A narrative review of the role of geriatric advanced practice nurses in the care of frail older adults in Singapore.

In Singapore's rapidly ageing population where the demand for tailored healthcare services is increasing, but is confronted with a shortage of geriatric medicine trained physicians, innovative and sustainable ways to provide quality healthcare care for frail older adults need to be explored. Recognising, developing, growing and establishing the role of geriatric Advanced Practice Nurses (APNs) in Singapore, not just in clinical practice but in education and research as well, potentially offers one such solution to this problem. This narrative review, therefore, examines the available literature on how geriatric APNs can meet the healthcare needs of frail older adults in various local healthcare settings.

Insights into Flexible Bioinspired Fins for Unmanned Underwater Vehicle Systems through Deep Learning.

The last few decades have led to the rise of research focused on propulsion and control systems for bio-inspired unmanned underwater vehicles (UUVs), which provide more maneuverable alternatives to traditional UUVs in underwater missions. Recent work has explored the use of time-series neural network surrogate models to predict thrust and power from vehicle design and fin kinematics. We expand upon this work, creating new forward neural network models that encapsulate the effects of the material stiffness of the fin on its kinematic performance, thrust, and power, and are able to interpolate to the full spectrum of kinematic gaits for each material.

Variability in Manual Segmentation of Temporal Bone Structures in Cone Beam CT Images.

Purpose: Manual segmentation of anatomical structures is the accepted "gold standard" for labeling structures in clinical images. However, the variability in manual segmentation of temporal bone structures in CBCT images of the temporal bone has not been systematically evaluated using multiple reviewers. Therefore, we evaluated the intravariability and intervariability of manual segmentation of inner ear structures in CBCT images of the temporal bone.

Mental health-related presentations to a tertiary emergency department during the COVID-19 pandemic.

Introduction: The coronavirus disease 2019 (COVID-19) pandemic has caused significant mental distress in populations globally. At the frontline of the pandemic, emergency departments (EDs) are the prime setting to observe the effects of the pandemic on the mental health of the population. We aimed to describe the trend of mental health-related ED attendances at an acute hospital in Singapore before and during the various stages of the COVID-19 pandemic.

Further Validity Evidence for Patient-Specific Virtual Reality Temporal Bone Surgical Simulation.

Objective: Patient-specific virtual reality (VR) simulation of cochlear implant (CI) surgery potentially enables preoperative rehearsal and planning. We aim to gather supporting validity evidence for patient-specific simulation through the analysis of virtual performance and comparison with postoperative imaging.

Methods: Prospective, multi-institutional study.

Few-body hydrodynamic interactions probed by optical trap pulling experiment.

We study the hydrodynamic coupling of neighboring micro-beads placed in a multiple optical trap setup allowing us to precisely control the degree of coupling and directly measure time-dependent trajectories of entrained beads. We performed measurements on configurations with increasing complexity starting with a pair of entrained beads moving in one dimension, then in two dimensions, and finally a triplet of beads moving in two dimensions. The average experimental trajectories of a probe bead compare well with the theoretical computation, illustrating the role of viscous coupling and setting timescales for probe bead relaxation.

Development of machine learning models based on molecular fingerprints for selection of small molecule inhibitors against JAK2 protein.

Janus kinase 2 (JAK2) is emerging as a potential therapeutic target for many inflammatory diseases such as myeloproliferative disorders (MPD), cancer and rheumatoid arthritis (RA). In this study, we have collected experimental data of JAK2 protein containing 6021 unique inhibitors. We then characterized them based on Morgan (ECFP6) fingerprints followed by clustering into training and test set based on their molecular scaffolds.

A systems biology investigation of curcumin potency against TGF-β-induced EMT signaling in lung cancer.

Unlabelled: Curcumin (diferuloylmethane) is bioactive phenolic compound which exerts diverse antimetastatic effect. Several studies have reported the antimetastatic effect of curcumin by its ability to modulate the epithelial-to-mesenchymal transition (EMT) process in different cancers, but underlying molecular mechanism is poorly understood. EMT is a highly conserved biological process in which epithelial cells acquire mesenchymal-like characteristics by losing their cell-cell junctions and polarity.

A rare case of catatonia associated with COVID-19 infection.

COVID-19, caused by the SARS-CoV-2 virus, has well-documented common symptoms such as cough and fever. There is also extensive documentation on the more severe outcomes, such as sepsis and death. However, there is minimal literature regarding the neuropsychiatric effects of COVID-19.

In Silico Screening of Quorum Sensing Inhibitor Candidates Obtained by Chemical Similarity Search.

Quorum sensing (QS) is a bacterial communication using signal molecules, by which they sense population density of their own species, leading to group behavior such as biofilm formation and virulence. Autoinducer-2 (AI2) is a QS signal molecule universally used by both gram-positive and gram-negative bacteria. Inhibition of QS mediated by AI2 is important for various practical applications, including prevention of gum-disease caused by biofilm formation of oral bacteria.

Use of d-galactose to regulate biofilm growth of oral streptococci.

In the oral microbial community, commensals can compete with pathogens and reduce their colonization in the oral cavity. A substance that can inhibit harmful bacteria and enrich beneficial bacteria is required to maintain oral health. The purpose of this study was to examine the effect of d-galactose on the biofilm formation of the cariogenic bacteria Streptococcus mutans and oral commensal streptococci and to evaluate their use in solution and in paste form.

Hydrodynamic interaction facilitates the unsteady transport of two neighboring vesicles.

We obtain a numerical solution of the equation for the synchronous unsteady motion of two spherical vesicles in incompressible viscous fluid in the presence of both Stokes drag and hydrodynamics memory. We find that for a given amount of work performed, the final distance traveled by each vesicle is increased by the presence of the other vesicle moving in the same direction. The result suggests that the unsteady transport of the vesicles by molecular motors in vivo may be facilitated due to an effective hydrodynamic interaction between the neighboring vesicles.

Bifidobacterium pseudolongum in the Ceca of Rats Fed Hi-Maize Starch Has Characteristics of a Keystone Species in Bifidobacterial Blooms.

Starches resistant to mammalian digestion are present in foods and pass to the large bowel, where they may be degraded and fermented by the microbiota. Increases in relative abundances of bifidobacteria (blooms) have been reported in rats whose diet was supplemented with Hi-Maize resistant starch. We determined that the bifidobacterial species present in the rat cecum under these circumstances mostly belonged to However, cultures of isolated from the rats failed to degrade Hi-Maize starch to any extent.

Derivation of Markov processes that violate detailed balance.

Time-reversal symmetry of the microscopic laws dictates that the equilibrium distribution of a stochastic process must obey the condition of detailed balance. However, cyclic Markov processes that do not admit equilibrium distributions with detailed balance are often used to model systems driven out of equilibrium by external agents. I show that for a Markov model without detailed balance, an extended Markov model can be constructed, which explicitly includes the degrees of freedom for the driving agent and satisfies the detailed balance condition.

D-Galactose as an autoinducer 2 inhibitor to control the biofilm formation of periodontopathogens.

Autoinducer 2 (AI-2) is a quorum sensing molecule to which bacteria respond to regulate various phenotypes, including virulence and biofilm formation. AI-2 plays an important role in the formation of a subgingival biofilm composed mostly of Gram-negative anaerobes, by which periodontitis is initiated. The aim of this study was to evaluate D-galactose as an inhibitor of AI-2 activity and thus of the biofilm formation of periodontopathogens.

Microcanonical analysis of a finite-size nonequilibrium system.

Microcanonical analysis is a powerful method that can be used to generalize the concept of phase transitions to finite-size systems. However, microcanonical analysis has only been applied to equilibrium systems. I show that it is possible to conduct the microcanonical analysis of a finite-size nonequilibrium system by generalizing the concept of microcanonical entropy.

The Effect of Underwater Blast on Aggregating Brain Cell Cultures.

Although the deleterious effects of primary blast on gas-filled organs are well accepted, the effect of blast-induced shock waves on the brain is less clear because of factors that complicate the interpretation of clinical and experimental data. Brain cell aggregate cultures are comprised of multiple differentiated brain cell types and were used to examine the effects of underwater blast. Suspensions of these cultures encased in dialysis tubing were exposed to explosive-generated underwater blasts of low (∼300 kPa), medium (∼2,700 kPa), or high (∼14,000 kPa) intensities and harvested at 1-28 days post-exposure.

Method for identification of rigid domains and hinge residues in proteins based on exhaustive enumeration.

Many proteins undergo large-scale motions where relatively rigid domains move against each other. The identification of rigid domains, as well as the hinge residues important for their relative movements, is important for various applications including flexible docking simulations. In this work, we develop a method for protein rigid domain identification based on an exhaustive enumeration of maximal rigid domains, the rigid domains not fully contained within other domains.

Single molecule conformational memory extraction: p5ab RNA hairpin.

Extracting kinetic models from single molecule data is an important route to mechanistic insight in biophysics, chemistry, and biology. Data collected from force spectroscopy can probe discrete hops of a single molecule between different conformational states. Model extraction from such data is a challenging inverse problem because single molecule data are noisy and rich in structure.

RNA-stable-isotope probing shows utilization of carbon from inulin by specific bacterial populations in the rat large bowel.

Knowledge of the trophisms that underpin bowel microbiota composition is required in order to understand its complex phylogeny and function. Stable-isotope ((13)C)-labeled inulin was added to the diet of rats on a single occasion in order to detect utilization of inulin-derived substrates by particular members of the cecal microbiota. Cecal digesta from Fibruline-inulin-fed rats was collected prior to (0 h) and at 6, 12, 18 and 24 h following provision of the [(13)C]inulin diet.

Nonadditive entropies yield probability distributions with biases not warranted by the data.

Different quantities that go by the name of entropy are used in variational principles to infer probability distributions from limited data. Shore and Johnson showed that maximizing the Boltzmann-Gibbs form of the entropy ensures that probability distributions inferred satisfy the multiplication rule of probability for independent events in the absence of data coupling such events. Other types of entropies that violate the Shore and Johnson axioms, including nonadditive entropies such as the Tsallis entropy, violate this basic consistency requirement.

Exact partition function zeros of the Wako-Saitô-Muñoz-Eaton β hairpin model.

I compute exact partition function zeros of β hairpins, using both analytic and numerical methods, extending previous work [J. Lee, Phys. Rev.

Partition function zeros of a square-lattice homopolymer with nearest- and next-nearest-neighbor interactions.

We study distributions of the partition function zeros in the complex temperature plane for a square-lattice homopolymer with nearest-neighbor (NN) and next-nearest-neighbor (NNN) interactions. The dependence of distributions on the ratio of NN and NNN interaction strengths R is examined. The finite-size scaling of the zeros is performed to obtain the crossover exponent, which is shown to be independent of R within error bars, suggesting that all of these models belong to the same universality class.

Exact partition function zeros of the Wako-Saitô-Muñoz-Eaton protein model.

I compute exact partition function zeros of the Wako-Saitô-Muñoz-Eaton model for various secondary structural elements and for two proteins, 1BBL and 1I6C, by using both analytic and numerical methods. Two-state and barrierless downhill folding transitions can be distinguished by a gap in the distribution of zeros at the positive real axis.