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Artificial organs, such as extracorporeal membrane oxygenators, dialyzers, and hemoadsorber cartridges, face persistent challenges related to the flow distribution within the cartridge. This uneven flow distribution leads to clot formation and inefficient mass transfer over the device's functional surface. In this work, a comprehensive methodology is presented for precisely integrating triply periodic minimal surfaces (TPMS) into module housings and question whether the internal surface topology determining the flow distribution affects blood coagulation. Three module types are compared with different internal topologies: tubular, isometric, and anisometric TPMS. First, this study includes a computational fluid dynamics (CFD) simulation of the internal hemodynamics, validated through experimental residence time distributions (RTD). Blood tests using human whole blood and subsequent visualization of blood clots by computed tomography, allow the quantification of structure-induced blood clotting. The results indicate that TPMS topologies, particularly anisometric ones, serve as effective flow distributors and significantly reduce and delay blood clotting compared to conventional tubular geometries. For these novel TPMS modules, the inner surfaces can be activated chemically or functionalized to function as a selective adsorption site or biocatalytic surface or made of a permeable material to facilitate mass transfer., (© 2024 The Author(s). Advanced Healthcare Materials published by Wiley‐VCH GmbH.)

Introduction: IgG4-related disease (IgG4-RD) is a multiorgan autoimmune disorder that causes irreversible injury. Deteriorated kidney functions are common but easily ignored complications associated with IgG4-RD. Yet the clinical manifestations and prognosis of this specific entity have not been fully illustrated., Method: Three hundred fifty patients with IgG4-RD were retrospectively enrolled and divided into 119 IgG4-RD with chronic kidney disease (IgG4-RD CKD+) and 231 IgG4-RD without CKD (IgG4-RD CKD-). Demographic clinical and laboratory characteristics and survival of two cohorts were compared using restricted cubic splines, logistic and Cox regression, and Kaplan-Meier analysis. A nomogram was generated for calculating the probability of CKD in IgG4-RD., Results: The spectrum of organ involvement was different between IgG4-RD CKD+ and CKD- cohorts (p<0.001). Lung (26.89%) and retroperitoneum (18.49%) involvement were more common in the IgG4-RD CKD+ cohort. Increased serum potassium and phosphorus, reduced calcium levels, and hypocomplementemia (all p<0.05) were observed in IgG4-RD CKD+. Restricted cubic splines revealed a U-shaped plot regarding associations between serum potassium and CKD. Kaplan-Meier analysis demonstrated significantly lower long-term survival rates in IgG4-RD patients with kidney function at CKD stages 4-5. Cox regression revealed declined kidney functions (G4 HR 6.537 (95% CI: 1.134-37.675)) associated with increased all-cause mortality in IgG4-RD patients. A nomogram was constructed to predict CKD in IgG4-RD promptly with a discrimination (C-index) of 0.846., Conclusions: CKD in IgG4-RD was associated with poor outcomes and electrolyte disturbances. Patients with IgG4-RD should be aware of possible deterioration in kidney function. The nomogram proposed would help to identify the subtle possibility of CKD in IgG4-RD. Key points • IgG4-related diseases with deteriorated kidney function have specific clinical and laboratory characteristics. • It is crucial to recognize and address the negative impact of deteriorating kidney function in IgG4-related diseases to prevent further harm. • The nomogram proposed would help to identify subtle kidney involvement by evaluating the possibility of CKD in IgG4-related diseases., (© 2023. The Author(s), under exclusive licence to International League of Associations for Rheumatology (ILAR).)

Organic phosphorothioates are a class of organic compounds containing the C–S–P structural motif, known for their unique physical and chemical properties. These compounds hold significant value in various fields, including agriculture, pharmaceuticals, and materials science, particularly playing a crucial role in agrochemicals and nucleotide modification. Traditionally, phosphorothioates have been synthesized primarily through the formation of P–S bonds or direct phosphorothioation reactions from organic phosphorus sources such as P(O)H and P(O)SH. In recent years, new strategies utilizing inorganic phosphorus sources, such as P4S10 and white phosphorus (P4), have emerged as a dynamic area of research. This review highlights the latest advancements in the synthesis of phosphorothioates and phosphoropolythioates from inorganic phosphorus sources, focusing on their applicability, mechanisms, current limitations, and potential future directions. [ABSTRACT FROM AUTHOR]

Solitary fibrous tumors (SFTs) are classified as fibroblastic/myofibroblastic tumors that originate from CD34-positive dendritic cells and usually occur in the pleura. In this paper, we describe a case of SFT within the joint cavity of the left knee. A 60-year-old man was admitted to hospital due to swelling in the left knee for the past 8 months without relevant trauma history. X-ray, computed tomography (CT), magnetic resonance imaging (MRI), and positron emission tomography–computed tomography (PET-CT) presented a large, ill-circumscribed, hypervascular, and highly enhanced mass with eccentric calcification and peripheral, intra-lesional vessels. Subsequently, the patient underwent surgical resection. Postoperative pathology confirmed the neoplastic cells to be positive for CD34, Bcl-2, and SATA6, therefore was finally diagnosed as malignant SFT. The patient developed bone metastases within 1 year after surgery. SFT in the joint cavity is rare, and it is difficult to make a preoperative diagnosis. [ABSTRACT FROM AUTHOR]

Phylogenetic analysis based on nu ITS, nu LSU, and mt SSU ribosomal DNA fragments revealed a new genus in Megasporaceae described here as Atrostelia Paukov, Davydov & Yakovchenko. Phylogenetically, it is close to Aspiciliella but differs in radiate-placodioid thalli, large, 23–36 μm spores, and substictic acid as a secondary metabolite. The genus is represented by a single species, Atrostelia magnifica Paukov, Davydov & Yakovchenko, which is endemic to the Mongun Taiga massif, Republic of Tyva, Russia. The phylogenetic reconstruction supported 9 genera in Megasporaceae: Aspicilia, Aspiciliella, Atrostelia, Circinaria, Lobothallia, Megaspora, Oxneriaria, Sagedia, and Teuvoa, while Agrestia, Chlorangium, and Sphaerothallia were synonymous with Circinaria. [ABSTRACT FROM AUTHOR]

Pathologic lesions of the orbitozygomaticomaxillary complex (OZMC) and caudal oral cavity can be a challenge in veterinary oromaxillofacial surgery. Neoplastic lesions that are in close proximity to or invading the orbit may result in significant loss of structural integrity after curative intent surgery. This in turn may alter the topography of the bulbous oculi (globe) with resultant enophthalmos, diplopia, and entropion. Historically, orbital exenterations have been deemed a suitable option to avoid these complications. However, lesions that do not include the globe in the surgical margin may be overtreated by irreversible orbital exenterations. Orbital reconstruction methods that ameliorate these consequences could be advantageous. A novel approach to reconstruct the orbit with a titanium mesh implant is described and the clinical and ophthalmic outcomes reported. [ABSTRACT FROM AUTHOR]

In the previous study, the existence of an unidentified ferroelectric smectic phase is demonstrated in the low‐temperature region of the ferroelectric smectic A phase, where the layer spacing decreases with decreasing temperature. In the present study, the phase is identified by taking 2D X‐ray diffraction images of a magnetically oriented sample while allowing it to rotate and constructed a 3D reciprocal space with the sample rotation angle as the third axis for the whole picture of the reciprocal lattice vectors originating from the smectic structure. Consequently, circular diffraction images are obtained when the reciprocal lattice vectors are evenly distributed on the conical surface at a certain inclination angle in the reciprocal space. This result provides clear evidence that the phase in question is smectic C. The polarization properties also showed that the observed smectic C phase has spontaneous polarization in the direction parallel to the director and is identified as ferroelectric smectic C. These results provide a new type of classification for liquid crystalline phases that has been established over many years and is a significant contribution to the basic science of soft matter research. [ABSTRACT FROM AUTHOR]

Helicobacter pylori has been of interest to scientists and clinicians for many years, often causing diagnostic difficulties, especially in the youngest age group, in children. The presence of this bacterium in the population depends on the geographic region. However, it is assumed that even half of the world's population may be infected with H. pylori. Children infected with H. pylori—the study group (Hp(+)) and control group (Hp(−)), were chosen for further examination. The aim of the study was to analyze the concentrations of selected inflammatory markers in saliva (TNF-α, IL-8) and other markers (neutrophil defensin-1, sICAM-1, calprotectin, metalloproteinase-9, metalloproteinase-2, lactotransferrin, TLR-2) using ELISA technique. We confirmed the increased concentrations of IL-8, ND-1, and TLR-2 in the group of children infected with Helicobacter pylori. Moreover, there was also a positive, significant correlation between the concentration of ND-1 and MMP-2, sICAM-1, and calprotectin as well as MMP-9 and MMP-2 in the group of infected children. The study created new possibilities of insight into the pathogenetic mechanisms of developing inflammation in the mouth. This type of comprehensive research is also used to monitor the current disease process and create new opportunities for better in-depth diagnostics of children infected with H. pylori. [ABSTRACT FROM AUTHOR]

Background: A detailed examination of bone marrow (BM) aspiration and biopsy can provide clues regarding the course of the disease as well as the diagnostic features of myelodysplastic syndrome (MDS). Methods: Our aim is to reveal the histomorphological features of MDS, investigate the impact of dysplasia types on prognosis, and highlight the importance of the microenvironment. Results: In 130 (93.5%) of 139 cases, Wright–Giemsa-stained BM aspiration slides were evaluated, and the dysplasia diversity was examined in detail. A regression analysis of dysplasia features significant for overall survival revealed that the presence of hyperlobulation in the megakaryocytic series (p = 0.014, odds ratio = 3.485) and the presence of an abnormal localization of immature progenitors (ALIP) (p = 0.010, odds ratio = 2.206) were significantly associated with poor prognosis. Additionally, an increase in the microvessel density (MVD) was found to be associated with a poor prognosis (p < 0.001). A multiple regression analysis identified that MVD is the most significant parameter (p = 0.014). Conclusions: The diversity of dysplasia in BM aspiration and biopsy does not predict MDS subtypes; however, certain cytomorphological dysplasia types can provide insights regarding survival. The microenvironment's impact on MDS pathogenesis is undeniable, with ALIP and MVD presence and frequency being significant factors. Thus, BM histomorphological examination, beyond its diagnostic role, also offers prognostic insights [ABSTRACT FROM AUTHOR]

Patients with interstitial lung disease (ILD) are about five times more likely to develop lung cancer than those without ILD. The presence of ILD in lung cancer patients complicates diagnosis and management, resulting in lower survival rates. Diagnostic and treatment procedures needed for cancer can increase the risk of acute exacerbation (AE), one of the most severe complications for these patients. Bronchoscopic techniques are generally considered safe, but they can trigger AE-ILD, particularly after cryoprobe biopsies. Surgical procedures for lung cancer, including lung biopsies and resections, carry an elevated risk of AE-ILD. Postoperative complications and mortality rates highlight the importance of meticulous surgical planning and postoperative care. Furthermore, cancer treatments, such as chemotherapy, are all burdened by a risk of AE-ILD occurrence. Radiotherapy is important for managing both early-stage and advanced lung cancer, but it also poses risks. Stereotactic body radiation and particle beam therapies have varying degrees of safety, with the latter potentially offering a lower risk of AE. Percutaneous ablation techniques can help patients who are not eligible for surgery. However, these procedures may complicate ILD, and their associated risks still need to be fully understood, necessitating further research for improved safety. Overall, while advancements in lung cancer treatment have improved outcomes for many patients, the complexity of managing patients with concomitant ILD needs careful consideration and multidisciplinary assessment. This review provides a detailed evaluation of these risks, emphasizing the need for personalized treatment approaches and monitoring to improve patient outcomes in this challenging population. [ABSTRACT FROM AUTHOR]

Pyrolysis is gaining recognition as a sustainable solution for biosolid management, though scaling it commercially presents challenges. To address this, RMIT developed a novel integrated pyrolysis and gasification technology called PYROCO™, which was successfully tested in pilot-scale trials. This study introduces PYROCO™ and its application to produce biochar, highlighting the biochar properties of the results of the initial trials. In addition, an energy analysis using semi-empirical Aspen Plus modelling, paired with a preliminary techno-economic assessment, was carried out to evaluate the feasibility of this technology. The results show that the PYROCO™ pilot plant produced biochar with a ~30 wt% yield, featuring beneficial agronomic properties such as high organic carbon (210–220 g/kg) and nutrient contents (total P: 36–42 g/kg and total N: 16–18 g/kg). The system also effectively removed contaminants such as PFASs, PAHs, pharmaceuticals, and microplastics from the biochar and scrubber water and stack gas emissions. An energy analysis and Aspen Plus modelling showed that a commercial-scale PYROCO™ plant could operate energy self-sufficiently with biosolids containing >30% solids and with a minimum calorific value of 11 MJ/kg. The process generates excess energy for drying biosolids and for electricity generation. Profitability is sensitive to biochar price; prices rise from AUD 300 to AUD 1000 per tonne, the NPV improves from AUD 0.24 million to AUD 4.31 million, and the payback period shortens from 26 to 12 years. The low NPV and high payback period reflect the use of a relatively high discount rate of 8%, chosen to be on the conservative side given the novel nature of the technology. [ABSTRACT FROM AUTHOR]

Simple Summary: High-grade vulvar intraepithelial neoplasia (VIN) is subdivided into human papillomavirus (HPV)-associated high-grade squamous intraepithelial lesions (HSILs) and HPV-independent VIN. The diagnosis of HPV-independent VIN can be very challenging. In this study, the potential diagnostic value of cytokeratin 17 (CK17) and SRY-box2 (SOX2) immunohistochemistry was assessed in a series of 150 vulvar lesions, originally diagnosed as high-grade VIN and re-assessed by six pathologists (including H&E, p16INK4a, p53, Ki-67, CK17, and SOX2 immunohistochemistry). The diagnostic accuracy of the markers was calculated for the diagnosis of HPV-independent VIN, using non-dysplastic cases as controls. Significantly more CK17- and SOX2-positive cases were observed in HPV-independent VIN compared to non-dysplastic cases (p < 0.001). The highest diagnostic accuracy (89%) for HPV-independent VIN was obtained when combining the p53 and CK17 immunohistochemical markers. In conclusion, this study confirms that, in addition to p53, both CK17 and SOX2 can have added value in the diagnostic work-up of lesions suspected of HPV-independent VIN. Background: Recently, the immunohistochemical markers cytokeratin 17 (CK17) and SRY-box2 (SOX2) have been evaluated as adjuncts for the diagnosis of high-grade vulvar intraepithelial neoplasia (VIN). In the present study, the aim was to assess CK17 and SOX2 expression in VIN by studying 150 vulvar lesions, originally reported as high-grade VIN and to assess the diagnostic accuracy. Methods: All slides (H&E, p16INK4a, p53, Ki-67, CK17, and SOX2 stains) were independently assessed by six pathologists and the final diagnosis was reached in consensus meetings, as follows: 46 human papillomavirus (HPV)-independent VIN (including 30 p53 mutant and 16 p53 wild-type lesions), 58 high-grade squamous intraepithelial lesions (HSILs), 4 low-grade SILs (LSILs), 37 non-dysplastic lesions, and 5 lesions where the histology was inconclusive. Results: CK17 positivity was observed in 100% p53 wild-type HPV-independent VIN, compared to 73% p53 mutant HPV-independent VIN, 14% HSILs, 0% LSILs, and 24% non-dysplastic lesions. SOX2 positivity was observed in 13% p53 wild-type HPV-independent VIN, 43% p53 mutant HPV-independent VIN, 2% HSILs, 0% LSILs, and 3% non-dysplastic lesions. The highest diagnostic accuracy (89%) for HPV-independent VIN was obtained when combining p53 and CK17 immunohistochemistry. The addition of SOX2 did not further increase diagnostic accuracy. Conclusion: To conclude, aside from p53, both CK17 and SOX2 can be of value for reaching an accurate diagnosis of HPV-independent VIN. [ABSTRACT FROM AUTHOR]

Obesity has become a global epidemic and is associated with comorbidities, including diabetes, cardiovascular, and neurodegenerative diseases, among others. While appreciable insight has been gained into the mechanisms of obesity‐associated comorbidities, effects of age, and duration of obesity on the female brain remain obscure. To address this gap, adolescent and mature adult female mice were subjected to a high‐fat diet (HFD) for 13 or 26 weeks, whereas age‐matched controls were fed a standard diet. Subsequently, the expression of inflammatory cytokines, neurotrophic/neuroprotective factors, and markers of microgliosis and astrogliosis were analyzed in the hypothalamus, hippocampus, and cerebral cortex, along with inflammation in visceral adipose tissue. HFD led to a typical obese phenotype in all groups independent of age and duration of HFD. However, the intermediate duration of obesity induced a limited inflammatory response in adolescent females' hypothalamus while the hippocampus, cerebral cortex, and visceral adipose tissue remained unaffected. In contrast, the prolonged duration of obesity resulted in inflammation in all three brain regions and visceral adipose tissue along with upregulation of microgliosis/astrogliosis and suppression of neurotrophic/neuroprotective factors in all brain regions, denoting the duration of obesity as a critical risk factor for neurodegenerative diseases. Importantly, when female mice were older (i.e., mature adult), even the intermediate duration of obesity induced similar adverse effects in all brain regions. Taken together, our findings suggest that (1) both age and duration of obesity have a significant impact on obesity‐associated comorbidities and (2) early interventions to end obesity are critical to preserving brain health. [ABSTRACT FROM AUTHOR]

The endangered Tsushima leopard cat Prionailurus bengalensis euptilurus, has some survival challenges, such as predation and disease transmission via domestic dogs Canis lupus familiaris and free-ranging cats Felis catus living outdoors on Tsushima Island, Japan. We compared the distribution and activity patterns of P. b. euptilurus, stray dogs, and free-ranging cats in the field using data from 11 camera traps between 2014 and 2018, to study the possibility of direct and indirect effects of the close proximity of P. b. euptilurus to stray dogs and free-ranging cats. P. b. euptilurus were captured 439 times in the northern region using camera traps. The distribution of stray dogs and free-ranging cats widely overlapped that of P. b. euptilurus in the northern area, which is the main habitat of this species. Free-ranging cats were widely observed, although the overall frequency of photographs was low. The overlap coefficient of the activity patterns between free-ranging cats and P. b. euptilurus was high. Therefore, stray dogs and free-ranging cats may have negative impacts of predation, food competition, and disease transmission to P. b. euptilurus. [ABSTRACT FROM AUTHOR]

In this paper, we revealed that the pseudo-3D perception of a 2D aerial image is increased by reducing the luminance and contrast of the background pattern, and by adding image movement that changes the shape and shading of the aerial image. In recent years, aerial images are used in our daily lives as entertainment, aerial touch panels etc. Most of them are 2D aerial images, but we sometimes perceive the depth of them as 3D objects. In this paper, we call this phenomenon pseudo-3D perception. However, it is not revealed what factors affect the pseudo-3D perception of 2D aerial images. Therefore, we evaluated what factors affect it. Especially, we evaluated how the luminance and contrast of the background pattern of the aerial image and the depth position of the aerial image relative to the background affect the pseudo-3D perception of the 2D aerial image. In addition, we evaluated how adding movement to the 2D aerial image affects the pseudo-3D perception of the 2D aerial image. [ABSTRACT FROM AUTHOR]

Two technologies for improving image gaps and narrow viewing angle were applied to a space-saving compact aerial display with striped retro-reflector on a LED panel. The aerial image gaps created by the striped retro-reflector structure was smoothed by scrolling the images perpendicular to the stripe direction. The narrow viewing angle inherent to the compact aerial display was successfully improved by increasing the width of the striped retro-reflector, verified by both theoretical calculation and measurement. These improvements in the space-saving compact aerial display would greatly expand its applications, such as digital signage and touchless interface. [ABSTRACT FROM AUTHOR]

Aquatic display, which forms a floating image in water without a screen, used in behavioral experiments of aquatic organisms as optical stimuli, and accurately determining the imaging position in the water is important for aquatic display. We derive a formula for the imaging distance of an aquatic image by an aquatic display, including both the thickness and refractive index of the water tank by using paraxial approximation. To examine the accuracy of the derived theoretical formula, the imaging distances are estimated at various imaging distances. Our theoretical formula is measured to have 4% error by comparing with experimental results. [ABSTRACT FROM AUTHOR]

Felzartamab is a recombinant fully human immunoglobulin G1 anti-CD38 monoclonal antibody under clinical investigation for immune-mediated diseases. In support of felzartamab clinical development, toxicology studies were conducted in marmoset monkeys, which was the most relevant species based on CD38 binding affinity, pharmacologic activity, and target expression. The felzartamab toxicology program included an enhanced prenatal and postnatal development (ePPND) study to identify potential reproductive and postnatal development risks. In this ePPND study, pregnant marmoset monkeys were randomized to receive vehicle (0 mg/kg) or felzartamab at two dose levels (15 mg/kg and 75 mg/kg) twice per week until parturition, and maternal animals and infants were evaluated for 6 months thereafter. Felzartamab exposure was confirmed in maternal animals and infants in both dosing groups. Overall, felzartamab was well tolerated by pregnant animals at the evaluated doses, with no effect on body weight or body weight gain during pregnancy. No felzartamab-related effects on pregnancy loss or stillbirth rate were observed, and litter counts and numbers of liveborn infants were similar between the vehicle and felzartamab groups. Among infants, there were no felzartamab-related malformations or variations in external anatomy or skeletal morphology and no felzartamab-related observations in histopathology, hematologic and immune cell development, or humoral immune response to vaccination. In conclusion, among pregnant marmoset monkeys dosed with felzartamab, the lack of reproductive toxicity and felzartamab-related effects on offspring supports the clinical evaluation of felzartamab in women of childbearing potential and further demonstrates the suitability of the marmoset monkey for ePPND studies. [ABSTRACT FROM AUTHOR]

Background: Microbiomes are essential components of the human body, and their populations are substantial. Under normal circumstances, microbiomes coexist harmoniously with the human body, but disturbances in this equilibrium can lead to various diseases. The oral microbiome is involved in the occurrence and development of many oral and gastrointestinal diseases. This review focuses on the relationship between oral microbiomes and oral and upper gastrointestinal diseases, and therapeutic strategies aiming to provide valuable insights for clinical prevention and treatment. Methods: To identify relevant studies, we conducted searches in PubMed, Google Scholar, and Web of Science using keywords such as "oral microbiome," "oral flora, " "gastrointestinal disease, " without any date restrictions. Subsequently, the retrieved publications were subject to a narrative review. Results: In this review, we found that oral microbiomes are closely related to oral and gastrointestinal diseases such as periodontitis, dental caries, reflux esophagitis, gastritis, and upper gastrointestinal tumors (mainly the malignant ones). Oral samples like saliva and buccal mucosa are not only easy to collect, but also display superior sample stability compared to gastrointestinal tissues. Consequently, analysis of the oral microbiome could potentially serve as an efficient preliminary screening method for high-risk groups before undergoing endoscopic examination. Besides, treatments based on the oral microbiomes could aid early diagnosis and treatment of these diseases. Conclusions: Oral microbiomes are essential to oral and gastrointestinal diseases. Therapies centered on the oral microbiomes could facilitate the early detection and management of these conditions. Key messages: 1. Various microbiomes exist in the oral cavity. 2. Under normal circumstances, oral microbes and human health coexist in harmony, once this balance is broken, it may cause a variety of diseases. 3. Oral microbiota are associated with upper digestive diseases, which are expected to be an effective triage for high-risk population before endoscopic screening. [ABSTRACT FROM AUTHOR]

Background: Cervical insufficiency is a pathological condition in obstetrics in which the cervix fails to retain the fetus before uterine contractions or labor (painless cervical dilatation). Patients usually have fetal loss in the mid-trimester or spontaneous pre-term birth due to painless cervical dilation. For non-pregnant women with cervical insufficiency, prophylactic laparoscopic abdominal cerclage (LAC) has been reported to improve pregnancy outcomes, such as live birth, neonatal survival, and full-term delivery rate. Conventional LAC involves opening the vesicular space and separating the anterior broad ligament leaves. In our surgical procedure, these two steps were omitted. Methods: An observational study was conducted retrospectively on patients who underwent a simplified pre-conceptional LAC between January 2015 and December 2022 at West China Second University Hospital, Sichuan University. Follow-ups for all the patients ended at the delivery of the fetus. Subsequently, clinical characteristics, perioperative data, and obstetric outcomes were recorded and analyzed. Results: In total, 108 patients were included in a pre-conception LAC group Mean operation time was 56.8 ± 22.8 min, and mean estimated blood loss was 21.4 ± 23.6 mL. Only one case of urinary retention was classified as a grade I postoperative complication, according to the Clavien–Dindo classification. No severe complications or sequelae were observed during the perioperative period. Obstetric outcomes from 98 patients were collected: three patients had miscarriages, and 95 had live births. Of the 95 live births, 4 were twins and 91 were singletons. Two patients had vaginal delivery, and 93 underwent Cesarean section; mean neonatal weight was 3310.2 ± 382.1 g. Conclusion: A simplified pre-conceptional LAC is a simple, safe, and effective method for women with cervical insufficiency. Thus, it is worthy of promotion to assist women with cervical insufficiency in achieving improved obstetric outcomes. Vaginal delivery after LAC is possible once the tape is removed before labor. [ABSTRACT FROM AUTHOR]

Background: General health literacy (general HL) affects both individual and population health on numerous levels, with low general HL leading to increased morbidity, poor health service utilization, and increased healthcare spending. This study calculated health literacy scores of a population attending specialty consultations in the community of Aragon, Spain. It further produced a sociodemographic profile and examined the relationships between patients' scores and sociodemographic variables. Methods: A sample of 150 patients from specialty consultations completed the internationally- validated HLS19-Q12 to measure adult general HL. A 4-point-Likert scale gathered information regarding 12 items of health literacy. Final scores were divided into four categorical levels: excellent, sufficient, problematic, or inadequate. Independent sample t-test, one-way ANOVA, and a generalized linear model (GLM) analysis were performed to examine key relationships with respect to sociodemographic variables and health literacy scores. Results: The survey was completed by 150 subjects aged 18 and over in specialty clinics in Aragon, Spain. 59% of respondents had inadequate or problematic general HL, while 41% had sufficient or excellent general HL. Income level had a significant effect on health literacy scores, F = 2.129, (p < 0.05), as did different work situations, F = 3.762, (p < 0.001). Patients who self-reported as having diabetes had a significantly higher health literacy score, t = 2.356 (p < 0.05) than those reporting other health conditions. According to GLM analysis, education, health status, income, and the number of appointments were the strongest predictors of the heath literacy score. Conclusions: General HL in this patient population was limited, and lower than in some comparable studies. The sociodemographic profile constructed, and associations with health literacy established, provide policy makers, healthcare administrators, and clinicians with information to consider new policies, processes and strategies to improve general HL in this specific population. [ABSTRACT FROM AUTHOR]

The demand for rice varieties with lower amylose content (AC) is increasing in Southeast Asia, primarily due to their desirable texture and cooking qualities. This study presents the development of whole-grain rice lines with low to intermediate glycemic index (GI) and reduced AC. We selected six rice lines for in vivo GI assessment based on their starch properties. We successfully identified two lines with low AC that exhibited low and intermediate GI values, respectively. Our findings indicate that dietary fiber (DF) content may significantly influence rice GI. The selected whole-grain low-GI line showed a higher ratio of soluble dietary fiber (SDF) to insoluble dietary fiber (IDF) compared to control varieties, highlighting SDF's potential positive role in lowering whole-grain rice's GI. This study underscores the feasibility of developing rice varieties with desirable agronomic traits, nutritional traits, and culinary attributes, particularly for individuals managing their blood sugar levels. Additionally, we proposed the positive role of starch composition, especially DF content, in modulating the GI of rice. This study reinforces the importance of incorporating starch properties and DF content into rice breeding programs to produce more health-oriented and marketable rice varieties. [ABSTRACT FROM AUTHOR]

Tumor-associated macrophages (TAMs) are a phenotypically diverse, highly plastic population of cells in the tumor microenvironment (TME) that have long been known to promote cancer progression. In this review, we summarize TAM ontogeny and polarization, and then explore how TAMs enhance tumor cell migration through the TME, thus facilitating metastasis. We also discuss how chemotherapy and host factors including diet, obesity, and race, impact TAM phenotype and cancer progression. In brief, TAMs induce epithelial-mesenchymal transition (EMT) in tumor cells, giving them a migratory phenotype. They promote extracellular matrix (ECM) remodeling, allowing tumor cells to migrate more easily. TAMs also provide chemotactic signals that promote tumor cell directional migration towards blood vessels, and then participate in the signaling cascade at the blood vessel that allows tumor cells to intravasate and disseminate throughout the body. Furthermore, while chemotherapy can repolarize TAMs to induce an anti-tumor response, these cytotoxic drugs can also lead to macrophage-mediated tumor relapse and metastasis. Patient response to chemotherapy may be dependent on patient-specific factors such as diet, obesity, and race, as these factors have been shown to alter macrophage phenotype and affect cancer-related outcomes. More research on how chemotherapy and patient-specific factors impact TAMs and cancer progression is needed to refine treatment strategies for cancer patients. [ABSTRACT FROM AUTHOR]

Background/Objectives: The aim of this study was to assess auditory development in young children with profound hearing loss, cochlear implants (CIs), and congenital cytomegalovirus (cCMV) infection and to determine the effect of comorbidities on their development. Methods: The study group (cCMV group) consisted of 47 CI children—18 girls and 29 boys—who had been diagnosed as having prelingual hearing loss due to cCMV infection (with or without comorbidities); the mean age at CI activation was 15.2 months (range: 9.7–23.8; SD = 3.5). The reference group (no cCMV) consisted of 117 similar children (57 girls and 60 boys) who had profound sensorineural hearing loss not caused by cCMV infection; they had no comorbidities. The mean age at CI activation in the second group was 14.3 months (range: 7.9–23.5; SD = 4.0). Auditory development in all children was assessed with the LittlEARS Auditory Questionnaire (LEAQ) at CI activation and at about 1, 5, 9, 14, and 24 months of CI use. Results: The mean LEAQ total score increased over a similar time frame from 9.8 pts to 28.9 pts in the cCMV group without comorbidities, from 4.5 pts to 18.5 pts in the cCMV group with comorbidities, and from 9.2 to 31.6 pts in the reference group with no cCMV infection. Conclusions: Early cochlear implantation in children with sensorineural hearing loss due to congenital CMV infection and no comorbidities promotes their early auditory development in a similar way to children without cCMV infection. [ABSTRACT FROM AUTHOR]

The increasing demand for cleaner and more sustainable energy sources has sparked significant interest in small modular reactors (SMRs). Due to their compact and modular design, SMRs pose unique challenges in radiation shielding, requiring a more refined approach. This study focuses on developing a new variance reduction technique (VRT) for radiation shielding analysis, specifically tailored for SMRs, to address the limitations of traditional methods such as surface source write/surface source read (SSW/SSR). The proposed VRT supports multi-threading and enhances computational efficiency by redefining source particles using a two-step method. The analysis is conducted using the Monte Carlo radiation transport code, MCNP6, and the effectiveness of the new VRT is evaluated through sensitivity analyses across various energy and directional divisions. [ABSTRACT FROM AUTHOR]

Plant architecture is an important agronomic trait that impacts crop yield. The tiller angle is a critical aspect of the plant's structural organization, which is influenced by both internal and external factors. The genetic mechanisms underlying the tiller angle have been extensively investigated in other plants. However, research on wheat is relatively limited. Additionally, mechanics has emerged as a connection between biochemical signaling and the development of three-dimensional biological forms. It not only reveals how physical interactions at the cellular level influence overall morphogenesis but also elucidates the interplay between these mechanical processes and molecular signaling pathways that collectively determine plant morphology. This review examines the recent advancements in the study of tillering angle in wheat and other plants. It discusses progress in research ranging from observable characteristics to the regulation of genes, as well as the physiological and biochemical aspects, and the adaptability to environmental factors. In addition, this review also discusses the effects of mechanical on plant growth and development, and provides ideas for the study of mechanical regulation mechanism of tillering angle in wheat. Consequently, based on the research of other plants and combined with the genetic and mechanical principles, this approach offers novel insights and methodologies for studying tillering in wheat. This interdisciplinary research framework not only enhances our understanding of the mechanisms underlying wheat growth and development but may also uncover the critical factors that regulate tillering angle, thereby providing a scientific foundation for improving wheat yield and adaptability. [ABSTRACT FROM AUTHOR]

Natural caffeine is found in many plants, including coffee beans, cacao beans, and tea leaves. Around the world, many beverages, including coffee, tea, energy drinks, and some soft drinks, have this natural caffeine compound. This paper reviewed the results of meta-studies on caffeine's effects on chronic diseases. Of importance, many meta-studies have shown that regularly drinking caffeine or caffeinated coffee significantly reduces the risk of developing Alzheimer's disease, epilepsy, and Parkinson's disease. Based on the health supplements of caffeine, this review summarizes various aspects related to the application of caffeine, including its pharmacokinetics, and various functional health benefits of caffeine, such as its effects on the central nervous system. The importance of caffeine and its use in alleviating or treating cancer, diabetes, eye diseases, autoimmune diseases, and cardiovascular diseases is also discussed. Overall, consuming caffeine daily in drinks containing antioxidant and neuroprotective properties, such as coffee, prevents progressive neurodegenerative diseases, such as Alzheimer's and Parkinson's. Furthermore, to effectively deliver caffeine to the body, recently developed nanoformulations using caffeine, for instance, nanoparticles, liposomes, etc., are summarized along with regulatory and safety considerations for caffeine. The U.S. Department of Agriculture (USDA) and the Food and Drug Administration (FDA) recommended that healthy adults consume up to 400 mg of caffeine per day or 5~6 mg/kg body weight. Since a cup of coffee contains, on average, 100 to 150 mg of coffee, 1 to 3 cups of coffee may help prevent chronic diseases. Furthermore, this review summarizes various interesting and important areas of research on caffeine and its applications related to human health. [ABSTRACT FROM AUTHOR]

Visual observing muscle tissue regeneration is used to measure experimental effect size in biological research to discover the mechanism of muscle strength decline due to illness or aging. Quantitative computer imaging analysis for support evaluating the recovery phase has not been established because of the localized nature of recovery and the difficulty in selecting image features for cells in regeneration. We constructed MyoRegenTrack for segmenting cells and classifying their regeneration phase in hematoxylin–eosin (HE) stained images. A straightforward approach to classification is supervised learning. However, obtaining detailed annotations for each fiber in a whole slide image is impractical in terms of cost and accuracy. Thus, we propose to learn individual recovery phase classification utilizing the proportions of cell class depending on the days after muscle injection to induce regeneration. We extract implicit multidimensional features from the HE-stained tissue images and train a classifier using weakly supervised learning, guided by their class proportion for elapsed time on recovery. We confirmed the effectiveness of MyoRegenTrack by comparing its results with expert annotations. A comparative study of the recovery relation between two different muscle injections shows that the analysis result using MyoRegenTrack is consistent with findings from previous studies. [ABSTRACT FROM AUTHOR]

Despite the important role of the dark 1nπ* state in the photostability of thymidine in aqueous solution, no detailed ultraviolet (UV) wavelength-dependent investigation of the 1nπ* quantum yield (QY) in aqueous thymidine has been experimentally performed. Here, we investigate the wavelength-dependent photoemission spectra of aqueous thymidine from 266.7 to 240 nm using liquid-microjet photoelectron spectroscopy. Two observed ionization channels are assigned to resonant ionizations from 1ππ* to the cationic ground state D0 (π−1) and 1nπ* to the cationic excited state D1 (n−1). The weak 1nπ* → D1 ionization channel appears due to ultrafast 1ππ* → 1nπ* internal conversion within the pulse duration of ∼180 fs. The obtained 1nπ* quantum yields exhibit a strong wavelength dependence, ranging from 0 to 0.27 ± 0.01, suggesting a hitherto uncharacterized 1nπ* feature. The corresponding vertical ionization energies (VIEs) of D0 and D1 of aqueous thymidine are experimentally determined to be 8.47 ± 0.12 eV and 9.22 ± 0.29 eV, respectively. Our UV wavelength-dependent QYs might indicate that different structural critical points to connect the multidimensional 1ππ*/1nπ* conical intersection seam onto the multidimensional potential energy surface of the 1ππ* state might exist and determine the relaxation processes of aqueous thymidine upon UV excitation. [ABSTRACT FROM AUTHOR]

An analysis is made of today' status of the problem of management of tritiated water formed on various objects of the nuclear industry. The approach to cleaning flows of such water of tritium depends on its concentration in the water and on the content of another hydrogen isotope, i.e., deuterium, in it. Consideration is given to the use of different physicochemical methods of separation of hydrogen isotopes for cleaning tritiated water with a high concentration of deuterium and its natural content. Since the detritiation of heavy-water flows at the present time has been implemented on a fairly large scale, and the problem of cleaning of light water of tritium is at the stage of discussion, a comparative computational assessment of the dimensions of separation facilities of light-water detritiation based on the technologies of distillation of water and chemical isotope exchange of hydrogen with water is carried out. [ABSTRACT FROM AUTHOR]

A comparison of the efficiencies of the optimum mixing and nonmixing (ideal) cascades comprising stages, the coefficients of separation of a mixture at which are dependent on their parameters, has been performed. It was established that an optimized mixing cascade can have a smaller number of centrifuges, as compared to that of a nonmixing cascade, the separation capacity of whose stages deviate from the optimum one by 1–10%. For an optimum mixing cascade, this deviation is smaller, which can be explained by that the requirement for the fulfillment of the nonmixing condition at the joints of flows in such a cascade narrows the area of search for the parameters of the cascade and thus excludes more effective variants of solving the separation problem. [ABSTRACT FROM AUTHOR]

The small size and contactless environment of aerosol droplets results in unique surface compositions compared to macroscopic solutions. The large surface-area-to-volume ratio possessed by aerosol droplets can lead to a difference in the partitioning of surface-active molecules between macroscopic solutions and droplets, even when the total composition remains unchanged. Additionally, suspended aerosol droplets can become supersaturated and supercooled, affecting the droplet's surface tension. The importance of the surface tension of aerosol droplets has garnered much attention in the past years in diverse contexts including aerosol-assisted materials synthesis, respiratory aerosol dynamics, and atmospheric aerosol processes. To understand the implications of surface-area-to-volume ratio, supercooling, and supersaturation on aerosol surface tension a variety of new tools and techniques have been developed to measure the surface tension directly in the droplet phase. In this review, we will introduce the techniques used in the field to measure the surface tension of aerosol droplets, provide insight into the strengths of various techniques, and describe the types of measurements that these techniques have been used to make. Finally, we provide an outlook on the types of measurements that should be prioritized now that we have an arsenal of measurement techniques available. Copyright © 2024 American Association for Aerosol Research [ABSTRACT FROM AUTHOR]

Aging is a dynamic and progressive process characterized by the gradual accumulation of cellular damage. The continuous functional decline in the intrinsic capacity of living organisms to precisely regulate homeostasis leads to an increased susceptibility and vulnerability to diseases. Among the factors contributing to these changes, body composition—comprised of fat mass and lean mass deposits—plays a crucial role in the trajectory of a disability. Particularly, visceral and intermuscular fat deposits increase with aging and are associated with adverse health outcomes, having been linked to the pathogenesis of sarcopenia. Adipose tissue is involved in the secretion of bioactive factors that can ultimately mediate inter-organ pathology, including skeletal muscle pathology, through the induction of a pro-inflammatory profile such as a SASP, cellular senescence, and immunosenescence, among other events. Extensive research has shown that natural compounds have the ability to modulate the mechanisms associated with cellular senescence, in addition to exhibiting anti-inflammatory, antioxidant, and immunomodulatory potential, making them interesting strategies for promoting healthy aging. In this review, we will discuss how factors such as cellular senescence and the presence of a pro-inflammatory phenotype can negatively impact body composition and lead to the development of age-related diseases, as well as how the use of polyphenols can be a functional measure for restoring balance, maintaining tissue quality and composition, and promoting health. [ABSTRACT FROM AUTHOR]

Background/Objectives: Ischemic stroke is a leading cause of disability and mortality worldwide, with current therapies limited in addressing its complex pathophysiological mechanisms, such as inflammation, oxidative stress, apoptosis, and impaired autophagy. Glycyrrhizic acid (GA), a bioactive compound from licorice (Glycyrrhiza glabra L.), has demonstrated neuroprotective properties in preclinical studies. This review consolidates current evidence on GA's pharmacological mechanisms and assesses its potential as a therapeutic agent for ischemic stroke. Methods: This review examines findings from recent preclinical studies and reviews on GA's neuroprotective effects, focusing on its modulation of inflammation, oxidative stress, apoptosis, and autophagy. Studies were identified from major scientific databases, including PubMed, Web of Science, and Embase, covering research from January 2000 to August 2024. Results: GA has demonstrated significant neuroprotective effects through the modulation of key pathways, including HMGB1/TLR4/NF-κB and Keap1/Nrf2, thereby reducing neuroinflammation, oxidative stress, and apoptosis. Additionally, GA promotes autophagy and modulates immune responses, suggesting it could serve as an adjunct therapy to enhance the efficacy and safety of existing treatments, such as thrombolysis. Conclusions: Current findings underscore GA's potential as a multi-targeted neuroprotective agent in ischemic stroke, highlighting its anti-inflammatory, antioxidant, and anti-apoptotic properties. However, while preclinical data are promising, further clinical trials are necessary to validate GA's therapeutic potential in humans. This review provides a comprehensive overview of GA's mechanisms of action, proposing directions for future research to explore its role in ischemic stroke management. [ABSTRACT FROM AUTHOR]

Brønsted acid catalyzed intramolecular allylic substitution reaction of secondary and tertiary allylic alcohols has been developed. A variety of 2-vinylchromans were efficiently prepared in moderate to excellent yields. The given method features wide substrate scope, operational simplicity, and mild, metal-free reaction conditions. The practicability of the method was demonstrated by a gram-scale reaction and further derivations of the product. Preliminarily studies on a catalytic asymmetric reaction were also undertaken. [ABSTRACT FROM AUTHOR]

This review paper presents an interdisciplinary exploration of integrating emerging technologies, including digital twins (DTs), building information modeling (BIM), 3D laser scanning, machine learning (ML), and the Internet of Things (IoT), in the conservation of heritage buildings. Through a comprehensive literature review spanning from 1996 to 2024, expert interviews, a bibliometric analysis, and content analysis, the study highlights a significant shift toward a preventive approach to conservation, focusing on less invasive methods to ensure long-term preservation. It highlights the revolutionary impact of detailed digital representations and real-time monitoring on enhancing conservation efforts. The findings underscore significant research gaps, such as the need for standardized information protocols and the integration of DTs with BIM, while pointing to the potential of AR and VR in enriching heritage experiences. The paper advocates for a multidisciplinary approach to effectively harness these technologies, offering innovative solutions for the sustainable preservation of cultural heritage. [ABSTRACT FROM AUTHOR]

Lipid droplets (LDs) are evolutionarily conserved dynamic organelles that play an important role in cellular physiology. Growing evidence suggests that LD biogenesis occurs at discrete endoplasmic reticulum (ER) subdomains demarcated by the lipodystrophy protein, Seipin, lack of which impairs adipogenesis. However, the mechanisms of how these domains are selected is not completely known. These ER sites undergo ordered assembly of proteins and lipids to initiate LD biogenesis and facilitate establishment of ER-LD contact sites, a prerequisite for proper growth and maturation of droplets. LDs retain both physical and functional association with the ER throughout their lifecycle to facilitate bi-directional communication, such as exchange of proteins and lipids between the two organelles at these ER-LD contact sites. In recent years several molecular tethers have been identified that bridge ER and LDs together including few proteins that are found exclusively at these ER-LD contact interface. Here, we discuss recent advances in understanding the role of factors that ensure functionality of ER-LD contact site machinery for LD homeostasis. [ABSTRACT FROM AUTHOR]

Uroteuthis edulis (Hoyle, 1885) is an Indo-Pacific squid species widely distributing in the western Pacific, and commercially important especially in Japan and Taiwan. It has been suggested that some individuals are possibly transported from the spawning ground in north Taiwan to the coasts of Japan, however, the strength of population connectivity between those areas and its influence on U. edulis population dynamics were unveiled. To understand the U. edulis population connectivity in this area, the correlations between statolith trace elements and abiotic/biotic factors were examined first, and then squid experienced environments were postulated throughout their entire life cycle. Sr/Ca ratio showed a strongly negative correlation with ambient water temperature but no correlation with individual growth rate, suggesting that Sr/ Ca ratio can be used to reflect squid experienced temperatures. Most squid caught in the Sea of Japan hatched in the areas having similar water temperature with where Taiwanese squid hatched, that would be off the north Taiwan or even warmer area. Statolith trace elements successfully distinguished the catch locations but not the hatching grounds, implying that hatching grounds of Japan and Taiwan squid were largely overlapped. Thus, we suggest that there is strong population connectivity of U. edulis population between southern Japan and northern Taiwan. As there was no clear evidence for existence of local population hatched in the Sea of Japan in this study, U. edulis population might display a source-sink population dynamics, that is, population in Taiwanese waters and/or further south as the source, and the one in the Sea of Japan as a sink population. As U. edulis should be considered as a metapopulation, collaboration among countries in the northwestern Pacific is required for sustainable fishery management of this species. [ABSTRACT FROM AUTHOR]

Machine learning (ML) models have gained significant attention in a variety of applications, from computer vision to natural language processing, and are almost always based on big data. There are a growing number of applications and products with built-in machine learning models, and this is the area where software engineering, artificial intelligence and data science meet. The requirement for a system to operate in a real-world environment poses many challenges, such as how to design for wrong predictions the model may make; How to assure safety and security despite possible mistakes; which qualities matter beyond a model's prediction accuracy; How can we identify and measure important quality requirements, including learning and inference latency, scalability, explainability, fairness, privacy, robustness, and safety. It has become crucial to test thoroughly these models to assess their capabilities and potential errors. Existing software testing methods have been adapted and refined to discover faults in machine learning and deep learning models. This paper covers a taxonomy, a methodologically uniform presentation of all presented solutions to the aforementioned issues, as well as conclusions about possible future development trends. The main contributions of this paper are a classification that closely follows the structure of the ML-pipeline, a precisely defined role of each team member within that pipeline, an overview of trends and challenges in the combination of ML and big data analytics, with uses in the domains of industry and education. [ABSTRACT FROM AUTHOR]

Background: Numerous studies have indicated a growing prevalence of hyperuricemia. Elevated levels of serum uric acid (SUA) have been established as influential factors in conditions such as obesity, metabolic syndrome, diabetes mellitus, gout, and cardiovascular disease. Overweight and obesity are closely related to an increase in SUA. Our objective is to demonstrate the mediating role of liver enzyme in the correlation between body mass index (BMI) and SUA. Methods: A total of 5925 adults aged 18 to 65 were included in this cross-sectional study. Logistic regression and mediation analysis were used to investigate the relationship between BMI and hyperuricemia as well as liver enzyme levels. Standard methods were used to determine the biochemical indexes, including SUA, liver enzymes, and blood lipids in the collected samples. Results: The study revealed that the prevalence of hyperuricemia was 28.0%. Furthermore, the prevalence of overweight and obesity was as high as 48.5%, with 70.7% of this subgroup presenting with hyperuricemia. There was a positive correlation between BMI and hyperuricemia, and elevated levels of liver enzymes (ALT, AST, GGT) were associated with a higher risk of hyperuricemia. The study also observed a positive correlation between BMI and liver enzymes (ALT, AST, GGT). The study findings suggested that ALT, AST, and GGT played significant mediating roles in the relationship between BMI and SUA. Specifically, the unadjusted model revealed that ALT and GGT accounted for 22.12% and 18.13% of the mediation effects, respectively. Conclusions: The study found that BMI is associated with hyperuricemia, where liver enzyme abnormalities may have a mediating role. It is suggested that being overweight or obese may affect liver enzyme levels, leading to increased SUA levels. Controlling weight and liver enzyme levels may help prevent and treat hyperuricemia. [ABSTRACT FROM AUTHOR]

Background: In China, Atractylodes-containing Chinese medicines are widely used as adjuvant therapy to neoadjuvant chemotherapy (NAC) in individuals diagnosed with advanced gastric cancer (AGC). Nevertheless, the findings concerning its effectiveness are still restricted. The aim from this research was to examine the efficiency and security Atractylodes macrocephala-containing traditional Chinese medicine together with NAC in the management of AGC. Methods: Literature was systematically searched across 8 electronic databases until September 20, 2023. Two researchers conducted a thorough review of the selected studies. The primary outcome measures included the objective response rate (ORR), disease control rate (DCR), quality of life (QOL), adverse drug reactions (ADRs), and levels of peripheral blood lymphocytes. The relevant effect estimates are as follows as risk ratios (RR) or mean differences (MD) with corresponding 95% confidence intervals (CI). Credibility of information was evaluated using the GRADE analyzer. Results: The results showed that solely on the basis of the accessible literature examined in NAC patients, individuals who received the therapeutic regimen containing Atractylodis Macrocephalae Chinese herbal preparations demonstrated a superior overall response rate (Relative Risk: 1.41, 95% confidence interval: 1.27-1.57, P < 0.001); DCR (RR: 1.20, 95% confidence interval: 1.13-1.27, P < 0.001), as compared to QOL (RR: 1.43, 95% confidence interval: 1.30-1.57, P < 0.001, MD: 8.47, 95% confidence interval: 7.16 - 9.77, P < 0.001); the proportions of CD3+ T-cells, CD4+ T-cells, CD8+ T-cells, CD4+ CD8+ T-cells were increased; and the incidence of adverse reactions was decreased. Subgroup analyses showed that oral administration of all the traditional Chinese medicines containing Atractylodes macrocephala could improve tumor efficacy. Regardless of the duration of therapy of ≥8 weeks or <8 weeks, Atractylodes macrocephala-containing traditional Chinese medicine increased the tumor response in AGC patients. Combination of Atractylodes macrocephala-containing TCM with neoadjuvant chemotherapy increased ORR and DCR; when used in conjunction with cisplatin, only ORR was increased. Conclusion: The combination of Atractylodes macrocephala-containing herbs with NAC in the treatment of AGC improves efficacy, improves prognosis, and reduces adverse effects. Nevertheless, additional high-quality randomized trials are required. [ABSTRACT FROM AUTHOR]