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Understanding emotional and health indicators underlying the burnout risk of healthcare workers
Burnout of healthcare workers is of increasing concern as workload pressures mount. Burnout is usually conceptualised as resulting from external pressures rather than internal resilience and although is not a diagnosable condition, it is related to help seeking for its psychological sequelae. To understand how staff support services can intervene with staff heading for burnout, it is important to understand what other intrapsychic factors are related to it. A diary tool was used by staff in a region of England to self-monitor their wellbeing over time. The tool explores many areas of mental health and wellbeing and enabled regression analysis to predict which of the various factors provided the strongest indicators of burnout. Using a multiple linear regression model, burnout was found to be most associated with depression , receptiveness , mental wellbeing , and connectedness (p<0.05). It was also shown that 71% of the variance present in the response variable, i.e. burnout, explained by independent variables. Both the Spearman Rank Correlation and the Variance Inflation Factor methods found no evidence for multicollinearity in our regression models. We showed how burnout can be explained using a handful of factors including emotional and mental health indicators. The findings suggest a simple set of indicators can predict burnout and could be used for screening. The data suggests attention to four factors around social safeness, grounding and care in the self, hope and meaning, and having sufficient energy could form the basis of wellbeing programs.
Morphological and functional analysis of colorectal cancer cell lines in 2D and 3D culture models
Efficacy of videoconferencing-delivered cognitive behavioural therapy to reduce anxiety disorder severity in LGBTQ+ people: An exploratory trial protocol
Objective Cognitive behavior therapy (CBT) is a well-established treatment for anxiety disorders in the general population. However, the efficacy of CBT for lesbian, gay, bisexual, transgender, queer, questioning, and otherwise non-heterosexual or non-cisgender (LGBTQ+) people with anxiety disorders is still emerging in the literature. This protocol proposes an exploratory, two-group, randomized controlled trial comparing the efficacy of CBT for anxiety disorders against a waitlist control group. Methods The trial will recruit 52 LGBTQ+ adults with a primary anxiety disorder diagnosis. The treatment will consist of videoconferencing-delivered CBT using the Unified Protocol (UP). The treatment will be provided in eight weekly individual sessions. Following treatment completion, the waitlist control participants will receive an LGBTQ+ adapted CBT intervention delivered via videoconferencing. The control group will receive the LGBTQ+ adapted UP in weekly sessions for eight weeks. Diagnostic status and symptom severity will be assessed at baseline, post-treatment, and three-month follow-up. Post-treatment qualitative exit interviews will collect participant perspectives on treatment acceptability. Results Outcome measures will be compared across groups and benchmarked with existing literature to assess efficacy and feasibility, while qualitative analysis will explore intervention acceptability. Conclusion The results are anticipated to inform best-practice remote transdiagnostic treatment of anxiety disorders in LGBTQ+ people.
A paper-based HPV E7 oncoprotein assay for cervical precancer detection at the point of care
Preliminary screening of new biomarkers for sepsis using bioinformatics and experimental validation
Background The morbidity and mortality of sepsis remain high, and so far specific diagnostic and therapeutic means are lacking. Objective To screen novel biomarkers for sepsis. Methods Raw sepsis data were downloaded from the Chinese National Genebank (CNGBdb) and screened for differentially expressed RNAs. Key genes with predictive value were identified through weighted correlation network analysis (WGCNA) and meta-analysis and survival analysis using multiple public databases. Core genes were analyzed for functional enrichment using Gene Set Enrichment Analysis(GSEA). The core genes were localized using single-cell sequencing. qPCR was used to validate the core genes. Results Differential analysis yielded a total of 5125 mRNA. WGCNA identified 5 modules and screened 3 core genes (S100A11, QPCT, and IFITM2). The prognosis of sepsis patients was strongly linked to S100A11, QPCT, and IFITM2 based on meta-analysis and survival analysis(P < 0.05).GSEA analysis showed that S100A11, QPCT, and IFITM2 were significantly enriched in ribosome-related pathways. S100A11 and QPCT were widely distributed in all immune cells, and QPCT was mainly localized in the macrophage cell lineage. In the sepsis group, the qPCR results showed that S100A11, QPCT, and IFITM2 expression levels were significantly higher in the sepsis group(P < 0.05). Conclusion In this study, S100A11, QPCT, and IFITM2 were screened as new potential biomarkers for sepsis. Validated by bioinformatics analysis and qPCR, these genes are closely associated with the prognosis of sepsis patients and have potential as diagnostic and therapeutic targets.
Improving the thermal and hydrophobic properties of bamboo biocomposite as sustainable acoustic absorbers
Assembly and application of a low-cost high-resolution imaging device for hyphae in soil
Soil imaging in the field and laboratory has greatly advanced our understanding of plant root systems. Soil fungi function as important plant symbionts and decomposers of complex organic material in soil environments. For fungal hyphae, however, the application of soil imaging remains scarce, limiting our understanding of hyphal systems in soil. This scarce application is partly due to the challenging development of a soil imaging device for hyphae: technical requirements to resolve fine hyphae (2–5 μm in diameter) are high, while the device cost must be low to facilitate sufficient deployment that can capture the high spatial heterogeneity of hyphal dynamics in soil. This protocol describes the do-it-yourself assembly and application of a low-cost high-resolution imaging device for observing hyphae in soil. The assembly of the open-source imaging device relies on many 3D-printed parts, reducing material costs to ca. 930 USD. The application of the imaging device yields soil profile images with a resolution of up to 0.52 μm px-1 (49000 dpi) within an observable volume of 70 × 210 × 1.5 mm. By repeatedly imaging a soil profile using the presented techniques, changes in the amount, distribution, and morphology of hyphae in soil can be observed and quantified.
Research on multi-source microstructure image recognition of foam ceramics using convolutional network combine with frequency domain
Correction: Association between cancer stigma and cervical cancer screening uptake among women of Dhulikhel and Banepa, Nepal
Measurement of pressure dependent variations in local pulse wave velocity within a cardiac cycle from forward travelling pulse waves
Abstract The local pulse wave velocity (PWV) from large elastic arteries and its pressure-dependent changes within a cardiac cycle are potential biomarkers for cardiovascular risk stratification. However, pulse wave reflections can impair the accuracy of local PWV measurements. We propose a method to measure pressure-dependent variations in local PWV while minimizing the influence of pulse wave reflections. The PWV is computed from the pulse transit time between two forward-traveling pulse waveforms obtained across known path length, after measured/modelled flow-based wave separation analysis (WSA). An in-vivo study of 60 participants (24 female), was conducted to compare inter- and intra-cycle variations in PWV obtained from measured and forward pulse waves. For this, proximal and distal diameter waveforms from the carotid artery, along with carotid tonometry, were recorded using a custom bi-modal arterial probe. The carotid blood flow for WSA was captured with an ultrasound imaging system. The reference PWV was derived from the Bramwell-Hill equation. After WSA, the reliability of PWV measurement improved with coefficient of variation reducing from 25% to 10% near the peak of the pulse waves and matched the reference PWV with no statistically significant difference. The average PWV at foot of the pulse wave before and after WSA were comparable to the reference PWV with no statistically significant difference. The coherence of carotid pulse pressure obtained from the mean values of PWV within a cardiac cycle after WSA with that of the carotid pulse pressure from tonometry, substantiates the results obtained for reflection-free PWV. The reliability of measuring local PWV and its pressure dependent variations within a cardiac cycle is improved by combining transit-time approach with WSA.
Evidence of a persistent altered neural state in people with fibromyalgia syndrome during functional MRI studies and its relationship with pain and anxiety
Altered neural signaling in fibromyalgia syndrome (FM) was investigated with functional magnetic resonance imaging (fMRI). We employed a novel fMRI network analysis method, Structural and Physiological Modeling (SAPM), which provides more detailed information than previous methods. The study involved brain fMRI data from participants with FM (N = 22) and a control group (HC, N = 18), acquired during a noxious stimulation paradigm. The analyses were supported by fMRI data from the brainstem and spinal cord in FM and HC, brain fMRI data from participants with provoked vestibulodynia (PVD), and eye-tracking data from an fMRI study of FM. The results demonstrate differences in connectivity, and in blood oxygenation-level dependent (BOLD) responses, between FM and HC. In the FM group, BOLD signals underwent a large increase during the first 40 seconds of each fMRI run, prior to the application of any stimuli, compared to much smaller increases in HC. This indicates a heightened state of neural activity in FM that is sustained during fMRI runs, and dissipates between runs. The exaggerated initial rise was not observed in PVD. Autonomic functioning differed between groups. Pupil sizes were larger in FM than in HC, and the groups exhibited pupil dilation to the same levels during noxious stimulation. The initial BOLD increase varied in relation to state and trait anxiety scores. The results indicate that people with FM enter a heightened state of neural activity associated with anxiety and autonomic functioning, during every fMRI run, concurrent with increased pupil sizes, and heightened pain sensitivity. These findings may relate to the well-known hypervigilance and global hypersensitivity of FM participants.
An ultra-wideband thin metamaterial linear cross-polarization conversion
Weak acid and pepsin reflux induce laryngopharyngeal mucosal barrier injury: A rabbit-model-based study
Objective Using rabbit models, this study simulated the laryngopharynx’s response to the synergistic effects of various acidic reflux environments and pepsin to investigate the response mechanism underlying weak acid reflux and pepsin in the mucosal barrier injury of laryngopharyngeal reflux. Methods The rabbits were divided into six groups, and the original larynx was recorded for each group. During the study period, rabbits were sprayed with different doses of acid and pepsin solutions and monitored for hypopharyngeal mucosal transient impedance before and after modeling. After the experiment, laryngeal mucosal tissues were collected, observed using hematoxylin and eosin staining, and assessed for E-cadherin expression. The width of the intercellular space and lanthanum staining penetrating the intercellular space were also observed using electron microscopy. Results Eight weeks post-modeling, evidence of laryngopharyngeal mucosa inflammatory responses was observed in each group. Downregulation of E-cadherin expression significantly positively correlated with acid strength (p < 0.05). The pepsin and acid intervention groups showed a significantly widened space between mucosal epithelial cells in the posterior ring area (p < 0.05). Meanwhile, in the experimental group, a large amount of stained lanthanum penetrated the intercellular spaces; however, no significant difference was observed in the mucosal impedance (MI). Conclusion This study demonstrated that acid, weak acid, and pepsin could damage the laryngeal mucosal barrier; pepsin was an independent factor associated with tissue damage; the downregulation of hypopharyngeal cadherin was associated with acid-intensity exposure. Transient LP-MI cannot be applied directly.
KLRB1 expression in nasopharyngeal mucosa as a prognostic biomarker in COVID-19 patients
Correction: High prevalence of p16 staining in malignant tumors
Atrophy of cerebellum Crus I indicates poor outcome of cochlear implantation in the elderly
Expanded non-invasive prenatal testing offers better detection of fetal copy number variations but not chromosomal aneuploidies
Purpose To evaluate the clinical performance of expanded non-invasive prenatal testing (NIPT-plus) and compare its effectiveness in screening for chromosomal aneuploidies with that of NIPT. Methods Screening results, confirmatory invasive testing results, and follow-up data from pregnant women who underwent either NIPT (6792 cases) or NIPT-Plus (5237 cases) testing at Luohe Central Hospital, China, from January 2019 to June 2023 were collected. The positive predictive value (PPV), sensitivity, specificity, and other indicators for different types of chromosomal abnormalities in NIPT/NIPT-plus screening were calculated. The willingness of pregnant women with various types of abnormalities to undergo confirmatory invasive testing and the proportion of pregnancy terminations were investigated. Results The average number of unique reads in NIPT-plus samples was 5.26 times greater than that in NIPT samples. There was no significant difference in the PPV or positive rate between NIPT-plus and NIPT for screening chromosomal aneuploidies. Compared with the low-risk group, the high-risk group had a greater PPV; however, in the NIPT-plus group, there was no significant disparity in the PPV between the low-risk and high-risk groups. Compared with rare autosomal aneuploidies (RAAs), pregnant women had a higher rate of confirmatory invasive testing for common trisomies, sex chromosomal abnormalities (SCAs), and copy number variations (CNVs). However, the rate of pregnancy termination for common trisomies, RAAs, and CNVs was higher than that for SCAs. Conclusion By enhancing sequencing data, NIPT-plus can effectively screen for CNVs as well as chromosomal aneuploidies. However, NIPT-plus does not have an advantage over standard NIPT in screening for chromosomal aneuploidies.
Machine learning to identify environmental drivers of phytoplankton blooms in the Southern Baltic Sea
Abstract Phytoplankton blooms exhibit varying patterns in timing and number of peaks within ecosystems. These differences in blooming patterns are partly explained by phytoplankton:nutrient interactions and external factors such as temperature, salinity and light availability. Understanding these interactions and drivers is essential for effective bloom management and modelling as driving factors potentially differ or are shared across ecosystems on regional scales. Here, we used a 22-year data set (19 years training and 3 years validation data) containing chlorophyll, nutrients (dissolved and total), and external drivers (temperature, salinity, light) of the southern Baltic Sea coast, a European brackish shelf sea, which constituted six different phytoplankton blooming patterns. We employed generalized additive mixed models to characterize similar blooming patterns and trained an artificial neural network within the Universal Differential Equation framework to learn a differential equation representation of these pattern. Applying Sparse Identification of Nonlinear Dynamics uncovered algebraic relationships in phytoplankton:nutrient:external driver interactions. Nutrients availability was driving factor for blooms in enclosed coastal waters; nutrients and temperature in more open regions. We found evidence of hydrodynamical export of phytoplankton, natural mortality or external grazing not explicitly measured in the data. This data-driven workflow allows new insight into driver-differences in region specific blooming dynamics.
Probiotics interventions modulating gut microbiota composition in individuals with intestinal constipation: Protocol of a systemic review and meta-analysis of randomized controlled trials
Introduction Intestinal constipation is a substantive global health concern, significantly impairing patient quality of life. An emerging view is that the gut microbiota plays a critical role in intestinal function, and probiotics could offer therapeutic benefits. This study aims to consolidate evidence from randomized controlled trials (RCTs) that assess the effectiveness of probiotics in modulating microbiota and ameliorating symptoms of constipation. Methods We will execute a systematic evidence search across Medline (via PubMed), Embase, Cochrane CENTRAL, Web of Science, Scopus, and CINAHL, employing explicit search terms and further reference exploration. Two independent reviewers will ensure study selection and data integrity while assessing methodological quality via the Cochrane Collaboration’s Risk of Bias-2 tool. Our primary goal is to outline changes in microbiota composition, with secondary outcomes addressing symptom relief and stool characteristics. Meta-analyses will adopt a random-effects model to quantify the effects of interventions, supplemented by subgroup analyses and publication bias assessments to fortify the rigor of our findings. Discussion This study endeavors to provide a rigorous, synthesized overview of the probiotics interventions evidence for modulating gut microbiota in individuals with intestinal constipation. The insights derived could inform clinical guidelines, nurture the creation of novel constipation management strategies, and direct future research in this field. Ethics and dissemination As this study aggregates and analyzes existing data without direct human subject involvement, no ethical approval is required. We will disseminate the study’s findings through scientific forums and seek publication in well-regarded, peer-reviewed journals. Trial registration OSF registration number: 10.17605/OSF.IO/MEAHT.