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Hidden tattoos on mummy skin emerge under a laser’s light

Development and preclinical testing of a naloxone prodrug depot for extended protection against opioid overdose

Factors associated with time to return to horse racing following a clavicle fracture in jockeys competing in Great Britain: A review and analysis of medical records

Purpose Competitive horse racing is the second largest sport in Great Britain by spectator attendance, employability, and revenue. It is a lucrative yet hazardous sport, with high injury rates, particularly from falls. Clavicular fractures are one of the most common injuries reported, yet their management, especially regarding return to racing, is under-researched. The purpose of this study was to explore the factors associated with the time to return to competition following a clavicular fracture in jockeys competing in Great Britain. Materials and methods This review of medical records utilised data from the British Horseracing Authority spanning 2011–2018, inclusive. Data included the jockey’s age, sex, type of licence, race discipline, location of incident, and fracture management. Descriptive statistics and univariable and multivariable generalised linear models were constructed to analyse the impact of these factors on the time to return to racing. Results Out of 212 records of clavicular fractures, 169 were analysed. The majority (82.8%) of fractures were managed conservatively, with the remainder requiring surgery. The median time to return to racing was 40 days, with an interquartile range of 34 days. Following a clavicular fracture, the results from the univariable and multivariable models indicated that the management approach, whether the fracture is displaced, and the type of race in which the injury occurred have the greatest influence on extending the time to return to racing. In contrast, professional, conditional and amateur licence types, as well as experiencing the injury at a racecourse, were associated with reduced time to return to racing, which may indicate greater risk-taking behaviour. Conclusion This study offers unique insights into key medical and contextual factors that influence the time to return to racing among jockeys in Great Britain, contributing to tailoring medical management and return to racing protocols to support jockeys’ health and career longevity. Clinicians working within horse racing can use the findings of this study to provide return to racing guidance to trainers, riders and other medical professionals based on the key contextual information reported in this study.

Retraction: A model study of teaching method reform of computer laboratory course integrating internet of things technology

Two companies launch Moon missions together: will they make history?

Using the Hospital Frailty Risk Score to predict length of stay across all adult ages

Background Hospital Frailty Risk Score (HFRS) has recently been used to predict adverse health outcomes including length of stay (LOS) in hospital. LOS is an important indicator for patient quality of care, the measurement of hospital performance, efficiency and costs. Tools to predict LOS may enable earlier interventions in those identified at higher risk of a long stay. Previous work focused on patients over 75 years of age, but we explore the relationship between HFRS and LOS for all adults. Methods This is a retrospective cohort study using data from a large acute hospital during the period from 01/01/2010 to 30/06/2018. The study included patients aged 16 years and older. We calculated HFRS for patients who had been previously admitted to the hospital within the previous 2 years. The study developed Logistic Regression models (crude and adjusted) for nine prediction periods of LOS to assess association between (LOS and HFRS) and (LOS and Charlson Comorbidity Index-CCI), using odds ratios, and AUROC to assess model performance. Results An increase in HFRS is associated with prolonged LOS. HFRS alone or combined with CCI were more important predictor of long LOS in most of periods to predict LOS. However, crude HFRS was superior to the models where HFRS was combined with any other variable for LOS in excess of 21 days, which had AUROCs ranging from 0·867 to 0·890. Regarding eight age groups, crude HFRS remained the first or second most effective predictor of long LOS. HFRS alone or combined with CCI was superior to other models for patients older than 44 years for all periods of LOS; whereas for patients younger than 44 years it was superior for all LOS except 45, 60, and 90 days. Conclusion This study has demonstrated the utility of HFRS to predict hospital LOS in patients across all ages.

The impact of anions on electrooxidation of perfluoroalkyl acids by porous Magnéli phase titanium suboxide anodes

Previous studies have indicated the great performance of electrooxidation (EO) to mineralize per- and polyfluoroalkyl substances (PFASs) in water, but different anions presented in wastewater may affect the implementation of EO treatment in field applications. This study invetigated EO treatment of perfluorooctane sulfonate (PFOS) and perfluorooctanoic acid (PFOA), two representative perfluoroalkyl acids (PFAAs), using porous Magnéli phase titanium suboxide anodes in electrolyte solutions with different anions present, including NO3-, SO42-, CO32- and PO43-. The experiment results indicate that CO32- enhanced PFAS degradation, while NO3- suppressed the degradation reactions with its concentration higher than 10 mM. SO42- and PO43- exhibited less impact. Further studies with electrochemical characterizations and radical quenching experiments illustrate the mechanisms of how the anions may impact EO performance.

Post-traumatic growth experience of breast cancer patients: A qualitative systematic review and meta-synthesis

Objectives This study aimed to systematically incorporate the post-traumatic growth experience of breast cancer patients and furnish insights for the formulation of targeted psychological care measures. Methods The search period we were ranged from establishing the database to February 2024. We systematically searched four Chinese databases and seven English databases. The focus was on collecting qualitative research literature regarding the post-traumatic growth experience of breast cancer patients. Literature was screened and analyzed using Endnote20 software. Quality evaluation was conducted using the authenticity evaluation criteria (2016 edition) recommended by the JBI. The results were synthesized utilizing the meta-integration methodology established by the Joanna Briggs Institute (JBI) and adhered to the reporting standards delineated in the PRISMA checklist, as well as the ENTREQ reporting guidelines. Results This study encompassed 11 studies, from which 42 themes and 68 sub-themes were extracted. Similar research findings were categorized into 11 new classifications, leading to the formulation of four integrative conclusions: self-reconstruction, enhancement of spirituality and religious beliefs, appreciation of the new philosophy of life, and transformations associated with others. Conclusions Medical professionals should possess a precise comprehension of the concept of post-traumatic growth, and actively encourage patients to engage in deliberate rumination, facilitate emotional release, support effective coping strategies, enhance social support systems, foster post-traumatic growth in patients, and promote their overall well-being. Trial registration Systematic review registration: CRD42024519850.

Postural instability and gait disturbance are associated with abnormal stereopsis in Parkinson’s disease

Background Visual dysfunction, including abnormal stereopsis, is a significant non-motor symptom in Parkinson’s disease (PD) that can reduce quality of life and appears early in the disease. Abnormal stereopsis is associated with worsening of bradykinesia and freezing of gait, though the exact pathways linking stereopsis to motor symptoms remain unclear. Furthermore, in PD patients, the pedunculopontine nucleus and laterodorsal tegmental complex play an active role in sensorimotor control, and these areas provide cholinergic projections. Cholinergic degeneration may be associated with symptoms such as abnormal stereopsis, postural instability, gait disturbances and cognitive impairment. Therefore, in this study, we hypothesized that a high postural instability and gait disturbance score would increase the risk of abnormal stereopsis in PD. Methods We designed a cross-sectional study and included 240 early PD patients without ophthalmologic problems other than abnormal stereopsis. To evaluate stereopsis, we used Titmus stereo test plates. Stereopsis testing was performed only once at the time of the patient’s initial PD diagnosis. We collected data from medical history taking, scales, cognitive function tests, gait analysis, and tilt table tests. To analyze the potential risk factors for abnormal stereopsis in PD, we conducted a binary logistic stepwise selection analysis. Results Among the total of 240 PD patients, 185 were in the normal stereopsis group and 55 were in the abnormal stereopsis group. In the analysis for risk factors related to abnormal stereopsis, the postural instability and gait difficulties (PIGD) subtype score was significantly associated with abnormal stereopsis. (95% confidence interval: 1.37–5.15). Conclusions In PD, particularly in PIGD subtype patients, abnormal stereopsis can lead to a decrease in the quality of sensory information, potentially interfering with feedback and adaptation processes. This, in turn, can negatively affect posture and gait, creating a vicious cycle.

How should we test AI for human-level intelligence? OpenAI’s o3 electrifies quest

Correction: Knowledge of Thai women in cervical cancer etiology and screening

Burden of diabetic ketoacidosis and its predictors among diabetic patients in Ethiopia: Systematic review and meta-analysis

Background Multiple studies across Ethiopia have investigated the occurrence of DKA, showing significant variations and conflicting findings. This systematic review and meta-analysis seek to consolidate the overall prevalence of diabetic ketoacidosis and its associated factors in the Ethiopian context. Methods The study adhered to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis Protocols (PRISMA-P) guidelines. Data was collected from PubMed/MEDLINE, Science direct, Google Scholar, and gray literature sources. Microsoft Excel was used for data extraction and summary, while the analysis was performed with R software version 4.3.2. The overall pooled prevalence of diabetic ketoacidosis and its components was estimated using a random effects model. Publication bias was assessed both graphically, using funnel plots, and statistically, with tests such as Egger’s regression test. Subgroup analysis were carried out to minimize random variations in the estimates from the primary studies. Result The pooled estimated prevalence of diabetic ketoacidosis among diabetic patients in Ethiopia was 46% (95% CI; 36, 57; I2 = 100%, P≤0.001). Medication discontinuations (AOR = 1.30, 95 CI 1.20, 1.64), presence of comorbidity (AOR = 1.53, 95 CI 1.10, 2.20) and presence of infection (AOR = 1.62, 95 CI 1.31, 1.98) had an association with diabetic ketoacidosis among diabetic patients. Conclusions Medication discontinuations, comorbidity, and infection are individual contributors to diabetic ketoacidosis in diabetic patients. Implementing initiatives to enhance medication adherence and establish comprehensive diabetes management programs covering glycemic control, comorbidities, and infection management can effectively address these factors.

zIncubascope: Long-term quantitative imaging of multi-cellular assemblies inside an incubator

Recent advances in bioengineering have made it possible to develop increasingly complex biological systems to recapitulate organ functions as closely as possible in vitro . Monitoring the assembly and growth of multi-cellular aggregates, micro-tissues or organoids and extracting quantitative information is a crucial but challenging task required to decipher the underlying morphogenetic mechanisms. We present here an imaging platform designed to be accommodated inside an incubator which provides high-throughput monitoring of cell assemblies over days and weeks. We exemplify the capabilities of our system by investigating human induced pluripotent stem cells (hiPSCs) enclosed in spherical capsules, hiPSCs in tubular capsules and yeast cells in spherical capsules. Combined with a customized pipeline of image analysis, our solution provides insight into the impact of confinement on the morphogenesis of these self-organized systems.

An insight into the genome-wide analysis of bacterial defense mechanisms in a uropathogenic Morganella morganii isolate from Bangladesh

The gram-negative, facultative anaerobic bacterium Morganella morganii is linked to a number of illnesses, including nosocomial infections and urinary tract infections (UTIs). A clinical isolate from a UTI patient in Bangladesh was subjected to high-throughput whole genome sequencing and extensive bioinformatics analysis in order to gather knowledge about the genomic basis of bacterial defenses and pathogenicity in M. morganii. With an average nucleotide identity (ANI) of more than 97% similarity to a reference genome and phylogenetic analysis verified the isolate as M. morganii. Genome annotation identified 3,718 protein-coding sequences, including genes for metabolism, protein processing, stress response, energy, and membrane transport. The presence of biosynthetic gene clusters points to the isolate’s ability to create bioactive compounds, including antibiotics. Genomic islands contained genes for metal transporters, stress proteins, toxin proteins, and genes related to horizontal gene transfer. The beta-lactam resistance gene blaDHA was found using antimicrobial resistance (AMR) gene analysis across three databases. The virulence genes kdsA and cheY, which may be involved in chemotaxis and lipopolysaccharide production, were also available in the isolate, suggesting its high pathogenicity. The genome contained mobile genetic components and defense mechanisms, such as restriction modification and CRISPR-Cas systems, indicating the bacterium’s ability to defend itself against viral attacks. This thorough investigation sheds important light on M. morganii’s pathogenicity and adaptive tactics by revealing its genetic characteristics, AMR, virulence components, and defense mechanisms. For the development of targeted treatments and preventing the onset of resistance in clinical care, it is essential to comprehend these genetic fingerprints.

Correction: Phenotypic and genotypic drug susceptibility patterns of Mycobacterium tuberculosis isolates from pulmonary tuberculosis patients in Central and Southern Ethiopia

Characteristics and treatment patterns in patients with multiple myeloma in Japan: A retrospective cohort analysis

Background Approval of proteasome inhibitors, immunomodulatory drugs, and anti-CD38 monoclonal antibodies (mAbs), such as daratumumab, has reshaped treatment patterns in patients with multiple myeloma (MM) in Japan. This retrospective study evaluated patient characteristics, treatment patterns, and trends in MM patients using Medical Data Vision, the largest electronic health records database in Japan with anonymous inpatient and outpatient health information. Methods Patients aged ≥18 years, with ≥2 records of an MM diagnostic and disease code and ≥1 record of MM treatment between 01 April 2008 and 30 June 2023 were included. Patients starting first-line (1L) treatment on or after 01 January 2020 were categorized into the 1+L cohort; those starting second-line (2L) treatment on or after 01 January 2018 were allocated to the 2+L cohort. Results Within the study period, 21,066 patients had an MM diagnosis, including 6,337 and 5,964 patients in the 1+L and 2+L cohorts, respectively. Median age was 74 years in both cohorts and gender distribution was similar (52.4% and 51.3% males, respectively). In the 1+L cohort, most patients (5,754/6,337; 90.8%) did not receive transplant, among whom 51.0% received 1L lenalidomide-based therapy, primarily daratumumab/lenalidomide/dexamethasone (DRd; 15.0%) or lenalidomide/dexamethasone (Rd;14.0%). In non-transplant patients, 1L DRd use increased from 6.0% in January–June 2020 to 28.0% in January–June 2023. In the 2+L cohort, 2L lenalidomide-based therapy use decreased from 65.0% in January–June 2018 to 37.0% in January–June 2023; daratumumab-based therapy increased from 14.0% to 39.0%. Retreatment with lenalidomide-, daratumumab-, and isatuximab-based therapy occurred in 44.1%, 35.2%, and 5.6% of patients, respectively. Conclusion The high use of lenalidomide and DRd in 1L, and high rates of retreatment with lenalidomide and anti-CD38 mAbs in 2L+ indicate a substantial need for new treatment modalities that can be used in 2L+ patients who previously received lenalidomide with/without an anti-CD38 mAb therapy.

New obesity definition sidelines BMI to focus on health

Advanced low-power filter architecture for biomedical signals with adaptive tuning

This paper presents a low-power, second-order composite source-follower-based filter architecture optimized for biomedical signal processing, particularly ECG and EEG applications. Source-follower-based filters are recommended in the literature for high-frequency applications due to their lower power consumption when compared to filters with alternative topologies. However, they are not suitable for biomedical applications requiring low cutoff frequencies as they are designed to operate in the saturation region. The major contribution in this work are the filter is made to operate in the weak inversion zone to reduce the area needed for the capacitor and the amount of power dissipated. Process variation is one of the major issues in the weak inversion regime. To overcome this, a unique method of compensating against fluctuations in process, voltage, and temperature is put forth based on magnitude comparison is another contribution. Key findings from post-layout simulations and experimental measurements demonstrate that the filter achieves a tunable cutoff frequency range of 0.5 Hz to 150 Hz, with a total power dissipation of only 6nW at 150 Hz. The design occupies a compact silicon area of 0.065 mm2 and offers a dynamic range of 75 dB. The measured results indicate that for a 300 mVpp signal swing, the top bound on THD is -40 dB. The filter’s robustness against process, voltage, and temperature variations is validated through on-chip tuning using a current steering DAC, ensuring stable performance across different operating conditions. These results make the proposed filter a promising candidate for low-power biomedical devices. The recommended filter is developed and implemented using UMC-0.18μm CMOS technology with a 1.0V supply, and the IC is tapped out using an MPW run of Euro practice IC services.

Correction: Secure deep learning for distributed data against malicious central server

Insights into stem Batomorphii: A new holomorphic ray (Chondrichthyes, Elasmobranchii) from the upper Jurassic of Germany

The Late Jurassic fossil deposits of southern Germany, collectively known as the ’Solnhofen Archipelago’, are one of the world’s most important sources of Mesozoic vertebrates. Complete skeletons of cartilaginous fishes (Chondrichthyes), whose skeletal remains are rare in the fossil record and therefore all the more valuable, are represented, among others, by exceptionally well-preserved rays (superorder Batomorphii). Despite their potential for research in several areas, including taxonomy, morphology, ecology, and phylogeny, the number of studies on these chondrichthyans is still very limited. Here, we identify a previously unknown ray, †Apolithabatis seioma gen. et sp. nov., which represents the first record of a ray species from the upper Kimmeridgian of Painten, Germany, and thus the oldest Late Jurassic ray taxon from Germany based on skeletal remains. This new batomorph is characterised by a unique body shape and a combination of skeletal features that distinguish it readily from all other known Late Jurassic rays. Two different morphometric approaches confirm differences in body shape and proportions to all known Late Jurassic conspecifics. We thus extend the recent taxonomic revision of these rays and include all described holomorphic specimens in a phylogenetic framework using strict cladistic principles. The phylogenetic analysis reveals all Late Jurassic batomorphs to represent a monophyletic group, for which we introduce the new order Apolithabatiformes, which is sister to all other batomorphs representing a stem group. While the phylogenetic relationships within Apolithabatiformes ord. nov. remain largely unresolved, †Apolithabatis gen. nov. is placed as the sister to †Aellopobatis. This highlights that, despite considerable progress in our understanding of the diversity and phylogeny of early rays, difficulties remain in establishing robust relationships within batomorphs. We therefore emphasise the importance of comprehensive studies of completely preserved fossil cartilaginous fishes to obtain a better understanding of chondrichthyan evolution and their systematics in deep time.