Past Research Articles

Insulin therapy in type 2 diabetes: Insights into clinical efficacy, patient-reported outcomes, and adherence challenges

Insulin therapy plays a crucial role in the management of type 2 diabetes as the disease progresses. Over the past century, insulin formulations have undergone significant modifications and bioengineering, resulting in a diverse range of available insulin products. These products show distinct pharmacokinetic and pharmacodynamic profiles. Consequently, various insulin regimens have em-erged for the management of type 2 diabetes, including premixed formulations and combinations of basal and bolus insulins. The utilization of different insulin regimens yields disparate clinical outcomes, adverse events, and, notably, patient-reported outcomes (PROs). PROs provide valuable insights from the patient’s perspective, serving as a valuable mine of information for enhancing healthcare and informing clinical decisions. Adherence to insulin therapy, a critical patient-reported outcome, significantly affects clinical outcomes and is influenced by multiple factors. This review provides insights into the clinical effectiveness of various insulin preparations, PROs, and factors impacting insulin therapy adherence, with the aim of enhancing healthcare practices and informing clinical decisions for individuals with type 2 diabetes.

Anthropogenic Eutrophication Drives Major Food Web Changes in Mwanza Gulf, Lake Victoria

AbstractDiscerning ecosystem change and food web dynamics underlying anthropogenic eutrophication and the introduction of non-native species is necessary for ensuring the long-term sustainability of fisheries and lake biodiversity. Previous studies of eutrophication in Lake Victoria, eastern Africa, have focused on the loss of endemic fish biodiversity over the past several decades, but changes in the plankton communities over this same time remain unclear. To fill this gap, we examined sediment cores from a eutrophic embayment, Mwanza Gulf, to determine the timing and magnitude of changes in the phytoplankton and zooplankton assemblages over the past century. Biogeochemical proxies indicate nutrient enrichment began around ~ 1920 CE and led to rapid increases in primary production, and our analysis of photosynthetic pigments revealed three zones: pre-eutrophication (prior to 1920 CE), onset of eutrophication with increases in all pigments (1920–1990 CE), and sustained eutrophication with cyanobacterial dominance (1990 CE–present). Cladoceran remains indicate an abrupt decline in biomass in ~ 1960 CE, in response to the cumulative effects of eutrophication and lake-level rise, preceding the collapse of haplochromine cichlids in the 1980s. Alona and Chydorus, typically benthic littoral taxa, have remained at relatively low abundances since the 1960s, whereas the abundance of Bosmina, typically a planktonic taxon, increased in the 1990s concurrently with the biomass recovery of haplochromine cichlid fishes. Overall, our results demonstrate substantial changes over the past century in the biomass structure and taxonomic composition of Mwanza Gulf phytoplankton and zooplankton communities, providing a historical food web perspective that can help understand the recent changes and inform future resource management decisions in the Lake Victoria ecosystem.

Emergent constraints on the future East Asian winter surface air temperature changes

Abstract In East Asia, the climate variability in boreal winter is dominated by the East Asian winter monsoon, one of the most energetic monsoon systems that can lead to disasters. The key variable, the East Asian winter surface air temperature (SAT), has significantly changed over the past century and has substantially impacted agriculture, ecosystems, economics, and public health. However, its projections are limited by considerable uncertainties. Here, we identify the first leading mode that explains almost 32.1% of the inter-model spread in future SAT change. Our research delves into the evolution of present-day biases under future scenarios and their consequential impact on the SAT. Models with stronger western currents in the North Pacific exhibit a warmer North Pacific at mid-latitudes during historical periods. Additionally, these models consistently demonstrate stronger western currents in the future, contributing to the amplified warming of the western North Pacific, thereby warming Eurasia via the weakened trough and subtropical jet through barotropic responses to the warm North Pacific. Incorporating observational sea surface temperature (SST) constraints reduces uncertainties by 15.6%, revealing a more reliable SAT change pattern by the end of the 21st century.

Geostatistical Analysis of Lineament Domains: The Study Case of the Apennine Seismic Province of Italy

Regional-scale swarms of subparallel linear topographic features, known as lineament domains, are a common feature of planetary surfaces. Lineament domains are superficial manifestations of the crustal stress field trajectory. Notably, one of the effects of active tectonics is seismicity. Italy is one of the most seismically active regions in the Mediterranean, with many destructive earthquakes that have occurred in past centuries. Here, we assess the seismic meaning of the main lineament domain in the tectonically active region of Central Italy. We describe the use of an automated analysis of satellite imagery coupled with spatial grid analysis to identify three lineament domains of the Central Apennines. Spatial and azimuthal comparisons of the main lineament domain (i.e., the Apennine Domain), with the known locations of earthquakes (moment magnitude of Mw > 5.5) that occurred during the past century, revealed the most seismically active tectonic areas and their spatial distributions. Further, we present a conceptual seismo-geodynamic model for the Central Apennines, which is characterized by regional arching and explains the presence of an extensional tectonic regime in the upper crustal layer of the active Apennines fold-and-thrust belt.

Anthropogenic forcings reverse a simulated multi-century naturally-forced Northern Hemisphere Hadley cell intensification

The Hadley circulation plays a central role in determining the location and intensity of the hydrological cycle in tropical and subtropical latitudes. Thus, the human-induced historical and projected weakening of the Northern Hemisphere Hadley circulation has considerable societal impacts. Yet, it is currently unknown how unparalleled this weakening is relative to the response of the circulation to natural forcings in past centuries. Here, using state-of-the-art climate models, we show that in contrast to the recent and future human-induced Hadley circulation weakening, natural forcings acted to intensify the circulation by cooling the climate over the last millennium. The reversal of a naturally-forced multi-centennial trend by human emissions highlights their unprecedented impacts on the atmospheric circulation. Given the amplifying effect of natural forcings on the Hadley circulation, our analysis stresses the importance of adequately incorporating natural forcings in climate model projections to better constrain future tropical climate changes.

Abandonment or biomass production? Phytodiversity responses to land-use changes of semi-natural grasslands in northern Europe

European semi-natural grasslands are hotspots for biodiversity and important for the provisioning of multiple ecosystem services, but their extent has declined considerably during the past century. Increasing demands for agricultural and forest biomass risk causing further loss of grasslands, raising concern about a goal conflict between climate mitigation and biodiversity conservation. This study focused on the loss of semi-natural grasslands in a mixed farm-forest landscape in southern Sweden by comparing plant diversity in grasslands with continuous grazing regimes to recently abandoned grasslands, improved grasslands (sown leys), and afforested grasslands. Compared to actively grazed grasslands, grasslands where grazing had been abandoned showed a lower plant species richness and fewer plant species of conservation concern, but similar species composition. In contrast, both improved and afforested grasslands showed >50 % lower species richness than abandoned and grazed grasslands, with profoundly different species composition. The dissimilarity in plant diversity between sites was primarily driven by the replacement of species (turnover), and trait-based analyses indicated that environmental filtering of light, management, and nutrient requirements of plants shaped the community differences. Furthermore, an increased cover of semi-natural grassland around the sites positively related to plant species richness and diversity, while an increased cropland coverage around the sites showed a negative relationship. Our results emphasize the importance of integrated land-use strategies that prioritize biodiversity conservation in mixed farm-forest landscapes, such as restoration of semi-natural grasslands and strategic planning of biomass production to avoid serious biodiversity losses.

Centralized industrialization of pork in Europe and America contributes to the global spread of Salmonella enterica.

Salmonella enterica causes severe food-borne infections through contamination of the food supply chain. Its evolution has been associated with human activities, especially animal husbandry. Advances in intensive farming and global transportation have substantially reshaped the pig industry, but their impact on the evolution of associated zoonotic pathogens such as S. enterica remains unresolved. Here we investigated the population fluctuation, accumulation of antimicrobial resistance genes and international serovar Choleraesuis transmission of nine pig-enriched S. enterica populations comprising more than 9,000 genomes. Most changes were found to be attributable to the developments of the modern pig industry. All pig-enriched salmonellae experienced host transfers in pigs and/or population expansions over the past century, with pigs and pork having become the main sources of S. enterica transmissions to other hosts. Overall, our analysis revealed strong associations between the transmission of pig-enriched salmonellae and the global pork trade.

Resuscitation for injured patients requiring massive transfusion: A personal perspective.

The past century has seen many advances in the field of resuscitation. This is particularly true in the subset of patients who sustain major injuries causing hemorrhagic shock and require massive transfusion over 10 units of blood within the first 24 hours. Controversies on how best to resuscitate these patients include the role of fresh whole blood (WB), stored WB, fresh frozen plasma (FFP), platelets (PLTS), colloid solutions, balanced electrolytes solution, vasopressors and diuretics. This review summarizes the often-contradictory recommendations observed and studied by a single trauma surgeon working in a busy urban acute care center for 65 years.

Cognitive linguistics-inspired language instruction

Second language acquisition (SLA) or second/foreign language teaching has been influenced to various degrees by key linguistic theories, including structural linguistics (Bloomfield, 1933; Saussure, 1959), generative linguistics (Chomsky, 1957, 1965), systemic functional linguistics (Halliday, 1973), and, more recently, contemporary Cognitive Linguistics (CL; Goldberg, 1995; Lakoff, 1987, 1993; Langacker, 1987, 1991; Talmy, 1988, 2000), a theory composed of several related linguistic approaches often viewed as a response or complement to generative linguistics. While structural linguistics, generative linguistics, and systemic functional linguistics have each provided a theoretical impetus for one or more of the prominent language teaching methods or approaches over the past century (such as the Audiolingual method, the Natural method, and the Communicative Language Teaching method), CL, as a newcomer, has begun to exert a growing influence since the early 1990s. Given that the purpose of this research timeline article is to present a historical overview of the key thoughts and studies on CL-inspired approaches to instructed second language acquisition (ISLA),1 a brief discussion of CL's main differences from the other linguistic theories and its key theoretical tenets is in order.

Geodetic plate coupling and seismic potential on the main Himalayan thrust in Nepal

We model interseismic plate coupling distribution on the Main Himalayan Thrust (MHT) in Nepal through the inversion of secular GNSS velocity data. To complement previously published data, we compile velocity data from ten additional continuous stations to improve spatial resolution in central and mid-western Nepal. A regional non-planar structural model is adopted to reproduce the MHT fault plane. In general, the coupling pattern seems nearly binary, indicating that transition from full coupling to decoupling is occurring sharply in very narrow zones. In eastern Nepal (> 84.5ºE), plate coupling is very strong from the surface to intermediate depths, including the source region of the 2015 Mw 7.8 Gorkha earthquake. Geodetically estimated slip deficit rates are consistent with the rupture history of great earthquakes in the east revealed by geomorphological observations. In the west (< 83.0ºE), a weakly coupled zone extends laterally at intermediate depths, whereas the coupling in the shallower part remains very strong. Although the slip deficit rate in the west is significantly smaller than that in the east, seismic moment accumulated, since the last complete rupture in 1505 may be capable of generating a future great event. In central Nepal, estimated slip deficit rates are comparable with those in the east, and no great event has been documented over the past several centuries. Thus, the seismic risk may be most urgent in central Nepal. The development of local seismicity and crustal deformation should be carefully monitored.Graphical

Algebraic Quantification of the Contribution of Active Regions to the Sun’s Dipole Moment: Applications to Century-scale Polar Field Estimates and Solar Cycle Forecasting

Abstract The solar cycle is generated by a magnetohydrodynamic dynamo mechanism which involves the induction and recycling of the toroidal and poloidal components of the Sun’s magnetic field. Recent observations indicate that the Babcock-Leighton mechanism – mediated via the emergence and evolution of tilted bipolar active regions – is the primary contributor to the Sun’s large-scale dipolar field. Surface flux transport models and dynamo models have been employed to simulate this mechanism, which also allows for physics-based solar cycle forecasts. Recently, an alternative analytic method has been proposed to quantify the contribution of individual active regions to the Sun’s dipole moment. Utilizing solar cycle observations spanning a century, here, we test the efficacy of this algebraic approach. Our results demonstrate that the algebraic quantification approach is reasonably successful in estimating dipole moments at solar minima over the past century – providing a verification of the Babcock-Leighton mechanism as the primary contributor to the Sun’s dipole field variations. We highlight that this algebraic methodology serves as an independent approach for estimating dipole moments at the minima of solar cycles, relying on characteristics of bipolar solar active regions. We also show how this method may be utilized for solar cycle predictions; our estimate of the Sun’s dipole field at the end of cycle 24 using this approach indicates that solar cycle 25 would be a moderately weak cycle, ranging between solar cycle 20 and cycle 24.

Spiritual Ecology: A Path to Ecological Existentialism

This article explores the distinctive opportunities arising from the concept of spiritual ecology, and intersects with religion and ecology, religion and nature, and religion and environmentalism. On one side, these opportunities encompass problematic trends within certain facets of existing ecological aspect entangled with capitalist enclosures and consumerist desires. Conversely, it holds the promise of fostering the commitment to harmony with nonhumans’ existence, and suggests for understanding that transcends the conventional confines of religion. Many works on spiritual ecology embrace a broad multiplicity, questioning how to discern between more favorable and less favorable expressions of spiritual ecology. As this, it upholds the value of diversity while differentiating between the anti-intellectual, individualistic, and capitalistic tendencies within spiritual ecology and those that align more closely with what can be characterized as ecological existentialism or co-existentialism. It emerges as a reaction to the ideals and socio-political frameworks of current periods, which have avoided an intimate connection with the world and its revered nature. Over the past century, it has evolved into an intellectual and practice-oriented discipline, addressing the need to reconnect with the sacred dimensions of the natural world. animism

Smart traffic management of vehicles using faster R-CNN based deep learning method

With constant growth of civilization and modernization of cities all across the world since past few centuries smart traffic management of vehicles is one of the most sorted after problem by research community. Smart traffic management basically involves segmentation of vehicles, estimation of traffic density and tracking of vehicles. The vehicle segmentation from videos helps realization of niche applications such as monitoring of speed and estimation of traffic. When occlusions, background with clutters and traffic with density variations, this problem becomes more intractable in nature. Keeping this motivation in this research work, we investigate Faster R-CNN based deep learning method towards segmentation of vehicles. This problem is addressed in four steps viz minimization with adaptive background model, Faster R-CNN based subnet operation, Faster R-CNN initial refinement and result optimization with extended topological active nets. The computational framework uses adaptive background modeling. It also addresses shadow and illumination issues. Higher segmentation accuracy is achieved through topological active net deformable models. The topological and extended topological active nets help to achieve stated deformations. Mesh deformation is achieved with minimization of energy. The segmentation accuracy is improved with modified version of extended topological active net. The experimental results demonstrate superiority of this framework with respect to other methods.

Climate and humans interact to shape the fire regime of a chir pine (Pinus roxburghii) forest in eastern Bhutan

BackgroundChir pine (Pinus roxburghii Sarg.) forests are distributed in the dry valleys of Bhutan Himalaya. In the past, these forests have been heavily influenced by human activities such as grazing, burning, resin tapping, and collection of non-timber forest products. Bhutan’s Forest Act of 1969, which shifted forest management from local community control to centralized governmental control, greatly restricted these activities. To understand the implications of the Forest Act on the chir pine forests, we used tree-rings and fire scars to reconstruct the fire history of a chir pine forest in eastern Bhutan. This provided an opportunity to characterize the fire regime before and after the Forest Act of 1969 was implemented and assess the scale and magnitude of changes that have occurred.ResultsWe developed a 120-year chir pine fire chronology from nine sites within a single forested landscape. Between 1900 and ~ 1970, fires were small and patchy. When fires occurred, they were limited to one to two sites within the larger study area. After 1970, there was a distinct shift in fire activity, with fires in 1985, 1989, 1996, 2000, and 2013 burning > 90% of sample plots. Fire activity was positively associated with La Niña conditions (wetter, cooler) in the preceding year. This is likely the result of increased accumulation and connectivity of fuels on the forest floor in wetter years. ConclusionsPrior to 1970, the fire regime in the studied chir pine landscape in eastern Bhutan was dominated by patchy, low-intensity fires indicating that the fire regime was fuel limited. After 1970, fires became larger and more frequent. This shift was associated with the enactment of the Bhutan Forest Act in 1969, which regulated grazing and implemented a policy of strict fire exclusion in government-reserved forests. This likely led to a large buildup of fuels, particularly after La Niña years. Historical patterns of grazing and low-intensity fires prior to the Forest Act kept fuel loads low and disconnected. The cessation of most human activities in these forests after 1969 resulted in an increase in fuel loads and connectivity within the landscape. This has greatly reshaped fire regimes in the chir pine forests of eastern Bhutan over the past half century.

Has nitrogen availability decreased over much of the land surface in the past century? A model-based analysis

AbstractA recent publication (Mason et al. in Science 376:261, 2022a) suggested that nitrogen (N) availability has declined as a consequence of multiple ongoing components of anthropogenic global change. This suggestion is controversial, because human alteration of the global N cycle is substantial and has driven much-increased fixation of N globally. We used a simple model that has been validated across a climate gradient in Hawai ‘i to test the possibility of a widespread decline in N availability, the evidence supporting it, and the possible mechanisms underlying it. This analysis showed that a decrease in δ15N is not sufficient evidence for a decline in N availability, because δ15N in ecosystems reflects both the isotope ratios in inputs of N to the ecosystem AND fractionation of N isotopes as N cycles, with enrichment of the residual N in the ecosystem caused by greater losses of N by the fractionating pathways that are more important in N-rich sites. However, there is other evidence for declining N availability that is independent of 15N and that suggests a widespread decline in N availability. We evaluated whether and how components of anthropogenic global change could cause declining N availability. Earlier work had demonstrated that both increases in the variability of precipitation due to climate change and ecosystem-level disturbance could drive uncontrollable losses of N that reduce N availability and could cause persistent N limitation at equilibrium. Here we modelled climate-change-driven increases in temperature and increasing atmospheric concentrations of CO2. We show that increasing atmospheric CO2 concentrations can drive non-equilibrium decreases in N availability and cause the development of N limitation, while the effects of increased temperature appear to be relatively small and short-lived. These environmental changes may cause reductions in N availability over the vast areas of Earth that are not affected by high rates of atmospheric deposition and/or N enrichment associated with urban and agricultural land use.

From past habitats to present threats: tracing North American weasel distributions through a century of climate and land use change

ContextShifts in climate and land use have dramatically reshaped ecosystems, impacting the distribution and status of wildlife populations. For many species, data gaps limit inference regarding population trends and links to environmental change. This deficiency hinders our ability to enact meaningful conservation measures to protect at risk species.ObjectivesWe investigated historical drivers of environmental niche change for three North American weasel species (American ermine, least weasel, and long-tailed weasel) to understand their response to environmental change.MethodsUsing species occurrence records and corresponding environmental data, we developed species-specific environmental niche models for the contiguous United States (1938–2021). We generated annual hindcasted predictions of the species’ environmental niche, assessing changes in distribution, area, and fragmentation in response to environmental change.ResultsWe identified a 54% decline in suitable habitat alongside high levels of fragmentation for least weasels and region-specific trends for American ermine and long-tailed weasels; declines in the West and increased suitability in the East. Climate and land use were important predictors of the environmental niche for all species. Changes in habitat amount and distribution reflected widespread land use changes over the past century while declines in southern and low-elevation areas are consistent with impacts from climatic change.ConclusionsOur models uncovered land use and climatic change as potential historic drivers of population change for North American weasels and provide a basis for management recommendations and targeted survey efforts. We identified potentially at-risk populations and a need for landscape-level planning to support weasel populations amid ongoing environmental changes.

Demographic and conservation genomic assessment of the threatened marbled teal (Marmaronetta angustirostris).

Genetic assessment of species that have experienced dramatic population declines provides critical information that is instrumental for the design of conservation recovery programs. Here, we use different sources of molecular data (mtDNA and ddRAD-seq) to evaluate the genetic status of wild and captive populations of marbled teal (Marmaronetta angustirostris), a duck species classified as critically endangered in Spain and near threatened at a global scale. First, we determined the evolutionary and demographic trajectories of the wild population from Spain and the currently much larger population from Iraq, which is also the documented source of European zoo stocks. Second, we evaluated the suitability of the different captive populations for ongoing restocking programs in Spain and assessed their potential impact on the genetic composition of wild populations. Populations from Spain and Iraq were assigned to distinct genetic clusters, albeit with an overall low level of genetic differentiation, in line with their recent divergence (<8000 years ago) and lack of phylogeographic structure in the species. Demogenomic inferences revealed that the two populations have experienced parallel demographic trajectories, with a marked bottleneck during the last glacial period followed by a sudden demographic expansion and stability since the onset of the Holocene. The wild population from Spain presented high levels of inbreeding, but we found no evidence of recent genetic bottlenecks compatible with the human-driven decline of the species during the past century. The captive populations from the two Spanish centers involved in restocking programs showed genetic introgression from European zoos; however, we found limited evidence of introgression from the zoo genetic stock into the wild population from Spain, suggesting captive-bred birds have limited breeding success in the wild. Our study illustrates how ex situ conservation programs should consider the genetic distinctiveness of populations when establishing breeding stocks and highlights the importance of genetically assessing captive populations prior to reinforcement actions.

Enhancing sustainability: Exploring the evolution and dynamics of the grassland social-ecological system in Inner Mongolia over the past 260a

Understanding the intricate relationship between social-ecological systems (SES) coupling and long-term regional sustainable development is critical for effective management strategies. While recent research has predominantly focused on human-earth coupling, there is a dearth of knowledge concerning the transition of grassland SES from one regime to another and the underlying drivers. This study employs a comprehensive SES framework to identify and analyze interactions within typical pastoral areas of Inner Mongolia, aiming to shed light on the evolution of the grassland SES over the past centuries. Our research defines five distinct evolutionary phases in the grassland SES since the mid-Qing Dynasty. Each phase is characterized by unique social and ecological features, providing a nuanced understanding of the system's dynamics. We establish empirical links between the phases and their driving forces and impacts by assessing the main changes between these periods. Specifically, our findings reveal instances of negative cross-scale effects emerging during the evolution process. We observe that unreasonable resource utilization and an inability to curb ecological degradation may lead to unsustainable traps, posing challenges to long-term sustainability. To illustrate, during the transition from Phase 3 to Phase 4 in the late 19th century, a shift towards sedentary pastoralism led to increased land degradation due to intensified grazing practices. This unsustainable trajectory highlights the importance of adaptive management strategies to mitigate such negative consequences. This study contributes insights into the social and ecological management of grassland pastoral areas in China and for global analogous regions. By addressing the identified phases and their associated challenges, our research provides a foundation for crafting sustainable policies and practices to ensure the resilience of grassland SES in diverse geographical contexts.

Bacteriophage therapy in musculoskeletal infections: from basic science to clinical application.

The treatment of musculoskeletal infections (MSIs), including periprosthetic joint infection (PJI) and fracture-related infection (FRI), is often complicated by biofilm-related challenges necessitating multiple revision surgeries and incurring substantial costs. The emergence of antimicrobial resistance (AMR) adds to the complexity of the problem, leading to increased morbidity and healthcare expenses. There is an urgent need for novel antibacterial strategies, with the World Health Organization endorsing non-traditional approaches like bacteriophage (phage) therapy. Phage therapy, involving the targeted application of lytic potent phages, shows promise in the treatment of MSIs. Although historical clinical trials and recent case studies present significant milestones in the evolution of phage therapy over the past century, challenges persist, including variability in study designs, administration protocols and phage selection. Efforts to enhance treatment efficacy consist of personalized phage therapy and combination with antibiotics. Future perspectives entail addressing regulatory barriers, standardizing treatment protocols, and conducting high-quality clinical trials to establish phage therapy's efficacy for the treatment of MSIs. Initiatives like the PHAGEFORCE study and the PHAGEinLYON Clinic programme aim to streamline phage therapy, facilitating personalized treatment approaches and systematic data collection to advance its clinical utility in these challenging infections.

Progress in the Study of Temporomandibular Joint Lavage in Temporomandibular Joint Disorder.

With the continuous development and progress of medicine, there are many methods for the treatment of temporomandibular disorders, among which temporomandibular joint lavage is also constantly developed. In the past century, through the efforts of some scholars and clinical summary, the understanding of this disease has been deepened and broadened. At present, through continuous exploration of the treatment methods, the lavage is relatively mature, and has achieved good clinical results. In this paper, the application of temporomandibular joint lavage in the treatment of temporomandibular joint disorders, its treatment methods, treatment mechanism, the auxiliary of other drugs, indications, complications and so on were discussed.