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How knee muscles and ground reaction forces shape knee buckling and ankle push-off in neuromuscular simulations of human walking
Abstract Ankle push-off is important for efficient, human-like walking, and many prosthetic devices mimic push-off using motors or elastic elements. The knee is extended throughout the stance phase and begins to buckle just before push-off, with timing being crucial. However, the exact mechanisms behind this buckling are still unclear. We use a predictive neuromuscular simulation to investigate whether active muscles are required for knee buckling and to what extent ground reaction forces (GRFs) drive it. In a systematic parameter search, we tested how long the knee muscles vastus (VAS), gastrocnemius (GAS), and hamstrings could be deactivated while maintaining a stable gait with impulsive push-off. VAS deactivation up to 35% of the gait cycle resulted in a dynamic gait with increased ankle peak power. GAS deactivation up to 20% of the gait cycle was detrimental to gait efficiency and showed reduced ankle peak power. At the start of knee buckling, the GRF vector is positioned near the knee joint’s neutral axis, assisting in knee flexion. However, this mechanism is likely not enough to drive knee flexion independently. Our findings contribute to the biomechanical understanding of ankle push-off, with applications in prosthetic and bipedal robotic design, and fundamental research on human gait mechanics.
Fermented foods affect the seasonal stability of gut bacteria in an Indian rural population
Abstract The effect of fermented foods on healthy human gut microbiota structure and function, particularly its seasonal preference and frequent long-term consumption, has been largely uncharacterised. Here, we assess the gut microbiota and metabolite composition of 78 healthy Indian agrarian individuals who differ in the intake of fermented milk and soybean products by seasonal sampling during hot-humid summer, autumn and dry winter. Here we show that, seasonal shifts between the Prevotella- and Bifidobacterium/Ruminococcus-driven community types, or ecological states, and associated fatty acid derivatives, with a bimodal change in Bacteroidota community structure during summer, particularly in fermented milk consumers. Our results associate long-term fermented food consumption with reduced gut microbiota diversity and bacterial load. We identify taxonomic groups that drive the seasonal fluctuation and associated shifts between the two ecological states in gut microbiota. This understanding may pave the way towards developing strategies to sustain a healthy and resilient gut microbiota through dietary interventions.
Prohibiting Babel—A call for professional remote interpreting services in pre-operation anaesthesia information
Introduction Language barriers within clinical settings pose a threat to patient safety. As a potential impediment to understanding, they hinder the process of obtaining informed consent and uptake of critical medical information. This study investigates the impact of the current use of interpreters, with a particular focus on of engaging laypersons as interpreters, rather than professional interpreters potentially affecting patient safety. A further objective is to explore the reliability of phone-based telemedicine in terms of the retention of important medical facts. Methods In three groups (N per group = 30), we compared how using lay or professional interpreters affected non-German speaking patients’ subjectively perceived understanding (understood vs. not understood) and recollection (recollected vs. not recollected) of information about general anaesthesia. Proficient German speaking patients served as the control group. Statistical analyses ( χ 2 tests and binomial) were calculated to show differences between and within the groups. Results All three groups indicated similar, high self-reported levels of having understood the medical information provided. This was in stark contrast to the assessed objective recollection data. In the lay interpreter group, recollection of anaesthesia facts was low; only around half of participants recalled specific facts. For patients supported by professional interpreters, their recollection of facts about anaesthesia was significantly enhanced and elevated to the same level of the control group (fluent in German). Moreover, for these patients, providing information by means of phone-based telemedicine before anaesthesia yielded high levels of understanding and recollection of anaesthesia facts. Conclusion Phone-based telemedicine is a safe and reliable method of communication in the professional interpreter group and German speaking control group, but not in the lay interpreter group. Compared to lay interpreters, professional interpreters significantly improve patients’ uptake of critical information about general anaesthesia, thus highlighting the importance of professional interpreters for patient safety and informed consent.
Single-cell profiling transcriptomic reveals cellular heterogeneity and cellular crosstalk in breast cancer lymphatic node, bone, and brain metastases
High-throughput method characterizes hundreds of previously unknown antibiotic resistance mutations
Abstract A fundamental obstacle to tackling the antimicrobial resistance crisis is identifying mutations that lead to resistance in a given genomic background and environment. We present a high-throughput technique – Quantitative Mutational Scan sequencing (QMS-seq) – that enables quantitative comparison of which genes are under antibiotic selection and captures how genetic background influences resistance evolution. We compare four E. coli strains exposed to ciprofloxacin, cycloserine, or nitrofurantoin and identify 812 resistance mutations, many in genes and regulatory regions not previously associated with resistance. We find that multi-drug and antibiotic-specific resistance are acquired through categorically different types of mutations, and that minor genotypic differences significantly influence evolutionary routes to resistance. By quantifying mutation frequency with single base pair resolution, QMS-seq informs about the underlying mechanisms of resistance and identifies mutational hotspots within genes. Our method provides a way to rapidly screen for resistance mutations while assessing the impact of multiple confounding factors.
Correction: The use of paracetamol during pregnancy: A qualitative study and possible strategies for a clinical trial
A retrospective multicenter study on the efficacy and safety of disitamab vedotin monotherapy versus combination with anti-PD-1 immunotherapy in advanced gastric cancer
Yttrium-doped NiMo-MoO2 heterostructure electrocatalysts for hydrogen production from alkaline seawater
Automating the amino acid identification in elliptical dichroism spectrometer with Machine Learning
Amino acid identification is crucial across various scientific disciplines, including biochemistry, pharmaceutical research, and medical diagnostics. However, traditional methods such as mass spectrometry require extensive sample preparation and are time-consuming, complex and costly. Therefore, this study presents a pioneering Machine Learning (ML) approach for automatic amino acid identification by utilizing the unique absorption profiles from an Elliptical Dichroism (ED) spectrometer. Advanced data preprocessing techniques and ML algorithms to learn patterns from the absorption profiles that distinguish different amino acids were investigated to prove the feasibility of this approach. The results show that ML can potentially revolutionize the amino acid analysis and detection paradigm.
Study on the linkage mechanism between key strata fracture in overburden and surface subsidence during caving mining in extra-thick coal seams
The widely used Ucp1-Cre transgene elicits complex developmental and metabolic phenotypes
Adolescent reports of subjective socioeconomic status: An adequate alternative to parent-reported objective and subjective socioeconomic status?
Socioeconomic status (SES) is associated with well-being outcomes across studies; however, there is wide variation in its measurement, particularly in adolescence. One key difference in measures of SES concerns whether participants relay objective information—for example, years of education, household income—or subjective perceptions of socioeconomic status, either with or without reference to others or society. Although parents are often considered the best source of SES information—especially objective SES—within families, interviewing parents within the context of adolescent research is costly, time-consuming, and not always feasible. Given the importance of SES for outcomes in adolescence and cumulative effects over the lifespan, we used data from adolescents (N = 702) and parents (Ns = 664–730) to examine whether adolescent reports of SES serve as reasonable proxies for parent reports of both objective and subjective SES, as well as administrative data assessing family SES and neighborhood SES. Consistent with our hypotheses, adolescents’ reports of subjective SES were moderately correlated with parent reports and administrative data tapping family SES. Moreover, adolescents’ reports of subjective SES predicted adolescent-reported measures of well-being, including mental health, physical health, school performance, problem behavior, and alcohol use to the same degree as or better than parent reports of both subjective and objective SES and administrative data. These findings suggest that adolescent reports of subjective SES—using two different, easily understood measures—can stand in as reasonable alternatives to parent-reported SES and administrative data.
Spin transport properties in a topological insulator sandwiched between two-dimensional magnetic layers
Abstract Non-trivial band topology along with magnetism leads to different novel quantum phases. When time-reversal symmetry is broken in three-dimensional topological insulators (TIs) through, e.g., the proximity effect, different phases such as the quantum Hall phase or the quantum anomalous Hall(QAH) phase emerge, displaying interesting transport properties for spintronic applications. The QAH phase displays sidewall chiral edge states, which leads to the QAH effect. We have considered a heterostructure consisting of a TI, namely Bi $$_2$$ Se $$_3$$ , sandwiched between two two-dimensional ferromagnetic monolayers of CrI $$_3$$ , to study how its topological and transport properties change due to the proximity effect. Combining DFT and tight-binding calculations, along with non-equilibrium Green’s function formalism, we show that a well-defined exchange gap appears in the band structure in which spin-polarised edge states flow. In a finite slab, the nature of the surface states depends on both the cross-section and thickness of the system. Therefore, we also study the width and finite-size effects on the transmission and topological properties of this magnetised TI nanoribbon.
Microbial biogeography along a 2578 km transect on the East Antarctic Plateau
Interpretable and integrative deep learning for discovering brain-behaviour associations
Author Correction: A sedimentary ancient DNA perspective on human and carnivore persistence through the Late Pleistocene in El Mirón Cave, Spain
Stability indicating RP-HPLC technique for simultaneous estimation of nirmatrelvir and ritonavir in their new copackaged dosage form for COVID-19 treatment
Abstract RP-HPLC technique was developed and optimized for simultaneous identification and estimation of nirmatrelvir (NIR) and ritonavir (RIT) in their new copackaged tablet. Stability of nirmatrelvir (NIR) was studied after exposure to different five stress conditions; alkali, acid, heat, photo and oxidation degradation. The chromatographic separation was achieved using VDSpher PUR 100 ODS (4.6-mm x 15-mm), 3.5 μm column and mixture of 0.03 M potassium di-hydrogen phosphate buffer pH 4 and acetonitrile (45:55, v/v) as mobile phase. The column temperature was set at 40 °C, flow rate at 1mL/min and UV detection at 215 nm. The NIR and RIT retention times were 3.94 ± 0.08 min and 9.08 ± 0.1 min, respectively. Linear relationship was established in range of (1.5–105 µg/mL) for NIR and (1–70 µg/mL) for RIT with good reproducibility. The found mean percentage recoveries of nirmatrelvir (NIR) and ritonavir (RIT) were 100.03% and 99.85%, respectively. The developed method shows very good sensitivity as the LOQ and LOD were found to be 3.001 & 0.990 µg/mL, respectively for NIR and 2.765 & 0.912 µg/mL, respectively for RIT. The developed approach was validated concerning to ICH guidelines and applied successfully for the simultaneous estimation of NIR and RIT in their new copackaged dosage from. The results of assay using the proposed approach were compared statistically to the results found by applying the published one with good agreement.