Low Weight Research Articles

Prenatal exposure to non-persistent chemicals and fetal-to-childhood growth trajectories.

Prenatal exposure to non-persistent chemicals, including organophosphate pesticides, phthalates, and bisphenols, is associated with altered fetal and childhood growth. Few studies have examined these associations using longitudinal growth trajectories or considering exposure to chemical mixtures. Among 777 participants from the Generation R Study, we used growth mixture models to identify weight and body mass index (BMI) trajectories using weight and height measures collected from the prenatal period to age 13. We measured exposure biomarkers for organophosphate pesticides, phthalates, and bisphenols in maternal urine at three timepoints during pregnancy. Multinomial logistic regression was used to estimate associations between averaged exposure biomarker concentrations and growth trajectories. We used quantile g-computation to estimate joint associations with growth trajectories. Phthalic acid (OR: 1.4, 95% CI: 1.01, 1.9) and bisphenol A (BPA; OR: 1.5, 95% CI: 1.0, 2.2) were associated with higher odds of a growth trajectory characterized by smaller prenatal and larger childhood weight relative to a referent trajectory of larger prenatal and average childhood weight. Biomarkers of organophosphate pesticides, individually and jointly, were associated with lower odds of a growth trajectory characterized by average prenatal and lower childhood weight. Exposure to phthalates and BPA was positively associated with a weight trajectory characterized by lower prenatal and higher childhood weight, while exposure to organophosphate pesticides was negatively associated with a trajectory of average prenatal and lower childhood weight. This study is consistent with the hypothesis that non-persistent chemical exposures disrupt growth trajectories from the prenatal period through childhood.

Wastewater as a nutrient source for hydroponic production of lettuce: Summer and winter growth

Solutions combining soilless cropping systems with wastewater reuse can offer benefits in the agriculture sector, reducing pressure on water resources, promoting sustainable production, and reclaiming wastewater. However, assessing the sanitary risks associated with wastewater reuse is of utmost importance. This study aimed to investigate the hydroponic growth of lettuce (Lactuca sativa var. crispa L.) in wastewater from an urban treatment plant with different levels of treatment and evaluate potential sanitary risks. Crop growth took place in a greenhouse, during summer and winter periods, using wastewater after primary (PTW) or secondary (STW) treatment, and a nutrient solution (NS), as control. Physical and chemical water quality parameters, morphological crop growth parameters, and environmental conditions inside the greenhouse were monitored. Toxicity analyses were carried out through cell viability assays with the Caco-2 cell line and total coliforms and Escherichia coli (E. coli) were determined. Wastewater-grown plants achieved acceptable growth, even though presenting lower fresh weight than NS-plants. STW-plants’ growth was limited essentially by nutrient deficiency, and PTW-plants were affected by nutrient deficiency, pH values, solid load, and N-NO2 concentration. Higher temperatures in summer led to faster crop growth, and lower temperatures in winter allowed better nutrient uptake by the crop. Wastewater-grown plants did not evidence toxicity in leaf extracts up to 1% w/v. Coliform enumeration data indicated an accumulation in plant roots, with high removal from the wastewater. E. coli was not detected on plants’ leaves and total coliforms were within acceptable limits. Furthermore, the results point to an improvement in the wastewater quality, with minimum removal values of 75.2% BOD5, 83.1% COD, 43.4% P, 44.9% N, and 90.4% K.The results demonstrated the viability of wastewater reuse for hydroponic production allowing a better understanding of its processes and contributing to mitigating water scarcity for food production, and the impacts of treated wastewater discharge in freshwater courses, particularly those associated with nutrient delivery to aquatic systems.

Effect of Two Forms of Tenofovir on Duodenal Enterocytes - a Hypothesis for Different Effect of TDF and TAF on Body Weight and Plasma Lipids.

Tenofovir disoproxil fumarate (TDF) compared to tenofovir alafenamide (TAF) leads to lower body weight and plasma lipids by an unknown mechanism. We hypothesize that TDF, when absorbed, may damage enterocytes of the proximal duodenum, leading to reduced absorption of nutrients. People living with HIV, without significant gastrointestinal symptoms, receiving TDF (n=12) or TAF (n=12) containing regimen underwent esophagogastroduodenoscopies with duodenal biopsies. Plasma/serum concentrations of nutrients absorbed from proximal duodenum and serum intestinal fatty-acid-binding protein (I-FABP), a marker of enterocyte damage, were measured. COX/SDH histochemical staining and electron microscopy (EM) were conducted to evaluate mitochondria. Five patients in TDF (celiac disease (excluded from further analyses), helicobacter gastritis, and three esophagitis) and two in TAF group (two esophagitis) had a pathological finding in esophagogastroduodenoscopy. Villi were flatter (337 (59) vs. 397 (42) μm, p=0.016), crypts non-significantly deeper (200 (46) vs. 176 (27) μm, p=0.2), and villus to crypt ratio lower (1.5 (0.42) vs. 2.5 (0.51), p=0.009) in TDF vs. TAF group. I-FABP concentration was higher in TDF vs. TAF group (3.0 (1.07) vs. 1.8 (0.53) ng/ml, p=0.003). TDF group had numerically but not statistically significantly lower concentrations of folate, vitamins A, B1, D, and E. COX/SDH staining showed signs of mitochondrial damage in 10 participants in TDF and 11 in TAF group. EM studies showed similar mitochondrial damage in both groups. Duodenal villous alterations may explain TDF-associated decrease in body weight and plasma lipids. Larger studies are needed to evaluate concentrations of nutrients absorbed from duodenum among TDF users.

Association Between Low Kidney Function and Excess Weight Concerning Unfavourable Periodontal Health among Community-dwelling Older Japanese Women.

To investigate the association of low renal function and overweight with poor periodontal condition in community-dwelling older Japanese women. In total, 359 older women (age range: 55-74 years) participated in this study. Two periodontal parameters - the number of teeth with a probing pocket depth (PPD) or clinical attachment level (CAL) ≥ 4 mm - were used as the dependent variables. The principal independent variables were low renal function as defined by the estimated glomerular filtration rate (eGFR) and overweight as defined by the body mass index. Poisson regression analysis was used to calculate the ratio of means (RM). The RMs of the number of teeth with a PPD or CAL ≥ 4 mm in an adjusted model without an interaction term were 1.21- or 1.27-fold higher among those with an eGFR < 60, while those among the participants with an eGFR < 60 in the adjusted model with interaction terms for the number of teeth with a PPD or CAL ≥ 4 mm were 1.43- or 1.36-fold higher. In addition, increments of periodontal risk with low renal function and overweight showed a slightly smaller to negative trend. The present findings suggest a connection between unfavourable periodontal health and both renal function and being overweight among older Japanese women. A weak negative interaction was also found between poor renal condition and overweight in relation to periodontal condition.

A REVIEW LITERATURE ON KARSYA &amp; IT’S MANAGEMENT WITH SANTARPANA MANTHA

Undernutrition is globally considered as a major health hazards in the developing country of the world. Under nutritional status is sensitive indicator of community health and nutrition. Under nutrition which is directly known as wasting (low weight for height), stunting (low height for age), underweight (low weight for age).Karshya is the term mainly related to underweight condition of malnutrition. Due to malnutrition patients suffers from immunological deficiency and becomes more exposure to be affected with multiple diseases A standardized study of Karshya literature and its management eradicate nutritional deficiency. Ayurveda is mainly based on preventive aspect first rather than curative. Karshya1 is mentioned as Aptarpanjanaya Vyadhi 1 in Ayurveda. KEYWORDS: Undernutrition, Wasting, Stunting, Underweight, Karshya, Aptarpanjanya Vyadhi.

Enhancing non-intrusive reduced-order models with space-dependent aggregation methods

AbstractIn this manuscript, we combine non-intrusive reduced-order models (ROMs) with space-dependent aggregation techniques to build a mixed-ROM, able to accurately capture the flow dynamics in different physical settings. The flow prediction obtained using the mixed formulation is derived from a convex combination of the predictions of several previously trained reduced-order models (ROMs), with each model assigned a space-dependent weight. The ROMs incorporated in the mixed model utilize different reduction methods, such as proper orthogonal decomposition and autoencoders, and various approximation techniques, including radial basis function interpolation (RBF), Gaussian process regression, and feed-forward artificial neural networks. Each model’s contribution is given higher weights in regions where it performs best and lower weights where its accuracy is lower compared to the other models. Additionally, a random forest regression technique is used to determine the weights for previously unseen conditions. The performance of the aggregated model is assessed through two test cases: the 2D flow past a NACA 4412 airfoil at a 5-degree angle of attack, with the Reynolds number ranging between $$1 \times 10^{5}$$ 1 × 10 5 and $$1 \times 10^{6}$$ 1 × 10 6 , and a transonic flow over a NACA 0012 airfoil, with the angle of attack as the varying parameter. In both scenarios, the mixed-ROM demonstrated improved accuracy compared to each individual ROM technique, while providing an estimate for the predictive uncertainty.

Structural Colors Derived from the Combination of Core–Shell Particles with Cellulose

Combining cellulose‐based components with functional materials is highly interesting in various research fields due to the improved strength and stiffness of the materials combined with their low weight. Herein, the mechanical properties of opal films are improved by incorporating cellulose fibers and microcrystalline cellulose. This is evidenced by the increase in tensile strength of 162.8% after adding 10 wt% of microcrystalline cellulose. For this purpose, core–shell particles with a rigid, crosslinked polystyrene core and a soft shell of poly(ethyl acrylate) and poly(ethyl acrylate‐co‐hydroxyethyl methacrylate) are synthesized via starved‐feed emulsion polymerization. The synthesized particles’ well‐defined shape, morphology, and thermal properties are analyzed using transmission electron microscopy, scanning electron microscopy, and differential scanning calorimetry measurements. Free‐standing mechanochromic opal films with incorporated cellulose and structural colors are obtained after processing the core–shell particles with cellulose via extrusion and the melt‐shear organization technique. The homogeneous distribution of the cellulose within the composite material is investigated using fluorescent‐labeled cellulose. The opal film's angle‐dependent structural color is demonstrated using reflection spectroscopy.

Optimization of the cold‐side heat exchanger design to improve the performance of the motorcycle exhaust thermoelectric generator

AbstractThis study optimizes the main parameters of the cold‐side heat exchanger (CHE) longitudinal fin, including fin quantity (Nf), fin thickness (Tf), and fin height (Hf), to enhance the performance of motorcycle exhaust thermoelectric generator units (TGUs) utilizing the computational fluid dynamics approach. The investigation shows that these parameters significantly affect the dissipation area of the CHE heat and the outside air velocity distribution in fin gaps, resulting in the fluctuation of TGU output power. The output power increases with respect to Hf; nevertheless, it first increases as Nf and Tf increase but decreases dramatically when Nf or Tf becomes too large. Besides, Hf significantly affects output power, and its impact is almost independent of Tf and Nf, and vice versa; meanwhile, Tf and Nf have a strong relation. This study proposes two Hf of 40 and 60 mm along with the optimal Tf of 1 mm and Nf of 29, providing significantly high output power, low weight, and compact size for TGU. This work contributes insight into the effect of CHE parameters on the TGU performance, and it is a crucial case study for selecting suitable heat sink parameters for TGU, considering practical requirements and conditions.

Maternal exposure to phenanthrene induces testicular apoptosis and Sertoli cell dysfunction in F1 adult male mice: a histological and molecular study.

Phenanthrene, a polycyclic aromatic hydrocarbon, is found in abundance in environmental pollutants, food, and drinking water. This substance can accumulate in body tissues and exert harmful effects. Moreover, phenanthrene can cross the placental barrier, potentially impacting fetal development. We aimed to explore the impacts of maternal exposure to phenanthrene on testicular tissue and Sertoli cell function in F1 mice. Female rats with vaginal plugs were randomly assigned to one of three groups: control, sham, or phenanthrene. The control group received no intervention during pregnancy. In the sham and phenanthrene groups, corn oil and a phenanthrene solution, respectively, were administered via gavage once every 2 days. Offspring were separated by sex 21 days after birth. At 56 days postnatal, male F1 offspring were euthanized, and their testes were harvested for histological and molecular analyses. Phenanthrene exposure was associated with a lower testicular weight and volume, a smaller diameter of the seminiferous tubules, and a relative thinning of the germinal epithelium. These changes were associated with increased cellular apoptosis, as shown by the upregulation of caspase 3 expression. Additionally, we observed an increase in vacuolization and residual bodies within the tissue. Conversely, the number of Sertoli cells and expression levels of Sox9, as well as the Ocln and Itgb1 genes, were found to be lowered. Maternal exposure to phenanthrene impacts both germ cells and Sertoli cells, disrupting their function and leading to fertility disorders in male F1 offspring mice.

Influence of fecal fermentation on the anthelmintic activity of proanthocyanidins and ellagitannins against human intestinal nematodes and Caenorhabditis elegans

Some tannin-rich plants such as Combretum mucronatum and Phyllanthus urinaria are widely used in Africa for the control of parasitic nematodes in both humans and livestock. Tannins have been recognized as an alternative source of anthelmintic therapies, and hence, recent studies have focused on both the hydrolyzable and condensed tannins. These groups of compounds, however, have poor oral bioavailability and are metabolized by gut microbiota into lower molecular weight compounds. The role of these metabolites in the anthelmintic activities of tannins has not been explored yet. This study investigated the effects of fecal metabolism on the anthelmintic potential of procyanidin C1 (PC1) and geraniin and the tannin-enriched extracts of C. mucronatum (CML) and P. urinaria (PUH), which contain these compounds, respectively. Metabolites were formed by anaerobic fermentation of the test compounds and extracts in a fresh human fecal suspension for 0 h, 4 h, and 24 h. Lyophilized samples were tested in vitro against hookworm larvae and whipworm (Trichuris trichiura) larvae obtained from naturally infected human populations in Pru West District, Bono East Region, Ghana, and against the wildtype strain of Caenorhabditis elegans (L4). Both extracts and compounds in the undegraded state exhibited concentration-dependent inhibition of the three nematodes. Their activity, however, significantly decreased upon fecal metabolism. Without fermentation, the proanthocyanidin-rich CML extract was lethal against hookworm L3 (LC50 = 343.5 μg/mL, 95% confidence interval (CI) = 267.5–445.4), T. trichiura L1 (LC50 = 230.1 μg/mL, CI = 198.9–271.2), and C. elegans (LC50 = 1468.1 μg/mL, CI = 990.3–1946.5). PUH, from which the ellagitannin geraniin was isolated, exhibited anthelmintic effects in the unfermented form with LC50 of 300.8 μg/mL (CI = 245.1–374.8) against hookworm L3 and LC50 of 331.6 μg/mL (CI = 290.3–382.5) against T. trichiura L1, but it showed no significant activity against C. elegans L4 larvae at the tested concentrations. Similarly, both compounds, procyanidin C1 and geraniin, lost their activity when metabolized in fecal matter. The activity of geraniin at a concentration of 170 μg/mL against C. elegans significantly declined from 30.4% ± 1.8% to 14.5% ± 1.5% when metabolized for 4 h, whereas that of PC1 decreased from 32.4% ± 2.3% to 8.9% ± 0.9% with similar treatment. There was no significant difference between the anthelmintic actions of metabolites from the structurally different tannin groups. The outcome of this study revealed that the intact bulky structure of tannins (hydrolyzable or condensed) may be required for their anthelmintic action. The fermented products from the gut may not directly contribute toward the inhibition of the larvae of soil-transmitted helminths.

The LTAR Grazing Land Common Experiment at the Central Plains Experimental Range: Collaborative adaptive rangeland management.

Semiarid rangelands throughout the western Great Plains support livestock production and many other ecosystem services. The degree to which adaptive multi-paddock (AMP) grazing management approaches can help achieve desired ecosystem services remains unclear. At the Central Plains Experimental Range in northeastern Colorado, a management-science partnership with a diverse stakeholder group is comparing collaborative adaptive rangeland management (CARM), designed to incorporate AMP principles, to traditional rangeland management (TRM), consisting of season-long grazing during the growing season. Each treatment was implemented on a set of 10, 130-ha pastures paired by soils, topography, and plant communities to evaluate how CARM affects vegetation (composition and production), livestock production (steer weight gain), and wildlife habitat (vegetation structure for grassland birds). For the first 5 years of the experiment, CARM cattle were managed as a single herd using AMP grazing with planned year-long rest in 20% of the pastures. Relative to TRM, CARM enhanced heterogeneity in vegetation structure across the landscape, benefiting two grassland bird species. However, this came at the cost of 12%-16% lower steer weight gains in CARM versus TRM and declining populations of a third bird species of conservation concern in both treatments. Here we discuss how increased understanding of ecological and social processes during the experiment's first 5 years led to changes in the CARM treatment and management objectives during the next 5 years. We also discuss how innovations in remote sensing, environmental sensors, ecosystem modeling, social learning, and economic analyses are being integrated into and supported by the CARM experiment.

Airway diseases in very low birth weight infants.

To identify the incidence and characteristics of airway diseases in very low birth weight infants (VLBWIs). A retrospective study of 214 inborn VLBWIs admitted to our NICU between April 2009 and March 2022 (approval no: 2023-0008). Neonatologists ourselves performed bronchoscopy to diagnose airway diseases. Symptomatic airway diseases were present in 36/214 (16.8%) of VLBWIs. Common airway diseases were tracheobronchomalacia (TBM) and pharyngomalacia. Infants with airway diseases had shorter gestational age, lower birth weight, more boys, and more moderate/severe bronchopulmonary dysplasia (BPD). Regarding treatment, more infants with airway diseases required intubation were intubated longer, used more dexamethasone, were on ventilators and oxygen longer, and were hospitalized longer. We found that VLBWIs were more frequently complicated with airway diseases, especially TBM. We also observed many pharyngeal lesions, which have not been previously reported. Intensity of prematurity, BPD, and the need for stronger respiratory management were risks for airway diseases. In VLBWIs, bronchoscopy should be actively performed because airway diseases are important complications.

Comparing the Anthropometrics, Body Composition, and Strength Performance of Male and Female Italian Breaking Athletes: A Pilot Study

Breaking is a performative art that has recently undergone a process of sportification, developing into an aesthetic sport included in the 2024 Paris Olympic Games. Despite its growing worldwide popularity, there is a lack of research on Breaking. Accordingly, this pilot study’s aim was twofold: (a) to provide an initial understanding of the anthropometric measures, body composition data, somatotype profiles, and strength performance of male (B-boys) and female (B-girls) Italian Breakers divided into elite (international) and sub-elite (national) levels and (b) to guide further research on the area, providing the methodological approach for future investigations. A total of 24 B-boys (elite n = 5; sub-elite n = 19) and 9 B-girls (elite n = 3; sub-elite n = 6) were included in this study. Descriptive analyses revealed that B-boys and B-girls displayed low height and weight (1.70 m (63.8 kg) and 1.58 m (54.2 kg), respectively), low levels of body fat percentages (10.3% and 17.6%, respectively), and a balanced mesomorph somatotype (2.28–4.64–2.69 and 2.34–5.16–2.38, respectively), revealing a marked development of muscular mass. Due to the small sample size, Welch’s test and correlation analyses did not report any elite vs. sub-elite difference. It was hypothesized that Breakers’ morphological profiles result from the selection procedures and training regimens related to Breaking aesthetic, athletic, and physiological demands.

3D printing of functionally graded nanocomposites: An investigation of microstructural, rheological, and mechanical behavior

AbstractManufacturing functionally graded material through 3D printing is challenging owing to the deposition of different materials with different thermal properties in each layer, leading to a higher thermal gradient between deposited and depositing layers, resulting in improper bonding between them and, hence, reduced mechanical properties. This study focuses on 3D printing of functionalized multi‐walled carbon nanotubes (MWCNTs)/high‐density polyethylene (HDPE)‐based lightweight functionally graded nanocomposites (FGNCs) and their investigation for microstructural, rheological, physical, and mechanical properties. Functionalized MWCNTs (0.5% → 5%) are initially compounded with widely utilized HDPE to develop nanocomposites (H0.5→H5 pellets) for extruding filaments for 3D printing. 3D‐printed FGNC samples are investigated through scanning electron microscopy (SEM), rheology, density, tensile, and flexural tests. SEM and rheology confirm the homogeneous dispersion of the filler in HDPE and the processing parameters suitability in blending, extrusion, and 3D printing. Complex viscosity (η*), loss modulus (E″), and storage modulus (E′) of FGNCs increase, while the damping decreases with the MWCNTs rise in the graded layers. Density results revealed the highest weight saving potential (~12%) of FGNC‐2 (H1–H3–H5), showing great weight saving potential. Tensile and flexural properties rise when the MWCNTs content rises in the graded layer. The FGNC‐2 showed the highest tensile strength and moduli, 37.12% and 90.41% higher than HDPE. Flexural strength and moduli are also found to be the highest for FGNC‐2, 28.57%, and 26.83% higher than HDPE. The highest specific moduli and strength are found for FGNC‐2, 46.16% and 44.14% higher than HDPE, respectively. Experimental findings are found to be strongly in agreement with numerical findings. 3D‐printed FGNC‐2 demonstrated the best flexural and tensile characteristics with the lowest weight and hence can be used to make practical parts and structures that need variable stiffness.Highlights FGNCs functionally graded n anocomposites are concurrently 3D printed. FGNC‐2 exhibited the highest weight saving potential of 12%. FGNC‐2 showed 90.41% and 37.12% enhanced tensile modulus and strength. FGNC‐2 displayed 28.57% and 26.83% improved flexural strength and modulus. FGNCs exhibited better mechanical performance than the homogeneous NCs.

Clozapine Safety in Pregnancy: A Clinical Study.

Pregnant women with persistent schizophrenia and related disorders may require ongoing antipsychotic treatment, including clozapine. However, the potential risks of using clozapine during pregnancy and the postnatal period remain uncertain. We conducted a nested case-control study using the National Register of Antipsychotic Medication in Pregnancy (NRAMP) database. Our study assessed pregnancy outcomes among Australian women diagnosed with schizophrenia spectrum disorder and treated with clozapine (n = 14) during the first trimester. These women were compared to 2 subgroups: those treated with quetiapine (n = 53) and those not taking any medication (n = 24) during pregnancy. We observed higher rates of miscarriage in the clozapine group compared to the quetiapine and drug-free groups. The clozapine group had a higher early pregnancy body mass index but lower overall pregnancy weight gain than the other groups. The prevalence of gestational diabetes was significantly higher in the clozapine group. The percentage of vaginal delivery was higher in the clozapine group than in the other 2 groups. Neonatal outcomes such as gestational age, and Apgar scores were similar across groups. The birth weight was lower in the clozapine group compared to the other 2 groups. This study suggests that pregnant women taking clozapine and their babies have greater adverse outcomes compared to other groups. Clozapine appears to be associated with a greater risk of miscarriages, maternal gestational diabetes, and lower birth weight. However, the gestational age, Apgar scores, and admission to NICU/SCN were comparable between all groups.

PGD2/DP1 axis promotes liver regeneration by secreting Wnt2 in Kupffer cells in mice.

The liver possesses a remarkable regenerative capacity in response to injuries or viral infections. Various growth factors and cytokines are involved in regulating liver regeneration. Prostaglandin (PG) D2, a pro-resolution lipid mediator, is the most abundant hepatic prostanoid. However, the role of PGD2 in the injury-induced liver regeneration remains unclear. Two-thirds partial hepatectomy (70% PH), massive hepatectomy (85% resection), and carbon tetrachloride-induced chronic injury were performed in mice to study the mechanisms of live regeneration. Hepatic PGD2 production was elevated in mice after PH. Global deletion of D prostanoid receptor (DP) 1, but not DP2, slowed PH-induced liver regeneration in mice, as evidenced by lower liver weight to body weight ratio, less Ki67+ hepatocyte proliferation, and G2/M phase hepatocytes. Additionally, DP1 deficiency specifically in resident Kupffer cells (KCs), and not in endothelial cells or hepatic stellate cells, retarded liver regeneration in mice post-PH. Conversely, the overexpression of exogenous DP1 in KCs accelerated liver regeneration in mice. Mechanistically, DP1 activation promoted Wnt2 transcription in a PKA/CREB-dependent manner in resident KCs and mediated hepatocyte proliferation through Frizzled8/β-catenin signaling. Adeno-associated virus vector serotype 8 (AAV8)-mediated Frizzled8 knockdown in hepatocytes attenuated accelerated liver regeneration in KC-DP1 transgenic mice post-PH. Treatment with the DP1 receptor agonist BW245C promotes PH-induced liver regeneration in mice. DP1 activation mediates crosstalk between KCs and hepatocytes through Wnt2, and facilitates liver regeneration. Hence, DP1 may serve as a novel therapeutic target in acute and chronic liver diseases.

Low CD4 counts predict excessive weight gains during first-line treatment for HIV.

Weight gain is common after antiretroviral initiation, especially among females, those of black race and lower baseline CD4, although this may potentially be due to lower baseline weight. Use of tenofovir disoproxil fumarate or efavirenz can suppress weight gain. Data were pooled from the ADVANCE (n = 1053), NAMSAL (n = 613) and WHRI001 (n = 536) trials investigating first-line regimen. Week 96 weight and body mass index (BMI) was stratified by baseline CD4. Multivariable models of weight change and incident obesity (BMI ≥30 kg/m2) were adjusted for baseline CD4, age, sex, tenofovir disoproxil fumarate, efavirenz, baseline BMI and trial. Participants across all treatment arms experienced weight gain from baseline to week 96, with baseline CD4 count, baseline HIV RNA, tenofovir alafenamide and dolutegravir use, and female sex significant predictors. Mean unadjusted weight change was highest with CD4 < 100 (+8.6 kg; SD = 8.2) and lowest with CD4 ≥ 350 (+3.0 kg; SD = 6.5). This weight gain in CD4 < 100 was highest for participants on tenofovir alafenamide-inclusive treatment, such that absolute weight at week 96 was highest in the CD4 < 100 group. Although not statistically significant, obesity rate (BMI ≥ 30 kg/m2) in those taking TAF/FTC + DTG with CD4 < 100 overtook that seen in CD4 ≥ 350, despite lower baseline obesity prevalence. The unadjusted findings were corroborated in multivariable longitudinal models. Participants with low CD4 may demonstrate significant 'overshoot' weight gain, in addition to 'return to health', with a trend towards increased risk of obesity when initiated on TAF/FTC + DTG. Use of tenofovir disoproxil fumarate and efavirenz were associated with smaller weight gains. Effective weight management strategies are needed, especially for individuals with low baseline CD4.

Maternal AMPK pathway activation with uterine artery blood flow and fetal growth maintenance during hypoxia.

High altitude (HA) hypoxia lowers uterine artery (UtA) blood flow during pregnancy and birth weight. Adenosine monophosphate kinase (AMPK) activation has selective, uteroplacental vasodilator effects which lessen hypoxia-associated birth weight reductions. In this study, we determined the relationship between AMPK-pathway gene expression and metabolites in the maternal circulation during HA pregnancy as well as with the maintenance of UtA blood flow and birth weight at HA. HA (2793 m) vs low altitude (LA; 1640 m) residents had smaller UtA diameters at weeks 20 and 34, lower UtA blood flow at week 20, and lower birth weight babies. At week 34, HA vs LA women had decreased expression of up- and down-stream AMPK-pathway genes. Expression of the a-1 AMPK catalytic subunit, PRKAA1, correlated positively with UtA diameter and blood flow at week 20 (HA) and 34 (LA). Downstream AMPK-pathway gene expression positively correlated with week 20 fetal biometry at both altitudes and with UtA diameter and birth weight at LA. Reduced gene expression of AMPK activators and downstream targets in HA versus LA women, together with positive correlations between PRKAA1 gene expression, UtA diameter, and blood flow suggest that greater sensitivity to AMPK activation at mid-gestation at HA may help offset later depressant effects of hypoxia on fetal growth.

Thermite frass biomass and surface modified biowaste coir fiber reinforced biocomposites-Conversion of waste to useful products.

Polymer composites are known for its light weight and specific mechanical characteristics. This study examines sodium hydroxide (NaOH)-treated coir fiber, an agro-leftover, stuffed in a polyester matrix with termite frass powder, a bio-leftover for possible use in light-weight structural applications. Composite samples were made using compression molding and NaOH-treated coir fiber reinforced hybrid polymer composite (TCRHPC) with 40 wt% treated coir fiber and 1, 2, 3, and 4 wt% termite frass powder. TCRHPC samples mechanical, water captivation, tribological, and thermal properties were affected by termite frass powder wt%. The TCRHPC sample with 3 wt% termite frass powder has excellent mechanical properties, which improved by tensile (41.6%), flexural (28.57%), impact (43.7%), and hardness (18.84%) properties. With perfect water captivation and low weight increases in normal water (0.017 g), seawater (0.015 g), and NaOH solution (0.010 g), the identical composite sample with thermal stability up to 238°C also reduced wear mass by 5.27%. Conversely, filler agglomeration and heterogeneous dispersion in composite sample impair thermo-mechanical characteristics of TCRHPC containing 4 wt% termite frass powder. The bonding among polyester, treated coir fiber, and termite frass powder in composites were appraised with the aid of fractographic images of TCRHPC samples. The results show that TCRHPC material suits well for support structures requiring lesser weight.

Antibiotics and beyond: Unraveling the dynamics of bronchopulmonary dysplasia in very preterm infants.

Bronchopulmonary dysplasia (BPD) remains a significant challenge in neonatal care. Prenatal inflammation and neonatal sepsis contribute to the multifactorial nature of BPD. A potential association between empirical antibiotic therapy and BPD risk has been proposed due to microbiota dysbiosis in very low birth weight premature infants. A single centered retrospective cohort study of preterm infants (24-32 weeks gestation) from 2014 to 2021. The study compared groups that received empirical antibiotics in the first days of life and those that did not receive any antibiotic in the first days of life. The primary outcomes studied were BPD, death, and the combined outcome of BPD/death. Statistical analysis employed t-tests, Mann-Whitney U, Chi-square, and logistic regression. Of 454 preterm infants, 61.5% received antibiotics. This group had lower gestational age, birth weight, and Apgar scores. Antibiotic use was associated with higher incidence of BPD (35.5% vs. 10.3%), death (21.5% vs. 8.6%), and combined outcomes (54.5% vs. 18.3%). In multivariate analysis, antibiotic use independently associated with BPD (OR 2.58, p < 0.001) and combined outcome BPD/death (OR 2.06, p < 0.02). Antenatal corticosteroids provided protection against BPD, but not mortality. This study suggests an association between early empirical antibiotic use and BPD in preterm infants, emphasizing the need for judicious antibiotic practices in neonatal care.