Mixed Group Research Articles

Visual Telerehabilitation with Visually Impaired Children: From the Pandemic Emergency to a Stand-Alone Method

In the last two years, orthoptists have counteracted patient drop-out through visual telerehabilitation. Efforts were made to transfer the in-person visual rehabilitation setting to the telematic environment in response to the worldwide crisis. Nowadays, statistical evidence on the effects of visual telerehabilitation is still scarce. The present research is the first, in Italy, to offer a pre-post assessment of the impact of visual telerehabilitation. Twenty-four (n = 24) children (64% male, 14% monocles) aged 4 to 15 years (mean age = 9.21 years, SD = 3.36, mean residual vision 1.3/10) were randomly assigned to three different group types for rehabilitation: a telematic rehabilitation group (n = 7), a mixed rehabilitation group (n = 8), and an in-person rehabilitation group (n = 9). Each group underwent a six-week visual rehabilitation. Ergo-perimetric evaluation before and after the rehabilitation was administered to the three groups. t-tests showed a significant improvement in ergo-perimetric outcomes in the visual telerehabilitation group (p < 0.05) and in the mixed rehabilitation group (p < 0.01), via a shortening of the response times. The findings suggest that visual telerehabilitation and mixed rehabilitation can lead to an ergo-perimetric improvement in visually impaired children within six weeks. Further research is needed, both to corroborate the findings with a larger sample size and to attain a follow-up measurement in order to clarify whether visual telerehabilitation could represent a stand-alone method.

Study and Neural Network Analysis on Durability of Basalt Fibre Concrete

In order to investigate the law of basalt fibre to enhance the durability of concrete, this paper selects basalt fibre length as the main factor, supplemented by novel research methods such as neural networks, to study the rule of concrete resistance to multiple types of salt erosion. Tests have shown that large doses of mineral admixtures and basalt fibres can prolong the time that concrete is eroded by salt solutions; the age of maintenance has a small effect on the mechanical and durability of the concrete; the increase in length of basalt fibres enhances the mechanical properties of the concrete, but weakens the durability. This is exacerbated by the mixing of fibres, but the increase is not significant; the effect of length on concrete resistance to mass loss, corrosion resistance factor of compressive strength, and resistance to chloride ion attack is ranked as follows: 6 mm &gt; 12 mm &gt; 18 mm &gt; 6 mm + 12 mm &gt; 6 mm + 12 mm + 18 mm. The opposite is true for effective porosity; the highest compressive strength corrosion resistance coefficient was found in the length of 6 mm, with an average increase of 6.2% compared to 18 mm, and the mixed group was generally smaller than the single mixed group. The average increase in chloride content was 25.1% for length 18 mm compared to 6 mm; the triple-doped L6-12-18 group was the largest, with an average increase of 33.9% in effective porosity over the minimum 6 mm group. Based on the data from the above indoor trials, artificial neural network models and grey cluster analysis were used to predict and analyse the data, and the prediction and categorisation results were accurate and reliable, providing a reference for subsequent studies.

Prevalence, causes, and impact of non-visualized pregnancy losses in a recurrent pregnancy loss population.

Does the occurrence of non-visualized pregnancy loss (NVPL) affect future reproductive outcomes in patients with recurrent pregnancy loss (RPL)? The number of previous NVPLs is a significant predictor of subsequent live birth in patients with RPL. The number of preceding miscarriages is a strong indicator for future reproductive outcomes. However, NVPL particularly has been sparsely addressed in previous literature. We performed a retrospective cohort study of 1981 patients attending a specialized recurrent pregnancy loss clinic (RPL) from January 2012 to March 2021. A total of 1859 patients met the inclusion criteria of the study and were included in the analysis. Patients with a history of RPL, defined as ≥2 pregnancy losses before 20 weeks gestation, who attended a specialized RPL clinic in a tertiary care center were included. Patients' evaluation included parental karyotyping, antiphospholipid antibodies screening, uterine cavity assessment with hysterosalpingography (HSG) or hysteroscopy, maternal thyroid stimulating hormone (TSH) testing, and serum hemoglobin A1C testing. Other investigations were performed only when indicated such as testing for inherited thrombophilias, serum prolactin, oral glucose tolerance test, and endometrial biopsy. Patients were divided into three groups; patients who experienced NVPLs only (pure NVPLs group), patients with only visualized pregnancy losses (pure VPLs group), and patients with history of both NVPLs and VPLs (mixed group). Statistical analysis was performed using Wilcoxon rank-sum tests for continuous variables and Fisher's exact tests for categorical variables. Significance was detected when P values <0.05. A logistic regression model was used to determine the impact of NVPLs and VPLs numbers on any live birth subsequent to the initial RPL clinic visit. The prevalence of patients with pure NVPLs, pure VPLs, and mixed losses was 14.7% (274/1859), 31.8% (591/1859), and 53.5% (994/1859), respectively. The prevalence of acquired and congenital uterine anomalies diagnosed by HSG or hysteroscopy was significantly different between pure NVPLs, pure VPLs, and mixed groups (16.8% versus 23.7% versus. 20.7%, respectively P = 0.05). There were no significant differences in the results of other RPL investigations or baseline demographics between the three groups. A logistic regression model controlling for maternal age at the initial RPL clinic visit and the follow-up duration showed that the numbers of NVPLs (odds ratio (OR): 0.77, CI: 0.68-0.88) and VPLs (OR: 0.75, CI: 0.64-0.86) are strong predictors for subsequent live births after the initial RPL clinic visit (P < 0.001). The odds of having a live birth decreased by 23% and 25% with each additional NVPL and VPL, respectively. This study may be limited by its retrospective design. Some of our data, including home pregnancy tests and obstetric history, are based on patient self-reporting, which could have overstated the true prevalence of NVPLs. Another limitation is the lack of available live birth data for all patients at the time of the analysis. To our knowledge, this is the first study to examine and analyze the reproductive outcomes of patients with pure NVPLs in a substantial cohort of patients with RPL. NVPLs seem to affect future live births the same way as clinical miscarriages, which supports their inclusion in RPL definitions. This study was supported in part by Canadian Institute Heath Grant (CIHR): Reference Number/W11-179912 and Women's Health Research Institute (WHRI), Vancouver, BC, Canada. M.A.B: Research grants from Canadian Institute for Health Research (CIHR) and Ferring Pharmaceutical. M.A.B. is on the advisory board for AbbVie and Baxter. N/A.

Effect of biofilms on the clogging mechanisms of suspended particles in porous media during artificial recharge

Artificial recharge of groundwater is an effective technology for solving the shortage of water resources. The clogging of porous media is a bottleneck that limits the application of this technology. In this study, percolation experiments in sand columns were conducted to investigate the influence of different types of biofilms on the deposition of suspended particles and clogging evolution during artificial recharge. A unique aspect of this study is the consideration of biofilms coated on porous media when the clogging mechanisms of suspended particles in porous media are explored. At the end of the recharge process, the relative hydraulic conductivity (K’) of the porous media in descending order was Pseudomonas aeruginosa experimental group (PA) > Bacillus subtilis experimental group (BS) > mixed microbial consortium experimental group (MC) > suspended particle only group (SP). The suspended particles in SP- moved more deeply into the sand column than those in BS, PA, and MC. Electron microscopy, high-throughput sequencing, and confocal laser scanning microscopy were used to identify the mechanisms governing clogging evolution under the influence of biofilm existence. The presence of a biofilm not only alters the surface charge and physical roughness of the porous media, but also affects the electrostatic interaction between the porous media and suspended particles. Biofilms combine tightly with suspended particles by binding and adhesion, which can form tight biofilm-particle aggregations. Compared with deposition of particle-only in SP, the biofilm-particle aggregations on the surface of the porous media are more firm. The biofilm coated on the surface of porous media occupied the pore vacancy and narrowed the void space compared with that in clean sand, which induced physical straining. As the thickness of biofilm coated on the sand surface increased, the more suspended particles were deposited on the sand surface in PA. These findings provide insights into clogging under the influence of biofilms and have implications for future field-based artificial recharge.

Dynamic changes and correlation analysis of protease activities, texture and flavour compounds during fish fermentation (suanyu) using mixed culture (Enterococcus rivorum and Enterococcus lactis)

SummaryThis research investigated the dynamic changes and correlations of protease activity, material texture and flavour compounds during the fermentation (13 days) of crucian (Carassius auratus). Mixed starter fermentation (Enterococcus rivorum and Enterococcus lactis) and natural fermentation were used for the study. Results showed that the protease activity, TCA‐soluble protein and flavour substances were increased with fermentation time and were higher in the mixed fermentation group. The results of relative odour activity value showed that some aldehydes played a major role in the flavour of the product, such as octanal, nonanal and (E)‐2‐nonenal. The correlation analysis showed that protease activity and material texture (hardness and chewiness) had a significantly positive correlation with many flavour compounds (octanal, nonanal, glutamic acid, etc.). This work will provide a theoretical reference for the application of mixed starter cultures and for improving the quality of suanyu by increasing protease activity and changing the texture of the material.

Ethnic inequalities in COVID-19 infection, hospitalisation, intensive care admission, and death: a global systematic review and meta-analysis of over 200 million study participants.

COVID-19 has exacerbated existing ethnic inequalities in health. Little is known about whether inequalities in severe disease and deaths, observed globally among minoritised ethnic groups, relates to greater infection risk, poorer prognosis, or both. We analysed global data on COVID-19 clinical outcomes examining inequalities between people from minoritised ethnic groups compared to the ethnic majority group. Databases (MEDLINE, EMBASE, EMCARE, CINAHL, Cochrane Library) were searched from 1st December 2019 to 3rd October 2022, for studies reporting original clinical data for COVID-19 outcomes disaggregated by ethnicity: infection, hospitalisation, intensive care unit (ICU) admission, and mortality. We assessed inequalities in incidence and prognosis using random-effects meta-analyses, with Grading of Recommendations Assessment, Development, and Evaluation (GRADE) use to assess certainty of findings. Meta-regressions explored the impact of region and time-frame (vaccine roll-out) on heterogeneity. PROSPERO: CRD42021284981. 77 studies comprising over 200,000,000 participants were included. Compared with White majority populations, we observed an increased risk of testing positive for infection for people from Black (adjusted Risk Ratio [aRR]:1.78, 95% CI:1.59-1.99, I2=99.1), South Asian (aRR:3.00, 95% CI:1.59-5.66, I2=99.1), Mixed (aRR:1.64, 95% CI:1.02-1.67, I2=93.2) and Other ethnic groups (aRR:1.36, 95% CI:1.01-1.82, I2=85.6). Black, Hispanic, and South Asian people were more likely to be seropositive. Among population-based studies, Black and Hispanic ethnic groups and Indigenous peoples had an increased risk of hospitalisation; Black, Hispanic, South Asian, East Asian and Mixed ethnic groups and Indigenous peoples had an increased risk of ICU admission. Mortality risk was increased for Hispanic, Mixed, and Indigenous groups. Smaller differences were seen for prognosis following infection. Following hospitalisation, South Asian, East Asian, Black and Mixed ethnic groups had an increased risk of ICU admission, and mortality risk was greater in Mixed ethnic groups. Certainty of evidence ranged from very low to moderate. Our study suggests that systematic ethnic inequalities in COVID-19 health outcomes exist, with large differences in exposure risk and some differences in prognosis following hospitalisation. Response and recovery interventions must focus on tackling drivers of ethnic inequalities which increase exposure risk and vulnerabilities to severe disease, including structural racism and racial discrimination. ESRC:ES/W000849/1.

The pathogenetic basis for a disease continuum in early- and late-onset ataxia-dystonia supports a unified genetic diagnostic approach

Genetically inherited ataxic disorders are classified by their age of disease presentation into early- and late-onset ataxia (EOA and LOA, presenting before or after the 25th year-of-life). In both disease groups, comorbid dystonia co-occurs frequently. Despite overlapping genes and pathogenetic features, EOA, LOA and dystonia are considered as different genetic entities with a separate diagnostic approach. This often leads to diagnostic delay. So far, the possibility of a disease continuum between EOA, LOA and mixed ataxia-dystonia has not been explored in silico. In the present study, we analyzed the pathogenetic mechanisms underlying EOA, LOA and mixed ataxia-dystonia. We analyzed the association of 267 ataxia genes with comorbid dystonia and anatomical MRI lesions in literature. We compared anatomical damage, biological pathways, and temporal cerebellar gene expression between EOA, LOA and mixed ataxia-dystonia. The majority (≈65%) of ataxia genes were associated with comorbid dystonia in literature. Both EOA and LOA gene groups with comorbid dystonia were significantly associated with lesions in the cortico-basal-ganglia-pontocerebellar network. EOA, LOA and mixed ataxia-dystonia gene groups were enriched for biological pathways related to nervous system development, neural signaling and cellular processes. All genes revealed similar cerebellar gene expression levels before and after 25 years of age and during cerebellar development. In EOA, LOA and mixed ataxia-dystonia gene groups, our findings show similar anatomical damage, underlying biological pathways and temporal cerebellar gene expression patterns. These findings may suggest the existence of a disease continuum, supporting the diagnostic use of a unified genetic approach.

Effect of group size and regrouping on physiological stress and behavior of dairy calves

Mixing or regrouping of calves from different pens is a common animal management practice on the farm, which frequently occurs after weaning and has a negative effect on calve welfare. Social integration before regrouping may relieve stresses, but more evidences are needed to verify this hypothesis. The present study aimed to investigate acute physiological and behavioral variations of individually- or group-housed calves after being introduced into a mixed group. A total of 132 postnatal calves were randomly divided into groups of 1, 3, 6 and 12 animals (S, G3, G6 and G12; 6 replicates in each group) until 59 days of age. At 60 days of age, every two replicates from different groups (S, G3, G6 and G12) were introduced in a larger pen which containing 44 of the aboved experimental calves. Before and after regrouping, physiological parameters of stress, including heart rate (HR), saliva cortisol (S-CORT), saliva secretory immunoglobulin A (SIgA), interleukin-2 (IL-2), interleukin-6 (IL-6), tumor necrosis factor-α (TNF-α) levels, and behavioral responses were recorded. After regrouping, HR and S-CORT increased immediately (P<0.05), and higher (P<0.05) levels of such molecules were found in S calves compared to group-housed calves. levels of SIgA and IL-2 were decreased (P<0.05), and the lowest (P<0.05) IL-2 values were found in S calves compared to group-housed calves. In addition, the introduced calves displayed a distinct behavior, including altered active and rest time, which was associated with negative emotions triggered by the novel surroundings. Allogrooming, play, exploration behaviors and lying time were increased significantly (P < 0.05) in group-housed calves than those of S calves. Conversely, self-grooming, aggressive behaviors, standing and walking time were increased (P<0.05) of S calves than those of in group-housed calves. These findings suggest that individually-housed calves may be more susceptible to stressors arising from regrouping than group-housed calves, which consequently negatively affected behavioral and neuroendocrine responses. Furthermore, moving calves with previous social experience may help mitigate regrouping stress.

How does the occlusal contact region influence the mechanical fatigue performance and fracture region of monolithic lithium disilicate ceramic crowns?

ObjectiveTo characterize the effect of the occlusal contact region on the mechanical fatigue performance and on the fracture region of monolithic lithium disilicate ceramic crowns. Materials and methodsMonolithic lithium disilicate ceramic crowns were machined in a CAD/CAM system and adhesively luted onto glass-fiber reinforced epoxy resin preparations with resin cement. The crowns were divided into three groups (n = 16) according to load application region (cusp tip: restricted to cusp tips; cusp plane: restricted to cuspal inclined plane; or mixed: associating tip cusp and cuspal inclined plane). The specimens were submitted to a cyclic fatigue test (initial load: 200 N; step-size: 100 N; cycles/step: 20,000; loading frequency: 20 Hz; load applicator: 6 mm or 40 mm diameter stainless steel) until observing cracks (1st outcome) and fracture (2nd outcome). The data were analyzed by the Kaplan-Meier + Mantel-Cox post-hoc tests for both outcomes (cracks and fracture). Finite element analysis (FEA), occlusal contact region, contact radii measurements, and fractographic analyzes were performed. ResultsThe mixed group presented worse fatigue mechanical behavior (550 N / 85.000 cycles) compared to the cuspal inclined plane group (656 N / 111,250 cycles) (p < 0.05) for the first crack outcome, while the cusp tip group was similar to both groups (588 N / 97,500 cycles) (p > 0.05). The mixed group had the worst fatigue behavior (1413 N / 253,029 cycles) in relation to the other groups (Cusp tip: 1644 N / 293,312 cycles; Cuspal inclined plane: 1631 N / 295,174 cycles) considering the crown fracture outcome (p < 0.05). FEA showed higher tensile stress concentration areas just below the load application region. In addition, loading on the cuspal inclined plane induced a higher tensile stress concentration in the groove region. The most prevalent type of crown fracture was the wall fracture. Groove fracture was observed in 50% of the loading specimens exclusively on the cuspal inclined plane. ConclusionLoad application on distinct occlusal contact regions affects the stress distribution pattern and consequently the mechanical fatigue performance and fracture region of the monolithic lithium disilicate ceramic crowns. A combination of loading at distinct regions is recommended to promote better evaluation of the fatigue behavior of a restored set.

A comparison of taxon-like schizotypal clusters of non-clinical individuals on polygenic scores for schizophrenia and related phenotypes

IntroductionSchizotypy is conceptualized to be on the continuum of the risk for psychosis. However, previous studies that used the dimensional approach to schizotypy failed to confirm the expected relations between schizotypal traits and polygenic risk scores (PRS) for schizophrenia. A taxonic approach is an alternative way of looking at schizotypy, but to the best of our knowledge it has not been used to explore the genetic architecture of this construct.ObjectivesThe present study aimed to fill this gap by comparing groups with different profiles of schizotypal traits on PRS for schizophrenia and related phenotypes.MethodsTo find clusters with different combinations of schizotypal traits, we conducted data mining of an ethnically homogeneous cohort of 1377 healthy individuals completed the Schizotypal Personality Questionnaire. Four clusters emerged, termed low, positive, negative, and high mixed schizotypy. Approximately equal groups from each cluster were selected for genotyping. After quality control, PRS for schizophrenia, depression, neuroticism, and educational attainment were calculated for 320 individuals (mean age = 31.74, SD 12.25 years, 59% women) based on the summary statistics of the largest genome-wide association studies of the respective traits. The groups from different clusters were then compared on PRS.ResultsThe schizotypy groups were similar in age and sex composition but differed in educational attainment and neuroticism (as measured by the Eysenck Personality Inventory), with the high mixed schizotypes having the lowest education and highest neuroticism scores among the schizotypy groups. There were no statistically significant differences between the groups in any PRS. However, the high mixed schizotypy group showed the largest PRS for schizophrenia, neuroticism, and depression. At a nominally significant level, it differed from negative and positive schizotypes in schizophrenia PRS and from low schizotypy in neuroticism PRS. The positive and negative schizotypal groups had non-significantly lower schizophrenia PRS than low schizotypy subjects.ConclusionsOur study showed no reliable difference between groups with different schizotypal profiles in PRS of schizophrenia and related phenotypes. At the same time, a number of trends were observed suggesting that only the high mixed schizotypy might be viewed as a condition with an elevated genetic risk of schizophrenia. This is in line with Meehl’s quasi-dimensional model of schizotypy and warrants further investigation in larger samples. This work was supported by the Russian Foundation for Basic Research under Grant 20-013-00230.Disclosure of InterestNone Declared

Shifting attitudes toward suicide over time: A latent profile analysis using the Korea National Suicide Survey.

South Korea has a high suicide rate, and changes in sociodemographic factors can further increase the rate. This study aims to (1) classify participants using the Attitudes toward Suicide Scale (ATTS) through latent profile analysis (LPA), (2) identify and compare the associations between sociodemographic factors with the ATTS in two survey years (2013, 2018), and (3) determine the moderating effect of survey year. Six sub-factors of the ATTS were used for LPA with a total of 2,973 participants. Sociodemographic characteristics were compared between groups, and multinomial logistic regression was conducted for each survey year. A moderation analysis was conducted with the survey year as moderator. LPA identified three groups of attitudes toward suicide: incomprehensible (10.3%), mixed (52.8%), and permissive (36.9%). The proportion of permissive attitudes increased from 2013 (32.3%) to 2018 (41.7%). Participants reporting suicidal behavior were more likely to be in the mixed and permissive groups than the incomprehensible group in both years. People reporting no religious beliefs were associated with the permissive group in the two survey years. The influence of education and income levels on groups differed by survey year. There were significant changes between 2013 and 2018 in attitudes toward suicide in the Korean population.

Transcriptome reveals the toxicity and genetic response of zebrafish to naphthenic acids and benzo[a]pyrene at ambient concentrations

Naphthenic acids (NAs) are typical contaminants in heavily crude oil. Benzo[a]pyrene (B[a]P) is also a component of crude oil, but their combined effects have not been systematically explored. In this study, zebrafish (Danio rerio) were used as the test organisms, and behavioral indicators and enzyme activities were used as toxicity indicators. Combined with the effects of environmental concentrations, the toxic effects of low concentrations of commercially available NAs (0.5 mg/LNA) and benzo[a]pyrene (0.8 μg/LBaP) at single and compound exposures (0.5 mg/LNA and 0.8 μg/LBaP) were assayed in zebrafish, and transcriptome sequencing technology was used to explore the molecular mechanism of the two compounds affecting zebrafish from the molecular biology level. Sensitive molecular markers that could indicate the presence of contaminants were screened. The results showed that (1) zebrafish in the NA and BaP exposure groups exhibited increased locomotor behavior, and the mixed exposure group exhibited inhibition of locomotor behavior. Oxidative stress biomarkers showed increased activity under single exposure and decreased activity under the mixed exposure. (2) NA stress led to changes in the activity of transporters and the intensity of energy metabolism; BaP directly stimulates the pathway of actin production. When the two compounds are combined, the excitability of neurons in the central nervous system is decreased, and the actin-related genes are down-regulated. (3) After BaP and Mix treatments, genes were enriched in the cytokine-receptor interaction and actin signal pathway, while NA increased the toxic effect on the mixed treatment group. In general, the interaction between NA and BaP has a synergistic effect on the transcription of zebrafish nerve and motor behavior-related genes, resulting in increased toxicity under combined exposure. The changes in expression of various zebrafish genes are manifested in the changes in the normal movement behavior of zebrafish and the intensification of oxidative stress in the apparent behavior and physiological indicators. Capsule abstractWe investigated the toxicity and genetic alterations caused by NA, B[a]P, and their mixtures in zebrafish in an aquatic environment using transcriptome sequencing technology and comprehensive behavioral analysis. These changes involved energy metabolism, the generation of muscle cells, and the nervous system.

Influence of Lonicera japonica and Radix Puerariae crude extracts on the growth performance, antioxidant capacity, and immunological functions of finishing pigs

This study aimed to investigate the influence of adding Lonicera japonica (L. japonica) and Radix Puerariae crude extracts, and their mixture to the diet of finishing pigs on their growth performance, antioxidant capacity, and immunological functions. A total of 72 healthy Duroc × Landrace × Yorkshire crossbred barrows without significant differences in body weight were selected and randomly divided into four groups (18 in each group). The groups were fed with the following diets: control group, basic diet; L. japonica crude extract (CGA) group, basic diet + 1 kg/ton L. japonica crude extract; Radix Puerariae crude extract (PF) group, basic diet + 1 kg/ton Radix Puerariae crude extract; and mix group, basic diet + 0.5 kg/ton L. japonica crude extract + 0.5 kg/ton Radix Puerariae crude extract. The following results were obtained: 1) The average daily feed intake in the mix group significantly increased compared with that in the control group (P<0.05), and the ratio of feed to gain significantly decreased (P<0.05). 2) The red blood cell count significantly increased in the CGA and PF groups compared with that in the control group (P<0.05). The neutrophil count in the PF group significantly decreased compared with that in the control group (P<0.05). 3) Serum cholesterol content was significantly lower in the CGA group than in the other three groups(P<0.05), whereas the high-density lipoprotein (HDL-C) levels in the serum of the PF and mix groups were significantly higher than those of the control groups. The low-density lipoprotein (LDL-C) level in the serum of the mix group was significantly lower than that in the PF group (P<0.05). 4) The malondialdehyde content in the serum of the CGA group was significantly reduced compared with that of the control group (P<0.05). The total antioxidant capacity and the activity levels of superoxide dismutase, glutathione peroxidase, and lactate dehydrogenase were significantly enhanced compared with those of the control group (P<0.05). 5) The immunoglobulin M and interleukin-4 levels in the serum of the CGA group were significantly reduced compared with those of the control group (P<0.05). The IL-4 content of the PF group significantly decreased (P<0.05). The immunoglobulin A content in the serum of the mix group significantly increased, whereas the IL-4 content was significantly reduced (P<0.05). In summary, adding L. japonica and Radix Puerariae crude extracts to the diet can improved antioxidant capacities, blood biochemical indices, and immunological functions, thereby enhancing the growth performance of finishing pigs.

Effect of acidification on microscopic properties and pore structure of coal

Acidification is a common method for removing minerals from coal. In this study, four groups of acidification samples were evaluated: raw coal (Raw), hydrofluoric acid (HF), hydrochloric acid (HCl), and mixed HF–HCl acid (Mix) groups. The concentrations of ash and various elements in the sample groups were measured by industrial and elemental analyses. The Mix solution most effectively removed the minerals from coal, with an ash removal fraction of 87.87%. The microscopic characteristics of the four groups were studied using Fourier-transform infrared (FT-IR) and carbon nuclear magnetic resonance spectroscopy (13C NMR). The oxygen-containing functional groups of the coal samples increased after acidification by 76.07%, 14.49%, and 51.06% for the HF, HCl, and Mix groups, respectively. In addition, the content of aliphatic structures decreased during acidification. The adiposity of the Mix, HCl, and HF groups decreased by 16.36%, 8.50%, and 12.73 %, respectively. The results of CO2 and liquid nitrogen adsorption showed that the cumulative pore volume of the HF and Mix groups increased by 24.90% and 21.39%, respectively, while that of the HCl group decreased by 3.23% compared to the Raw group. The changes in the coal microstructures were observed for both micropores and mesopores. The aliphatic content was inversely proportional to the pore volume, whereas some oxygen-containing functional groups enhanced the pore volume. These findings contribute to the body of knowledge related to coal-seam acidification.

Evaluation of degradation and mechanical parameters and sustainability indicators of zeolite concretes

The continued need of reducing greenhouse gas emissions is the main motivator for the research related to the design of new cement-based composite materials. A sustainability indicator used in this study is a suitable tool to compare a group of concrete mixes based on their mechanical and degradation properties, together with information on the production and environmental value of each raw material. The study shows the results of the analysis of two groups of concretes with the replacement of the aggregate by zeolite. Experimental data were taken from a published study and numerical evaluations were made. The two groups differ in the value of the water-cement ratio, 0.44 and 0.40 respectively. The other additional cementitious materials (SCMs) used were volcanic pumice, ground granulated blast furnace slag grades 100 and 120, silica fume and metakaolin. The results of six and sixteen concrete mixes incorporating reference concrete made of Portland cement are compared. Compressive strength and diffusion coefficient results were obtained at 28, 56, and 91 days after concreting. The values of the sustainability indicator are determined in these times and ultimately allow the sorting of all the analyzed mixes. The results show that the use of zeolite alone in concrete is not always advantageous but rather depends on the specific w/c. Among many other interesting results, one of the most important is the sustainability index value (1.99) for concrete combining 15% of zeolite and 35% ground granulated blast furnace slag of grade 120, so almost twice as good as the reference concrete. Among concretes with only zeolite as SCM, 35% of the replacement is the most suitable choice. Furthermore, the combination with other SCMs can produce a significant positive effect in terms of sustainability.

Epigenetic changes in the CYP2D6 gene are related to severity of suicide attempt: A cross-sectional study of suicide attempters

BackgroundThe ability to accurately estimate risk of suicide deaths on an individual level remains elusive. MethodsThis study reports on a case-control study set-up from a well-characterized cohort of 88 predominantly female suicide attempters (SA), stratified into low- (n = 57) and high-risk groups (n = 31) based on reports of later death by suicide, as well as degree of intent-to-die and lethality of SA method. We perform an unbiased analysis of 12,930 whole-blood derived CpG-sites (Illumina Infinium EPIC BeadChip) previously demonstrated to be more conciliable with brain-derived variations. The candidate site was validated by pyrosequencing. External replication was performed in (1) relation to age at index suicide attempt in 97 women with emotionally unstable personality disorder (whole-blood) and (2) death by suicide in a mixed group of 183 prefrontal-cortex (PFC) derived samples who died by suicide or from non-psychiatric etiologies. ResultsCYP2D6-coupled CpG-site cg07016288 was hypomethylated in severe suicidal behavior (p < 10E-06). Results were validated by pyrosequencing (p < 0.01). Replication analyses demonstrate hypomethylation of cg07016288 in relation to age at index SA in females (p < 0.05) and hypermethylation in PFC of male suicide completers (p < 0.05). LimitationsGenotyping of CYP2D6 was not performed and CpG-site associations to gene expression were not explored. ConclusionsCYP2D6-coupled epigenetic markers are hypomethylated in females in dependency of features known to confer increased risk of suicide deaths and hypermethylated in PFC of male suicide completers. Further elucidating the role of CYP2D6 in severe suicidality or suicide deaths hold promise to deduce clinically meaningful results.

Reproductive health of Syrian refugee women in Lebanon: a descriptive analysis of the Sijilli electronic health records database

BackgroundThe Syrian conflict has been responsible for the highest exodus of refugees, with Lebanon hosting the greatest number of refugees per capita, which placed a significant strain on an already overburdened healthcare system. Women are the most vulnerable group in times of conflict and displacement, with sexual and reproductive health and rights often neglected. This study focuses on the obstetric characteristics and pregnancy outcomes of Syrian Refugee (SR) women in Lebanon, in Comparison to their pre-displacement data.MethodsThis study is a secondary analysis of de-identified data from the Sijilli database. The data reported and analyzed were the refugees’ socio-demographics, obstetric history, pregnancy outcomes, experienced maternal and neonatal complications, breastfeeding history and duration, and contraception use and types. Data were reported in both frequencies and means/medians. Chi-square test, t-test, and ANOVA tests were used to compare pregnancies in Syria to those that happened in Lebanon.ResultsA total of 1065 female records were included in this study, with 634 ever-pregnant women and the total number of pregnancies being 3272. SR women were shown to get pregnant in Lebanon at a younger age compared to cases in Syria. The number of gravidities is equal in women who got pregnant in Syria and those who moved later to Lebanon. The mean spacing between pregnancies has decreased comparing SR women who got pregnant in Syria only versus those who got pregnant in Lebanon only. Among the mixed group, the mean spacing between pregnancies as well as the prevalence of spontaneous abortions significantly increased after displacing to Lebanon. C-section rate was higher among SR women after moving to Lebanon. Also, maternal complications and not breastfeeding have increased after moving to Lebanon. A prior pregnancy was significantly associated with higher contraception use rate. The most common methods of contraception were oral contraceptive pills and intra-uterine devices.ConclusionThe C-section deliveries, spontaneous abortions and maternal complications have all increased among SR women after being displaced to Lebanon. While the age at first pregnancy, mean spacing between their pregnancies and breastfeeding rates have decreased after moving to Lebanon. SR women are less likely to use contraceptives after their displacement. It is necessary to address access to reproductive healthcare and antenatal care delivery among displaced refugee women living in informal tented settlements.

Going for -ing or -en? A Puzzle about Adjectival Participles for Learners of English

Abstract This study investigates how learners of English process adjectival participles in both attributive and predicative positions within sentences in order to identify whether difficulties associated with participles stem from learner-specific or English-specific characteristics. A Chinese-speaking group and a mixed language group participated in Study 1 that used the target sentence in English as L2 without contextual cues. A subgroup of the Chinese participants took part in Study 2 that used target sentences with contextual cues. Results showed that the two groups’ performance was different in the use of pre-nominal attributive adjectival participles after controlling for English proficiency (Study 1). Contextual cues did not facilitate Chinese learners’ performance (Study 2). The target word frequency effects disappeared when contextual cues were provided. These findings suggest that the complexities of adjectival participles reside not only in the linguistic characteristics of English, but also in the learner characteristics of L1 background and English proficiency.

Hybrid Organic–Inorganic Perovskite Superstructures for Ultrapure Green Emissions

All inorganic CsPbBr3 superstructures (SSs) have attracted much research interest due to their unique photophysical properties, such as their large emission red-shifts and super-radiant burst emissions. These properties are of particular interest in displays, lasers and photodetectors. Currently, the best-performing perovskite optoelectronic devices incorporate organic cations (methylammonium (MA), formamidinium (FA)), however, hybrid organic-inorganic perovskite SSs have not yet been investigated. This work is the first to report on the synthesis and photophysical characterization of APbBr3 (A = MA, FA, Cs) perovskite SSs using a facile ligand-assisted reprecipitation method. At higher concentrations, the hybrid organic-inorganic MA/FAPbBr3 nanocrystals self-assemble into SSs and produce red-shifted ultrapure green emissions, meeting the requirement of Rec. 2020 displays. We hope that this work will be seminal in advancing the exploration of perovskite SSs using mixed cation groups to further improve their optoelectronic applications.

How to reduce pedestrian fatalities: a case-by-case study to evaluate the potential of vehicle and road infrastructure interventions

In line with the UN’s global goals on sustainability several initiatives are promoting walking. However, if effective interventions are not implemented an increased number of pedestrians will lead to more road casualties. It is important to take appropriate decisions on interventions to reach Vision Zero adopted by the Swedish Government. This study describes the characteristics of fatal crashes with pedestrians on Swedish roads and investigates the potential of different vehicle and road infrastructure interventions to save lives. The Swedish Transport Administration (STA) in-depth database of fatal crashes was used for a case-by-case investigation. Out of the 226 fatally injured pedestrians during 2011–2016 in Sweden the most common accident scenario was a vehicle hitting a pedestrian while crossing the road. Most crashes occurred in darkness on rural roads (63%), but for urban areas the majority (53%) occurred in daylight. In general, interventions related to vehicle speed were found to address a larger proportion of the studied pedestrian fatalities on urban roads compared to on rural roads, while separated pedestrian paths outside the carriageway were found to address a larger proportion on rural roads compared to on urban roads. The intervention with the largest total potential was pedestrian crossings with speed calming measures for the motor vehicles, which had the potential to address 36% of the identified fatalities. A reduced speed limit in combination with speed calming interventions had the potential to prevent 29% of the studied fatalities while separate pedestrian paths outside the carriageway had the potential to prevent approximately 15%. It was estimated that the vehicle safety technology with the highest potential was autonomous emergency braking with pedestrian detection for passenger cars. With this system available on all cars, 58% of the studied fatalities could potentially be prevented. Most (up to 93%) of the studied fatally injured pedestrians could potentially be saved with known vehicle safety and road infrastructural technologies. However, the analysis of the potential effect of interventions show that it will take a long time until the advanced and potentially effective vehicle safety technologies will be widely spread. This shows the importance of speeding up the implementation. A fast implementation of effective interventions in the road infrastructure is also necessary, preferably using a plan for prioritization. There are two main approaches of doing that, separating road user groups, or reducing vehicle speeds in areas with mixed rod user groups to survivable levels, which is recommended to be 30 km/h. There is a need to identify areas where most pedestrian accidents occur and then use the most effective interventions. The results of this study could be helpful in this process.