PLoS ONE最新文献

Background: After head and neck cancer surgery with free flap reconstruction, the use of glucocorticoids is often required to alleviate inflammation and edema. However, the impact of glucocorticoid on postoperative complications and cancer progression remains unclear.

Methods: This retrospective cohort study included 711 elderly patients who underwent head and neck cancer surgery with free flap reconstruction at Shanghai Ninth People's Hospital from January 1, 2014, to December 31, 2022. Patients were categorized based on postoperative glucocorticoid usage into a high-dose steroid group (n = 307) and a control group (n = 404). The study focused on the impact of postoperative GC use on postoperative complications and long-term oncological outcomes.

Results: Multivariate analysis indicated that compared to the control group, the high-dose steroid group had a significant increase in postoperative complications, including atelectasis (OR: 3.83, 95% CI: 1.27-14.11, P = 0.025), postoperative hyperglycemia (OR: 1.54, 95% CI: 1.14-2.08, P = 0.006), and flap complications (OR: 4.61, 95% CI: 3.31-6.47, P < 0.001). These complications often required extended hospital stays (β: 1.656, 95% CI: 1.075-2.236, P <  0.001). Additionally, the high-dose steroid group had a higher rate of unplanned readmissions within one year (OR: 5.61, 95% CI: 3.87-8.25, P < 0.001). The increased readmission rates were notably due to difficulties swallowing requiring percutaneous gastrostomy (OR: 3.62, 95% CI: 1.97-6.98, P < 0.001), recurrence (OR: 9.34, 95% CI: 5.02-19.05, P < 0.001), and metastasis (OR: 4.78, 95% CI: 2.58-9.44, P < 0.001).

Conclusion: The use of high-dose postoperative glucocorticoids is associated with increased postoperative complications, higher readmission rates, and poorer oncological outcomes in patients. The results advocate for cautious use and dosage management of perioperative glucocorticoids in head and neck surgeries to optimize patient outcomes.

Objective: The aim of the study was to derive median age- and sex-specific respiratory rates in a population-based sample of adults and to identify disease and lifestyle factors associated with elevated respiratory rates.

Methods: In the population-based KORA FF4 study conducted in Augsburg, Germany, 5-minute 12-lead resting electrocardiograms (ECGpro-system, AMEDTEC) were recorded in 2,224 participants from 39 to 88 years. Respiratory rate was derived from these electrocardiograms. Sex- and age-specific medians, IQRs, and percentiles were calculated. Associations of sociodemographic, disease, and lifestyle variables with elevated resting respiratory rate were assessed by univariable and multivariable logistic regression analyses.

Results: Respiratory rate decreased slightly from youngest to middle-aged women and men and increased in old age. Overall, median (IQR) was 15.80 (3.16) breaths per minute (brpm). Five percent of the participants had values lower than 12.06 brpm, and five percent had values above 20.06 brpm (95th percentile). Elevated respiratory rates of ≥  18.6 brpm were found in 13.8% (n =  308). In an adjusted logistic regression model, age, abdominal obesity, diabetes, COPD, smoking, and low education were significantly associated with elevated respiratory rate. Stratified analyses showed that education appeared to be more relevant in women, while the effect of diabetes was more pronounced in men.

Conclusions: High respiratory rate may be an indicator of impaired health in the general population, especially regarding pulmonary and metabolic characteristics, and unfavorable lifestyle and living conditions. Individuals with an increased respiratory rate should therefore be examined and followed up more closely to recognize diseases and adverse progressions at an early stage and to possibly prevent them.

Current work suggests that basic psychological needs are related to higher intrinsic motivation, which in turn, can promote more positive academic outcomes. However, few studies have examined how perceptions around one's abilities in science, engineering, technology, and math (STEM) are related to intrinsic motivation and what role needs satisfaction plays in this association. This study assessed adolescents' (N = 285, 56.1% female, Mage = 15.76 years, SD = 1.24) STEM ability perceptions, basic needs satisfaction, and intrinsic motivation. A path analysis was used to examine the association between STEM ability perceptions, basic needs satisfaction, and intrinsic motivation in adolescents. Inclusive perceptions of the STEM abilities of historically underrepresented groups (i.e., girls and minoritized ethnicities) were positively associated with basic needs satisfaction and basic needs satisfaction was positively associated with intrinsic motivation. There was also a positive indirect effect from inclusive perceptions of STEM abilities to intrinsic motivation through basic needs satisfaction. These findings suggest that schools should focus on promoting inclusive perceptions in order to bolster adolescents' basic needs satisfaction, which could have carry-on effects on intrinsic motivation.

Capivasertib (AZD5363) is a 2023 FDA-approved pyrrolopyrimidine-derived compound that treats hormone receptor positive, HER2 negative metastatic breast cancer in adult patients. It is a novel pan-AKT kinase catalytic inhibitor in ER + breast cancer cell lines, including MCF7. The dominant influence of carbon quantum dots (CQDs) in combination with multiple chemotherapy drugs is also demonstrated as a drug delivery system that significantly enhances the effectiveness of cancerous tumour treatments by providing reduced side-effects, through targeted delivery of the drug, controlled release, enhanced solubility, permeability and retention. In this study, the impact of the conjugation of AZD5363 drug to N-doped, S-doped, and N/S-doped CQDs was investigated on inducing apoptosis by inhibiting the AKT signalling pathway in the MCF7 cell line. Initially, hydrothermal and pyrolysis methods were used to construct CQDs. Then, the synthesized quantum dots were conjugated with AZD5363 at three different concentrations, i.e., 0.03, 0.3, and 3nM. The MTT test results, on MCF7 cells, showed that although all the studied CQDs were biocompatible, the complex of N/S-doped CQD-AZD5363 at a concentration of 0.03nM was the most effective. After obtaining immunocytochemistry results, flow cytometry and cell invasion tests were employed to demonstrate the high potential of the introduced drug carrier complex in reducing AKT protein expression, induction of apoptosis and prevention of cell metastasis and invasion. According to these results, the binding of N/S-doped CQD to AZD5363 increases the effectiveness of this drug, with reducing the IC50 concentration, and more specificity to cancerous cells, introducing it as a suitable candidate for the treatment of breast cancer.

The study of the adsorption characteristics of coal is of great significance to gas prevention and CO2 geological storage. To explore the adsorption mechanism of coal, this study focuses on columnar anthracite. Adsorption tests on coal rock under a range of physical field conditions were conducted using the volumetric method. The adsorption characteristics of anthracite for CO2, CH4, and N2 gases under different conditions were investigated using Grand Canonical Monte Carlo (GCMC) and Molecular Dynamics (MD) methods. The results showed that the adsorption capacities of anthracite for these three gases are in the order of CO2 > CH4 > N2, and that the adsorption capacity increases with increasing gas injection pressure. The CO2/CH4/N2 gas molecule adsorption capacity of the anthracite macromolecular structure model decreases with increasing temperature. The increase in temperature has the greatest influence on the CO2 absorption capacity, followed by the CH4 and N2 adsorption capacities. The research offers a theoretical basis for the control of coal mine gas and the geological storage of CO2.

The fire-retardant properties of bio-composites are generally enhanced through nano fillers incorporation at the cost of their mechanical properties. In this study, magnesium hydroxide (MH) nano filler was incorporated into flax/vinyl ester (VE) bio-composite to enhance its fire-retardancy and thermal stability simultaneously with mechanical properties. MH is chemically compatible with cellulosic fibers which played a role in improving the interfacial bonding and hence the mechanical properties in this study. The composites fabrication process parameters including curing temperature and vacuum pressure were also optimized in this study. The concentration of MH was varied as 0, 5, and 10% in the flax/VE composite. The tensile and flexural strengths of the 5% MH filled flax/VE composites were observed to increase by 10% and 48% respectively. This enhancement in strength was attributed to the improved interfacial bonding and compatibility of MH with flax fiber, verified through Field Emission Scanning Electron Microscopy (FESEM) and Fourier Transformed Infrared Spectroscopy (FTIR), respectively. The horizontal burning rate of the composites was decreased by 25% after MH incorporation, which was validated through a limiting oxygen index (LOI) test. The results of cone calorimetry highlighted a decrease of 11.73% in the peak values of heat release rate (HRR) which is a sign of enhancement in fire retardancy. The thermogravimetric analysis also discovered an improvement in the thermal stability of the composites. These bio-composites with improved mechanical, thermal and fire-retardant properties may find their applications in automobiles, marine and aerospace industries.

Objective: To explore the convergent validity of 12-item World Health Organization Disability Assessment Schedule (WHODAS 2.0) comparing it to Neck Disability Index (NDI).

Design: Cross-sectional cohort study.

Subjects/patients: 962 patients visiting a university outpatient Physical and Rehabilitation Medicine Clinic due to musculoskeletal complaints.

Methods: Spearman´s rank correlation between WHODAS 2.0 and NDI.

Results: The average age was 49.2 (SD 14.5) years, 67% were women. Of all the possible 143 correlations between WHODAS 2.0 and NDI, 99 (69%) were positive, significant and strong or, at least, moderate. The correlation between the composite scores of two scales was strong. The weakest correlations were seen for the NDI items 'pain intensity and 'headaches'.

Conclusion: Most of the items and the composite scores of the WHODAS and the NDI demonstrated significant positive correlations. Pain intensity, as defined by the NDI, did not correlate with disability severity measured by the WHODAS 2.0. Also, the NDI items 'headaches' and 'sleeping' were associated with the WHODAS 2.0 only loosely. It seems that one of these two scales may not directly be substituted by another. When used simultaneously, The WHODAS and the NDI may complement each other covering comprehensively the different dimensions of functioning among people with neck pain.

SOC prediction is of great value to electric vehicle status assessment. Informer model is better than other models in SOC prediction, but there is still a gap in practical application. Therefore, based on the health assessment algorithm, a new optimized Informer model is proposed to predict SOC. Firstly, the health assessment is carried out through the historical running data of the electric vehicle to obtain the health matrix. Then, the health matrix is used to improve Encoder and Decoder modules and improve the prediction accuracy and speed of Informer model. Subsequently, the health matrix is utilized to optimize the prediction logic, reduce the influence of truncation error, and further improve the SOC prediction accuracy. Finally, using the Informer model before and after optimization, SOC prediction is performed using four different datasets. The results indicate that after optimizing the En-De module of Informer, prediction accuracy improved by approximately 15%, with prediction speed increasing by about 100%. Furthermore, optimizing the prediction logic to reduce truncation error further enhanced Informer's prediction accuracy by around 20%.

Infectious bronchitis virus (IBV) is an important avian pathogen with a positive-sense single-stranded RNA genome. IBV is the causative agent of infectious bronchitis (IB), a primarily respiratory disease affecting chickens, with the ability to disseminate to other organ systems, such as the gastrointestinal, renal, lymphoid, and reproductive systems. Tracheal epithelial cells are the primary target of IBV, and these cells play a vital role in the effective induction of the antiviral response and eventual clearance of IBV. The host immune system is regulated by a number of different molecular players, including micro-ribonucleic acids (microRNAs), which are small, conserved, non-coding RNA molecules that regulate gene expression of complementary messenger RNA (mRNA) sequences, resulting in gene silencing through translational repression or target degradation. The goal of this study was to characterize and compare the microRNA expression profiles in chicken tracheal epithelial cells (cTECs) in vitro and the trachea in vivo upon IBV Delmarva/1639 (DMV/1639) or IBV Massachusetts 41 (Mass41) infections. We hypothesized that IBV infection influences the expression of the host microRNA expression profiles. cTECs and young specific pathogen-free (SPF) chickens were infected with IBV DMV/1639 or IBV Mass41 and the microRNA expression at 3 and 18 hours post-infection (hpi) in the cTECs and at 4 and 11 days post-infection (dpi) in the trachea were determined using small RNA-sequencing (RNA-seq). We found that the profile of differentially expressed (DE) microRNAs is largely dependent on the IBV strain and time point of sample collection. Furthermore, we predicted the interaction between host microRNA and IBV viral RNA using microRNA-RNA interaction prediction platforms. We identified several candidate microRNAs suitable for future functional studies, such as gga-miR-155, gga-miR-1388a, gga-miR-7/7b and gga-miR-21-5p. Characterizing the interaction between IBV and the host cells at the level of microRNA regulation provides further insight into the regulatory mechanisms involved in viral infection and host defense in chickens following IBV infection.

Porphyromonas gingivalis (Pg) is an oral bacterial pathogen that has been associated with systemic inflammation and adverse pregnancy outcomes such as low birth weight and pre-term birth. Pg drives these sequelae through virulence factors decorating the outer membrane that are present on non-replicative outer membrane vesicles (OMV) that are suspected to be transmitted systemically. Given that Pg abundance can increase during pregnancy, it is not well known whether Pg-OMV can have deleterious effects on the brain of the developing fetus. We tested this possibility by treating pregnant C57/Bl6 mice with PBS (control) and OMV from ATCC 33277 by tail vein injection every other day from gestational age 3 to 17. At gestational age 18.5, we measured dam and pup weights and collected pup brains to quantify changes in inflammation, cortical neuron density, and Tau phosphorylated at Thr231. Dam and pup weights were not altered by Pg-OMV exposure, but pup brain weight was significantly decreased in the Pg-OMV treatment group. We found a significant increase of Iba-1, indicative of microglia activation, although the overall levels of IL-1β, IL-6, TNFα, IL-4, IL-10, and TGFβ mRNA transcripts were not different between the treatment groups. Differences in IL-1β, IL-6, and TNFα concentrations by ELISA showed IL-6 was significantly lower in Pg-OMV brains. Cortical neuron density was modified by treatment with Pg-OMV as immunofluorescence showed significant decreases in Cux1 and SatB2. Overall p-Tau Thr231 was increased in the brains of pups whose mothers were exposed to Pg-OMV. Together these results demonstrate that Pg-OMV can significantly modify the embryonic brain and suggests that Pg may impact offspring development via multiple mechanisms.