[go: up one dir, main page]

 
 
Sign in to use this feature.

Years

Between: -

Subjects

remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline

Journals

remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline

Article Types

Countries / Regions

remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline

Search Results (2,657)

Search Parameters:
Keywords = concordances

Order results
Result details
Results per page
Select all
Export citation of selected articles as:
13 pages, 1205 KiB  
Article
Predicting Chemical Body Composition Using Body Part Composition in Boer × Saanen Goats
by Izabelle A. M. A. Teixeira, Adrian F. M. Ferreira, José M. Pereira Filho, Luis O. Tedeschi and Kleber T. Resende
Ruminants 2024, 4(4), 543-555; https://doi.org/10.3390/ruminants4040038 (registering DOI) - 19 Nov 2024
Abstract
Two experiments were conducted to determine which part of the empty body of Boer × Saanen intact male kids can be used to predict the chemical composition of the whole body. In the first experiment, kids were fed ad libitum and slaughtered at [...] Read more.
Two experiments were conducted to determine which part of the empty body of Boer × Saanen intact male kids can be used to predict the chemical composition of the whole body. In the first experiment, kids were fed ad libitum and slaughtered at 5, 10, and 15 kg body weight (BW). Eighteen animals were group-fed at three intake levels (ad libitum or restricted to 30% and 60% of the ad libitum level). When the ad libitum animal in the group reached 15 kg BW, all animals in the group were slaughtered. In the second experiment, kids were fed ad libitum and slaughtered at 15, 20, and 25 kg BW. Twenty-one animals were group-fed at three intake levels and slaughtered when the ad libitum animal within the group reached 25 kg BW. Analyzed body parts included head + feet, hide, organs, neck, shoulder, ribs, loin, leg, 9–11th ribs, and half carcass. Principal component and cluster analyses showed that the neck, 9–11th ribs, and loin had the highest frequency of grouping with the empty body. These body parts were used to develop prediction models for estimating body composition. The neck, loin, and 9–11th ribs accurately and precisely predicted the dry matter, ash, fat, protein, and energy body composition of goats, with most models also incorporating BW as a predictor variable. The equations showed root mean squared error (RMSE) lower than 13.5% and a concordance correlation coefficient (CCC) greater than 0.84. Fat and protein concentrations in the loin and neck were also reliable predictors of empty body energy composition (RMSE = 2.9% of mean and concordance correlation coefficient = 0.93). Removing the loin and 9–11th ribs could reduce the carcass retail price. Using the neck to estimate body composition in growing Boer × Saanen goats provides a valuable alternative for nutrition studies, given its low commercial value. Full article
Show Figures

Figure 1

Figure 1
<p>Primal cuts obtained from the left carcasses of goats: 1—leg, 2—loin, 3—ribs, 4—shoulder, and 5—neck.</p>
Full article ">Figure 2
<p>Cluster dendrogram of the body parts and empty body of Boer × Saanen goat kids at different slaughter weights and nutritional levels ((<b>A</b>)—goat kids fed ad libitum and slaughtered at 25 kg BW, (<b>B</b>)—goat kids subjected to 30% of feed restriction, experiment 2—15–25 kg BW, (<b>C</b>)—goat kids subjected to 60% of feed restriction, experiment 2—15–25 kg BW, (<b>D</b>)—goat kids fed ad libitum and slaughtered at 15 kg BW, (<b>E</b>)—goat kids subjected to 30% of feed restriction, experiment 1—5–15 kg BW, (<b>F</b>)—goat kids subjected to 60% of feed restriction, experiment 1—5–15 kg BW, (<b>G</b>)—goat kids fed ad libitum and slaughtered at 20 kg BW, (<b>H</b>)—goat kids fed ad libitum and slaughtered at 10 kg BW, and (<b>I</b>)—goat kids fed ad libitum and slaughtered at 5 kg BW).</p>
Full article ">Figure 3
<p>Principal component analysis loading plot of chemical body composition and chemical composition of pre-selected body parts (9−11th ribs, loin, and neck) of Boer × Saanen goats at different slaughter weights and nutritional levels. The percentage of total variance accounted for by each of the first 2 principal components (Dim) is shown in parentheses. Experiment 1 is represented by pink circles, and experiment 2 is represented by blue triangles. This biplot shows the orientation of the test samples relative to the principal components and the orientation of the nutrients and energy relative to the principal components.</p>
Full article ">
14 pages, 5903 KiB  
Article
Diagnostic Performance of Artificial Intelligence in Chest Radiographs Referred from the Emergency Department
by Julia López Alcolea, Ana Fernández Alfonso, Raquel Cano Alonso, Ana Álvarez Vázquez, Alejandro Díaz Moreno, David García Castellanos, Lucía Sanabria Greciano, Chawar Hayoun, Manuel Recio Rodríguez, Cristina Andreu Vázquez, Israel John Thuissard Vasallo and Vicente Martínez de Vega
Diagnostics 2024, 14(22), 2592; https://doi.org/10.3390/diagnostics14222592 - 18 Nov 2024
Viewed by 237
Abstract
Background: The increasing integration of AI in chest X-ray evaluation holds promise for enhancing diagnostic accuracy and optimizing clinical workflows. However, understanding its performance in real-world clinical settings is essential. Objectives: In this study, we evaluated the sensitivity (Se) and specificity (Sp) of [...] Read more.
Background: The increasing integration of AI in chest X-ray evaluation holds promise for enhancing diagnostic accuracy and optimizing clinical workflows. However, understanding its performance in real-world clinical settings is essential. Objectives: In this study, we evaluated the sensitivity (Se) and specificity (Sp) of an AI-based software (Arterys MICA v29.4.0) alongside a radiology resident in interpreting chest X-rays referred from the emergency department (ED), using a senior radiologist’s assessment as the gold standard (GS). We assessed the concordance between the AI system and the resident, noted the frequency of doubtful cases for each category, identified how many were considered positive by the GS, and assessed variables that AI was not trained to detect. Methods: We conducted a retrospective observational study analyzing chest X-rays from a sample of 784 patients referred from the ED at our hospital. The AI system was trained to detect five categorical variables—pulmonary nodule, pulmonary opacity, pleural effusion, pneumothorax, and fracture—and assign each a confidence label (“positive”, “doubtful”, or “negative”). Results: Sensitivity in detecting fractures and pneumothorax was high (100%) for both AI and the resident, moderate for pulmonary opacity (AI = 76%, resident = 71%), and acceptable for pleural effusion (AI = 60%, resident = 67%), with negative predictive values (NPV) above 95% and areas under the curve (AUC) exceeding 0.8. The resident showed moderate sensitivity (75%) for pulmonary nodules, while AI’s sensitivity was low (33%). AI assigned a “doubtful” label to some diagnoses, most of which were deemed negative by the GS; the resident expressed doubt less frequently. The Kappa coefficient between the resident and AI was fair (0.3) across most categories, except for pleural effusion, where concordance was moderate (0.5). Our study highlighted additional findings not detected by AI, including 16% prevalence of mediastinal abnormalities, 20% surgical materials, and 20% other pulmonary findings. Conclusions: Although AI demonstrated utility in identifying most primary findings—except for pulmonary nodules—its high NPV suggests it may be valuable for screening. Further training of the AI software and broadening its scope to identify additional findings could enhance its detection capabilities and increase its applicability in clinical practice. Full article
Show Figures

Figure 1

Figure 1
<p>Flowchart of the study population.</p>
Full article ">Figure 2
<p>Chest radiograph with AI analysis, which detected a positive right pneumothorax, positive bilateral pleural effusion (both outlined with continuous boxes), and doubtful bibasilar opacities (outlined with discontinuous boxes).</p>
Full article ">Figure 3
<p>Possible results of chest X-ray assessment.</p>
Full article ">Figure 4
<p>Chest radiographs with AI analysis (and <b>E</b>,<b>F</b>,<b>H</b>,<b>I</b> with the associated sagittal (<b>E</b>,<b>I</b>), coronal (<b>F</b>), and axial (<b>H</b>) CT images). (<b>A</b>) False doubtful right fractures outlined with discontinuous boxes (they are chronic). (<b>B</b>) False doubtful right pneumothorax outlined with a discontinuous box. (<b>C</b>) False doubtful left lower lobe nodule outlined with a discontinuous box. (<b>D</b>) False positive left lower lobe nodule outlined with a continuous box. (<b>E</b>) False negative left lower lobe nodule; there is a nodule (outlined in yellow). (<b>F</b>) False positive left pulmonary opacity outlined with a continuous box (it is a laminar atelectasis). (<b>G</b>) False doubtful right lower lobe opacity outlined with a discontinuous box (it is normal pulmonary vascularization). (<b>H</b>) True doubtful left lower lobe opacity outlined with a discontinuous box (retrocardiac infection). (<b>I</b>) False positive pleural effusion outlined with a continuous box (it is a subtle non-pathological erasure of the posterior costophrenic angle).</p>
Full article ">Figure 5
<p>Extra items.</p>
Full article ">Figure 6
<p>Chest radiographs with additional findings highlighted by red circles, arrows, or lines. (<b>A</b>) Hiatal hernia, (<b>B</b>) cardiomegaly, (<b>C</b>) widening of the superior mediastinum, (<b>D</b>) heart pacemaker, (<b>E</b>) pulmonary surgical material, (<b>F</b>) sternal surgical material, (<b>G</b>,<b>H</b>) pulmonary hyperinflation (<b>G</b>—flattening of the diaphragms and enlarged retrosternal space; <b>H</b>—enlarged retrocardiac spaces).</p>
Full article ">Figure 7
<p>Concordance AI/Resident (95% CI).</p>
Full article ">
15 pages, 18347 KiB  
Article
Unified Assembly of Chloroplast Genomes: A Comparative Study of Grapes Representing Global Geographic Diversity
by Yue Song, Lujia Wang, Lipeng Zhang, Junpeng Li, Yuanxu Teng, Zhen Zhang, Yuanyuan Xu, Dongying Fan, Juan He and Chao Ma
Horticulturae 2024, 10(11), 1218; https://doi.org/10.3390/horticulturae10111218 - 18 Nov 2024
Viewed by 243
Abstract
The genus Vitis, known for its economically important fruit—grape—is divided into three geographical groups, American, East Asian, and Eurasian, along with a hybrid group. However, previous studies on grape phylogeny using chloroplast genomes have been hindered by limited sample sizes and inconsistent [...] Read more.
The genus Vitis, known for its economically important fruit—grape—is divided into three geographical groups, American, East Asian, and Eurasian, along with a hybrid group. However, previous studies on grape phylogeny using chloroplast genomes have been hindered by limited sample sizes and inconsistent methodologies, resulting in inaccuracies. In this study, we employed the GetOrganelle software with consistent parameters to assemble the chloroplast genomes of 21 grape cultivars, ensuring comprehensive representation across four distinct groups. A comparative analysis of the 21 grape cultivars revealed structural variation, showing chloroplast genome sizes ranging from 160,813 bp to 161,275 bp. In 21 Vitis cultivars, genome annotation revealed 134 to 136 genes, comprising 89 to 91 protein-coding genes (PCGs), 37 tRNAs, and 8 rRNAs. Our observations have pinpointed specific occurrences of contraction and expansion phenomena at the interfaces between inverted repeat (IR) regions and single-copy (SC) regions, particularly in the vicinity of the rpl2, ycf1, ndhF, and trnN genes. Meanwhile, a total of 193 to 198 SSRs were identified in chloroplast genomes. The diversification pattern of chloroplast genomes exhibited strong concordance with the phylogenetic relationships of the Euvitis subgenera. Phylogenetic analysis based on conserved chloroplast genome strongly clustered the grape varieties according to their geographical origins. In conclusion, these findings enhance our understanding of chloroplast genome variation in Vitis populations and have important implications for cultivar selection, breeding, and conservation efforts. Full article
(This article belongs to the Special Issue Genetics and Molecular Breeding of Fruit Tree Species)
Show Figures

Figure 1

Figure 1
<p>Graphical map of circular genomes, providing the overall visualization of the 21 <span class="html-italic">Vitis</span> plastomes. A circos diagram, crafted through Python, was employed to visually represent the or-ganization of the 21 <span class="html-italic">Vitis</span> plastomes. The innermost level shows the arrangement of CDS genes (blue), rRNA genes (red), and tRNA genes (green) along the DNA strands, highlighting the functional elements and their distribution within the plastid genomes. GC Skew: Moving outward, the diagram shows the GC skew with red lines, indicating the difference in guanine (G) and cytosine (C) content between the forward and reverse DNA strands. GC Content: Next, the GC content is shown as black lines, providing a quantitative measure of the genomic content of guanine and cytosine bases. BLAST Analysis: The intermediate rings show the results of BLAST analyses of the plastome sequences. Conserved regions across the grape varieties are color-coded according to the specific varieties, with each variety’s corresponding color indicated in the center of the diagram. Variable loci are highlighted in white, signifying regions where significant differences exist among the 21 <span class="html-italic">Vitis</span> plastomes. The outermost ring denotes the plastid genome size in kilobase pairs.</p>
Full article ">Figure 2
<p>Relative synonymous codon usage (RSCU) values in the 21 grape chloroplast genomes. * Red represents higher RSCU values, while blue indicates lower RSCU values.</p>
Full article ">Figure 3
<p>Simple sequence repeats (SSRs) in the 21 <span class="html-italic">Vitis</span> chloroplast genomes. (<b>A</b>) A bar chart illustrating the distribution of different SSR types across the 21 <span class="html-italic">Vitis</span> plastomes, with p1 through p6 representing mono-, di-, tri-, tetra-, penta-, and hexanucleotide repeats, respectively, and ‘c’ denoting compound SSRs. (<b>B</b>) A bar chart displaying the distribution of SSRs based on size.</p>
Full article ">Figure 4
<p>Distribution of four types of long repetitive sequences. Long repetitive sequences in the 21 <span class="html-italic">Vitis</span> plastomes, categorized as forward (F), reverse (R), complement (C), and palindromic (P) types.</p>
Full article ">Figure 5
<p>Comparison of the junctions between the LSC/SSC and IR regions among the 21 <span class="html-italic">Vitis</span> chloroplast genomes, using cyan for LSC, orange for IRa and IRb, green for SSC.</p>
Full article ">Figure 6
<p>The Mauve alignment of 21 chloroplast genomes from <span class="html-italic">Vitis</span>. The reference genome utilized in this analysis is <span class="html-italic">Vitis Vinifera</span>.</p>
Full article ">Figure 7
<p>The Mauve alignment of 21 chloroplast genomes from <span class="html-italic">Vitis</span>. The reference genome utilized in this analysis is <span class="html-italic">Vitis</span> Vinifera.</p>
Full article ">Figure 8
<p>mVISTA alignment for chloroplast genomes. Illustrated is an alignment of complete chloroplast genomes from 21 <span class="html-italic">Vitis</span> species, with <span class="html-italic">Vitis vinifera</span> serving as the reference. Gray arrows indicate gene direction, dark blue areas denote exons, light-blue signifies untranslated regions (tRNA and rRNA), and pink shows non-coding sequences (CNS). Sequence identity is depicted on the vertical scale, spanning 50% to 100%.</p>
Full article ">Figure 9
<p>Phylogenetic tree of 48 <span class="html-italic">Vitis</span> cultivars. A maximum likelihood (ML) phylogenetic tree of the complete chloroplast genomes was constructed using <span class="html-italic">Parthenocissus</span> as the outgroup. Cultivars were color-coded based on their taxonomic status and geographic groups, with the outgroup in gray, subgenus <span class="html-italic">Muscadinia</span> in purple, and the three geographic groups of subgenus <span class="html-italic">Euvitis</span>—American, East Asian, and Eurasian—colored blue, green, and red, respectively. The numbers at the nodes of the phylogenetic tree represent branch lengths.</p>
Full article ">
15 pages, 499 KiB  
Communication
RNA-Seq Analysis of Pubertal Mammary Epithelial Cells Reveals Novel n-3 Polyunsaturated Fatty Acid Transcriptomic Changes in the fat-1 Mouse Model
by Connor D. C. Buchanan, Rahbika Ashraf, Lyn M. Hillyer, Wangshu Tu, Jing X. Kang, Sanjeena Subedi and David W. L. Ma
Nutrients 2024, 16(22), 3925; https://doi.org/10.3390/nu16223925 - 17 Nov 2024
Viewed by 380
Abstract
Background: The early exposure of nutrients during pubertal mammary gland development may reduce the risk of developing breast cancer later in life. Anticancer n-3 polyunsaturated fatty acids (n-3 PUFA) are shown to modulate pubertal mammary gland development; however, the mechanisms [...] Read more.
Background: The early exposure of nutrients during pubertal mammary gland development may reduce the risk of developing breast cancer later in life. Anticancer n-3 polyunsaturated fatty acids (n-3 PUFA) are shown to modulate pubertal mammary gland development; however, the mechanisms of action remain unclear. Prior work focused on effects at the whole tissue level, and little is known at the cellular level, such as at the level of mammary epithelial cells (MECs), which are implicated in cancer development. Methods: This pilot study examined the effects of lifelong n-3 PUFA exposure on the transcriptome by RNA-Seq in the isolated MECs of pubertal (6–8-week-old) female fat-1 transgenic mice capable of de novo n-3 PUFA synthesis. edgeR and DESeq2 were used separately for the differential expression analysis of RNA sequencing data followed by the Benjamani–Hochberg procedure for multiple testing correction. Results: Nine genes were found concordant and significantly different (p ≤ 0.05) by both the DESeq2 and edgeR methods. These genes were associated with multiple pathways, suggesting that n-3 PUFA stimulates estrogen-related signaling (Mlltl0, Galr3, and Nrip1) and a glycolytic profile (Soga1, Pdpr, and Uso1) while offering protective effects for immune and DNA damage responses (Glpd1, Garre1, and Rpa1) in MECs during puberty. Conclusions: This pilot study highlights the utility of RNA-Seq to better understanding the mechanistic effects of specific nutrients such as n-3 PUFA in a cell-specific manner. Thus, further studies are warranted to investigate the cell-specific mechanisms by which n-3 PUFA influences pubertal mammary gland development and breast cancer risk later in life. Full article
(This article belongs to the Special Issue Nutrition and Gene Interaction)
Show Figures

Figure 1

Figure 1
<p>Comparison of concordant and differentially expressed genes (<span class="html-italic">p</span> ≤ 0.05) across both <span class="html-italic">edgeR</span> and <span class="html-italic">DESeq2</span> in isolated mammary epithelial cells of 6- to 8-week-old female transgenic <span class="html-italic">fat-1</span> mice (<span class="html-italic">n</span> = 3) relative to WT mice (<span class="html-italic">n</span> = 3). Data are <span class="html-italic">DESeq2</span>. See methods and details in <a href="#nutrients-16-03925-t001" class="html-table">Table 1</a>.</p>
Full article ">
14 pages, 5199 KiB  
Article
Identification of Key Genes Involved in Seed Germination of Astragalus mongholicus
by Junlin Li, Shuhong Guo, Xian Zhang, Yuhao He, Yaoqin Wang, Hongling Tian and Qiong Zhang
Int. J. Mol. Sci. 2024, 25(22), 12342; https://doi.org/10.3390/ijms252212342 - 17 Nov 2024
Viewed by 308
Abstract
Seed germination is a fundamental process in plant reproduction, and it involves a series of complex physiological mechanisms. The germination rate of Astragalus mongholicus (AM) seeds is significantly lower under natural conditions. To investigate the key genes associated with AM seed germination, seeds [...] Read more.
Seed germination is a fundamental process in plant reproduction, and it involves a series of complex physiological mechanisms. The germination rate of Astragalus mongholicus (AM) seeds is significantly lower under natural conditions. To investigate the key genes associated with AM seed germination, seeds from AM plants were collected at 0, 12, 24, and 48 h for a transcriptomic analysis, weighted gene co-expression network analysis (WGCNA), and machine learning (ML) analysis. The primary pathways involved in AM seed germination include plant-pathogen interactions and plant hormone signaling. Four key genes were identified through the WGCNA and ML: Cluster-28,554.0, FAS4, T10O24.10, and EPSIN2. These findings were validated using real-time quantitative reverse transcription PCR (qRT-PCR), and results from RNA sequencing demonstrated a high degree of concordance. This study reveals, for the first time, the key genes related to AM seed germination, providing potential gene targets for further research. The discovery of N4-acetylcysteine (ac4C) modification during seed germination not only enhances our understanding of plant ac4C but also offers valuable insights for future functional research and application exploration. Full article
(This article belongs to the Section Molecular Informatics)
Show Figures

Figure 1

Figure 1
<p>DEGs during germination of AM seeds. (<b>A</b>) Upregulation and downregulation of DEGs at 12 h, 24 h, and 48 h, respectively, compared to 0 h. (<b>B</b>) Venn diagram illustrating DEGs. (<b>C</b>) GO enrichment analysis of DEGs. (<b>D</b>) KEGG enrichment analysis.</p>
Full article ">Figure 2
<p>Expression network analysis of genes related to AM seed germination. (<b>A</b>) Appropriate soft thresholds were established to construct the scale-free network. (<b>B</b>) The cluster dendrogram illustrates the results of hierarchical clustering among genes, with different modules indicated by distinct colors at the bottom of the figure. Each module represents a set of highly co-expressed genes. (<b>C</b>) The module–sample relationship illustrates the correlation between various gene modules and sample features. (<b>D</b>) The eigengene adjacency heatmap displays the similarity between genes characterized by their respective modules.</p>
Full article ">Figure 3
<p>KEGG and GO analysis of module genes related to AM seed germination. (<b>A</b>) Key module KEGG pathway analysis: The horizontal axis represents the number of genes enriched in the top 20 pathways, while the vertical axis indicates the names of the KEGG pathways. (<b>B</b>) Key module GO function analysis: The horizontal axis displays the names of the GO entries, and the vertical axis represents the number of genes enriched in the top 10 GO functions.</p>
Full article ">Figure 4
<p>Feature gene selection for AM seed germination. (<b>A</b>) DEGs and WGCNA of the overlapping screened genes. (<b>B</b>) GBM screening of the characterized genes, with the horizontal axis representing the character importance score and the vertical axis representing the gene name. (<b>C</b>) RF algorithm screening of the characterized genes, with the horizontal axis indicating the average Gini index decline value and the vertical axis indicating the gene name. (<b>D</b>) Feature genes identified from RF and GBM screening.</p>
Full article ">Figure 5
<p>Key genes involved in AM seed germination. (<b>A</b>) LASSO coefficient path diagram. The horizontal axis represents the log λ value, while the vertical axis displays the regression coefficient of the gene. At the optimal λ value (indicated by the vertical dashed line in the figure), the LASSO method identifies the key genes. (<b>B</b>) Cross-validation error plot of LASSO. The horizontal axis shows the log λ value, and the vertical axis represents the mean deviation. The red solid line indicates the mean deviation, while the gray shading represents the standard error. The vertical dashed line marks the optimal λ value, which corresponds to the smallest error. (<b>C</b>) Plot of expression changes of the four key genes at different time points. The horizontal axis denotes the time points, the vertical axis indicates gene expression on the left side, and gene counts on the right side. The bar graph represents gene counts, and the line graph illustrates gene expression. (<b>D</b>) KEGG pathway enrichment analysis graph for the purple module. (<b>E</b>) KEGG pathway enrichment analysis graph for the green module. (<b>F</b>) KEGG pathway enrichment analysis for the tan module.</p>
Full article ">Figure 6
<p>qRT-PCR validation of four key genes. The black lines represent the qRT-PCR results for the key genes, while the blue bars indicate the RNA-seq values. Each sample was analyzed with three biological replicates for qRT-PCR. Error bars represent the standard deviation of the relative expression levels from the three biological replicates. (<b>A</b>) Expression level of Cluster-28,554.0 in RNA-Seq and qRT-PCR validation results; (<b>B</b>) Expression level of FAS4 in RNA-Seq and qRT-PCR validation results; (<b>C</b>) Expression level of T10O24.10 in RNA-Seq and qRT-PCR validation results; (<b>D</b>) Expression level of EPSIN2/EPN2 in RNA-Seq and qRT-PCR validation results.</p>
Full article ">Figure 7
<p>Morphological characteristics of AM seed germination at four stages: (<b>A</b>) Seed dormancy (0 h). (<b>B</b>) Seed water absorption and swelling (12 h). (<b>C</b>) Seed coat dehiscence (24 h). (<b>D</b>) Radicle breakthrough (48 h).</p>
Full article ">
10 pages, 949 KiB  
Brief Report
Evaluation of a New Automated Mono-Test for the Detection of Aspergillus Galactomannan: Comparison of Aspergillus Galactomannan Ag VirCLIA® Mono-Test with PlateliaTM Aspergillus Ag ELISA Assay
by Giuliana Lo Cascio, Valentina Lepera, Annarita Sorrentino, Domenico Caleca, Paolo Gigante, Gabriella Tocci, Alda Bazaj, Annalisa Mancini, Marina Bolzoni, Evelina Cattadori, Davide Gibellini, Chiara Gorrini, Claudio Farina, Roberta Schiavo and on behalf of the Medical Mycology Committee (CoSM)—Italian Association of Clinical Microbiology (AMCLI)
J. Fungi 2024, 10(11), 793; https://doi.org/10.3390/jof10110793 - 15 Nov 2024
Viewed by 330
Abstract
The analytical performance of the new Aspergillus Galactomannan Ag VirCLIA® mono-test (Vircell S.L.) was compared to the Platelia™ Aspergillus Ag ELISA assay (Bio-Rad). Prospective serum and bronchoalveolar lavage (BAL) samples from patients at risk of invasive aspergillosis (IA) were tested using both [...] Read more.
The analytical performance of the new Aspergillus Galactomannan Ag VirCLIA® mono-test (Vircell S.L.) was compared to the Platelia™ Aspergillus Ag ELISA assay (Bio-Rad). Prospective serum and bronchoalveolar lavage (BAL) samples from patients at risk of invasive aspergillosis (IA) were tested using both the Aspergillus Galactomannan Ag VirCLIA® mono-test and the Platelia™ Aspergillus Ag ELISA assay. Concordance, sensitivity, specificity, and positive and negative predictive values were calculated using the manufacturer-recommended cutoff levels. Receiver operating characteristic (ROC) analysis and the Youden index were performed to determine the optimal cutoff. A total of 187 serum samples and 73 BAL samples were analyzed with both assays. The concordance between the Aspergillus Galactomannan Ag VirCLIA® mono-test and the Platelia™ Aspergillus Ag ELISA assay was 87.8%, with a Cohen’s kappa of 0.75. The sensitivity and specificity of the Aspergillus Galactomannan Ag VirCLIA® mono-test were 78.6% and 96.2%, respectively, with positive and negative predictive values of 94.8% and 83.3%. The ROC curve for the Aspergillus Galactomannan Ag VirCLIA® mono-test demonstrated an area under the curve (AUC) of 0.87, and the Youden index at the manufacturer’s established cutoff was 0.73. This new Aspergillus Galactomannan Ag VirCLIA® mono-test exhibited adequate analytical and clinical performance, showing good correlation with the Platelia™ Aspergillus Ag ELISA assay. The single-sample, semi-automated test is user-friendly, allowing small laboratories to perform the test on demand without the need for batch evaluations, providing a useful solution for timely diagnostic support for clinicians. Full article
(This article belongs to the Special Issue Advances in Invasive Fungal Infections 2024)
Show Figures

Figure 1

Figure 1
<p>Study flow diagram reported as STARD guidelines [<a href="#B14-jof-10-00793" class="html-bibr">14</a>].</p>
Full article ">Figure 2
<p>Quantitative correlation of Galactomannan Antigen index with PA and VA. (<b>A</b>) All the sample results are considered. (<b>B</b>) Result from serum and BAL (Bronchoalveolar lavage) are separately considered. (<b>C</b>) Analisis A—ROC curve.</p>
Full article ">Figure 3
<p>Distribution of VA data according PA interpretation, SERUM and BAL separately considered. (<b>A</b>) BAL. Positive: PA index value ≥ 1; negative: PA index value &lt; 1. (<b>B</b>) Serum. Positive: PA index value ≥ 0.5; negative: PA index value &lt; 0.4.</p>
Full article ">
11 pages, 1091 KiB  
Article
A New Tool Supporting the Selection of the Best Hematopoietic Stem Cell Donor by Modelling Local Own Real-World Data
by Roberto Crocchiolo, Stefania Cacace, Giuseppe Milone, Barbara Sarina, Alessandra Cupri, Salvatore Leotta, Giulia Giuffrida, Andrea Spadaro, Jacopo Mariotti, Stefania Bramanti, Alice Fumagalli, Maria Pia Azzaro, Sebastiana Toscano and Quirico Semeraro
J. Clin. Med. 2024, 13(22), 6869; https://doi.org/10.3390/jcm13226869 - 15 Nov 2024
Viewed by 376
Abstract
Background: The selection of the best donor for each specific patient is crucial for the success of allogeneic hematopoietic stem cell transplantation (HSCT). However, there is debate on the choice of the best donor when multiple suitable donors exist. Methods: By using own [...] Read more.
Background: The selection of the best donor for each specific patient is crucial for the success of allogeneic hematopoietic stem cell transplantation (HSCT). However, there is debate on the choice of the best donor when multiple suitable donors exist. Methods: By using own data from two transplant centers, we have developed a calculator able to provide the patients’ 2-year overall survival (OS) associated with each of the potential donor options during the selection process, in order to support the transplant physician during the choice. Data on 737 HSCTs with HLA-identical siblings, and unrelated or related haploidentical donors from January 2010 to July 2022 have been retrospectively obtained. Results: Patients’ age, disease, comorbidity index, and donor type were found to be significant variables able to predict the outcome with robustness (concordance index: 0.677). Estimates are provided within an example in the text showing outcomes with four donor options for a specific patient. Conclusions: We present the prototype of a tool supporting the selection of the best donor, guiding transplant physicians during the delicate process of donor selection before HSCT. This approach relies on real data from the centers, reflecting their local clinical experience. Improvements are underway with a larger, ongoing multicenter study. Full article
Show Figures

Figure 1

Figure 1
<p>Scatterplots of patient and donors ages by HLA match types. The X axis represents the age of the donor, while the Y axis represents the age of the patient. Each point represents a donor–patient pair and is color-coded: HLA-identical sibling (blue), unrelated donor (red), haploidentical donor (green).</p>
Full article ">Figure 2
<p>Significant factors influencing 2-year OS and their interactions. Visual representation of the statistically significant factors having an impact on 2-year OS following HSCT. Significant main variables are diagnosis, comorbidity, and age, with <span class="html-italic">p</span>-values of 0.011, 0.000, and 0.020, respectively. Donor type and donor age are not statistically significant as independent predictors of outcome; however, they are as interactions. Indeed, HLA × Age (i.e., patient age) and HLA × Age donor have <span class="html-italic">p</span>-values of 0.012 and 0.048, respectively, indicating that the effect of the patient and donor age depends on the HLA matching between patient and donor, that is here the donor type.</p>
Full article ">Figure 3
<p>An example of calculator output for a defined patient and four stem cell donor options. The hypothetical patient is 45 years old and is affected by acute leukemia in first complete remission. There are four donor options during the search: a 45-year-old HLA-identical sibling, a 30-year-old unrelated donor, a 20-year-old haploidentical donor, a 45-year-old haploidentical donor. Hazard ratios of 2-year OS and 95% confidence intervals are shown on the right panel for each of the four donors.</p>
Full article ">
8 pages, 1260 KiB  
Article
Evaluation of Microsatellite Instability via High-Resolution Melt Analysis in Colorectal Carcinomas
by Thais Maloberti, Sara Coluccelli, Viviana Sanza, Elisa Gruppioni, Annalisa Altimari, Stefano Zagnoni, Lidia Merlo, Antonietta D’Errico, Michelangelo Fiorentino, Daniela Turchetti, Sara Miccoli, Giovanni Tallini, Antonio De Leo and Dario de Biase
J. Mol. Pathol. 2024, 5(4), 512-519; https://doi.org/10.3390/jmp5040034 - 14 Nov 2024
Viewed by 395
Abstract
Background/Objectives: Colorectal cancer (CRC) is the third leading cause of cancer death globally, with rising incidence. The immunohistochemistry (IHC) for mismatch repair (MMR) proteins is the first technique used in routine practice to evaluate an MMR status. Microsatellite instability (MSI) may be tested [...] Read more.
Background/Objectives: Colorectal cancer (CRC) is the third leading cause of cancer death globally, with rising incidence. The immunohistochemistry (IHC) for mismatch repair (MMR) proteins is the first technique used in routine practice to evaluate an MMR status. Microsatellite instability (MSI) may be tested in case of doubt during IHC staining. This study introduces a novel high-resolution melt (HRM) protocol for MSI detection and compares it with traditional fragment length analysis (FLA) via capillary electrophoresis. Methods: A total of 100 formalin-fixed and paraffin-embedded CRC specimens were analyzed using two distinct protocols: one based on FLA (TrueMark MSI Assay kit) and another one based on HRM (AmoyDx® Microsatellite Instability Detection Kit). Results: Overall, 68 (68.0%) of the cases were MSS, and 32 (32.0%) were MSI-H. HRM analysis was first successfully carried out in all the cases. A perfect concordance in MSI evaluation between HRM and FLA was observed. HRM showed slightly shorter hands-on time and turnaround time. Conclusions: We provided evidence of the validity of this new HRM approach in determining the MSI status of colorectal carcinomas. Full article
Show Figures

Figure 1

Figure 1
<p>MSS sample by FLA and HRM. (<b>A</b>) FLA showing three stable mononucleotide satellites (BAT25, NR24, NR21); upper box: neoplastic specimen; lower box: non-neoplastic specimen. (<b>B</b>) HRM results showing two stable satellites (PPP1CC, UBAC2); green curve: internal control; red curve: target 1 (PPP1CC); blue curve: target 2 (UBAC2). Target refers to the specific mononucleotide repeat markers being analyzed. Each curve represents a single MNR (either internal control, PPP1CC, or UBAC2) within the HRM analysis.</p>
Full article ">Figure 2
<p>MSI sample by FLA and HRM. (<b>A</b>) FLA showing three unstable mononucleotide satellites (BAT25, NR24, NR21); upper box: neoplastic specimen; lower box: non-neoplastic specimen. (<b>B</b>) HRM results showing two unstable satellites (PPP1CC/UBAC2); green curve: internal control, red curve: target 1 (PPP1CC), blue curve: target 2 (UBAC2). Target refers to the specific mononucleotide repeat markers being analyzed. Each curve represents a single MNR (either internal control, PPP1CC, or UBAC2) within HRM analysis.</p>
Full article ">
13 pages, 3150 KiB  
Article
FAN1 Deletion Variant in Basenji Dogs with Fanconi Syndrome
by Fabiana H. G. Farias, Tendai Mhlanga-Mutangadura, Juyuan Guo, Liz Hansen, Gary S. Johnson and Martin L. Katz
Genes 2024, 15(11), 1469; https://doi.org/10.3390/genes15111469 - 14 Nov 2024
Viewed by 396
Abstract
Background: Fanconi syndrome is a disorder of renal proximal tubule transport characterized by metabolic acidosis, amino aciduria, glucosuria, and phosphaturia. There are acquired and hereditary forms of this disorder. A late-onset form of Fanconi syndrome in Basenjis was first described in 1976 and [...] Read more.
Background: Fanconi syndrome is a disorder of renal proximal tubule transport characterized by metabolic acidosis, amino aciduria, glucosuria, and phosphaturia. There are acquired and hereditary forms of this disorder. A late-onset form of Fanconi syndrome in Basenjis was first described in 1976 and is now recognized as an inherited disease in these dogs. In part because of the late onset of disease signs, the disorder has not been eradicated from the breed by selective mating. A study was therefore undertaken to identify the molecular genetic basis of the disease so that dogs could be screened prior to breeding in order to avoid generating affected offspring. Methods: Linkage analysis within a large family of Basenjis that included both affected and unaffected individuals was performed to localize the causative variant within the genome. Significant linkage was identified between chromosome 3 (CFA3) makers and the disease phenotype. Fine mapping restricted the region to a 2.7 Mb section of CFA3. A whole genome sequence of a Basenji affected with Fanconi syndrome was generated, and the sequence data were examined for the presence of potentially deleterious homozygous variants within the mapped region. Results: A homozygous 317 bp deletion was identified in the last exon of FAN1 of the proband. 78 Basenjis of known disease status were genotyped for the deletion variant. Among these dogs, there was almost complete concordance between genotype and phenotype. The only exception was one dog that was homozygous for the deletion variant but did not exhibit signs of Fanconi syndrome. Conclusions: These data indicate that the disorder is very likely the result of FAN1 deficiency. The mechanism by which this deficiency causes the disease signs remains to be elucidated. FAN1 has endonuclease and exonuclease activity that catalyzes incisions in regions of double-stranded DNA containing interstrand crosslinks. FAN1 inactivation may cause Fanconi syndrome in Basenjis by sensitization of kidney proximal tubule cells to toxin-mediated DNA crosslinking, resulting in the accumulation of genomic and mitochondrial DNA damage in the kidney. Differential exposure to environmental toxins that promote DNA crosslink formation may explain the wide age-at-onset variability for the disorder in Basenjis. Full article
(This article belongs to the Section Animal Genetics and Genomics)
Show Figures

Figure 1

Figure 1
<p>Strategy for identifying the DNA sequence variant responsible for FS in Basenjis.</p>
Full article ">Figure 2
<p>Pedigree of the Basenji family used for linkage mapping of the FS locus. Filled black squares: affected males; filled black circles: affected females; open black squares: unaffected males; open black circles: unaffected females; gray open squares, males of unknown phenotype; gray open circles: females of unknown phenotype.</p>
Full article ">Figure 3
<p>Plot of linkage results of the Fanconi syndrome Basenji pedigree (22 cases and 37 controls).</p>
Full article ">Figure 4
<p>Comparison of percent coverage in a part of the CFA3 target region between an FS-affected dog and three controls. The region represented in this graph starts at 40,860,000 to 40,870,300 bp of CFA3 in intervals of 100 bp. The percent coverage is the average coverage of the interval normalized for the average genome coverage for the individual dog. The arrow indicates the gap in coverage that was unique to the affected Basenji.</p>
Full article ">Figure 5
<p>Microcapillary electrophoretograms of PCR amplicons produced with primers spanning the gap in the <span class="html-italic">FAN1</span>. Lane 1 represents a negative control. PCR was performed with DNA from an FS-affected dog (2) and two FS-unaffected dogs (lanes 3 and 4). The FS-affected dog produced a 167 bp amplicon, which is smaller than the expected band. One of the FS-unaffected dogs (3) produced the expected band, and the other dog (lane 4) produced the expected band and the deletion allele band.</p>
Full article ">Figure 6
<p>The deletion boundaries are represented by an illustration and genomic sequences of the <span class="html-italic">FAN1</span>. (<b>A</b>) Illustration of the 3′ end of the <span class="html-italic">FAN1</span> gene. The deletion starts after the first base of exon 14 and goes into the 3′ UTR past the primary polyadenylation site. (<b>B</b>) Sequences for the end of intron 13, exon 14, and the 3′UTR. Gray-shaded sequences correspond to exon 14, blue-shaded represents the potential poly signal, and red-shaded is the polyadenylation site. The 317 deleted bases are underlined.</p>
Full article ">Figure 7
<p>Microcapillary electrophoretograms of RT-PCR amplicons from <span class="html-italic">FAN1</span> mRNA. RT-PCR was performed with total RNA extracted from the kidneys of two FS-unaffected dogs (1 and 2), the blood of two FS-unaffected dogs (3 and 4), and one FS-affected dog (5). Lane 6 represents a negative control. (<b>A</b>) RT-PCR was performed with primers from exon 5 to exon 7 of the <span class="html-italic">FAN1</span> gene. The expected amplicon size was 269 bp. (<b>B</b>) RT-PCR was performed with primers from exon 12 to exon 14 of the <span class="html-italic">FAN1</span> gene. The expected amplicon size was 300 bp. (<b>C</b>) RT-PCR was performed with primers from exon 12 to intron 13 of the <span class="html-italic">FAN1</span> gene. The expected amplicon size was 245 bp.</p>
Full article ">
9 pages, 1360 KiB  
Article
Conversational LLM Chatbot ChatGPT-4 for Colonoscopy Boston Bowel Preparation Scoring: An Artificial Intelligence-to-Head Concordance Analysis
by Raffaele Pellegrino, Alessandro Federico and Antonietta Gerarda Gravina
Diagnostics 2024, 14(22), 2537; https://doi.org/10.3390/diagnostics14222537 - 13 Nov 2024
Viewed by 323
Abstract
Background/objectives:To date, no studies have evaluated Chat Generative Pre-Trained Transformer (ChatGPT) as a large language model chatbot in optical applications for digestive endoscopy images. This study aimed to weigh the performance of ChatGPT-4 in assessing bowel preparation (BP) quality for colonoscopy. Methods: ChatGPT-4 [...] Read more.
Background/objectives:To date, no studies have evaluated Chat Generative Pre-Trained Transformer (ChatGPT) as a large language model chatbot in optical applications for digestive endoscopy images. This study aimed to weigh the performance of ChatGPT-4 in assessing bowel preparation (BP) quality for colonoscopy. Methods: ChatGPT-4 analysed 663 anonymised endoscopic images, scoring each according to the Boston BP scale (BBPS). Expert physicians scored the same images subsequently. Results: ChatGPT-4 deemed 369 frames (62.9%) to be adequately prepared (i.e., BBPS > 1) compared to 524 frames (89.3%) assessed by human assessors. The agreement was slight (κ: 0.099, p = 0.0001). The raw human BBPS score was higher at 3 (2–3) than that of ChatGPT-4 at 2 (1–3), demonstrating moderate concordance (W: 0.554, p = 0.036). Conclusions: ChatGPT-4 demonstrates some potential in assessing BP on colonoscopy images, but further refinement is still needed. Full article
(This article belongs to the Special Issue Artificial Intelligence in Clinical Medical Imaging: 2nd Edition)
Show Figures

Figure 1

Figure 1
<p>A summary of the study protocol.</p>
Full article ">Figure 2
<p>(<b>A</b>) Absolute concordance rates, in which both the chatbot and human evaluator provided the same Boston Bowel Preparation Scale (BBPS) scores for the same images (in blue), and relative concordance rates, in which both provided the same assessment of bowel preparation adequacy (BBPS &gt; 1) for the same images (in red). These rates concern the overall set of images and specific frames showing particular findings [such as polyps, diverticula, narrow band imaging (NBI), retroflexion manoeuvres, etc.]. Differences in rates are calculated using the chi-squared test, with the corresponding <span class="html-italic">p</span>-value and sample size (N) indicated. (<b>B</b>,<b>C</b>) A comparison of the rates of adequate bowel preparation (i.e., BBPS &gt; 1) and suboptimal bowel preparation (i.e., BBPS &lt; 2) between Chat Generative Pre-Trained Transformer 4 (ChatGPT-4) and human raters, including their respective concordance coefficients (κ) and <span class="html-italic">p</span>-values (significant values are highlighted in bold). (<b>D</b>) A comparison of the medians (interquartile range, IQR) of raw BBPS scores provided by both raters (i.e., ChatGPT-4 and the endoscopists), along with their respective concordance coefficients (W) and <span class="html-italic">p</span>-values (significant values are highlighted in bold). (<b>E</b>) Difference-based Bland–Altman plot on the concordance between the BBPS scores of the chatbot and the human raters (blue dots), with a recorded bias of −0.6814 ± 1.161 (95% limits of agreement, represented by red dotted lines, ranging from −2.956 to 1.593). (<b>F</b>) Representative endoscopic images showing how, for similar images, the chatbot scores differently in contexts varying in terms of localisation and endoscopic manoeuvre (images considered to have suboptimal preparation are marked in red with a cross, while the others are deemed to have adequate preparation).</p>
Full article ">
17 pages, 653 KiB  
Article
Investigation of Carriers of Salmonella and Other Hydrogen Sulphide-Positive Bacteria in the Digestive Content of Fish from the Atlantic Area of Macaronesia: A Comparative Study of Identification by API Gallery and MALDI-TOF MS
by Inmaculada Rosario Medina, Marco Antonio Suárez Benítez, María del Mar Ojeda-Vargas, Kiara Gallo, Daniel Padilla Castillo, Miguel Batista-Arteaga, Soraya Déniz Suárez, Esther Licia Díaz Rodríguez and Begoña Acosta-Hernández
Animals 2024, 14(22), 3247; https://doi.org/10.3390/ani14223247 - 12 Nov 2024
Viewed by 383
Abstract
Salmonella spp. are known pathogens in fish, with their presence potentially resulting from the contamination of the aquatic environment or improper handling. Accurate bacterial identification is crucial across various fields, including medicine, microbiology, and the food industry, and thus a range of techniques [...] Read more.
Salmonella spp. are known pathogens in fish, with their presence potentially resulting from the contamination of the aquatic environment or improper handling. Accurate bacterial identification is crucial across various fields, including medicine, microbiology, and the food industry, and thus a range of techniques are available for this purpose. In this study, Salmonella spp. and other hydrogen sulphide-positive bacteria were investigated in the digestive contents of fish destined for consumption from the Atlantic area of Macaronesia. Two identification techniques were compared: the traditional API method and the MALDI-TOF MS technique. For the identification of Salmonella spp. carriers, 59 samples were processed following ISO 6579–1:2017. A total of 47 strains of Gram-negative bacilli were obtained. No Salmonella spp. isolates were detected. The most frequent genus was Enterobacter (76.50%), followed by Shewanella (10.63%). The MALDI-TOF MS technique showed a high concordance with the API technique, with 72.34% concordance at the species level. Both techniques demonstrated a high degree of concordance in the identification of Enterobacter cloacae, with 87.23% genus-level concordance and 12.76% non-concordant identifications. This study highlights the limitations of the API technique and the speed and precision of MALDI-TOF MS. The identified bacteria could pose a health risk to humans. Full article
(This article belongs to the Section Aquatic Animals)
Show Figures

Figure 1

Figure 1
<p>Identifications obtained using the API technique according to fish species.</p>
Full article ">Figure 2
<p>Identifications obtained using the MALDI-TOF MS technique according to fish species.</p>
Full article ">
31 pages, 2163 KiB  
Systematic Review
Applying Evidence Synthesis for Constructing Directed Acyclic Graphs to Identify Causal Pathways Affecting U.S. Early-Stage Non-Small Cell Lung Cancer Treatment Receipt and Overall Survival
by Naiya Patel, Seyed M. Karimi, Bert Little, Michael Egger and Demetra Antimisiaris
Therapeutics 2024, 1(2), 64-94; https://doi.org/10.3390/therapeutics1020008 - 11 Nov 2024
Viewed by 352
Abstract
Background/Objectives: Directed acyclic graphs (DAGs) inform the epidemiologic statistical modeling confounders to determine close to true causal relationships in a study context. They inform the inclusion of the predictive model variables that affect the causal relationship. Non-small cell lung cancer (NSCLC) is [...] Read more.
Background/Objectives: Directed acyclic graphs (DAGs) inform the epidemiologic statistical modeling confounders to determine close to true causal relationships in a study context. They inform the inclusion of the predictive model variables that affect the causal relationship. Non-small cell lung cancer (NSCLC) is frequently diagnosed, aggressive, and the second leading cause of cancer deaths in the United States. Determining factors affecting both the guideline-concordant treatment receipt and survival outcomes for early-stage lung cancer will help inform future statistical models aiming to achieve a close to true causal relationship. Methods: Peer-reviewed original research published during 2002–2023 was identified through PubMed, Embase, Web of Sciences, Clinical trials registry, and the gray literature. DAGitty version 3.1, an online software program, developed implied DAGs and integrated DAG graphics. The evidence synthesis for constructing directed acyclic graphs (ESC-DAGs) protocol was utilized to guide DAG development. The conceptual models utilized were Andersen and Aday for factors affecting treatment receipt and Shi and Steven for survival outcome factors. Results: A total of 36 studies were included in the DAG synthesis out of 9421 retrieved across databases. Eight studies served in the synthesis of treatment receipt DAG, while 28 studies were used for the survival outcomes DAG. There were 10 causal paths and 13 covariates for treatment receipt and 2 causal pathways and 32 covariates for survival outcomes. Conclusions: There are very few studies reporting on factors affecting early-stage NSCLC guideline-concordant care receipt compared to factors affecting its survival outcomes in the past two decades of original research. Future investigations can utilize data extracted in the current study to develop a meta-analysis informing effect size. Full article
Show Figures

Figure 1

Figure 1
<p>PRISMA flowchart.</p>
Full article ">Figure 2
<p>Integrated DAG for factors affecting treatment receipt.</p>
Full article ">Figure 3
<p>Integrated DAG for factors affecting survival outcomes.</p>
Full article ">
21 pages, 3606 KiB  
Article
Antibiotic Residues in Milk and Milk-Based Products Served in Kuwait Hospitals: Multi-Hazard Risk Assessment
by Maha S. Alenezi, Yasmine H. Tartor, Mohammed El-Sherbini, Elena Pet, Mirela Ahmadi and Adel Abdelkhalek
Antibiotics 2024, 13(11), 1073; https://doi.org/10.3390/antibiotics13111073 - 11 Nov 2024
Viewed by 693
Abstract
Antimicrobial resistance (AMR) poses a significant global health challenge affecting food safety and development. Residues of antibiotics in food from animal sources, particularly milk, contribute to the development and spread of AMR, alter intestinal microbiota, and potentially lead to allergies, serious health conditions, [...] Read more.
Antimicrobial resistance (AMR) poses a significant global health challenge affecting food safety and development. Residues of antibiotics in food from animal sources, particularly milk, contribute to the development and spread of AMR, alter intestinal microbiota, and potentially lead to allergies, serious health conditions, and environmental and technological problems within the dairy industry. Therefore, this study investigated the residue levels of veterinary drugs from β-lactam antibiotics and tetracyclines in milk and milk products and assessed human health risks. Two hundred milk and milk product samples (pasteurized milk, sterile milk, soft white cheese, and processed cheese, 50 each) were collected from different hospitals in the State of Kuwait and screened for antibiotic residues using a microbial inhibition assay (Delvotest SP-NT) and high-performance liquid chromatography (HPLC). Delvotest SP-NT and HPLC analyses showed that 30, 28, 26, and 24% of the pasteurized milk, sterilized milk, white soft cheese, and processed cheese samples tested positive for antibiotic residues. Forty-eight milk and cheese samples were confirmed as positive by both methods, and six samples initially found to be negative by Delvotest SP-NT were confirmed as positive by HPLC. Multi-antibiotic residues were detected in five samples by using HPLC. The kappa coefficient (0.921; p < 0.0001) revealed complete concordance between the HPLC and Delvotest SP-NT results. Ampicillin was the most abundant residue in the positive samples (31.48%), ranging from 2.44 to 3.89 μg/L, with an overall mean concentration of 3.492 ± 0.094 μg/L, followed by tetracycline and oxytetracycline (27.78% each), ranging from 54.13 to 220.3 μg/L and from 41.55 to 160.7 μg/L, with mean concentrations of 129.477 ± 14.22 and 91.86 ± 9.92 μg/L, respectively. The amoxicillin levels in the samples (12/54; 22.22%) ranged from 3.11 to 5.5 μg/L, with an overall mean concentration of 3.685 ± 0.186 μg/L. The maximum concentrations of ampicillin, amoxicillin, and tetracycline were detected in processed cheese with mean concentrations of 3.89 ± 0.28 µg/L, 3.95 ± 0.15 µg/L, and 170.3 ± 0.27 µg/L, respectively. Pasteurized milk contained the maximum concentrations of oxytetracycline, with a mean concentration of 120.45 ± 0.25 µg/L. The tetracycline residues exceeded the standard maximum residue limits (MRLs; 100 µg/L) in 6% of both pasteurized and sterilized milk samples, and in 4% of processed cheese. Additionally, the oxytetracycline levels in pasteurized milk (6%) and amoxicillin levels in processed cheese (2%) were higher than the permitted MRLs (100 µg/L and 4 µg/L, respectively). Furthermore, the antibiotic residues detected in 12.5% (25/200) of the samples were close to standard permissible MRL limits for ampicillin (5%), amoxicillin and oxytetracycline (3% each), and tetracycline (1.5%). Hazard quotients, which compare the standard acceptable daily intake (ADI) to the estimated daily exposure (EDI), indicated that the overall risk associated with antibiotic residues in these dairy products is low. The EDI was lower than the ADI for the tested antibiotics, indicating an elevated safety margin. While the overall hazard quotients are low, the potential for the development of antibiotic resistance due to long-term exposure to low levels of antibiotics should be considered. Hence, strict regulations and enforcement are necessary to prevent excessive residue levels and to promote responsible antibiotic use in dairy production. Regular monitoring of antibiotic residues in dairy products is essential for ensuring consumer safety. Full article
Show Figures

Figure 1

Figure 1
<p>Overall prevalence of different antibiotics residues in milk and milk product samples obtained using Delvotest SP-NT and HPLC.</p>
Full article ">Figure 2
<p>Concentrations of ampicillin, amoxicillin (<b>A</b>), tetracycline, and oxytetracycline (<b>B</b>) residues in milk and milk product samples using HPLC.</p>
Full article ">Figure 3
<p>Distribution of examined milk and milk product samples contaminated with antibiotic residues close to the maximum residual limit (MRL) (<b>A</b>), and above the MRL (<b>B</b>). The values of the MRL for ampicillin and amoxicillin = 4 µg/L each, and tetracycline and oxytetracycline = 100 µg/L each, according to Codex Alimentarius Committee [<a href="#B28-antibiotics-13-01073" class="html-bibr">28</a>]. Close to MRL for ampicillin and amoxicillin &gt; 3.5 µg/L each, and for tetracycline and oxytetracycline &gt; 85 µg/L each.</p>
Full article ">Figure 4
<p>Hierarchical clustering heatmap (<b>A</b>) and hierarchical clustering dendrogram (<b>B</b>) of the positive HPLC samples based on the results of Delvotest SP-NT and HPLC concentration for various antibiotics. WSC: white soft cheese, PC: processed cheese, SM: sterilized milk, PM: pasteurized milk. The different shades of color indicate eight clusters. The values of the maximum residue limit (MRL) for ampicillin and amoxicillin = 4 µg/L each, and for tetracycline and oxytetracycline = 100 µg/L each, according to Codex Alimentarius Committee [<a href="#B28-antibiotics-13-01073" class="html-bibr">28</a>]. Close to MRL for ampicillin and amoxicillin &gt; 3.5 µg/L each; for tetracycline and oxytetracycline &gt; 85 µg/L each.</p>
Full article ">Figure 5
<p>Pairwise correlation of different analyzed antibiotic residues detected by using the Delvotest SP-NT and HPLC methods (<b>A</b>) and samples (<b>B</b>). The correlation coefficients are shown as colors on the scale (positive: red and negative: blue). The more intense the color, the stronger the positive or negative correlation. Stars in correlation plots refer to significant differences: * <span class="html-italic">p</span> &lt; 0.05, ** <span class="html-italic">p</span> &lt; 0.01, and *** <span class="html-italic">p</span> &lt; 0.001.</p>
Full article ">Figure 6
<p>Principle component analysis (PCA) biplot of the positive samples based on the results of Delvotest SP-NT and HPLC analyses.</p>
Full article ">
18 pages, 2031 KiB  
Article
Impact of Socioeconomic Deprivation on Care Quality and Surgical Outcomes for Early-Stage Non-Small Cell Lung Cancer in United States Veterans
by Steven Tohmasi, Daniel B. Eaton, Brendan T. Heiden, Nikki E. Rossetti, Ana A. Baumann, Theodore S. Thomas, Martin W. Schoen, Su-Hsin Chang, Nahom Seyoum, Yan Yan, Mayank R. Patel, Whitney S. Brandt, Bryan F. Meyers, Benjamin D. Kozower and Varun Puri
Cancers 2024, 16(22), 3788; https://doi.org/10.3390/cancers16223788 - 11 Nov 2024
Viewed by 517
Abstract
Background: Socioeconomic deprivation has been associated with higher lung cancer risk and mortality in non-Veteran populations. However, the impact of socioeconomic deprivation on outcomes for non-small cell lung cancer (NSCLC) in an integrated and equal-access healthcare system, such as the Veterans Health [...] Read more.
Background: Socioeconomic deprivation has been associated with higher lung cancer risk and mortality in non-Veteran populations. However, the impact of socioeconomic deprivation on outcomes for non-small cell lung cancer (NSCLC) in an integrated and equal-access healthcare system, such as the Veterans Health Administration (VHA), remains unclear. Hence, we investigated the impact of area-level socioeconomic deprivation on access to care and postoperative outcomes for early-stage NSCLC in United States Veterans. Methods: We conducted a retrospective cohort study of patients with clinical stage I NSCLC receiving surgical treatment in the VHA between 1 October 2006 and 30 September 2016. A total of 9704 Veterans were included in the study and assigned an area deprivation index (ADI) score, a measure of socioeconomic deprivation incorporating multiple poverty, education, housing, and employment indicators. We used multivariable analyses to evaluate the relationship between ADI and postoperative outcomes as well as adherence to guideline-concordant care quality measures (QMs) for stage I NSCLC in the preoperative (positron emission tomography [PET] imaging, appropriate smoking management, pulmonary function testing [PFT], and timely surgery [≤12 weeks after diagnosis]) and postoperative periods (appropriate surveillance imaging, smoking management, and oncology referral). Results: Compared to Veterans with low socioeconomic deprivation (ADI ≤ 50), those residing in areas with high socioeconomic deprivation (ADI > 75) were less likely to have timely surgery (multivariable-adjusted odds ratio [aOR] 0.832, 95% confidence interval [CI] 0.732–0.945) and receive PET imaging (aOR 0.592, 95% CI 0.502–0.698) and PFT (aOR 0.816, 95% CI 0.694–0.959) prior to surgery. In the postoperative period, Veterans with high socioeconomic deprivation had an increased risk of 30-day readmission (aOR 1.380, 95% CI 1.103–1.726) and decreased odds of meeting all postoperative care QMs (aOR 0.856, 95% CI 0.750–0.978) compared to those with low socioeconomic deprivation. There was no association between ADI and overall survival (adjusted hazard ratio [aHR] 0.984, 95% CI 0.911–1.062) or cumulative incidence of cancer recurrence (aHR 1.047, 95% CI 0.930–1.179). Conclusions: Our results suggest that Veterans with high socioeconomic deprivation have suboptimal adherence to care QMs for stage I NSCLC yet do not have inferior long-term outcomes after curative-intent resection. Collectively, these findings demonstrate the efficacy of an integrated, equal-access healthcare system in mitigating disparities in lung cancer survival that are frequently present in other populations. Future VHA policies should continue to target increasing adherence to QMs and reducing postoperative readmission for socioeconomically disadvantaged Veterans with early-stage NSCLC. Full article
(This article belongs to the Section Cancer Survivorship and Quality of Life)
Show Figures

Figure 1

Figure 1
<p>Association between area deprivation index and adherence to quality metrics assessing access to preoperative care. Models adjust for area deprivation index score, age, race, sex, body mass index, smoking status at surgery, Charlson–Deyo Comorbidity Index score, American Society of Anesthesiologists class, preoperative forced expiratory volume in one second, number of prescription medications in the year prior to surgery, distance lived from treatment facility, annual hospital case load, tumor histology, tumor grade, tumor location, tumor size, year of operation. Abbreviations used: ADI—area deprivation index; aOR—adjusted odds ratio; CI—95% confidence interval; PET—positron emission tomography; PFT—pulmonary function testing; Preop—preoperative; QMs—quality measures.</p>
Full article ">Figure 2
<p>Adjusted Kaplan–Meier survival analysis stratified by area deprivation index (ADI) score.</p>
Full article ">Figure 3
<p>Fine–Gray competing risk analysis examining cumulative incidence of cancer recurrence based on area deprivation index (ADI) score.</p>
Full article ">Figure 4
<p>Association between area deprivation index and adherence to quality metrics assessing access to postoperative care. Models adjust for area deprivation index score, age, race, sex, body mass index, smoking status at surgery, Charlson–Deyo Comorbidity Index score, American Society of Anesthesiologists class, preoperative forced expiratory volume in one second, number of prescription medications in the year prior to surgery, distance lived from treatment facility, annual hospital case load, tumor histology, tumor grade, tumor location, tumor size, year of operation, surgical approach, lung resection type, adequate intraoperative lymph node sampling, adherence to all preoperative care quality measures (yes versus no). Abbreviations used: ADI—area deprivation index; aOR—adjusted odds ratio; CI—95% confidence interval; Postop—postoperative; QMs—quality measures.</p>
Full article ">
21 pages, 14797 KiB  
Article
A Parameter Optimized Method for InVEST Model in Sub-Pixel Scale Integrating Machine Learning Algorithm and Vegetation–Impervious Surface–Soil Model
by Linlin Wu and Fenglei Fan
Land 2024, 13(11), 1876; https://doi.org/10.3390/land13111876 - 10 Nov 2024
Viewed by 372
Abstract
The InVEST model, with its ability to perform spatial visualization and quantification, is an important tool for mapping ecosystem services. However, the spatial accuracy and simulating performance of the model are deeply influenced by the land use parameter, which often relies on the [...] Read more.
The InVEST model, with its ability to perform spatial visualization and quantification, is an important tool for mapping ecosystem services. However, the spatial accuracy and simulating performance of the model are deeply influenced by the land use parameter, which often relies on the accuracy of land use/cover data. To address this issue, we propose a novel method for optimizing the land use parameter of the InVEST model based on the vegetation–impervious surface–soil (V–I–S) model and a machine learning algorithm. The optimized model is called Sub-InVEST, and it improves the performance of assessing ecosystem services on a sub-pixel scale. The conceptual steps are (i) extracting the V–I–S fraction of remote sensing images based on the spectral unmixing method; (ii) determining the mapping relationship of the V–I–S fraction between land use/cover type using a machine learning algorithm and field observation data; (iii) inputting the V–I–S fraction into the original model instead of the land use/cover parameter of the InVEST model. To evaluate the performance and spatial accuracy of the Sub-InVEST model, we employed the habitat quality module of InVEST and multi-source remote sensing data, which were applied to acquire Sub-InVEST and estimate the habitat quality of central Guangzhou city from 2000 to 2020 with the help of the LSMA and ISODATA methods. The experimental results showed that the Sub-InVEST model is robust in assessing ecosystem services in sets of complex ground scenes. The spatial distribution of the habitat quality of both models revealed a consistent increasing trend from the southwest to the northeast. Meanwhile, linear regression analyses observed a robust correlation and consistent linear trends, with R2 values of 0.41, 0.35, 0.42, 0.39, and 0.47 for the years 2000, 2005, 2010, 2015, and 2020, respectively. Compared with the original model, Sub-InVEST had a more favorable performance in estimating habitat quality in central Guangzhou. The spatial depictions and numerical distribution of the results of the Sub-InVSET model manifest greater detail and better concordance with remote sensing imagery and show a more seamless density curve and a substantially enhanced probability distribution across interval ranges. Full article
(This article belongs to the Section Land Environmental and Policy Impact Assessment)
Show Figures

Figure 1

Figure 1
<p>The V–I–S fraction combination for a mixed pixel.</p>
Full article ">Figure 2
<p>A flowchart of optimizing the land use parameter of the InVEST model based on the V–I–S model.</p>
Full article ">Figure 3
<p>The location of the study area in (<b>a</b>) China, (<b>b</b>) Guangdong Province, and Guangzhou City, and (<b>c</b>) remote sensing imagery of the study area in 2020.</p>
Full article ">Figure 4
<p>The spatial distribution of V–I–S fractions in central Guangzhou from 2000 to 2020.</p>
Full article ">Figure 5
<p>(<b>a</b>) The spatial distribution of habitat quality based on Sub-InVEST and InVEST. (<b>b</b>) The numerical distribution of habitat quality based on Sub-InVEST and InVEST.</p>
Full article ">Figure 6
<p>The location of sample points and sample regions for comparative assessment.</p>
Full article ">Figure 7
<p>The linear fitting of the InVEST and Sub-InVEST habitat quality results in (<b>a</b>) 2000, (<b>b</b>) 2005, (<b>c</b>) 2010, (<b>d</b>) 2015, (<b>e</b>) 2020.</p>
Full article ">Figure 8
<p>The habitat quality results based on Sub-InVEST, InVEST, and Landsat imagery for (<b>a</b>) 2000 and (<b>b</b>) 2020.</p>
Full article ">Figure 9
<p>The habitat quality results based on Sub-InVEST, InVEST, and remote sensing imagery in 2020.</p>
Full article ">
Back to TopTop