Search

Mycosis fungoides (MF), the most common form of cutaneous T-cell lymphoma, is characterized by patches, plaques, and, in advanced stages, tumors and erythroderma. Early-stage MF may progress to advanced-stage disease in up to one-third of patients, conferring a worse prognosis and typically requiring systemic treatment for extracutaneous involvement. The most frequently reported signs and symptoms are pain, pruritus, scaling, and skin redness, with pruritus, the most bothersome symptom, exerting a profound impact on patients’ health-related quality of life (HRQoL). These dermatologic signs and symptoms can overlap with those of other benign inflammatory dermatoses, such as eczema and psoriasis, and therefore, diagnostic delay is common in patients with MF. Moreover, identifying patients with features adversely affecting prognosis (e.g. large-cell transformation or folliculotropic variant) is a significant challenge. We report the case of a 75-year-old female patient who was misdiagnosed with eczema and then pityriasis rubra pilaris and consequently did not receive treatment for MF for 4 years. The patient was eventually correctly diagnosed with MF [stage IIIB (T4 N1 M0 B1)] in September 2018. The patient received several systemic treatments; however, she did not respond to or tolerate the treatments. Due to lack of treatment response, in July 2021, she was initiated on mogamulizumab, an anti-CC chemokine receptor 4 antibody with demonstrated effectiveness and licensed approval for adults with MF/Sézary syndrome who have received one or more prior systemic therapies. Treatment rapidly led to a complete response in blood after 1 week and in skin after 4 months. Mogamulizumab was well tolerated by the patient, who also reported a significant improvement in her HRQoL. After 1 year in complete response, mogamulizumab was discontinued. This case highlights the need for accurate and early diagnosis of MF to initiate disease-specific treatment and the importance of considering patient HRQoL when treating this condition.

Abstract BackgroundThe Primary Trauma Care (PTC) course was originally developed to instruct health care workers in the management of patients with severe injuries in low- and middle-income countries (LMICs) with limited medical resources. PTC has now been taught for more than 25 years. Many studies have demonstrated that the 2-day PTC workshop is useful and informative to frontline health staff and has helped improve knowledge and confidence in trauma management; however, there is little evidence of the effect of the course on changes in clinical practice. The Kirkpatrick model (KM) and the knowledge, attitude, and practice (KAP) model are effective methods to evaluate this question. ObjectiveThe aim of this study was to investigate how the 2-day PTC course impacts the satisfaction, knowledge, and skills of health care workers in 2 Vietnamese hospitals using a conceptual framework incorporating the KAP model and the 4-level KM as evaluation tools. MethodsThe PTC course was delivered over 2 days in the emergency departments (EDs) of Thanh Hoa and Ninh Binh hospitals in February and March 2022, respectively. This study followed a prospective pre- and postintervention design. We used validated instruments to assess the participants’ satisfaction, knowledge, and skills before, immediately after, and 6 months after course delivery. The Fisher exact test and the Wilcoxon matched-pairs signed rank test were used to compare the percentages and mean scores at the pretest, posttest, and 6-month postcourse follow-up time points among course participants. ResultsA total of 80 health care staff members attended the 2-day PTC course and nearly 100% of the participants were satisfied with the course. At level 2 of the KM (knowledge), the scores on multiple-choice questions and the confidence matrix improved significantly from 60% to 77% and from 59% to 71%, respectively (PPP ConclusionsThe PTC course undertaken in 2 local hospitals in Vietnam was successful in demonstrating improvements at 3 levels of the KM for ED health care staff. The improvements in the confidence matrix and scenarios checklist were maintained for at least 6 months after the course. PTC courses should be effective in providing and sustaining improvement in knowledge and trauma care practice in other LMICs such as Vietnam.

Objective To evaluate safety and mechanism of action of mezagitamab (TAK-079), an anti-CD38 monoclonal antibody, in patients with moderate to severe systemic lupus erythematosus (SLE).Methods A phase 1b double-blind, placebo-controlled, multicentre study was conducted in patients with SLE receiving standard background therapy. Eligible patients were adults who met the 2012 SLICC or ACR criteria for diagnosis, had a baseline SLE Disease Activity Index 2000 (SLEDAI-2K) score of ≥6 and were positive for anti-double-stranded DNA antibodies and/or anti-extractable nuclear antigens antibodies. Patients received 45 mg, 90 mg or 135 mg of mezagitamab or placebo every 3 weeks over 12 weeks. Primary endpoints were safety and tolerability. Secondary endpoints included pharmacokinetics and pharmacodynamics. Exploratory assessments included disease activity scales, deep immune profiling and interferon pathway analysis.Results 22 patients received at least one dose of either mezagitamab or placebo. In patients exposed to mezagitamab (n=17), drug was well tolerated. Adverse event (AEs) were balanced across treatment groups, with no treatment emergent AEs exceeding grade 2. Responder analyses for Cutaneous Lupus Erythematosus Disease Area and Severity Index (CLASI) and SLEDAI-2K did not reveal any observable differences across treatment groups. However, there was a trend for more profound skin responses among patients with higher CLASI scores (>10) at baseline. Pharmacodynamic analysis showed median CD38 receptor occupancy up to 88.4% on CD38+ natural killer cells with concurrent depletion of these cells up to 90% in the 135 mg group. Mean reductions in IgG and autoantibodies were less than 20% in all dose groups. Cytometry by time of flight and type 1 interferon gene analysis revealed unique fingerprints that are indicative of a broad immune landscape shift following CD38 targeting.Conclusions Mezagitamab had a favourable safety profile in patients with moderate to severe SLE and elicited a pharmacodynamic effect consistent with CD38+ cell depletion. These findings reveal novel insights into the drug’s mechanism of action and support the continued investigation of mezagitamab in autoimmune diseases.

Coconut (Cocos nucifera L.) is an important palm species that serves as the mainstay of several industries and contributes to the livelihoods of millions of smallholder farmers. International exchange of coconut germplasm has been undertaken for several decades to facilitate the conservation of selected varieties within global genebanks and for the distribution to farmers and scientists. In vitro systems are a convenient and an efficient method for the exchange of coconut germplasm. However, it is possible that these tissue culture systems can transfer lethal pathogens causing a threat to the importing countries. In this review, the following topics are discussed: the major disease-causing agents of concern, the various tissues that could be used for coconut germplasm exchange, and the techniques available for the detection and elimination of disease-causing agents from various transmission systems. Additionally, the lack of clear, science-backed guidelines to facilitate the exchange of in vitro coconut materials is raised, along with recommendations for future studies to ensure the safe movement of coconut germplasm without biosecurity risks.

Abstract Leukemic cutaneous T‐cell lymphomas (L‐CTCL) are lymphoproliferative disorders of skin‐homing mature T‐cells causing severe symptoms and high mortality through chronic inflammation, tissue destruction, and serious infections. Despite numerous genomic sequencing efforts, recurrent driver mutations have not been identified, but chromosomal losses and gains are frequent and dominant. We integrated genomic landscape analyses with innovative pharmacologic interference studies to identify key vulnerable nodes in L‐CTCL. We detected copy number gains of loci containing the STAT3/5 oncogenes in 74% (n = 17/23) of L‐CTCL, which correlated with the increased clonal T‐cell count in the blood. Dual inhibition of STAT3/5 using small‐molecule degraders and multi‐kinase blockers abolished L‐CTCL cell growth in vitro and ex vivo, whereby PAK kinase inhibition was specifically selective for L‐CTCL patient cells carrying STAT3/5 gains. Importantly, the PAK inhibitor FRAx597 demonstrated encouraging anti‐leukemic activity in vivo by inhibiting tumor growth and disease dissemination in intradermally xenografted mice. We conclude that STAT3/5 and PAK kinase interaction represents a new therapeutic node to be further explored in L‐CTCL.

The problems of the foreign exchange market and the global financial crisis, the European public debt crisis in 2008-2011 made the economy of Vietnam facing many macroeconomic instabilities. The escalating inflation in 2008 and 2011 posed many challenges for macroeconomic management, especially controlling inflation in Vietnam. The realization of macroeconomic stability and inflation control at a reasonable level from 2012 in Vietnam was assessed to bring about remarkable results. In this article, the authors reviewed the studies of International and Vietnamese inflation, pointed out to the macroeconomic factors affecting inflation in Vietnam. At the same time, the authors used the VAR model to examine the impact of macroeconomic factors including money supply, credit, exchange rates, interest rates, real gross domestic product, international prices, inflation and give some discussions from the VAR model results.

The construction process generates a huge amount of waste. If not well managed, this amount of waste will cause unnecessary risks for the project construction process in particular and for the environment in general. Therefore, many studies on waste risk management from the construction industry have been carried out. In recent years, BIM technology has been developed and applied a lot in the field of project management. In this study, the authors give a new perspective on BIM application in the field of project management - BIM application in construction waste management in the construction stage. The first part of the paper will present the research method, the literature review of the research. The final result is the result after applying the proposed research process. The final part of the paper will present the results of the study.

In this article, the research team uses the VAR self-regression vector model to evaluate the impact of exchange rates on inflation and economic growth in Vietnam over the period 2005-2018. With six endogenous variables included in the VAR model: bilateral real exchange rate (Er), money supply (M2), exports (X), imports (IM), GDP at 2010 comparative prices (GDPR), the consumer price index (CPI) and the two exogenous variables, international price (Pw) and US Federal Reserve interest rate (Ifed), the research team examines the impact of exchange rates on endogenous variables in the model and considers the reaction of inflation and economic growth on various shocks. Based on the quantitative results, the research team will recommend some discus-sions to contribute for the improvement of Vietnam's macro environment, trade balance, inflation control, and economic growth support; implementing the goal of macroeconomic stability to suit the period of international economic integration and improving national competitiveness.

Background Checkpoint inhibitors revolutionized the treatment of metastatic melanoma patients. Although tumor burden and lactate dehydrogenase (LDH) are associated with overall survival (OS), the impact of tumor growth kinetics remains elusive and in part contradictory. The aims of this study were to develop a novel simple and rapid method that estimates pretreatment metastatic growth rate (MGR) and to investigate its prognostic impact in melanoma patients treated with antiprogrammed death receptor-1 (PD-1) antibodies.Methods MGR was assessed in three independent cohorts of a total of 337 unselected consecutive metastasized stage IIIB–IV melanoma patients (discovery cohort: n=53, confirmation cohort: n=126, independent multicenter validation cohort: n=158). MGR was computed during the pretreatment period before initiation of therapy with anti-PD-1 antibodies nivolumab or pembrolizumab by measuring the increase of the longest diameter of the largest target lesion. Tumor doubling time served as quality control. Kaplan-Meier analysis and univariable as well as multivariable Cox regression were used to examine the prognostic impact of MGR.Results Pretreatment MGR >3.9 mm/month was associated with impaired OS in the discovery cohort (HR 6.19, 95% CI 2.92 to 13.10, p

This study developed a simple two-step procedure to produce isomaltooligosaccharides (IMOs) from low-cost sweet potato starch (SPS). Effect of various reaction parameters on the steps of the synthesis process of IMOs was systematically investigated. The results show that Spezyme Xtra enzyme was the most suitable for the liquefaction step. The oligosaccharide components’ contents, including G1–G10 and G2–G6, reached 73.95 ± 0.02% and 49.24 ± 3.19%, respectively, after liquefaction. The simultaneous saccharification and transglycosylation (SST) reaction of SPS followed the liquefaction after the α-amylase activity was deactivated. This reaction was simultaneously treated by β-amylase, pullulanase, and α-transglucosidase. The effect of various reaction parameters, consisting of solution pH, reaction temperature, enzyme dosage, and reaction time, on the SST reaction to synthesize IMOs from SPS was fully studied. The results showed that the highest concentration of IMOs (IG234) reached 68.85 ± 1.82 g/L at the optimal condition. The purification of pristine IMO was performed by adding Saccharomyces cerevisiae var. diastaticus BE 134 yeast cells at the final step of the procedure. In particular, the SST reaction for the synthesis of IMOs from SPS shortened SST reaction time by three times compared with other three-step synthesis procedures of IMOs. These findings show that the SPS-derived IMOs can be applied as a novel and inexpensive prebiotic healthcare product for human gastrointestinal health, dieters, and diabetics.

Introduction C-reactive protein (CRP), a biomarker of infection, has been used widely in high-income settings to guide antibiotic treatment in patients presenting with respiratory illnesses in primary care. Recent trials in low- and middle-income countries showed that CRP testing could safely reduce antibiotic use in patients with non-severe acute respiratory infections (ARIs) and fever in primary care. The studies, however, were conducted in a research-oriented context, with research staff closely monitoring healthcare behaviour thus potentially influencing healthcare workers’ prescribing practices. For policy-makers to consider wide-scale roll-out, a pragmatic implementation study of the impact of CRP point of care (POC) testing in routine care is needed.Methods and analysis A pragmatic, cluster-randomised controlled trial, with two study arms, consisting of 24 commune health centres (CHC) in the intervention arm (provision of CRP tests with additional healthcare worker guidance) and 24 facilities acting as controls (routine care). Comparison between the treatment arms will be through logistic regression, with the treatment assignment as a fixed effect, and the CHC as a random effect. With 48 clusters, an average of 10 consultations per facility per week will result in approximately 520 over 1 year, and 24 960 in total (12 480 per arm). We will be able to detect a reduction of 12% to 23% or more in immediate antibiotic prescription as a result of the CRP POC intervention. The primary endpoint is the proportion of patient consultations for ARI resulting in immediate antibiotic prescription. Secondary endpoints include the proportion of all patients receiving an antibiotic prescription regardless of ARI diagnosis, frequency of re-consultation, subsequent antibiotic use when antibiotics are not prescribed, referral and hospitalisation.Ethics and dissemination The study protocol was approved by the Oxford University Tropical Research Ethics Committee (OxTREC, Reference: 53–18), and the ethical committee of the National Hospital for Tropical Diseases in Vietnam (Reference:07/HDDD-NDTW/2019). Results from this study will be disseminated via meetings with stakeholders, conferences and publications in peer-reviewed journals. Authorship and reporting of this work will follow international guidelines.Trial registration details NCT03855215; Pre-results.

ZnO/chitosan nanocomposite was successfully synthesized by in-situ precipitation method. The material was characterized by XRD, FESEM, TEM, FTIR, BET, and TGA. Results show that ZnO/chitosan nanocomposite has spherical shape with the average size of 20–25 nm. BET surface area and the average pore size of ZnO/chitosan nanocomposite are 2.2436 (m2/g) and 12.2 nm, respectively. The material was applied as an adsorbent for congo red removal from aqueous solutions. The congo red adsorption is better described by the Langmuir model (R2=0.996) than by the Freundlich model (R2=0.962). Therefore, it can be presumed that congo red was adsorbed in a single monolayer with the theoretical maximum adsorption capacity of 227.3 (mg/g). This is comparable to other available adsorbents. It can be suggested that ZnO/chitosan nanocomposite could serve as promising adsorbent for congo red in wastewater treatment technology.

The aim of this study was to assess the knowledge and influence of predatory journals in the field of dermatology in Austria. A total of 286 physicians (50.5% men) completed a questionnaire. The vast majority of subjects read scientific articles (n = 281, 98.3%) and took them into consideration in their clinical decision-making (n = 271, 98.5% of participants that regularly read scientific literature). Open access was known by 161 (56.3%), predatory journals by 84 (29.4%), and the Beall’s list by 19 physicians (6.7%). A total of 117 participants (40.9%) had been challenged by patients with results from the scientific literature, including 9 predatory papers. Participants who knew of predatory journals had a higher level of education as well as scientific experience, and were more familiar with the open-access system (p

Nivolumab belongs to the standard treatment options in metastatic renal cell carcinoma. Despite promising responses, a new spectrum of “immune-related” adverse effects has to be managed in daily clinical practice. A 74-year-old patient was treated with nivolumab in fourth-line. After 18 cycles, treatment was stopped due to severe adverse mucocutaneous reactions confirming a lichen ruber pemphigoides. CT scans during treatment discontinuation show stable disease since more than 14 months. Immunotherapy can cause mucocutaneous immune-mediated adverse reactions. The time of onset to cutaneous adverse effects is variable. Early recognition and treatment are essential in mitigating the severity of those adverse events. Keywords: Renal cell cancer, Nivolumab, Lichen ruber, Side effects, Cutaneous adverse event

The rapid developments of Science and Technology call for individuals to have strong academic knowledge and creativity. Research shows that students acquire creativity after either curricular or extracurricular activities in subject matters. However, there is not much research examining students' creativity through integrative learning activities, such as STEM activities. In this current study, we examine the potential of STEM clubs in terms of fostering students' creativity. We used the survey method to assess students' creativity in engineering design. We collected the data from 244 Vietnamese students, including members and non-members in STEM clubs. The quantitative analysis was performed to examine the differences between members' creativity and non-members' creativity. The results show that STEM club members have significantly more creativity than non-members. The results also show that STEM club members have significantly more creativity than non-members. Based on the results, STEM clubs demonstrate a significant impact on students' creativity. Consequently, STEM clubs should be implemented in high school to enhance students' creativity.

Alcohol-related myopathy (Alc-M) is highly prevalent among heavy drinkers, although its pathogenesis is not well understood. We hypothesize that Alc-M is mediated by combined effects of insulin/IGF resistance and oxidative stress, similar to the effects of ethanol on liver and brain. We tested this hypothesis using an established model in which adult rats were pair-fed for 8 weeks with isocaloric diets containing 0% (N = 8) or 35.5% (N = 13) ethanol by caloric content. Gastrocnemius muscles were examined by histology, morphometrics, qRT-PCR analysis, and ELISAs. Chronic ethanol feeding reduced myofiber size and mRNA expression of IGF-1 polypeptide, insulin, IGF-1, and IGF-2 receptors, IRS-1, and IRS-2. Multiplex ELISAs demonstrated ethanol-associated inhibition of insulin, IRS-1, Akt, and p70S6K signaling, and increased activation of GSK-3β. In addition, ethanol-exposed muscles had increased 4-hydroxy-2-nonenal immunoreactivity, reflecting lipid peroxidation, and reduced levels of mitochondrial Complex IV, Complex V, and acetylcholinesterase. These results demonstrate that experimental Alc-M is associated with inhibition of insulin/IGF/IRS and downstream signaling that mediates metabolism and cell survival, similar to findings in alcoholic liver and brain degeneration. Moreover, the increased oxidative stress, which could be mediated by mitochondrial dysfunction, may have led to inhibition of acetylcholinesterase, which itself is sufficient to cause myofiber atrophy and degeneration.

The mechanisms of alcohol-related peripheral neuropathy (ALPN) are poorly understood. We hypothesize that, like alcohol-related liver and brain degeneration, ALPN may be mediated by combined effects of insulin/IGF resistance and oxidative stress. Adult male Long Evans rats were chronically pair-fed with diets containing 0% or 37% ethanol (caloric), and subjected to nerve conduction studies. Chronic ethanol feeding slowed nerve conduction in the tibial (p = 0.0021) motor nerve, and not plantar sensory nerve, but it did not affect amplitude. Histological studies of the sciatic nerve revealed reduced nerve fiber diameters with increased regenerative sprouts, and denervation myopathy in ethanol-fed rats. qRT-PCR analysis demonstrated reduced mRNA levels of insulin, IGF-1, and IGF-2 polypeptides, IGF-1 receptor, and IRS2, and ELISAs revealed reduced immunoreactivity for insulin and IGF-1 receptors, IRS-1, IRS-4, myelin-associated glycoprotein, and tau in sciatic nerves of ethanol-fed rats (all p < 0.05 or better). The findings suggest that ALPN is characterized by (1) slowed conduction velocity with demyelination, and a small component of axonal degeneration; (2) impaired trophic factor signaling due to insulin and IGF resistance; and (3) degeneration of myelin and axonal cytoskeletal proteins. Therefore, ALPN is likely mediated by molecular and signal transduction abnormalities similar to those identified in alcoholic liver and brain degeneration.

Background: Trafficking is a crime of global proportions involving extreme forms of exploitation and abuse. Yet little research has been done of the health risks and morbidity patterns for men, women, and children trafficked for various forms of forced labour. Methods: We carried out face-to-face interviews with a consecutive sample of individuals entering 15 post-trafficking services in Cambodia, Thailand, and Vietnam. We asked participants about living and working conditions, experience of violence, and health outcomes. We measured symptoms of anxiety and depression with the Hopkins Symptoms Checklist and post-traumatic stress disorder with the Harvard Trauma Questionnaire, and used adjusted logistic regression models to estimate the effect of trafficking on these mental health outcomes, controlling for age, sector of exploitation, and time in trafficking. Findings: We interviewed 1102 people, of whom 1015 reached work destinations. Participants worked in various sectors including sex work (329 [32%]), fishing (275 [27%]), and factories (136 [13%]). 481 (48%) of 1015 experienced physical violence, sexual violence, or both, with 198 (35%) of 566 women and girls reporting sexual violence. 478 (47%) of 1015 participants were threatened and 198 (20%) were locked in a room. 685 (70%) of 985 who had data available worked 7 days per week and 296 (30%) of 989 worked at least 11 hours per day. 222 (22%) of 983 had a serious injury at work. 61·2% (95% CI 58·2–64·2) of participants reported symptom of depression, 42·8% (39·8–45·9) reported symptoms of anxiety, and 38·9% (36·0–42·0) reported symptoms of post-traumatic stress disorder. 5·2% (4·0–6·8) had attempted suicide in the past month. Participants who experienced extremely excessive overtime at work, restricted freedom, bad living conditions, threats, or severe violence were more likely to report symptoms of depression, anxiety, and post-traumatic stress disorder. Interpretation: This is the first health study of a large and diverse sample of men, women, and child survivors of trafficking for various forms of exploitation. Violence and unsafe working conditions were common and psychological morbidity was associated with severity of abuse. Survivors of trafficking need access to health care, especially mental health care. Funding: Anesvad Foundation and International Organization for Migration International Development Fund.

Global agricultural by‐products usually go to waste, especially in developing countries where agricultural products are usually exported as raw products. Such waste streams, once converted to "value‐added" products could be an additional source of revenue while simultaneously having positive impacts on the socio‐economic well‐being of local people. We highlight the utilization of thermochemical techniques to activate and convert agricultural waste streams such as rice and straw husk, coconut fiber, coffee wastes, and okara power wastes commonly found in the world into porous activated carbons and biofuels. Such activated carbons are suitable for various applications in environmental remediation, climate mitigation, energy storage, and conversions such as batteries and supercapacitors, in improving crop productivity and producing useful biofuels. [ABSTRACT FROM AUTHOR]

The Inverted Pendulum On a Cart (IPOC) system poses a challenge in control engineering due to its inherent instability, nonlinearity, and underactuation. This addresses the fundamental issues arising from its underactuated nature and introduces an approach that combines Takagi-Sugeno (T-S) fuzzy control with an awareness of real-world constraints to create a control system ensuring both stability and practicality. By aligning theoretical insights with extended considerations, the Linear Matrix Inequality (LMI)-based control design is demonstrated in a comprehensive framework. Theorems are introduced and validated, leading to the derivation of LMI conditions. The simulation results are assessed with accompanying comments to demonstrate the effectiveness of the theorems. Through this integration of T-S fuzzy control with additional considerations, the paper aims to bridge the gap between theory and practical applications, advancing the field of control engineering. [ABSTRACT FROM AUTHOR]

Portulaca oleracea L. is a vegetable plant traditionally used to treat several conditions. A wide range of bioactivities of P. oleracea were reported. However, its potential in the treatment and prevention of heart diseases has rarely been documented. This study reports, for the first time, the inhibitory effect on human platelet aggregation and blood coagulation of the aerial part of P. oleracea L. The dried aerial part of P. oleracea was macerated with 80% ethanol, suspended in the water and then successively fractionated with n-hexane, ethyl acetate. Blood samples were collected from healthy volunteers. The antiplatelet effects of extracts were evaluated using the turbidimetric method. The anticoagulant activity was assessed by measuring prothrombin time (PT), activated partial thromboplastin time (APTT) and thrombin time. The results showed that the aerial part of P. oleracea had potent inhibitory effects on human platelet aggregation and blood coagulation. The ethyl acetate fraction showed the strongest antiplatelet effects (p < 0.05) regardless of agonists used. At 2 mg/mL, percentage inhibition of platelet aggregation of the ethyl acetate fraction was up to 99.5%. Moreover, both ethanol extract and ethyl acetate fraction exhibited anticoagulant activities by prolonging both APTT and PT (p < 0.05), while the n-hexane fraction prolonged APTT (p < 0.05), indicating possible effects on both intrinsic and extrinsic factors involved in the coagulation pathway of aerial PO. This vegetable plant could be a valuable natural source to develop supplementary products or to investigate novel antithrombotic agents for the treatment and prevention of heart diseases. [ABSTRACT FROM AUTHOR]

Canna x generalis L.H Bailey & E.Z Bailey, Cannaceae, has been traditionally used to treat different diseases. However, the scientific evidence about its chemical composition and biological activities is minimal. This study aimed to evaluate for the first time the α-amylase and α-glucosidase inhibitory effects and phytoconstituents of the aerial part of C. generalis. Aerial C. generalis was extracted with ethanol, and then successively fractionated with n-hexane, ethyl acetate and water. The total extract and fractions were evaluated for their α-amylase and α- glucosidase inhibitory effects. The qualitative phytochemicals, the total phenolic content (TPC) and total flavonoid content (TFC) were assessed. The results showed that all extracts showed inhibitory effects against both α-amylase and α-glucosidase in a dose dependent manner. The ethyl acetate fraction exhibited the strongest α-amylase and α-glucosidase inhibitory effects (IC50, 48.0 ± 4.48 and 78.0 ± 4.61 μg/mL for the α-amylase and α-glucosidase inhibition assay, respectively, p < 0.05). The ethyl acetate fraction also had the highest TPC and TFC compared to the others (p < 0.05). Moreover, the aerial part of C. generalis contained various phytoconstituents. Therefore, C. generalis, particularly, its ethyl acetate fraction could serve as a promising natural source for searching bioactive compounds that inhibit the two key enzymes, α-amylase and α-glucosidase. In addition, this interesting plant could be a potential candidate for the development of supplementary products for controlling hyperglycemia. [ABSTRACT FROM AUTHOR]

Consulting social networks has become a common practice for tourists when planning their trips. However, there is a relative scarcity of scientific literature on this topic. The purpose of this study is to test the model of predictors of group Facebook user-generated content on tourists' purchase intention. To accomplish this, online surveys were conducted, gathering data from both tourists and individuals planning to travel. The theory of Planned Behavior and Information Acceptance Model were adapted and empirically examined by using Confirmatory Factor Analysis and Structural Equation Modeling. Results and findings reveal significant and meaningful relationships between various factors of Facebook user-generated content and tourists' purchase intention. Additionally, the study offers practical suggestions for hospitality management, administrative teams, and Facebook businesses to effectively leverage user-generated content for attracting online tourists. [ABSTRACT FROM AUTHOR]

Current research on the photocatalytic activity of TiO2 mainly focuses on its nano- or micro-particle forms, which are difficult to recycle and apply in real engineering applications. This study aims to apply a small pilot of TiO2 in the ceramic form to remove carbamazepine (CBZ) from an aqueous solution under simulated sunlight. A high removal efficiency up to >99% was shown in a 5 mg L−1 CBZ solution after 6 h of irradiation with a total energy of 150.92 kJ. The kinetic degradation was not affected in an alkaline solution (at pH 7, pH 10, and pH 13) but was faster under acidic conditions (pH 2) in which CBZ existed in the protonated form. The presence of NO3− (10–50 mg L−1) slightly affected the photodegradation of CBZ while humic acid significantly reduced the photocatalytic activity. In addition, the presence of major ions in water also had a negative effect at concentrations between 10 and 50 mg L−1. The MS/MS was used to identify the transformation products of CBZ, and a possible degradation mechanism was proposed. The toxicity of CBZ and the by-products was primarily evaluated. The results showed that TiO2 ceramics show high reusability and stability with a photocatalytic performance of >95% and a mass loss of <5% after 90 degradation cycles. [ABSTRACT FROM AUTHOR]

aimed to assess the predictive value of preoperative diffusion tensor imaging (DTI) data for surgical outcomes of patients with supratentorial glioma in the motor function area. Patients and Methods: This is a retrospective study of 43 patients receiving navigation-guided surgery for histopathologically demonstrated supratentorial glioma in the motor function area. All patients underwent preoperative 3 Tesla magnetic resonance imaging examinations with conventional and DTI sequences. Data on preoperative imaging and pre- and postoperative clinical characteristics of patients were retrospectively collected. Univariate and multivariate linear regressions were applied to analyze the relationships between preoperative parameters and pre- and postoperative muscle strength and the Karnofsky Performance Status (KPS) score. Results: Fourteen patients had low-grade gliomas and 29 had high-grade gliomas. Although the corticospinal tract (CST) score did not differ significantly between tumor grades, edema and deviation were common in low-grade gliomas (64.3%), while destroyed and infiltrated lesions were common in high-grade gliomas (58.6%). Muscle strength improved after surgery in the deviated tract group (40%) more than in the infiltrated tract group (33.3%). Two independent indices, preoperative muscle strength (p =  0.000) and glioma-to-CST distance (p =  0.001), were linearly related to postoperative muscle strength. The preoperative KPS score was the only indicator that affected the postoperative KPS score (p =  0.000). Conclusion: DTI should be considered in surgical management of supratentorial gliomas in the motor function area to determine the appropriate surgical strategy and predict the nature of the tumor and postoperative motor function. [ABSTRACT FROM AUTHOR]

The X-linked hyper IgM syndrome is a primary immunodeficiency disorder (PID) due to mutations in the CD40LG gene. Hyper IgM syndrome is characterized by the absence or decreased levels of IgG and IgA and normal or elevated IgM levels in serum. Affected patients become susceptible to infections such as pneumonia, diarrhea, and skin ulcer types. Hematopoietic stem cell transplantation is the only treatment currently available and ideally performed before the age of 10 years. Early, accurate diagnosis will contribute to the effective treatment for patients with hyper IgM. The patients from different Vietnamese families who have been diagnosed with hyper IgM at The Allergy, Immunology and Rheumatology Department, Vietnam National Hospital Pediatrics, were performed a genetic analysis using whole exome sequencing. The mutations were confirmed by the Sanger sequencing method in patients and their families. The influence of the mutations was predicted with the in silico analysis tools: PROVEAN, SIFT, PolyPhen-2, and MutationTaster. In this study, two novel mutations (p.Thr254fs and p.Leu138Phe) in the CD40LG gene were found in Vietnamese patients with X-linked hyper IgM syndrome. Our results contribute to the general understanding of the etiology of the disease and can help diagnose the different forms of PID. [ABSTRACT FROM AUTHOR]

The primary objective of this paper is to investigate the modified Leray-alpha equation on the two-dimensional sphere S 2 , the square torus T 2 and the three-torus T 3 . In the strategy, we prove the existence and the uniqueness of the weak solutions and also the existence of the global attractor for the equation. Then we establish the upper and lower bounds of the Hausdorff and fractal dimensions of the global attractor on both S 2 and T 2 . Our method is based on the estimates for the vorticity scalar equations and the stationary solutions around the invariant manifold that are constructed by using the Kolmogorov flows. Finally, we will use the results on T 2 to study the lower bound for attractor's dimensions in the case of T 3 . [ABSTRACT FROM AUTHOR]