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Associations between dialysis modality and adherence to immunosuppression after kidney transplantation—A single-center study
Background Patients with end-stage kidney disease often prefer home-based dialysis due to higher self-efficacy, which relates to improved medical treatment adherence. Kidney transplantation (KT) success depends on adhering to immunosuppressive medication post-transplant. Objectives To investigate whether adherence post-kidney transplantation (KT) and patients’ attitudes toward immunosuppression were influenced by their prior dialysis type modality. Additionally, the study examined if adherence and patient’s attitudes towards immunosuppression are associated with kidney graft survival. Methods This cross-sectional single-center study included 201 KT patients. Adherence was assessed using BAASIS and the coefficient of variation of calcineurin inhibitors (COV-CNI). Patient attitudes towards medication were evaluated using the Q-method. Pill burden, comorbidity score and HRQoL and medication complexity, were scored. Cox regression was applied to determine KT survival outcomes over a 14-year follow-up period (until Dec 2021). Results Prior dialysis modality was not associated with adherence to immunosuppression post-KT evaluated by BAASIS on average 4.7 years post-KT. Previous in-center hemodialysis patients had a higher CNI-COV (p = 0.011). The Q-sort analysis identified fully adherent patients linked to profile 1 (organized, resilient) whereas profile 2 patients were more careless. Patients linked to profile 3 (challenging, nervous) had higher education, a higher pill burden, and experienced more immunosuppression side effects. Death-censored graft loss increased by 7.6% with each additional pill, quadrupled if one dose of immunosuppression was missed, and increased by 2.9% for each point of COV-CNI rise. Conclusions Adherence to immunosuppression post-KT using BAASIS was not associated with prior dialysis type, despite in-center hemodialysis patients showing the highest COV-CNI. Taking COV-CNI into account, managing missed doses of immunosuppressants, and exploring patient attitudes could potentially enhance adherence and consequently improve KT survival.
Thermoelectric properties of a quantum dot attached to normal metal and topological superconductor
Abstract The thermoelectric properties of hybrid systems based on a single-level quantum dot coupled to a normal-metal/half-metallic lead and attached to a topological superconductor wire are investigated. The topological superconductor wire is modeled by a spinless p-wave superconductor which hosts both a Majorana bound state at its extremity and above gap quasiparticle excitations. The main interest of our investigation is to study the interplay of sub-gap and single-particle tunneling processes and their contributions to the thermoelectric response of the considered system. The above gap tunneling driven by a temperature gradient is responsible for relatively large thermopower, whereas sub-gap processes only indirectly influence the thermoelectric response. The thermoelectric coefficients, including electric conductance, Seebeck coefficient (thermopower), heat conductance, and figure of merit, are calculated by means of the non-equilibrium Green’s function technique and the temperature dependence of the superconducting gap is considered within the BCS theory. We also consider the system out of equilibrium working as a heat engine. The output power and the corresponding efficiency are presented. Interestingly, under certain conditions, it is possible to extract more power in the superconducting phase than in the normal phase, with comparable efficiency.
In-situ probing of the Fischer-Tropsch reaction on Co single crystal surfaces up to 1 bar
Abstract The surface chemistry of the Fischer-Tropsch catalytic reaction over Co has still several unknows. Here, we report an in-situ X-ray photoelectron spectroscopy study of Co $$\left(0001\right)$$ 0001 and Co( $$10\bar{1}4$$ 10 1 ¯ 4 ), and in-situ high energy surface X-ray diffraction of Co $$\left(0001\right),$$ 0001 , during the Fischer-Tropsch reaction at 0.15 bar - 1 bar and 406 K - 548 K in a H 2 /CO gas mixture. We find that these Co surfaces remain metallic under all conditions and that the coverage of chemisorbed species ranges from 0.4–1.7 monolayers depending on pressure and temperature. The adsorbates include CO on-top, C/-C x H y and various longer hydrocarbon molecules, indicating a rate-limiting direct CO dissociation pathway and that only hydrocarbon species participate in the chain growth. The accumulation of hydrocarbon species points to the termination step being rate-limiting also. Furthermore, we demonstrate that the intermediate surface species are highly dynamic, appearing and disappearing with time delays after rapid changes in the reactants’ composition.
Carbon stock quantification and climate mitigation potential of a tropical moist forest in Ethiopia
The significance of forests in absorbing and storing carbon plays a crucial role in international greenhouse gas policies outlined by the United Nations Framework Convention for Climate Change (UNFCC). This study was conducted in a typical tropical moist forest of Ethiopia to assess its carbon stock, a critical issue in climate policy. The study domain was divided into six strata using elevation criteria. Ninety sample plots were used to gather relevant data from all carbon pools (above-ground biomass, below-ground biomass, litter, herbs, lying dead woods, and soils) following the standard operating procedure. ANOVA, post hoc analysis and correlation tests were used to analyze the collected data. The finding revealed that carbon stock in Sele-Nono forest varies not only within its carbon pools but also across environmental factors. Moreover, the study indicated that soil, above-ground biomass, and lying dead woods store the majority of the carbon. The forest stored 284.81±107.81 tons of carbon per hectare, which is equivalent to absorbing 157.12 Megatons of CO2 from the atmosphere. This highlights the critical role of the forest in mitigating climate change on a global scale. The finding from this study encourages policymakers to rigorously focus on forest conservation as a strategy for sustainable climate mitigation. Moreover, conserving forests through strengthening UN initiatives like REDD+ is imperative to prevent potential emissions from land use changes, such as deforestation or degradation.
Exploring the impact of deleterious missense nonsynonymous single nucleotide polymorphisms in the DRD4 gene using computational approaches
Liver-innervating vagal sensory neurons are indispensable for the development of hepatic steatosis and anxiety-like behavior in diet-induced obese mice
The QUIC-SP: A Spanish language tool assessing unpredictability in early life is linked to physical and mental health
Accumulating evidence indicates that unpredictable signals in early life represent a unique form of adverse childhood experiences (ACEs) associated with disrupted neurodevelopmental trajectories in children and adolescents. The Questionnaire of Unpredictability in Childhood (QUIC) was developed to assess early life unpredictability [1], encompassing social, emotional, and physical unpredictability in a child’s environment, and has been validated in three independent cohorts. However, the importance of identifying ACEs in diverse populations, including non-English speaking groups, necessitates translation of the QUIC. The current study aims to translate and validate a Spanish language version of the QUIC (QUIC-SP) and assess its associations with mental and physical health. Spanish-speaking participants (N = 285) were recruited via the online market crowdsourcing platform, Amazon Mechanical Turk (MTurk), and completed an online survey that included the QUIC-SP and validated Spanish language assessments of physical and mental health. The QUIC-SP demonstrated excellent psychometric properties and similar mean scores, endorsement rates, and internal reliability to the English language version, thus establishing its validity among Spanish-speaking adults. Higher QUIC-SP scores, indicating greater unpredictability in early life, predicted increased symptoms of anxiety, anhedonia, depression, and poorer physical health. Given significant racial and ethnic disparities in health, the QUIC-SP may serve as a valuable tool to address the public health consequences of ACEs among Spanish-speaking populations.
Critical mobility in policy making for epidemic containment
Application of machine learning and genomics for orphan crop improvement
Deterministic and stochastic effects drive the gut microbial diversity in cucurbit-feeding fruit flies (Diptera, Tephritidae)
Insect diversity is closely linked to the evolution of phytophagy, with most phytophagous insects showing a strong degree of specialisation for specific host plants. Recent studies suggest that the insect gut microbiome might be crucial in facilitating the dietary (host plant) range. This requires the formation of stable insect-microbiome associations, but it remains largely unclear which processes govern the assembly of insect microbiomes. In this study, we investigated the role of deterministic and stochastic processes in shaping the assembly of the larval microbiome of three tephritid fruit fly species (Dacus bivittatus, D. ciliatus, Zeugodacus cucurbitae). We found that deterministic and stochastic processes play a considerable role in shaping the larval gut microbiome. We also identified 65 microbial ASVs (Amplicon sequence variants) that were associated with these flies, most belonging to the families Enterobacterales, Sphingobacterales, Pseudomonadales and Betaproteobacterales, and speculate about their relationship with cucurbit specialisation. Our data suggest that the larval gut microbiome assembly fits the “microbiome on a leash” model.
Predicting and synthesizing terahertz spoof surface plasmon polariton devices with a convolutional neural network model
Specific types of male infertility are correlated with T cell exhaustion or senescence signatures
Long-term wage inequality in imperial China: From 202 BCE to 1912 CE
This paper attempts to describe and explain the long-term evolution of wage inequality in imperial China, covering over two millennia from the Han dynasty to the Qing dynasty (202 BCE-1912 CE). Based on historical government records of official salaries, commodity prices, and agricultural productivity, we convert various forms of salaries to equivalent rice volumes and comparable salary benchmarks. Wage inequality is measured by salary ratios and (partial) Gini coefficients between official and peasant classes as well as within the official class. The inter-class wage inequality features an “inverted U-u” pattern—first rose before the Tang dynasty and then declined afterwards (the “inverted U” trends) with “inverted u” dynastic cycles. The intra-class wage inequality has a secular decline trend. We propose a unified framework incorporating technological, institutional, political, and social (TIPS) mechanisms to explain both long-term and short-term patterns. It is concluded that the technological mechanism dominated the rise of wage inequality, while the political mechanism (emperor-bureaucracy power tensions) drove the decline.
Intratympanic administration of dexamethasone attenuates radiation induced damage to middle ear mucosa
Author Correction: An atomically controlled insulator-to-metal transition in iridate/manganite heterostructures
Time efficiency as a mediator between institutional support and higher education student engagement during e-learning
This study examined the relationship between institutional support and student engagement in e-learning, with time efficiency as a potential mediator among Saudi university students. This study employed a cross-sectional, questionnaire-based research design. A sample of 752 Saudi university students from different provinces in the Kingdom of Saudi Arabia completed an online questionnaire. The results of the measurement model showed good reliability and validity for all constructs. The results of the structural model and hypothesis testing showed that this study partially supported the hypotheses. Notably, there was a significant positive relationship between student support during e-learning and student engagement. In addition, student support was found to be a predictor of student’s time efficiency (short-term planning, long-term planning, time attitude). Furthermore, the results revealed that long-term planning and time attitude, both components of time efficiency, act as mediators between support provided to students by a higher education (HE) institution during e-learning and their level of engagement. The findings shed light on the underlying mechanisms that explain students’ e-learning engagement.
Research on restraint strategies for rearward-reclined occupants in a frontal rigid barrier crash
A multiscale functional map of somatic mutations in cancer integrating protein structure and network topology
Validation of the somatic symptom disorder—B Criteria Scale (SSD-12) in Bangladesh
Background The absence of a reliable and valid Bangla instrument for measuring somatic symptom disorder hinders research and clinical activities in Bangladesh. The present study aimed at translating and validating the Somatic Symptom Disorder-B criteria (SSD-12). Method A cross-sectional design was used with purposively selected clinical (n = 100) and non-clinical (n = 100) samples. The clinical sample was collected from psychiatric departments at three hospitals, while the non-clinical sample was drawn from the local community. Exploratory (EFA) and confirmatory factor analysis (CFA) were conducted on the SSD-12, along with reliability and validity assessments. Results Results indicated satisfactory internal consistency reliability (Cronbach’s alpha = .94, split-half r = .93); criterion-related validity (r = .86, with Morey’s Somatic Complaints Scale); and construct validity (r = .64 with anxiety subscale and r = .57 with depression subscale of the Hospital Anxiety and Depression Scale) of the translated scale. In contrast to the three-factor structure of the original SSD-12, the Bangla version indicated a single-factor structure (accounting for 61.29% of the total variance). This scale also demonstrates its ability to distinguish between clinical and non-clinical participants (t198 = 16.74, p < .01). Conclusion The Bangla translated SSD-12 has demonstrated strong psychometric properties, indicating its suitability for use in Bangladesh. This tool is expected to aid mental health practitioners in their clinical work by providing them with a quick assessment of their patients having somatic complaints.