Translational Physiologically Based Pharmacokinetic Modeling to Predict Human Pulmonary Kinetics After Lung Delivery.

Predicting human lung exposure with reasonable certainty of orally inhaled drugs based on preclinical studies remains a challenge for drug development. We have developed a comprehensive physiologically based pharmacokinetic (PBPK) framework tailored for the pulmonary pharmacokinetic (PK) behavior in both humans and rats, aiming to bridge the translational gap. In this study, we present a mechanistic pulmonary PBPK model for rats that integrates the pulmonary disposition processes, including drug deposition, dissolution, mucociliary clearance, and mass transfer in lung tissues.

Clinical Outcomes of Immediate Versus Staged Revascularization of Nonculprit Arteries in Patients With Acute Coronary Syndrome: A Systematic Review and Meta-Analysis.

Background: Recent guidelines for acute coronary syndrome (ACS) with multivessel coronary artery disease (MVD) recommend revascularization of non-culprit lesions following primary percutaneous coronary intervention (PCI). However, the optimal timing for this procedure-whether immediate or staged-remains uncertain.

Methods: A comprehensive search using PubMed (MEDLINE), Cochrane Central, and Google Scholar was conducted to identify studies comparing clinical outcomes between immediate and staged revascularization approaches in patients with MVD undergoing PCI.

Safety and efficacy of oral edible bird's nest supplementation: Anti-inflammatory and immunomodulatory benefits for Arabian race stallions during exercise.

Background And Aim: Exercise-induced oxidative stress and inflammation adversely affect the health and performance of athletic horses. This study aimed to evaluate the safety of edible bird's nest (EBN) supplementation and its potential anti-inflammatory and immunomodulatory effects in Arabian race stallions during exercise. Key objectives included assessing EBN's impact on hepatic and renal function, hematological profiles, and sialic acid (SA) levels.

Surgical Ligation of Isolated Type I Aortopulmonary Window Without Cardiopulmonary Bypass is a Safe and Cost-Effective Surgical Technique.

Introduction: Aortopulmonary window (APW) is an extremely rare congenital anomaly of the heart where there is a direct communication between the ascending aorta and main pulmonary artery. Surgical repair of APW on cardiopulmonary bypass (CPB) is considered the standard of surgical care. In this study, we selected patients with a type I APW to undergo direct surgical ligation to determine if this technique is safe and can produce equivalent results to standard open-heart repair.

Assessment of Women's Awareness of the Possible Risk of Stroke Associated with the Use of Oral Contraceptives Pills in Saudi Arabia: A Cross-Sectional Study.

: One of the most widely used reversible contraceptive techniques among women of reproductive age worldwide is oral contraceptives (OCPs). Despite their widespread use, OCPs are associated with increased risks of stroke, yet the extent of awareness of these risks among women remains insufficiently explored. This study aims to evaluate the level of awareness among women resident in Saudi Arabia regarding the potential risk of stroke linked to the use of OCPs.

Simultaneous Multi-Treatment Strategy for Brain Tumor Reduction via Nonlinear Control.

: Recently proposed brain-tumor treatment strategies prioritize fast reduction of tumor cell population while often neglecting the radiation or chemotherapeutic drug dosage requirements to achieve it. Moreover, these techniques provide chemotherapy based treatment strategies, while ignoring the toxic side effects of the drugs employed by it. : This study updates the recently proposed brain-tumor system dynamics by incorporating radiotherapy along with chemotherapy to simultaneously initiate both therapies for a more comprehensive and effective response against tumor proliferation.

Innovative Antifungal and Food Preservation Potential of Essential Oil in Combination with Modified Potato Peel Starch.

The quest for natural preservation systems is on the rise due to health hazards associated with synthetic preservatives. The current study explores a significant research gap by investigating the antifungal potential of essential oil (EO) and modified potato peel starch (M-PPS)-based coatings to control the fungal contamination in peanut kernels, providing a sustainable food preservation system. Potato peel starch was extracted by water steeping and modified by autoclaving.

Nanosensor for the detection of eosin yellow and its photocatalytic degradation using phytosynthesized cerium oxide nanoparticles.

A substantial rise in pollution due to population growth, industrialization, and urbanization has led to water contamination over the past few years, especially in developing countries. Dye-loaded effluents are often discharged into water reservoirs without any treatment, posing a significant threat to the sustainability of the environment and public health. Hence, it is imperative that researchers explore methods to effectively detect and eliminate dyes from waterways and suggest tangible solutions.

Impact of high-pressure processing on rheological, dispersive, and sensorial quality attributes of oat milk.

Unlabelled: Oat milk has attracted considerable consumer interest because of its high nutritional value, dietary fiber content, and phytochemical content. High-pressure processing (HPP) increases the shelf life of food while maintaining its nutritional value. However, HPP is known to induce rheological changes.

Effectiveness of Abdominal Breathing Exercise to Control Gastroesophageal Reflux Disease, a Randomized Controlled Trial.

Objectives: To determine the effect of actively training the crura of diaphragm which is a part of lower esophageal sphincter using abdominal breathing exercises to treat gastroesophageal reflux disease.

Methodology: With a randomized controlled study design, a total of 22 (11 in each group) clinically diagnosed patients of GERD presenting to the gastroenterology outpatient department at Holy Family Hospital in Pakistan were assessed using GERD related "quality of life index (QoLI)" questionnaire and their on-demand proton pump inhibitors (PPI) usage. Single blinding technique will be used.

A machine learning based variable selection algorithm for binary classification of perinatal mortality.

The identification of significant predictors with higher model performance is the key objective in classification domain. A machine learning-based variable selection technique termed as CARS-Logistic model is proposed by coupling competitive adaptive re-weighted sampling(CARS) and logistic regression for binary classification. Based on five assessment criteria, the proposed method is found to be more efficient than Forward selection logistic regression model.

Removal of a circumferentially torn stuck balloon from a calcified right ventricle to pulmonary artery conduit.

We report a case of right ventricle to pulmonary artery conduit angioplasty in which a valvuloplasty balloon ruptured circumferentially and was retained within the conduit. A high-pressure balloon was used to relieve the obstruction and free the ruptured balloon. The procedure was further complicated when the distal part of the balloon broke away from the proximal part during an attempt to retrieve it back into the femoral sheath.

Implant waste and associated costs in trauma and orthopaedic surgery: a systematic review.

Purpose: Trauma and orthopaedic (T&O) surgery relies on medical implants and materials, often resulting in metalwork wastage (prosthesis, screws, nails, and plates). This places an economic strain on healthcare services and the environment. Our primary outcome is to quantify the implant wastage across the literature, and secondarily investigate the associated costs in this specialty.

Demographic, social and health system factors associated with maternal mortality in Pakistan: A nested case-control study.

Background: Pakistan has experienced a significant reduction in maternal mortality with a decline of 33 percent between 2006 and 2019. However, the country still grapples with a high number (186 per 100,000 live births) of maternal deaths each year. This study aims to identify socio-demographic and health system related factors associated with maternal mortality.

Hybrid bagging and boosting with SHAP based feature selection for enhanced predictive modeling in intrusion detection systems.

The novelty and growing sophistication of cyber threats mean that high accuracy and interpretable machine learning models are needed more than ever before for Intrusion Detection and Prevention Systems. This study aims to solve this challenge by applying Explainable AI techniques, including Shapley Additive explanations feature selection, to improve model performance, robustness, and transparency. The method systematically employs different classifiers and proposes a new hybrid method called Hybrid Bagging-Boosting and Boosting on Residuals.

Assessing Human Lung Pharmacokinetics Using Exhaled Breath Particles.

It remains challenging to quantify lung pharmacokinetics (PK) of a drug administered and targeted to act in the lung. Exhaled breath particles (PEx), which are generated when collapsed distal airways reopen during inhalation, offer a noninvasive way to access undiluted epithelial lining fluid (ELF). Therefore, it was the aim of this study to investigate whether PK data can be derived from PEx.

Unlocking the Therapeutic and Antimicrobial Potential of L. Seed Kernel Oil.

The L. (bitter apricot) is an apricot fruit tree categorized on the basis of the bitter taste of its seed kernel. In this study, the functional, medicinal, and therapeutic potential of bitter apricot seed kernel oil (BASKO) was evaluated.

Efficacy and safety of tozorakimab in moderate-to-severe atopic dermatitis: A Phase 2a randomized controlled trial (FRONTIER-2).

Background: Atopic dermatitis (AD) is a chronic, inflammatory skin disease characterized by intense pruritus and eczematous lesions. Tozorakimab is a high-affinity human monoclonal antibody that neutralizes interleukin-33, a broad-acting alarmin cytokine that is over-expressed in keratinocytes of patients with AD.

Objectives: This Phase 2a study (FRONTIER-2; NCT04212169) evaluated the safety and efficacy of tozorakimab in adults with moderate-to-severe AD.

Treatment modalities for claw horn lesions and their effects on locomotion scores, gait properties, lesion progression, and nociceptive threshold in dairy cows: A systematic review.

This systematic review presents scientific evidence on treatment modalities for claw horn lesions (CHLs) in dairy cows, and their efficacy in restoring normal gait, resolution of claw lesions, and improving nociceptive threshold. A literature search was performed in four databases leading to the synthesis of 10 articles for the final analysis. The types of treatment administered include single (STM), bimodal (BTM) and multimodal treatment modalities (MTM).

Decompressive craniectomy versus craniotomy for acute subdural hematoma: A systematic review and meta-analysis with an adjusted subgroup analysis.

Introduction: Acute subdural hematomas are major causes of morbidity which warrant immediate treatment. If surgical intervention is warranted, craniotomy (CO) and decompressive craniectomy (DC) are employed, largely based on a loosely defined criteria and the neurosurgeon's best judgment. The primacy of one approach over another is a matter of dispute.

Impact of different priming and sowing techniques in combination with different seed rates on wheat growth and yield.

Wheat (Triticum aestivum L.) is a staple crop of immense economic importance, especially in the agronomic context of Dera Ismail Khan, Khyber Pakhtunkhwa (KPK), Pakistan. Understanding the effects of various agronomic practices, such as priming techniques, sowing methods, and seed rates, on wheat yield and growth is crucial for optimizing production and ensuring regional food security.

STEM exam performance: Open- versus closed-book methods in the large language model era.

Background: The COVID-19 pandemic accelerated the shift to remote learning, heightening scrutiny of open-book examinations (OBEs) versus closed-book examinations (CBEs) within science, technology, engineering, arts and mathematics (STEM) education. This study evaluates the efficacy of OBEs compared to CBEs on student performance and perceptions within STEM subjects, considering the emerging influence of sophisticated large language models (LLMs) such as GPT-3.

Methods: Adhering to PRISMA guidelines, this systematic review analysed peer-reviewed articles published from 2013, focusing on the impact of OBEs and CBEs on university STEM students.

Density Functional Theory analysis and molecular dynamic simulation to understand the mechanism of hazardous dyes adsorption onto cellulose in aqueous solution.

This work examines the use of cellulose in the elimination of anionic dye, indigo carmine and methyl red, from aqueous media. Theoretical analyses revealed that the examined compounds had several reactive sites that encouraged dyes to adhere to the cellulose surface, and molecular dynamics simulations demonstrated that this adsorption occurred flat-lying on the cellulose (200) surface. However, it has been discovered that the reactivity of individual molecules is limited in its ability to foretell the effectiveness and characteristics of compound adsorption on cellulose.

The impact of environmental, social, and governance (ESG) rating disparities on corporate risk: The mediating role of financing constraints.

As global concerns over climate change and sustainability grow, Environmental, Social, and Governance (ESG) factors have become critical in evaluating corporate practices. In China, the increasing adoption of ESG ratings by investors has highlighted discrepancies in these ratings, which may impact corporate risk. While extensive research exists on ESG performance, the effects of ESG rating disparities on corporate risk, particularly in Chinese enterprises, remain underexplored, especially the mediating role of financing constraints.