Twofold Increase Research Articles

Green Packaging Films with Antioxidant Activity Based on Pectin and Camellia sinensis Leaf Extract.

In the packaging materials sector, increasing globalization has created the need for increased efforts to develop consumer protection measures. Consequently, new packaging materials are being sought to replace petroleum-based materials in the future. For this reason, global awareness of the environmental problems associated with the use of synthetic and non-degradable packaging has increased the attention paid to bio-packaging based on natural and biodegradable polymers. The bio-packaging sector is developing innovations to address the sustainability issues facing the food packaging industry. Our research has shown that green matcha extract can be a promising source of antioxidants for the production of bioactive pectin films. This study further confirmed that green matcha extract can be a promising source of antioxidants for the production of bioactive pectin films. The antioxidant activity test showed high activity of films containing matcha extract. The antioxidant activity of films without matcha addition, P, PJ, PC, PJC, was negligible. The addition of matcha to the polymer matrix did not significantly affect the mechanical properties (TS, EB) of the films obtained. The addition of cellulose had the greatest effect on changing the mechanical properties. It caused a twofold increase in the mechanical properties of the obtained packaging films. The addition of matcha significantly improved the barrier properties (for PM films, the WVTR was 3.40 [g/m2d]; for PJM films the WVTR was 1.70 [g/m2d]). The green packaging films showed no toxic effects on the plants (Phacelia tanacetifolia, Salvia hispanica, Brassica napus) and invertebrates (Daphnia pulex, Chaoborus, Chironomus aprilinus) tested. The half-solubility time of the membranes in a solution mimicking gastric acid was also determined. The longest half-dissolution time of the films was about 2 min. Our research has therefore shown that the biodegradable and environmentally safe green packaging films with antioxidant activity that we have developed can be used as edible functional casings in the future, e.g., for sausages and other food products.

The interplay between structural features and the efficiency of the energy transfer process in terbium complexes with triarylcyclopentadienyl ligands

Terbium and gadolinium complexes with triarylcyclopentadienyl ligands having electron-donating methoxy substituents in the ortho- (CpPh2Ar−o) and para- (CpPh2Ar−p) positions of one of the phenyl rings have been synthesized. Different structural types, including tetranuclear [{CpPh2Ar−oTb (THF)}2 (μ2-Cl)2(μ3-Cl)3K (THF)]2 (Tb1), [{CpPh2Ar−oTb}2 (μ2-Cl)2 (μ3-Cl)3K]2 (Tb3), [{(CpPh2Ar−oTb)2 (μ2-Cl)3}2 (μ2-Cl)2] (Tb5), [{CpPh2Ar−pTb (THF)}2 (μ2-Cl)2 (μ3-Cl)3K (THF)]2 (Tb6), binuclear [{CpPh2Ar−oTb (THF)Cl}2 (μ2-Cl)2] (Tb4), [{CpPh2Ar−pTb (THF)}2 (μ2-Cl)2 (μ3-Cl)3K (THF)]2 (Tb7), [CpPh2Ar−p2Tb (μ2-Cl) (μ3-Cl)K]2 (Tb8) and mononuclear [CpPh2Ar−o2TbCl] (Tb2) complexes have been obtained and confirmed by single crystal X-ray diffraction analysis. All designed terbium complexes exhibit high quantum yields of the photoluminescence (up to 65 %). The introduction of a methoxy group into one of the phenyl rings of the triarylcyclopentadienyl ligand leads to a more than twofold increase in the quantum yield of the terbium ion luminescence. The estimated values of radiative rate krad of the terbium ion vary in the range of 0.23–0.69 ms. The presence of the methoxy group as well as the mutual disposition of the phenyl rings promotes the appearance of an intraligand charge transfer states involved in the energy transfer process. Due to a lowering of the energy of the interconfigurational 4f −5d transitions caused by the relatively strong crystal field of the Cp ligand in bis(cyclopentadienyl) terbium complexes, the quantum yield of the photoluminescence is high at the short lifetimes of the 5D4 level of the terbium ion.

Controlling 4f antiferromagnetic dynamics via itinerant electronic susceptibility

Optical manipulation of magnetism holds promise for future ultrafast spintronics, especially with lanthanides and their huge, localized 4f magnetic moments. These moments interact indirectly by spin polarizing the conduction electrons (the Ruderman-Kittel-Kasuya-Yosida exchange interaction), influenced by interatomic orbital overlap, and the conduction electron's susceptibility around the Fermi level. Here, we study this influence in a series of 4f antiferromagnets, GdT2Si2 (T = Co, Rh, Ir), using ultrafast resonant x-ray diffraction. We observe a twofold increase in the ultrafast intersublattice angular momentum transfer rate between the materials, originating from modifications in the conduction electron susceptibility, as confirmed by first-principles calculations. Published by the American Physical Society 2024

Mortality Patterns of Esophageal Cancer in the United States: A 21-Year Retrospective Analysis.

Esophageal cancer (EC) is the sixth leading cause of cancer-related deaths in the United States, with a mere 20% survival rate in the first 5 years, making it a significant public health concern. Considering the lack of comprehensive evaluations of mortality trends, this study aims to provide an update on the mortality rates of esophageal cancer and its trends in the United States. The mortality trends among adults with EC were analyzed using data from the CDC WONDER database. Crude and age-adjusted mortality rates (AAMRs) per 100,000 people were extracted. Annual percent changes (APCs) in AAMRs with 95% CI were obtained using joinpoint regression analysis across different demographic (sex, race/ethnicity, and age) and geographic (state, urban-rural, and regional) subgroups. Between 1999 and 2020, 309,725 documented deaths were attributed to esophageal cancer. The overall AAMR decreased from 1999 to 2020 (6.69 to 5.68). Males had higher consistently higher AAMRs than females (10.96 vs. 2.24). NH White had the highest overall AAMR (6.88), followed by NH Black (6.46), NH American Indian (4.95), Hispanic or Latino (3.31), and NH Asian or Pacific Islander (2.57). AAMR also varied by region (overall AAMR: Midwest: 7.18; Northeast: 6.75; South: 6.07; West: 5.76), and nonmetropolitan areas had higher AAMR (non-core areas: 7.09; micropolitan areas: 7.19) than metropolitan areas (large central metropolitan areas: 5.75; large fringe areas: 6.33). The states in the upper 90th percentile of esophageal cancer-related AAMR were Vermont, District of Columbia, West Virginia, Ohio, New Hampshire, and Maine, and exhibited an approximately two-fold increase in AAMRs, compared with states falling in the lower 10th percentile. Over the last 2 decades, there has been an overall decline in mortality related to EC in the United States. However, demographic and geographic discrepancies in EC-related mortality persist, necessitating additional exploration and development of specifically directed treatments.

Microplastics release from infant feeding bottles and milk storage bags

The health impairment of microplastics (MPs) in infants has received considerable attention, with oral ingestion being an important exposure route. However, research remains limited on MPs released in feeding bottles (FBs) and breastmilk storage bottles (BSBs) during daily use. To address this gap, our study investigated the MPs released from polyphenylene sulfone resins (PPSU)-FBs, silicone-FBs, polyethylene (PE)-BSBs, and low-density polyethylene (LDPE)-BSBs under typical usage conditions. Our findings revealed that the four materials of FBs and BSBs can release 1465–5893 particles/L MPs (median concentration). The predominant MPs released from all FBs and PE-BSBs were identified as PE, while LDPE-BSBs predominantly released polyethylene terephthalate (PET) and acrylates (ACR). Approximately 70% of MPs were found within the 20–50 μm particle size range. Higher temperatures led to a two-fold increase in the total MPs. Notably, infants would additionally intake 2080–5910 MPs per day through FBs and BSBs. Months with higher nutritional requirements, and when using silicone FBs and LDPE BSBs, increased the ingestion of MPs in infants. In conclusion, our study highlighted that those FBs and BSBs can precipitate varying numbers, types, and particle sizes of MPs. To protect infants from MPs ingestion, it is recommended to choose non-plastic FBs and non-plastic breastmilk storage containers.

Responses of needle terpene concentrations and characteristics of resin canals to different warming treatments in Scots pine and Norway spruce seedlings grown in a field experiment

We studied responses of needle terpene concentrations and resin canal characteristics to warming in Scots pine (Pinus sylvestris) and Norway spruce (Picea abies) seedlings grown in a controlled field set-up in eastern Finland. Warming was simulated during the growing seasons using infrared heaters that increased air temperature in study 1 (2016–2019) by 1°C and in study 2 (2019–2020) by 2°C and 4°C, compared to ambient conditions. Terpenes were sampled in study 1 from non-matured current year and matured previous year needles in June 2019, and study 2 from mature current-year needles in August 2020. In study 1, we also studied resin canal anatomy. We found that 1°C elevation of temperature caused two-fold increase in concentrations of total terpenes, oxygenated monoterpenes and sesquiterpenes of non-matured current year needles of Norway spruce. Further, it caused 1.3-1.8-fold increases in sesquiterpene concentrations both in unmatured and matured needles of Scots pine. It also decreased resin canal diameter of mature needles in Norway spruce. In study 2, the stronger warming treatments did not affect terpene concentrations of matured current-year needles in either species. Based on our findings, even minor elevation of temperature may affect terpene concentrations of non-mature needles in boreal conifers.

Non-Pharmacological Management of Gestational Diabetes Mellitus with a High Fasting Glycemic Parameter: A Hospital-Based Study in Vietnam

Background/Objectives: The prevalence of gestational diabetes mellitus (GDM) is increasing at an alarming rate worldwide. Delayed management can lead to adverse composite outcomes for both mother and her offspring. To our knowledge, the clinical association between glycemic parameters and the results of the non-pharmacological GDM approach remains limited; thus, this study aimed to address this important clinical issue in the literature. Methods: This was a retrospective cross-sectional study of 174 Vietnamese pregnant women with the positive oral glucose tolerance test (OGTT) for a high fasting glycemic parameter at Hung Vuong Hospital from 04/2022 to 07/2022. This study aimed to evaluate the success rate of GDM with an elevated index of fasting glycemic concentration which was managed after 2 weeks of a dietary regimen combined with adequate physical activities and to reveal its related factors. Results: Out of 174 singleton pregnancies that met the inclusion criteria, 103 GDM pregnant women were successfully managed after 2 weeks of monitoring (59.2%; 95% confidence intervals (CI): 51.9–66.5). The study revealed a fair correlation between the corresponding test of blood glucose at OGTT and after 2 weeks of GDM management (r = 0.270–0.290, p < 0.0001). The GDM pregnant women with an elevated fasting glycemic parameter and with any of elevated 1 h or 2 h blood glucose levels and in cases of three elevated glycemic parameters (fasting, 1 h, and 2 h blood glucose at the initial results of OGTT) reduced the success rate of glycemic control to 56.5%, 49.2%, respectively, compared to the group with solely a high fasting index of blood glucose (69.6%). The pregnant women who participated in high-intensity sports activities related to a two-fold increase in success rate compared with the group engaging in light and moderate-intensity physical activity. Conclusions: The success rate of glycemic control in GDM women was highest in the group with solitary fasting hyperglycemia and lower in the contributory groups with two and three high parameters. The application of diet therapy plus physical activities among GDM pregnant women is potentially necessary to improve the effectiveness of treatment, minimize adverse pregnancy outcomes, and reduce substantially the hospitalization rate.

Unique among high passes: Insights into the genetic uniqueness among butterflies of Ladakh Trans-Himalaya through DNA barcoding.

The butterfly assemblage of Ladakh Trans-Himalaya demands a thorough analysis of their population genetic structure owing to their typical biogeographic affinity and their adaptability to extreme cold-desert climates. No such effort has been taken till date, and in this backdrop, we created a COI barcode reference library of 60 specimens representing 23 species. Barcodes were generated from freshly collected leg samples using the Sanger sequencing method, followed by phylogenetic clade analyses and divergence calculation. Our data represents 22% of Ladakh's Rhopaloceran fauna with the novel barcode submission for six species, including one Schedule II species, Paralasa mani. Contrary to the 3% threshold rule, the interspecific divergence between two species pairs of typical mountain genus Hyponephele and Karanasa was found to be 2.3% and 2.2%, respectively. The addition of conspecific global barcodes revealed that most species showed little increase in divergence value, while a two-fold increase was noted in a few species. Bayesian clade clustering outcomes largely aligned with current morphological classifications, forming monophyletic clades of conspecific barcodes, with only minor exceptions observed for the taxonomically complicated genus Polyommatus and misidentified records of Aulocera in the database. We also observed variations within the same phylogenetic clades forming nested lineages, which may be attributed to the taxonomic intricacies present at the subspecies level globally, mostly among Eurasian species. Overall, our effort not only substantiated the effectiveness of DNA Barcoding for the identification and conservation of this climatically vulnerable assemblage but also highlighted the significance of deciphering the unique genetic composition among this geographically isolated population of Ladakh butterflies.

Single- vs. two-stage fermentation of an organic fraction of municipal solid waste for an enhanced medium chain carboxylic acids production − The impact of different pH and temperature

Single-stage fermentation was characterized by low medium chain carboxylic acids concentrations and different mesophilic temperatures had little effect on the process performance, whereas thermophilic conditions and pH 5.5 led to lactate and ethanol accumulation. Two-stage fermentation enabled almost twofold increase in the caproate productivity, that reached 0.8 g/L-d (1.7 ± 0.1 gCOD/L-d) with a caproate concentration of 4.0 g/L (8.4 gCOD/L) at specificity of 37 % and led to a reduced release of carbon dioxide. Under pH 6.5 and temperature of 37°C the production of medium chain carboxylic acids required higher concentrations of ethanol. Number of reads annotated to fatty acid biosynthesis pathway exceeded the number of sequences assigned to the reverse β-oxidation pathway. Core microorganisms encoding these pathways belonged to Caproiciproducens, Caproicibacterium and Clostridium. This study provides a valuable insight for valorisation of organic fraction of municipal solid waste into carboxylates in a single- and two-stage systems.

Enhancing prosthesis stability at the cricoid cartilage in equine laryngoplasty using 3-D-printed laryngeal clamps: An ex vivo model study.

To assess a three-dimensional (3-D)-printed laryngeal clamp (LC) designed to enhance the anchoring of laryngeal prostheses at the cricoid cartilage. Ex vivo biomechanical study. A total of 22 equine larynges. Two experimental groups included larynges with standard prosthetic laryngoplasty (PL; n = 10) and larynges with prosthetic laryngoplasty modified with laryngeal clamps (PLLC; n = 10). All constructs underwent 3000 cycles of tension loading and a single tension to failure. Recorded biomechanical parameters included maximum load, actuator displacement, and construct failure. Finite element analysis (FEA) was performed on one PL and one PLLC construct. The maximum load at single tension to failure was 183.7 ± 46.8 N for the PL construct and 292.7 ± 82.3 N for the PLLC construct (p = .003). Actuator displacement at 30 N was 1.7 ± 0.5 mm and 2.7 ± 0.7 mm for the PL and PLLC constructs, respectively (p = .011). The cause of PL constructs failure was mostly tearing through the cartilage whereas the PLLC constructs failed through fracture of the cricoid cartilage (p = .000). FEA revealed an 11-fold reduction in the maximum equivalent plastic strain, a four-fold reduction in maximum compressive stress, and a two-fold increase in the volume of engaged cartilage in PLLC constructs. The PLLC constructs demonstrated superior performance in biomechanical testing and FEA compared to standard PL constructs. The use of 3-D-printed laryngeal clamps may enhance the outcomes of laryngoplasty in horses. In vivo studies are necessary to determine the feasibility of performing laryngoplasty using the laryngeal clamp in horses.

"Before medically advised" hospital discharge and the risk of subsequent drug overdose: A case-crossover analysis.

Patient-initiated or "before medically advised" (BMA) hospital discharge is more common among people who use drugs. Transitions of care can be destabilizing and might increase the risk of subsequent illicit drug overdose. This study sought to evaluate whether BMA discharge is associated with an increased risk of subsequent drug overdose (primary objective) and whether physician-advised discharge is associated with an increased risk of subsequent drug overdose (secondary objective). We performed a case-crossover analysis of population-based linked administrative health data for individuals experiencing an overdose between 2016 and 2019 in British Columbia, Canada. Using conditional logistic regression, we compared the likelihood of hospital discharge in the 28 days before overdose (the "pre-overdose interval") to the likelihood of hospital discharge in two self-matched 28-day control intervals ending 26 and 52 weeks before overdose. Over the 3.5-year study interval, 235 of 27,584 (0.9%) pre-overdose intervals and 189 of 55,168 (0.3%) control intervals included a BMA discharge, suggesting that BMA discharge was associated with a twofold increase in the risk of subsequent drug overdose (adjusted odds ratio [aOR], 2.08; 95% confidence interval [95% CI], 1.68-2.58; p < 0.001). Physician-advised hospital discharge was also a risk factor for subsequent overdose, occurring in 1350 of 27,584 (4.9%) pre-overdose intervals and 1625 of 55,168 (2.9%) control intervals (aOR, 1.39; 95% CI, 1.27-1.52; p < .001). Both BMA and physician-advised hospital discharge are independently associated with transient increases in the risk of subsequent illicit drug overdose. Better in-hospital treatment of substance use disorder and novel means of post-discharge outreach should be deployed to reduce this risk.

Effect of Carbon Nanotubes Functionalization on the Chemical Composition and Electrochemical Characteristics of Composites with Layered Potassium Manganese Oxide

The influence of pretreatment of multiwalled carbon nanotubes (MWCNTs) in oxidizers (solutions of H2O2 and HNO3) on the structure and electrochemical properties of composites with layered potassium-manganese oxide (KxMnO2) was studied. Composites were obtained by soaking carbon nanotubes in an aqueous solution of KMnO4 at 60 °C. The electrochemical performance of the composites was evaluated by cyclic voltammetry and galvanostatic charge‒discharge methods. It has been established that stronger oxidation of the MWCNTs surface at the functionalization stage leads to a noticeable increase in the reaction rate as well as the optimal potassium content in the KxMnO2 composition, which provides higher capacitive characteristics of the composite (a maximum specific capacitance of 150 F g−1 and a rate capability of 43% with increasing density current from 0.1 to 2.0 A g−1). The resulting composites are promising active components for increasing the capacitive characteristics of conductive carbon black (CB). Compared with an electrode based only on CB, electrodes based on a combination of the composite and CB at a mass ratio of 1:1 showed specific capacitance values approximately 1.5 to 3 times greater, as well as a twofold increase in rate capability (from 35 to 70%) in the range of discharge current density 0.1 to 2.0 A g−1.

Modification of the polymeric admixture based on polycarboxylate ether using silica-derived secondary materials obtained from fly ash and the efficiency of its application in concrete

The rising energy prices and the costs of CO2 emissions into the atmosphere are forcing the construction industry to search for ways to reduce cement consumption in concrete technology by optimizing concrete mixtures and making greater use of chemical admixtures. The scientific problem lies in understanding how polymers modified with silica-derived secondary materials, such as those obtained from fly ash (e.g., synthetic zeolites, mesoporous silica), interact with the concrete matrix and influence their durability and strength. The present study investigated the effect of a polymeric admixture based on polycarboxylic ether (PCE) modified with silica-derived secondary materials obtained from fly ash (synthetic zeolites, mesoporous silica) on the physical and mechanical properties of concrete. The study considered the effect of the modified polymer admixture dosed in 3 different amounts (0.4%, 0.8% and 1.2%) by weight of cement on the fresh properties of the concrete mixture, i.e. consistency and air content. The research scope also included determining the physico-mechanical properties of the concretes and investigating the effect of the modified admixture on the frost durability of the cement composite. In order to study the modification of the concrete microstructure, XRD phase analysis and air pore structure analysis by MIP were carried out. The study showed an increase in compressive strength after 28 days of curing in concretes containing the modified polymer of about 8-12% compared to the reference concrete. In addition, it was observed that strength increased with increasing admixture dosage. The resulting pore structure, contributed to improving the frost resistance of the concretes by reducing compressive strength loss from about 14% in reference concretes to about 2-9% in concretes with the modified polymer after 150 cycles of alternating freeze-thaw. At the same time, it was observed that the use of the modified polymer resulted in an increase in weight absorption from 2% do 4.5%, a more than twofold increase in depth of penetration of water under pressure and a more than 70% increased total porosity. In conclusion, the polymer-modified MCM-41 can positively affect the mechanical and durability properties of concrete, but it causes a change in the pore structure, which could have a negative effect on water absorption and total porosity.

Structural modification of mesoporous lanthanum oxide into 3D coral-like and nano needle-like structure for effective broadband microwave absorbing materials☆

Structural modification of three dimensional (3D) materials for the application of dielectric loss-based microwave absorbing materials (MAMs) usually relies on intricate synthesis process and can pose challenges in terms of scalability and mass production for practical application. In this work, we reported a successful attempt in modifying the 3D structure of mesoporous lanthanum oxide (La2O3) for effective broadband MAMs candidate via simple co-precipitation process. The inclusion of cetyl-trimethylammonium bromide (CTAB) and hydrothermal aging treatment result in a significant transformation of La2O3 particles from their original polygonal form to a 3D coral-like and nano needle-like structure. The utilization of CTAB and hydrothermal aging results in the increase of surface area and a two-fold increase in pore volume of the resulting La2O3. Due to its unique 3D structure, the 3D coral-like and nano needle-like La2O3 materials possess a broadband electromagnetic (EM) wave absorption characteristic with the effective absorption bandwidth (EAB) covering the C-band frequency range. Specifically, in the La2O3 C-H sample (with CTAB – with hydrothermal), it exhibits strong EM wave absorption with a reflection loss (RL) value of –33.07 dB which equals to 99.95% EM wave absorption at a thickness of only 1.50 mm. The detailed analysis of EM wave absorption properties reveals that the improvement of La2O3 materials to attenuate EM wave energy arises from the dielectric loss phenomenon, the enhanced interfacial polarization, multiple reflections mechanism, and conduction loss mechanism induced by the 3D structural formation of the La2O3 structure. This work proposes a novel and efficient approach in synthesizing and modifying 3D materials for effective broadband EM wave absorption.

Characterization and structural analysis of alcohol-fractionated lignin biofuels processed at ambient temperature

This study introduces Cold-processed Lignin in (M)ethanol Oil (CLEO/CLiMO), a novel biofuel technology derived from the alcohol-fractionation of lignin at ambient temperatures, offering a sustainable alternative to conventional marine fuels. The production process achieved solid loadings of up to 60 wt% lignin and a volumetric energy density 39 % higher than pure alcohols. Lignin concentrations above 30 wt% promoted colloidal stability through the proposed formation of a spanning network of lignin aggregates, associated with a 100-fold increase of viscosity. Additionally, we observed a decrease in the radius of gyration of lignin particles from 2.5 to 2.7 nm at 30 wt% to 1.1–1.3 nm at 60 wt% following a transition from globular to elongated random coil shaped particles. This was accompanied by a twofold increase in the partial specific volume of lignin, suggesting a reduction in packing efficiency. The study highlights CLEO's potential as a sustainable shipping fuel alternative, combining favorable fuel properties with a simple and scalable production method.

Factors associated with delays in receipt of neoadjuvant chemotherapy in patients with operable breast cancer.

126 Background: Delays in neoadjuvant chemotherapy initiation (NACTI) after breast cancer (BC) diagnosis have been associated with worse outcomes. We evaluated incidence and predictors of delays of NACTI among high clinical risk patients treated with NACT on a national level. Methods: We conducted a retrospective cohort study using the National Cancer Database. Eligibility included age ≥18 years, diagnosis of non-metastatic BC between 1/1/2010 – 12/31/2020, who were treated with NACT within 180 days of diagnosis. Patients who received neoadjuvant endocrine therapy were excluded. Time to chemotherapy (TTC) in days was recorded. Patients were categorized into sub-cohorts by receptor status and clinical stage: 1) Hormone Receptor positive/HER-2 negative (HR+/HER2-) and were lymph node (LN) LN+; 2) HER-2 positive (HER2+) cT2+ or LN+; and 3) triple negative BC (TNBC) cT2+ or LN+. Multivariable logistic regression, adjusted for demographic, socioeconomic and tumor characteristics, was used to identify characteristics associated with delays &gt; 60 days from diagnosis to NACTI. Multiple imputation was used for missing data. Results: We identified 145,697 eligible patients, 74% were White, 18% were Black, 3.3% were Asian, and 4.6% were Other/Unknown. Across all racial categories, 9.2% were Hispanic. Median age at diagnosis was 52 years (range 18-90), median TTC was 32 days (range 0-180), and 10% had a delay &gt; 60 days. There were 40,345 patients in the HR+/HER2- cohort, 56,868 in the HER2+ cohort, and 48,484 in the TNBC cohort; 12%, 9.0%, and 8.9% (p &lt; 0.001) had a delay in NACTI, respectively. In multivariable analysis among the HR+/HER2- sub-cohort, characteristics associated with delays in NACTI included Black race (OR 1.71, 95%CI 1.57-1.86) and Hispanic ethnicity (OR 1.76, 95%CI 1.60-1.94) compared to White and non-Hispanic patients. Patients with Medicare, Medicaid, or who were uninsured were more likely to be delayed (OR 1.44 95%CI 1.30-1.58, 2.10, 95%CI 1.92-2.29, 2.28, 95%CI 1.99-2.61) compared to those with commercial insurance. Results were similar in the HER2+and TNBC cohorts, as seen (Table). Conclusions: Among patients with operable BC who received NACT, patients who were Black, Hispanic, had Medicaid or no insurance had as high as a twofold increase in odds of a delay in NACTI. Targeted interventions to address these racial and socioeconomic disparities are necessary to ensure equitable care. Multivariable logistic regression adjusted for demographic, socioeconomic, and tumor characteristics variables (n = 145,697). HR+/HER2-N= 40,345 HER2+N= 56,868 TNBCN= 48,484 OR 95%CI OR 95%CI OR 95%CI Black Race 1.71 1.57-1.86 1.89 1.74-2.04 1.90 1.76-2.06 Hispanic Ethnicity 1.76 1.60-1.94 2.18 2.00-2.36 2.00 1.80-2.21 Medicare 1.44 1.30-1.58 1.46 1.34-1.61 1.45 1.32-1.61 Medicaid 2.10 1.92-2.29 2.13 1.96-2.31 2.14 1.96-2.34 No Insurance 2.28 1.99-2.61 2.36 2.07-2.70 2.25 1.96-2.59

Investigation on flooding dynamic response and mitigation measure of river bridge

Flood-induced failure of river bridges is intense due to frequently extreme and undesigned precipitation for global climate change. To reveal the dynamic characteristics and failure mechanism of bridges, flooding dynamic analysis is fully investigated via fluid–structure interaction simulation and Arbitrary Lagrangian-Eulerian method. Parametric analysis of different fluids and bridge configurations and pre-ballast mitigation measure are further conducted based on a simply-supported box-girder bridge. This study reveals several significant findings: the narrow channel can accelerate downstream flood velocity of the bridge piers to over double that of the upstream flow; moreover, unsubmerged piers experience vertical downward wave force surpassing buoyancy; the box girders exhibit three flood-response states, i.e., intact, slip and collapse, dependent on the hydraulic loading and bridge resistance capacity. Maximum horizontal wave force and displacement increase exponentially with the depth of water storage. Post-slip damage, bearing stress on the wave-facing side tends towards zero, while the wave-backing side presents a twofold increase. Maximum horizontal displacement (Xmax) distinguishes the failure states, such as 0 m ≤ Xmax ≤ 0.03 m (intact), 0.03 m < Xmax ≤ 1.39 m (slip), Xmax > 1.39 m (collapse), whose relation to the maximum horizontal wave force has been proposed for design reference and the inversion analysis of the bridge force. Applying a pre-ballast equivalent to 75 % of girder weight reduces Xmax by up to 91.5 %, shifting failure from collapse to slip. These insights offer crucial guidance for enhancing bridge safety amidst escalating flood risks.

Development and testing of hybrid (PNM–CFD) mathematical model and numerical algorithm for description of fluid flows in three-dimensional digital core models

Numerical simulation of fluid flow in porous and fractured rocks is an important task for many industrial applications. The most common approaches to constructing such models are direct (CFD or lattice Boltzmann) and porous network (PNM) modeling. Each approach has its own advantages and disadvantages. This paper presents a hybrid mathematical PNM–CFD model for describing fluid flows in three-dimensional digital core models, which has the high speed performance of PNM approaches and high accuracy of CFD models. Numerical technique has been developed for describing fluid flows in three-dimensional digital core models using a hybrid PNM–CFD model. The numerical technique links a one-dimensional pore network solver and a three-dimensional CFD solver into a combined model in original way by constructing a single pressure field for the entire computation domain. To validate the model, several tests were performed, including flow in straight channels and numerical simulation of fluid flow in a microfluidic chip. The test results have shown the adequacy of the hybrid model performance. The hybrid model for determining pressure drop in a branched network with three-dimensional chambers has an error of no more than 5 % when compared to experimental data. Similarly, the error in calculating velocity does not exceed 7 % when compared to the full three-dimensional calculation. The hybrid model has shown an almost twofold increase in calculation speed compared to the full three-dimensional model.

Situational analysis of maternal and infant mortality in Kazakhstan

Background. Previous studies from Western countries have shown an association between maternal and infant mortality and sociomedical problems. The social environment, which influences the health status of mothers and infants, is a function of the economic resources and forms of production of different regions. This study, for the first time, includes the study of preventable mortality from Pregnancy, childbirth, and the perinatal period, and Congenital malformations in Kazakhstan in the context of regions. For 2015-2019, maternal mortality decreased by 16.5% in Kazakhstan. However, since the start of the pandemic in 2020, the maternal mortality ratio has increased by 2.7 times, highlighting the urgent need for action. This study aims to provide the latest maternal and infant mortality policy and analyze their mortality ratios. The findings of this study have the potential to significantly impact healthcare policies and practices, making a substantial contribution to the field of maternal and child health. Methods. The regulatory documents related to maternal and child health in the Kazakhstan health system were appraised over the last ten years. To identify changes in avoidable mortality ratio trends for the period 2011-2021, joinpoint regression was used to calculate the average annual percentage change for every age group using the JoinPoint Regression Program, Version 4.9.1.0. Results. Crude mortality associated with pregnancy, childbirth, and the postpartum period was high in the 30-34 age group from 2015 to 2018. From 2019 to 2021, there has been an increase in mortality in the 35-39 age group from 0.48 (95% CI: - 0.06; 1.03) to 4.37 (95% CI: 2.83; 5.91) per 100,000 women. In general, there is a twofold increase in mortality in the period from 2018 to 2021. Treatable mortality from pregnancy, childbirth, and puerperium fluctuated between 0.34 and 0.37 from 2015-2019, after which it rose to 1.07 in 2021 per 100.000 population. The highest increase can be seen in Atyrau, South and East Kazakhstan, Karagandy, and Almaty regions. The treatable mortality decreased in Kyzylorda and Akmola regions in the 2015-2021. Conclusion. Several regions need to increase efforts to reduce maternal mortality, which remains high nationally compared to OECD countries. This is the first study to examine the prevention of deaths from pregnancy, childbirth, and the perinatal period, as well as the development of birth defects in Kazakhstan by region, which helps physician decision-makers reconsider possible approaches to providing care at the primary health care level.

Molecular Mechanisms of HT-29 Colorectal Cancer Cell Death Induced by Artemisia annua Methanolic Extract

Background: Although chemotherapy and targeted therapies have improved survival outcomes, there is growing interest in incorporating herbal medicines, such as Artemisia annua, into cancer treatment. Objectives: This study aims to investigate the mechanisms underlying the effects of A. annua methanolic extract on HT-29 colorectal cancer cells, particularly focusing on cell viability and the modulation of p53 and BAX/Bcl2 ratio expression. Methods: The half-maximal inhibitory concentration (IC50) of A. annua methanolic extract in HT-29 cells was determined via the MTT viability assay, while apoptosis was assessed using the propidium iodide (PI) staining method. Reverse transcription (RT)-PCR was performed to evaluate gene expression in the HT-29 cell line. Values are presented as the average of three separate determinations and expressed as mean ± SD. Results: The results showed that the viability of HT-29 cells significantly decreased in a dose- and time-dependent manner (IC50 for 48 h: 1358.1 μg.mL-1). Propidium iodide staining results confirmed the findings of the MTT assay. Gene expression analysis revealed a decrease in p53 expression and a two-fold increase in the BAX/Bcl2 ratio following exposure to 1000 μg.mL-1 of A. annua extract. Conclusions: The findings from the MTT and PI assays confirm the cytotoxic effects of A. annua extract on HT-29 cells. However, the gene expression analysis of BAX, Bcl2, and p53 suggests that the observed cell death is not primarily due to apoptosis.