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24 pages, 7717 KiB  
Article
Novel Therapeutic Effects of Euphorbia heterophylla L. Methanol Extracts in Macular Degeneration Caused by Blue Light in A2E-Laden ARPE-19 Cells and Retina of BALB/c Mice
by Ayun Seol, Ji-Eun Kim, You-Jeong Jin, Hee-Jin Song, Yu-Jeong Roh, Tae-Ryeol Kim, Eun-Seo Park, Ki-Ho Park, So-Hae Park, Muhammad Salah Uddin, Sang-Woo Lee, Young-Woo Choi and Dae-Youn Hwang
Pharmaceuticals 2024, 17(9), 1193; https://doi.org/10.3390/ph17091193 - 10 Sep 2024
Viewed by 357
Abstract
Natural products with high antioxidant activity are considered as innovative prevention strategies to effectively prevent age-related macular degeneration (AMD) in the early stage because the generation of reactive oxygen species (ROS) leading to the development of drusen is reported as an important cause [...] Read more.
Natural products with high antioxidant activity are considered as innovative prevention strategies to effectively prevent age-related macular degeneration (AMD) in the early stage because the generation of reactive oxygen species (ROS) leading to the development of drusen is reported as an important cause of this disease. To investigate the prevention effects of the methanol extracts of Euphorbia heterophylla L. (MEE) on AMD, its effects on the antioxidant activity, inflammatory response, apoptosis pathway, neovascularization, and retinal tissue degeneration were analyzed in N-retinylidene-N-retinylethanolamine (A2E)-landed spontaneously arising retinal pigment epithelia (ARPE)-19 cells and BALB/c mice after exposure to blue light (BL). The MEE contained 10 active components and showed high free radical scavenging activity against 2,2-diphenyl-1-picrylhydrazyl (DPPH), 2,2′-azino-bis (3-ethylbenzothiazoline-6-sulfonic acid) (ABTS), and nitric oxide (NO) radicals. The pretreatments of high-dose MEE remarkably suppressed the production of intracellular ROS (88.2%) and NO (25.2%) and enhanced (SOD) activity (84%) and the phosphorylation of nuclear factor erythroid 2–related factor 2 (Nrf2) in A2E + BL-treated ARPE-19 cells compared to Vehicle-treated group. The activation of the inducible nitric oxide synthase (iNOS)-induced cyclooxygenase-2 (COX-2) mediated pathway, inflammasome activation, and expression of inflammatory cytokines was significantly inhibited in A2E + BL-treated ARPE-19 cells after the MEE pretreatment. The activation of the apoptosis pathway and increased expression of neovascular proteins (36% for matrix metalloproteinase (MMP)-9) were inhibited in the MEE pretreated groups compared to the Vehicle-treated group. Furthermore, the thickness of the whole retina (31%), outer nuclear layer (ONL), inner nuclear layer (INL), and photoreceptor layer (PL) were significantly increased by the MEE pretreatment of BALB/c mice with BL-induced retinal degeneration. Therefore, these results suggest that the MEE, with its high antioxidative activity, protects against BL-induced retinal degeneration through the regulation of the antioxidative system, inflammatory response, apoptosis, and neovascularization in the AMD mouse model. Full article
(This article belongs to the Section Natural Products)
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<p>Determination of the main components in the MEE, using LC-MS analysis. Ten compounds including oleamide, linoleamide, palmitoleamide, quercetin, quercetrin, kaempferol, ellagic acid, β-sitosterol, octanoic acid, and linoleic acid were detected as distinct peaks in the chromatogram. Abbreviations: LC-MS, liquid chromatography–mass spectrometry; MEE, methanol extracts of <span class="html-italic">Euphorbia heterophylla</span> L.</p>
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<p>Free radical scavenging activity of the MEE. (<b>A</b>) DPPH radical scavenging activity. (<b>B</b>) ABTS radical scavenging activity. (<b>C</b>) NO radical scavenging activity. The activity of each radical was determined at 0.1 mM radicals and varying concentrations of the MEE (1–1000 μg/mL). The dotted line represented the trend pattern. The free radical scavenging analyses were performed on three MEE samples, and the optical density was measured twice for each well. Data are reported as the mean ± SD. Abbreviations: DPPH, 2,2-diphenyl-1-picrylhydrazyl; ABTS, 2,2′-azino-bis (3-ethylbenzothiazoline-6-sulfonic acid); NO, nitric oxide; IC<sub>50</sub>, half-maximal inhibitory concentration; MEE, methanol extracts of <span class="html-italic">Euphorbia heterophylla</span> L.</p>
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<p>Detection of intracellular ROS and NO in MEE + A2E + BL-treated ARPE-19 cells. (<b>A</b>) Fluorescence image of DCF stained ARPE-19 cells. The fluorescence of the cells was observed at 200× magnification. (<b>B</b>) Number of DCF stained cells. The preparation of DCFH-DA-stained cells was performed on two to three wells per group, and the positive cells were counted in two fields of view (67,500 mm<sup>2</sup>) in each well. (<b>C</b>) NO concentration. NO concentration in the culture supernatants was measured using the Griess reagent. The NO concentration analyses were performed using three wells per each group, and the assay for each sample was analyzed twice. Data are reported as the mean ± SD. * <span class="html-italic">p</span> &lt; 0.05 vs. No group. # <span class="html-italic">p</span> &lt; 0.05 vs. Vehicle + A2E + BL-treated group. Abbreviations: NO, nitric oxide; DCFHDA, 2,7-Dichlorofluorescin diacetate; MEE, methanol extracts of <span class="html-italic">Euphorbia heterophylla</span> L.; A2E, N-retinylidene-N-retinylethanolamine; BL, blue light.</p>
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<p>Determination of SOD, Nrf2, and p-Nrf2 proteins levels and SOD activity in MEE + A2E + BL-treated ARPE-19 cells. (<b>A</b>) Expression level of SOD, Nrf2, and p-Nrf2 proteins. After preparation of the total cell lysates from MEE + A2E + BL-treated ARPE-19 cells, SOD, Nrf2, and p-Nrf2 proteins were analyzed using specific antibodies. The expression level of each protein was normalized to β-actin. The cell lysates were prepared from two to three dishes per group and the Western blots were analyzed twice for each sample. (<b>B</b>) Level of SOD activity. After preparation of total cell lysates from the MEE + A2E + BL-treated ARPE-19 cells, SOD activity was detected using a specific assay kit. One unit of SOD was defined as the amount of the enzyme in the MEE solution (20 µL) that inhibits the reduction reaction of WST-1 with the superoxide anion by 50%. Data are reported as the mean ± SD. * <span class="html-italic">p</span> &lt; 0.05 vs. No group. # <span class="html-italic">p</span> &lt; 0.05 vs. Vehicle + A2E + BL-treated group. Abbreviations: SOD, superoxide dismutase; Nrf2, nuclear factors erythroid 2-related factors; MEE, methanol extracts of <span class="html-italic">Euphorbia heterophylla</span> L.; A2E, N-retinylidene-N-retinylethanolamine; BL, blue light; WST-1, water-soluble tetrazolium salt-1; ARPE, arising retinal pigment epithelia.</p>
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<p>Expression of key regulators on the iNOS-induced COX-2 mediated pathway, inflammasome pathway and transcription of inflammatory cytokines in MEE + A2E + BL-treated ARPE-19 cells. (<b>A</b>) Expression level of COX-2 and iNOS. (<b>B</b>) Expression level of NLRP3, ASC, Cas-1, and Cleaved Cas-1. After preparation of the total cell lysates from MEE + A2E + BL-treated ARPE-19 cells, the expression level of each protein was analyzed using specific antibodies and normalized to β-actin. The cell lysates were prepared from two to three dishes per group and the Western blots were analyzed twice for each sample. (<b>C</b>) mRNA levels of TNF-α, IL-1β, IL-6, and NF-κB. The mRNA levels of each gene were analyzed using specific primers and normalized to β-actin. The total RNAs were purified from cells of two to three dishes per group and RT-qPCR analysis was conducted twice for each sample. Data are reported as the mean ± SD. * <span class="html-italic">p</span> &lt; 0.05 vs. No group. # <span class="html-italic">p</span> &lt; 0.05 vs. Vehicle + A2E + BL-treated group. Abbreviations: COX-2, cyclooxygenase-2; iNOS, inducible nitric oxide synthase; NLRP3, NLR family pyrin domain containing 3; ASC, apoptosis-associated speck-like protein; Cas-1, Caspase-1; TNF-α, tumor necrosis factor α; IL, Interleukin; NF-κB, nuclear factor kappa-light-chain-enhancer of activated B; MEE, methanol extracts of <span class="html-italic">Euphorbia heterophylla</span> L.; A2E, N-retinylidene-N-retinylethanolamine; BL, blue light; ARPE, arising retinal pigment epithelia.</p>
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<p>Expression of key regulators on the iNOS-induced COX-2 mediated pathway, inflammasome pathway and transcription of inflammatory cytokines in MEE + A2E + BL-treated ARPE-19 cells. (<b>A</b>) Expression level of COX-2 and iNOS. (<b>B</b>) Expression level of NLRP3, ASC, Cas-1, and Cleaved Cas-1. After preparation of the total cell lysates from MEE + A2E + BL-treated ARPE-19 cells, the expression level of each protein was analyzed using specific antibodies and normalized to β-actin. The cell lysates were prepared from two to three dishes per group and the Western blots were analyzed twice for each sample. (<b>C</b>) mRNA levels of TNF-α, IL-1β, IL-6, and NF-κB. The mRNA levels of each gene were analyzed using specific primers and normalized to β-actin. The total RNAs were purified from cells of two to three dishes per group and RT-qPCR analysis was conducted twice for each sample. Data are reported as the mean ± SD. * <span class="html-italic">p</span> &lt; 0.05 vs. No group. # <span class="html-italic">p</span> &lt; 0.05 vs. Vehicle + A2E + BL-treated group. Abbreviations: COX-2, cyclooxygenase-2; iNOS, inducible nitric oxide synthase; NLRP3, NLR family pyrin domain containing 3; ASC, apoptosis-associated speck-like protein; Cas-1, Caspase-1; TNF-α, tumor necrosis factor α; IL, Interleukin; NF-κB, nuclear factor kappa-light-chain-enhancer of activated B; MEE, methanol extracts of <span class="html-italic">Euphorbia heterophylla</span> L.; A2E, N-retinylidene-N-retinylethanolamine; BL, blue light; ARPE, arising retinal pigment epithelia.</p>
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<p>Level of cell deaths parameters in the MEE + A2E + BL-treated ARPE-19 cells. (<b>A</b>) Relative level of cell viability and (<b>B</b>) morphology of the MEE + A2E + BL-treated ARPE-19 cells. After pretreatment with three different dosages of the MEE for 24 h, their viability was analyzed using the MTT assay. The MTT assays were performed on samples from two to three wells per group, and the optical density was measured twice for each well. (<b>C</b>) The number of specific cells stained with Annexin V and 7-AAD. After staining, the number of stained cells was analyzed using a Muse Cell Analyzer. Annexin V and 7-AAD staining were performed from two to three wells per group, and the number of specific cells was counted twice for each well. The red lines represented four different stages of cell death, while individual cell was marked with a red dot. (<b>D</b>) Protein expression level of Bax, Bcl-2, Cas-3, and Cleaved Cas-3. The expression level of each protein was normalized to β-actin. The cell lysates were prepared from two to three dishes per group and the Western blots were analyzed twice for each sample. Data are reported as the mean ± SD. * <span class="html-italic">p</span> &lt; 0.05 vs. No group. # <span class="html-italic">p</span> &lt; 0.05 vs. Vehicle + A2E + BL-treated group. Abbreviations: MTT, 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide; 7-AAD, 7-aminoactinomycin D; Bax, Bcl-2-associated X protein; Bcl-2, B-cell lymphoma 2; Cas-3, Caspase-3; MEE, methanol extracts of <span class="html-italic">Euphorbia heterophylla</span> L.; A2E, N-retinylidene-N-retinylethanolamine; BL, blue light; ARPE, arising retinal pigment epithelia.</p>
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<p>Expression levels of angiogenic factors in MEE + A2E + BL-treated ARPE-19 cells. (<b>A</b>) Expression of angiogenic proteins. After collections of the total cell lysates from the MEE + A2E + BL-treated ARPE-19 cells, the MMP-2, MMP-9, and VEGF proteins were analyzed using specific antibodies. The expression level of each protein was normalized to β-actin. The cell lysates were prepared from two to three dishes per group and the Western blots were analyzed twice for each sample. (<b>B</b>) Transcription level of VEGF gene. The mRNA levels of this gene were analyzed using specific primers and normalized to β-actin. The total RNAs were purified from the cells of two to three dishes per group and RT-qPCR analysis was conducted twice for each sample. Data are reported as the mean ± SD. * <span class="html-italic">p</span> &lt; 0.05 vs. No group. # <span class="html-italic">p</span> &lt; 0.05 vs. Vehicle + A2E + BL-treated group. Abbreviations: MMP, matrix metalloproteinase; VEGF, vascular endothelial growth factor; MEE, methanol extracts of <span class="html-italic">Euphorbia heterophylla</span> L.; A2E, N-retinylidene-N-retinylethanolamine; BL, blue light; ARPE, arising retinal pigment epithelia.</p>
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<p>Histological structures in the retina and expression of iNOS and COX-2 proteins of MEE + BL-treated BALB/c mice. (<b>A</b>) Histology of the retina and thickness of whole retina. Histopathological alterations such as the thickness of the whole retina, OS, ONL, INL, and IPL were observed in the retina section stained with H&amp;E solution at 200× magnification. The thickness of whole retina represented bold arrow. The thicknesses of retina were measured using the Image J program 1.52a. Three different points including thickest point, thinnest point and medium thickness point were measured and presented as their mean values. The preparation of the H&amp;E-stained section was performed on three to five mice per group and the thickness was measured twice for each stained tissue. Expression of (<b>B</b>) iNOS and (<b>C</b>) COX-2 proteins in the retina. After staining three different antibodies, the stable DAB developed retinal section was observed at 400× magnification using light microscopy. The preparation of the IHC stained section was performed on three to five mice per group, and the distribution of each protein was analyzed twice for each stained tissue. Data are reported as the mean ± SD. * <span class="html-italic">p</span> &lt; 0.05 vs. No group. # <span class="html-italic">p</span> &lt; 0.05 vs. Vehicle + A2E + BL-treated group. Abbreviations: OS, outer segment, ONL, outer nuclear layer; INL, inner nuclear layer; IPL, inner plexiform layer; iNOS, inducible nitric oxide synthase; COX-2, cyclooxygenase-2; MEE, methanol extracts of <span class="html-italic">Euphorbia heterophylla</span> L.; A2E, N-retinylidene-N-retinylethanolamine; BL, blue light; H&amp;E, hematoxylin, and eosin; DAB, 3,3′-diaminobenzidine; IHC, immunohistochemistry.</p>
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14 pages, 2641 KiB  
Review
Can Change in Forest Cover Be Linked to the Management Effectiveness of Protected Areas? The Indian Scenario
by Monali Sen and Dhananjai Mohan
Sustainability 2024, 16(17), 7431; https://doi.org/10.3390/su16177431 - 28 Aug 2024
Viewed by 349
Abstract
Protected areas are an effective mechanism usually supported by a statute to conserve and protect wildlife-rich areas worldwide. Such extensive external management needs elaborate planning, regular monitoring, and periodic assessment of results. Thus, management effectiveness evaluation (MEE) has emerged as one of the [...] Read more.
Protected areas are an effective mechanism usually supported by a statute to conserve and protect wildlife-rich areas worldwide. Such extensive external management needs elaborate planning, regular monitoring, and periodic assessment of results. Thus, management effectiveness evaluation (MEE) has emerged as one of the major tools for quantifying the performance of any protected area globally since 2006. India has successfully conducted a complete round of management effectiveness evaluation of all its terrestrial protected areas (except conservation reserves and community reserves), with 25 such areas already undergoing a repeat assessment. Simultaneously, India biennially carries out a country-wide status of forest cover in all its states and union territories. This study has correlated the trend in change in forest cover for the states that contain those 25 repeat evaluated protected areas with their change in MEE scores over the same period. Our study found a positive correlation between the change in forest cover and the change in management effectiveness score from 2005–2006 to 2018–2019. Owing to increased protection regimes in the PAs including the degraded areas if they make part of such areas, the habitat often shows recovery. Effective habitat conservation is thus intertwined with the monitoring and preservation of the wildlife populations in the protected areas; therefore, reduction in forest cover equally impacts the management scores. However, in states where the loss in forest cover has been reported, more protected areas need to be assessed to plan complementary strategies for both habitat and species conservation. Full article
(This article belongs to the Section Sustainable Forestry)
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<p>Map of India showing forest cover as in 2019 [<a href="#B19-sustainability-16-07431" class="html-bibr">19</a>].</p>
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<p>Map of India showing 146 PAs evaluated in 2018–2019 cycle [<a href="#B22-sustainability-16-07431" class="html-bibr">22</a>].</p>
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<p>Change in MEE score with comparison to change in forest cover (sq. km.).</p>
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<p>Asserting the trend in changes in the score of three main MEE elements with change in forest cover.</p>
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<p>Asserting the trend in changes in the score of three main MEE elements with change in forest cover.</p>
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<p>Results for each MEE element in the forest cover change categories. There is a significant correlation in input between areas with high increases and decreases in forest cover.</p>
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11 pages, 897 KiB  
Article
Comparable Efficacy of Lopinavir/Ritonavir and Remdesivir in Reducing Viral Load and Shedding Duration in Patients with COVID-19
by Choon-Mee Kim, Jae Keun Chung, Sadia Tamanna, Mi-Seon Bang, Misbah Tariq, You Mi Lee, Jun-Won Seo, Da Young Kim, Na Ra Yun, Jinjong Seo, Yuri Kim, Min Ji Kim, Dong-Min Kim and Nam-Hyuk Cho
Microorganisms 2024, 12(8), 1696; https://doi.org/10.3390/microorganisms12081696 - 16 Aug 2024
Viewed by 500
Abstract
The spread of COVID-19 has significantly increased research on antiviral drugs and measures such as case isolation and contact tracing. This study compared the effects of lopinavir/ritonavir and remdesivir on COVID-19 patients with a control group receiving no antiviral drugs. Patients confirmed to [...] Read more.
The spread of COVID-19 has significantly increased research on antiviral drugs and measures such as case isolation and contact tracing. This study compared the effects of lopinavir/ritonavir and remdesivir on COVID-19 patients with a control group receiving no antiviral drugs. Patients confirmed to have a SARS-CoV-2 infection via real-time RT-PCR were divided into three groups: lopinavir/ritonavir, remdesivir, and control. We assessed the efficacy of these drugs in reducing viral load and viral shedding duration using real-time RT-PCR and Vero E6 cell cultures. Lopinavir/ritonavir led to no detectable infectious SARS-CoV-2, with a median viral clearance time of one day, whereas one remdesivir-treated case remained culture-positive until day 12. Lopinavir/ritonavir significantly reduced viral load compared to remdesivir and control groups (p = 0.0117 and p = 0.0478). No infectious virus was detected in the lopinavir/ritonavir group, and the non-infectious SARS-CoV-2 proportion remained constant at 90%, higher than in the remdesivir and control groups (p = 0.0097). There was a significant difference in culture positivity among the groups (p = 0.0234), particularly between the lopinavir/ritonavir and remdesivir groups (p = 0.0267). These findings suggest that lopinavir/ritonavir reduces viral load and shortens the viral shedding duration compared to remdesivir, despite not being an effective treatment option. Full article
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<p>SARS-CoV-2 viral loads determined using <span class="html-italic">RdRp</span> gene-targeted real-time reverse transcription-polymerase chain reaction in upper respiratory (nasopharyngeal swab) (<b>A</b>) and lower respiratory (sputum) (<b>B</b>) tract samples. Viral load and cell culture positivity showing infectious viral shedding in upper and lower respiratory tract samples (<b>C</b>) were obtained from patients treated with remdesivir, lopinavir/ritonavir, or no antiviral drugs. N, number of samples; NA, not assayed.</p>
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<p>Log<sub>10</sub> RNA copies/reaction (<span class="html-italic">RdRp</span>-gene) and Ct value of culture-positive (red circles) and culture-negative (black squares) samples, including nasopharyngeal swab samples and sputum samples, from patients with COVID-19 on hospitalization day (day 0).</p>
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16 pages, 437 KiB  
Article
Fast Minimum Error Entropy for Linear Regression
by Qiang Li, Xiao Liao, Wei Cui, Ying Wang, Hui Cao and Qingshu Guan
Algorithms 2024, 17(8), 341; https://doi.org/10.3390/a17080341 - 6 Aug 2024
Viewed by 503
Abstract
The minimum error entropy (MEE) criterion finds extensive utility across diverse applications, particularly in contexts characterized by non-Gaussian noise. However, its computational demands are notable, and are primarily attributable to the double summation operation involved in calculating the probability density function (PDF) of [...] Read more.
The minimum error entropy (MEE) criterion finds extensive utility across diverse applications, particularly in contexts characterized by non-Gaussian noise. However, its computational demands are notable, and are primarily attributable to the double summation operation involved in calculating the probability density function (PDF) of the error. To address this, our study introduces a novel approach, termed the fast minimum error entropy (FMEE) algorithm, aimed at mitigating computational complexity through the utilization of polynomial expansions of the error PDF. Initially, the PDF approximation of a random variable is derived via the Gram–Charlier expansion. Subsequently, we proceed to ascertain and streamline the entropy of the random variable. Following this, the error entropy inherent to the linear regression model is delineated and expressed as a function of the regression coefficient vector. Lastly, leveraging the gradient descent algorithm, we compute the regression coefficient vector corresponding to the minimum error entropy. Theoretical scrutiny reveals that the time complexity of FMEE stands at O(n), in stark contrast to the O(n2) complexity associated with MEE. Experimentally, our findings underscore the remarkable efficiency gains afforded by FMEE, with time consumption registering less than 1‰ of that observed with MEE. Encouragingly, this efficiency leap is achieved without compromising accuracy, as evidenced by negligible differentials observed between the accuracies of FMEE and MEE. Furthermore, comprehensive regression experiments on real-world electric datasets in northwest China demonstrate that our FMEE outperforms baseline methods by a clear margin. Full article
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<p>The boxplot of F-measure among four algorithms for failure outage prediction results.</p>
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<p>The boxplot of error rate among four algorithms for failure outage prediction results.</p>
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<p>The boxplot of F-measure of four algorithms for failure outage prediction results.</p>
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<p>The boxplot of error rate of four algorithms for failure outage prediction results.</p>
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13 pages, 3148 KiB  
Article
Validation of the Kinematic Assessment Protocol Used in the Technology-Supported Neurorehabilitation System, Rehabilitation Technologies for Hand and Arm (R3THA™), in Children and Teenagers with Cerebral Palsy
by Qinyin Qiu, Ashley J. Mont, Amanda Gross, Gerard Fluet, Sergei Adamovich and Mee Eriksson
Sensors 2024, 24(15), 5013; https://doi.org/10.3390/s24155013 - 2 Aug 2024
Viewed by 803
Abstract
This study evaluates the R3THA™ assessment protocol (R3THA-AP™), a technology-supported testing module for personalized rehabilitation in children with cerebral palsy (CP). It focuses on the reliability and validity of the R3THA-AP in assessing hand and arm function, by comparing kinematic assessments with standard [...] Read more.
This study evaluates the R3THA™ assessment protocol (R3THA-AP™), a technology-supported testing module for personalized rehabilitation in children with cerebral palsy (CP). It focuses on the reliability and validity of the R3THA-AP in assessing hand and arm function, by comparing kinematic assessments with standard clinical assessments. Conducted during a 4-week summer camp, the study assessed the functional and impairment levels of children with CP aged 3–18. The findings suggest that R3THA is more reliable for children aged 8 and older, indicating that age significantly influences the protocol’s effectiveness. The results also showed that the R3THA-AP’s kinematic measurements of hand and wrist movements are positively correlated with the Box and Blocks Test Index (BBTI), reflecting hand function and dexterity. Additionally, the R3THA-AP’s accuracy metrics for hand and wrist activities align with the Melbourne Assessment 2’s Range of Motion (MA2-ROM) scores, suggesting a meaningful relationship between R3THA-AP data and clinical assessments of motor skills. However, no significant correlations were observed between the R3THA-AP and MA2’s accuracy and dexterity measurements, indicating areas for further research. These findings validate the R3THA-AP’s utility in assessing motor abilities in CP patients, supporting its integration into clinical practice. Full article
(This article belongs to the Section Biomedical Sensors)
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<p>Photograph of a subject playing one of the exergames in R3THA.</p>
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<p>Distribution of valid measurements collected by upper extremity length (<b>left</b> panel) and age (<b>right</b> panel). Note the difference in the percentage of valid measurements for subjects greater than eight years of age.</p>
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<p>Correlation matrix between Box and Block Test, Melbourne Assessment-ROM, Melbourne Assessment-Accuracy, Melbourne Assessment-Dexterity, Melbourne Assessment-Fluency, and each kinematics measurement from R3THA-AP. Pairs that do not have a significant coefficient (<span class="html-italic">p</span>-value ≤ 0.05) are left blank.</p>
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<p>Hand Open/Close Range and Wrist Extension/Flexion Range show a statistically significant correlation with BBTI, as does the trace error rate using Hand Open/Close and Wrist Extension/Flexion.</p>
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<p>Melbourn Assessment 2’s Range of Motion shows a statistically significant correlation with the R3THA-AP Hand Open/Close Range, Wrist Extension/Flexion Range, and Hand Open/Close Tracing Error Rate.</p>
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<p>MA2-Accuracy is correlated with Hand Open/Close Range. MA2-Dexterity is correlated with Wrist Extension/Flexion Range.</p>
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17 pages, 569 KiB  
Article
A Risk Assessment Framework for Mobile Apps in Mobile Cloud Computing Environments
by Noah Oghenefego Ogwara, Krassie Petrova, Mee Loong Yang and Stephen G. MacDonell
Future Internet 2024, 16(8), 271; https://doi.org/10.3390/fi16080271 - 29 Jul 2024
Viewed by 646
Abstract
Mobile devices (MDs) are used by mobile cloud computing (MCC) customers and by other users because of their portability, robust connectivity, and ability to house and operate third-party applications (apps). However, the apps installed on an MD may pose data security risks to [...] Read more.
Mobile devices (MDs) are used by mobile cloud computing (MCC) customers and by other users because of their portability, robust connectivity, and ability to house and operate third-party applications (apps). However, the apps installed on an MD may pose data security risks to the MD owner and to other MCC users, especially when the requested permissions include access to sensitive data (e.g., user’s location and contacts). Calculating the risk score of an app or quantifying its potential harmfulness based on user input or on data gathered while the app is actually running may not provide reliable and sufficiently accurate results to avoid harmful consequences. This study develops and evaluates a risk assessment framework for Android-based MDs that does not depend on user input or on actual app behavior. Rather, an app risk evaluator assigns a risk category to each resident app based on the app’s classification (benign or malicious) and the app’s risk score. The app classifier (a trained machine learning model) evaluates the permissions and intents requested by the app. The app risk score is calculated by applying a probabilistic function based on the app’s use of a set of selected dangerous permissions. The results from testing of the framework on an MD with real-life resident apps indicated that the proposed security solution was effective and feasible. Full article
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<p>App risk assessment framework.</p>
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14 pages, 5142 KiB  
Article
Diquafosol Improves Corneal Wound Healing by Inducing NGF Expression in an Experimental Dry Eye Model
by Chieun Song, Hyemin Seong, Woong-Sun Yoo, Mee-Young Choi, Réka Dorottya Varga, Youngsub Eom, Seung Pil Yun and Seong-Jae Kim
Cells 2024, 13(15), 1251; https://doi.org/10.3390/cells13151251 - 25 Jul 2024
Viewed by 682
Abstract
Dry eye disease (DED) is caused by inflammation and damage to the corneal surface due to tear film instability and hyperosmolarity. Various eye drops are used to treat this condition. Each eye drop has different properties and mechanisms of action, so the appropriate [...] Read more.
Dry eye disease (DED) is caused by inflammation and damage to the corneal surface due to tear film instability and hyperosmolarity. Various eye drops are used to treat this condition. Each eye drop has different properties and mechanisms of action, so the appropriate drug should be used according to clinical phenotypes. This study aims to compare the therapeutic mechanisms of cyclosporine A (CsA) and diquafosol tetrasodium (DQS). An experimental in vivo/in vitro model of DED using hyperosmolarity showed decreased cell viability, inhibited wound healing, and corneal damage compared to controls. Treatment with cyclosporine or diquafosol restored cell viability and wound healing and reduced corneal damage by hyperosmolarity. The expression of the inflammation-related genes il-1β, il-1α, and il-6 was reduced by cyclosporine and diquafosol, and the expression of Tnf-α, c1q, and il-17a was reduced by cyclosporine. Increased apoptosis in the DED model was confirmed by increased Bax and decreased Bcl-2 and Bcl-xl expression, but treatment with cyclosporine or diquafosol resulted in decreased apoptosis. Diquafosol increased NGF expression and translocation into the extracellular space. DED has different damage patterns depending on the progression of the lesion. Thus, depending on the type of lesion, eye drops should be selected according to the therapeutic target, focusing on repairing cellular damage when cellular repair is needed or reducing inflammation when inflammation is high and cellular damage is severe. Full article
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<p>Effect of hyperosmotic stress on the viability of human corneal epithelial cells (HCECs) (<b>A</b>) HCECs were cultured in a medium with various osmolarities (control media (CTL), 350, 400, 450, 500, and 550 mOsm/L of NaCl). Representative phase contrast images were obtained (scale bar = 25 μm). (<b>B</b>) The effect of hyperosmotic stress on the activity of mitochondrial dehydrogenases in HCECs was measured by the MTT assay. (<b>C</b>) Cell viability was determined by MTT assays in HCECs cultured with 500 mOsm/L of NaCl for various time points (0 (CTL), 4, 8, 16, and 24 h). The viability of control cells (control media, CTL) was set to 100%. Viability is shown as a percentage of that of the control cells. Bars represent the mean ± S.E.M. (<span class="html-italic">n</span> = 5).</p>
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<p>Effect of DQS and CsA on hyperosmotic stress-induced cell death. (<b>A</b>,<b>B</b>) HCECs were treated with various concentrations of DQS ((<b>A</b>); 0 (CTL), 10, 50, 100, 200, and 400 μM/L of DQS) and CsA ((<b>B</b>); 0 (CTL), 0.1, 0.5, 1, 5, and 10 μM/L of CsA) in medium for 8 h. Cell viability was measured by MTT assays (<span class="html-italic">n</span> = 4). (<b>C</b>) HCECs were cotreated with DQS (HS + DQS 100 μM) and CsA (HS + CsA 1 μM) in media with an osmolarity of 500 mOsm/L NaCl (HS) for 8 h. CTL cell viability was set to 100%. Viability is shown as a percentage of that of the control cells. Bars represent the mean ± S.E.M. (<span class="html-italic">n</span> = 4); <span class="html-italic">n.s</span>: nonsignificant.</p>
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<p>Changes in inflammatory cytokines under hyperosmotic conditions in HCECs treated with DQS and CsA. (<b>A</b>–<b>G</b>) The effect of DQS and CsA on inflammatory cytokine (<span class="html-italic">il-1β</span>, <span class="html-italic">il-1α</span>, <span class="html-italic">il-6</span>, <span class="html-italic">Tnf-α</span>, <span class="html-italic">c1q</span>, <span class="html-italic">il-17a</span>, and <span class="html-italic">nf-kb</span>) changes was investigated. HCECs were treated with CTL, CTL with 500 mOsm/L of NaCl (HS), HS with 100 µM of DQS (HS + DQS), and HS with 1 µM of CsA (HS + CsA) for 8 h. Quantitative PCR was performed to detect inflammatory cytokine mRNA expression. <span class="html-italic">gapdh</span> expression was used as a loading control (<span class="html-italic">n</span> = 5). Bars represent the mean ± S.E.M. <span class="html-italic">n.s</span>: nonsignificant.</p>
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<p>Effect of DQS and CsA in wound healing scratch assays. (<b>A</b>) HCECs were subjected to a scratch assay (scratch area; red box) and then treated with CTL, CTL with 500 mOsm/L of NaCl (HS), HS with 100 µM of DQS (HS + DQS), and HS with 1 µM of CsA (HS + CsA) for 8 h. Representative phase contrast images were acquired (scale bar = 50 μm). (<b>B</b>) The effect of DQS and CsA on the wound closure rate in the scratch assay was measured. The closure rate is shown as a percentage of that of the control cells. Bars represent the mean ± S.E.M. (<span class="html-italic">n</span> = 3).</p>
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<p>Changes in total cellular proteins under hyperosmotic conditions in HCECs with DQS and CsA. (<b>A</b>) Total cellular proteins were extracted from HCECs in a normal medium (CTL), CTL with 500 mOsm/L of NaCl (HS), DQS (HS + DQS; 100 μM), and CsA (HS + CsA; 1 μM) for 8 h. Protein levels of Bcl-2, Bcl-xL, Bax, and GPx were determined by Western blot analysis. Beta-actin was used as a control for protein loading. (<b>B</b>–<b>D</b>,<b>F</b>). Quantification of the expression levels of Bcl-2, Bcl-xl, Bax, and GPx in HCECs in the CTL, HS, HS+DQS, and HS+CsA groups (<span class="html-italic">n</span> = 3). (<b>E</b>) Bax and Bcl-2 protein concentrations were calculated by averaging the results of three independent experiments (<span class="html-italic">n</span> = 3). Bars represent the mean ± S.E.M. <span class="html-italic">n.s</span>: non-significant.</p>
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<p>Changes in NGF protein expression in response to hyperosmotic conditions in HCECs treated with DQS and CsA. (<b>A</b>) Western blots evaluating the expression of NGF in HCECs exposed to hyperosmotic stress (HS) with DQS (HS + DQS; 100 μM) and CsA (HS + CsA; 1 μM). Beta-actin was used as a loading control. (<b>B</b>) Quantification of NGF expression levels in HCECs in the CTL, HS, HS + DQS, and HS+CsA groups (<span class="html-italic">n</span> = 3). (<b>C</b>) Quantification of the protein expression levels of p-Trk-A and t-Trk-A was calculated by averaging the results of three independent experiments (<span class="html-italic">n</span> = 5). (<b>D</b>) Quantitative PCR was performed to detect NGF expression. GAPDH expression was used as a loading control (<span class="html-italic">n</span> = 5). (<b>E</b>) NGF production was measured by ELISAs in a normal medium (CTL) and a medium with an osmolarity of 500 mOsm/L NaCl (HS), HS with DQS (HS + DQS; 100 μM) or CsA (HS + CsA; 1 μM) for 8 h (<span class="html-italic">n</span> = 5). Bars represent the mean ± S.E.M. <span class="html-italic">n.s</span>: nonsignificant.</p>
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<p>Corneal fluorescein staining after topical application of DQS or CsA. The experimental mice were subjected to hyperosmotic medium (500 mOsm/L; HS) or HS with 3% DQS or 0.05% CsA treatment for 10 days. (<b>A</b>) Photographs of corneal fluorescein staining in the four groups. (<b>B</b>) Clinical evaluation of corneal fluorescein staining. Quantification of corneal staining was calculated by averaging the results of five independent experiments. Bars represent the mean ± S.E.M.</p>
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<p>Changes in inflammatory cytokines and <span class="html-italic">ngf</span> under hyperosmotic conditions in corneas with DQS and CsA. (<b>A</b>–<b>I</b>) The effect of DQS and CsA on inflammatory cytokines (<span class="html-italic">il-1β</span>, <span class="html-italic">Tnf-α</span>, <span class="html-italic">il-6</span>, <span class="html-italic">il-17a</span>, <span class="html-italic">il-10</span>, <span class="html-italic">il-1α</span>, <span class="html-italic">c1q</span>, <span class="html-italic">nf-kb</span>) and <span class="html-italic">ngf</span> expression was investigated. Mouse corneas were treated with CTL, CTL with 500 mOsm/L NaCl (HS), HS with 3% DQS (HS + DQS), and HS with 0.05% CsA (HS + CsA) for 10 days. Quantitative PCR was performed to detect inflammatory cytokine (<b>A</b>–<b>H</b>) and <span class="html-italic">ngf</span> (<b>I</b>) mRNA expression. <span class="html-italic">gapdh</span> expression was used as a loading control (<span class="html-italic">n</span> = 5). Bars represent the mean ± S.E.M. <span class="html-italic">n.s</span>: nonsignificant.</p>
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<p>Effect of topical DQS and CsA on NGF expression in DED mice. The experimental mice were subjected to hyperosmotic medium (500 mOsm/L; HS) and HS with 3% DQS or 0.05% CsA treatment for 10 days. (<b>A</b>) Fluorescence immunocytochemistry for NGF and 4′,6-diamidino-2-phenylindole (DAPI) in the corneal epithelium. Scale bar length, 25 μM. (<b>B</b>) Quantification of NGF fluorescence intensity was calculated by averaging the results of five independent experiments (<span class="html-italic">n</span> = 6). Bars represent the mean ± S.E.M. <span class="html-italic">n.s</span>: nonsignificant.</p>
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6 pages, 2841 KiB  
Case Report
A Rare Case of Solitary Neurofibroma Misdiagnosed as Diabetic Foot Ulcer in the Toe Tip Region
by Ha-Jong Nam, Se-Young Kim, Mee-Hye Oh, Soomin Lim and Hwan-Jun Choi
Medicina 2024, 60(8), 1200; https://doi.org/10.3390/medicina60081200 - 24 Jul 2024
Viewed by 501
Abstract
Neurofibromas, rare benign tumors of the peripheral nerve sheath, present diagnostic challenges, particularly in diabetic patients with toe ulcers. This case involves a 55-year-old female with type 2 diabetes mellitus who developed an enlarging ulcer on her right second toe. The initial evaluation [...] Read more.
Neurofibromas, rare benign tumors of the peripheral nerve sheath, present diagnostic challenges, particularly in diabetic patients with toe ulcers. This case involves a 55-year-old female with type 2 diabetes mellitus who developed an enlarging ulcer on her right second toe. The initial evaluation suggested a diabetic ulcer; however, advanced imaging revealed a mass-like lesion. Partial excision and biopsy confirmed a neurofibroma with spindle cells within the myxoid stroma and S100 protein expression. One month later, total excision and Z-plasty reconstruction were performed under general anesthesia. The patient’s postoperative recovery was uneventful, and the patient was discharged without complications. Follow-up revealed successful healing with no recurrence or functional issues. This case highlights the importance of considering neurofibromas in the differential diagnosis of diabetic toe ulcers to avoid misdiagnosis and ensure appropriate management. Full article
(This article belongs to the Section Surgery)
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<p>Initial Presentation and Diagnostic Imaging. (<b>A</b>) Clinical photograph of the patient’s right second toe showing an ulcerated lesion on the tip with significant induration and swelling. The ulcer is round, well-circumscribed, and exhibits a red granular base. (<b>B</b>) X-ray image of the right foot demonstrating no specific bony abnormalities associated with the ulcerated lesion. The bony structures of the foot, including the phalanges and metatarsals, appear normal without signs of osteomyelitis or fracture.</p>
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<p>Diagnostic Imaging of the Right Second Toe. (<b>A</b>) Lower extremity angio CT showing a mass-like lesion with feeding vessels (red circle), indicating significant vascular involvement in the lesion. (<b>B</b>) MRI finding demonstrating a cystic lesion (yellow circle) at the tip of the right second toe. The MRI shows the extent of the lesion, suggesting a soft tissue tumor rather than a typical diabetic ulcer. The well-demarcated margins and internal characteristics of the lesion are consistent with a neurofibroma. Abbreviations: CT, computed tomography; MRI, magnetic resonance imaging.</p>
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<p>Histopathological examination confirmed the presence of neurofibroma, characterized by spindle cells within a myxoid stroma, and showed S-100 protein positivity. (<b>A</b>) Hematoxylin and eosin (H&amp;E) staining at 100x magnification, illustrating the spindle cells within a myxoid stroma. (<b>B</b>) Immunohistochemical staining for S-100 protein at 100x magnification, demonstrating strong positivity in the spindle cells.</p>
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<p>Intraoperative Findings and Immediate Postoperative Outcome. (<b>A</b>) Intraoperative finding showing the mass encapsulated by a feeding vessel, which is being meticulously dissected and identified (pink arrow) on the right second toe. (<b>B</b>) The excised mass, displaying a sheath encasing the neurofibroma. (<b>C</b>) Immediate postoperative view of the right second toe demonstrating successful reconstruction using Z-plasty, effectively replicating the original appearance of the toe.</p>
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<p>Postoperative Healing and Follow-up. (<b>A</b>) Photograph taken on postoperative day 5 showing a clean surgical site on the right second toe. The patient was discharged without any postoperative complications. (<b>B</b>) Follow-up photograph taken two months postoperatively demonstrating successful healing without recurrence or complications. The toe appears well healed with no signs of infection or other adverse effects.</p>
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16 pages, 5970 KiB  
Article
Neighborhood Diversity Promotes Tree Growth in a Secondary Forest: The Interplay of Intraspecific Competition, Interspecific Competition, and Spatial Scale
by Haonan Zhang, Yuanyun Gao, Xiao Zheng, Yaping Hu, Xu Zhou, Yanming Fang, Yao Li, Lei Xie and Hui Ding
Plants 2024, 13(14), 1994; https://doi.org/10.3390/plants13141994 - 21 Jul 2024
Viewed by 696
Abstract
Understanding the biodiversity–productivity relationship (BPR) is crucial for biodiversity conservation and ecosystem management. While it is known that diversity enhances forest productivity, the underlying mechanisms at the local neighborhood level remain poorly understood. We established a 9.6 ha dynamic forest plot to study [...] Read more.
Understanding the biodiversity–productivity relationship (BPR) is crucial for biodiversity conservation and ecosystem management. While it is known that diversity enhances forest productivity, the underlying mechanisms at the local neighborhood level remain poorly understood. We established a 9.6 ha dynamic forest plot to study how neighborhood diversity, intraspecific competition, and interspecific competition influence tree growth across spatial scales using linear mixed-effects models. Our analysis reveals a significant positive correlation between neighborhood species richness (NSR) and relative growth rate (RGR). Notably, intraspecific competition, measured by conspecific neighborhood density and resource competition, negatively impacts RGR at finer scales, indicating intense competition among conspecifics for limited resources. In contrast, interspecific competition, measured by heterospecific density and resource competition, has a negligible impact on RGR. The relative importance of diversity and intra/interspecific competition in influencing tree growth varies with scale. At fine scales, intraspecific competition dominates negatively, while at larger scales, the positive effect of NSR on RGR increases, contributing to a positive BPR. These findings highlight the intricate interplay between local interactions and spatial scale in modulating tree growth, emphasizing the importance of considering biotic interactions and spatial variability in studying BPR. Full article
(This article belongs to the Special Issue Maintenance and Function of Biodiversity in Forests)
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<p>The research framework and scientific hypotheses. (i) In panel (<b>A</b>), Hypothesis 1 (H1) addresses the critical relationship between biodiversity effect and productivity. Specifically, we hypothesize a significant positive correlation between neighborhood species richness (NSR) and relative growth rate (RGR). (ii) In panels (<b>B</b>,<b>C</b>), Hypothesis 2 (H2) focuses on the roles of intraspecific and interspecific competition in shaping tree growth patterns in secondary forests. This hypothesis quantifies conspecific and heterospecific neighborhood density (CND and HND), as well as conspecific and heterospecific resource competition indices (CNCI and HNCI) at the neighborhood scale. We hypothesize that conspecific neighborhood effects (CND and CNCI) exert a pronounced negative impact on RGR at finer scales, whereas heterospecific neighborhood effects (HND and HNCI) are generally insignificant. (iii) In panel (<b>D</b>), Hypothesis 3 (H3) examines the relative importance of neighborhood diversity effects, conspecific, and heterospecific neighborhood effects. Specifically, we hypothesize that neighborhood diversity, density, and resource competition collectively regulate the relationship between species diversity and tree growth. The relative importance of these neighborhood effects is expected to vary across different spatial scales. At the tree-to-tree neighborhood scale, conspecific negative density dependence may dominate, while the biodiversity effect is anticipated to become increasingly important and exhibit a more pronounced positive effect on individual tree growth as the spatial scale increases.</p>
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<p>Parameter estimates of species diversity effects on relative growth rate (RGR) at neighborhood scales. The purple bar graphs depict the parameter estimation of neighborhood diversity richness (NSR) on the RGR of individual focal trees across different spatial scales. Positive values denote positive effects, while negative values signify negative effects. Significance levels are denoted by an asterisk (* <span class="html-italic">p</span> &lt; 0.05; ** <span class="html-italic">p</span> &lt; 0.01; *** <span class="html-italic">p</span> &lt; 0.001).</p>
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<p>Multiscale relationship between species richness and relative growth rate (RGR) among all species. It displays annual diversity–RGR relationships for each of the 158 observed species at various spatial scales: 2.5 m (<b>a1</b>), 5 m (<b>a2</b>), 10 m (<b>a3</b>), 15 m (<b>a4</b>), 20 m (<b>a5</b>). Different species are represented by different colors in the lines (see <a href="#app1-plants-13-01994" class="html-app">Figure S1 in the supporting information</a>), the solid line represents a positive correlation, and the dotted line represents a negative correlation. Predicted RGRs are back-transformed from the linear mixed model as described in the text, and all biodiversity effects were Z-score transformed at quantification. To enhance comparability and uniformity of the presentation results, we converted the Z-score values to positive in the figures; the untransformed original values can be found in <a href="#app1-plants-13-01994" class="html-app">Supplementary Figure S2</a>.</p>
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<p>Parameter estimates for the effects of conspecific density and resource competition on relative growth rate (RGR) at neighborhood scales. The dark blue and orange bar graphs depict the parameter estimation of conspecific neighborhood density (CND) (<b>a</b>) and conspecific neighbor competition Index (CNCI) (<b>b</b>) on the RGR of individual focal trees across different spatial scales, respectively. Positive values denote positive effects, while negative values signify negative effects. Significance levels are denoted by an asterisk (* <span class="html-italic">p</span> &lt; 0.05; ** <span class="html-italic">p</span> &lt; 0.01; *** <span class="html-italic">p</span> &lt; 0.001).</p>
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<p>Multiscale relationship between conspecific density, resource competition, and relative growth rate (RGR) among all species. It displays annual conspecific neighborhood effect–RGR relationships for each of the 158 observed species at various spatial scales: 2.5 m (<b>a1</b>,<b>b1</b>), 5 m (<b>a2</b>,<b>b2</b>), 10 m (<b>a3</b>,<b>b3</b>), 15 m (<b>a4</b>,<b>b4</b>), 20 m (<b>a5</b>,<b>b5</b>). Different species are represented by different colors in the lines, the solid line represents a positive correlation, and the dotted line represents a negative correlation. Predicted RGR are back-transformed from the linear mixed model as described in the text, and all conspecific neighborhood effects were Z-score transformed at quantification. To enhance comparability and uniformity of the presentation results, we converted the Z-score values to positive in the figures; the untransformed original values can be found in <a href="#app1-plants-13-01994" class="html-app">Supplementary Figure S2</a>.</p>
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<p>Parameter estimates for the effects of heterospecific density and resource competition on RGR at neighborhood scales. The green and light blue bar graphs depict the parameter estimation of heterospecific neighborhood density (HND) (<b>a</b>) and heterospecific neighborhood competition index (HNCI) (<b>b</b>) on the RGR of individual focal trees across different spatial scales, respectively. Positive values denote positive effects, while negative values signify negative effects. Significance levels are denoted by an asterisk (*) or a dot (·) (· <span class="html-italic">p</span> &lt; 0.05; * <span class="html-italic">p</span> &lt; 0.1).</p>
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<p>Multiscale relationship between heterospecific density, resource competition, and relative growth rate (RGR) among all species. It displays annual heterospecific neighborhood effect–RGR relationships for each of the 158 observed species at various spatial scales: 2.5 m (<b>a1</b>,<b>b1</b>), 5 m (<b>a2</b>,<b>b2</b>), 10 m (<b>a3</b>,<b>b3</b>), 15 m (<b>a4</b>,<b>b4</b>), 20 m (<b>a5</b>,<b>b5</b>). Different species are represented by different colors in the lines, the solid line represents a positive correlation, and the dotted line represents a negative correlation. Predicted RGR values are back-transformed from the linear mixed model as described in the text, and all heterospecific neighborhood effects were Z-score transformed at quantification. To enhance the comparability and uniformity of the presentation results, we converted the Z-score values to positive in the figures; the untransformed original values can be found in <a href="#app1-plants-13-01994" class="html-app">Supplementary Figure S2</a>.</p>
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<p>Relative importance of neighborhood effects at all test scales. This figure displays the relative effect sizes of neighborhood species richness (NSR), conspecific negative density (CND), conspecific neighborhood competition index (CNCI), and heterospecific neighborhood competition index (HNCI) on the relative growth rate. The graph only includes significant effects; since heterospecific negative density (HND) was not significant at any test scale in this study, it is not included in the calculations of relative importance. The relative effect of each predictor (neighborhood effect) and their interactions is calculated as the ratio of its parameter estimate to the sum of all parameter estimates.</p>
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13 pages, 1200 KiB  
Review
Clinical Spectrum of Long COVID: Effects on Female Reproductive Health
by Syeda Maham and Mee-Sup Yoon
Viruses 2024, 16(7), 1142; https://doi.org/10.3390/v16071142 - 16 Jul 2024
Viewed by 1023
Abstract
The COVID-19 pandemic caused by SARS-CoV-2 has presented numerous health challenges, including long-term COVID, which affects female reproductive health. This review consolidates the current research on the impact of SARS-CoV-2 on the menstrual cycle, ovarian function, fertility, and overall gynecological health. This study [...] Read more.
The COVID-19 pandemic caused by SARS-CoV-2 has presented numerous health challenges, including long-term COVID, which affects female reproductive health. This review consolidates the current research on the impact of SARS-CoV-2 on the menstrual cycle, ovarian function, fertility, and overall gynecological health. This study emphasizes the role of angiotensin-converting enzyme receptors in viral entry and the subsequent tissue-specific pathological effects. It also explores the potential influence of long COVID on hormonal balance and immune responses, contributing to menstrual irregularities and impaired ovarian function. The findings indicate a higher prevalence of long-term COVID-19 among women, highlighting the substantial implications for reproductive health and the need for sex-sensitive longitudinal studies. Enhanced surveillance and targeted research are essential to develop effective interventions that prioritize women’s reproductive well-being following SARS-CoV-2 infection. This review advocates for a sex-informed approach to ongoing COVID-19 research and healthcare strategies, aiming to provide up-to-date and pertinent data for healthcare providers and the general public, ultimately improving outcomes for females affected by long COVID. Full article
(This article belongs to the Special Issue COVID-19: Prognosis and Long-Term Sequelae, 2nd Edition)
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<p>General and female-specific symptoms and pathology of long COVID.</p>
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21 pages, 2618 KiB  
Article
Anxiolytic, Antidepression, and Memory-Enhancing Effects of the Novel Instant Soup RJ6601 in the Middle-Aged of Female Rats
by Rujikan Chaisanam, Jintanaporn Wattanathorn, Wipawee Thukham-mee, Nawanant Piyavhatkul and Pongsatorn Paholpak
Foods 2024, 13(14), 2170; https://doi.org/10.3390/foods13142170 - 9 Jul 2024
Viewed by 622
Abstract
Due to the health benefits of polyphenols and dietary fiber in combating mental disorders, we hypothesized that a polyphenol- and dietary fiber-enriched soup (RJ6601) would improve mental wellness in a rat model of middle-aged women. To test this hypothesis, female Wistar rats aged [...] Read more.
Due to the health benefits of polyphenols and dietary fiber in combating mental disorders, we hypothesized that a polyphenol- and dietary fiber-enriched soup (RJ6601) would improve mental wellness in a rat model of middle-aged women. To test this hypothesis, female Wistar rats aged 18 months (350–450 g) were orally administered RJ6601 at doses of 200 and 400 mg/kg BW for 28 days. The anxiolytic, antidepression, and memory-enhancing effects were assessed every 7 days throughout the study period. The neuron density and levels of activities of AChE, total MAO, MAO-A, MAO-B, MDA, SOD, CAT, GSH-Px, IL-1β, IL-6, and BDNF in the prefrontal cortex at the end of study were also investigated. Furthermore, the amounts of Lactobacillus spp. and Bifidobacterium spp. in their feces were also determined. The results revealed that the developed soup shows anxiolytic, antidepression, and memory-enhancing effects. An increased neuron density; reductions in AChE, total MAO, MAO-A, MAO-B, and MDA; and an elevation of serum BDNF, together with increased amounts of both bacterial species in feces, were also observed. Our results suggest that RJ6601 is a potential mental wellness promotion supplement that enhances BDNF levels, brain plasticity, neurotransmitter balance, and oxidative stress and inflammation status, along with improving microbiota. Full article
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<p>HPLC chromatograms of functional soup at a concentration of 500 mg/mL and wavelength of 275 nm.</p>
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<p>HPLC chromatograms of functional soup at a concentration of 500 mg/mL and wavelength of 247 nm.</p>
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<p>The anxiolytic effect of RJ6601, the polyphenol- and dietary fiber-enriched functional soup, assessed using an elevated plus maze test. Effect of RJ6601 on (<b>A</b>) time spent in open arms and (<b>B</b>) number of entries into open arms (N = 8/group). Data are presented as mean ± SEM. * <span class="html-italic">p</span>-value &lt; 0.05; ** <span class="html-italic">p</span>-value &lt; 0.01, *** <span class="html-italic">p</span>-value &lt; 0.001; compared to placebo group.</p>
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<p>Antidepressant effect of the polyphenol- and dietary fiber-enriched functional soup (RJ6601), assessed using a forced swimming test (N = 8/group). Data are presented as mean ± SEM. *** <span class="html-italic">p</span>-value &lt; 0.001; compared to placebo group.</p>
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<p>The effect of RJ6601, the polyphenol- and dietary fiber-enriched functional soup, on spatial memory, assessed using a Morris water maze test. Effect of RJ6601 on (<b>A</b>) escape latency and (<b>B</b>) retention time (N = 8/group). Data are presented as mean ± SEM. *** <span class="html-italic">p</span>-value &lt; 0.001; compared to placebo group.</p>
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<p>The effect of RJ6601, the polyphenol- and dietary fiber-enriched functional soup, on spatial memory, assessed using a Morris water maze test. Effect of RJ6601 on (<b>A</b>) escape latency and (<b>B</b>) retention time (N = 8/group). Data are presented as mean ± SEM. *** <span class="html-italic">p</span>-value &lt; 0.001; compared to placebo group.</p>
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<p>The effect the polyphenol- and dietary fiber-enriched functional soup (RJ6601) on serum brain-derived neurotrophic factor (BDNF) (N = 8/group). Data are presented as mean ± SEM. *** <span class="html-italic">p</span>-value &lt; 0.001; compared to placebo group.</p>
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<p>The effect of the polyphenol- and dietary fiber-enriched functional soup (RJ6601) on the density of <span class="html-italic">Lactobacillus</span> spp. (N = 8/group). Data are presented as mean ± SEM. * <span class="html-italic">p</span>-value &lt; 0.05, ** <span class="html-italic">p</span>-value &lt; 0.01, and *** <span class="html-italic">p</span>-value &lt; 0.001; compared to placebo group.</p>
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<p>The effect of the polyphenol- and dietary fiber-enriched functional soup (RJ6601) on the density of <span class="html-italic">Bifidobacterium</span> spp. (N = 8/group). Data are presented as mean ± SEM. *** <span class="html-italic">p</span>-value &lt; 0.001; compared to placebo group.</p>
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<p>The effect of the polyphenol- and dietary fiber-enriched functional soup (RJ6601) on density of neurons in the frontal cortex. (<b>A</b>) Representative histological pictures showing neuron density in the frontal cortex. (<b>B</b>) Bar graph comparing neuron density in the frontal cortex of placebo and RJ6601-treated rats. Data are presented as mean ± SEM. *** <span class="html-italic">p</span>-value &lt; 0.001; compared to placebo group.</p>
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12 pages, 246 KiB  
Article
Risk Factors for Impaired Cellular or Humoral Immunity after Three Doses of SARS-CoV-2 Vaccine in Healthy and Immunocompromised Individuals
by Jae-Hoon Ko, Choon-Mee Kim, Mi-Seon Bang, Da-Yeon Lee, Da-Young Kim, Jun-Won Seo, Na-Ra Yun, Jin-Young Yang, Kyong-Ran Peck, Kyo-Won Lee, Sung-Hoon Jung, Hyun-Jin Bang, Woo-Kyun Bae, Tae-Jong Kim, Kyeong-Hwan Byeon, Sung-Han Kim and Dong-Min Kim
Vaccines 2024, 12(7), 752; https://doi.org/10.3390/vaccines12070752 - 8 Jul 2024
Viewed by 1060
Abstract
Background: We aimed to identify the risk factors for impaired cellular and humoral immunity after three doses of the SARS-CoV-2 vaccine. Methods: Six months after the third vaccine dose, T-cell immunity was evaluated using interferon-gamma release assays (IGRAs) in 60 healthy and 139 [...] Read more.
Background: We aimed to identify the risk factors for impaired cellular and humoral immunity after three doses of the SARS-CoV-2 vaccine. Methods: Six months after the third vaccine dose, T-cell immunity was evaluated using interferon-gamma release assays (IGRAs) in 60 healthy and 139 immunocompromised (IC) individuals, including patients with hematologic malignancy (HM), solid malignancy (SM), rheumatic disease (RD), and kidney transplantation (KT). Neutralizing antibody titers were measured using the plaque reduction neutralization test (PRNT) and surrogate virus neutralization test (sVNT). Results: T-cell immunity results showed that the percentages of IGRA-positive results using wild-type/alpha spike protein (SP) and beta/gamma SP were 85% (51/60) and 75% (45/60), respectively, in healthy individuals and 45.6% (62/136) and 40.4% (55/136), respectively, in IC individuals. IC with SM or KT showed a high percentage of IGRA-negative results. The underlying disease poses a risk for impaired cellular immune response to wild-type SP. The risk was low when all doses were administered as mRNA vaccines. The risk factors for an impaired cellular immune response to beta/gamma SP were underlying disease and monocyte%. In the sVNT using wild-type SP, 12 of 191 (6.3%) individuals tested negative. In the PRNT of 46 random samples, 6 (13%) individuals tested negative for the wild-type virus, and 19 (41.3%) tested negative with omicrons. KT poses a risk for an impaired humoral immune response. Conclusions: Underlying disease poses a risk for impaired cellular immune response after the third dose of the SARS-CoV-2 vaccine; KT poses a risk for impaired humoral immune response, emphasizing the requirement of precautions in patients. Full article
15 pages, 4574 KiB  
Article
Evaluation of Yukmijihwang-Tang as a Novel Preventive Agent in Ovalbumin-Induced Murine Asthma
by Jun-Yeop Song, Eun-Ju Hong, Eun-Bok Baek, Poornima Kumbukgahadeniya, Yu-Jin Kim, Mee-Young Lee and Hyo-Jung Kwun
Appl. Sci. 2024, 14(13), 5815; https://doi.org/10.3390/app14135815 - 3 Jul 2024
Viewed by 569
Abstract
Yukmijihwang-tang (YJT) is a blend of six herbal ingredients that has long been used in Asia for various diseases, including diabetes mellitus and mental decline. Here, we assessed the prophylactic efficacy of YJT in a murine model of asthma induced by ovalbumin (OVA). [...] Read more.
Yukmijihwang-tang (YJT) is a blend of six herbal ingredients that has long been used in Asia for various diseases, including diabetes mellitus and mental decline. Here, we assessed the prophylactic efficacy of YJT in a murine model of asthma induced by ovalbumin (OVA). Male C57BL/6 mice underwent sensitization followed by an airway challenge with OVA for 1 h. YJT (100 or 300 mg/kg once daily) was administered orally for 6 days. Our analyses revealed that YJT significantly reduced inflammatory cell counts in bronchoalveolar lavage fluid (BALF), decreased the concentrations of interleukin (IL)-4, IL-5, and IL-13 in BALF, and lowered the relative mRNA levels of thymic stromal lymphopoietin (TSLP) and tumor necrosis factor α (TNFα) in lung tissues. Histological analyses showed that YJT substantially decreased inflammation and mucus hypersecretion in the bronchial airway. YJT also effectively reduced oxidative stress, as evidenced by improved levels of malondialdehyde (MDA), total glutathione, glutathione reductase (GR), and reduced glutathione (GSH). YJT also markedly suppressed the phosphorylation of nuclear factor-kappa B (NF-κB) in lung tissues. Together, these results show that YJT effectively inhibits respiratory inflammation, mucus hypersecretion, and oxidative stress induced by OVA, suggesting its potential for asthma treatment. Full article
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<p>UPLC-DAD-MS/MS analysis of YJT: the ultraviolet (UV) (254 nm) base peak chromatogram in negative ion mode and the extracted ion chromatogram (EIC) of the identified phytochemicals in YJT. In the EIC, the peaks are labeled as follows: 1: geniposidic acid, 2: loganic acid, 3: morroniside, 4: paeonolide, 5: loganin, 6: sweroside, 7: paeoniflorin, 8: isoquercitrin/hyperoside, 9: isoacteoside, 10: mudanpioside C, 11: quercetin, and 12: benzoylpaeoniflorin.</p>
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<p>Cell viability of YJT-pretreated NCI-H292 cells. CON, control (medium alone); results are presented as means ± SD (ns, not significant).</p>
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<p>Effect of YJT on inflammatory cell recruitment to the airway. (<b>A</b>) Representative images of H&amp;E staining in lung tissues. Scale bar, 100 μm; magnification, 200×. (<b>B</b>) Assessment of inflammation score graded from 0 (absent) to 4 (severe). NC, negative control; OVA, ovalbumin-exposed mice; OVA+DEX, dexamethasone-administered and ovalbumin-exposed mice; OVA+YJT100, YJT (100 mg/kg) and ovalbumin-exposed mice; OVA+YJT300, YJT (300 mg/kg) and ovalbumin-exposed mice. Results are presented as means ± SD (<sup>##</sup> <span class="html-italic">p</span> &lt; 0.01 compared with the NC group; ** <span class="html-italic">p</span> &lt; 0.01 compared with the OVA group).</p>
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<p>Effect of YJT on inflammatory cell counts in BALF. (<b>A</b>–<b>E</b>) Counts of total cells (<b>A</b>), lymphocytes (<b>B</b>), macrophages (<b>C</b>), neutrophils (<b>D</b>), and eosinophils (<b>E</b>). NC, negative control; OVA, ovalbumin-exposed mice; OVA+DEX, dexamethasone-administered and ovalbumin-exposed mice; OVA+YJT100, YJT (100 mg/kg) and ovalbumin-exposed mice; OVA+YJT300, YJT (300 mg/kg) and ovalbumin-exposed mice. Results are presented as means ± SD (<sup>##</sup> <span class="html-italic">p</span> &lt; 0.01 compared with the NC group; * <span class="html-italic">p</span> &lt; 0.05, ** <span class="html-italic">p</span> &lt; 0.01 compared with the OVA group).</p>
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<p>Effect of YJT on pro-inflammatory cytokines in BALF and lung tissues. (<b>A</b>–<b>C</b>) Levels of IL-5 (<b>A</b>), IL-13 (<b>B</b>), and IL-4 (<b>C</b>) in BALF, as assessed by ELISA. (<b>D</b>,<b>E</b>) mRNA expression levels of TSLP (<b>D</b>) and TNFα (<b>E</b>) in lung tissues. NC, negative control; OVA, ovalbumin-exposed mice; OVA+DEX, dexamethasone-administered and ovalbumin-exposed mice; OVA+YJT100, YJT (100 mg/kg) and ovalbumin-exposed mice; OVA+YJT300, YJT (300 mg/kg) and ovalbumin-exposed mice. Results are presented as means ± SD (<sup>##</sup> <span class="html-italic">p</span> &lt; 0.01 compared with the NC group; * <span class="html-italic">p</span> &lt; 0.05, ** <span class="html-italic">p</span> &lt; 0.01 compared with the OVA group).</p>
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<p>Effect of YJT on airway mucus production. (<b>A</b>) Representative images of PAS staining in lung tissues. Black arrow indicates a notable increase in the PAS-positive area. Scale bar, 100 μm; magnification, 200×. (<b>B</b>) Representative images of immunohistochemical staining of MUC5AC in lung tissues. White arrow indicates a notable increase in the MUC5AC-positive area. Scale bar, 100 μm; magnification, 200×. (<b>C</b>,<b>D</b>) PAS-positive area (<b>C</b>) and MUC5AC-positive area (<b>D</b>) were calculated based on the total area of airway epithelium. (<b>E</b>) mRNA expression levels of MUC5AC in lung tissues. NC, negative control; OVA, ovalbumin-exposed mice; OVA+DEX, dexamethasone-administered and ovalbumin-exposed mice; OVA+YJT100, YJT (100 mg/kg) and ovalbumin-exposed mice; OVA+YJT300, YJT (300 mg/kg) and ovalbumin-exposed mice. Results are presented as means ± SD (<sup>##</sup> <span class="html-italic">p</span> &lt; 0.01 compared with the NC group; * <span class="html-italic">p</span> &lt; 0.05, ** <span class="html-italic">p</span> &lt; 0.01 compared with the OVA group).</p>
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<p>Effect of YJT on oxidative stress in lung tissues. (<b>A</b>–<b>C</b>) MDA (<b>A</b>), total glutathione (<b>B</b>), and GR (<b>C</b>) levels in lung tissues as assessed using ELISA. (<b>D</b>,<b>E</b>) mRNA expression levels of GR (<b>D</b>) and GSH (<b>E</b>) in lung tissues. NC, negative control; OVA, ovalbumin-exposed mice; OVA+DEX, dexamethasone-administered and ovalbumin-exposed mice; OVA+YJT100, YJT (100 mg/kg) and ovalbumin-exposed mice; OVA+YJT300, YJT (300 mg/kg) and ovalbumin-exposed mice. Results are presented as means ± SD (<sup>#</sup> <span class="html-italic">p</span> &lt; 0.05, <sup>##</sup> <span class="html-italic">p</span> &lt; 0.01 compared with the NC group; * <span class="html-italic">p</span> &lt; 0.05, ** <span class="html-italic">p</span> &lt; 0.01 compared with the OVA group).</p>
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<p>Effect of YJT on phospho-NF-κB activity in lung tissues. Phospho-NF-κB, NF-κB, and β-actin expression in lung tissues was assessed by Western blotting. NC, negative control; OVA, ovalbumin-exposed mice; OVA+DEX, dexamethasone administered and ovalbumin-exposed mice; OVA+YJT100, YJT (100 mg/kg) and ovalbumin-exposed mice; OVA+YJT300, YJT (300 mg/kg) and ovalbumin-exposed mice. Results are presented as means ± SD (<sup>#</sup> <span class="html-italic">p</span> &lt; 0.05 compared with the NC group; * <span class="html-italic">p</span> &lt; 0.05, ** <span class="html-italic">p</span> &lt; 0.01 compared with the OVA group).</p>
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22 pages, 2629 KiB  
Article
Exploring the Spatial Variability of Air Pollution Using Mobile BC Measurements in a Citizen Science Project: A Case Study in Mechelen
by Martine Van Poppel, Jan Peters, Stijn Vranckx, Jo Van Laer, Jelle Hofman, Bram Vandeninden, Charlotte Vanpoucke and Wouter Lefebvre
Atmosphere 2024, 15(7), 757; https://doi.org/10.3390/atmos15070757 - 25 Jun 2024
Viewed by 531
Abstract
Mobile monitoring is used as an additional tool to collect air quality data at a high spatial resolution and to complement data from fixed air quality stations. Citizens are interested in contributing to air quality monitoring, and while the availability of low-cost air [...] Read more.
Mobile monitoring is used as an additional tool to collect air quality data at a high spatial resolution and to complement data from fixed air quality stations. Citizens are interested in contributing to air quality monitoring, and while the availability of low-cost air quality sensors can create opportunities to measure the air quality at a high spatial resolution, the data are often of lower quality, and sensors that measure combustion-related aerosols (like black carbon) are not commonly available. Mobile monitoring using a mid-range instrument can fill this gap. We present the results of a mobile BC (black carbon) monitoring campaign performed by citizens in Mechelen as part of a local citizen observatory (CO), Meet Mee Mechelen, initiated as part of the European H2020 project, Ground Truth 2.0. The goal of the study was two-fold: (1) to propose and evaluate a mobile monitoring method (data collection and data processing) to construct pollution maps of BC concentrations and (2) to demonstrate how to organize community-based air quality monitoring to measure both the spatial and temporal variations in air pollution levels. Measurements were taken during peak hours in four campaigns characterized by different meteorological conditions: October–November 2017, February–March 2018, June–July 2018 and September 2018. The results show large spatial and temporal variabilities. Spatial variability is influenced by traffic volume, stop-and-go traffic and also the building environment and the distance of biking paths from road traffic. The four different campaigns show similar spatial patterns, but due to background and meteorological influences, the absolute concentrations differ between seasons. A rescaling method using data from fixed stations in the air quality monitoring network (AQMN) was presented to construct maps representative of longer periods. This paper shows that mobile measurements can be used by CO to assess the spatial variability of air quality in a city. The data can be used to evaluate mobility plans, carry out hot spot detection, evaluate the exposure of cyclists as a function of cycling infrastructure and perform model validation. However, it is important to use high-quality instruments and apply the correct measurement methodology (number of repetitions, season) to obtain meaningful data. Full article
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<p>Street map of Mechelen with the four different routes.</p>
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<p>Frequency distribution of the starting time of all measurements (4 campaigns and 4 subroutes).</p>
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<p>Daily average BC concentrations at the ‘virtual’ rural background (blue), urban background (green) and urban traffic (red) monitoring stations in Belgium for the years 2017 and 2018. The four campaigns of mobile BC monitoring are indicated in gray.</p>
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<p>BC concentration maps from four monitoring campaigns: Campaign 1 (October–November 2017, <b>top left</b>), Campaign 2 (February–March 2018, <b>top right</b>), Campaign 3 (June–July 2018, <b>bottom left</b>), Campaign 4 (September 2018, <b>bottom right</b>). The dimensions of the maps are approximately 11 km × 10 km.</p>
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<p>Map of the estimated yearly average BC concentration during peak hours calculated as a weighted average over the different campaigns.</p>
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<p>BC concentration maps from four rescaled monitoring campaigns (same scale as <a href="#atmosphere-15-00757-f004" class="html-fig">Figure 4</a>): Campaign 1 (October–November 2017, <b>top left</b>), Campaign 2 (February–March 2018, <b>top right</b>), Campaign 3 (June–July 2018, <b>bottom left</b>) and Campaign 4 (September 2018, <b>bottom right</b>).</p>
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<p>Boxplots for the four BC and PM runs measured on the West route during Campaign 2. The black line in the boxes represents the median, the vertical size of the box is the interquartile range (IQR). Whiskers extend to minimum and maximum values not exceeding 1.5 times the IQR from the median.</p>
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<p>Modeled results for Campaign 1 (North, East and West routes).</p>
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<p>Scatter plots of the BC ATMO-Street model concentrations against the BC measurements for all locations (<b>left</b>) and urban background locations only (<b>right</b>) in Mechelen, Belgium, in October–November 2017. The southern trajectory is plotted in blue, as it had been measured two weeks earlier. The blue line represent the 1:1 line. Units: µg m<sup>−3</sup>.</p>
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<p>BC concentration map from monitoring Campaign 4 with some pictures of typical situations relating to traffic and the environment (same scale as <a href="#atmosphere-15-00757-f005" class="html-fig">Figure 5</a>).</p>
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<p>Average BC concentrations from bicycle measurements in different categories of roads and streets.</p>
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21 pages, 2810 KiB  
Article
Overturning Children’s Misconceptions about Ruler Measurement: The Power of Disconfirming Evidence
by Mee-Kyoung Kwon, Eliza Congdon, Raedy Ping and Susan C. Levine
J. Intell. 2024, 12(7), 62; https://doi.org/10.3390/jintelligence12070062 - 22 Jun 2024
Viewed by 735
Abstract
Children have persistent difficulty with foundational measurement concepts, which may be linked to the instruction they receive. Here, we focus on testing various ways to support their understanding that rulers comprise spatial interval units. We examined whether evidence-based learning tools—disconfirming evidence and/or structural [...] Read more.
Children have persistent difficulty with foundational measurement concepts, which may be linked to the instruction they receive. Here, we focus on testing various ways to support their understanding that rulers comprise spatial interval units. We examined whether evidence-based learning tools—disconfirming evidence and/or structural alignment—enhance their understanding of ruler units. Disconfirming evidence, in this context, involves having children count the spatial interval units under an object that is not aligned with the origin of a ruler. Structural alignment, in this context, involves highlighting what a ruler unit is by overlaying plastic unit chips on top of ruler units when an object is aligned with the origin of a ruler. In three experiments employing a pre-test/training/post-test design, a total of 120 second graders were randomly assigned to one of six training conditions (two training conditions per experiment). The training conditions included different evidence-based learning principles or “business-as-usual” instruction (control), with equal allocation to each (N = 20 for each condition). In each experiment, children who did not perform above chance level on the pre-test were selected to continue with training, which resulted in a total of 88 students for the analysis of improvement. The children showed significant improvement in training conditions that included disconfirming evidence, but not in the structural alignment or control conditions. However, an exploratory analysis suggests that improvement occurred more rapidly and was retained better when structural alignment was combined with disconfirming evidence compared to disconfirming evidence alone. Full article
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<p>An example of an unshifted ruler problem (<b>A</b>) and a shifted ruler problem (<b>B</b>), both of which were used at pre-, post-, and follow-up testing. The correct answer for each of these problems is 3.</p>
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<p>A schematic image of the training conditions for Experiments 1, 2, and 3 (<b>A</b>–<b>C</b>, respectively). In the experiments, children were provided with paper rulers, three-dimensional wooden rods to measure, and, when applicable, transparent plastic unit chips to overlay on the ruler or underneath the object.</p>
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<p>Mean number correct in terms of shifted ruler problems in Experiment 1. (<b>A</b>) shows the data broken down by training condition and (<b>B</b>) shows the data broken down by children’s dominant starting strategy at pre-text. Error bars represent ±1 standard error of the mean. DE = disconfirming evidence; SA = structural alignment; Control = business-as-usual.</p>
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<p>Mean number correct on shifted ruler problems in Experiment 2. (<b>A</b>) represents the significant main effect of training condition and (<b>B</b>) shows the marginal effect of starting strategy. Error bars represent ±1 standard error of the mean.</p>
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<p>Mean number of correctly answered shifted ruler problems in Experiment 3. (<b>A</b>) represents the interaction between condition and session whereby children in the DE + EA condition maintain their learning, while those in the DE alone condition do not. (<b>B</b>) shows the significant main effect of starting strategy. Error bars represent ±1 standard error of the mean.</p>
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<p>Mean number of correctly answered shifted ruler problems in combined analysis utilizing findings from Experiments 1, 2, and 3. The model revealed that children in the DE + SA condition maintained their learning at the follow-up session more so than those in the DE alone condition. Both groups outperformed the children in the SA alone and BAU conditions at post-test and follow-up. Error bars represent ±1 standard error of the mean. DE = disconfirming evidence; SA = structural alignment; BAU = business-as-usual.</p>
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