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Issue 47–6 of the Biomedical Journal explores the delicate boundaries of human blood. It examines the relationship between anemia and the gut microbiome, as well as the modified activation patterns in compensatory blood oxygenation observed in COVID-19, and lastly a series of experiments investigates the effects of SARS-CoV-2 variant spike proteins on the biology and morphology of red blood cells. Additionally, a fungus endemic to Taiwan shows potential as a treatment for pulmonary fibrosis, while relevant co-infections in schistosomiasis appear to be benefitting from altered receptor signaling in macrophages. A genomic study identifies an important locus in Taiwanese patients with Tourette syndrome, and a retrospective evaluation is conducted on the incidental detection of common bile duct dilatation in pediatric patients.

This issue of the Biomedical Journal features a special section on extracellular vesicles (EVs), covering their role in neurological diseases, viral infections, trogocytosis, allogeneic organ rejection and tolerance, as well as EV biodistribution. Two articles explore the mechanisms of Parkinson's disease, focusing on white matter and exosomes. This journal issue also examines polyomavirus-induced damage in renal transplant grafts, proposes a miRNA signature as a diagnostic biomarker for Kawasaki disease, discusses neural gating and associated brain wave alterations, and further clarifies the relationship between gut microbiota and immune checkpoint inhibitors. Additionally, the importance of therapeutic drug monitoring is reaffirmed.

This issue of the Biomedical Journal highlights major advancements in drug delivery, including aptamer-functionalized liposomes and nanozymes. A new biomarker combination shows promise for improved diagnosis of idiopathic pulmonary fibrosis. Mesenchymal stem cells are suggested to mitigate inflammation in systemic lupus erythematosus, and a potential positive feedback loop driven by a prevalent mRNA modification is suggested to enhance NSCLC progression. Additional articles explore a pathological impact on autophagy leading to muscle dysfunction, the benefits of integrating an orphan drug with standard therapy for glioblastoma patients, and the influence of transcriptional super-enhancers in early-stage esophageal squamous cell carcinoma. Finally, this issue provides insights into the roles of different Blastocystis subtypes, and the use of laser light for treating infantile hemangioma.

This issue of the Biomedical Journal features a special section exploring mycobiota. Three articles examine the role of fungi in common metabolic disorders in, Clostridium difficile infection, and in immunocompromised patients. Additionally, the potential and challenges of the metaverse in healthcare are reviewed, alongside a holistic approach to improve patient outcomes in pancreatic cancer. In this issue also possible mechanism contributing to long COVID are discussed, as well as biomarkers that effectively predict sepsis outcomes, and key targets in osteosarcoma progression. Moreover, factors leading to peri-intubation cardiac arrest are analyzed, healthcare strategies from various regions are employed to predict cardiovascular events in Asian populations, two approaches to cavernous sinus dural arteriovenous fistula are compared, and a combination therapy against soft tissue sarcoma is presented.

Knowing what one knows and accurately monitoring one's own capacities and performance on a moment-to-moment basis are important determinants of task success. Individual differences in such metacognitive monitoring are well documented, but what determines an individual's monitoring accuracy in a particular context is yet to be fully understood. One candidate contributor to monitoring accuracy is working memory. In this study, we investigated whether and how working memory contributes to the accuracy of monitoring processes. Most evidence for a positive relationship between working memory and monitoring accuracy has been provided by correlational studies. Here, an experimental approach was applied in which confidence judgments were collected after each memory recall in three working memory experiments, and the effect of increasing the working memory demands on monitoring accuracy was examined. A visuospatial complex span task, a verbal complex span task, and an updating task served as the working memory tasks, to cover the range of methods used in working memory research. Confirmatory analyses conducted using cumulative link mixed models indicated that in two out of three experiments, monitoring accuracy suffered when working memory demands increased. As such, the weight of evidence supports a dependent relationship between working memory and monitoring processes, whereby monitoring accuracy can fluctuate during a task depending on the available cognitive resources. This indicates that the sensitivity of metacognitive monitoring is at least partly determined by the nature of the cognitive processing taking place in the primary task.

In this issue, a special section is dedicated to the factors affecting senescence. It examines the interplay between immunosenescence and chronic kidney disease, probes into Peto's paradox, and explores how epigenetic switches can potentially mitigate senescence and inflammation. Additionally, insights are offered on understanding a specific Ras mechanism in yeast for potential therapeutic interventions against cancer and for longevity. Furthermore, the remarkable endurance of last year's Nobel Prize winner in Physiology or Medicine is also highlighted. Moreover, the discovery of potential biomarkers for hepatocellular carcinoma, the link between osteoarthritis and the circadian clock, and the multifaceted role of DNAJA3 in B cell lifecycle are discussed. Further, study findings shed light on the influence of extracellular matrix molecules on cleft palate formation, the renal protective effects of combination therapy in diabetic kidney disease, and novel approaches to detect developmental dysplasia of the hip. Finally, a correspondence delves into the role of autonomic regulation in cognitive decline.

This issue of the Biomedical Journal delves into the multifaceted roles of NOD-like receptors (NLRs) in immunity, examining their subfamilies and functions within innate and adaptive immunity, autoimmune and inflammatory conditions, and mitophagy regulation. In this issue the dynamics of mRNA vaccines are explored, as well as the synergistic effects of a ketogenic diet with anti-tumor therapies, the roles of curcumin and RANKL in osteoclastogenesis, and the validation of a rapid diagnostic test for an oral cancer biomarker. Additionally, advancements in ocular care are highlighted, featuring a novel prodrug targeting corneal neovascularization, and discussing the efficacy of dexamethasone implants against macular edema. Concluding, further insights into the impact of sweetened foods on child development are given.

In the current issue of the Biomedical Journal a special section introduces the influence earthing (or lack thereof) has on the human body. A variety of enlightening articles elaborate how electromagnetic hygiene involving earthing may lower the occurrence of various diseases, reduce inflammation, improve sleep and help maintain a well-functioning circadian rhythm. Another article has a closer look at the connection between sunspot extrema and pandemics, and the relief grounding may exert on the main complications encountered in COVID-19 infection. This issue furthermore contains articles about the principles and safety of COVID-19 mRNA vaccines, the use of lidocaine against the cytokine storm triggered by SARS-CoV-2, and hypocalcemia as predictive marker in COVID-19. The reader learns about two miRNAs playing a role in colorectal cancer, diffusion characteristics of cerebrospinal fluid, and an approach of rotational radiography leading to a lower radiation exposure. The final articles present the use of dynamic arthroscopy to refine diagnosis of the origin of shoulder pain, the application of traditional Chinese medicine in analysis of chronic kidney disease, and an exchange concerning neuroimaging abnormalities in pediatric COVID-19 cases.

Therapeutic interference with the immune response after myocardial infarction holds the potential to close a clinically relevant gap. Here, the authors show that inhibition of a cardiomyocyte-specific ADAM10 / CX3CL1 axis improves post infarction survival and cardiac function by attenuating neutrophil-mediated myocardial damage.

The current issue of Biomedical Journal gives an insight into the influence miRNAs have in myocardial injury, and in hepatocellular carcinoma. Furthermore the association between dysmobility syndrome and vertebral fractures is assessed, the role of doxycycline in schistosomiasis is elucidated, and the effect of stress on the blood–brain barrier is examined. An article proving the accuracy of Taiwan's largest medical record databank is presented, as well as a potential biomarker for Parkinson's. Risk factors for recurrence of papillary thyroid cancer are identified, the outcome of reirradiation in oral squamous cell carcinoma is investigated, and the post-surgery outcomes in cases of infantile hypertrophic pyloric stenosis are reviewed. Finally this issue contains two articles about COVID-19, one describes the potential neurological damage left after the infection, and the second article analysis the outcome of uptake in vaccination against SARS-CoV-2.

This issue of the Biomedical Journal puts an emphasis on inflammasome subunits, the NLR protein family, and the role they play in immunity. CIITA is presented as promising tool for augmenting tumor immunogenicity. Several articles look into the involvement of NLRP3 in inflammatory bowel disease and changes of the gut microbiome, in blood glucose management, in sterile inflammation, and NLRP3's contribution to the development of hepatic encephalopathy. Furthermore, a review concerning small cell neuroendocrine carcinoma of the cervix is presented, insights are provided as to the association of knee pain and patellar malalignment, and the connection between hypoxia and sleep apnea in the case of liver injury is elucidated. Additional articles illuminate the challenge of predicting influenza infections; show how ctDNA may serve as predictor for survival outcome in ovarian carcinoma; and lastly soft tissue changes after bimaxillary rotational surgery are assessed.

In this issue of the Biomedical Journal one focus is the research of hepatitis. The reader learns about the connection between hepatitis and thrombocytopenia and a large-scale immunization initiative against hepatitis. Further articles include an overview of mitochondrial bioenergetics, a review of current methods to research neuronal dynamics, a study of the anti-cancer effect of propolis, and the challenges of organ transplants derived from brain dead donors. An insight into kidney disease and types of stroke is provided, as well as imaging techniques that are employed for identifying changes in white matter. Lastly this issue contains the results of a study investigating foot arch development in children, the use of a precision radiation therapy against head and neck carcinoma, and an exchange concerning renal impairment and serum cancer antigen-125.

Abstract The complex process of manual biomarker extraction from body composition analysis (BCA) has far restricted the analysis of SARS-CoV-2 outcomes to small patient cohorts and a limited number of tissue types. We investigate the association of two BCA-based biomarkers with the development of severe SARS-CoV-2 infections for 918 patients (354 female, 564 male) regarding disease severity and mortality (186 deceased). Multiple tissues, such as muscle, bone, or adipose tissue are used and acquired with a deep-learning-based, fully-automated BCA from computed tomography images of the chest. The BCA features and markers were univariately analyzed with a Shapiro–Wilk and two-sided Mann–Whitney-U test. In a multivariate approach, obtained markers were adjusted by a defined set of laboratory parameters promoted by other studies. Subsequently, the relationship between the markers and two endpoints, namely severity and mortality, was investigated with regard to statistical significance. The univariate approach showed that the muscle volume was significant for female (p severity ≤ 0.001, p mortality ≤ 0.0001) and male patients (p severity = 0.018, p mortality ≤ 0.0001) regarding the severity and mortality endpoints. For male patients, the intra- and intermuscular adipose tissue (IMAT) (p ≤ 0.0001), epicardial adipose tissue (EAT) (p ≤ 0.001) and pericardial adipose tissue (PAT) (p ≤ 0.0001) were significant regarding the severity outcome. With the mortality outcome, muscle (p ≤ 0.0001), IMAT (p ≤ 0.001), EAT (p = 0.011) and PAT (p = 0.003) remained significant. For female patients, bone (p ≤ 0.001), IMAT (p = 0.032) and PAT (p = 0.047) were significant in univariate analyses regarding the severity and bone (p = 0.005) regarding the mortality. Furthermore, the defined sarcopenia marker (p ≤ 0.0001, for female and male) was significant for both endpoints. The cardiac marker was significant for severity (pfemale = 0.014, pmale ≤ 0.0001) and for mortality (pfemale ≤ 0.0001, pmale ≤ 0.0001) endpoint for both genders. The multivariate logistic regression showed that the sarcopenia marker was significant (p severity = 0.006, p mortality = 0.002) for both endpoints (ORseverity = 0.42, 95% CIseverity: 0.23–0.78, ORmortality = 0.34, 95% CImortality: 0.17–0.67). The cardiac marker showed significance (p = 0.018) only for the severity endpoint (OR = 1.42, 95% CI 1.06–1.90). The association between BCA-based sarcopenia and cardiac biomarkers and disease severity and mortality suggests that these biomarkers can contribute to the risk stratification of SARS-CoV-2 patients. Patients with a higher cardiac marker and a lower sarcopenia marker are at risk for a severe course or death. Whether those biomarkers hold similar importance for other pneumonia-related diseases requires further investigation.

The current issue of the Biomedical Journal includes a study presenting a possible agent against gut aging, a review of recent results in the field of breath biomarkers, as well as the investigation of the relationship between kidney disease and leptospirosis. Furthermore, the advantages of 3D imaging in dental medicine are elucidated, the influence of afterhyperpolarization in regulating the circadian clock is discussed, and the effectiveness of apremilast against ARDS is demonstrated. A controversial factor involved in the complex process of bone homeostasis is reviewed, and prevalent non-SARS human coronavirus types in Taiwan are looked at in detail. Lastly, the impact family history has on type 2 diabetes for the identification of high risk groups is addressed, the link between postoperative delirium risk and frailty in elderly patients is examined, and elements involved in recovering walking ability after stroke are analyzed.

The different types of diabetes differ in disease pathogenesis but share the impairment or loss of β-cell function leading to chronic hyperglycaemia. While immune cells are present throughout the whole pancreas in normality, their number and activation is increased in diabetes. Different patterns and composition of inflammation could be observed in type 1, type 2 and type 3c diabetes. Immune cells, pancreatic stellate cells and fibrosis were present in the islet microenvironment and could add to β-cell dysfunction and therefore development and progression of diabetes. First studies investigating the use of anti-inflammatory drugs demonstrate their ability to rescue remaining β-cell function and their potential benefit in diabetes treatment. This article provides an overview of immune cell infiltrates in different types of diabetes, highlights the knowledge of their impact on β-cell function and introduces the potential of immunomodulatory strategies.

This issue of the Biomedical Journal contains a special section about cell senescence. The reader gets an insight into the crosstalk between immune system and senescent cells, into an approach to fight aging by tweaking macronutrient intake, and also learns about the connection that does (not) exist between body mass and cancer risk. Further articles in the current issue give details about the effect of Damask rose on PCOS, illustrate the issues gender bias may exert in research studies, go into a joint drug approach in ischemia-reperfusion injury, and a promising tool to diagnose Parkinsonian disorders. Two articles dive into challenges related to obstructive sleep apnea, another article explores the benefits a composite mixture may have for improving bone cement material, with lastly a research team presenting a modified procedure to managing involutional lower eyelid entropion in individuals of Asian descent. Finally, BMJ issue 46–3 is complemented with a correspondence about mpox spreading from endemic areas to other parts of the world.

In this issue of the Biomedical Journal the reader is provided with an insight into the latest observations and advances in acute kidney injury as well as chronic kidney disease. The current SARS-CoV-2 variants are reviewed, and the role of long non-coding RNA in HIV therapy is explored. Furthermore, the potential of metabolomics as means to diagnose multiple sclerosis as well as tuberculosis is presented. Other topics of this issue include the restoration of the spermatogonial stem cell niche; atherosclerosis and the use of improved ultrasound images; and the effect of transcranial magnetic stimulation in patients with autism spectrum disorder. Finally, it is shown how continuous passive motion can be used as supportive therapeutic approach in children with cerebral palsy, and minimally invasive surgery is presented as valid alternative in cases of spine metastasis.

In this issue of Biomedical Journal we encounter the chemokine superfamily and its clinical potential. The time course from 56 days zero COVID-19 to a resurgence in cases is presented, as well as a possible solution to overcome rejection in vascularized composite allotransplantation. We are shown the opportunity deep learning (DL) offers in the case of tracking single cells and particles, and also use of DL to bring all hands on deck to counter the current challenge of the COVID-19 pandemic. This issue contains articles about the effect of low energy shock waves in cystitis; the negative effect of high fructose on aortic valve stenosis; a study about the outcome of fecal microbiota transplantation in case of refractory Clostridioides difficile infection; a novel long non-coding RNA that could serve in treating triple-negative breast cancer; the benefits of acupressure in patients with restless leg syndrome; and Filamin A mutations in abnormal neuronal migration development. Finally, a link between jaw surgery and the psychological impact on the patient is explored; a method presented that allows identification of cervical characteristics associated with difficult embryo transfer; and a letter suggesting new parameters to evaluate the use of bone-substitute augmentation in the treatment of osteoporotic intertrochanteric fractures.

Task-irrelevant speech is known to cause disruption of short-term memory, either through specific interference with encoding processes (e.g., seriation, semantic processing) or by diverting attention from the focal task. Previous studies found that semantically related background speech can induce memory intrusions of words that were not part of the to-be-remembered list. While these findings suggest false memories due to semantic interference, the present study aims to test whether the presence of task-irrelevant speech affects the susceptibility to memory intrusions also in the absence of semantic interference. Therefore, incomprehensible to-be-ignored speech was presented during encoding of semantically related words. It was found across three experiments that incomprehensible changing-state speech increased the rate of false memories of non-presented but semantically related words in a subsequent recognition (Experiments 1 and 2) or recall test (Experiment 3), compared with white noise or steady-state speech. The findings indicate that speech interfered with serial-order processing of the to-be-remembered items, thus urging participants to rely on semantic information to encode and retrieve the presented words. While a focus on semantic information enabled participants to correctly recollect the majority of presented words, it most likely also increased the proportion of false memories of words with semantic associations to the presented words both in recall and recognition tests. In all three experiments, the presence of an auditory deviant in background speech did not increase the rate of false memories, suggesting that attentional capture alone does not necessarily induce source monitoring errors. However, Experiment 3 revealed that an increase in visual task-encoding load attenuated the changing-state effect on the production of false memories. This indicates that the semantic organisation processes initiated as a result of the loss of order information in case of changing-state speech may be sensitive to attentional control. [ABSTRACT FROM AUTHOR]

The goal of the present investigation was to perform a registered replication of Jones and Macken's (1995b) study, which showed that the segregation of a sequence of sounds to distinct locations reduced the disruptive effect on serial recall. Thereby, it postulated an intriguing connection between auditory stream segregation and the cognitive mechanisms underlying the irrelevant speech effect. Specifically, it was found that a sequence of changing utterances was less disruptive in stereophonic presentation, allowing each auditory object (letters) to be allocated to a unique location (right ear, left ear, center), compared to when the same sounds were played monophonically. Due to its importance for theoretical accounts of auditory distraction and because the results were somewhat equivocal, it is important to replicate this influential study with enhanced statistical power. The present replication (N = 60) confirmed that the disruptive effect of a changing-state sequence ("V-J-X") as compared to a steady-state sequence ("J-J-J")—the changing-state effect—is reduced significantly with stereophonic presentation, suggesting that listeners perceptually grouped the presented sound into three separate steady-state streams, which produce much less interference with seriation compared to the monophonic presentation. However, in contrast to the original study, stereophonic sequences tended to be slightly more disruptive than monophonic steady-state sequences, suggesting that the change in location may also cause some interference on its own. Moreover, there was also a significant steady-state effect, with both steady-state conditions being more disruptive than silence. The results are discussed with regard to interference-by-process and attentional accounts of auditory distraction. [ABSTRACT FROM AUTHOR]

The "Journal of Phase Equilibria & Diffusion" published a special issue in memory of Mats Hillert, a prominent figure in materials science who passed away in 2022. The issue celebrates what would have been his 100th birthday in 2024, highlighting his significant contributions to the field. Mats Hillert's pioneering work in thermodynamics and phase transformation, particularly in the development of the CALPHAD method, has left a lasting impact on the scientific community. His dedication to advancing scientific discourse and educating future generations in materials science is remembered fondly by colleagues and students alike. [Extracted from the article]

In 1970, Hillert and Staffansson published a paper entitled "The Regular Solution Model for Stoichiometric Phases and Ionic Melts". It was the beginning of the sublattice model that has been a key component in the development of Computational Thermodynamics. This formalism, now often called the Compound Energy Formalism (CEF), has been used to describe a great variety of phases driven by the need for accurate descriptions of thermodynamic phase stability in a wide range of materials involving many elements. The purpose of this paper is to describe the formalism, the physical meaning of its various parameters and the way they can be assessed using experimental and theoretical data. Furthermore, new developments derived from the CEF, such as the Effective Bond Energy Formalism, and other ideas for further development are presented. [ABSTRACT FROM AUTHOR]

Background: Water quality for tourists visiting South Luangwa National Park and other less developed regions is of the utmost importance in order to avoid gastrointestinal infections; one of the most common diseases among tourists. It is also important to the health of the local tourist accommodations and the local tourist economy. Methods: Water quality samples assessing microbiological contamination were taken from the borehole and point of use in 14 tourist lodges and camps. Turbidity was assessed optically with a DelAlgua turbidity tube. For microbiological analysis, samples were incubated in the DelAgua Dual Incubator at 37°C and 44°C. Thermotolerant Escherichia coli (E. coli) was used as the indicator bacterium for fecal pollution. Water samples were classified based of risk levels for pollution determined by the World Health Organization (WHO). Results: Fifty percent of borehole samples showed no contamination. Two were found to be at high risk and the others ranged between low and intermediate risk. At the point of use, 80% of the samples were clean and compliant with WHO guidelines. Water contamination generally improved from the borehole to point of use. Turbidity at borehole samples were clear in 75% of possible samples. At the point of use, turbidity was clear in 81% of samples. Conclusion: This study establishes the first baseline water quality data for tourist facilities at South Luangwa National Park in Zambia. While water quality at most sites is clean for human use, a regular monitoring system accompanied by maintenance is recommended.

This issue of Biomedical Journal provides the reader with articles concerning the latest understanding of Tourette syndrome (TS), the relation to genetic predisposition, defects in the dopaminergic system, and related comorbidities which further complications like sleep disruption. Treatment approaches for TS, attention deficit hyperactivity disorder and developmental coordination disorder are discussed. The second section of this issue offers insights into inside out integrin activation and its link to T cell activation, demonstrates how polarity in immune cells allows adoption to specialized functions, and describes the endosomal signaling of internalized T cell receptors (TCRs). The link between mutations in TCR signaling and immunodeficiencies is elucidated, as well as the interactions of thymocyte-expressed molecule involved in selection in T cell development. Additionally, we learn about a potential biomarker for colorectal cancer, screening tools for determining frailty in older adults, surgical approaches in spinal metastases, the influence of autophagy on mating behavior, and the effect of nitrite administration on SNARE proteins associated with insulin secretion. Finally, parameters for surgery in breast cancer are discussed, as well as gender and age dependent pain perception in a lysosomal storage disease, and the use of laser meridian massage in opioid use disorder. Three letters complement this issue, one concerning neuroimaging in pediatric COVID-19 patients, and two discussing the role of cancer antigen-125 and renal impairment in ovarian cancer patients.

In the current issue of the Biomedical Journal the underlying pathology of hemodynamic compromise in acute small subcortical infarction are elucidated. A follow-up study in patients with childhood Kawasaki disease is presented, as well as an insight into the gradually decreasing antigen expression in cases of acute myeloid leukemia. Furthermore this issue provides an exciting update concerning COVID-19 and the use of CRISPR-Cas, a review about computational approaches in the research of kidney stone formation, factors connected to central precocious puberty, and why a rock star of paleogenetics recently received a Nobel Prize. Additionally, this issue contains an article proposing the repurposing of the lung cancer drug Capmatinib, a study of how the gut microbiome develops in neonates, an impulse about the role of the transmembrane protein TMED3 in esophageal carcinoma, and the revelation about how competing endogenous RNA influences ischemic stroke. Lastly, genetic reasons for male infertility are discussed, as well as the relation between non-alcoholic fatty liver disease and chronic kidney disease.

In this special edition of the Biomedical Journal the reader gains an insight into drug-resistant epilepsy and according treatment approaches involving deep brain stimulation, the ketogenic diet and fecal microbiota transplant. Another emphasis is put on personalized medicine strategies, and covered in articles about the use of natriuretic peptides against cancer, along with an article about companion diagnostics involving extracellular vesicles. Recurrent infection with Clostridium difficile, associated risk factors and therapeutic options are discussed. We learn about a mechanism that helps Leishmania evade a host control mechanism, receive an update about human adenovirus and are presented with characteristic magnetic resonance neuroimaging in COVID-19 pediatric patients. An advanced assessment in pediatric septic shock and an improved model for a pediatric early warning system are proposed. Some of the genetic causes of renal hypomagnesemia are explored, the impact of air pollution on children is examined, and an antisiphon device is described for surgical treatment of hydrocephalus. The relation between energy metabolism, circadian rhythm and its influence on the ATPase in the SCN are investigated, and among others some of the genetics influencing smoking duration and lung cancer. Finally it is discussed how embryo quality can be improved in in vitro fertilization, and what impact high estradiol has on blastocyst implantation. The outcome of surgery to correct mandibular deficiency is assessed, and in two letters the inclusion of observational studies in the evaluation of clinical trials related to COVID-19 is elaborated.

In the current issue of the Biomedical Journal we gain an insight into the regeneration of liver tissue and how an over-the-counter supplement, stem cells and two plant extracts counteract liver damage. Furthermore the advances against hepatitis C virus are presented, the role of long non-coding RNA elucidated as well as the potential of an adhesion G protein-coupled receptor. In another contribution, the definition and evolutionary impact of copy number variants is clarified. Also, the polymorphism of a scaffolding caspase is investigated. We furthermore learn about the relation between SARS-CoV2 mutants in dependence of geography and explore the challenges of telemedicine in a complex healthcare field. A novel approach to engineering artificial grafts is presented, the challenges of total knee arthroplasty discussed as well as a possible mean of sinus floor elevation for dental implants. At last the concept of flipped classroom is scrutinized in terms of usefulness for a hospital in Taiwan.

Understanding the biogeochemical transformation of dissolved organic matter (DOM) across fluvial networks will ultimately help to predict anthropogenic influences. To date, few studies have evaluated the anthropogenic impact on the spatial and temporal changes of DOM composition in large river systems. Here, FT-ICR-MS combined with excitation-emission matrix spectroscopy (EEMs) and biomarkers were applied to resolve chemical differences of DOM collected from the Changjiang basin at different hydrological and environmental conditions. PCA and cluster analysis illustrated that samples collected from lake systems and northern and southern tributaries differed from the two batches of main stream samples, particularly due to higher contribution of nitrogen and sulfur containing compounds. Correlation of land-use information along the tributaries with different PCA loadings indicated that agricultural, forest and wetland areas and wastewater discharge control the composition of DOM within these subregions. Higher heteroatom content (especially CHONx) in the low discharge period (2009) may be contributed by paddy soil leaching into groundwater. The relative peak magnitude of sulfur containing formulas was elevated during flood season (2010), which may be related to pollutions in areas of high population density. In addition, lignin phenol concentrations were higher in the flood season because of elevated soil erosion. Consequently, land use and human activities can strongly alter the quality and composition of DOM in watersheds flowing through densely populated regions, which may also impact or influence the riverine carbon flux in anthropogenically disturbed river systems.

This issue of the Biomedical Journal offers insights into the origin and consequences of different lymphoproliferative disorders and autoimmunity. Furthermore we learn about RASopathies, a group of congenital disorders that occur rather frequently. Then the current ELISA assays for measuring antibody avidity are critically examined, the relationship between female sex steroid hormones and cardiovascular disease is explored, and an assessment of persistent diarrhea as a leading cause of child death in India is performed. Additionally, there are several articles about COVID-19, presenting its connection to neutrophil recruitment and acute respiratory distress syndrome, as well as its relation to changes in the vascular glycocalyx. A COVID-19 case study from the emergency room is presented. We are also introduced to novel treatment approaches against COVID-19 like the construction of peptide-based vaccines, or targeting the respiratory tract microbiome. Finally, there is an assessment about how prepared medical students at a Taiwan University feel for independent practice, and another article about the treatment of intravascular large B cell lymphoma in a Taiwanese institution. Lastly, we discover possible surgery techniques in the case of external auditory canal osteoma.

Termination kinetics of radical polymerization of N‐vinyl formamide (NVF) in aqueous solution has been measured via SP–PLP–NIR, i.e., single pulse (SP) initiation of pulsed laser polymerization (PLP) in conjunction with microsecond time‐resolved near‐infrared (NIR) detection of monomer concentration. Experiments are performed at initial NVF weight fractions from 0.20 up to bulk NVF, at monomer conversions up to 40%, and at temperatures from 40 to 70 °C as well as pressures from 500 to 2500 bar. Applying high pressure improves signal‐to‐noise quality. Data obtained upon pressure variation allow for extrapolation toward ambient pressure. The primary quantity from SP–PLP–NIR is kp/, i.e., the ratio of propagation rate coefficient, kp, to apparent chain‐length‐averaged termination rate coefficient, . With kp being available from literature, kp/ yields . This quantity is relevant for modeling polymerization rate and polymer properties. Termination in the initial polymerization period turns out to be controlled by segmental diffusion and, at higher degrees of monomer conversion up to 40%, by translational diffusion. [ABSTRACT FROM AUTHOR]

Two competing accounts propose that the disruption of short-term memory by irrelevant speech arises either due to interference-by-process (e.g., changing-state effect) or attentional capture, but it is unclear how whispering affects the irrelevant speech effect. According to the interference-by-process account, whispered speech should be less disruptive due to its reduced periodic spectro-temporal fine structure and lower amplitude modulations. In contrast, the attentional account predicts more disruption by whispered speech, possibly via enhanced listening effort in the case of a comprehended language. In two experiments, voiced and whispered speech (spoken sentences or monosyllabic words) were presented while participants memorized the order of visually presented letters. In both experiments, a changing-state effect was observed regardless of the phonation (sentences produced more disruption than "steady-state" words). Moreover, whispered speech (lower fluctuation strength) was more disruptive than voiced speech when participants understood the language (Experiment 1), but not when the language was incomprehensible (Experiment 2). The results suggest two functionally distinct mechanisms of auditory distraction: While changing-state speech causes automatic interference with seriation processes regardless of its meaning or intelligibility, whispering appears to contain cues that divert attention from the focal task primarily when presented in a comprehended language, possibly via enhanced listening effort. [ABSTRACT FROM AUTHOR]

Abstract The pancreas is particularly sensitive to acute cellular stress, but this has been difficult to evaluate using light microscopy. Pancreatic ischaemia associated with deceased organ donation negatively impacts whole‐organ and isolated‐islet transplantation outcomes. Post‐mortem changes have also hampered accurate interpretation of ante‐mortem pancreatic pathology. A rigorous histological scoring system accurately quantifying ischaemia is required to experimentally evaluate innovations in organ preservation and to increase rigour in clinical/research evaluation of underlying pancreatic pathology. We developed and validated an unbiased electron microscopy (EM) score of acute pancreatic exocrine cellular stress in deceased organ donor cohorts (development [n = 28] and validation [n = 16]). Standardised assessment led to clearly described numerical scores (0–3) for nuclear, mitochondrial and endoplasmic reticulum (ER) morphology and intracellular vacuolisation; with a maximum (worst) aggregate total score of 12. In the Validation cohort, a trend towards higher scores was observed for tail versus head regions (nucleus score following donation after brainstem death [DBD]: head 0.67 ± 0.19; tail 0.86 ± 0.11; p = 0.027) and donation after circulatory death (DCD) versus DBD (mitochondrial score: DCD (head + tail) 2.59 ± 0.16; DBD (head + tail) 2.38 ± 0.21; p = 0.004). Significant mitochondrial changes were seen ubiquitously even with short cold ischaemia, whereas nuclear and vacuolisation changes remained mild even after prolonged ischaemia. ER score correlated with cold ischaemia time (CIT) following DBD (pancreatic tail region: r = 0.796; p = 0.018). No relationships between CIT and EM scores were observed following DCD. In conclusion, we have developed and validated a novel EM score providing standardised quantitative assessment of subcellular ultrastructural morphology in pancreatic acinar cells. This provides a robust novel tool for gold standard measurement of acute cellular stress in studies evaluating surrogate measures of peri‐transplant ischaemia, organ preservation technologies and in samples obtained for detailed pathological examination of underlying pancreatic pathology.