Rhythmic Variations Research Articles

Circadian rhythm and daytime variation do not affect intraoperative bacterial sternal contamination and postoperative wound infections following cardiac surgery

Studies have documented various effects of circadian rhythm and daytime variations on the cardiovascular and immune system as well as wound healing. From June to December 2016, n = 367 cardiac surgery patients were enrolled. Microbiological swabs from the mediastinum and subcutaneous wound were taken before sternal closure. Patients were assigned to groups based on operation start: morning (n = 219) or afternoon (n = 135). Bacterial contamination and wound infections were studied in relation to circadian rhythm and daytime variation. We did not observe any difference in mortality (morning: 3.7%, afternoon: 3.0%, p > 0.99) and major adverse events (morning: 8.2%, afternoon: 5.9%, p = 0.53). In 27.7% of the morning group, at least one positive intraoperative swab was observed, similar to the afternoon group (25.6%, p = 0.71). The incidence of positive presternal swabs was 15.6% in the morning compared to 9.1% in the afternoon (p = 0.18). About 90% of the germs detected were part of the natural skin flora (e.g., Cutibacterium acnes and Staphylococcus epidermidis). The incidence of sternal wound infections was 7.3% (morning) and 3.0% (afternoon) (p = 0.18). We did not find differences in the incidence of intraoperative bacterial sternal contamination, nor postoperative infections, between patients who underwent cardiac surgery in the morning or afternoon.

Late-onset caloric restriction improves cognitive performance and restores circadian patterns of neurotrophic, clock and epigenetic factors in the hippocampus of male old rats.

Aging is a complex multifactorial process that results in a general functional decline, including cognitive impairment. Caloric restriction (CR) can positively influence the aging processes and delay cognitive decline. There is a rhythmic variation in memory and learning processes throughout the day, indicating the involvement of the circadian clock in the regulation of these processes. Despite growing evidence on the efficacy of CR, it has not yet been fully determined whether starting this strategy at an advanced age is beneficial for improving quality of life and eventually, for protection against age-related diseases. Here, we investigated the effect of late-onset CR on the temporal organization of the molecular clock machinery, molecules related to cognitive processes and epigenetic regulation, in the hippocampus of male old rats maintained under constant darkness conditions. Our results evidenced the existence of a highly coordinated temporal organization of Bmal1, Clock, Bdnf, Trkb, Dnmts, Sirt1, and Pgc-1α in the hippocampus of young adult rats. We observed that aging led to cognitive deficits and loss of circadian oscillations of all the above variables. Interestingly, CR restored circadian rhythmicity in all cases and, in addition, improved the cognitive performance of the old animals. This work would highlight the importance of the circadian clock and its synchronization with feeding signals, as the basis of the beneficial effects of CR. Thus, lifestyle modifications, such as CR, might be a powerful intervention to preserve hippocampal circadian organization and cognitive health during aging.

Effect of Lead, Cadmium, and Their Combination on the Heart Rate Regulation in Nonlinear Rats.

We studied heart rate variability (HRV) and the concentrations of heavy metals in the heart tissue after 14-fold peroral administration of heavy metal salts: lead acetate (50 mg/kg), cadmium chloride (5 mg/kg), and their combination. After administration of lead, its concentration in the myocardium exceeded the control values by 1.2 times or did not change in case of combination with cadmium; after administration of cadmium, its concentration in the myocardium exceeded the control value by 6.1 times or by 2 times after combined administration. After lead administration, a moderate increase in HR, low values of stress and centralization indices, and an increase in the power in all ranges of the HRV spectrum were recorded. After cadmium intoxication, a tendency to a decrease in heart rhythm variability, a moderate increase in HR, stress and centralization indices, and an increase in the contribution of VLF waves in the HRV spectrum were observed. After combined administration, a pronounced increase in HR and stress index and a moderate increase in the centralization of heart rhythm control were recorded, which was similar to changes in HRV observed after administration of cadmium alone. In the experiment, the concentration of cadmium in the myocardium increased to a much greater extent than the concentration of lead. After lead administration, the autonomous type of regulation persisted and parasympathetic influences increased. Cadmium apparently acts as a stress factor and increases the role of sympathoadrenal influences and central ergotropic structures in the heart rhythm regulation.

We prefer nighttime, they prefer daytime: Biological rhythm variability in cave‐dwelling whip spiders (Amblypygi: Charontidae) in the Neotropics

AbstractThe lack of understanding regarding how endogenous and behavioral factors affect the biological rhythms of amblypygid arachnids in cave environments underscores a gap in chronobiologic knowledge for this group. This study investigates the influence of specialization on subterranean habitats and the presence of biological rhythms on the locomotor activity patterns of the troglobitic and troglophilic species of the genus Charinus. Specimens collected from carbonate caves in Brazil were subjected to experimental treatments of constant light (LL), constant darkness (DD), and light–dark cycles (LD). The results revealed variations in the distribution of main periods among species, without a uniform pattern. Although some specimens showed greater variability in activity patterns in the DD and LL treatments, no significant differences were observed between troglobites and troglophiles. The lack of a clear distinction in rhythms between the two groups suggests the dynamic nature of circadian rhythms in these populations, where individual variations in activity patterns indicate this behavioral diversity. Additionally, intraspecific competition for food resources, probably intensified by the oligotrophic conditions of the cave environments, may play an important role in shaping these patterns and differences in activity phases. The presence of infradian rhythms and weak circadian rhythms in some individuals underscores the importance of considering non‐photic zeitgebers for a deeper understanding of these rhythms in cave organisms.

Novel insights into the circadian modulation of lipid metabolism in chicken livers revealed by RNA sequencing and weighted gene co-expression network analysis

The circadian clock is crucial for maintaining lipid metabolism homeostasis in mammals. Despite the economic importance of fat content in poultry, research on the regulatory effects and molecular mechanisms of the circadian clock on avian hepatic lipid metabolism has been limited. In this study, we observed significant diurnal variations (P<0.05) in triglyceride (TG), free fatty acids (FFA), fatty acid synthase (FAS), and total cholesterol (TC) levels in the chicken embryonic liver under 12-h light/12-h dark incubation conditions, with TG, FFA, and TC concentrations showing significant cosine rhythmic oscillations (P<0.05). However, such rhythmic variations were not observed under complete darkness incubation conditions. Using transcriptome sequencing technology, we identified 157 genes significantly upregulated at night and 313 genes significantly upregulated during the 12-h light/12-h dark cycle. These circadian differential genes are involved in processes and pathways such as lipid catabolic process regulation, meiotic cell cycle, circadian rhythm regulation, positive regulation of the MAPK cascade, and glycerolipid metabolism. Weighted gene co-expression network analysis (WGCNA) revealed 3 modules-green, blue, and red-that significantly correlate with FFA, FAS, and TG, respectively. Genes within these modules were enriched in processes and pathways including the cell cycle, light stimulus response, circadian rhythm regulation, phosphorylation, positive regulation of the MAPK cascade, and lipid biosynthesis. Notably, we identified ten hub genes, including protein kinase C delta (PRKCD), polo like kinase 4 (PLK4), clock circadian regulator (CLOCK), steroid 5 alpha-reductase 3 (SRD5A3), BUB1 mitotic checkpoint serine/threonine kinase (BUB1B), shugoshin 1 (SGO1), NDC80 kinetochore complex component (NDC80), NIMA related kinase 2 (NEK2), minichromosome maintenance complex component 4 (MCM4), polo like kinase 1 (PLK1), potentially link circadian regulation with lipid metabolic homeostasis. These findings demonstrate the regulatory role of the circadian clock in chicken liver lipid metabolism homeostasis and provide a theoretical basis and molecular targets for optimizing the circadian clock to reduce excessive fat deposition in chickens, which is significant for the healthy development of the poultry industry.

Sildenafil-inducing allergic angina in elderly with intertwining sinus arrhythmia, wavy triple sign, wavy double sign (Yasser’s signs), and mild covid-infection; interpretation and management

Rationale: Sildenafil is a phosphodiesterase-5 inhibitor (PDE5-I) drug used to treat erectile dysfunction (ED) and pulmonary arterial hypertension. Allergic angina and infarction are broad-spectrum mast cell activation disorders accompanied by acute coronary syndromes (ACS) and are known as Kounis-Zafras (KZ) syndrome. Sinus arrhythmia is a variation of normal sinus rhythm (NSR) that is associated with an irregular rate in which the change in the R-R interval is greater than 0.12 seconds. Wavy triple and Wavy double ECG signs (Yasser’s sign) are new specific diagnostic and therapeutic signs seen in the cases of hypocalcemia. Mild COVID-19 infection means you have symptoms like cough, sore throat, and fatigue, but no dyspnea. Patient concerns: An elderly married male farmer patient was admitted to the intensive care unit with angina, hypotension, generalized hives, Wavy triple, and Wavy double ECG signs after ingestion of sildenafil tablet with mild COVID-19 infection in a previous chronic obstructive pulmonary disease (COPD). Diagnosis: Sildenafil-inducing Kounis syndrome in the elderly with intertwining sinus arrhythmia, Wavy triple sign, Wavy double sign (Yasser’s signs), and mild COVID-19 infection. Interventions: Electrocardiography, oxygenation, IV fluids, and echocardiography. Outcomes: A dramatic clinical and electrocardiographic improvement had happened. Lessons: Sildenafil-inducing Allergic angina and anaphylaxis may be innovative cardiovascular findings. Mild COVID-19 infection, sometimes, can be insignificant. An associated sinus arrhythmia may be a good cardiovascular sign. The dramatic improvement in both clinical and electrocardiographic ST-segment depressions and elevations supports the efficacy of both anti-ischemic and anti-allergic measures.

168 Real-world walking of people with the chronic lung disease COPD

Abstract Purpose Walking is crucial for active and healthy ageing, but it changes with age and in the presence of diverse health conditions, such as non-communicable diseases. In the field of the chronic lung disease COPD (chronic obstructive pulmonary disease), extensive research has been done on physical activity limitation, but little is known about the patterns of walking during daily life (i.e., real-world). We aimed to assess the levels and distribution of real-world walking (walking activity and gait parameters) in people with COPD compared with healthy adults, and across disease severity; and to identify domains of walking in COPD, using a single wearable device. Methods In a cross-sectional study, 550 people with COPD (37% women, with a mean (SD) age of 68 (8) years, postbronchodilator FEV1 54 (21) %) and 19 age-matched healthy adults were recruited in ten cities across eight countries. Subjects were given a single wearable device to wear at their lower back for one week. Twenty-five walking activity and gait parameters (e.g., number of steps, number of walking bouts (WB)&amp;gt;30s, walking speed in WB &amp;gt; 30s, cadence in WB &amp;gt; 30s, walking speed and cadence variability) were derived from the device outputs. Results Most walking activity and gait parameters were reduced in people with COPD compared to healthy adults, and according to COPD severity. Differences remained statistically significant after adjusting for age, sex, height and comorbidities in multivariable analyses. Factor analysis identified six distinct walking domains: Amount of walking, Patterns of walking, Pace, Rhythm, Pace variability and Rhythm variability. Conclusion Real-world walking in people with COPD is a multi-dimensional behaviour that is impaired as the disease progresses. These results may be used to set priorities and improve patient centricity in clinical practice, research and public health initiatives. Support/Funding Source This work was supported by the Mobilise-D project that has received funding from the Innovative Medicines Initiative 2 Joint Undertaking (JU) under grant agreement No. 820820. This JU receives support from the European Union’s Horizon 2020 research and innovation programme and the European Federation of Pharmaceutical Industries and Associations (EFPIA).

The association between maternal sleep and circadian rhythms during pregnancy and infant sleep and socioemotional outcomes.

Studies have established that maternal sleep and circadian rhythm disturbances during pregnancy are associated with poor prenatal and perinatal outcomes for mothers and offspring. However, little work has explored its effects on infant sleep or socioemotional outcomes. The current study examined the relationship between maternal sleep and circadian rhythm disturbances during pregnancy and infant sleep and socioemotional outcomes in a diverse sample of N = 193 mothers and their infants (51% White; 52% Female; Mage = 11.95months). Maternal sleep and circadian rhythms during pregnancy were assessed using self-reports and actigraphy. Mothers reported on infants' sleep and socioemotional outcomes when infants were one year old. When controlling for infant sex, age, gestational age at birth, family income-to-needs ratios, and maternal depression, mothers who reported more sleep problems during pregnancy had infants with more sleep disturbances when they were one year old. Moreover, mothers who had later sleep timing (i.e., went to bed and woke up later, measured via actigraphy) during pregnancy had infants with more dysregulation (e.g., increased feeding difficulties, sensory sensitivities) and externalizing problems, and mothers with increased intra-daily variability in rest-activity rhythms (as measured via actigraphy) had infants with more externalizing problems. Findings suggest that maternal sleep and circadian rhythm disturbances during pregnancy may be a risk factor for infant sleep problems and socioemotional difficulties.

Deciphering a Beetle Clock: Individual and Sex-Dependent Variation in Daily Activity Patterns.

Circadian clocks are inherent to most organisms, including cryptozoic animals that seldom encounter direct light, and regulate their daily activity cycles. A conserved suite of clock genes underpins these rhythms. In this study, we explore the circadian behaviors of the red flour beetle Tribolium castaneum, a significant pest impacting stored grain globally. We report on how daily light and temperature cues synchronize distinct activity patterns in these beetles, characterized by reduced morning activity and increased evening activity, anticipating the respective environmental transitions. Although less robust, rhythmicity in locomotor activity is maintained in constant dark and constant light conditions. Notably, we observed more robust rhythmic behaviors in males than females with individual variation exceeding those previously reported for other insect species. RNA interference targeting the Clock gene weakened locomotor activity rhythms. Our findings demonstrate the existence of a circadian clock and of clock-controlled behaviors in T. castaneum. Furthermore, they highlight substantial individual differences in circadian activity, laying the groundwork for future research on the relevance of individual variation in circadian rhythms in an ecological and evolutionary context.

Adaptation of the Child’s Body to Primary School Education

The systematic review of the literature presents data on the factors of the school environment, as well as on the psychological, social and physiological aspects of the child’s adaptation to learning in primary school. The criteria for successful adaptation in this aspect are academic performance, behavior and inclusion of the child in the social environment, as well as moderate shifts in physiological indicators. Modern approaches to the study of physiological reactions associated with adaptation to school are described, based primarily on the dynamics of cortisol in saliva and the variability of biological rhythms. The role of health is emphasized and data on the adaptation of children with disabilities to school are presented. The important role of the mother and intra-family relations on the nature and effectiveness of adaptation processes is shown.

EFFECTS OF RHYTHMIC REPRODUCTION ON THE SURVIVAL OF COOPERATORS

Organisms on Earth are known to evolve by cooperating with their neighbors in external environments. These cooperating organisms are under the influence of circadian rhythms derived from Earth’s rotation and have various biological rhythms within them. However, little is known about the effects of these rhythms on the cooperation of organisms. In this study, we investigate the effects of the biological rhythms on the survival of cooperators in evolution using evolutionary game theory. We focused on the rhythm in reproduction among the various biological rhythms that organisms have. Our results are as follows. Rhythmic reproductions play a role in limiting the survival of cooperators; they reduce the survival limits of cooperators compared to when there is no rhythm. Their limiting force is sensitive to the number of interacting neighbors, however. When the number of interacting neighbors is relatively small, the effects of rhythm in reproduction on the survival limits of cooperators are not significant. As the number of interacting neighbors increases, the limiting force of rhythmic reproductions becomes more powerful, gradually decreasing the survival limits of cooperators. Variations of rhythm in reproduction do not alter the survival limits; they only cause fluctuations in the population of cooperators within the survival limits. Our findings suggest that the rhythmic reproductions in evolution determine the survival domain of cooperators, where the number of interacting neighbors is a major factor along with rhythmic reproductions. Organisms under the constant pressure imposed by rhythmic reproductions may need to find the optimal number of interacting neighbors to survive and evolve to a new level through cooperation.

Variability in sleep architecture and alterations in circadian rhythms in patients with acute cerebral infarction accompanied by sleep-disordered breathing.

To continuously and dynamically monitor the sleep status of patients in the acute phase of cerebral infarction, and to investigate the characteristics of acute cerebral infarction(ACI)associated with sleep-disordered breathing (SDB), variations in sleep structure, and changes in sleep circadian rhythms. Patients with ACI within 48h of onset who were admitted to the Department of Neurology at Kailuan General Hospital from November 2020 to December 2022 were selected. Detailed baseline information such as age, gender, smoking history, drinking history, were recorded for the selected participants. From the beginning of their hospitalization, the selected participants were monitored for their sleep status continuously for 5 days using the Intelligent Mattress-based Sleep Monitoring Platform System(IMSMPS). Based on the heart rate data obtained from the monitoring, the interdaily stability (IS) and intradaily variability (IV) of the sleep circadian rhythm were calculated. 1,367 patients with ACI were selected. Monitoring results over 5 days indicated 147 cases (10.75%) without SDB, and 1,220 cases (89.25%) with SDB. Among the group with SDB, there were 248 cases (18.14%) with continuous mild SDB, 395 cases (28.90%) with moderate SDB, 295 cases (21.58%) with severe SDB, and 282 cases (20.63%) that fluctuated between different severity levels. Within this fluctuating group, 152 cases (53.90%) fluctuated between two severity levels, 120 cases (42.55%) between three levels, and 10 cases (3.55%) among all four levels. There were statistically significant differences (P < 0.05) in the sleep latency, sleep efficiency, non-rapid eye movement stages 1-2, rapid eye movement, proportion of non-rapid eye movement, proportion of rapid eye movement, wake after sleep onset, time out of bed, number of awakenings, respiratory variability index, and heart rate variability index among patients with ACI monitored from day 1 to 5. However, other monitored sleep structure parameters did not show statistically significant differences (P > 0.05). The coefficient of variation for all sleep monitoring parameters ranged between 14.54 and 36.57%. The IV in the SDB group was higher than in the group without SDB (P < 0.05), and the IS was lower than in the group without SDB (P < 0.05). Patients in the acute phase of cerebral infarction have a high probability of accompanying SDB. The sleep structure of these patients shows significant variability based on the onset time of the stroke, and some patients experience fluctuations among different severity levels of SDB. ACI accompanied by SDB can further reduce the IS of a patient's sleep circadian rhythm and increase its IV.

Lithofacies assemblage and effects on diagenesis in lacustrine tight sandstone reservoirs: Samples from Upper Triassic Yanchang Formation, Ordos Basin, China

Lacustrine basins are rich in unconventional oil and gas resources and the heterogeneity of matrix reservoir quality seriously affects its development. Previous studies have recognized that diagenesis is the key factor affecting the heterogeneity of matrix reservoir quality, but diagenesis controlled by lithofacies assemblages is poorly studied. In this study, tight sandstones in the Triassic (Ladinian-Carnian) Chang 7 Member of Ordos Basin were taken as examples. Lithofacies, lithofacies assemblages, diagenesis evolution and distribution were investigated by casting thin section analysis, scanning electron microscopy (SEM), X-ray diffraction (XRD), fluid inclusion and carbon-oxygen isotope. The results indicate that eight lithofacies assemblages in Chang 7 exhibit variations in lithofacies, sand-mud ratio and grain size rhythm, controlling the distribution and intensity of diagenesis. Variations in average proportion of lithofacies assemblages are linked to lake level cycles. Compared to cementation, the mechanical compaction has a higher adverse effect on primary porosity of tight sandstones in Chang 7. Siltstone lithofacies show stronger compaction and cementation (mainly clay cementation), whereas fine sandstone lithofacies exhibit stronger dissolution, especially FSpc (fine sandstone with parallel or cross-bedding). Modest proportions of illite (<4%) and chlorite (<1.5%) in fine sandstones tend to form clay coatings, resisting compaction and preserving more porosity. Conversely, abundant pore-filling illite (>4%) and chlorite (>1.5%) result in a noticeable decline in porosity. Particle size and sorting affect reservoir quality by controlling compaction strength. The origin of carbonate cement in sandstones is closely related to mud-rich lithofacies within lithofacies assemblages. Carbonate cementation preferentially occurs in fine sandstones within 0.4 m from the sand-mud interface and the thickness of adjacent mud-rich lithofacies is greater than 0.1 m. Interfaces between fine sandstones serve as fluid migration pathways and bidirectional erosion, facilitated by high porosity and feldspar content. In contrast, the clay-rich matrix in siltstones acts as a barrier hindering fluid migration, creating unidirectional erosion in fine sandstones near the interfaces between siltstones and fine sandstones. Ultimately, five evolution processes linking diagenesis with lithofacies assemblages are summarized, highlighting the differential reservoir quality. This study contributes to understanding the mechanism behind diagenetic variations in tight sandstones and the reservoir evaluation. Consequently, it offers geological reference for the development of unconventional oil and gas resources in comparable lacustrine basins.

Predicting the dynamics of heart rate variability in patients with type 1 diabetes against improving glycemic control

The aim of the study: to analyze the effect of improvement of glycemic control on heart rate variability changes in patients with type 1 diabetes against the background of insulin therapy correction and to predict this dynamics based on the parameters of continuous glucose monitoring. We examined 49 patients with the level of glycosylated hemoglobin ≥7% and &lt;10% without late diabetic complications. The average age – 32.0 (21.5; 38.0) years, the average disease duration – 9.5 (5.0; 17.5) years. The study was based on the simultaneous registration of heart rate variability and continuous glucose monitoring before and 3 months after correction of insulin therapy. Logistic regression analysis and ROC-analysis were used to predict the changes. After 3 months, the patients had significant decrease in the level of glycosylated hemoglobin, glycose variability, and a decrease in the frequency of hypoglycemic episodes. Heart rate variability increased in 73.5% of persons. The presence of hypoglycemia, standard deviation of blood glucose levels and glomerular filtration rate after treatment turned out to be prognostic factors for the predicting improvement in heart rate variability (the proportion of correct prediction of the patient's actual belonging to one or another prognostic group was 76.39%). Based on the calculation of the theoretical values of the positive result probability using the logistic equation, a detailed scale for predicting changes in heart rhythm variability for type 1 diabetes patients was proposed: up to 0.07 – a low probability of a positive result; 0.07-0.29 – the probability of a positive result is below average; 0.29-0.51 – a moderate probability of a positive result; 0.51-0.90 – high probability of a positive result; more than 0.90 – a very high probability of a positive result. We found that improvement of glycemic control leads to an increase in both frequency and time characteristics of heart rate variability. The increase in the likelihood of improvement of heart rate variability in patients with type 1 diabetes was more likely to be associated with reduced glycose variability and fewer hypoglycemic episodes. We developed a predictive mathematical model of heart rate variability based on the continuous glucose monitoring parameters for type 1 diabetes with sensitivity of 88.0% and specificity 68.18%, AUC 0.739 (p=0.001).

Impact of time-of-day infusion of camrelizumab combined with chemotherapy on efficacy in advanced malignant tumors.

e14634 Background: The combination of immune checkpoint inhibitors (ICIs) with chemotherapy has emerged as a standard first-line treatment strategy for advanced cancers. Camrelizumab and Tislelizumab, representative ICIs, have approval by the Chinese NMPA for first-line treatment of advanced cancers such as lung cancer and esophageal cancer. Previous studies have indicated that the timing of drug administration can influence the efficacy of ICIs. However, studies on the ICIs plus chemotherapy are lacking. Therefore, we conducted a retrospective study to explore the effect of the timing of infusion on patients with advanced cancer undergoing treatment with ICIs combined chemotherapy. Methods: We retrospectively enrolled a total of 253 patients diagnosed with advanced cancers between 2017 and 2023 in Guangdong Second Provincial General Hospital. Among these patients, 109 received camrelizumab (Cam cohort) plus chemotherapy and 65 received tislelizumab (Tis cohort) plus chemotherapy. Patients were grouped into morning (AM) and afternoon (PM) categories based on the timing of their ICIs administration (&lt; 1 times versus ≥ 1 times after 16:00). The Response Evaluation Criteria in Solid Tumors Criteria V.1.1 was used to evaluate the response to treatment. The primary endpoint was progression-free survival (PFS). Results: The results consistently showed that the PM group had a longer PFS than the AM group in the overall patients (p &lt; 0.01). In the Cam cohort, the PM group (n = 48) exhibited a longer PFS compared to the AM group (n = 61) (16.8 months vs. -, p = 0.02). However, no significant difference in PFS was observed among patients in the Tis cohort (AM vs. PM, n = 34 vs. n = 31, 16.1 months vs. -, p = 0.51). Subgroup analyses indicated that the PM group had a more favorable PFS treatment effect in most subgroups. The incidence of any Treatment Emerged Adverse Event (TEAE) (Cam cohort, AM vs. PM, 98.52% vs. 92.68%; Tis cohort, AM vs. PM, 97.05% vs. 100.00%) and grade 3 TEAEs (Cam cohort, AM vs. PM, 5.80% vs.7.30%; Tis cohort, AM vs.PM - vs. 12.90%) was similar in the Cam cohort and Tis cohort. The most common adverse events are anemia (Cam cohort vs. Tis cohort, 70.58% vs. 79.41%), thrombocytopenia (Cam cohort vs. Tis cohort, 54.41% vs. 58.82%) and lymphopenia (Cam cohort vs. Tis cohort, 44.11% vs. 44.11%). Conclusions: The findings of this study highlight a significant variation in daily rhythms among advanced cancer patients undergoing treatment with ICIs plus chemotherapy. Interestingly, a trend was observed in patients treated with camrelizumab, where those receiving treatment in the afternoon demonstrated a longer PFS. However, this trend was not observed in patients treated with tislelizumab. These results suggest that time-of-day infusion could potentially serve as a personalized strategy for patients treated with combination ICIs therapy.

Indicators of heart rhythm variability as informative markers of adaptive changes in Mixed Martial Arts

This article presents the results of a study of determining the characteristics of changes in heart rate variability indicators in athletes who have been engaged in horting, hand-to-hand combat, and Thai boxing for a long time in response to strength loads in pre-competition mesocycles. It was established that in the examined athletes, regardless of the type of mixed martial arts, the tension of all regulatory systems was fixed before the beginning of strength loads, as indicated by the parameters of the VLF indicator, which were almost twice the norm. At the same time, it was established that the HF indicator of the participants, which characterizes the parasympathetic tone, is on average only 10.3% of the total power of the spectrum, which indicates the predominance of the sympathetic system. The results revealed after the participants used power loads of a large amount of loads and medium intensity indicate a reliable decrease in the total power of the spectrum of oscillation of cardio intervals. An increase in the intensity of the autonomic regulation of the heart rhythm due to the weakening of the activation of the parasympathetic tone was revealed, primarily in athletes engaged in horting. It is in athletes from hand-to-hand combat and horting, in response to power loads with a large volume of work, the activation of the central circuit increases and the level of sympathetic regulation increases.

Face and Speech Emotion Recognition System

Abstract: Emotions serve as the cornerstone of human communication, facilitating the expression of one's inner thoughts and feelings to others. Speech Emotion Recognition (SER) represents a pivotal endeavour aimed at deciphering the emotional nuances embedded within a speaker's voice signal. Universal emotions such as neutrality, anger, happiness, and sadness form the basis of this recognition process, allowing for the identification of fundamental emotional states. To achieve this, spectral and prosodic features are leveraged, each offering unique insights into the emotional content of speech. Spectral features, exemplified by the Mel Frequency Cepstral Coefficient (MFCC), provide a detailed analysis of the frequency distribution within speech signals, while prosodic features encompass elements like fundamental frequency, volume, pitch, speech intensity, and glottal parameters, capturing the rhythmic and tonal variations indicative of different emotional states. Through the integration of these features, SER systems can effectively simulate and classify a diverse range of emotional expressions, paving the way for enhanced human-computer interaction and communication technologies

A natural compound melatonin enhances the effects of Nimotuzumab via inhibiting EGFR in glioblastoma

Sleep disorders are prevalent and debilitating symptoms in primary brain tumor patients, notably those receiving radiation therapy. Nevertheless, the relationship between sleep disorders, melatonin - a circadian rhythm regulatory hormone, and gliomas is underexplored. Melatonin exhibits various biological functions, one of them being anti-tumor activity. In the context of gliomas, often overexpressing EGFR, the humanized monoclonal antibody Nimotuzumab targets this marker. Our research discovered that variations in circadian rhythm significantly influence tumor growth in mice through impacting melatonin secretion. Harnessing proteogenomic, we identified that melatonin could inhibit the phosphorylation of EGFR and its downstream effectors, key elements in angiogenesis and tumor progression. Building on structural simulations, we propose that melatonin may amplify Nimotuzumab's anti-glioma efficacy by inhibiting EGFR TK dimerization. This proposition was validated in our in vitro and in vivo studies where melatonin synergistically augmented cytotoxicity and apoptosis in Nimotuzumab-treated glioma cells. Thus, melatonin shows promise as a beneficial addition to Nimotuzumab treatment in glioma patients.

On the heart rhythm analysis using a nonlinear dynamics perspective: analytical study and electronic simulation

Biological systems are highly complex, so understanding them requires extensive analysis. Cardiac rhythms are one such analysis. These rhythms are linked to a complex dynamic system defined on the basis of the electrical activity of cardiac cells. This electrical activity is essential to human physiology, defining numerous behaviours that include normal or pathological rhythms, generally measured by the electrocardiogram (ECG). This article presents a mathematical model to describe the electrical activity of the heart, using a nonlinear dynamics perspective. The stability analysis of this model in its autonomous state, uni-directionally coupled, shows a very rich dynamical behaviour characterized by periodical regions of stability and unstability. The model studied makes it possible to construct synthetic ECGs. These ECGs demonstrate a variety of responses, including normal and pathological rhythms: ventricular flutter, ventricular fibrillation, ventricular tachycardia and ventricular extrasystole. A quantitative analysis of the model is also carried out using bifurcation diagrams and the corresponding maximum Lyapunov exponents. In addition, variations in sinus rhythm are described by a time-dependent frequency (a dynamic variable varying in a disordered manner or following a given law), representing transient disturbances. This type of situation can represent transitions between different pathological behaviours or between normal and pathological physiologies. In this respect, the perspective of nonlinear dynamics is used to describe cardiac rhythms, which makes it possible to represent normal or pathological behaviours. An electronic simulation performed with the OrCAD-Pspice software for a real implementation of the cardiac system is carried out. The results obtained are in agreement with those obtained numerically.

Rhythm Is a Marker of Ethnicity in Modern Hebrew: Evidence from a Perception Study and Actors' Ethnicized Portrayals.

In Modern Hebrew, only three segmental markers are typically acknowledged as ethnically conditioned, and usage of these markers has significantly decreased in second and third generation speakers. Yet the sociolinguistic situation of diverging language backgrounds of first generation speakers, compounded with ethnic segregation in housing and the workforce, seems like a fertile ground for social identification from speech. We report two studies on prosodic variation in Modern Hebrew: a perception study and a "matched-pairs" corpus study. The results of the first illustrate that even in the absence of the known segmental markers, ethnicity perception of young native speakers may still diverge between two major ethnic identities, Mizrahi (Middle Eastern) and Ashkenazi (European). The main acoustic correlate was rhythm, measured as the proportional duration of vowels in the utterance. In the second study, actors' speech rhythm was found to be modulated by their portrayed ethnic identity in the same direction, suggesting that this variable is socially salient-and for some speakers, controllable-enough to be involved in style shifting. This study joins a growing body of work illustrating that relatively mild rhythmic variation can contribute to social identification, and in the current case, also for ethnicity portrayal.