Consumption Rate Research Articles

Implementing pictorial health warning labels on waterpipe tobacco products in Lebanon: A policy framework analysis of content, actors, context, and process.

Lebanon has one of the world's highest waterpipe (WP) consumption rates. Research has documented the effectiveness of implementing pictorial health warning labels (PHWLs) on WP products at encouraging smoking cessation and discouraging youth uptake of smoking. This study aims to gain insight into key informants' (KIs) views on the issuance, implementation, and compliance of a decree for PHWLs on WP products. Thirteen KIs (policymakers, media, and international/local non-government organization representatives) were interviewed online and asked about potential barriers and facilitators they saw to issuing and implementing a PHWL decree. They were shown examples of PHWLs and asked about processes needed for implementation and compliance. The policy triangle framework (content, actors, context, and process) was used to interpret findings. Although there was clear discrepancy and ambiguousness among the KIs' views regarding process and actors, there was more consensus and clarity around context and content. Challenges to implementation were: (1) multiple sources of production and supply of WP (2) uncertainty regarding the responsible actors for each step, (3) prioritization of a tobacco control decree amidst a political and economic crisis, and (4) challenges to practicality of applying PHWL on the WP given its multi-component nature. This research provides an in-depth understanding of KI's views regarding content, actors, context, and process in relation to the issuance, implementation, and compliance to PHWLs on WP products. Noted challenges require careful consideration if progress is to be made to introduce PHWLs. A growing research base has documented the potential effectiveness of PHWLs on reducing WP consumption.Findings of this study show that implementing PHWLs on WP products requires a distinct understanding of the policy environment and context, as well as content, actors, and processes.Implementing PHWLs on waterpipe tobacco products needs to address the complex nature of waterpipe smoking as a multi-component tobacco use method.

Accuracy of the Apple Watch Series 4 and Fitbit Versa for Assessing Energy Expenditure and Heart Rate of Wheelchair Users During Treadmill Wheelchair Propulsion: Cross-sectional Study.

The Apple Watch (AW) Series 1 provides energy expenditure (EE) for wheelchair users but was found to be inaccurate with an error of approximately 30%, and the corresponding error for heart rate (HR) provided by the Fitbit Charge 2 was approximately 10% to 20%. Improved accuracy of estimated EE and HR is expected with newer editions of these smart watches (SWs). This study aims to assess the accuracy of the AW Series 4 (wheelchair-specific setting) and the Fitbit Versa (treadmill running mode) for estimating EE and HR during wheelchair propulsion at different intensities. Data from 20 manual wheelchair users (male: n=11, female: n=9; body mass: mean 75, SD 19 kg) and 20 people without a disability (male: n=11, female: n=9; body mass: mean 75, SD 11 kg) were included. Three 4-minute wheelchair propulsion stages at increasing speed were performed on 3 separate test days (0.5%, 2.5%, or 5% incline), while EE and HR were collected by criterion devices and the AW or Fitbit. The mean absolute percentage error (MAPE) was used to indicate the absolute agreement between the criterion device and SWs for EE and HR. Additionally, linear mixed model analyses assessed the effect of exercise intensity, sex, and group on the SW error. Interclass correlation coefficients were used to assess relative agreement between criterion devices and SWs. The AW underestimated EE with MAPEs of 29.2% (SD 22%) in wheelchair users and 30% (SD 12%) in people without a disability. The Fitbit overestimated EE with MAPEs of 73.9% (SD 7%) in wheelchair users and 44.7% (SD 38%) in people without a disability. Both SWs underestimated HR. The device error for EE and HR increased with intensity for both SWs (all comparisons: P<.001), and the only significant difference between groups was found for HR in the AW (-5.27 beats/min for wheelchair users; P=.02). There was a significant effect of sex on the estimation error in EE, with worse accuracy for the AW (-0.69 kcal/min; P<.001) and better accuracy for the Fitbit (-2.08 kcal/min; P<.001) in female participants. For HR, sex differences were found only for the AW, with a smaller error in female participants (5.23 beats/min; P=.02). Interclass correlation coefficients showed poor to moderate relative agreement for both SWs apart from 2 stage-incline combinations (AW: 0.12-0.57 for EE and 0.11-0.86 for HR; Fitbit: 0.06-0.85 for EE and 0.03-0.29 for HR). Neither the AW nor Fitbit were sufficiently accurate for estimating EE or HR during wheelchair propulsion. The AW underestimated EE and the Fitbit overestimated EE, and both SWs underestimated HR. Caution is hence required when using SWs as a tool for training intensity regulation and energy balance or imbalance in wheelchair users.

Enhancing biomethanation performance through co-digestion of diverse organic wastes: a comprehensive study on substrate optimization, inoculum selection, and microbial community analysis.

A blend of organic municipal solid waste, slaughterhouse waste, fecal sludge, and landfill leachate was selected in different mixing ratios to formulate the best substrate mixture for biomethanation. Individual substrates were characterized, and the mixing ratio was optimized with the help of a response surface methodology tool to a value of 1:1:1:1 (with a C/N ratio of 28±0.769 and total volatile fatty acid (VFA) concentration of 2500±10.53 mg/L) to improve the overall biomethanation. The optimized blend (C/N ratio: 28.6, VFA: 2538 mg/L) was characterized for physicochemical, biological, and microbial properties and subjected to anaerobic digestion in lab-scale reactors of 1000 mL capacity with and without the addition of inoculum. The biogas yield of individual substrates and blends was ascertained separately. The observed cumulative biogas yield over 21 days from the non-inoculated substrates varied between 142±1.95 mL (24.6±0.3 ml/gVS) and 1974.5±21.72 mL (270.4±3.1 ml/gVS). In comparison, the addition of external inoculation at a 5% rate (w/w) of the substrate uplifted the minimum and maximum cumulative gas yield values to 203±9.9 mL (35.0±1.6 mL/gVS) and 3394±13.4 mL (315.3±1.2 mL/gVS), respectively. The inoculum procured from the Defence Research and Development Organisation (DRDO) was screened in advance, considering factors such as maximizing VFA production and consumption rate, biogas yield, and digestate quality. A similar outcome regarding biogas yield and digestate quality was observed for the equivalent blend. The cumulative gas yield increased from 2673±14.5 mL (373.7±2.2 mL/gVS) to 4284±111.02 mL (391.47±20.02 mL/gVS) over 21 days post-application of a similar dosage of DRDO inoculum. The 16S rRNA genomic analysis revealed that the predominant bacterial population belonged to the phylum Firmicutes, with the majority falling within the orders Clostridiales and Lactobacillales. Ultimately, the study advocates the potential of the blend mentioned above for biomethanation and concomitant enrichment of both biogas yield and digestate quality.

Sociocultural determinants of children's oral health among immigrants in Canada.

A conceptual model was designed and tested to predict immigrant children's oral health in Canada by examining parental acculturation and perceived social support (PSS) using structural equation modelling. A convenience sample of first-generation immigrant parents and their children aged 2-12 years were recruited by multilingual community workers in Edmonton, Canada. Parents completed a validated questionnaire on demographics, child's oral health (OH) behaviours, parental acculturation and PSS. Dental examinations determined children's dental caries rate using DMFT/dmft index. Structural equation modelling (SEM) was used to analyse the data. A total of 336 families participated in this study. The average parental acculturation level was 10.46 with a maximum of 15, and the average PSS was 63.27 with a maximum of 75. SEM showed that 77% of the variance of DMFT/dmft scores in children was explained by parental PSS, acculturation level, immigration-related variables, socioeconomic variables and children's OH behaviours. The direct effect of parental PSS was associated with a significantly reduced rate of dental caries (β = -.076, p-value = .008) and lower sugar consumption (β = -.17, p-value = .04). While the mediation effect of parental acculturation on PSS was associated with positive OH behaviours of children (e.g., toothbrushing frequency and dental care utilization), the indirect effect was negatively associated with caries rate (β = .77, p-value = .00). The direct effect of Parental Perceived Stress Scale (PSS) was associated with more favourable oral health behaviours and a lower prevalence of dental caries, while the mediation effect of acculturation was linked to a higher prevalence of dental caries.

Effects of changing water content of clay-content rocks on field cutter consumption rate of roadheaders: a case study of porous ignimbrites

The changing formation characteristics during excavation can cause a higher cutter consumption rate (CCR) of mechanical excavators than theoretically estimated before the project begins. This study investigates the adhesive potential of clay-content porous ignimbrites in increasing water content and their effects on the CCR of roadheaders. For this purpose, the actual field CCR data of roadheaders were recorded for ten cold storage caverns (CSC) projects during the excavation in dry and wet conditions. Then, laboratory tests were carried out on the rock samples collected from project areas. CCRs of roadheaders were theoretically estimated based on the Cerchar abrasivity index of rocks using three different empirical models. The laboratory test results showed that increasing water content reduces the abrasivity and strength of the rocks. The theoretically estimated results also showed that CCR is to be less under saturated conditions. However, actual field data revealed higher CCRs for all CSC projects in wet conditions. Therefore, the adhesion potential of rocks in different water contents was analyzed, and positive relationships were obtained between the field CCR in wet conditions and the adhesion potentials of excavated rocks with 15%, 20%, and 25% water content. New equations were developed to estimate the CCR of roadheaders, especially in excavating rocks that have an adhesive potential to cutters, such as clay-content rocks. It has been concluded that for an accurate CCR estimation, more than theoretical calculations will be required, and changing formation conditions should also be analyzed in detail.

Dimensional Analysis based Prediction Model for Fuel Consumption in the Deutz Agrotrac Tractor

Background: Fuel consumption is a critical factor in the performance of an agricultural tractor. And it can be affected by numerous parameters. Farming practices is an essential aspect that affects the cost of operation and the overall efficiency of the tractor. Predictions of fuel consumption rates in tractors and the energy consumption parameters of primary tillage equipment under local conditions are therefore essential selection criteria in purchasing decisions. Methods: A prediction model for fuel usage during tillage operations was created using dimensional analysis. The model was established by incorporating experimental findings into an equation. The experiment was conducted in the El Ouracia region of Setif, Algeria in 2022/2023 crop season, with fuel usage per time unit determined through topping-up the tank method. The fuel experiment parameters were measured according to their respective standard procedures. Result: By simulating fuel usage with tillage depth, tillage width, travel speed, soil bulk density and cone index. The constant in the prediction model was obtained. This developed model has the potential to forecast the tractor fuel consumption during tillage operation.

Abstract PO5-23-08: Adenylosuccinate lyase is essential for proliferation and mitochondrial function of endocrine therapy resistant breast cancer cells

Abstract Eighty percent of breast cancers express estrogen receptor alpha (ERα, ESR1) at the time of diagnosis. Endocrine therapy (ET) is the standard treatment that either block estrogen mediated ER activation (such as tamoxifen, fulvestrant) or suppress estrogen synthesis (such as exemestane, letrozole, or anastrozole). While ET is initially effective, emergence of ET-resistance is common and possess a major clinical challenge. Hence, there is an ongoing need to develop new treatments for ET-resistant-ERα positive breast cancer. In this study we investigated the role of adenylosuccinate lyase (ADSL), an enzyme of the de-novo purine biosynthesis pathway as a potential target of ET-resistant breast cancer. The protein level of ADSL in two independent ET-resistant cell line model LCC9 and T47D-4HT cells were significantly higher in comparison to its parental ET-sensitive cell lines, MCF7 and T47D cells, respectively. Transient knockdown of ADSL using two independent siRNA in both LCC9 and T47D-4HT cells results in a significant decrease of cell growth, colony, and spheroid formation. Notably, reduced ADSL levels in LCC9 cells prevented the cells from progressing from G1 to S phase of cell cycle with concurrent elevation of cyclin D1/D3, CDK2/4, and cyclin E. On the other hand, in T47D-4HT cells, ADSL reduction caused cells to accumulate in S-phase of cell cycle and showed lower levels of total cyclin D1 protein. Mechanistically, in LCC9 cells (but not in T47D-4HT cells), ADSL depletion induced DNA replication stress which activates (phosphorylate) ataxia-telangiectasia-mutated-and-Rad3-related kinase (ATR) and its major downstream effector checkpoint kinase 1 (Chk1) that in turn failed to de-phosphorylate the inhibitory-phospho-groups of cyclin-dependent kinase 2 (CDK2). In addition, ADSL depletion perturbed the mitochondrial function in both LCC9 and T47D-4HT cells. Oxygen consumption rate (OCR) and extracellular acidification rate (ECAR) was lower in both the cells along with the mitochondrial membrane potential. Pertinently, lower concentration of AICAR (5-aminoimidazole-4-carboxamide-1-β-D-ribofuranoside), a product of ADSL enzyme function, partially rescued the cell growth and restored mitochondrial membrane potential in ADSL-depleted LCC9 cells. To further understand the global effects of ADSL depletion we performed RNA-sequencing of LCC9 and T47D-4HT cells after ADSL depletion and compared with respective control siRNA transfected cells followed by gene set enrichment analysis. Intriguingly, diverse effect was observed in LCC9 and T47D-4HT cells as very few genes were found to be commonly regulated between these two cell lines. Analysis of clinical data sets revealed high level of ADSL transcript was associated with adverse progression free survival and overall survival in breast cancer patients treated with endocrine therapies. Overall, our findings demonstrate that ADSL-mediated de novo purine synthesis is critical for cellular growth, proliferation, and mitochondrial function of endocrine therapy-resistant breast cancer cells. Therefore, targeting ADSL is a novel potential therapeutic approach for ERα positive ET- resistant breast cancer. Citation Format: Anil Yadav, Lu Jin, Robert Clarke, Surojeet Sengupta. Adenylosuccinate lyase is essential for proliferation and mitochondrial function of endocrine therapy resistant breast cancer cells [abstract]. In: Proceedings of the 2023 San Antonio Breast Cancer Symposium; 2023 Dec 5-9; San Antonio, TX. Philadelphia (PA): AACR; Cancer Res 2024;84(9 Suppl):Abstract nr PO5-23-08.

The role of egg consumption in the first 1001 days of life: a narrative review

Background/Aims Eggs are a natural whole food providing an important array of nutrients that can be challenging to find in other everyday foods. Although evidence shows the benefits of egg consumption for mother and child, consumption rates remain low. The aim of this article was to review latest literature and guidance on egg consumption and examine barriers to consumption during the critical first 1001 days of life. Methods This narrative review included an electronic search of PubMed, Google Scholar and Clinical Trials.Gov. Human studies published in English between 2019 and 2024 were screened for eligibility. Results Overall, 14 key studies were included that were specific to egg intake/consumption during pregnancy, breastfeeding and/or infancy/early childhood. Six sets of relevant dietary guidelines were identified and reviewed. Conclusions Current egg consumption is low, despite previous concerns about food safety and allergy having been overturned in official advice. Including eggs in the diet is an easy and cost-effective way to improve diversity and digestibility of nutrients when dietary requirements are higher. Their consumption has the potential to bridge nutrient gaps, help prevent allergy, augment breast milk composition and contribute to child development and growth.

Abstract PO5-23-09: Metabolic alterations in Estrogen Receptor-positive breast cancer contributing to CDK4/6 resistance

Abstract Background CDK4/6 inhibitors (CDK4/6i) are potent FDA-approved agents for the treatment of metastatic and for high-risk early estrogen receptor positive (ER+) breast cancer. However, significant proportion of patients continue to develop disease progression. Response does not correlate well with expression of CDK4/6 or key cell cycle proteins. Ki67, a proliferation marker, is prognostic, but NOT predictive of response. Resistance to CDK4/6i is mediated by multiple mechanisms including metabolic alterations. Herein, we explore the metabolic alterations associated with development of CDK4/6i resistance. Methods To understand the key metabolic alterations associated with resistance, we first developed abemaciclib-resistant ER+ cell lines and compared their metabolic profile with their parental/sensitive counterparts. Seahorse metabolic profiles were performed on parental cells (MCF-7, LCC2, LCC9, T47D and ZR-75.1) and their resistant derivatives. In addition, spatial proteomics analysis was performed using multiplex cyclic immunofluorescence (CycIF) assay for 27 markers including 14 metabolic regulators (MCT1, GLUT1, G6PD, VDAC1/3, LDHA, GAPDH, PGC1A, HK2, ATP5A, GLUD12, CPT1A, CS, C6 Ceramide, COXIV), 9 signaling (CD36, CCND1, CCNE1, pRB, MKI67, pERK, CDH1, GPNMB and MET) and 4 segmentation markers (pan-cytokeratin for epithelial cells, concanavalin A for endoplasmic reticulum, phalloidin for actin, and wheat germ agglutinin (WGA) for Golgi and plasma membrane) in sensitive and resistant cells. Following the image registration (hiPlex) and cell segmentation (CellProfiler), multiplex protein images were clustered for cell phenotypes (HistoCAT). Results Cells resistant to abemaciclib showed G1 phase arrest, but a dramatic increase in invasive capacity. The Seahorse XFp Cell Energy Phenotype Assay demonstrated altered metabolic profiles including decreased extracellular acidification rate (ECAR) and oxygen consumption rate (OCAR) indicative of glycolysis, and mitochondrial respiration, respectively, in resistant cells. Multiplex CycIF utilized a panel of 11 cycles resulting in a total of 27 markers. We demonstrated that three metabolic enzymes, mitochondrial voltage-dependent anion channel protein (VDAC1/3), lactate Dehydrogenase A (LDHA) and PPARγ coactivator 1α (PGC1α) are significantly overexpressed in CDK4/6 resistant cells compared to the control parental sensitive cells. Further analyses are ongoing to better characterize these changes in human samples treated with CDK4/6i. Conclusion Our findings highlight the importance of metabolic pathways in development of resistance to CDK4/6i treatment. Understanding the mechanisms by which these pathways contribute to therapeutic failure will further provide with novel intervention strategies and new avenues for prevent recurrence/resistance in ER+ breast cancer. Citation Format: Mayar Allam, Ahmet Coskun, Thomas Hu, Yuan Gu, Sunil Badve, Yesim Gokmen-Polar. Metabolic alterations in Estrogen Receptor-positive breast cancer contributing to CDK4/6 resistance [abstract]. In: Proceedings of the 2023 San Antonio Breast Cancer Symposium; 2023 Dec 5-9; San Antonio, TX. Philadelphia (PA): AACR; Cancer Res 2024;84(9 Suppl):Abstract nr PO5-23-09.

ATGL mediated adipocyte lipolysis exacerbates acute pancreatitis severity in mouse models and patients.

Dyslipolysis of adipocytes has played a critical role in various diseases. Adipose triglyceride lipase (ATGL) is a rate-limiting enzyme in adipocyte autonomous lipolysis. However, whether the degree of adipocyte lipolysis relates to the prognoses in acute pancreatitis (AP) and the role of ATGL mediated lipolysis in the pathogenesis of AP remains elusive. The visceral adipose tissue (VAT) consumption rate (VATR) in the acute stage was measured in both AP patients and mouse models. Lipolysis levels and ATGL expression were detected in caerulein (CER)-induced AP models. CL316,243, a lipolysis stimulator, and adipose tissue-specific ATGL knockout (AAKO) mice were used to further investigate the role of lipolysis in AP. The ATGL-specific inhibitor, Atglistatin, was performed in C57Bl/6N and ob/ob AP models. This study found that increased VATR in the acute phase was independently associated with adverse prognoses in AP patients, which was validated in mice AP models. Lipolysis of adipocytes was elevated in AP mice. Stimulation of lipolysis could aggravate AP. Genetic blockage of ATGL specifically in adipocytes was able to alleviate the damage to AP. The application of Atglistatin could effectively protect against AP in both lean and obese mice. These findings demonstrated that ATGL-mediated adipocyte lipolysis exacerbates AP and highlighted the therapeutic potential of ATGL as a drug target for AP.

Metabolic Effects of Reduced Volume Sprint Interval Training During and Postexercise.

Abstract McCarthy, SF, McKie, GL, Howe, GJ, Vanderheyden, LW, and Hazell, TJ. Metabolic effects of reduced volume sprint interval training during and postexercise. J Strength Cond Res 38(5): 891–897, 2024—It is unclear what dose of sprint-interval training exercise (exercise volume) is required to derive beneficial metabolic effects during and postexercise. Therefore, we examined how reducing the volume of sprint interval training (SIT) from 2 minutes of “all-out” efforts (8 bouts) to 1.5 minutes (6 bouts) and 1 minute (4 bouts) affected during and postexercise metabolism. Fourteen recreationally active males (age: 25 ± 3 years; body mass index: 25.1 ± 3.1 kg·m−2) had gas exchange measured during and following (3 h) 4 experimental sessions: (a) no-exercise control (CTRL), (b) 8 × 15 SIT (2 minutes exercise), (c) 6 × 15 minutes SIT (1.5 minutes exercise), and (d) 4 × 15 SIT (1 minute exercise). All SIT protocols were 15 seconds “all-out” running efforts with 2 minutes recovery (4, 6, or 8 bouts). Changes were considered important if p &lt; 0.100 and the effect size was ≥medium. During exercise, oxygen consumption (V̇o 2; L) was different between protocols (p &lt; 0.001, d &gt; 2.98) and greater than CTRL (p &lt; 0.001, d &gt; 2.12); however, the rate of O2 consumption (L·min−1) was similar between protocols (p = 0.479, = 0.055). Total V̇o 2 (L) postexercise was elevated following all conditions compared with CTRL (p &lt; 0.003, d &gt; 1.25). Overall session V̇o 2 was different in each condition (p &lt; 0.001, d &gt; 1.89). Fat oxidation was elevated postexercise following all SIT protocols compared with CTRL (p &lt; 0.017, d &gt; 0.98) with no differences between protocols (p &gt; 0.566, d &lt; 0.48). Our results suggest reducing the number of all-out 15 seconds bouts during a SIT session from 8 to 6 or 4 had no differential effects on postexercise metabolism and differences during exercise were due to the longer duration of exercise.

Residual OXPHOS is required to drive primary and metastatic lung tumours in an orthotopic breast cancer model

BackgroundFast adaptation of glycolytic and mitochondrial energy pathways to changes in the tumour microenvironment is a hallmark of cancer. Purely glycolytic ρ0 tumour cells do not form primary tumours unless they acquire healthy mitochondria from their micro-environment. Here we explored the effects of severely compromised respiration on the metastatic capability of 4T1 mouse breast cancer cells.Methods4T1 cell lines with different levels of respiratory capacity were generated; the Seahorse extracellular flux analyser was used to evaluate oxygen consumption rates, fluorescent confocal microscopy to assess the number of SYBR gold-stained mitochondrial DNA nucleoids, and the presence of the ATP5B protein in the cytoplasm and fluorescent in situ nuclear hybridization was used to establish ploidy. MinION nanopore RNA sequence analysis was used to compare mitochondrial DNA transcription between cell lines. Orthotopic injection was used to determine the ability of cells to metastasize to the lungs of female Balb/c mice.ResultsOXPHOS-deficient ATP5B-KO3.1 cells did not generate primary tumours. Severely OXPHOS compromised ρ0D5 cells generated both primary tumours and lung metastases. Cells generated from lung metastasis of both OXPHOS-competent and OXPHOS-compromised cells formed primary tumours but no metastases when re-injected into mice. OXPHOS-compromised cells significantly increased their mtDNA content, but this did not result in increased OXPHOS capacity, which was not due to decreased mtDNA transcription. Gene set enrichment analysis suggests that certain cells derived from lung metastases downregulate their epithelial-to-mesenchymal related pathways.ConclusionIn summary, OXPHOS is required for tumorigenesis in this orthotopic mouse breast cancer model but even very low levels of OXPHOS are sufficient to generate both primary tumours and lung metastases.

Attitude and behavior regarding millet consumption in children with type 1 diabetes mellitus

Background: Millets are highly nutritious with a low glycemic index when compared to rice and wheat in terms of proteins, minerals, vitamins, and antioxidants, still the consumption rates of wheat and rice are higher than millets. Aims and Objectives: The present study aimed to know the attitudes, preferences, and perceptions about millet consumption in children with type 1 diabetes mellitus (T1DM). Materials and Methods: Caregivers of children with T1DM of age group 2–14 years were included in the study. Data regarding the preference, attitude, frequency, benefit in controlling blood sugar levels, and barriers to millet consumption among children were collected using the open-ended questionnaire filled out by caregivers. Results: Out of 86 caregivers enrolled, only 35 (41%) respondents knew about millets. In the index study, they were aware of pearl millet (94%) and sorghum (26%) mainly. Only 11.6% of the respondents recorded daily consumption of millets, 15.1% consumed millets 3–4 times in a week, 39.3% did once weekly, and 33.7% rarely. The major reasons behind non-consumption were non-palatability and expensive products. Only 29.1% of the respondents knew the role of millets in controlling blood sugar levels and reducing complications. Very few (7%) subjects knew about the new millet-based biscuits and other products. Conclusion: To increase the consumption of healthy millets by children with T1DM, it is suggested to develop various products to enhance palatability, providing knowledge on health benefits of millets, and widespread availability of millets.

A randomized controlled trial of a postdischarge nursing intervention for patients with decompensated cirrhosis.

Few randomized trials have evaluated the effect of postdischarge interventions for patients with liver cirrhosis. This study assessed the effects of a postdischarge intervention on readmissions and mortality in patients with decompensated liver cirrhosis. We conducted a randomized controlled trial at a specialized liver unit. Adult patients admitted with complications of liver cirrhosis were eligible for inclusion. Participants were allocated 1:1 to standard follow-up or a family-focused nurse-led postdischarge intervention between December 1, 2019, and October 31, 2021. The 6-month intervention consisted of a patient pamphlet, 3 home visits, and 3 follow-up telephone calls by a specialized liver nurse. The primary outcome was the number of readmissions due to liver cirrhosis. Of the 110 included participants, 93% had alcohol as a primary etiology. We found no significant differences in effects in the primary outcomes such as time to first readmission, number of patients readmitted, and duration of readmissions or in the secondary outcomes like health-related quality of life and 6- and 12-month mortality. A post hoc exploratory analysis showed a significant reduction in nonattendance rates in the intervention group (RR: 0.28, 95% CI: 0.13-0.54, p=0.0004) and significantly fewer participants continuing to consume alcohol in the intervention group (p=0.003). After 12 months, the total number of readmissions (RR: 0.76, 95% CI: 0.59-0.96, p=0.02) and liver-related readmissions (RR: 0.55, 95% CI: 0.36-0.82, p=0.003) were reduced in the intervention group. A family-focused postdischarge nursing intervention had no significant effects on any of the primary or secondary outcomes. In a post hoc exploratory analysis, we found reduced 6-month nonattendance and alcohol consumption rates, as well as reduced 12-month readmission rates in the intervention group.

Study on the secondary oxidation behavior and microscopic characteristics of oxidized coal gangue.

Spontaneous combustion of coal gangue (CG) hills has caused varieties of secondary disasters that seriously endanger the ecological environment of the world. The emission law of index gases and their oxidation kinetics during the secondary oxidation process of CG with different ranks of oxidation were studied by using the temperature programmed device and online mass spectrometer (MS). Fourier transform infrared spectroscopy (FTIR) was used to reveal the changes of the CG internal active functional groups. The results showed that the energy required for the combustion of CG with low rank of pre-oxidation was significantly lower than that of the raw sample. However, as the oxidation rank increased, due to amounts of volatile components were released in the process of oxidation reaction, the CG in the combustion process of the emission of index gases and its oxygen consumption rate gradually reduced; the rapid oxidation stage shifted to the direction of the high temperature. In this study, the risk of spontaneous combustion of CG after oxidation at 80℃ under 3% oxygen concentration was the strongest. The results of this paper are of great guiding significance for exploring the spontaneous combustion characteristics of CG hills and their prevention by traditional covering method.

Target and Nontarget Screening to Support Capacity Scaling for Substance Use Assessment through a Statewide Wastewater Surveillance Network in New York.

Wastewater-based epidemiology (WBE) has been widely implemented around the world as a complementary tool to conventional surveillance techniques to inform and improve public health responses. Currently, wastewater surveillance programs in the U.S. are evaluating integrated approaches to address public health challenges across multiple domains, including substance abuse. In this work, we demonstrated the potential of online solid-phase extraction coupled with liquid chromatography-high-resolution mass spectrometry to support targeted quantification and nontargeted analysis of psychoactive and lifestyle substances as a step toward understanding the operational feasibility of a statewide wastewater surveillance program for substance use assessment in New York. Target screening confirmed 39 substances in influent samples collected from 10 wastewater treatment plants with varying sewershed characteristics and is anticipated to meet the throughput demands as the statewide program scales up to full capacity. Nontarget screening prioritized additional compounds for identification at three confidence levels, including psychoactive substances, such as opioid analgesics, phenethylamines, and cathinone derivatives. Consumption rates of 12 target substances detected in over 80% of wastewater samples were similar to those reported by previous U.S.-based WBE studies despite the uncertainty associated with back-calculations. For selected substances, the relative bias in consumption estimates was sensitive to variations in monitoring frequency, and factors beyond human excretion (e.g., as indicated by the parent-to-metabolite ratios) might also contribute to their prevalence at the sewershed scale. Overall, our study marks the initial phase of refining analytical workflows and data interpretation in preparation for the incorporation of substance use assessment into the statewide wastewater surveillance program in New York.

Increased hepatic glucose production with lower oxidative metabolism in the growth-restricted fetus.

Fetuses with growth restriction (FGR) have an early activation of hepatic glucose production (HGP), a hallmark of type 2 diabetes (T2D). Here we used fetal hepatic catheterization to directly measure HGP and substrate flux in an FGR sheep model. We hypothesized that FGR fetuses would have increased hepatic lactate and amino acid uptake to support increased HGP. Indeed, FGR compared to normal (CON) fetuses had increased HGP and activation of gluconeogenic genes. Unexpectedly, hepatic pyruvate output was increased while hepatic lactate and gluconeogenic amino acid uptake rates were decreased in FGR fetal liver. Hepatic oxygen consumption and total substrate uptake rates were lower. In FGR liver tissue, metabolite abundance, 13C-metabolite labeling, enzyme activity, and gene expression support decreased pyruvate oxidation and increased lactate production. Isolated hepatocytes from FGR fetuses had greater intrinsic capacity for lactate-fueled glucose production. FGR livers also had lower energy (ATP) and redox state (NADH:NAD+). Thus, reduced hepatic oxidative metabolism may make carbons available for increased HGP but also produces nutrient and energetic stress in FGR fetal liver. Intrinsic programming of these pathways regulating HGP in the FGR fetus may underlie increased HGP and T2D risk postnatally.

Ultra-low power, high-data rate, fully on-chip radio frequency on-off keying receiver for internet-of-things applications

Despite the enormous potential of energy-efficient receivers for wireless sensor networks, the large power consumption or limited data rate support impedes its extensive applications. Here, we present an energy-efficient, ultra-low power, higher data rate supporting, completely on-chip radio-frequency receiver frontend for on-off keying modulated signals in the 2.4 GHz industrial, scientific, and medical band. This compact-sized receiver is achieved by implementing temperature-resilient oscillator, pseudo-differential mixer, and a wideband detector while avoiding bulky external components such as bulk-acoustic wave resonators, crystal oscillators. Measurement results demonstrate that the proposed on-off keying receiver can decode low power level radio-frequency signals up to 5 Mbps data rate while consuming only 178 µW power. This work also demonstrates support for lower data rates at reduced power. Since the proposed receiver operates in different power modes, it can be integrated in diverse applications including internet-of-things devices and continuously monitoring biomedical/wearable implants.

PREVALENCE AND RISK FACTORS OF GASTROESOPHAGEAL REFLUX DISEASE (GERD) IN MEDICAL COLLEGE STUDENTS

Gastro-esophageal reflux disease (GERD) is a common gastrointestinal disorder characterized by the reflux of stomach contents into the esophagus, leading to heartburn, regurgitation, and chest pain. Objectives: The study's main aim is to find the prevalence and risk factors of gastroesophageal reflux disease in medical college students. Methods: This cross-sectional study was conducted at Allama Iqbal Medical College Lahore from October 2023 to March 2024. Data were collected from 550 medical college students from 1st year, 2nd, 3rd, 4th and 5th year. Data were collected through an online survey, including demographic data, GERD symptoms, dietary habits and lifestyle factors, and stress levels. GERD symptoms were reported, which include all data related to heartburn, chest pain and dysphagia. Results: Data were collected from 550 participants. The mean age of the participants (with GERD) was 24.0 ± 3.0 years, and without GERD, 23.0 ± 2.5 years. There were 65% female and 35 % male in the GERD group and 55% female and 45% male in the without GERD group. Students with GERD exhibited significantly higher prevalence rates of certain lifestyle factors compared to those without GERD. Specifically, students with GERD reported higher rates of consumption of spicy/acidic foods (50% vs. 35%), high intake of caffeine/carbonated beverages (60% vs. 40%), irregular meal patterns (40% vs. 20%), large meals before bedtime (30% vs. 15%), and sedentary lifestyle behaviors (70% vs. 40%). These differences were statistically significant, as indicated by the p-values &lt;0.05 for consumption of spicy/acidic foods and large meals before bedtime, &lt;0.01 for high intake of caffeine/carbonated beverages and irregular meal patterns, and &lt;0.001 for sedentary lifestyle behaviours. Conclusion: It is concluded that gastroesophageal reflux disease (GERD) presents a significant health concern among medical college students, with a notable prevalence of symptoms reported in this population.

Revolutionizing the cultural industry: The transformative power of data processing algorithms

This paper provides a comprehensive analysis of the impact of data processing algorithms on the cultural industry, focusing on user behavior analysis, dynamic content adaptation, content discovery, efficient distribution networks, and driving creative innovation. Through the application of sophisticated machine learning models and quantitative analysis, this study demonstrates the transformative potential of algorithms in enhancing user engagement, optimizing distribution channels, and fostering creative innovation. By analyzing vast datasets from leading cultural content platforms, social media, and collaborative creation platforms, the paper reveals significant improvements in user consumption rates, engagement metrics, global market penetration, and the development of novel content formats. The findings underscore the importance of algorithmic insights in shaping the future of the cultural industry, offering personalized experiences, streamlining distribution, and expanding creative horizons.