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Abstract Maternal nutrition significantly influences fetal development and postnatal outcomes. This study investigates the impact of maternal overfeeding during mid to late pregnancy on gene expression in the round and sirloin muscles of Hanwoo neonatal calves. Eight cows were assigned to either a control group receiving standard nutrition (100%) or a treated group receiving overnutrition (150%). After birth, tissue samples from the round and sirloin muscles of neonatal calves were collected and subjected to RNA sequencing to assess differentially expressed genes (DEGs). RNA sequencing identified 43 DEGs in round muscle and 15 in sirloin muscle, involving genes related to myogenesis, adipogenesis, and energy regulation. Key genes, including PPARGC1A, THBS1, CD44, JUND, CNN1, ENAH, and RUNX1, were predominantly downregulated. Gene ontology (GO) enrichment analyses revealed terms associated with muscle development, such as “biological regulation,” “cellular process,” and “response to stimulus.” Protein-protein interaction networks highlighted complex interactions among DEGs. Random Forest analysis identified ARC, SLC1A5, and GNPTAB as influential genes for distinguishing between control and treated groups. Overall, maternal overnutrition during mid-to-late pregnancy results in the downregulation of genes involved in muscle development and energy metabolism in neonatal Hanwoo calves. These findings provide insights into the molecular effects of maternal nutrition on muscle development.

Abstract High-altitude environments present formidable challenges for survival and reproduction, with organisms facing limited oxygen availability and scarce nutrient resources. The yak (Bos grunniens), indigenous to the Tibetan Plateau, has notably adapted to these extreme conditions. This study delves into the genomic basis of the yak’s adaptation, focusing on the positive selection acting on genes involved in nutrient assimilation pathways. Employing techniques in comparative genomics and molecular evolutionary analyses, we selected genes in the yak that show signs of positive selection associated with nutrient metabolism, absorption, and transport. Our findings reveal specific genetic adaptations related to nutrient metabolism in harsh climatic conditions. Notably, genes involved in energy metabolism, oxygen transport, and thermoregulation exhibited signs of positive selection, suggesting their crucial role in the yak’s successful colonization of high-altitude regions. The study also sheds light on the yak's immune system adaptations, emphasizing genes involved in response to various stresses prevalent at elevated altitudes. Insights into the yak’s genomic makeup provide valuable information for understanding the broader implications of high-altitude adaptations in mammalian evolution. They may contribute to efforts in enhancing livestock resilience to environmental challenges.

Adipose tissue, both intricate and fundamental to physiological functions, comprises cell types, including adipocytes, pivotal in secreting bioactive peptides known as ‘adipokines.’ Apelin (APLN), Visfatin (VSFTN), and Irisin (IRSN) are novel adipokines involved in regulating energy, carbohydrate, protein, and lipid metabolism. APLN acts as an endogenous ligand for G-protein-coupled receptors, VSFTN is essential in nicotinamide adenine dinucleotide (NAD) biosynthesis, and IRSN is released from skeletal muscle and adipose tissues. Their influence spans various physiological domains, including insulin resistance and sensitivity, cardiovascular functions, angiogenesis, and reproductive systems. This review focuses on the potential roles of APLN, VSFTN, and IRSN in energy regulation mechanisms related to farm animal production. Despite accumulating evidence of their significance, comprehensive understanding is still emerging, with most studies based on model organisms. Thus, there’s a pressing need for targeted research on farm animals. Addressing these knowledge gaps could pave the way for improved health strategies, reproductive efficiency, and productivity in farm animals. Future research should focus on understanding the multifaceted interactions of these adipokines and their implications for promoting sustainable and effective animal production.

With the increasing in urbanization and uncontrolled development of cities over the last decade, designing public urban green spaces as nature-based solutions has become imperative due to their positive health and economic impacts. The Qasrodasht neighborhood in Shiraz, Iran has suffered from haphazard construction and loss of public open space. This study demonstrates the potential for expanding and revitalizing urban public green spaces in Qasrodasht by proposing a framework for designing them in the vertical dimension. 25 experts in urban planning, design, and architecture were interviewed extensively. The interview questions were selected via literature review and SWOT analysis, with each interview lasting 20 min online. The data were analyzed and presented in a table. Ultimately, this study presents design alternatives, a framework for vertically-oriented public green space design, and policies and strategies for implementing such designs in Qasrodasht through expert interviews.

IntroductionThis study aimed to evaluate the implications of supplementary nutrition during the mid-to-late pregnancy on various parameters in Hanwoo cows and their subsequent neonatal calves.Materials and methodsEight Hanwoo cows in their first parity were divided into two groups. The control group (C, 100%) received 3kg of concentrate and 5kg of rice straw throughout the pregnancy period, while the treatment group (T, 150%) increased their diet during mid-to-late pregnancy. Both performance assessments and blood metabolite analyses were performed for the pregnant cows. Neonatal calves were subjected to morphometric evaluations, blood sampling, and detailed morphometric analyses of carcasses and gastrointestinal components.ResultsPerformance indices of the cows showed that both Pregnancy Period (PregP) and Body Condition Score (BCS) were significantly improved with supplemental feeding (p

ABSTRACT: Identification of selection signature is important for a better understanding of genetic mechanisms that affect phenotypic differentiation in livestock. However, the genome-wide selection responses have not been investigated for the production traits of Chinese crossbred buffaloes. In this study, an SNP data set of 133 buffaloes (Chinese crossbred buffalo, n = 45; Chinese local swamp buffalo, n = 88) was collected from the Dryad Digital Repository database (https://datadryad.org/stash/). Population genetics analysis showed that these buffaloes were divided into the following 2 groups: crossbred buffalo and swamp buffalo. The crossbred group had higher genetic diversity than the swamp group. Using 3 complementary statistical methods (integrated haplotype score, cross population extended haplotype homozygosity, and composite likelihood ratio), a total of 31 candidate selection regions were identified in the Chinese crossbred population. Here, within these candidate regions, 25 genes were under the putative selection. Among them, several candidate genes were reported to be associated with production traits. In addition, we identified 13 selection regions that overlapped with bovine QTLs that were mainly involved in milk production and composition traits. These results can provide useful insights regarding the selection response for production traits of Chinese crossbred buffalo, as identified candidate genes influence production performance.

Abstract This study aimed to evaluate the effects of intravenous injection of cysteamine (CS) on body weight (BW), growth hormone (GH), thyroid hormones (TH) secretion, and antioxidant status of growing lambs grazing on mountain pastures. Fifteen lambs (3–4 months of age) were randomly allocated into three experimental groups which received different dosages of CS: 0, 20, and 50 mg/kg BW−1. The CS was injected on the 1st, 10th, and 20th days of the experiment to the lambs through the jugular vein. Assessment of plasma concentration of GH and TH hormones was carried out at days 0 (a day before the start of CS injections), 15, and 30 of the experiment. The antioxidant enzymes were measured at the end of the experiment. Lambs were weighed at days 0, 10, 20, and 30 of the experiment. The results showed that treatment and time affected the BW, GH, triiodothyronine (T3), and tetraiodothyronine (T4) secretion. The intravenous injection of CS increased the BW of growing lambs (p

Mashhad, the second-most populous city in Iran, is situated in a hot and dry climate, and climate change has led to the temperature in this city climbing in recent years. This study's objective is to design a green roof per the region's hot and arid climate to maximize plant growth. The thermal comfort of citizens is explored in this study. A questionnaire was developed and distributed to 406 individuals for this experiment. The frequency measurement test was utilized to do statistical computations in order to quantify the sample's frequency, while the chi-square test (chi-square) was utilized to assess the relationship between class and rank variables. Residents from thirteen distinct neighborhoods are selected at random and proportionally. The findings of this study indicate that the positive effects of green roofs extend beyond the city of Mashhad and have a global impact. When green roof development is performed on a large scale in a city or region, many of the negative consequences of environmental change over the past several decades will be offset. By putting green roofs on buildings and all over cities, the effects of climate change are being fought off better.However, a scientific and preferred approach for installing and cultivating green roofs in Mashhad is of greater importance. Using the data analysis of the questionnaire, the desires, interests, and concerns of Mashhad's population were identified. The following development plan shows how the green roof field can grow desirably and acceptably.

The US model of secularism policies include disestablishment of religion and guaranteeing religious freedom through adding related articles in the constitution and the first amendment, the lack of religious education in public schools, the freedom of religious private education, the lack of funding for religious private schools, the neutrality of the state towards the followers of different religions, and non-opposition to the presence and expression of religious symbols in the public domain. The realization of some of these policies has been the result of a historical process. The current study not only examines the rise and fall in US secularism from 1776 to 1980, but also addresses the impact of plurality and religious rivalry, rational calculations and liberal tendencies of US political leaders on constructing strengthening the secularism. The Protestant Semi-establishment through the Second Great Awakening and its hegemony in the public sphere were among serious challenges to the process of consolidating the US secularism in the nineteenth century. But with the increase in the population of Catholic and Jewish minorities, religious rivalries among them and the activities of secular organizations and movements, the increasing political and institutional influence of Evangelical Protestants and religious conservatives diminished, and the way forward was to expand the process of secularization in the twentieth century.

Haemosporidian parasites characterize multi-host and multi-parasite structures which are prevalent among wild bird populations. Here, determination of host records, estimation of the prevalence and diversity of haemosporidian lineages were performed in wild and domestic birds in 11 provinces in Iran. To our knowledge, for the first time in this region, molecular characterization of haemosporidians in migratory water birds, raptors, and domestic birds was carried out: blood or tissue samples were collected from 246 birds belonging to 36 species, 12 families, and 11 orders. The prevalence of Plasmodium, Haemoproteus, and Leucocytozoon were documented as 1.21%, 3.65%, and 0.4%, respectively. Of 36 birds' species inspected in this investigation, 13 individuals of 9 species were parasitized by blood parasites. To our knowledge, five lineages including hANACRE03, hAYTFER01, hAYTFER02, hAQUCYR01, and hSTAL06 were found as un-described lineages, while six known lineages of hLK03, pLK05, lTUSW04, pSW5, hMILANS02, and hHAECOL1 were recorded in hosts within novel geographical regions. Such results are required to fill the gaps in understanding the geographical distribution patterns of wildlife related vector-borne parasites in migratory birds as potential carriers, raptors with high vulnerability, and domestic birds as pet or with economic value.

Apelin (APLN), as a ligand for APJ (an orphan G-protein-coupled receptor), is an adipokine with pleiotropic effects in many physiological processes of the body. It has an important role in the control of reproduction particularly in females (mainly in control of ovarian function). This study was carried out to investigate the mRNA and protein amounts of APLN/APJ in granulose cells (GCs) of ovarian follicles with small (SF), medium (MF), and large (LF) sizes of buffalo (Bubalus bubalis) and the effect of IGF1 and follicle-stimulating hormone (FSH) on the expression levels of APLN/APJ. In addition, we evaluated the effect of various doses of APLN (isoforms -13 and -17) singly or in combination with IGF1 and FSH on estradiol (E2) and progesterone (P4) secretion in GCs. The mRNA and protein abundance of APLN was the highest in GCs of LF while the APJ expression enhanced with follicle enlargement in GCs (p-value

In this paper, nanostructured carbonated hydroxyapatite powder was synthesized using biomimetic method. Physical properties and morphological features of the powder was studied using appropriate techniques such as BET, TEM, XRD and FTIR. The powder was separately mixed with 3 wt. % solutions of either sodium alginate or chitosan to form different pastes. Rheological behavior of the pastes in oscillation mode was measured. Results showed that mean particle diameter and surface area of the powder were 3.9 μm and 154.8 m2/g, respectively. According to dynamic rheological evaluations, all pastes exhibited shear thinning behavior with linear viscoelastic limitations, although paste containing sodium alginate displayed broader linear viscoelastic range than others. Increasing concentration of sodium alginate or chitosan led to increment of viscosity, meanwhile sodium alginate produced a material of higher viscosity than did chitosan. When sodium alginate was employed, lower force was required for injection. Totally, these bioactive pastes potentially can be used for the treatment of hard tissues. [ABSTRACT FROM AUTHOR]

Cotton (Gossypium hirsutum L.) is utilized commercially in the production of textile, clothing, and household goods. Its growth is affected by various environmental conditions such as soil, climate, and water supply. Irrigation is one of the most important factors for crop management. This research was designed with the aim of studying the biochemical and anatomical features of two genotypes of cottonseed (Latif and Golestan) in order to determine optimum irrigation. Protein, starch, gossypol gland, total soluble protein, starch content, and the anatomical structure of the cotton seeds were investigated. The data were analyzed using the SAS Software. The results showed that when rainfed, Golestan genotype seeds had a larger number of secretory cavities, soluble protein, and starch compared to Latif seeds. There was also a noticeable difference in the size of the seeds. Cellulosic cell walls and protein particles were also observed in the seed structure under induced water stress conditions. It can therefore be concluded that in response to water shortage, there was a noticeable change in the morphometric, anatomic, and biochemical features of the cottonseeds. It can be concluded that when rainfed, the Golestan genotype of cottonseed has more compatibility than the Latif genotype. In general, the application of different levels of irrigation showed that at moderate levels of irrigation, anatomical features appeared more normal. The observations indicate that at high levels of irrigation, some cells begin to dehisce due to osmotic stress, which results in a lack of accurate formation of tissue structures. The Golestan genotype is therefore the best suited for dryland farming.

The regulated production of filamentous protein complexes is essential in many biological processes and provides a new paradigm in signal transmission. The mitochondrial antiviral signaling protein (MAVS) is a critical signaling hub in innate immunity that is activated when a receptor induces a shift in the globular caspase activation and recruitment domain of MAVS into helical superstructures (filaments). It is of interest whether adaptive evolution affects the proteins involved in innate immunity. Here, we explore and confer the role of selection and diversification on mitochondrial antiviral signaling protein in mammalian species. We obtined the MAVS proteins of mammalian species and examined their differences in evolutionary patterns. We discovered evidence for these proteins being subjected to substantial positive selection. We demonstrate that immune system proteins, particularly those encoding recognition proteins, develop under positive selection using codon-based probability methods. Positively chosen regions within recognition proteins cluster in domains involved in microorganism recognition, implying that molecular interactions between hosts and pathogens may promote adaptive evolution in the mammalian immune systems. These significant variations in MAVS development in mammalian species highlights the involvement of MAVS in innate immunity. Our findings highlight the significance of accounting for how non-synonymous alterations affect structure and function when employing sequence-level studies to determine and quantify positive selection.

Sustainable energy strategies have been a critical subject for sustainable development, especially in cities. Citizens, as an integral part of the urban environment, play a significant role in urban spaces, as does their health. An accurate understanding of citizens’ mental, social, and physical health in urban settings is required to design and plan better cities. This study aims to assess the level of alignment with health factors in Mahabad, a major medium-sized city in Iran. Previous studies indicate that the built environment can influence health dimensions. Health factors depend to a great extent on how well the environment is formed and how it is put together. This research is a descriptive, analytical, cross-sectional study that analyzes the environment’s psychological elements and physical and mental health factors of Mahabad’s citizens. According to the Cochran model, 384 questionnaires were distributed among households. For data analysis, SPSS 12 and Arc GIS software were used. The main results of this research show that five factors, “Environmental quality”, “Identity and social relationships”, and “Readability”, have the most impact on the physical and mental health of citizens (respondents). These issues are much more pronounced in the downtown neighborhoods. This study showed that urban experts can understand different levels of public health by knowing the historical, social, cultural, and economic factors and characteristics. The result will help decision makers, city authorities, designers, and urban planners to be more informed about citizens’ health and the ways to improve it.

The Gülen movement as a religious movement rose in the early 1970s and has enormous resources, millions of fans and thousands of educational institutions, culture and numerous media outlets in Turkey and worldwide. In recent decades elements such as democracy, tolerance, inter-religious dialogue and market economy have been included in the discourse of the Gülen movement. Different researchers’ emphasis on civil and modern elements of movement caused the ignoring of its undemocratic and deeply political layers. In the past decade, these features have created major challenges for the Turkish government and the coup in July 2016 has been one of the main examples. The main question of this paper is whether the movement can be a democratic and non-political Islamic movement. The hypothesis is that statist understanding of Islam, and the government's lack of preference for the rights of the individual, elitist tendencies, extreme centralization of organization, hierarchical structure, top-down decisions and absolute obedience and lack of accountability of the movement against criticism reveal the repressive policy, the authoritarianism and undemocratic nature of this movement.

Introduction: Iran is a vast country with limited water resources. Iran is located in arid areas and average precipitation is estimated to be 250 mm. In recent years, water shortage has created many problems for Iranian farmers. In these conditions, surface and ground water use is excessive. High consumption, low irrigation efficiency, bad time and geographical distribution of precipitation, population growth and increasing agricultural land are one of the main reasons for the irrigation water crisis. Therefore, the main problem of drought and water shortages still remains. The area of agricultural land in Golestan province is high, but most of them are rain-fed cultivation or left fallow. Due to the loss of irrigation water in traditional agriculture, development of pressurized irrigation as a solution to increase productivity and reduction of strain on water resources was raised. With government support, the use of pressurized irrigation systems is increasing. Materials and Methods: To evaluate the effect of different amounts of water on new variety of cotton-Sepid, a two-year study was conducted using drip irrigation at Hashemabad Cotton Research Station, Gorgan, Iran.The Hashemabad Cotton Research Station is located in north of Iran at 36° 51' N latitude and 54° 16' E longitude at the south-east corner of Caspian Sea and its height from sea level is 13.3 meters. That station has a Mediterranean climate with relatively mild winters and relatively dry summers. The station's annual evaporation, precipitation and relative humidity are 1311mm, 525 mm and 71%, respectively. Soil texture of Hashem Abad station is silty clay loam. In this study, four levels of irrigation water: 0%, 40%, 70% and 100% evaporation of class A pan were studied in a randomized complete block design. Land was plowed in autumn last year and was ready for planting in April with the disc. During tillage, manure fertilizer on the soil surface was sprayed based on the soil test recommendations. At this stage, for combating weeds, herbicide trifluralin (2.5 liters per hectare) was used. Planting new varieties of cotton - Sepid was in the first decade of May. Each plot consists of 8 lines which was ten meters. After evaporation of 50 mm from Class A evaporation pan, irrigation is done. Irrigation tapes were placed just alternate between planting rows. Water consumption was measured using a volumetric water meter. To measure the product, cotton-seed of four rows of each plot were harvested. Yield components were measured in the same four rows. Product wastaken in October and early November during two harvesting. Results and Discussion: Cotton as thermophilic plants, especially in humid areas, is strongly influenced by farm management. Among the controllable factors, irrigation management had very effective role in the balance between vegetative and reproductive growth. In other words, water stress control in cotton fields is essential for economic output. Through advanced techniques, drip irrigation despite high initial cost, will be the first choice. Because in addition to irrigation efficiency, with earliness management, mechanization harvesting is done better. According to the analysis of variance, the effect of different amounts of water on the total yield was significant at the level of one percent. The lack of statistical significant differences between treatments in terms of total yield of I100 and I70, the second treatment due to a 30% saving in water consumption and earliness as the best in the normal condition. One of the parameters that are usually affected by irrigation management is earliness. Average comparison shows in term of earliness, three treatments of I70، I40 and I0 in group A and treatment I100 are in the latter group. Thus, from this aspect I70 can be recommended. In terms of water use efficiency I40 and I70 with 1.44 and 1.17 kg per cubic meter had the highest WUE, respectively. Conclusions: The results shown that irrigation water had significantly effects on first pic, second pic and total yield. But irrigation water treatments had no significant effect on earliness and boll weight. According to the combined analysis table (two years data), as much as % 70 of cumulative evaporation from class A pan, will be recommended for cotton farming in north of Iran in normal weather. In dry years, % 100 of cumulative evaporation from class Apan is suggested.

The present study was aimed to survey the polymorphisms in 2 loci (exon 2) of inhibin alpha (INHA) gene in Markhoz goats. Blood samples collected from 150 female goats were used for extraction of genomic DNA; and 2 fragments related to exon 2 with 332 bp (G567A, P1 locus) and 478 bp (T911C, P2 locus) in length were amplified using polymerase chain reaction (PCR). PCR products were subjected to digestion using Bsp143II endonuclease. The results showed that 2 alleles (G and A) with the frequency of 0.526 and 0.473, and 3 genotypes (GG, GA and AA) with the frequency of 0.138, 0.085 and 0.773 were identified for P1 locus in Markhoz goats but P2 locus was monomorphic. Investigation on effect of genotypes in P1 locus on litter size trait showed that P1 locus genotypes had no association with litter size in Markhoz goats. The results demonstrated, for the first time, that polymorphism in a locus in exon 2 of the INHA gene had no significant association with litter size in Markhoz goats.

The present study was carried out to evaluate the effect of different levels of garlic extract supplemented in milk on growth rate, haematology and cell–mediated immune response of Markhoz newborn goat kids. Twenty four newborn goat kids (aged 7+/-3days) were randomly assigned to four groups. The groups consisted of control (received milk without garlic extract), T1, T2 and T3 which received milk supplemented with 62.5, 125 and 250 mg aqueous garlic extract per kg live weight per day for 42 days, respectively. Body weights were measured weekly throughout the experimental period. At day 42, about 10 ml blood samples were collected from each kid via the jugular vein for haematological study. Cell–mediated immune response was evaluated through double skin thickness after intradermal injection of phyto-hematogglutinin (PHA) at day 21 and 42. Total gain was significantly higher for kids in T3 (P

Purpose: In recent decades, the far-right populist parties and movements, after a recess (in Germany and Italy between the two world wars), have returned to the political scene of European democracy. Return of populism to the political scene of Western Europe in the form of far-right movements rooted in the failure of the traditional parties in a sufficient and adequate response to issues such as globalization, economy and culture, speed and direction of integration in Europe, the issue of migration and immigration, the decline of ideologies, decreased interest in political participation and cynicism and distrust of citizens to politicians. Findings: In recent decades, Far-right parties not only have been able to present tangibly in the political life of their communities, but also have attained great successes in electoral processes. Extreme right-wing populism in recent decades is only a model of populism in political sociology. The elements and features of this model of populism are a romantic concepttion of the people, a charismatic leader, pessimistic view of democratic institutions such as political parties and parliament (the inability of these institutions in the realization of the will and sovereignty of the people), plain language, propaganda, political rhetoric, criticizing the ruling elite, conspiracy theory in speech and political literature, and the lack of a coherent program in various aspects. This model of right-wing populism can have significant consequences. It can lead to the serious obstacles to the process of integration of Muslim immigrants in French society. On the other hand, the strengthening of radical Islamism can lead to the spread of terrorist activities. Design/Methodology/Approach: In this paper, we use interpretive and analytical-theoretical method to discuss the French National Front as the most prominent representative of the extreme right in this country's political scene. Originality/Value: The main finding of this paper is that through new forms of communication, populist parties have been able to communicate with citizens and their representatives. Despair of traditional policies has drawn citizens’ attention to populist parties and movements. The combination of demagogic promises and slogans such as complete and real democracy, extremely hostile attitude to the ruling parties and immigration restrictations have shaped these parties and movements.

This study aimed at evaluating the effects of different levels of rosemary (Rosmarinus officinalis) extract on growth rate, hematology and cell-mediated immune response in Markhoz newborn goat kids. Twenty four goat kids (aged 7±3 days) were randomly allotted to four groups with six replicates. The groups included: control, T1, T2 and T3 groups which received supplemented-milk with 0, 100, 200 and 400mg aqueous rosemary extract per kg of live body weight per day for 42 days. Body weights of kids were measured weekly until the end of the experiment. On day 42, 10 ml blood samples were collected from each kid through the jugular vein. Cell-mediated immune response was assessed through the double skin thickness after intradermal injection of phyto-hematoglutinin (PHA) at day 21 and 42. No significant differences were seen in initial body weight, average daily gain (ADG) and total gain. However, significant differences in globulin (P

The aims of the current study were 1) to investigate the effects of some environmental factors on lactation curve traits (LCTs) including initial milk yield (A), peak yield (PY), days to attain peak yield (PD), inclining- and declining slope of lactation (B and C, respectively), persistency (Per), and 240-d milk yield, and 2) to estimate pairwise phenotypic correlations between these traits in two Iranian buffalo ecotypes (Khuzestani and Azeri buffaloes). The dataset consisted of 15396 and 9283 lactations from 6632 Khuzestani and 3558 Azeri buffaloes, respectively (collected during 1992–2009). The results revealed that almost all of the factors had significant effects on the majority of the LCTs, whereby age group, parity and season of calving had greater influence on 240-d milk yield and PY than the other LCTs in both of the ecotypes. These effects were more apparent in Khuzestani buffaloes than in Azeri buffaloes. In the Khuzestani ecotype, the LCTs were significantly correlated with each other. However, in the Azeri ecotype the 240-d milk yield showed no significant relationship with parameters B, PD and Per. In conclusion, the studied factors play an important role in determining both the shape of the lactation curve and the overal performance of Iranian dairy buffaloes.

Beta-tricalcium phosphate (β-TCP) scaffolds manufactured through the foam replication method are widely employed in bone tissue regeneration. The mechanical strength of these scaffolds is a significant challenge, partly due to the rheological properties of the original suspension. Various strategies have been explored to enhance the mechanical properties. In this research, β-TCP scaffolds containing varying concentrations (0.25-1.00 wt%) of multi-walled carbon nanotubes (MWCNT) were developed. The findings indicate that the addition of MWCNTs led to a concentration-dependent improvement in the viscosity of β-TCP suspensions. All the prepared slurries exhibited viscoelastic behavior, with the storage modulus surpassing the loss modulus. The three time interval tests revealed that MWCNT-incorporated β-TCP suspensions exhibited faster structural recovery compared to pure β-TCP slurries. Introducing MWCNT modified compressive strength, and the optimal improvement was obtained using 0.75 wt% MWCNT. The in vitro degradation of β-TCP was also reduced by incorporating MWCNT. While the inclusion of carbon nanotubes had a marginal negative impact on the viability and attachment of MC3T3-E1 cells, the number of viable cells remained above 70% of the control group. Additionally, the results demonstrated that the scaffold increased the expression level of osteocalcin, osteoponthin, and alkaline phosphatase genes of adiposed-derived stem cells; however, higher levels of gene expersion were obtained by using MWCNT. The suitability of MWCNT-modified β-TCP suspensions for the foam replication method can be assessed by evaluating their rheological behavior, aiding in determining the critical additive concentration necessary for a successful coating process., (© 2024. The Author(s).)

In the present study, a novel composite bone cement based on calcium sulfate hemihydrate (CSH) and Mg, Sr-containing bioactive glass (BG) as solid phase, and solution of chitosan as liquid phase were developed. The phase composition, morphology, setting time, injectability, viscosity, and cellular responses of the composites with various contents of BG (0, 10, 20, and 30 wt.%) were investigated. The pure calcium sulfate cement was set at approximately 180 min, whereas the setting time was drastically decreased to 6 min by replacing 30 wt.% glass powder for CSH in the cement solid phase. BG changed the microscopic morphology of the set cement and decreased the size and compaction of the precipitated gypsum phase. Replacing the CSH phase with BG increased injection force of the produced cement; however, all the cements were injected at a nearly constant force, lower than 20 N. The viscosity measurements in oscillatory mode determined the shear-thinning behavior of the pastes. Although the viscosity of the pastes increased with increasing BG content, it was influenced by the frequency extent. Pure calcium sulfate cement exhibited some transient cytotoxicity on human-derived bone mesenchymal stem cells and it was compensated by introducing BG phase. Moreover, BG improved the cell proliferation and mineralization of extracellular matrix as shown by calcein measurements. The results indicate the injectable composite cement comprising 70 wt.% CSH and 30 wt.% Mg, Sr-doped BG has better setting, mechanical and cellular behaviors and hence, is a potential candidate for bone repair, however more animal and human clinical evaluations are essential.

Background: Polypharmacy is associated with poorer health outcomes in older adults. Other than the associated multimorbidity, factors contributing to this association could include medication adverse effects and interactions, difficulties in managing complicated medication regimes, and reduced medication adherence. It is unknown how reversible these negative associations may be if polypharmacy is reduced. The purpose of this study was to determine the feasibility of implementing an operationalized clinical pathway aimed to reduce polypharmacy in primary care and to pilot measurement tools suitable for assessing change in health outcomes in a larger randomized controlled trial (RCT)., Methods: We randomized consenting patients ≥ 70 years old on ≥ 5 long-term medications into intervention or control groups. We collected baseline demographic information and research outcome measures at baseline and 6 months. We assessed four categories of feasibility outcomes: process, resource, management, and scientific. The intervention group received TAPER (team approach to polypharmacy evaluation and reduction), a clinical pathway for reducing polypharmacy using "pause and monitor" drug holiday approach. TAPER integrates patients' goals, priorities, and preferences with an evidence-based "machine screen" to identify potentially problematic medications and support a tapering and monitoring process, all supported by a web-based system, TaperMD. Patients met with a clinical pharmacist and then with their family physician to finalize a plan for optimization of medications using TaperMD. The control group received usual care and were offered TAPER after follow-up at 6 months., Results: All 9 criteria for feasibility were met across the 4 feasibility outcome domains. Of 85 patients screened for eligibility, 39 eligible patients were recruited and randomized; two were excluded post hoc for not meeting the age requirement. Withdrawals (2) and losses to follow-up (3) were small and evenly distributed between arms. Areas for intervention and research process improvement were identified. In general, outcome measures performed well and appeared suitable for assessing change in a larger RCT., Conclusions: Results from this feasibility study indicate that TAPER as a clinical pathway is feasible to implement in a primary care team setting and in an RCT research framework. Outcome trends suggest effectiveness. A large-scale RCT will be conducted to investigate the effectiveness of TAPER on reducing polypharmacy and improving health outcomes., Trial Registration: clinicaltrials.gov NCT02562352 , Registered September 29, 2015., (© 2023. The Author(s).)

Polypharmacy is associated with poorer health outcomes in older adults. It is challenging to minimize the harmful effects of medications while maximizing benefits of single-disease-focused recommendations. Integrating patient input can balance these factors. The objectives are to describe the goals, priorities, and preferences of participants asked about these in a structured process to polypharmacy, and to describe the extent that decision-making within the process mapped onto these, signaling a patient-centered approach. This is a single-group quasi-experimental study, nested within a feasibility randomized controlled trial. Patient goals and priorities were mapped to medication recommendations made during the intervention. Overall, there were 33 participants who reported 55 functional goals and 66 symptom priorities, and 16 participants reported unwanted medications. Overall, 154 recommendations for medication alterations occurred. Of those, 68 (44%) recommendations mapped to the individual's goals and priorities, whereas the rest were based on clinical judgment where no priorities were expressed. Our results signal this process supports a patient-centered approach: allowing conversations around goals and priorities in a structured process to polypharmacy should be integrated into subsequent medication decisions., Competing Interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article., (© The Author(s) 2023.)

Background: The adoption of cluster randomized trials (CRTs) with the stratified design is currently gaining widespread interest. In the stratified design, clusters are first grouped into two or more strata and then randomized into treatment groups within each stratum. In this study, we evaluated the performance of several commonly used methods for analyzing continuous data from stratified CRTs., Methods: This is a simulation study where we compared four methods: mixed-effects, generalized estimating equation (GEE), cluster-level (CL) linear regression and meta-regression methods to analyze the continuous data from stratified CRTs using a simulation study with varying numbers of clusters, cluster sizes, intra-cluster correlation coefficients (ICCs) and effect sizes. This study was based on a stratified CRT with one stratification variable with two strata. The performance of the methods was evaluated in terms of the type I error rate, empirical power, root mean square error (RMSE), and width and coverage of the 95% confidence interval (CI)., Results: GEE and meta-regression methods had high type I error rates, higher than 10%, for the small number of clusters. All methods had similar accuracy, measured through RMSE, except meta-regression. Similarly, all methods but meta-regression had similar widths of 95% CIs for the small number of clusters. For the same sample size, the empirical power for all methods decreased as the value of the ICC increased., Conclusion: In this study, we evaluated the performance of several methods for analyzing continuous data from stratified CRTs. Meta-regression was the least efficient method compared to other methods., Competing Interests: The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (© 2023 The Authors.)

Background: Symptom persistence in non-hospitalized COVID-19 patients, also known as Long COVID or Post-acute Sequelae of COVID-19, is not well characterized or understood, and few studies have included non-COVID-19 control groups., Methods: We used data from a cross-sectional COVID-19 questionnaire (September-December 2020) linked to baseline (2011-2015) and follow-up (2015-2018) data from a population-based cohort including 23,757 adults 50+ years to examine how age, sex, and pre-pandemic physical, psychological, social, and functional health were related to the severity and persistence of 23 COVID-19-related symptoms experienced between March 2020 and questionnaire completion., Results: The most common symptoms are fatigue, dry cough, muscle/joint pain, sore throat, headache, and runny nose; reported by over 25% of participant who had (n = 121) or did not have (n = 23,636) COVID-19 during the study period. The cumulative incidence of moderate/severe symptoms in people with COVID-19 is more than double that reported by people without COVID-19, with the absolute difference ranging from 16.8% (runny nose) to 37.8% (fatigue). Approximately 60% of male and 73% of female participants with COVID-19 report at least one symptom persisting >1 month. Persistence >1 month is higher in females (aIRR = 1.68; 95% CI: 1.03, 2.73) and those with multimorbidity (aIRR = 1.90; 95% CI: 1.02, 3.49); persistence >3 months decreases by 15% with each unit increase in subjective social status after adjusting for age, sex and multimorbidity., Conclusions: Many people living in the community who were not hospitalized for COVID-19 still experience symptoms 1- and 3-months post infection. These data suggest that additional supports, for example access to rehabilitative care, are needed to help some individuals fully recover., (© 2023. The Author(s).)

Purpose: Health Teams Advancing Patient Experience: Strengthening Quality (Health TAPESTRY) is a complex primary care program aimed at assisting older adults to stay healthier for longer. This study evaluated the feasibility of implementation across multiple sites, and the reproducibility of the effects found in the previous randomized controlled trial., Methods: This was a pragmatic, unblinded, 6-month parallel group randomized controlled trial. Participants were randomized (intervention or control) using a computer-generated system. Eligible patients, aged 70 years and older, were rostered to 1 of 6 participating interprofessional primary care practices (urban and rural). In total, 599 (301 intervention, 298 control) patients were recruited from March 2018 through August 2019. Intervention participants received a home visit from volunteers to collect information on physical and mental health, and social context. An interprofessional care team created and implemented a plan of care. The primary outcomes were physical activity and number of hospitalizations., Results: Based on the Reach, Effectiveness, Adoption, Implementation, Maintenance (RE-AIM) framework, Health TAPESTRY had widespread reach and adoption. In the intention-to-treat analysis (257 intervention, 255 control), there were no statistically significant between-group differences for hospitalizations (incidence rate ratio = 0.79; 95% CI, 0.48-1.30; P = .35) or total physical activity (mean difference = -0.26; 95% CI, -1.18 to 0.67; P = .58). There were 37 non-study related serious adverse events (19 intervention, 18 control)., Conclusions: We found Health TAPESTRY was successfully implemented for patients in diverse primary care practices; however, implementation did not reproduce the effect on hospitalizations and physical activity found in the initial randomized controlled trial., (© 2023 Annals of Family Medicine, Inc.)

Background: It is uncertain if medical masks offer similar protection against COVID-19 compared with N95 respirators., Objective: To determine whether medical masks are noninferior to N95 respirators to prevent COVID-19 in health care workers providing routine care., Design: Multicenter, randomized, noninferiority trial. (ClinicalTrials.gov: NCT04296643)., Setting: 29 health care facilities in Canada, Israel, Pakistan, and Egypt from 4 May 2020 to 29 March 2022., Participants: 1009 health care workers who provided direct care to patients with suspected or confirmed COVID-19., Intervention: Use of medical masks versus fit-tested N95 respirators for 10 weeks, plus universal masking, which was the policy implemented at each site., Measurements: The primary outcome was confirmed COVID-19 on reverse transcriptase polymerase chain reaction (RT-PCR) test., Results: In the intention-to-treat analysis, RT-PCR-confirmed COVID-19 occurred in 52 of 497 (10.46%) participants in the medical mask group versus 47 of 507 (9.27%) in the N95 respirator group (hazard ratio [HR], 1.14 [95% CI, 0.77 to 1.69]). An unplanned subgroup analysis by country found that in the medical mask group versus the N95 respirator group RT-PCR-confirmed COVID-19 occurred in 8 of 131 (6.11%) versus 3 of 135 (2.22%) in Canada (HR, 2.83 [CI, 0.75 to 10.72]), 6 of 17 (35.29%) versus 4 of 17 (23.53%) in Israel (HR, 1.54 [CI, 0.43 to 5.49]), 3 of 92 (3.26%) versus 2 of 94 (2.13%) in Pakistan (HR, 1.50 [CI, 0.25 to 8.98]), and 35 of 257 (13.62%) versus 38 of 261 (14.56%) in Egypt (HR, 0.95 [CI, 0.60 to 1.50]). There were 47 (10.8%) adverse events related to the intervention reported in the medical mask group and 59 (13.6%) in the N95 respirator group., Limitation: Potential acquisition of SARS-CoV-2 through household and community exposure, heterogeneity between countries, uncertainty in the estimates of effect, differences in self-reported adherence, differences in baseline antibodies, and between-country differences in circulating variants and vaccination., Conclusion: Among health care workers who provided routine care to patients with COVID-19, the overall estimates rule out a doubling in hazard of RT-PCR-confirmed COVID-19 for medical masks when compared with HRs of RT-PCR-confirmed COVID-19 for N95 respirators. The subgroup results varied by country, and the overall estimates may not be applicable to individual countries because of treatment effect heterogeneity., Primary Funding Source: Canadian Institutes of Health Research, World Health Organization, and Juravinski Research Institute.

Objective: To evaluate the feasibility and efficacy of a serious illness decision aid (Plan Well Guide) in increasing the engagement of substitute decision-makers (SDM) in advance care planning (ACP)., Methods: This trial was conducted (2017-2019) in outpatient settings in Ontario, Canada, aiming to recruit 90 dyads of patients aged 65 years and older at high risk of needing future medical decisions and their SDM. Participants were randomised to receive the intervention immediately or to a 3-month wait period. The Plan Well Guide was administered to the patient and SDM by a facilitator. Outcomes were change on the validated 17-item SDM ACP Engagement Survey (primary) and 15-item patient ACP Engagement Survey (secondary)., Results: Of 136 dyads approached, 58 consented and were randomised and 45 completed the study (28 immediate intervention, 17 delayed intervention). The trial was stopped early because of difficulties with enrolling and following up participants. The mean changes on the SDM ACP Engagement Survey and the patient ACP Engagement Survey favoured the first group but were not statistically significant (mean difference (MD)=+0.2 (95% CI: -0.3 to 0.6) and MD=+0.4 (95% CI: -0.1 to 0.8), respectively). In a post-hoc subgroup analysis, significant treatment effects were seen in SDMs with a lower-than-median baseline score compared with those at or above the median., Conclusions: In this statistically underpowered randomised trial, differences in SDM ACP engagement between groups were small. Further information is needed to overcome recruitment challenges and to identify people most likely to benefit from the Plan Well Guide.Trial registration number NCT03239639., Competing Interests: Competing interests: None declared., (© Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)

Objective: SBAR (situation, background, assessment and recommendation) is a structured format for the effective communication of critically relevant information. This tool was developed as a generic template to provide structure to the communication of clinical information between health care providers. Neonatal transport often presents clinically stressful circumstances where concise and accurate information is required to be shared clearly between multidisciplinary health care providers. A modified SBAR communication tool was designed to facilitate structured communication between nonphysician bedside care providers operating from remote sites and physicians providing decision-making support at receiving care facilities. Prospective interventional study was designed to evaluate the reliability of a "SBAR report to physician tool" in sharing clinically relevant information between multidisciplinary care providers on neonatal transport., Study Design: The study was conducted between 2011 and 2014 by a dedicated neonatal transport service based at McMaster Children's Hospital which provides care for approximately 500 infants in Southern Ontario annually. In the preintervention phase, 50 calls were randomly selected for the evaluation and 115 consecutively recorded transport calls following adoption of the reporting tool. The quality of calls prior to and after the intervention was assessed by reviewers independently. Inter-rater agreement was also assessed for both periods., Results: Inter-rater agreement between raters was moderate to perfect in most components of the SBAR "report to the physician tool" except for the assessment component, which showed fair agreement during both preintervention and postintervention periods. There was an improvement in global score (primary outcome) with a mean difference of 0.95 (95% confidence interval [CI]: 0.77-1.14; p  < 0.001) and in cumulative score with a mean difference of 8.55 (95% CI: 7.26-9.84; p  < 0.001) in postintervention period., Conclusion: The use of the SBAR report to physician tool improved the quality of clinical information shared between nonphysician members of the neonatal transport team and neonatal transport physicians., Key Points: · Long-Accurate and concise information sharing is crucial for decision-making in neonatal transport.. · Information sharing between multidisciplinary teams can be enhanced by using a commonly understood information sharing template.. · The SBAR report to physician tool improves the quality of information shared between multidisciplinary team members in neonatal transport.., Competing Interests: None declared., (Thieme. All rights reserved.)

Background: Polypharmacy in older adults can be associated with negative outcomes including falls, impaired cognition, reduced quality of life, and general and functional decline. It is not clear to what extent these are reversible if the number of medications is reduced. Primary care does not have a systematic approach for reducing inappropriate polypharmacy, and there are few, if any, approaches that account for the patient's priorities and preferences. The primary objective of this study is to test the effect of TAPER (Team Approach to Polypharmacy Evaluation and Reduction), a structured operationalized clinical pathway focused on reducing inappropriate polypharmacy. TAPER integrates evidence tools for identifying potentially inappropriate medications, tapering, and monitoring guidance and explicit elicitation of patient priorities and preferences. We aim to determine the effect of TAPER on the number of medications (primary outcome) and health-related outcomes associated with polypharmacy in older adults., Methods: We designed a multi-center randomized controlled trial, with the lead implementation site in Hamilton, Ontario. Older adults aged 70 years or older who are on five or more medications will be eligible to participate. A total of 360 participants will be recruited. Participants will be assigned to either the control or intervention arm. The intervention involves a comprehensive multidisciplinary medication review by pharmacists and physicians in partnership with patients. This review will be focused on reducing medication burden, with the assumption that this will reduce the risks and harms of polypharmacy. The control group is a wait list, and control patients will be given appointments for the TAPER intervention at a date after the final outcome assessment. All patients will be followed up and outcomes measured in both groups at baseline and 6 months., Discussion: Our trial is unique in its design in that it aims to introduce an operationalized structured clinical pathway aimed to reduce polypharmacy in a primary care setting while at the same time recording patient's goals and priorities for treatment., Trial Registration: Clinical Trials.gov NCT02942927. First registered on October 24, 2016., (© 2021. The Author(s).)

Acute exacerbations of chronic obstructive pulmonary disease (AECOPD) are amongst the most common reasons for hospital admission, and recurrent episodes occur frequently. Comprehensive care management (CCM) strategies have modest effect in preventing re-admissions. The objectives of this study were to examine the utility of optimizing anti-inflammatory therapy guided by sputum cytometry in the post-hospitalization setting, and to assess the feasibility and effectiveness of a clinic combining CCM and sputum-guided therapy. This is an observational study examining patients who received open-label CCM and sputum cytometry-guided pharmacotherapy in a COPD post-discharge clinic. Referral was based on high risk for readmission after hospitalization for AECOPD. The primary outcome was the change in COPD-related healthcare utilization before and after Visit 1, and this was analyzed with a mixed-effects negative binomial model controlling for age, number of follow-up clinic visits, pack years, current smoking and FEV 1 . Of 138 patients referred to the clinic, 73% attended at least one visit. Mean FEV 1 was 42.8 (19.3) % predicted. Of the patients attending clinic, 42.6% produced an adequate sputum sample, and 32.7% had an abnormal sputum. By individual, infectious bronchitis was the most common (25.7%), followed by eosinophilic bronchitis (13.9%). Comparing the 6-months prior to and after the first clinic visit, there was a lower incidence rate ratio after visit 1 for COPD-related healthcare utilization (0.26 (95%CI 0.22,0.33; p  < 0.001)). A COPD post-discharge clinic combining sputum-guided treatment and CCM was feasible and associated with a nearly 75% reduction in the incidence of COPD-related healthcare utilization.

Background: dance is a mind-body activity that stimulates neuroplasticity. We explored the effect of dance on cognitive function in older adults., Methods: we searched MEDLINE, EMBASE, CENTRAL and PsycInfo databases from inception to August 2020 (PROSPERO:CRD42017057138). Inclusion criteria were (i) randomised controlled trials (ii) older adults (aged ≥ 55 years), (iii) intervention-dance and (iv) outcome-cognitive function. Cognitive domains were classified with the Diagnostic and Statistical Manual of Mental Disorders-5 Neurocognitive Framework. Meta-analyses were performed in RevMan5.3 and certainty of evidence with GradePro., Results: we reviewed 3,997 records and included 11 studies (N = 1,412 participants). Seven studies included only healthy older adults and four included those with mild cognitive impairment (MCI). Dance interventions varied in frequency (1-3×/week), time (35-60 minutes), duration (3-12 months) and type. We found a mean difference (MD) = 1.58 (95% confidence interval [CI) = 0.21-2.95) on the Mini Mental State Examination for global cognitive function (moderate-certainty evidence), and the Wechsler Memory Test for learning and memory had an MD = 3.02 (95% CI = 1.38-4.65; low-certainty evidence). On the Trail Making Test-A for complex attention, MD = 3.07 (95% CI = -0.81 to 6.95; high-certainty evidence) and on the Trail Making Test-B for executive function, MD = -4.12 (95% CI = -21.28 to 13.03; moderate-certainty evidence). Subgroup analyses did not suggest consistently greater effects in older adults with MCI. Evidence is uncertain for language, and no studies evaluated social cognition or perceptual-motor function., Conclusions: dance probably improves global cognitive function and executive function. However, there is little difference in complex attention, and evidence also suggests little effect on learning and memory. Future research is needed to determine the optimal dose and if dance results in greater cognitive benefits than other types of physical activity and exercise., (© The Author(s) 2020. Published by Oxford University Press on behalf of the British Geriatrics Society. All rights reserved. For permissions, please email: journals.permissions@oup.com.)

Coordination polymers deposited by hybrid molecular layer deposition (MLD) techniques are of interest as highly conformal, functional materials. Incorporation of a second metal into these coordination polymers can result in additional functionality or fine tuning of the materials properties. Here, we investigate the deposition of multi-metal coordination polymers using hybrid MLD of Zn-Al and Zn-Hf with ethylene glycol as the organic linker. It is found that facile transmetalation occurs for the Zn-Al films, which results in Al-rich films, but does not take place for the Zn-Hf films. Additionally, the Zn-Hf films are found to be more resilient to ambient conditions than the pure Zn-based coordination polymer.

Background: In order to correctly assess the effect of intervention from stratified cluster randomized trials (CRTs), it is necessary to adjust for both clustering and stratification, as failure to do so leads to misleading conclusions about the intervention effect. We have conducted a systematic survey to examine the current practices about analysis and reporting of stratified CRTs., Method: We used the search terms to identify the stratified CRTs from MEDLINE since the inception to July 2019. In phase 1, we screened the title and abstract for English-only studies and selected, including the main results paper of the identified protocols, for the next phase. In phase 2, we screened the full text and selected studies for data abstraction. The data abstraction form was piloted and developed using the REDCap. We abstracted data on multiple design and methodological aspects of the study including whether the primary method adjusted for both clustering and stratification, reporting of sample size, randomization, and results., Results: We screened 2686 studies in the phase 1 and selected 286 studies for phase 2-among them 185 studies were selected for data abstraction. Most of the selected studies were two-arm 140/185 (76%) and parallel-group 165/185 (89%) trials. Among these 185 studies, 27 (15%) of them did not provide any sample size or power calculation, while 105 (57%) studies did not mention any method used for randomization within each stratum. Further, 43 (23%) and 150 (81%) of 185 studies did not provide the definition of all the strata, while more than 60% of the studies did not include all the stratification variable(s) in the flow chart or baseline characteristics table. More than half 114/185 (62%) of the studies did not adjust the primary method for both clustering and stratification., Conclusion: Stratification helps to achieve the balance among intervention groups. However, to correctly assess the intervention effect from stratified CRTs, it is important to adjust the primary analysis for both stratification and clustering. There are significant deficiencies in the reporting of methodological aspects of stratified CRTs, which require substantial improvements in several areas including definition of strata, inclusion of stratification variable(s) in the flow chart or baseline characteristics table, and reporting the stratum-specific number of clusters and individuals in the intervention groups.