Significant Treatment Effect Research Articles

Effects of transcranial direct current stimulation on different cognitive domains in Alzheimer's disease: a meta-study.

Numerous studies have investigated the potential effects of transcranial direct current stimulation (tDCS) on improving symptoms related to Alzheimer's disease (AD). However, these studies have produced inconsistent results, leading to a need for further investigation. A comprehensive search was conducted, including articles published from the initial availability date to 5 April 2024. The extracted study data were analyzed using STATA 12.0 software. The standard mean difference (SMD) and a 95% confidence interval (CI) were calculated to assess the effects of tDCS. A total of 18 studies assessing the effects of tDCS on AD were included in the study. The study revealed that tDCS has an immediate positive impact on general cognitive, executive, language, and visuospatial function. However, the study did not observe any other significant effect of tDCS treatment on improvements in brain function, including long-term effects on general cognitive, attention, language, and memory function, as well as immediate effects on attention and memory function. In conclusion, the study suggests that tDCS may be a promising intervention for improving the cognitive function of patients with AD. However, given the complex and multifactorial nature of AD, further well-designed studies with larger sample sizes are necessary to clarify the effectiveness of tDCS and determine the optimal combination of tDCS parameters.

Insulin-like growth factor-1 infusion in preterm piglets does not affect growth parameters of skeletal muscle or tendon tissue.

Prematurity has physical consequences, such as lower birth weight, decreased muscle mass and increased risk of adult-onset metabolic disease. Insulin-like growth factor 1 (IGF-1) has therapeutic potential to improve the growth and quality of muscle and tendon in premature births, and thus attenuate some of these sequalae. We investigated the effect of IGF-1 on extensor carpi radialis muscle and biceps brachii tendon of preterm piglets. The preterm group consisted of 19-day-old preterm (10 days early) piglets, treated with either IGF-1 or vehicle. Term controls consisted of groups of 9-day-old piglets (D9) and 19-day-old piglets (D19). Muscle samples were analysed by immunofluorescence to determine the cross-sectional area (CSA) of muscle fibres, fibre type composition, satellite cell content and central nuclei-containing fibres in the muscle. Tendon samples were analysed for CSA, collagen content and maturation, and vascularization. Gene expression of the tendon was measured by RT-qPCR. Across all endpoints, we found no significant effect of IGF-1 treatment on preterm piglets. Preterm piglets had smaller muscle fibre CSA compared to D9 and D19 control group. Satellite cell content was similar across all groups. For tendon, we found an effect of age on tendon CSA, and mRNA levels of COL1A1, tenomodulin and scleraxis. Immunoreactivity for elastin and CD31, and several markers of tendon maturation, were increased in D9 compared to the preterm piglets. Collagen content was similar across groups. IGF-1 treatment of preterm-born piglets does not influence the growth and maturation of skeletal muscle and tendon.

Evaluation of Metabolizable Energy and Crude Protein Balance on Productivity and Income on Male Kamang Ducks

Male Kamang ducks are one of the local ducks in West Sumatran germplasm originating from Tilatang Kamang and Kamang Magek Districts, Agam Regency, West Sumatera. The balance of metabolizable energy and crude protein (EM/P) in preparing the ration for Kamang ducks must be considered because it is closely related to the efficiency and growth of the ducks. Preparing the feed formulation for Kamang ducks with the right energy and protein balance will support their productivity. The research used male Kamang ducks in the grower phase, which is 3 to 7 weeks of age. Feed Treatment was metabolizable energy of 2800 kcal/kg with 17%, 18%, and 19% crude protein levels. The design used was completely randomized, with 3 treatments and 6 replications. The research showed no significant effect of treatments on feed consumption, body weight gain, or conversion ratio of male Kamang ducks in the grower phase; however, from the treatments, the highest income based on the IOFC value was ration B. In male Kamang ducks, good performance in balance of ME/P are 147.37 to 164.71 with the highest Income Over Feed and Cost (IOFC) value and lower fat abdominal at ME/P 155.55.

Balancing Greenhouse Gas Emissions and Yield through Rotational Tillage in the Cold Rice-Growing Region

Tillage practices are of critical importance in maintaining soil quality on cropland and for food production, with rice cultivation representing a significant portion of the world’s food production and greenhouse gas (GHG) emissions. While numerous studies have examined the effects of reduced and no-tillage on soil GHG emissions and rice yields, the impact of adopting a rotational approach to tillage practices on the rice cultivation cycle remains uncertain. In this study, we conducted a four-year (2017–2020) field experiment in a single rice-growing area in Northeast China with the aim of investigating the effects of different tillage practices on GHG emissions from paddy fields and rice yields under full straw return conditions. We set up three experimental treatments: rotary tillage, plowing, and rotational tillage (i.e., a combination of one year of plowing and one year of rotary tillage). The results showed that averaged across all treatments, average methane (CH4, 302.6 ± 51.1 kg ha−1) and nitrous oxide (N2O, 0.86 ± 0.361 kg ha−1) emissions and rice yield (9.0 ± 0.9 t ha−1) did not exhibit significant inter-annual variability during the entire experimental period and were comparable to the average for the region. The ranking of GHG emissions during the rice-growing season was as follows: rotary tillage > plowing > rotational tillage. Across the experimental period, CH4 and N2O emissions were 9.1% and 8.5% lower in the plowing treatment and 21.2% and 13.1% lower in the rotational tillage treatment compared to the rotary tillage treatment. During the experimental period, there was no significant effect of tillage treatments on rice yield. This reduction in emissions may be attributed to changes in soil penetration resistance. In the rotational and plowing treatments, soil penetration resistance was in a range more adapted to rice growth and GHG emissions reduction compared to the rotary tillage treatment. The yield-scale GHG emission intensity was reduced by 12.7% and 26.1% in the plowing and rotational tillage treatments, respectively, in comparison to the rotary tillage treatment. This suggests that rotational tillage is a management practice that can achieve greenhouse gas emission reductions in paddy fields and stabilize or possibly increase rice yields. Consequently, the results demonstrated that a rotational alternation of multiple tillage practices is a synergistic strategy for achieving low carbon and high yield in rice in the cold rice-growing region of Northeast China.

The effect of ear acupressure on occupational cognitive failure in nurses after the COVID-19 crisis: a randomized controlled clinical trial

BackgroundIn the aftermath of the COVID-19 pandemic, nurses reported varying degrees of cognitive failure. To prioritize patient safety in clinical settings, it is important and necessary to address and mitigate the symptoms of cognitive failure among nurses.AimThis study was conducted in Iran to evaluate the impact of ear acupressure on occupational cognitive failure in nurses.MethodsThis randomized controlled clinical trial was conducted with 54 nurses who experienced cognitive failure in 2022. Sampling was performed by convenience. Fifty-six nurses who scored 40 or higher on the occupational cognitive failure questionnaire were randomly assigned to either the intervention group (28 subjects) or the sham group (28 subjects). In the intervention group, pressure was applied to the shen-men point, zero point, hippocampus, master cerebral, brain, and memory 1 and 2 of the earlobes for six weeks using Vaccaria seeds. In the sham group, a sticker without seeds was applied at the same points as in the intervention group, and no pressure was applied. Cognitive failure was assessed at the beginning of the study (T0), at the end of the intervention (sixth week of study, T1), and four weeks after the end of the intervention (tenth week of study, T2). The data were collected using contextual data questionnaires and the Occupational Cognitive Failure Questionnaire (OCFQ). The data obtained from 54 nurses (28 in the sham group and 26 in the intervention group) were analyzed by SPSS v16 using repeated-measures ANOVA.ResultsThe two groups had no significant differences regarding background variables. The between-group analysis revealed a significant interaction effect of time and intervention on cognitive failure (F = 60.320, p < 0.001, effect size = 0.537). The cognitive failure score in the intervention group was significantly lower at the end of the intervention and one month later than that in the sham group (p < 0.001). Within-group analysis revealed a significant difference in the cognitive failure scores of the intervention group at T0, T1, and T2 (61.231 ± 14.230, 34.000 ± 14.659, and 29.808 ± 14.266, respectively; F = 52.331, p < 0.001, effect size = 0.677). However, in the sham group, the cognitive failure score exhibited a brief but significant increase at T0, T1, and T2 (54.786 ± 11.239, 56.250 ± 10.950, and 56.000 ± 11.337, respectively; F = 6.369, p = 0.006, effect size = 0.191).ConclusionAuriculotherapy has shown promise in improving occupational cognitive failure in nurses. It is recommended that nurses consider incorporating auriculotherapy as a complementary treatment modality, particularly through self-treatment programs, when experiencing symptoms of cognitive impairment.Trial Registration Number (TRN)IRCT20100211003329N10Date of registration04/11/2022

P-500 Digital support tools for fertility patients – a systematic review and meta-analysis of the effect of these tools on psychological outcomes and pregnancy rates

Abstract Study question Do digital support tools for fertility patients improve psychological outcomes and pregnancy rates? Summary answer Overall, digital support tools for fertility patients do not improve depression, anxiety or Fertility Problem Index scores but have a beneficial effect on pregnancy rates. What is known already There are numerous mobile and web-based digital health tools in reproductive medicine, but the research evidence supporting the effect on clinical outcomes and to mitigate the psychological effects of infertility is sparse. If existing digital tools have demonstrated effectiveness in their stated aims of providing psychological support to patients during the arduous process of fertility treatment, it is vital to identify this so they can be implemented and further developed to tackle this important problem. In addition, if any digital tools have shown a positive impact on pregnancy rates, this would be of great interest to patients and clinicians alike. Study design, size, duration The study was prospectively registered (PROSPERO-CRD42020156441). An initial systematic review identified digital support tools and their salient features. This study presents meta-analysis of the data from RCT studies of digital support tools identified. Meta-analysis was performed of pregnancy rates, FPI (Fertility Problem Index), Depression and Anxiety scores between the digital support tool user and waiting list control groups. Studies were assessed for risk of bias (Cochrane risk of bias, robvis tool) and graded for quality. Participants/materials, setting, methods All studies were published after 2006. The RCT studies were conducted in the USA, Switzerland, Germany, UK, and The Netherlands. The total number of patients involved was 1268 (1059 women and 209 men). The average age of participants was 34.3 years. All studies reported psychological outcome scores. In 5 of the 10 studies identified pregnancy rates were reported. Meta-analysis was performed using the ‘meta’ package in R using random effects model to generate forest plots. Main results and the role of chance Overall, digital tools have a small positive impact on pregnancy rates, suggesting a beneficial effect for users of digital tools compared to non-user controls. Comparing digital support tools users with non-users, the clinical pregnancy rate (CPR) odds ratio (OR, with confidence interval) was 1.715 (1.042:2.82). The meta-analysis of the effect sizes of digital interventions on psychological outcomes, measured using validated measures of anxiety, depression, or the fertility specific FPI, identified no significant effects of digital interventions on patients’ psychological wellbeing. There was no significant standardized mean difference seen with the FPI analysis, SMD -0.10 (95% CI -0.26:0.05). As a variety of depression and anxiety outcome scales were used, there was insufficient comparable data to perform a quantitative meta-analysis for these outcomes and so this data is presented narratively. No convincing benefit of the digital tools to reduce symptoms of depression during fertility treatment is demonstrated in these studies. The impact of digital support tools on anxiety scores is somewhat mixed, with most studies demonstrating no significant difference in the anxiety scores between intervention and control group and a small number of statistically and clinically significant reductions in anxiety severity. Limitations, reasons for caution Meta-analysis was limited by the range of psychological outcome scales used. There were issues with deviation from intended interventions and missing outcome data. There is a risk the results of this meta-analysis were affected by publication bias, particularly the reporting of pregnancy rate, which was not included in all studies. Wider implications of the findings Establishing an agreed framework or core outcome set for evaluation of tools aiming to ameliorate the psychological distress associated with fertility treatments would be useful. Further research to explore the potential of digital support tools to impact pregnancy rates, particularly within fixed time frames/ treatment cycles, is warranted. Trial registration number N/A

Bed-scale rockweed harvest findings are not altered by study critiques, a response to Seeley et al.

Seeley et al., 2024 (Comment: A reexamination of Johnston et al., 2023, bed-scale impact and recovery of a commercially important intertidal seaweed. J. Exp. Mar. Biol. Ecol. 574) describe a number of reasons that they believe our study's experimental design was flawed and our inferential conclusions were incorrect. We believe that these claims are the result of misunderstandings of the objectives behind our sampling design and statistical analyses. Throughout this response to Seeley et al., we reiterate key objectives of our study design: examining rockweed harvest at a whole-bed scale, realistically capturing the effects of current commercial rockweed harvest methods in Maine, and using coastwide site averages to estimate effect sizes of rockweed harvest. The first claim by Seeley et al. that our study design severely undersampled rockweed beds ignores established sampling methodologies in rockweed research. The suggestion that our sampling design resulted in impact sites that were de facto control sites is not supported by our analyses that showed greater declines in mean rockweed height and biomass at impact sites relative to control sites. In response to their second claim that rockweed companies had control of key elements of our study design and execution, we detail our specific approaches to lessen any possibility for such conflicts to bias our findings. In the final section of our response, we present power analyses in support of our Before-After Control-Impact study design and we highlight the statistically significant effects of treatment on rockweed biomass that contradict Seeley et al.'s claim that we drew conclusions about biomass recovery based solely on large p-values.

Changes in risk behaviour following a network peer education intervention for HIV prevention among male Tajik migrants who inject drugs in Moscow: a cluster-randomized controlled trial.

The "Migrants' Approached Self-Learning Intervention in HIV/AIDS for Tajiks" (MASLIHAT) recruits and trains Tajik labour migrants who inject drugs as peer educators (PEs) in delivering HIV prevention information and encouragement to adopt risk-reduction norms and practices within their diaspora social networks while reducing their own HIV risk. The MASLIHAT intervention was tested in Moscow in a cluster-randomized controlled trial with 12 recruitment sites assigned to either the MASLIHAT intervention or an equal-time peer-educator training focused on other health conditions (TANSIHAT). From October 2021 to April 2022, 140 male Tajik migrants who inject drugs were recruited as PEs to attend the 5-session MASLIHAT training or the TANSIHAT non-HIV comparison condition. Each participant in both groups recruited two network members (NMs) who inject drugs with the intent to share with them the information and positive strategies for change they had learned (n = 280). All PEs and NMs (n = 420) participated in baseline and follow-up interviews at 3-month intervals for 1 year. All received HIV counselling and testing. Modified mixed effects Poisson regressions tested for group differences in injection practices, sexual risk behaviours and heavy alcohol use over time. At baseline, across both groups, 75% of participants reported receptive syringe sharing (RSS), 42% reported condomless sex and 20% reported binge drinking at least once a month. In contrast to TANSIHAT where HIV risk behaviours remained the same, significant intervention effects that were sustained over the 12 months were observed for receptive syringe and ancillary equipment sharing among both MASLIHAT PEs and NMs (p < 0.0001). Significant declines in the prevalence of sexual risk behaviours were also associated with the MASLIHAT intervention (p < 0.01), but not the comparison condition. Binge alcohol use was not affected in either condition; the MASLIHAT intervention had a transitory effect on drinking frequency that dissipated after 9 months. The MASLIHAT peer-education intervention proved highly effective in reducing HIV-related injection risk behaviour, and moderately effective in reducing sexual risk behaviour among both PEs and NMs. Network-based peer education is an important tool for HIV prevention among people who inject drugs, especially in environments that are not amenable to community-based harm reduction.

Poster 295: Evidence Suggesting Beneficial Effects of Platelet-Rich Plasma Over Alternative Injections for Knee Osteoarthritis Is Fairly Robust: A Systematic Review and Statistical Fragility Index-Based Meta-Analysis of Randomized Controlled Trials

Objectives: Based in part on the results of randomized controlled trials (RCTs) that suggest a beneficial effect over alternative treatment options, the use of platelet-rich plasma (PRP) for the management of knee osteoarthritis (OA) is widespread and increasing. However, the extent to which these studies are vulnerable to slight variations in the outcomes of patients remains unknown. The purpose of this study is to evaluate the statistical fragility of conclusions from RCTs that reported outcomes of patients with knee OA who were treated with PRP versus alternative nonoperative management strategies. Methods: All RCTs comparing PRP to alternative nonoperative treatment options for knee OA were identified. The fragility index (FI) and reverse fragility index (RFI) were applied to assess the robustness of conclusions regarding the efficacy of PRP for knee OA. Meta-analyses were performed to determine the minimum number of patients from one or more trials included in the meta-analysis for which a modification on the event status would change the statistical significance of the pooled treatment effect. Results: In total, this analysis included outcomes from 1993 patients with a mean (± standard deviation) age of 58.0 ± 3.8 years. The mean number of events required to reverse significance (FI) was 4.57 ± 5.85. This corresponded to a fragility quotient of 0.060 ± 0.075, meaning the significance of the results was contingent on 6 events per 100 participants. For non-significant outcome events, the mean number of events required to reverse statistical nonsignificance (RFI) was 4.41 ± 2.22. This corresponded to a reverse fragility quotient of 0.065 ± 0.056, meaning the non-significance of the results was contingent on 6.5 events per 100 participants (Figure 1). Based on random-effects meta-analyses, PRP demonstrated a significantly higher rate of successful outcomes when compared to hyaluronic acid (p = 0.002, odds ratio 95% CI = 2.19 [1.33-3.62]) (Figure 2) as well as higher rates of patient-reported symptom relief (p = 0.019, odds ratio [95% CI] = 1.55 [1.07-2.24]) (Figure 3), not requiring a reintervention after the initial injection treatment (p = 0.002, odds ratio [95% CI] = 2.17 [1.33-3.53]) (Figure 4), and achieving the minimal clinically important difference (MCID) for pain improvement (p = 0.007, odds ratio [95% CI] = 6.19[1.63-23.42]) when compared to all alternative nonoperative treatments. Overall, the mean number of events per meta-analysis required to change the statistical significance of the pooled treatment effect was 8.67 ± 4.50. Conclusions: Individual RCTs evaluating PRP for knee OA possess slight robustness. Upon meta-analysis, PRP demonstrated a significant advantage over HA as well as improved symptom relief, lower rates of reintervention, and more frequent achievement of the MCID for pain improvement when compared to alternative, nonoperative treatment options. Statistically significant pooled treatment effects evaluating PRP for knee OA are more robust than approximately half of all comparable meta-analyses in medicine and healthcare. Future RCTs and meta-analyses should consider reporting fragility indices and quotients to facilitate interpretation of results in their proper context. In addition, the robustness of these findings suggests that reconsideration of the American Academy of Orthopaedic Surgeons clinical practice guidelines around the use of PRP for knee OA may be warranted.

Tick salivary proteome and lipidome with low glycan content correlate with allergic type reactions in the zebrafish model

Ticks, as hematophagous ectoparasites, can manipulate host immune and metabolic processes, causing tick-borne allergies such as α-Gal syndrome (AGS). Glycolipids with bound galactose-alpha-1–3-galactose (α-Gal) are potential allergenic molecules associated with AGS. Nevertheless, proteins and lipids lacking α-Gal modifications may contribute to tick salivary allergies and be linked to AGS. In this study, we characterized the effect of deglycosylated tick salivary proteins without lipids on treated zebrafish fed with dog food formulated with mammalian (beef, lamb, pork) meat by quantitative proteomics analysis of intestinal samples. The characterization and functional annotations of tick salivary lipids with low representation of glycolipids was conducted using a lipidomics approach. Results showed a significant effect of treatment with saliva and saliva deglycosylated protein fraction on zebrafish abnormal or no feeding (p < 0.005). Treatment with this fraction affected multiple metabolic pathways, defense responses to pathogens and protein metabolism, which correlated with abnormal or no feeding. Lipidomics analysis identified 23 lipid classes with low representation of glycolipids (0.70% of identified lipids). The lipid class with highest representation was phosphatidylcholine (PC; 26.66%) and for glycolipids it corresponded to diacylglycerol (DG; 0.48%). Qualitative analysis of PC antibodies revealed that individuals bitten by ticks were more likely to produce PC-IgG antibodies (p < 0.001). DG levels were significantly higher in tick salivary glands (p < 0.05) compared with tick saliva and salivary fractions. The α-Gal content was higher in tick saliva than in deglycosylated saliva and lipid fractions. These results support a possible role for tick salivary proteins and lipids without α-Gal modifications in AGS.

Clinical outcomes of nurse-coordinated interventions for frail older adults discharged from hospital: A systematic review and meta-analysis.

To determine the effects of nurse-coordinated interventions in improving readmissions, cumulative hospital stay, mortality, functional ability and quality of life for frail older adults discharged from hospital. Systematic review with meta-analysis. A systematic search using key search terms of 'frailty', 'geriatric', 'hospital' and 'nurse'. Covidence was used to screen individual studies. Studies were included that addressed frail older adults, incorporated a significant nursing role in the intervention and were implemented during hospital admission with a focus on transition from hospital to home. This review searched MEDLINE (Ovid), CINAHL (EBSCO), PubMed (EBSCO), Scopus, Embase (Ovid) and Cochrane library for studies published between 2000 and September 2023. Of 7945 abstracts screened, a total 16 randomised controlled trials were identified. The 16 randomised controlled trials had a total of 8795 participants, included in analysis. Due to the heterogeneity of the outcome measures used meta-analysis could only be completed on readmission (n = 13) and mortality (n = 9). All other remaining outcome measures were reported through narrative synthesis. A total of 59 different outcome measure assessments and tools were used between studies. Meta-analysis found statistically significant intervention effect at 1-month readmission only. No other statistically significant effects were found on any other time point or outcome. Nurse-coordinated interventions have a significant effect on 1-month readmissions for frail older adults discharged from hospital. The positive effect of interventions on other health outcomes within studies were mixed and indistinct, this is attributed to the large heterogeneity between studies and outcome measures. This review should inform policy around transitional care recommendations at local, national and international levels. Nurses, who constitute half of the global health workforce, are ideally situated to provide transitional care interventions. Nurse-coordinated models of care, which identify patient needs and facilitate the continuation of care into the community improve patient outcomes. Review findings will be useful for key stakeholders, clinicians and researchers to learn more about the essential elements of nurse-coordinated transitional care interventions that are best targeted to meet the needs of frail older adults. When frail older adults experience transitions in care, for example discharging from hospital to home, there is an increased risk of adverse events, such as institutionalisation, hospitalisation, disability and death. Nurse-coordinated transitional care models have shown to be a potential solution to support adults with specific chronic diseases, but there is more to be known about the effectiveness of interventions in frail older adults. This review demonstrated the positive impact of nurse-coordinated interventions in improving readmissions for up to 1 month post-discharge, helping to inform future transitional care interventions to better support the needs of frail older adults. This systematic review was reported in accordance with the Referred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. No Patient or Public Contribution.

The effects of nutrition education on nutritional knowledge and dietary behaviours in primary school students in Zhongshan city.

Adequate nutritional knowledge and healthy dietary behaviours are essential for promoting rational nutrition for children. However, lack of nutritional knowledge and unhealthy dietary behaviours are common among Chinese children. Therefore, we developed a school-based nutrition education (NE) program to assess its impacts on nutritional knowledge and dietary behaviours in pupils. In this trial, one school was assigned as an intervention group (n = 199) and the other two schools were designated as a control group (n = 140). Children in the intervention group received the NE program in addition to their regular health curriculum, whereas the control group continued with their usual health curriculum without any NE program materials. Concerning nutritional knowledge, the mean difference (follow-up minus baseline) of average knowledge scores in the intervention group was significantly higher than that in the control group (1.99 ± 3.22 vs. 0.66 ± 3.60, p = 0.001). However, subgroup analysis revealed that this difference disappeared among boys and students with malnutrition status. Regarding dietary behaviours, the NE program significantly increased the proportion of children exhibiting high frequencies of meat and nuts consumption in the intervention group, along with diverse food choice at breakfast. Additionally, it markedly reduced the proportion of children exhibiting high frequencies of sugar-sweetened beverages and fast food consumption. Structural equation modelling analyses indicated a significant direct effect of NE intervention on nutritional knowledge and an indirect effect on dietary behaviours. The NE program effectively enhanced nutritional knowledge scores and further improved dietary behaviours among Chinese primary school students. Future NE programs should pay more attention to boys and children with malnutrition.

A Review of Domestic Research on Traditional Korean Medicine for Chemotherapy-Induced Peripheral Neuropathy

Objectives: This study was performed to research Korean medical treatment methods for chemotherapy-induced peripheral neuropathy by summarizing domestic studies.Methods: All domestic research papers on the Korean medical treatment of chemotherapy-induced peripheral neuropathy were selected from the literature published until April 2024 in four domestic databases. In total, 26 domestic papers were selected.Results: Eighteen clinical studies and eight experimental studies were published by April 2024. Most of the studied patients were in their fifties, and 93.4% of the subjects were women. Uchashinki-hwan (牛車腎氣丸) was the most frequently prescribed herbal formula, and Rehmanniae Radix Preparata was the most commonly used herb. All studies showed significant effects of Korean medical treatment, and any adverse events were not reported.Conclusion: This study included all domestic research papers on chemotherapy-induced peripheral neuropathy to identify research trends in the Korean medicine community. Based on this, it is meaningful to confirm areas that need to be supplemented in future research plans. However, large-scale studies are needed.

Adaptación de leguminosas arbóreas en un sistema silvopastoril para ovinos en clima templado

The objective was to evaluate, over a one-year period, the survival, production, and nutritional value of forage from tree legumes as well as grasses and weeds in a silvopastoral system. A mixed protein bank was established, consisting of two plots: in the first plot, planting orientation was East to West, and in the second, North to South. The planted tree species were leguminous: pata de vaca (Bauhinia forficata), albizia (Albizia lebbeck), leucaena (Leucaena leucocephala), and palo dulce (Eysenhardtia polystachya). Three planting densities were used, with tree spacings of 70x70, 90x90, and 110x110 cm. Survival was assessed visually and manually by identifying the species and recording their condition as either alive (1) or dead (0). A three-way classification model with an unequal number of repetitions was used, employing the Generalized Linear Models procedure of the statistical analysis system under a fixed effects model. The nutritional value of thetree legumes ranged from 11% to 18% protein. Differences (p ≤ 0.05) were observed between treatments and orientation regarding height. There was a significant effect (p ≤ 0.05) of treatment, orientation, period, and species on foliage production. Differences (p ≤ 0.05) were found in species survival, with albizia (Albizia lebbeck) being notable. The period also significantly influenced (p ≤ 0.05) tree survival. It is concluded that the survival rate of forage tree legume species determines their capacity to establish silvopastoral systems in a subhumid temperate climate in mixed protein bank arrangements

Church Membership and Economic Recovery: Evidence from the 2005 Hurricane Season

Abstract This paper investigates the critical role of church membership in the process of economic recovery after high-impact natural disasters. We document a significant adverse treatment effect of the 2005 hurricane season in the Southeastern United States on establishment-level productivity. However, we find that establishments in counties with higher rates of church membership saw a significantly stronger recovery in terms of productivity for 2005–10. We also show that church membership is correlated with post-disaster entrepreneurship activities and population growth.

Water Stress and Black Cutworm Feeding Modulate Plant Response in Maize Colonized by Metarhizium robertsii.

Plants face many environmental challenges and have evolved different strategies to defend against stress. One strategy is the establishment of mutualistic associations with endophytic microorganisms which contribute to plant defense and promote plant growth. The fungal entomopathogen Metarhizium robertsii is also an endophyte that can provide plant-protective and growth-promoting benefits to the host plant. We conducted a greenhouse experiment in which we imposed stress from deficit and excess soil moisture and feeding by larval black cutworm (BCW), Agrotis ipsilon, to maize plants that were either inoculated or not inoculated with M. robertsii (Mr). We evaluated plant growth and defense indicators to determine the effects of the interaction between Mr, maize, BCW feeding, and water stress. There was a significant effect of water treatment, but no effect of Mr treatment, on plant chlorophyl, height, and dry biomass. There was no effect of water or Mr treatment on damage caused by BCW feeding. There was a significant effect of water treatment, but not Mr treatment, on the expression of bx7 and rip2 genes and on foliar content of abscisic acid (ABA), 2,4-dihydroxy-7-methoxy-1,4-benzoxazin-3-one (DIMBOA), and gibberellin 19 (GA19), whereas GA53 was modulated by Mr treatment. Foliar content of GA19 and cis-Zeatin (cZ) was modulated by BCW feeding. In a redundancy analysis, plant phenology, plant nutrient content, and foliar DIMBOA and ABA content were most closely associated with water treatments. This study contributes toward understanding the sophisticated stress response signaling and endophytic mutualisms in crops.

RESPONSE OF MAIZE HYBRIDS TO IRRIGATION TREATMENTS AT SEMI-ARID ENVIRONMENT

This experiment was carried out during season of 2020 and 2021 at Erbil governorate to study the forage and grain yield performance of three maize hybrids Zea mays L. as influenced by irrigation skipping at different times. The experiment was laid out in split-plot design with three replications. The irrigation treatments were located at the main plots, and the hybrids were distributed at the subplots. Highly significant effects of irrigation treatments were recorded for forage, grain yield and most of its components at both seasons and their average. The differences among hybrids were not significant for forage yield at both seasons. It was significant for grain yield as the average of both seasons only. The fresh and dry forage yield was affected more by the skipping irrigation during the last two periods of skipping, and the same for the grain yield. That there are no significant differences between the control and skipping during the first period, as the significantly outperformed the grain yield in the last two periods of skipping.

Enhancing rice yields through foliar application of essential micronutrients: A study on zinc, copper, and boron nutrition in context of Nepal

Quantitative data on the effects of essential micronutrients—boron, zinc, and copper—on rice (Oryza sativa L.) are limited, which hampers optimized crop management strategies. This study aimed to enhance rice yields through the foliar application of these micronutrients. Conducted in 2022 at Gokuleshwor Agriculture and Animal Science College using a randomized complete block design with three replications, the research tested different combinations of these elements on the local rice variety Kaljade. The treatments included: T1 (control), T2 (zinc), T3 (copper), T4 (boron), T5 (Zn + Cu + B), T6 (Zn + Cu), and T7 (Zn + B), with doses of 5 kg/ha for zinc and 2 kg/ha each for boron and copper. The results demonstrated significant effects of the micronutrient treatments on all parameters studied. Notably, the combination of zinc, copper, and boron (Zn + Cu + B) led to the most favorable outcomes. This treatment resulted in the shortest maturity duration (116.3 days after transplanting), the highest number of tillers (22.5), and the tallest plant height (107.7 cm). Additionally, Zn + Cu + B produced the greatest leaf area index (0.0724), the highest number of grains per panicle (22.6), and the heaviest thousand-grain weight (21.83 g). Furthermore, Zn + Cu + B achieved the highest biological yield (12.35 t/ha) and grain yield (5.9 t/ha), markedly higher than the control treatment (4.12 t/ha). These findings highlight the significant role of zinc, copper, and boron in rice cultivation. The study underscores the potential of foliar application techniques to optimize micronutrient availability, thereby enhancing rice yields. For future agricultural practices in the study area, focusing on zinc, copper, and boron nutrition is crucial to further augment crop productivity and ensure food security.

Prediction of Disease Progression and Clinical Response in Systemic Sclerosis: Experience From a Proof-of-Concept Trial.

Using the modified Rodnan skin score (mRSS) as a surrogate for disease activity, a phase 2a study in patients with systemic sclerosis (SSc) measured efficacy of the autotaxin inhibitor ziritaxestat. Mathematical modeling of mRSS was used to predict disease progression, examine candidate trial designs, and predict the probability of successfully discriminating treatment effect. Patients with SSc receiving 600 mg of ziritaxestat or placebo for 24 weeks were included, in addition to data up to week 52 of the open-label extension (OLE). Longitudinal mRSS data were described using a disease progression model; drug effect was a binary variable. Parameters used to predict the OLE mRSS outcome were estimated using data from the 24-week double-blind phase and validated with observed data. Three trial designs were simulated to identify which had the highest probability of detecting a treatment effect. Power to detect a treatment effect was quantified using the simulations. Maximum decreases from baseline in mRSS were 50.4% (ziritaxestat) and 34.7% (placebo). Study designs based on 300 patients randomized 2:1 or 1:1 to 600 mg of ziritaxestat or placebo had similar probabilities of detecting a significant treatment effect. Power to detect a treatment effect was >80% for all simulations. Disease progression and drug effect could be predicted beyond the range of observed data. This modeling and simulation approach may inform future trial design, including study duration, and predict the probability of success.

Effects of Anti-CGRP Monoclonal Antibodies on Neurophysiological and Clinical Outcomes: A Combined Transcranial Magnetic Stimulation and Algometer Study.

the aim of this study was to investigate the neurophysiological effect of anti-CGRP monoclonal antibodies on central and peripheral levels in migraine patients. An observational cohort study in patients with migraine was performed. All subjects underwent Single-Pulse and Paired-Pulse Transcranial Magnetic Stimulation, as well as a Pressure Pain Threshold assessment. The same protocol was repeated three and four months after the first injection of anti-CGRP monoclonal antibodies. A total of 11 patients with a diagnosis of migraine and 11 healthy controls were enrolled. The main findings of this study are the significant effects of anti-CGRP mAb treatment on the TMS parameters of intracortical inhibition and the rise in the resting motor threshold in our group of patients affected by resistant migraine. The clinical effect of therapy on migraine is associated with the increase in short-interval intracortical inhibition (SICI), resting motor threshold (RMT), and Pressure Pain Threshold (PPT). In all patients, all clinical headache parameters improved significantly 3 months after the first injection of mAbs and the improvement was maintained at the 1-month follow-up. At baseline, migraineurs and HCs had significant differences in all TMS parameters and in PPT, while at follow-up assessment, no differences were observed on RMT, SICI, and PPT between the two groups. After anti-CGRP monoclonal antibody injection, a significant increase in the intracortical inhibition, in the motor threshold, and in the Pressure Pain Threshold in critical head areas was observed in patients with migraine, which was related to significant clinical benefits. Anti-CGRP monoclonal antibodies improved clinical and neurophysiological outcomes, reflecting a normalization of cortical excitability and peripheral and central sensitization. By directly acting on the thalamus or hypothalamus and indirectly on the trigeminocervical complex, treatment with anti-CGRP monoclonal antibodies may modulate central sensorimotor excitability and peripheral sensitization pain.