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Ferroptosis is a regulated form of cell death driven by the lethal accumulation of lipid peroxides in cell membranes. Several regulators of ferroptosis have been identified using cancer cell lines. However, the cellular pathways of ferroptosis in neurons remain poorly characterized. In this study, we used a mouse embryonic stem cell-derived motor neuron model to investigate how motor neurons respond to ferroptosis inducers. Pharmacological and genetic inhibition of glutathione peroxidase 4 (GPx4) induced ferroptosis in motor neurons, while system x

Program Pengabdian Kepada Masyarakat ini bertujuan untuk memberikan pengetahuan tentang pentingnya meningkatkan kesadaran masyarakat tentang penyakit kecacingan dengan menerapkan pola hidup bersih dan sehat (PHBS) di Kel. Manggala, Kec. Manggala, Kota Makassar. Penyakit kecacingan merupakan penyait infeksi yang disebabkan oleh cacing yang hidup sebagai parasit di dalam tubuh manusia. Seseorang dapat terinfeksi penyakit kecacingan ketika telur atau larva masuk ke dalam tubuh, menjadi cacing dewasa dan bertelur di dalam tubuh. Seseorang dapat dengan mudah terinfeksi oleh cacing ketika hidup dalam lingkungan yang tidak bersih, memiliki sanitasi yang buruk dan kebiasaan yang tidak higienis. Upaya pencegahan salah satunya dengan mencuci tangan dengan sabun setelah berkegiatan, terutama setelah buang air besar (BAB). Resiko penularan penyakit dapat berkurang dengan adanya peningkatan perilaku hidup bersih dan sehat. Kebiasaan mencuci tangan harus dibiasakan sejak kecil. Anak-anak merupakan agen perubahan untuk memberikan edukasi baik untuk diri sendiri dan lingkungannya, sekaligus mengajarkan pola hidup bersih dan sehat. Metode pelaksanaan pengabdian masyarakat ini terdiri dari dua tahapan, yaitu: 1) Penyuluhan dan edukasi tentang penyakit kecacingan dikaitkan dengan penerapan perilaku pola hidup bersih dan sehat dengan metode ceramah; 2) Memberikan umpan balik sebagai evaluasi untuk mengetahui pemahaman masyarakat terhadap materi penyuluhan yang disampaikan pemateri. Hasilnya menunjukkan bahwa dengan adanya penyuluhan ini memberikan tambahan pengetahuan tentang penyakit kecacingan, serta antusias masyarakat untuk mengetahui bagaimana perbaikan sanitasi di lingkungan dan membiasakan menjaga kebersihan perorangan agar terhindar dari penyakit kecacingan. Pemahaman masyarakat tentang manfaat dari kegiatan ini sangat besar terlihat dengan adanya keinginan untuk menerapkan Pola Hidup Bersih dan Sehat agar terhindar dari infeksi penyakit kecacingan.

Background Crohn’s disease (CD) is associated with a 3-4 fold increased risk of periodontitis compared to the general population1 though periodonitis is poorly recognised and diagnosed. Evidence from mouse models highlight an important link between oral and gut health. Periodontitis has been shown to lead to ectopic colonization of oral pathogens and oral Th17-T cells that activate lamina propria macrophages and exacerbate gut inflammation2. Very little is known about the patient demographics of those at risk of periodontitis. This study aimed to assess the risk factors for periodontitis in CD patients. Methods We conducted a cross-sectional study recruiting CD patients at UCLH through myCare, an online platform for patients linked to their clinical records. Patient data were obtained using EpicCare, a web-based electronic patient record database. Patient risk of periodontitis was determined using a previously validated oral health questionnaire3. Statistical tests were conducted using IBM SPSS Statistics 27. Results This single centre study included 89 CD patients; 54% female and median age of 40 (IQR 19-82). Patients predominantly identified as White British (56%). The majority had ileocolonic CD (51%) with non-stricturing/non-penetrating behaviour (70%) and were on biologic therapy (52%) (Tab 1). The oral health questionnaire identified 37% of CD patients at risk of periodontitis. There was no statistically significant association between periodontitis risk and age, gender, age at CD diagnosis, disease duration, CD phenotype, family history, body mass index (BMI) or smoking status. Current steroid, immunomodulator use and number of prior biologics also showed no association. Current use of adalimumab and ustekinumab were both independently correlated with risk of periodontitis (χ2 p=0.004 & χ2 p=0.044, respectively). 90% of patients receiving adalimumab were not at risk of periodontitis (Fig 1). In contrast, 60% of patients on ustekinumab were at risk of periodontitis. Logistic regression analysis showed that patients receiving adalimumab were 86% less likely to be at risk of periodontitis compared to patients not receiving adalimumab (OR 0.14 (CI 0.029 - 0.633, p=0.011)). 75% of the adalimumab group was anti-TNF naïve, but no association was seen between prior biologic use and periodontitis risk (p=0.91). Conclusion The questionnaire has identified a third of patients who are at risk of periodontitis in the CD cohort. Adalimumab shows benefit in mitigating this risk and may be a drug of choice in patients with oral disease. The questionnaire is a helpful tool to identify and refer at-risk patients.

Background Despite improved postoperative management, endoscopic recurrence after surgery remains common in Crohn’s disease (CD) patients [1]. It is widely accepted that patients receiving preoperative nutrition supplementation are less likely to experience postoperative complications [2]. However, little is known about the long-term effects of preoperative nutrition supplementation on surgery. In this study we aimed to assess the long-term effects of preoperative nutrition supplementation on endoscopic recurrence. Methods Single centre retrospective data was collected between 2015 and 2021 on patients who had surgical resection with ileocolonic anastomosis. Follow up data was retrospectively collected at 12 months after surgery. Endoscopic recurrence was defined as a Rutgeerts score of 2 or more. Statistical analysis included demographics and inferential analyses. Missing data was attributed to the absence in clinic notes. Results This study included 50 CD patients [50.0% male, median age of 31.0 (18.0-68.0), 81.8% non-smokers] who had ileocolonic anastomosis. Most patients had ileocolonic CD (76.0%, 38/50) and either stricturing (46.0%, 23/50) or penetrating (26.0%, 13/50) disease behaviour. Almost half (49.0%, 24/49) of CD patients received preoperative nutrition supplementation prior to surgery, with 61.9% on oral nutrition supplementation. No statistical difference was found between the demographics of patients receiving nutrition supplementation and patients without nutrition supplementation, p>0.05 (table 1). Endoscopic recurrence was observed in 43.5% (10/23) of patients at 12 months. 80.0% (8/10) of patients who experienced endoscopic recurrence did not receive preoperative nutrition supplementation (figure 1). Logistic regression indicated that patients receiving nutrition supplementation may be 84.4% less likely to experience endoscopic recurrence at 12 months compared to patients without nutrition supplementation (OR 0.16 (CI 0.023-1.056)(p=0.057)). The type of preoperative nutrition supplementation did not significantly impact endoscopic recurrence (p>0.05). Conclusion Preoperative nutrition supplementation may reduce the risk of endoscopic recurrence one year after surgical resection. The use of preoperative nutrition is highly recommended for all CD patients undergoing surgery. More extensive research is needed to confirm study findings.

Activated carbon that potentially acts as an adsorbent was prepared from granulated sugar. The activated sugar was prepared through a dehydration process followed by a chemical activation process with a concentrated NaOH solution. To comprehend the properties of prepared ready carbon, characterization of the carbon was needed to be conducted. The conducted methods for prepared activated carbon were FTIR for detecting present functional groups attached to carbon, BET to identify the porous structure of synthesized carbon, SEM method as a morphological indicating method on synthesized carbon, and carbon thermal stability characteristic information from the TGA method. It was found that the prepared activated carbon contained various functional groups. The distinguished functional groups presented were carboxylic acid, free alcohol, NH2, and SO3. The readily activated carbon showed a rough surface to enhance the adsorption process on the synthesized carbon from the SEM characterization method. BET on the readily activated carbon revealed that the activated carbon exhibited type IV isotherm, consisting dominantly of mesopores and micropores as a minority. TGA characterization method showed that the thermal stability of carbon was significantly unstable in the range of 100℃ and around 200℃. It implies that the prepared activated carbon contained OH as one of its functional groups. With all the characterization methods conducted on the readily activated carbon from granulated sugar, it was found that the prepared carbon had the potential to be utilized as an adsorbent. Moreover, it is suggested that the granular sugar-based carbon should be investigated in the following future study in the wastewater treatment process.

Introduction: Diabetes mellitus (DM) is considered one of the largest emerging threats to health and bacterial infections are more frequent in diabetic patients causing sepsis. Several indicators have been proposed as new diagnostic tests to assess sepsis in hospitalized patients. Aim: This study aims was to compare the efficacy of Procalcitonin (PCT) and high sensitive C-reactive protein (hs-CRP) in the diagnosis of sepsis in diabetic patients. Methods: In this cross-sectional study total of 60 age and sex-matched diabetic patients above 18 years were randomly chosen with at least 2 SIRS (Systemic inflammatory response syndrome) criteria from the indoor department of BIRDEM General Hospital. Basic hematological, biochemical, microbiological laboratory data were recorded from laboratory reports. Sepsis and its different stages were determined according to American College of Chest Physicians (ACCP) guidelines. The PCT was measured by sandwich enzyme immunoassay (Bio-Vendor, Germany) and the hs-CRP level was measured using an immune-turbidimetric assay (Beckman, Carlsbad, CA 92010, USA). Results: The patient’s mean age was 51.90±9.89 years where male 51.2% and female 48.8% and 50-60 years age group was the most common 40%. 38 (63.33%) patients were bacteriological culture-positive and 22 (36.67%) patients were bacteriological culture-negative where the most common organism was Klebsiella (28.95%). Statistically, a significant difference was found in PCT values in the bacteriological culture positive and negative group (p0.05). There was an increasing trend of serum PCT with the developing stages of sepsis. Receiver operating characteristic curve shows the area under the curve for PCT was 0.785 (95% CI; 0.654-0.915), sensitivity 89.47%, specificity 50%, PPV 75.55% and NPV 73.33% with the best cut-off value >753pg/ml which support PCT as a superior and reliable marker of sepsis. Conclusion: Our results suggest that serum PCT is a more reliable diagnostic marker of sepsis than other traditional markers like hs-CRP. Combinatorial use of these biomarkers will help in early diagnosis and also greatly improve outcomes. Bangladesh Crit Care J March 2022; 10 (1): 38-42

Introduction Previous cross-sectional and longitudinal studies have described decreasing testosterone levels with age in men. However, the longitudinal impact of acquired comorbidities in aging males on the relationship between age and testosterone has not been thoroughly investigated. Objective In this longitudinal study, we aimed to evaluate the longitudinal association between age and testosterone levels and to investigate the impact of additive comorbidity burden on this relationship. We hypothesized that when controlling for the presence of comorbidities commonly acquired with age, there would be no association between age and serum total testosterone level. Methods Participants were selected from the Baltimore Longitudinal Study of Aging. Data was obtained on presence of several comorbidities and total testosterone level during each follow-up visit. All men with diagnosis of prostate cancer or documented use of testosterone replacement therapy during their follow-up period were excluded from analysis. A stepwise regression analysis was performed, including a final multivariate panel regression model in order to determine the impact of age on testosterone level while controlling for individual comorbidities. Results A total of 1,784 men were included in this study, with a mean age of 71 years and overall mean testosterone level of 463.2 ng/dL. Participants had an average of 3.23 comorbidities. On multivariable-adjusted panel regression analysis, age was not significantly associated with testosterone decline, while anemia, diabetes mellitus, heart failure, obesity, peripheral artery disease, and stroke were inversely associated with total testosterone level. We report no association between cancer and total testosterone. Conclusions In this large longitudinal study, we found that when adjusted for the presence of concomitant comorbidities, age does not predict a significant decline in testosterone level with age. With the overall increase in life expectancy, and the simultaneous rise in the incidence of comorbidities such as diabetes and dyslipidemia, our findings may help optimize screening and treatment for late-onset hypogonadism in patients with multiple comorbidities. Disclosure No

Despite the essential role of plasma cells in health and disease, the cellular mechanisms controlling their survival and secretory capacity are still poorly understood. Here, we identified the soluble N-ethylmaleimide-sensitive factor attachment protein receptor (SNARE) Sec22b as a unique and critical regulator of plasma cell maintenance and function. In the absence of Sec22b, plasma cells were hardly detectable and serum antibody titers were dramatically reduced. Accordingly, Sec22b -deficient mice fail to mount a protective immune response. At the mechanistic level, we demonstrated that Sec22b contributes to efficient antibody secretion and is a central regulator of plasma cell maintenance through the regulation of their transcriptional identity and of the morphology of the endoplasmic reticulum and mitochondria. Altogether, our results unveil an essential and nonredundant role for Sec22b as a regulator of plasma cell fitness and of the humoral immune response.

In this paper, we report a successful synthesis of ZnO nanorods using the microwave-assisted technique, solid-state reaction method was utilized for the preparation of Zn

Background Robotic-assisted cardiac surgery has emerged as a popular minimal invasive cardiac surgery approach, as it provides several advantages compared to conventional and other minimally invasive approaches. Mitral valve surgeries, including repair and replacement, are currently the most common cardiac surgeries performed with a robotic approach. However, there are concerns that surgeon's learning curve and prolonged operation time associated with this approach could compromise the surgical outcomes, hence the low acceptance of the technique in the clinical setting. In addition, despite various studies comparing robotic and conventional mitral surgery, it remains unclear whether the former would give comparable, if not better, outcomes. Purpose This study aims to compare the outcomes of robotic and conventional sternotomy mitral valve surgeries. Methods A comprehensive literature search was performed through Pubmed, CENTRAL, and ScienceDirect for studies comparing robotic and sternotomy approach for mitral valve repair and replacement. Studies were screened with our eligibility criteria, and their quality was examined using the Newcastle-Ottawa scale. The primary outcome analysed in this study was the perioperative mortality. Results Twelve studies involving 4300 patients (2223 experienced robotic surgery) were included. Pooled analysis showed that patients who underwent robotic surgery had a significant decrease in perioperative mortality compared to those who underwent sternotomy surgery (RR 0.33, 95% CI 0.18, 0.60, p=0.0003, I2=0%). Moreover, ICU length of stay was also shorter in the robotic group (MD −13.67, 95% CI −20.04, −7.29, p Conclusion Results from our meta-analysis refute the current concerns limiting the acceptance of robotic approach in mitral valve surgeries, showing significantly lower perioperative mortality and ICU length of stay, as well as a comparable re-operation risk due to bleeding with the conventional approach. Funding Acknowledgement Type of funding sources: None.

Context Family physicians, trained in handling primary care problems through the principles of family medicine (FM), were needed in India. The training required a comprehensive and detailed curriculum that could be implemented across the country. Aim The aim was to create a document that includes rationale, goals, subject-based objectives, educational methods and assessment methods that align to the objectives. Design and methods Kern's Six-Step-method was used to create a curriculum document. The six steps are (a) problem identification and general needs assessment, (b) targeted needs assessment, determining and prioritizing content, (c) writing goals and objectives, (d) selecting teaching/education strategies,(e) implementation of the curriculum and (f) evaluation and application of the lessons learnt. Results and conclusions Based on the given steps, a team of faculty identified needs, requirements and barriers, wrote goals and objectives along with aligned educational and assessment methods. The curriculum document was created for FM resident training. The first set of residents have been trained based on this curriculum and an evaluation is being planned.

An experiment was conducted at Fruit Tree Improvement Project, Fruit Tree Improvement Programme, Bangladesh Agricultural University-Germplasm Center (FTIP, BAU-GPC), Bangladesh Agricultural University (BAU), Mymensingh during the period of April 2020 to June 2020 to study the performance of selected mango rootstocks for the saline area. The two-factor experiment consisted of four mango rootstock varieties such as V1 = BAU Aam-9, V2 = BAU Aam-6, V3 = BAU Aam-4 and V4 = Amropali and six salinity treatments namely control S1 = 0 dSm-1, S2 = 4 dSm-1, S3 = 8 dSm-1, S4 = 10 dSm-1, S5 = 12 dSm-1 and S6 = 14 dSm-1. The experiment was conducted following randomized complete block design with three replications. Results revealed that rootstock line and salinity levels had significant influences on various rootstock characters viz. length of rootstocks, number of leaves and percent rootstocks success and survivability. In case of varietal effect, the highest number of leaves (32.44) found in BAU Aam-6 and the lowest number of leaves was recorded in Amropali (22.55) at 90 days after transplanting. The longest rootstock length observed in 90 DAT which (54.83 cm) found in BAU Aam-9and shortest rootstock recorded in Amropali (47.94 cm). The highest survivability (51.44%) was recorded in BAU Aam-9 and the lowest survivability recorded in Amropali (33.88%). In case of salinity treatments, the highest survivability (95.83%) was recorded in control and the lowest survivability (0.00%) recorded in 14 dsm-1 at 90 DAT. Interaction of rootstock varieties and different salinity treatments showed significant variation on the length leave and survivability of rootstocks at 90 DAT. The maximum number of rootstock leaves recorded in V2S2 (46.33) and lowest number of leave recorded in V4S6 (7.66). The highest rootstock length was found in V1S3 (78.00 cm) and lowest in V1S2 (21.66 cm). The highest Survivability (100 %) observed in V1S1, V1S2, V2S1, V2S2 and V4S1. From the above mentioned it can be said BAU Aam - 9 and BAU Aam – 6 rootstock varieties performed best from 0-8 dSm-1 salinity. The overall salinity tolerance was graded as follows: BAU Aam - 9>BAU Aam – 6> BAU Aam-4>Amropali rootstock line. SAARC J. Agric., 19(1): 93-102 (2021)

The marine environment is increasingly polluted by anthropogenic wastes, notably plastic debris. This debris breaks down into smaller pieces, known as microplastics. When consumed by marine organisms, microplastics cause various physiological effects. In this study, we sought to determine a link between ingested microplastics and cytochrome P450-1A (CYP1A) expression in fish liver. To achieve this goal, we collected pinfish from five sites in Lower Laguna Madre (LLM, a large coastal lagoon), analyzed stomach contents, excised liver tissues, and performed immunohistochemical analysis to determine CYP1A expression. Microplastics were not discovered in the stomach/intestine of pinfish, though plastic debris was present at various stages of decomposition within sampling sites. Hepatic CYP1A expression was significantly higher in pinfish collected from four of five sampling sites when compared to fish in laboratory conditions. These results imply that pinfish, as well as other organisms, may be exposed to pollutants other than microplastics in LLM.

Elbow ulnar collateral ligament injuries are on the rise among throwing athletes. The gold standard for the management of this injury in elite athletes is reconstruction of the ulnar collateral ligament (UCL) with a tendon graft. While multiple reconstruction techniques have been described with successful outcomes and low complication rates, no single technique has demonstrated superiority over another. A recent concept with growing interest for addressing ligament injuries is suture bridge augmentation as an internal brace. Recent biomechanical data has demonstrated favorable results using suture bridge augmentation for elbow UCL repair, however a reconstruction technique using this concept and tendon allograft has not yet been described. Proposed advantages include limited surgical dissection and ulnar nerve handling as well as placement of single bony sockets in the ulna and humerus, thereby minimizing the potential for bony failure and fracture. We describe our surgical technique of UCL reconstruction of the elbow using tendon allograft augmented with an internal brace and provide a case illustration of a young, adolescent baseball pitcher.

Background Sarcopenia, a reduction in muscle mass and function, is a poorly recognised phenomenon in Crohn’s disease (CD) despite occurring in 16%-68% of CD patients [1-5]. It has been linked to both an increased need for surgery and increased risk of postoperative complications. However, the role of sarcopenia in CD and its long-term impact on surgical outcomes are unknown. We aimed to assess the link between sarcopenia and postoperative clinical recurrence. Methods Retrospective data was collected between 2015 and 2021 from CD patients who had undergone gastrointestinal surgery and a MR or CT scan within 3 months prior to surgery. Follow up data was retrospectively collected for 6 months. MR and CT scans were used to determine skeletal muscle area (SMA) from the cross-sectional L3 vertebrae, which was used to identify patients as sarcopenic or not. Clinical recurrence was defined as a Harvey-Bradshaw Index of 5 or more. Statistical analysis included demographics and inferential analyses. Missing data was attributed to the absence in clinic notes. Results This single centre study included 64 CD patients [56.3% male, median age of 30.0 (18.0-76.0), 87.7% non-smokers] who had undergone gastrointestinal surgery. Most patients had ileocolonic CD (74.6%, 47/63) and either stricturing (46.9%, 30/64) or penetrating (31.3%, 20/64) disease behaviour, and 23.4% (15/64) had perianal disease. 45.3% (29/64) of patients had had at least one previous surgery. Preoperatively, 20.6% (13/63) of patients were on steroids and 55.6% (35/63) were on combined drug therapy. Patient median SMA was 113.6 (61.8 – 281.7) cm2 with sarcopenia found in 74.1% (43/58) of patients. SMA was lower in females (females: 92.1±19.3 cm2 vs males: 137±39.5 cm2, p Conclusion Sarcopenia is highly prevalent in preoperative CD patients. Patients with early clinical recurrence had a significantly lower SMA. SMA may be useful in predicting CD patients at risk of early postoperative clinical recurrence. However, more research is needed to confirm study findings.

Early life stress (ELS) induces long-term phenotypic adaptations that contribute to increased vulnerability to a host of neuropsychiatric disorders. Epigenetic mechanisms, including DNA methylation, histone modifications and non-coding RNA, are a proposed link between environmental stressors, alterations in gene expression, and phenotypes. Epigenetic modifications play a primary role in shaping functional differences between cell types and can be modified by environmental perturbations, especially in early development. Together with contributions from genetic variation, epigenetic mechanisms orchestrate patterns of gene expression within specific cell types that contribute to phenotypic variation between individuals. To date, many studies have provided insights into epigenetic changes resulting from ELS. However, most of these studies have examined heterogenous brain tissue, despite evidence of cell-type-specific epigenetic modifications in phenotypes associated with ELS. In this review, we focus on rodent and human studies that have examined epigenetic modifications induced by ELS in select cell types isolated from the brain or associated with genes that have cell-type-restricted expression in neurons, microglia, astrocytes, and oligodendrocytes. Although significant challenges remain, future studies using these approaches can enable important mechanistic insight into the role of epigenetic variation in the effects of ELS on brain function.

A compelling group the board framework offers prompt receptive or proactive treatment of possible problem areas, including packed circumstances and dubious developments, which relieve or evades serious episodes and fatalities. The group the board space creates spatial and transient goal that requests different modern components to quantify, concentrates, and interact with the information to deliver a significant reflection. Swarm the board incorporates demonstrating the developments of a group to project compelling systems that help fast emersion from a risky and deadly circumstance. Web of Things (IoT) advancements, AI procedures, and specialized techniques can be utilized to detect the group trademark/thickness and proposition early recognition of such occasions or far superior expectation of likely mishaps to illuminate the administration specialists. Different AI strategies have been applied for swarm the board; in any case, the quick progression in profound various leveled models that gains from a nonstop stream of information has not been completely explored in this specific situation. For instance, Hierarchical Temporal Memory (HTM) has shown strong capacities for application areas that require internet learning and demonstrating transient data. This paper proposes another HTM-based structure for peculiarity identification in a group the board framework. The proposed system offers two capabilities: (1) responsive discovery of group oddities and (2) proactive location of peculiarities by foreseeing expected irregularities before occurring. The exact assessment demonstrates that HTM accomplished 94.22%, which outflanks k-Nearest Neighbor Global Anomaly Score (kNN-GAS) by 18.12%, Independent Component Analysis-Local Outlier Probability (ICA-LoOP) by 18.17%, and Singular Value Decomposition Influence Outlier (SVD-IO) by 18.12%, in swarm different irregularity location. Besides, it shows the capacity of the proposed alarming system in anticipating potential group irregularities. For this reason, a mimicked swarm dataset was made utilizing the MassMotion swarm recreation device.

Plant sicknesses cause significant harvest creation misfortunes around the world, and a great deal of huge exploration exertion has been coordinated toward making plant infection distinguishing proof and therapy methods more viable. It would be of extraordinary advantage to ranchers to have the option to use the ongoing innovation to use the difficulties confronting horticultural creation and thus further develop crop creation and activity productivity. In this work, we planned and executed an easy-to-understand cell phone-based plant illness discovery and treatment suggestion framework utilizing AI (ML) methods. CNN was utilized for include extraction while the ANN and KNN were utilized to order the plant infections; a substance-based sifting proposal calculation was utilized to recommend significant medicines for the recognized plant illnesses after grouping. The aftereffect of the execution shows that the framework accurately identified and suggested treatment for plant illnesses.