 months before the enrollment) with add-on therapies to L-DOPA, including MAO inhibitors for DwP-A (n = 12) or opicapone for DwP-B (n = 14). Age- and sex-matched controls (CON, n = 12) were also enrolled. DwP received two driving assessments in a driving simulator during their “best-on” time and during their wearing-off time on different days. An anamnestic driving questionnaire was collected with the assistance of partners. A Virtual Driving Rating Scale (VDRS) was calculated, as well as learning curves (LCs) for driving items calculated in minutes. Results: DwP reported worse driving performance than CON at the driving questionnaire. In line with this, DwP showed worse VDRS (p < 0.01) and LC (p = 0.021) than CON. Lower VDRS was associated with wearing-off (p < 0.01), but DwP-B had better driving performance while in their “best-on” time (p = 0.037) and more items improving with LCs (7 vs. 3) than DwP-A. Conclusions: DwP demonstrated impaired driving compared to controls. Wearing-off symptoms can also affect driving ability, but therapies (opicapone more so than MAO inhibitors) may play a role in preserving specific driving skills, possibly through maintaining learning abilities.

Research and Case Application of Zero-Carbon Buildings Based on Multi-System Integration Function

This study focuses on developing and implementing zero-carbon buildings through the integration of multiple systems to meet China’s carbon neutrality goals. It emphasizes the significant role of the building sector in carbon emissions and highlights the challenge of increasing energy consumption conflicting with China’s “dual carbon” targets. To address this, the research proposes a comprehensive framework that combines multifunctional envelope structure (MES) systems, photovoltaic power generation, energy storage, direct current (DC) systems, flexible energy management (PEDF), and regional energy stations. This framework integrates different technologies such as phase change materials, radiation cooling, and carbon mineralized cement, aiming to reduce carbon emissions throughout the building’s lifecycle. The method has been successfully applied in the Yazhou Bay Zero Carbon Post Station project in Sanya, Hainan, with precise calculations of carbon emission reductions. The carbon emission calculations revealed a reduction of 44.13 tons of CO2 annually, totaling 1103.31 tons over 25 years, primarily due to the rooftop photovoltaic systems. It demonstrates that the multi-system integration can reduce carbon emissions and contribute to China’s broader carbon neutrality goals. This approach, if widely adopted, could accelerate the transition to carbon-neutral buildings in China.

Values‐based barriers and good practices in sustainability‐oriented innovation management

AbstractDespite growing awareness of and interest in the role values play in innovation, a systematic overview and classification of recurrent barriers to the integration of stakeholder values in innovation activities are still lacking. A comprehensive overview of good practices to facilitate the management of values for sustainability‐oriented innovation (SOI) is also missing. Due to conceptual confusion, different value frameworks and unsystematic evidence about effective practices, it is still difficult to manage values for SOI. The present study aims to bridge these gaps by gathering evidence from a comprehensive literature review and from expert interviews with 17 innovation specialists. It identifies 21 barriers and 28 good practices and classifies them according to the integrative, generative and directive functions of values. A conceptual model is proposed to explain how managing stakeholder values across the different dimensions of responsible innovation practice can facilitate SOI.

High-Flow Nasal Aerosol Therapy; Regional Aerosol Deposition and Airway Responsiveness.

Introduction: In normal subjects, during tidal breathing, aerosols deposit by settling in small airways. With obstructive lung disease (OLD), collapse of airways during expiration causes turbulence and increased deposition in central airways. High-flow nasal cannula (HFNC) therapy, washing out dead space, may affect deposition mechanisms and drug delivery. This study compared aerosol deposition and airway responsiveness in OLD after traditional and HFNC nebulization therapy. Methods: Twelve subjects with moderate to severe OLD participated in a two-day study. Spirometry was measured pre- and post-aerosol inhalation. On Day 1 (D1) subjects tidally inhaled radiolabeled albuterol (99mTc DTPA) by mouth via AeroTech II, (Biodex. Shirley, NY). Day 2 (D2) inhalation was via HFNC using i-AIRE (InspiRx, Inc. Somerset, NJ). The HFNC system (60 L/m) was infused by syringe pump at 50 mL/h. D2 lung deposition was monitored in real time by gamma camera to match D1. Pre and post heart rate, O2 sat, and nasopharyngeal deposition (NP) were measured. Mechanistic contributions were modeled using multiple linear regression (MLR) of deposition rate (DR µg/m) as a function of breathing frequency, airway geometry (FEV1), and parenchymal integrity (DLCO). Results: Albuterol lung depositions were matched (p = 0.13) with D1 central/peripheral (sC/P) ratios 1.99 ± 0.98. Following HFNC, peripheral deposition increased (31% ± 33%, sC/P = 1.51 ± 0.43, p = 0.01). D2/D1% change FVC increased by 16.1 ± 16.7% (p = 0.003). NP deposition averaged 333% of lung. Heart rate and O2 sat were unaffected (p = 0.31, p = 0.63 respectively). DR analysis was markedly different between D1 (R2 = 0.82) and D2 (R2 = 0.12). Conclusion: In subjects with OLD, HFNC nebulization at 60 L/min was well tolerated and increased peripheral drug delivery. Spirometry significantly improved. Systemic effects were undetected indicating limited nasal absorption. MLR demonstrated that different mechanisms of deposition govern traditional vs HFNC aerosol delivery. Breath-enhanced nebulization via HFNC may provide controllable and effective aerosol therapy in OLD.

Origami multifunctional metagrating for a mechanically controlled electromagnetic wavefront

Metasurface or artificial electromagnetic (EM) structures offer viable options for manipulating EM waves with compact periodic structures. Tunable metasurfaces are ideal for many engineering and scientific applications because they can manipulate EM wavefronts. However, it is challenging to implement tunable metasurfaces that can achieve multiple functions for integration. In addition, integrated multifunctional metasurfaces are often structurally complicated and bulky. This paper proposes a simple spatial modulation mechanism that uses Miura origami reconfigurable one-dimensional metagrating to achieve multiple control of EM wavefront. Theoretical predictions, numerical simulations, and experiments confirm and validate the basic concepts. In particular, the continuous geometric deformation of the Miura-ori lattice is a promising method for compensating the dispersion of characters in gradient metasurfaces. Considering origami structures’ outstanding mechanical properties and strong deformation abilities, this discovery opens up another avenue for lightweight and deployable meta-devices.

Profiling Standards to Improve Practical Interoperability

Abstract. Standard data models are key to enable a set of data integration functionalities, often characterised using the Findability, Accessibility, Interoperabilty and Reusability (FAIR) principles. However, standardisation is a process of trying to meet many requirements, and standard data models are inherently either very abstract or very comprehensive in the details. This results in several ambiguity pitfalls, inconsistent implementation of standard data models, which in turn hinders trust in the interoperability potential of standardised data, and complicates any integration processes. In practice profiling such standards is useful to overcome such issues to create more useful forms of standardised data for specific applications. However defining custom profiles typically requires a great deal of technical expertise in the underlying expression language of the standard. Maintaining access to this level of expertise is a challenge as profiles become outdated through the time and lose connection with the maintenance of the parent standard from which they originate. Therefore, in this paper, a scalable methodology is proposed, built on the OGC Building Blocks Model approach, that uses semantic modelling to support an easier composition of geospatial data models profiles which directly derive from available standards without losing the relevant dependencies that inform stakeholders which components are interoperable with other standards. The approach is tested within a digital building permit project (CHEK), in which data requirements derive from the semantics of city regulations and common geospatial standards (i.e., CityGML and INSPIRE) are used as reference.

Multichannel Data Acquisition and Monitoring System Utilizing Modbus Protocol with IIoT Automation

This paper introduces a multi-channel data acquisition and monitoring system that integrates Modbus communication protocol and IIoT automation to improve business. The system is designed to capture and monitor multiple parameter data simultaneously, providing accurate and fast measurements of variables such as temperature, humidity, and pressure in various applications. The system uses the widely used Modbus protocol, known for its reliability in industrial automation, to ensure seamless communication between interconnected devices and thus promote interoperability in more diverse aspects of the network environment. Working with IIoT automation, the system not only facilitates data collection, but also helps increase intelligence to focus on business efficiency. Its multi-channel architecture supports data obtained from eight different channels, making it adaptable to complex business processes or research operations that require high precision and scalability. In addition, the system is designed to provide a powerful and flexible solution to meet today's system business needs by prioritizing functionality and ease of integration. The ability to interpret effectively demonstrates its importance as a reliable tool for instant collection and monitoring of information in an environment where accuracy and speed are important.

Navigational Signals for Insect and Slug Parasitic Nematodes: The Role of Ascorbate-Glutathione System and Volatiles Released by Insect-Damaged Sweet Pepper Roots.

This study of underground multitrophic communication, involving plant roots, insects, and parasitic nematodes, is an emerging field with significant implications for understanding plant-insect-nematode interactions. Our research investigated the impact of wireworm (Agriotes lineatus L. [Coleoptera: Elateridae]) infestations on the ascorbate-glutathione system in sweet pepper (Capsicum annuum L.) plants in order to study the potential role in root-exudate-mediated nematode chemotaxis. We observed that an A. lineatus infestation led to a decrease in leaf ascorbate levels and an increase in root ascorbate, with corresponding increases in the glutathione content in both roots and leaves. Additionally, a pigment analysis revealed increased carotenoid and chlorophyll levels and a shift towards a de-epoxidized state in the xanthophyll cycle. These changes suggest an individual and integrated regulatory function of photosynthetic pigments accompanied with redox modifications of the ascorbate-glutathione system that enhance plant defense. We also noted changes in the root volatile organic compound (VOC). Limonene, methyl salicylate, and benzyl salicylate decreased, whereas hexanal, neoisopulegol, nonanal, phenylethyl alcohol, m-di-tert-butylbenzene, and trans-β-ionone increased in the roots of attacked plants compared to the control group. Most notably, the VOC hexanal and amino acid exudate cysteine were tested for the chemotaxis assay. Nematode responses to chemoattractants were found to be species-specific, influenced by environmental conditions such as temperature. This study highlights the complexity of nematode chemotaxis and suggests that VOC-based biological control strategies must consider nematode foraging strategies and environmental factors. Future research should further explore these dynamics to optimize nematode management in agricultural systems.

3D Bioprinting of Thick Adipose Tissues with Integrated Vascular Hierarchies

AbstractEngineering functional, thick tissues with integrated vascular architectures is crucial for advancing regenerative medicine. This study applied a novel 3D bioprinting strategy to construct thick adipose tissues featuring complex, hierarchical vascular networks. Mature adipocytes and endothelial cells are encapsulated within a collagen matrix, with structural integrity and vascular functionality ensured through a combination of bioinks. An innovative approach is utilized to establish millimetric vascular channels that connect to microvascular networks, forming a fully perfusable, hierarchical vasculature throughout the 3D bioprinted tissue. The structural stability and endothelial functionality of the vascularized constructs are assessed under continuous flow. In‐vitro analyses confirmed the integrity of the vascular networks and demonstrated the functional characteristics of the printed mature adipose cells. Direct anastomosis of the bioprinted tissue to a rat femoral artery resulted in effective vascular integration and tissue viability, as evidenced by efficient blood perfusion and significant host vascular ingrowth within the implanted tissues. The findings highlighted the potential of the presented bioprinting technique in the development of fully functional, vascularized adipose tissues suitable for surgical reconstruction and regenerative medicine applications.

Wafer-scale integration of two-dimensional perovskite oxides towards motion recognition

Two-dimensional semiconductors have shown great potential for the development of advanced intelligent optoelectronic systems. Among them, two-dimensional perovskite oxides with compelling optoelectronic performance have been thriving in high-performance photodetection. However, harsh synthesis and defect chemistry severely limit their overall performance and further large-scale heterogeneous integration. Here, we report the wafer-scale integration of highly oriented nanosheets by introducing a charge-assisted oriented assembly film-formation process and confirm its universality and scalability. The shallow-trap dominance induced by structural optimization endows the device with a distinguished performance balance, including high photosensitivity close to that of single nanosheet units and fast response speed. An integrated ultra-flexible 256-pixel device demonstrates the versatility of material-to-substrate integration and conformal imaging functionality. Moreover, the device achieves efficient recognition of multidirectional motion trajectories with an accuracy of over 99.8%. Our work provides prescient insights into the large-area fabrication and utilization of 2D perovskite oxides in advanced optoelectronics.

Mechanisms and Functions of the Cerebral-Cognitive Reserve in Patients with Alzheimer's Disease: A Narrative Review.

The need for scientific knowledge about aging is predicated on the demand of modern society to extend the active life of a person. To maintain intellectual longevity, it is necessary to take into account not only the pathological, but also compensatory mechanisms that arise during aging. The cerebral-cognitive reserve (CCR) influences the rate of transition from pre-phenomenological stages to the clinical stage of the disease, thereby changing the prognosis of Alzheimer's disease (AD). The aim of this work was to review meta-analyses from studies that have examined the principles and functions of the CCR in people with AD. The work included 83 scientific publications devoted to the issues of the CCR in neurodegenerative diseases such as AD. The Results and Discussion sections of this article provide reviews of the results of 12 meta-analyses published from 2012 to 2024 and selected from the PubMed and eLibrary databases using the following keywords in English and Russian: "cerebral reserve", "cognitive "reserve", and "Alzheimer's disease". The scope of the definition was not limited, since the goal here was to determine the terminological boundaries of the concepts of "cognitive reserve" and "single brain reserve". The modern understanding of AD as a biological continuum covering the preclinical, prodromal, and clinical phases of the disease makes it possible to infer that insufficiency of protective factors underlies the progression of AD. The cognitive reserve is involved in the sanogenetic protective mechanism during neurodegeneration. The cognitive reserve is a theoretical concept that reflects modern research's understanding of how the integrative functioning of the brain (cerebral) and cognitive reserves extend the period of active intellectual longevity through energy-saving mechanisms. It considers these mechanisms as central to healthy mental activity and in slowing the progression of neurodegenerative diseases. At some point, an increase in excess interneuronal activity that reflects the hypercompensatory function of the reserve would accelerate the depletion of brain structures and contribute to clinical and psychopathological manifestations of AD. The concept of the CCR puts the spotlight on the need to determine the compensatory indicators of cognitive deficit in AD, assess the architecture and volume of the reserve, and develop and follow protocols for its maintenance. It appears just as crucial to adopt measures to prevent the Reserve's depletion as early as at the preclinical stages of the disease. Elaborating protective and compensatory mechanisms that help to maintain the functional activity of the brain in conditions of neurodegeneration, that is, CCR, require further research and can form a conceptual basis for the prevention of AD, starting from the preclinical stages of the disease.

Study and selection of optimal rheological characteristics of piracetam gel compositions for intranasal use

Background. One of the important areas of pharmaceutical research is the creation of new, as well as improvement of existing, in-demand dosage forms, using already known drugs as active substances. Current issues are the development of drugs that activate the integrative properties and functions of the brain, as well as increase the body’s resistance to aggressive influences. Nootropics, namely piracetam and its analogues, are successfully used in neurological, psychiatric and drug treatment practice. At the same time, the intranasal route of administration is attractive for combined and longterm therapy of these diseases. when developing new intranasal compositions, the issues of choosing the optimal combination of excipients that allow the dosage form to be easily distributed in the nasal cavity must be resolved. The selection of optimal compositions based on consistency properties is possible on the basis of rheological research data, which allows not only to predict the properties of the dosage form being developed, but also to select the required composition and ratio of components. In addition, an important indicator of the quality of soft dosage forms that affects consumer properties is their stability during transportation and storage, as well as such an indicator as spreadability.Aim. Selection of the optimal composition of the gel with piracetam based on rheological characteristics and predicting the thermal and colloidal stability of the gel structure.Materials and methods. Carboxymethyl cellulose, chitosan and carbopol were chosen as the gel base. The rheological characteristics of the samples were studied by rotational viscometry on a Fungilab Premium viscometer (Spain). Data were obtained and collected using Fungilab Data Boss software; additional data processing was carried out using Microsoft Excel.Results. The gelling agent was selected and its rheological characteristics were determined.Conclusion. The optimal composition of excipients piracetam gel was selected taking into account the basic rheological parameters.

Neurodevelopmental outcomes of school-age children conceived after hysterosalpingography with oil-based or water-based iodinated contrast: long-term follow-up of a nationwide randomized controlled trial.

Does preconceptional exposure to oil-based iodinated contrast media during hysterosalpingography (HSG) impact children's neurodevelopment compared with exposure to water-based alternatives? Our study found no large-sized effects for neurodevelopment in children with preconceptional exposure to oil-based iodinated contrast media during HSG compared with water-based alternatives. HSG is widely used as a diagnostic tool in the female fertility work-up. Tubal flushing with oil-based iodinated contrast has been shown to enhance fertility outcomes in couples with unexplained infertility, increasing the chances of pregnancy and live birth compared with water-based alternatives. However, oil-based contrast contains higher doses of iodine and has a longer half-life, and concerns exist that iodinated contrast media can affect women's iodine status and cause temporary (sub)clinical hypothyroidism in mothers and/or foetuses. Considering that thyroid hormones are vital to embryonal and foetal brain development, oil-based contrast media use could increase the risk of impaired neurodevelopment in children conceived shortly after HSG. Here we examine neurodevelopmental outcomes in school-aged children conceived after HSG. This is a long-term follow-up of the H2Oil trial in which oil-based or water-based contrast was used during HSG (Netherlands; 2012-2014; NTR3270). Of 369 children born <6 months after HSG in the study, we contacted the mothers of 140 children who gave consent to be contacted for follow-up. The follow-up study took place from January to July 2022 (NCT05168228). The study included 69 children aged 6-9 years who were conceived after HSG with oil-based (n = 42) or water-based contrast (n = 27). The assessments targeted intelligence (Wechsler Intelligence Scale for Children), neurocognitive outcomes (computerized neurocognitive tests), behavioural functioning (parent and teacher questionnaires), and academic performance. Linear regression models, adjusted for age, sex, and parental educational attainment were employed to compare groups. School-aged children born to mothers after oil-based contrast HSG did not significantly differ from children born to mothers after water-based contrast HSG, in regards to intelligence, neurocognitive functioning, behavioural functioning, or academic performance, with the exception of better performance for visuomotor integration functions in children exposed to oil-based contrast preconception. After exploratory correction for multiple comparisons, none of the group differences was statistically significant. The small sample size of this follow-up study limited statistical power. This study provides evidence for the absence of large-sized differences between preconceptional exposure to the two contrast media types but does not rule out more subtle effects on neurodevelopment compared to naturally conceived children without preconceptional exposure to HSG. This study contributes to our knowledge about the long-term effects of different types of iodinated contrast media used in fertility work-up, indicating that choosing oil-based over water-based iodinated contrast media is unlikely to have major effect on the long-term neurodevelopmental outcomes of children conceived shortly after HSG. However, further research should focus on the overall safety of iodine exposure during HSG, comparing children conceived after HSG to those conceived naturally as both types of contrast contain high amounts of iodine. The original H2Oil randomized controlled trial was an investigator-initiated study that was funded by the two academic hospitals now merged into the Amsterdam University Medical Centre. The current follow-up study (Neuro-H2Oil) is funded through a research grant awarded to the authors by the Amsterdam Reproduction & Development (AR&D) research institute. S.K. is funded by a AMC MD/PhD Scholarship from the Amsterdam UMC. S.K. reports holding voluntary roles in the civil society organizations Universities Allied for Essential Medicines and People's Health Movement. V.M. reports receiving travel and speaker fees as well as research grants from Guerbet, Merck and Ferring. K.D. reports receiving travel and speaker fees as well as research grants from Guerbet. BWM is supported by a NHMRC Investigator grant (GNT1176437) and reports consultancy, travel support and research funding from Merck, consultancy for Organon and Norgine, and holding stock from ObsEva. The other authors report no conflict of interest. NCT05168228.

The impact of auditory integration on motor functional disorder in children with attention deficit hyperactive disorder (ADHD)

Background and objectives. The primary focus of ADHD research and treatment has been on cognitive and behavioral aspects, there is growing evidence suggesting a significant relationship between ADHD and motor functional disorders. This comprehensive review examines the impact of auditory integration on motor functional disorders in children with ADHD. Materials and methods. We explore the neurological basis of auditory processing in ADHD, the relationship between auditory integration and motor function, and the potential therapeutic applications of auditory integration techniques in improving motor outcomes for children with ADHD. Conclusions. Our analysis encompasses a wide range of studies, including neuroimaging, behavioral, and intervention research, to provide a holistic understanding of this complex interplay motor function among children with ADHD, offering promising avenues for targeted interventions and improved outcomes.