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Abstract Dysarthria, a motor speech disorder that impacts articulation and speech clarity, presents significant challenges for Automatic Speech Recognition (ASR) systems. This study proposes a groundbreaking approach to enhance the accuracy of Dysarthric Speech Recognition (DSR). A primary innovation lies in the integration of the SepFormer-Speech Enhancement Generative Adversarial Network (S-SEGAN), an advanced generative adversarial network tailored for Dysarthric Speech Enhancement (DSE), as a front-end processing stage for DSR systems. The S-SEGAN integrates SEGAN’s adversarial learning with SepFormer speech separation capabilities, demonstrating significant improvements in performance. Furthermore, a multistage transfer learning approach is employed to assess the DSR models for both word-level and sentence-level DSR. These DSR models are first trained on a large speech dataset (LibriSpeech) and then fine-tuned on dysarthric speech data (both isolated and augmented). Evaluations demonstrate significant DSR accuracy improvements in DSE integration. The Dysarthric Speech (DS)-baseline models (without DSE), Transformer and Conformer achieved Word Recognition Accuracy (WRA) percentages of 68.60% and 69.87%, respectively. The introduction of Hierarchical Attention Network (HAN) with the Transformer and Conformer architectures resulted in improved performance, with T-HAN achieving a WRA of 71.07% and C-HAN reaching 73%. The Transformer model with DSE + DSR for isolated words achieves a WRA of 73.40%, while that of the Conformer model reaches 74.33%. Notably, the T-HAN and C-HAN models with DSE + DSR demonstrate even more substantial enhancements, with WRAs of 75.73% and 76.87%, respectively. Augmenting words further boosts model performance, with the Transformer and Conformer models achieving WRAs of 76.47% and 79.20%, respectively. Remarkably, the T-HAN and C-HAN models with DSE + DSR and augmented words exhibit WRAs of 82.13% and 84.07%, respectively, with C-HAN displaying the highest performance among all proposed models.

Introduction: Coffea arabica (Arabica coffee) is an important cash crop in Yunnan, China. Ongoing climate change has made coffee production more difficult to sustain, posing challenges for the region's coffee industry. Predictions of the distribution of potentially suitable habitats for Arabica coffee in Yunnan could provide a theoretical basis for the cultivation and rational management of this species. Methods: In this study, the MaxEnt model was used to predict the potential distribution of suitable habitat for Arabica coffee in Yunnan under current and future (2021-2100) climate scenarios (SSP2-4.5, SSP3-7.0, and SSP5-8.5) using 56 distributional records and 17 environmental variables and to analyze the important environmental factors. Marxan model was used to plan the priority planting areas for this species at last. Results: The predicted suitable and sub-suitable areas were about 4.21×104 km2 and 13.87×104 km2, respectively, accounting for 47.15% of the total area of the province. The suitable areas were mainly concentrated in western and southern Yunnan. The minimum temperature of the coldest month, altitude, mean temperature of the wettest quarter, slope, and aluminum saturation were the main environmental variables affecting the distribution of Arabica coffee in Yunnan Province. Changes in habitat suitability for Arabica coffee were most significant and contracted under the SSP3-7.0 climate scenario, while expansion was highest under the SSP5-8.5 climate scenario. Priority areas for Arabica coffee cultivation in Yunnan Province under the 30% and 50% targets were Pu'er, Xishuangbanna, Honghe, Dehong, and Kunming. Discussion: Climate, soil, and topography combine to influence the potential geographic distribution of Arabica coffee. Future changes in suitable habitat areas under different climate scenarios should lead to the delineation of coffee-growing areas based on appropriate environmental conditions and active policy measures to address climate change. [ABSTRACT FROM AUTHOR]

Aims: Heart failure with preserved ejection fraction (HFpEF) is associated with an array of central and peripheral haemodynamic and metabolic changes. The exact pathogenesis of exercise limitation in HFpEF remains uncertain. Our aim was to compare lactate accumulation and central haemodynamic responses to exercise in patients with HFpEF, non‐cardiac dyspnoea (NCD), and healthy volunteers. Methods and results: Right heart catheterization with mixed venous blood gas and lactate measurements was performed at rest and during symptom‐limited supine exercise. Multivariable analyses were conducted to determine the relationship between haemodynamic and biochemical parameters and their association with exercise capacity. Of 362 subjects, 198 (55%) had HFpEF, 103 (28%) had NCD, and 61 (17%) were healthy volunteers. This included 139 (70%) females with HFpEF, 77 (75%) in NCD (P = 0.41 HFpEF vs. NCD), and 31 (51%) in healthy volunteers (P < 0.001 HFpEF vs. volunteers). The median age was 71 (65, 75) years in HFpEF, 66 (57, 72) years in NCD, and 49 (38, 65) years in healthy volunteers (HFpEF vs. NCD or volunteer, both P < 0.001). Peak workload was lower in HFpEF compared with healthy volunteers [52 W (interquartile range 31–73), 150 W (125–175), P < 0.001], but not NCD [53 W (33, 75), P = 0.85]. Exercise lactate indexed to workload was higher in HFpEF at 0.08 mmol/L/W (0.05–0.11), 0.06 mmol/L/W (0.05–0.08; P = 0.016) in NCD, and 0.04 mmol/L/W (0.03–0.05; P < 0.001) in volunteers. Exercise cardiac index was 4.5 L/min/m2 (3.7–5.5) in HFpEF, 5.2 L/min/m2 (4.3–6.2; P < 0.001) in NCD, and 9.1 L/min/m2 (8.0–9.9; P < 0.001) in volunteers. Oxygen delivery in HFpEF was lower at 1553 mL/min (1175–1986) vs. 1758 mL/min (1361–2282; P = 0.024) in NCD and 3117 mL/min (2667–3502; P < 0.001) in the volunteer group during exercise. Predictors of higher exercise lactate levels in HFpEF following adjustment included female sex and chronic kidney disease (both P < 0.001). Conclusions: HFpEF is associated with reduced exercise capacity secondary to both central and peripheral factors that alter oxygen utilization. This results in hyperlactataemia. In HFpEF, plasma lactate responses to exercise may be a marker of haemodynamic and cardiometabolic derangements and represent an important target for future potential therapies. [ABSTRACT FROM AUTHOR]

Alzheimer's disease (AD) is the most common form of dementia affecting about 40 million people around the world. The number of people living with this ailment is expected to triple in the next 50 years due to the aging population and the lack of any effective treatment. In this work we have synthesized a group of three hybrid caffeic acid and a resveratrol derivatives (1-4), and we have tested their ability to inhibit in vitro the enzymatic activity of the beta-site amyloid precursor protein cleaving protein enzyme 1 (BACE 1) and acetylcholinesterase (AChE). The inhibitory activity was compared to that of parent compounds caffeic acid and resveratrol, as well as related chlorogenic acid. Clinically tested LY2811376 and tacrine were used as positive controls. All three caffeic acid derivatives displayed better inhibitory activity than parent caffeic acid and chlorogenic acid. In particular, the in vitro IC50 for compound 4 against BACE 1 fell in the nanomolar range (69 ± 5 nM), comparable or better than LY2811376 (173 ± 8 nM) which reached Phase I clinical trials against AD as a BACE 1 inhibitor. On the other hand, compound 3 showed a remarkable AChE inhibitory potency in the low micromolar range (1.93 ± 0.16 μM). Molecular docking was performed to gain valuable insights into the interactions between compounds 1-4 and the active sites of both BACE 1 and AChE. Calculated binding affinities generally correlated well with experimental in vitro inhibition. Experimental and molecular docking results validated the proposed drug design, since the most active compounds 3 and 4 established interactions with relevant amino acid residues of the BACE 1 and AChE active sites through the different pharmacophore features of the hybrid structures. Overall, the results presented in this work could potentially have important implications in the rational design of compounds with potential anti-AD properties. [ABSTRACT FROM AUTHOR]

Cardiovascular dysfunctions complicate 10–20% of pregnancies, increasing the risk for postpartum mortality. Various gestational insults, including preeclampsia are reported to be associated with adverse maternal cardiovascular outcomes. One such insult, gestational hyperandrogenism increases the risk for preeclampsia and other gestational morbidities but its impact on postpartum maternal health is not well known. We hypothesize that gestational hyperandrogenism such as testosterone (T) excess will adversely impact the maternal heart in the postpartum period. Pregnant ewes were injected with T propionate from day 30 to day 90 of gestation (term 147 days). Three months postpartum, echocardiograms, plasma cytokine profiles, cardiac morphometric, and molecular analysis were conducted [control (C) n = 6, T-treated (T) n = 7 number of animals]. Data were analyzed by two-tailed Student's t test and Cohen's effect size (d) analysis. There was a nonsignificant large magnitude decrease in cardiac output (7.64 ± 1.27 L/min vs. 10.19 ± 1.40, P = 0.22, d = 0.81) and fractional shortening in the T ewes compared with C (35.83 ± 2.33% vs. 41.50 ± 2.84, P = 0.15, d = 0.89). T treatment significantly increased 1) left ventricle (LV) weight-to-body weight ratio (2.82 ± 0.14 g/kg vs. 2.46 ± 0.08) and LV thickness (14.56 ± 0.52 mm vs. 12.50 ± 0.75), 2) proinflammatory marker [tumor necrosis factor-alpha (TNF-α)] in LV (1.66 ± 0.35 vs. 1.06 ± 0.18), 3) LV collagen (Masson's Trichrome stain: 3.38 ± 0.35 vs. 1.49 ± 0.15 and Picrosirius red stain: 5.50 ± 0.32 vs. 3.01 ± 0.23), 4) markers of LV apoptosis, including TUNEL (8.3 ± 1.1 vs. 0.9 ± 0.18), bcl-2-associated X protein (Bax)+-to-b-cell lymphoma 2 (Bcl2)+ ratio (0.68 ± 0.30 vs. 0.13 ± 0.02), and cleaved caspase 3 (15.4 ± 1.7 vs. 4.4 ± 0.38). These findings suggest that gestational testosterone excess adversely programs the maternal LV, leading to adverse structural and functional consequences in the postpartum period. NEW & NOTEWORTHY: Using a sheep model of human translational relevance, this study provides evidence that excess gestational testosterone exposure such as that seen in hyperandrogenic disorders adversely impacts postpartum maternal hearts. [ABSTRACT FROM AUTHOR]

Background: The escalating prevalence of obesity in women of reproductive age raises concerns about its impact on maternal and fetal health during pregnancy. This study aimed to thoroughly assess how obesity affects pregnancy and neonatal outcomes among Saudi pregnant women. Methods: In a retrospective cross-sectional study, we analyzed 8426 pregnant women who delivered at King Fahad National Guard Hospital in Riyadh in 2021. Of these, 3416 had obesity, and 341 of them, meeting the inclusion criteria, were selected. Maternal and neonatal outcomes were compiled using a structured questionnaire and extracted from the hospital's "Best Care" data-based registration system. Results: The findings highlighted that 40.5% of pregnant women were classified as obese, with almost half falling into obesity class II based on BMI. Obesity correlated significantly with adverse maternal outcomes like gestational diabetes and increased rates of cesarean deliveries. Additionally, maternal obesity was linked to unfavorable fetal outcomes, including higher rates of newborn intensive care unit admissions, lower APGAR scores at 1 min, and a greater likelihood of macrosomia. Conclusions: This study underscores the important impact of maternal obesity on both maternal and fetal health during pregnancy. Addressing this high-risk condition demands targeted educational programs for women of reproductive age focusing on BMI control, dietary adjustments, and lifestyle modifications to mitigate obesity-related complications during pregnancy. [ABSTRACT FROM AUTHOR]

Children born from pregnancy complications are at higher risk of chronic diseases in adulthood. Identifying which children born from a complicated pregnancy are likely to suffer from later chronic disease is important in order to intervene to prevent or delay the onset of disease. This study examined the associations between the major pregnancy complications (gestational diabetes, high blood pressure, small- and large for gestational age, and preterm birth) and child telomere length, a biomarker of chronic disease risk. This was a population-based longitudinal analysis using data from the Longitudinal Study of Australian Children. The primary outcome is telomere length, measured in 11–12-year-old children. Multivariable linear regression was used to estimate the association between pregnancy complications and child telomere length, adjusting for a range of a priori confounders. Data from 841 families were used. One in four pregnancies (27.1%) featured a pregnancy complication. In the adjusted analysis, there was no association between pregnancy complications and child telomere length (high blood pressure: mean difference (95% CI): 0.00 (−0.12, 0.12); gestational diabetes (0.05 (−0.10, 0.19)); small for gestational age (0.07 (−0.04, 0.19)); large for gestational age (−0.06 (−0.15, 0.03)); and preterm birth (−0.10 (−0.21, 0.01)). Our results do not support the notion that telomere length is shorter in children born to mothers after a pregnancy complication. Methodological considerations should be rigorous to improve the reproducibility of findings. [ABSTRACT FROM AUTHOR]

Anthropogenic activities put biodiversity under pressure, adversely affecting the forest ecosystem and wildlife habitats. Habitat disturbance and modification are among the main threats to animal populations in tropical forests. In the Democratic Republic of Congo (DRC), Grauer's gorillas (Gorilla beringei graueri) are continuously threatened through forest encroachment for agricultural expansion, human settlements, new refugee camps, illegal logging, and mining across the country. Moreover, poaching and bushmeat trafficking continuously threaten gorillas' existence. These drivers increase the proximity of humans and the risk of disease transmission. The emerging and existing zoonotic diseases, including Ebola, are continuously impacting gorillas' lives. All of these pressures combined are disrupting natural behavior patterns and are leading to the decline in the Grauer's gorillas' population. Therefore, this review scrutinizes findings on the anthropogenic pressures on the habitats and survival of Grauer's gorillas. Also, it is important to engage with people for the shared conservation role and ecotourism to support the conservation of forest biodiversity and Grauer's gorillas' habitats, particularly for the Maiko National Park in the DRC. [ABSTRACT FROM AUTHOR]

Introduction: Supervised physical exercise has been shown to benefit patients with heart failure with preserved/mildly reduced ejection fraction (HFpEF/HfmrEF) by improving symptoms and diastolic function. This study aimed to investigate the correlation between unsupervised daily physical activity and changes in daily pulmonary artery pressure (PAP) in patients with stable NYHA class III heart failure (HF) and left ventricular ejection fraction (LVEF) of 45% or higher., Methods: Daily physical activity was monitored over a 3-month period using a Holter-ECG with an accelerometer that calculated an activity-associated, heart rate-derived metabolic equivalent of task (MET) score. PAP was measured using an implanted sensor in 17 patients., Results: During 3 months of PAP monitoring in parallel with Holter ECG in our HF patients (median age 77 [IQR 72-79.5] years, LVEF 55 [49-56] %, mean cardiac index 1.9 ± 0.3), mean, diastolic, and systolic PAP remained unchanged. Patients engaged in unsupervised daily activity with a mean MET score of 5.0 ± 1.2 and a median daily duration of 41 [13-123] minutes. Intensity of daily activity was associated with a higher diastolic PAP on the following day (R 2  = 0.017, p = 0.003), particularly in female patients and those with pulmonary hypertension (PH) (female: R 2  = 0.044, p = 0.002; PH: R 2  = 0.024, p = 0.004). Patients with longer daily activity durations had lower systolic and mean PAP (p = 0.038 and p = 0.048) and a similar diastolic PAP (p = 0.053) after 3 months., Conclusions: Tracking changes in daily PAP based on intensity and duration of unsupervised daily activity using implanted sensors and a PocketECG ® is feasible. While daily activity duration was not directly linked to diastolic PAP on the first day after daily activity, intensity, especially in female and PH patients, was associated with increased diastolic PAP. In addition, longer daily activity, rather than higher intensity, might be more important for lowering PAP in the long term. Further research in larger trials is warranted to confirm these findings., (© 2024. The Author(s).)

In this study, we explore the disproportionation reaction mechanism in alkaline media during the oxygen evolution reaction (OER) utilizing mesoporous electrodes, namely LiMn2O4 (m-LMO), Mn3O4 (m-Mn3O4), and Mn2P2O7 (m-MnPP). The electrodes are crafted through the molten salt-assisted self-assembly (MASA) process. The procedure commences with the application of a metal salt(s)–surfactant and metal salt–pyrophosphoric acid–surfactant (where the surfactant is P123) lyotropic liquid crystalline mesophase coating over a FTO surface by employing a clear ethanol or aqueous solution of the ingredients, followed by a subsequent calcination step at 300 °C. The electrodes are characterized by spectroscopic, diffraction, imaging, and electrochemical techniques. At low electrochemical potentials, Mn(III), and at more positive potentials, Mn(VI) disproportionation reactions make these materials highly unstable in alkaline media. The aforementioned degradation processes have been investigated by examination of the electrodes both prior to and after subsequent use in electrochemical measurements in various electrolytes. We found that the degradation process is relatively slow in m-LMO, but elevated in m-Mn3O4 and m-MnPP electrodes. m-LMO is fully converted into the λ-MnO2 phase upon its oxidation and more robust to decomposition; making it ultra-thin further improves its robustness. However, the m-Mn3O4 and m-MnPP electrodes behave similarly to each other and degrade more quickly (more pronounced in the latter), by releasing purple-colored permanganate ions into the electrolyte media. A Mn(VI) disproportionation reaction mechanism is suggested using the experimentally gathered spectroscopic, diffraction, and electrochemical data. The formation of Mn(VI) surface species and their electronegativity play vital roles in the disproportionation reaction. [ABSTRACT FROM AUTHOR]

The transformation of renewable bio-oil into value-added chemicals and bio-oil through catalytic processes embodies an efficient approach within the realm of advancing sustainable energy. Spinel-based catalysts have garnered significant attention owing to their ability to precisely tune metals within the framework, thereby facilitating adjustments to structural, physical, and electronic properties, coupled with their remarkable thermal stability. This review aims to provide a comprehensive overview of recent advancements in spinel-based catalysts tailored specifically for upgrading bio-oil. Its objective is to shed light on their potential to address the limitations of conventional catalysts, thereby advancing sustainable biofuel production. Initially, a comprehensive analysis is conducted on different metal oxide composites in terms of their similarity and dissimilarity on properties. Subsequently, the synthesis methodologies of spinels are scrutinised and potential avenues for their modification are explored. Following this, an in-depth discussion ensues regarding the utilisation of spinels as catalysts or catalyst precursors for catalytic cracking, ketonisation, catalytic hydrodeoxygenation, steam and aqueous-phase reforming, as well as electrocatalytic upgrading of bio-oil, with a specific emphasis on elucidating their catalytic reactivity, and underlying structure-activity correlation and catalysis mechanisms. Finally, the challenges and potential prospects in utilising spinels for the catalytic valorisation of renewable biofuel are addressed, with a specific focus on the use of machine learning - based approaches to optimise the structure and activity of spinel catalysts. This review aims to provide specific directions for further exploration and maximisation of the spinel catalysts in the bio-oil upgrading field., (© 2024 Wiley-VCH GmbH.)

Biological sex is one of the major factors characterizing the heart failure (HF) patient phenotype. Understanding sex-related differences in HF is crucial to implement personalized care for HF patients with various phenotypes. There are sex differences in left ventricular (LV) remodeling patterns in the HF setting, namely, more likely concentric remodeling and diastolic dysfunction in women and eccentric remodeling and systolic dysfunction in men. Recently supra-normal EF (snLVEF) has been recognized as a risk of worse outcome. This pathology might be more relevant in female patients. The possible mechanism may be through coronary microvascular dysfunction and sympathetic nerve overactivation from the findings of previous studies. Further, estrogen deficit might play a significant role in this pathophysiology. The sex difference in body composition may also be related to the difference in LV remodeling and outcome. Lower implementation in guideline-directed medical therapy (GDMT) in female HFrEF patients might also be one of the factors related to sex differences in relation to outcomes. In this review, we will discuss the sex differences in cardiac and clinical phenotypes and their relation to outcomes in HF patients and further discuss how to provide appropriate treatment strategies for female patients. [ABSTRACT FROM AUTHOR]

Background: Pre-pregnancy obesity increases the risk of perinatal complications. Post-pregnancy is a time of preparation for the next pregnancy and lifestyle advice in antenatal care and postpartum follow-up is therefore recommended. However, behavioral changes are difficult to achieve, and a better understanding of pregnant women's perspectives and experiences of pre-pregnancy weight development is crucial. Methods: We used a qualitative design and conducted semi-structured interviews with 14 women in Norway with pre-pregnancy obesity 3–12 months postpartum. Data were analyzed using thematic analysis. Results: Four themes addressing women's experiences and understanding of their weight development were generated: (1) Unmet essential needs, (2) Genetic predisposition for obesity, challenging life course transitions and turning points, (3) Under a critical eye: an ever-present negative bodily awareness, and (4) Wrestling with food. Parents' inability to meet children's essential needs caused weight gain through an unbalanced diet, increased stress, and emotional eating patterns. Body criticism and a feeling of not belonging led to negative body awareness that influenced behavioral patterns and relationships. Participants reporting having had a good childhood more often described their weight development as a result of genetic predisposition, challenging life course transitions and turning points, such as illness and injuries. Nevertheless, these participants also described how eating patterns were influenced by stress and negative emotions. Conclusions: Healthcare providers should pay attention to the insider perspectives of pre-pregnancy weight development. An open and shared understanding of the root causes of these women's weight development can form a basis for more successful lifestyle guidance. Plain English summary: Pregnant women with obesity face increased risks of pregnancy-related complications, warranting extended monitoring of their lifestyle and weight during pregnancy. The complexity of obesity makes lifestyle changes challenging both during and beyond pregnancy. Limited research exists on understanding weight development from the perspective of pregnant women with obesity. To explore their understanding and experiences of weight development from childhood to motherhood, we conducted in-depth interviews with 14 women with a BMI ≥ 30 before their pregnancies. The interviews were preformed 3–12 months post-birth. Through thematic analysis, four themes were developed: (1) Unmet essential needs, (2) Genetic predisposition for obesity, challenging life course transitions, and turning points, (3) Under a critical eye: an ever-present negative bodily awareness, and (4) Wrestling with food. Parental neglect of their children's essential needs may result in unhealthy weight gain through an unbalanced diet and/or an urgent need to regulate negative emotions with food. Body criticism and self-perceived differences deprive children and adolescents of a carefree and accepting relationship with their bodies. While participants with a satisfactory childhood more often understood their weight in light of hereditary factors, difficult transitional phases, illness, or injuries, several of them described an eating pattern influenced by negative emotions such as stress, work pressure, and depressed mood. An open and shared understanding of the root causes of these women's weight development can form a basis for more successful lifestyle guidance. [ABSTRACT FROM AUTHOR]

Introduction: Work-life conflict (WLC) is important in organizational behavior research and human resource management. The present research aimed to investigate the underlying causes, consequences, and solutions to WLC in Iranian working women. Materials and methods: The present qualitative study was conducted through a content analysis method among 19 working married women in Birjand, a city in the east of Iran, from December 2021 to February 2022. To collect the data, semi-structured interviews were held. The average interview time was 45 minutes, and all interviews were recorded upon the participants' consent. Finally, after coding, the information was analyzed with MAXQDA software. Findings: The causes of conflict included 4 main categories of individual, interpersonal, organizational, and cultural factors, with seven subcategories: the pressure of the mother's role at home, personality traits, lack of individual skills, insufficient support, work characteristics, organizational policies, and the traditional role of women in society. The consequences of conflict included 2 main categories, Decreasing quality of life and work problems with 4 subcategories: physical and mental illnesses, forgetting one's role towards others, limiting social communication, and reducing productivity. Conflict resolution methods included 3 main classes of individual-oriented, other-oriented, and organization-oriented with 8 subclasses: program-oriented, meaning-oriented, emotion-oriented, avoidance, emotional support, instrumental and work support, support work policies, and correct management views. Conclusion: To solve the problem of conflict, different aspects should be considered and help to solve this challenge by influencing each dimension. [ABSTRACT FROM AUTHOR]

In Kibira National Park, Burundi, socioeconomic and demographic factors lead to environmental performance challenges that impede biodiversity; thus, understanding the impact of these determinants on land use and land cover change is important to address these challenges. In this study, a multivariate analysis of variance (MANOVA) model was used to quantify the impact of socioeconomic and demographic factors on land cover/land use (LCLU) changes using Landsat images captured between 1990 and 2021. In addition, the impact of the environmental performance index (EPI), particularly ecosystem vitality (ECO), on landscape fragmentation was examined using a Spearman correlation analysis. A Pearson correlation analysis and a principal component analysis (PCA) were used to investigate the connections between the indicators of relevance in this study. The results reveal a decrease in forestland from 86.1% to 81.32%, a decrease in water bodies from 0.352% to 0.178%, and a decrease in open land from 2.124% to 1.134%, whereas grassland increased from 11.43% to 17.37% between 1990 and 2021. The landscape fragmentation in the edge density, contagion (CONTAG), largest patch index (LPI), number of patches (NP), and patch density (PD) was reduced in 2011 but increased again from 2016 to 2021, when only the ED fragmentation continued to decrease. The MANOVA results show that the rural population had a significant impact on LCLU changes at the 5% level of significance. Demographic factors significantly contributed to changes in grassland and forestland at a probability of 5%. In addition, moderately significant connections were observed between population growth per year and water and between gross domestic product (GDP) and grassland at the 10% level. ECO issues in ecosystem services (ECSs) were statistically significant for the increased fragmentation metrics, while biodiversity and habitat (BDH) were important for reducing the edge density (ED) at a 5% level of significance. The Pearson correlations showed a substantial positive relationship between the socioeconomic and demographic components, whereas a negative connection was found between the forestland and BDH indicators. These findings are essential for understanding the significant drivers of LCLU changes and the influence of environmental performance on the landscape pattern. [ABSTRACT FROM AUTHOR]

Due to hormonal variations, heart failure with preserved ejection fraction (HFpEF) remains prevalent in women and affects almost half of the heart failure (HF) patients. Given the yearly death rate of 10–30% and the unavailability of medications targeting HFpEF, the need arises for a better understanding of the fundamental mechanisms of this syndrome. This comprehensive review explores sex-specific differences in traditional risk factors; female-specific factors that may impact HFpEF development and response to therapy, including variations in hormone levels that may occur pre- and post-menopausal or during pregnancy; and disparities in comorbidities, clinical presentation, and diagnostic challenges. Lastly, the review addresses prognostic outcomes, noting that women with HFpEF have a poor quality of life but a higher survival rate. It also discusses novel biomarkers and precision medicine, emphasizing their potential to improve early detection and personalized treatment. [ABSTRACT FROM AUTHOR]

Unraveling the atomistic and the electronic structure of solid–liquid interfaces is the key to the design of new materials for many important applications, from heterogeneous catalysis to battery technology. Density functional theory (DFT) calculations can, in principle, provide a reliable description of such interfaces, but the high computational costs severely restrict the accessible time and length scales. Here, we report machine learning-driven simulations of various interfaces between water and lithium manganese oxide (LixMn2O4), an important electrode material in lithium ion batteries and a catalyst for the oxygen evolution reaction. We employ a high-dimensional neural network potential to compute the energies and forces several orders of magnitude faster than DFT without loss in accuracy. In addition, a high-dimensional neural network for spin prediction is utilized to analyze the electronic structure of the manganese ions. Combining these methods, a series of interfaces is investigated by large-scale molecular dynamics. The simulations allow us to gain insights into a variety of properties, such as the dissociation of water molecules, proton transfer processes, and hydrogen bonds, as well as the geometric and electronic structure of the solid surfaces, including the manganese oxidation state distribution, Jahn–Teller distortions, and electron hopping. [ABSTRACT FROM AUTHOR]

Label-free identification of tumor cells using spectroscopic assays has emerged as a technological innovation with a proven ability for rapid implementation in clinical care. Machine learning facilitates the optimization of processing and interpretation of extensive data, such as various spectroscopy data obtained from surgical samples. The here-described preclinical work investigates the potential of machine learning algorithms combining confocal Raman spectroscopy to distinguish non-differentiated glioblastoma cells and their respective isogenic differentiated phenotype by means of confocal ultra-rapid measurements. For this purpose, we measured and correlated modalities of 1146 intracellular single-point measurements and sustainingly clustered cell components to predict tumor stem cell existence. By further narrowing a few selected peaks, we found indicative evidence that using our computational imaging technology is a powerful approach to detect tumor stem cells in vitro with an accuracy of 91.7% in distinct cell compartments, mainly because of greater lipid content and putative different protein structures. We also demonstrate that the presented technology can overcome intra- and intertumoral cellular heterogeneity of our disease models, verifying the elevated physiological relevance of our applied disease modeling technology despite intracellular noise limitations for future translational evaluation. [ABSTRACT FROM AUTHOR]

Purpose: To assess the relationship of early pregnancy maternal diet quality (DQ) with maternal plasma lipids and indicators of cardiometabolic health, including blood pressure (BP), gestational diabetes mellitus (GDM) and gestational weight gain (GWG). Methods: Women (n = 215) aged 18–40 years with singleton pregnancies were recruited at 10–20 weeks gestation. Diet quality was assessed by the Dietary Guideline Index, calculated at early ([mean ± SD]) (15 ± 3 weeks) and late (35 ± 2 weeks) pregnancy. Lipidomic analysis was performed, and 698 species across 37 lipid classes were measured from plasma blood samples collected at early (15 ± 3 weeks) and mid (27 ± 3 weeks)-pregnancy. Clinical measures (BP, GDM diagnosis, weight) and blood samples were collected across pregnancy. Multiple linear and logistic regression models assessed associations of early pregnancy DQ with plasma lipids at early and mid-pregnancy, BP at three antenatal visits, GDM diagnosis and total GWG. Results: Maternal DQ scores ([mean ± SD]) decreased significantly from early (70.7 ± 11.4) to late pregnancy (66.5 ± 12.6) (p < 0.0005). At a false discovery rate of 0.2, early pregnancy DQ was significantly associated with 13 plasma lipids at mid-pregnancy, including negative associations with six triglycerides (TGs); TG(54:0)[NL-18:0] (neutral loss), TG(50:1)[NL-14:0], TG(48:0)[NL-18:0], TG(52:1)[NL-18:0], TG(54:1)[NL-18:1], TG(50:0)[NL-18:0]. No statistically significant associations were found between early pregnancy DQ and BP, GDM or GWG. Conclusion: Maternal diet did not adhere to Australian Dietary Guidelines. Diet quality was inversely associated with multiple plasma TGs. This study provides novel insights into the relationship between DQ, lipid biomarkers and cardiometabolic health during pregnancy. [ABSTRACT FROM AUTHOR]

Objective: To identify the determinants and risks associated with developing hypertension and metabolic syndrome in the first year postpartum in women who experienced preeclampsia. Methods: A cohort study was conducted, involving women who had experienced preeclampsia (PE) recently. The control group was women with the same characteristics but a healthy pregnancy. The variables analyzed were somatometry, disease history, pre-pregnancy body mass index (Pre-BMI), and Third Adult Treatment Panel updated (ATP III) metabolic syndrome (MS) data (blood pressure, obesity, triglycerides, high-density lipoproteins, and fasting glucose). These variables were measured at 3, 6, and 12 months postpartum. Results: Women with a history of PE exhibited higher systolic and diastolic blood pressure than women without PE. The risk of developing isolated diastolic arterial hypertension at 3 and 12 months of follow-up was two to eight times greater in women with a history of PE. Factors associated with having higher blood pressure levels were preeclampsia, insulin resistance, age, and BMI. Neither the pre-BMI index nor gestational weight gain (GWG) had any effect on blood pressure in any of the three assessments. Women with preeclampsia had a 5- to 8-fold increased risk of developing MS (which could be explained not only by the history of preeclampsia but also by the history of pre-pregnancy obesity). However, PE was not identified as a risk factor at the six-month evaluation and was only explained by pre-pregnancy obesity and overweight. Conclusions: Obesity and overweight, as well as preeclampsia, were strongly associated with the development of hypertension and metabolic syndrome during the first year following childbirth. [ABSTRACT FROM AUTHOR]

Spinel-type CuFe2O4 nanoparticles were synthesized by a solvothermal method using ethylene glycol as solvent and polyvinylpyrrolidone (PVP) as dispersant. The characterization results showed that the average diameter of the hollow-spherical CuFe2O4 was approximately 100 nm with homogeneous morphology and negligible agglomeration. CuFe2O4 was used as the active electrode material to explore its supercapacitive properties in different concentrations of KOH electrolytes. It was found that the CuFe2O4 hollow-spherical nanoparticles exhibit potential electronic performance in supercapacitor, with a specific capacitance of 368.2 F/g and capacitance stability retention of 91.0% after 2000 cycles at the current density of 5 A/g in 3 mol/L KOH electrolyte. The present findings demonstrate that the CuFe2O4 electrode materials can have important implications with practical prospects in energy storage systems. [ABSTRACT FROM AUTHOR]

Purpose of Review: Heart failure (HF) represents a pathology in constant growth, but, despite the fact that a significant proportion of its population is comprised of elderly patients, they are not adequately represented in clinical trials or registries. They constitute a heterogeneous population with their particularities and interaction of the multiple comorbidities that characterize this age group, which makes the clinical course, prognosis and outcomes of the disease different., Recent Findings: Compared to men, women with HF tend to be older, with a greater burden of non-cardiovascular comorbidities, less ischemic heart disease and preserved ventricular function in most cases. This fact translates into worse self-perceived quality of life, with lower hospitalization and mortality rates. Moreover, paradoxically, women are less likely to receive treatment recommended by clinical practice guidelines, including revascularization and device placement. As there are not enough representative studies of this population, the reasons for these results with better prognosis and relatively benign impact in the elderly female population are unknown, which is why it is necessary to continue with research in order to obtain greater evidence of the exposed gaps., (© 2024. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.)

Despite the progress in the care of individuals with heart failure (HF), important sex disparities in knowledge and management remain, covering all the aspects of the syndrome, from aetiology and pathophysiology to treatment. Important distinctions in phenotypic presentation are widely known, but the mechanisms behind these differences are only partially defined. The impact of sex-specific conditions in the predisposition to HF has gained progressive interest in the HF community. Under-recruitment of women in large randomized clinical trials has continued in the more recent studies despite epidemiological data no longer reporting any substantial difference in the lifetime risk and prognosis between sexes. Target dose of medications and criteria for device eligibility are derived from studies with a large predominance of men, whereas specific information in women is lacking. The present scientific statement encompasses the whole scenario of available evidence on sex-disparities in HF and aims to define the most challenging and urgent residual gaps in the evidence for the scientific and clinical HF communities., (© 2024 European Society of Cardiology.)

This study investigates how a lack of social support differentially affects men and women's colorectal cancer (CRC) screening participation, considering different screening strategies implemented across European countries. Although health sociology has stressed gender differences in social support and its effects on health behaviours, this was overlooked by cancer screening research. Using a data set of 65,961 women and 55,602 men in 31 European countries, we analysed the effect of social support variables on CRC screening uptake. We found that living alone and lower perceived social support were associated with lower screening uptake for both men and women. These effects were, however, stronger among men. Population-based screening programmes mitigated these effects, particularly for women, but not for men living alone. In countries with opportunistic screening programmes, social support variables remained associated with screening uptake. We conclude that cancer screening interventions should pay attention to social support and its gender-differentiated effects., (© 2024 The Authors. Sociology of Health & Illness published by John Wiley & Sons Ltd on behalf of Foundation for the Sociology of Health & Illness.)

The article discusses the development of a large animal model for heart failure with preserved ejection fraction (HFpEF) using castrated male pigs. The study identified microRNA (miRNA) and messenger RNA (mRNA) signatures associated with HFpEF, highlighting potential molecular targets for future therapeutic investigations. The authors emphasize the importance of including female pigs in future studies to account for sex differences in HFpEF pathophysiology and suggest exploring the function of identified targets in human cells or genetic mouse models for validation. Additionally, the article underscores the significance of large animal models in drug discovery for cardiovascular diseases like HFpEF, bridging the gap between rodent studies and human clinical trials. [Extracted from the article]

The widely used wavelet-thresholding techniques (DWT-H and DWT-S) have a near-optimal behavior that cannot be enhanced by any local denoising filter, but they cannot utilize the similarity of small-size image patches to enhance the denoising performance. Two of the latest improvements (WNLM and NLMW) introduced the Euclidean distance to measure the similarity of image patches, and then used the non-local meaning of similar patches for further denoising. Since the Euclidean distance is not a good similarity measurement, these two improvements are limited. In this study, we introduced the earth mover's distance (EMD) as the similarity measure of small-scale patches within the wavelet sub-bands of noisy images. Moreover, at higher noise levels, we further incorporated joint bilateral filtering, which can filter both the spatial domain and the intensity domain of images. Denoising simulation experiments on BSDS500 demonstrated that our algorithm outperformed the DWT-H, DWT-S, WNLM, and NLMW algorithms by 4.197 dB, 3.326 dB, 2.097 dB, and 1.162 dB in terms of the average PSNR, and by 0.230, 0.213, 0.132, and 0.085 in terms of the average SSIM. [ABSTRACT FROM AUTHOR]

Niche theory predicts that ecologically similar species can coexist through multidimensional niche partitioning. However, owing to the challenges of accounting for both abiotic and biotic processes in ecological niche modelling, the underlying mechanisms that facilitate coexistence of competing species are poorly understood. In this study, we evaluated potential mechanisms underlying the coexistence of ecologically similar bird species in a biodiversity-rich transboundary montane forest in east-central Africa by computing niche overlap indices along an environmental elevation gradient, diet, forest strata, activity patterns and within-habitat segregation across horizontal space. We found strong support for abiotic environmental habitat niche partitioning, with 55% of species pairs having separate elevation niches. For the remaining species pairs that exhibited similar elevation niches, we found that within-habitat segregation across horizontal space and to a lesser extent vertical forest strata provided the most likely mechanisms of species coexistence. Coexistence of ecologically similar species within a highly diverse montane forest was determined primarily by abiotic factors (e.g. environmental elevation gradient) that characterize the Grinnellian niche and secondarily by biotic factors (e.g. vertical and horizontal segregation within habitats) that describe the Eltonian niche. Thus, partitioning across multiple levels of spatial organization is a key mechanism of coexistence in diverse communities. [ABSTRACT FROM AUTHOR]

Biofilm formation is a major threat to industry, the environment and human health. While killing of embedded microbes in biofilms may inevitably lead to the evolution of antimicrobial resistance (AMR), catalytic quenching of bacterial communications by lactonase is a promising antifouling approach. Given the shortcomings of protein enzymes, it is attractive to engineer synthetic materials to mimic the activity of lactonase. Herein, an efficient lactonase‐like Zn−Nx−C nanomaterial was synthesized by tuning the coordination environment around zinc atoms to mimic the active domain of lactonase for catalytical interception of bacterial communications in biofilm formation. The Zn−Nx−C material could selectively catalyze 77.5 % hydrolysis of N‐acylated‐L‐homoserine lactone (AHL), a critical bacterial quorum sensing (QS) signal in biofilm construction. Consequently, AHL degradation downregulated the expression of QS‐related genes in antibiotic resistant bacteria and significantly prevented biofilm formation. As a proof of concept, Zn−Nx−C‐coated iron plates prevented 80.3 % biofouling after a month exposure in river. Overall, our study provides a nano‐enabled contactless antifouling insight to avoid AMR evolution by engineering nanomaterials for mimicking the key bacterial enzymes (e.g. lactonase) functioning in biofilm construction. [ABSTRACT FROM AUTHOR]