Purpose: Surgical management of the lateral end of clavicle fractures has been a challenge for orthopedic surgeons considering the high rate of non-union. There has been no right and wrong answer to these types of fractures and many methods discussed in the literature, but the 2 most used bony procedures are hook plate and locking plate with or without the use of supplementary soft tissue procedures. The available evidence, in this case, is scarce with questionable reliability.
View Article and Find Full Text PDFChronic aortic dissection is a complex disease with a heterogenous clinical course. Specialised imaging is necessary for the long-term surveillance of this disease to identify patients who meet the criteria for intervention, and to monitor surgically treated patients for complications. Whilst computed tomography and magnetic resonance imaging are the most widely utilised modalities, providing a high degree of anatomical detail and reproducible aortic measurements, they are not without significant limitations.
View Article and Find Full Text PDFClimate change exerts a substantial impact on urban livability at a global scale, resulting in an escalation in the frequency of floods, heat waves, and droughts that pose significant challenges to the quality of life in different regions. The current study assesses the livability trends of 166 districts in Central India from 2001 to 2021 by employing a District Livability Index (DLI) and geospatial analysis. It is noted that economic factors, particularly the GSDP and the extent of industrial progress, have a pivotal role in influencing enhancements in livability.
View Article and Find Full Text PDFChildren suffering from severe acute malnutrition (SAM) have a weakened immune system. The relationship between malnutrition and alterations in the frequency of peripheral blood mononuclear cells (PBMCs) remains unclear. This study investigated the altered immune responses in Bangladeshi children with SAM compared to healthy children.
View Article and Find Full Text PDFProteins and carbohydrates are fundamental biomolecules that play crucial roles in life processes. The interactions between these molecules are essential for various biological functions, including immune response, cell activation, and energy storage. Therefore, understanding and identifying protein-carbohydrate binding regions is of significant importance.
View Article and Find Full Text PDFPhys Rev Lett
February 2025
AMoRE searches for the neutrinoless double beta decay using 100 kg of enriched ^{100}Mo. Scintillating molybdate crystals coupled with a metallic magnetic calorimeter operate at milli-Kelvin temperatures to measure the energy of electrons emitted in the decay. AMoRE-I is a demonstrator for the full-scale AMoRE, operated at the Yangyang Underground Laboratory for over two years.
View Article and Find Full Text PDFBackground: Data regarding the effectiveness of vancomycin resistant Enterococci (VRE) active prophylaxis for preventing early post-liver transplant (LT) VRE infections in VRE-colonized patients are scarce.
Methods: One-hundred-thirty-one pre-LT VRE colonized patients who underwent liver transplantation were enrolled in a retrospective, observational, multicenter study. The incidence of early-onset VRE infections was compared between patients who received active prophylaxis for VRE and those who did not.
Background: Venomous or dry bites can result from snake envenomation. Therefore, developing a detection test for venomous snakebites in envenomed patients can prevented from unnecessary antivenom therapy for dry bites, thereby, saving them from adverse effects and cost of antivenom therapy.
Methodology: This study demonstrates a method for the diagnosis of medically significant 'Big Four' Indian snake venoms (Naja naja, Bungarus caeruleus, Daboia russelii, Echis carinatus) in the plasma of experimentally envenomed animals (envenomed under laboratory conditions).
Neuraminidase (NA) is an essential enzyme located at the outer layer of the influenza virus and plays a key role in the release of virions from infected cells. The rising incidence of global epidemics has made the urgent need for effective antiviral medications an urgent public health priority. Furthermore, the emergence of resistance caused by specific mutations in the influenza viral genome exacerbates the challenges of antiviral therapy.
View Article and Find Full Text PDFEnviron Sci Pollut Res Int
March 2025
In modern societies, especially in developed countries, textile waste management has become a critical issue due to overconsumption and throw-away culture. This case study aims to develop a comprehensive quantitative energy demand and carbon footprint analysis model using CCalC2 software to identify the most sustainable end-of-life management practices for the textile waste in Australia, the second-largest consumers of textile products. Results of this study showed that chemical recycling is the best option from the standpoint of saving pulp production energy and recycled pulp material, while it is a carbon-intensive process (6401 kg COeq/1000 kg).
View Article and Find Full Text PDFBackground: In developing settings, comparative data on COVID hospitalised survivors (HS) and non-hospitalised survivors (NHS) is scarce. We determined burdens, incidence, evolution, and associated factors of long COVID-19 over two years among these groups.
Methods: We conducted a longitudinal cohort study in Dhaka, Bangladesh, and recruited confirmed COVID-19 survivors from December 2020 to May 2021 (previously reported).
This systematic review evaluates the comparative efficacy and safety of antihypertensive therapies, including angiotensin-converting enzyme inhibitors (ACEis), angiotensin receptor blockers (ARBs), and calcium channel blockers (CCBs), in managing hypertension among chronic kidney disease (CKD) patients. A comprehensive search adhering to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines was conducted across five databases, identifying eight randomized controlled trials (RCTs) published in the last five years. The included studies examined diverse populations, ranging from pediatric to elderly CKD patients, with interventions tailored to specific subgroups, including those with proteinuria or diabetic kidney disease.
View Article and Find Full Text PDFCognitive impairment and depression are salient comorbidities of mesial temporal lobe epilepsy; it is still unclear whether this frequently drug resistant disease is a cause or consequence of hippocampal damage and its interplay with long-lasting seizure activity (; SE). Thus, a major therapeutic advance in this field is badly needed. We modeled enduring behavioral and electroencephalographic (EEG) seizures in mice by the intraperitoneal injection of kainic acid (KA), and measured the dynamics of the intracellular Ca signals in the hippocampal CA1 area by fiber photometry.
View Article and Find Full Text PDFBackground: Management of isolated medial meniscus posterior root (MMPR) tears is challenging, especially in older patients, where indications for repair must be weighed against potential repair failure and osteoarthritic progression.
Purpose: To compare patient-reported outcomes and incidence of failure after anatomic transtibial pullout repair for isolated MMPR tears in patients >60 versus ≤60 years of age.
Study Design: Cohort study; Level of evidence, 3.
Bio-engineered silver nanoparticles (BE-AgNPs) are receiving discernible attention due to their diverse application history; however, the interaction of silver nanoparticles (Ag-NPs) with the environment and their toxicity in aquatic organisms is a matter of concern debate. Therefore, the current study aims to evaluate the bio-fabrication of Ag-NPs using Bellis perennis (B. perennis) plant flower extract and to assess their toxicity against Cyprinus carpio as an aquatic model organism.
View Article and Find Full Text PDFPoor sleep is common in hospitalised patients due to multiple factors, including disruption of the circadian rhythm. Few studies have examined programmable artificial lighting systems in hospital patient rooms, and few have achieved meaningful improvement in sleep. We sought to determine how novel dynamic lighting affects sleep timing and duration compared to standard hospital lighting.
View Article and Find Full Text PDFEur J Med Res
March 2025
Background: Incorporation of heart rate, flow rate, and PaO/FIO (PF) ratio to ROX index has been postulated to better predict high-flow nasal cannula (HFNC) usage outcomes in post-extubation setting. Therefore, we aimed to compare ROX index with new modified indices to predict HFNC outcomes in the post-extubation setting.
Methods: This single-centre 6-year retrospective study included subjects initiated on HFNC post-extubation.
Background: Receptor-activated SMADs trimerize with SMAD4 to regulate context-dependent target gene expression. However, the presence of a single SMAD1/5/8 binding motif in cis-regulatory elements alone does not trigger transcription in native contexts. We hypothesize that binding to composite motifs in which at least two SMAD binding sites are in close proximity would be enough to induce transcription as this scenario allows the simultaneous interaction of at least two SMAD proteins, thereby increasing specificity and affinity.
View Article and Find Full Text PDFSpiruchostatin A also referred to as YM753 and OBP801, a cyclic peptide-based natural product derived from Pseudomonas sp., is distinguished by its potent inhibition of Class I histone deacetylases (HDACs). The modulation of epigenetic mechanisms by HDAC inhibitors is fundamental for altering gene expression related to cell growth, apoptosis, and differentiation, highlighting their potential in oncologic therapies.
View Article and Find Full Text PDFClassifying medical images is essential in computer-aided diagnosis (CAD). Although the recent success of deep learning in the classification tasks has proven advantages over the traditional feature extraction techniques, it remains challenging due to the inter and intra-class similarity caused by the diversity of imaging modalities (i.e.
View Article and Find Full Text PDFHeatwaves pose a significant threat to environmental sustainability and public health, particularly in vulnerable regions and rapidly growing cities. They cause water shortages, stress on plants, and an overall drying out of landscapes, reducing plant growth-the basis of energy production and the food chain. Accurate heatwave forecasting is crucial for early warning systems, public health interventions, and disaster preparedness strategies, reducing heat-related mortality risk through modeling and evaluation of warnings.
View Article and Find Full Text PDFNeonicotinoid insecticides, such as imidacloprid, have been used for over three decades to control major agricultural pests, including brown planthopper (Nilaparvata lugens), aphids, and other sap-feeding insects. However, the extensive use of imidacloprid has led to widespread resistance across Asia in many pest populations. Bioassay results demonstrated significant resistance in N.
View Article and Find Full Text PDFRNA interference (RNAi) is a cellular mechanism regulating gene expression at a post-transcriptional level in eukaryotes. Suppression of vacuolar-ATPase B subunit (vATPase-B) expression resulted in lethality to the western flower thrips, Frankliniella occidentalis, following oral administration of the gene-specific double-stranded RNA (dsRNA) for RNAi. This study aimed to enhance the insecticidal activity of sprayable dsRNA against the thrips.
View Article and Find Full Text PDFObjective: To evaluate the faculty perspectives on how well pharmacy programs achieve key areas in the American Association of Colleges of Pharmacy (AACP) faculty survey, including administration, governance, faculty development, infrastructure, curriculum, teaching, and student supervision.
Methods: AACP Curriculum Quality Survey (CQS) data from 2016 - 2023 were analyzed. The survey included 40 Likert-scale questions (1-5: Strongly Agree to Strongly Disagree).