Machine learning prediction of hypertension and diabetes in twin pregnancies using characteristics at prenatal care entry: a nationwide study.

OBJECTIVES: To develop a prediction model for hypertensive disorders in pregnancy (HDP) and gestational diabetes (GDM) in twin pregnancies utilizing characteristics at the prenatal care entry level. METHODS: Cross-sectional study using the US national live birth data between 2016 and 2021. The association of all prenatal candidate variables with HDP and GDM was tested with uni- and multi-variable logistic regression analyses. Prediction models were built with generalized linear models using the logit link function and classification and regression tree approach (XGboost) machine learning (ML) algorithm. Performance was assessed with repeated 2-fold cross-validation and performance metrics we considered were area under the curve (AUC). P value <0.001 was considered statistically significant. RESULTS: A total of 707,198 twin pregnancies were included in the HDP analysis and 723,882 twin pregnancies for the GDM analysis. The incidence of HDP and GDM significantly increased from 12.2% in 2016 to 15.4% in 2021 and from 8.1% in 2016 to 10.7% in 2021, respectively. Factors that increase the risk of HDP in twin gestations are maternal age <20, age≥35, infertility, prepregnancy DM, non-Hispanic Black population, obesity, and those with Medicaid insurance (p<0.001). Factors that more than doubled the risk are obesity class II and III (p<0.001). Factors that increase the risk of GDM in twin gestations are age <25, age≥30, history of infertility, prepregnancy hypertension, non-Hispanic Asian population, non-US nativity, and obesity (p<0.001). Factors that more than doubled the risk are maternal age ≥ 30 years, non-Hispanic Asian, and class I, II, and III maternal obesity ( p<0.001). For both HDP and GDM, the performance of the ML and logistic regression model was mostly similar with negligible difference in terms of all tested performance domains. The AUC of the final ML model for HDP and GDM were 0.62±0.004, and 0.67±0.004, respectively. CONCLUSIONS: The incidence of HDP and GDM in twin gestations is increasing. The predictive accuracy of the machine learning model for both HDP and GDM in twin gestations is similar to that of the logistic regression model. Both models had modest performance, well-calibrated, and neither had a poor fit. This article is protected by copyright. All rights reserved.

Extraction of carboxylated nanocellulose from oat husk: Characterization, surface modification and in vitro evaluation of indomethacin drug release.

In this work, the extraction of carboxylated nanocrystalline cellulose from oat husk as an agricultural waste was conducted by ammonium persulfate oxidation. This is a one-step and efficient process for removal of amorphous regions from cellulosic fibers. The mean size of cellulose nanoparticles is about 30 nm with spherical morphology. The comparison of the infrared spectrum of the nanoparticles of cellulose and the primary oat husk evidences the successful elimination of non-cellulosic structures such as hemicellulose, lignin in nanocellulose sample. The X-ray diffraction patterns show higher degree of crystalline index in nanocellulose (57%) compared to the primary oat husk (38%). The comparison of the onsets of temperature degradation of the samples shows nanocellulose is less thermally stable than oat husk. The hydrophilic surface of the nanocellulose was modified using cetyltrimethylammonium bromide (CTAB) cationic surfactant to improve loading capacity of hydrophobic indomethacin drug which has a low bioavailability and poor solubility in water. In vitro release profile of the indomethacin and drug release mechanism was studied. The results show the 67% of drug is released within 12 h and CTAB modified nanocellulose greatly acts as an indomethacin controlled-release carrier. Study of the in vitro drug release kinetics shows driven mechanism is diffusion-controlled release.

SARS-CoV-2 rate of spread in and across tissue, groundwater and soil: A meshless algorithm for the fractional diffusion equation.

The epidemiological aspects of the viral dynamic of the SARS-CoV-2 have become increasingly crucial due to major questions and uncertainties around the unaddressed issues of how corpse burial or the disposal of contaminated waste impacts nearby soil and groundwater. Here, a theoretical framework base on a meshless algorithm using the moving least squares (MLS) shape functions is adopted for solving the time-fractional model of the viral diffusion in and across three different environments including water, tissue, and soil. Our computations predict that by considering the α (order of fractional derivative) best fit to experimental data, the virus has a traveling distance of 1 m m in water after 22, regardless of the source of contamination (e.g., from tissue or soil). The outcomes and extrapolations of our study are fundamental for providing valuable benchmarks for future experimentation on this topic and ultimately for the accurate description of viral spread across different environments. In addition to COVID-19 relief efforts, our methodology can be adapted for a wide range of applications such as studying virus ecology and genomic reservoirs in freshwater and marine environments.

Adversarial orthogonal regression: Two non-linear regressions for causal inference.

We propose two nonlinear regression methods, namely, Adversarial Orthogonal Regression (AdOR) for additive noise models and Adversarial Orthogonal Structural Equation Model (AdOSE) for the general case of structural equation models. Both methods try to make the residual of regression independent from regressors, while putting no assumption on noise distribution. In both methods, two adversarial networks are trained simultaneously where a regression network outputs predictions and a loss network that estimates mutual information (in AdOR) and KL-divergence (in AdOSE). These methods can be formulated as a minimax two-player game; at equilibrium, AdOR finds a deterministic map between inputs and output and estimates mutual information between residual and inputs, while AdOSE estimates a conditional probability distribution of output given inputs. The proposed methods can be used as subroutines to address several learning problems in causality, such as causal direction determination (or more generally, causal structure learning) and causal model estimation. Experimental results on both synthetic and real-world data demonstrate that the proposed methods have remarkable performance with respect to previous solutions.

Beet pulp substituted for corn silage and barley grain in diets fed to dairy cows in the summer months: feed intake, total-tract digestibility, and milk production.

The responses of dairy cows to the substitution of beet pulp (BP) for grain or forage are not consistent, and heat stress may affect the response of dairy cows to this substitution. The effects of substituted BP for corn silage and barley grain on feed intake, performance, and ruminal parameters were evaluated using eight multiparous Holstein cows in a duplicated 4 × 4 Latin square design with 21-day periods. Cows were in mid-lactation (45.4 ±â€¯3.6 kg/day milk production and 116 ±â€¯10 days in milk) with an average BW of 664 ±â€¯41.2 kg. Dietary treatments were as follows: 1) 0% BP (0BP, control, 38.5% barley grain, and 20.3% corn silage); 2) 12% BP (12BP, 32.5% barley grain, and 14.3% corn silage); 3) 18% BP (18BP, 29.5% barley grain, and 11.3% corn silage); and 4) 24% BP (24BP, 26.5% barley grain, and 8.3% corn silage). Cows were under mild heat stress and the average temperature-humidity index was 70.5; increasing BP caused a linear decrease in respiration rate (P < 0.01). Higher BP in the diet caused a linear increase in DM intake (P = 0.01) and NDF digestibility (P = 0.03). Dry and organic matter (OM) digestibilities tended to increase linearly with higher BP (P < 0.10). Milk yield, energy-corrected milk, protein, lactose, and fat production and content were not affected by the treatments. Increasing BP in the diet caused a linear decrease in feed efficiency and rumen ammonia (P < 0.05) and a tendency to a linear decrease in milk urea nitrogen (P < 0.10). Rumen pH and acetate to propionate ratio were not affected by the replacement. Total volatile fatty acid concentration in the rumen increased linearly with increasing the BP inclusion (P = 0.04). Acetate and butyrate (P = 0.07) proportion tended to increase, whereas propionate (P = 0.06) and isovalerate (P = 0.08) proportion tended to decrease linearly as BP was substituted for corn silage and barley grain. The results indicated that under mild heat stress condition, BP can be successfully substituted for barley grain and corn silage up to 24% of the diet without any negative effect on production and ruminal pH.

Conservation of Buck's Spermatozoa during Cooling Storage Period through Cooling Medium Supplementation with L-Carnitine.

This research examined the influence of the addition of L-carnitine (LC) to cooling medium on buck's semen quality during cooling storage periods at 4oC. Semen samples were collected, diluted, assigned into four groups, and received LC (0, 1, 5, and 10 mM LC). The samples were then chilled to 4oC and stores for 48 h. Sperm total motility, progressive motility, viability, lipid peroxidation, membrane integrity, and mitochondrial activity were examined at 0, 24, and 48 h of cooling storage. At time 0 of cooling storage, different treatments showed no impact on the quality of sperm samples (P>0.05). During 24 and 48 h of chilling periods, the supplementation of cooling medium with 5 mM LC presented greater motility, viability, membrane integrity, and mitochondrial activity (P≤0.05), compared to the other groups. Moreover, the treatment of 5 mM LC caused lower lipid peroxidation (P≤0.05) than the other treatments at 24 and 48 h storage times. In conclusion, the supplementation of buck's cooling storage medium with 5 mM LC is a suitable way to protect buck spermatozoa during 24 and 48 h storage against cold-induced structural and functional damages.

Performance and feeding behavior of dairy cows fed high-concentrate diets containing steam-flaked or ground corn varying in particle size.

Steam-flaked corn (SFC) and ground corn (GC) of different particle sizes were evaluated for their effects on dry matter intake (DMI), milk yield and components, chewing activity, ration sorting, ruminal fermentation, and digestibility in lactating dairy cows. Eight multiparous Holstein cows in mid-lactation (46.6 ± 3.5 kg/d milk production and 101 ± 10 d in milk) were used in a double 4 × 4 Latin square design with 21-d periods. Cows were fed diets (dry matter basis) containing 36.2% forage (alfalfa hay and corn silage), 37.4% corn grain, and 26.4% other ingredients. The corn grain was ground (coarse: 1.08 mm; medium: 0.84 mm; and fine: 0.73 mm) or steam-flaked (SFC; density = 0.40 kg/L). The dry matter proportion retained on an 8-mm sieve was greater for the SFC diet than for the GC diets. There were no treatment effects on DMI, milk yield, fat-corrected milk, energy-corrected milk, fat or lactose yield, protein or lactose content, or milk urea nitrogen concentration. However, digestibility of dry matter and organic matter were greater for fine GC and SFC than the other diets. In addition, cows fed SFC had lower total-tract starch digestibility than cows fed GC diets. Cows fed SFC tended to have lower propionate proportion (22.8 vs. 27.1 mM) and total volatile fatty acid concentration (88.6 vs. 99.8 mM) in ruminal fluid than those fed GC diets. Acetate and butyrate concentration, acetate to propionate ratio, and ruminal concentration of ammonia-nitrogen were not affected by treatments. Ruminal pH (6.46 vs. 6.01) as well as milk fat content (2.75 vs. 2.59%) and efficiencies (fat-corrected milk/DMI and energy-corrected milk/DMI) were greater for SFC than GC, regardless of its particle size. Milk fat content tended to increase linearly with increasing particle size of GC. Eating activity (min/d) tended to be less for SFC compared with GC, but rumination activity (min/d) and total chewing activity (min/d) were not affected by processing or particle size. The results of study indicate that, compared with GC, steam flaking of corn with 400 g/L density increased milk fat content and efficiency of high-producing dairy cows without any negative effect on milk yield. For GC, milk fat content tended to linearly increase and starch digestibility decreased linearly with increasing particle size.

Effect of Cilia Beat Frequency on Muco-ciliary Clearance.

BACKGROUND: The airway surface liquid (ASL), which is a fluid layer coating the interior epithelial surface of the bronchi and bronchiolesis, plays an important defensive role against foreign particles and chemicals entering lungs. OBJECTIVE: Numerical investigation has been employed to solve two-layer model consisting of mucus layer as a viscoelastic fluid and periciliary liquid layer as a Newtonian fluid to study the effects of cilia beat frequency (CBF) at various amounts of mucus properties on muco-ciliary transport problem. METHODS: Hybrid finite difference-lattice Boltzmann-method (FB-LBM) has been used to solve the momentum equations and to simulate cilia forces, and also the PCL-mucus interface more accurately, immersed boundary method (IBM) has been employed. The main contribution of the current study is to use an Oldroyd-B model as the constitutive equation of mucus. RESULTS: Our results show that increasing CBF and decreasing mucus viscosity ratio have great effects on mucus flow, but the effect of viscosity ratio is more significant. The results also illustrate that the relation between cilia beat frequency and mean mucus velocity is almost linear and it has similar behavior at different values of viscosity ratio. CONCLUSION: Numerical investigation based on hybrid IB-FD-LBM has been used to study the effect of CBF at various mounts of mucus viscosity ratio on the muco-ciliary clearance. The results showed that the effect of viscosity ratio on the muco-ciliary transport process is more significant compared with CBF.

Effects of seasonal acclimation on cold tolerance and biochemical status of the carob moth, Ectomyelois ceratoniae Zeller, last instar larvae.

The carob moth, Ectomyelois ceratoniae, a pest of Punica granatum, overwinters as a larva. In this study, physiological changes, water content, cold hardiness and supercooling points (SCPs) in relation to ambient temperature in the overwintering period (October to March) and changes of these factors between diapausing (February) and non-diapausing (September) larvae were studied. Pupae that were derived from diapausing larvae (April) and from non-diapausing larvae (August) were also compared. Total body sugar, lipid and protein contents increased with decrease in the temperature and reached the highest levels (12.82, 1.99 and 6.11 mg g-1 body weight, respectively) in February, but glycogen content decreased and reached the lowest level (1.12 mg g-1 body weight) in February. There were significant differences in the levels of these compounds between diapausing and non-diapausing larvae, and pupae that were derived from diapausing and non-diapausing larvae. Trehalose and myo-inositol contents increased during diapause and reached the highest levels (0.50 and 0.07 mg g-1 body weight, respectively) in February. There were significant differences in the levels of these compounds between diapausing and non-diapausing larvae, but the differences between pupae that were derived from diapausing and non-diapausing larvae were not significant. The SCP of diapausing larvae (-17.3 °C) was significantly lower than in the non-diapausing larvae (-12.0 °C). SCP decreased gradually in autumn and reached the lowest level in the middle of winter. Changes of cold hardiness were inversely proportional to SCP changes. The lowest levels of water (65%) and weight (43.13 mg) were recorded in January and March, respectively. Most probably, lipids play a role as energy reserve, and low-molecular weight carbohydrates and polyols provide cryoprotection for overwintering larvae of the carob moth. Since the overwintering larvae die at temperatures above the SCP, the carob moth larvae were found to be a chill-intolerant insect.

Evaluation of the effects of injection velocity and different gel concentrations on nanoparticles in hyperthermia therapy.

BACKGROUND AND OBJECTIVE: In magnetic fluid hyperthermia therapy, controlling temperature elevation and optimizing heat generation is an immense challenge in practice. The resultant heating configuration by magnetic fluid in the tumor is closely related to the dispersion of particles, frequency and intensity of magnetic field, and biological tissue properties. METHODS: In this study, to solve heat transfer equation, we used COMSOL Multiphysics and to verify the model, an experimental setup has been used.  To show the accuracy of the model, simulations have been compared with experimental results. In the second part, by using experimental results of nanoparticles distribution inside Agarose gel according to various gel concentration, 0.5%, 1%, 2%, and 4%, as well as the injection velocity, 4 µL/min, 10 µL/min, 20 µL/min, and 40 µL/min, for 0.3 cc magnetite fluid, power dissipation inside gel has been calculated and used for temperature prediction inside of the gel. RESULTS: The Outcomes demonstrated that by increasing the flow rate injection at determined concentrations, mean temperature drops. In addition, 2% concentration has a higher mean temperature than semi spherical nanoparticles distribution. CONCLUSION: The results may have implications for treatment of the tumor and any kind of cancer diseases.

The effect of high-intensity intermittent exercise on body composition of overweight young males.

To determine the effect of a 12-week high intensity intermittent exercise (HIIE) intervention on total body, abdominal, trunk, visceral fat mass, and fat free mass of young overweight males. Participants were randomly assigned to either exercise or control group. The intervention group received HIIE three times per week, 20 min per session, for 12 weeks. Aerobic power improved significantly (P < 0.001) by 15% for the exercising group. Exercisers compared to controls experienced significant weight loss of 1.5 kg (P < 0.005) and a significant reduction in total fat mass of 2 kg (P < 0.001). Abdominal and trunk adiposity was also significantly reduced in the exercising group by 0.1 kg (P < 0.05) and 1.5 kg (P < 0.001). Also the exercise group had a significant (P < 0.01) 17% reduction in visceral fat after 12 weeks of HIIE, whereas waist circumference was significantly decreased by week six (P < 0.001). Fat free mass was significantly increased (P < 0.05) in the exercising group by 0.4 kg for the leg and 0.7 kg for the trunk. No significant change (P > 0.05) occurred in levels of insulin, HOMA-IR, and blood lipids. Twelve weeks of HIIE resulted in significant reductions in total, abdominal, trunk, and visceral fat and significant increases in fat free mass and aerobic power.

The role of biodegradable engineered scaffolds seeded with Schwann cells for spinal cord regeneration.

Spinal cord injury is very complicated, as there are factors in the body that inhibit its repair. Although regeneration of the mammalian central nervous system (CNS) was once thought to be impossible, studies over the past two decades have shown that axonal growth after spinal cord injury can occur when provided with the correct substratum. Traditionally, tissue transplantation or peripheral nerve grafting are used to repair damaged or diseased regions of the CNS, but donor shortage and immunological problems associated with infectious disease are often encountered. Fortunately, recent advances in neuroscience, cell culture, and biomaterials provide optimistic future using new treatments for nerve injuries. Biomaterial scaffold creates substrate within which cells are instructed to form a tissue or an organ in a highly controlled way. The principal function of a scaffold is to direct cell behavior such as migration, proliferation, differentiation, maintenance of phenotype, and apoptosis by facilitating sensing and responding to the environment via cell-matrix and cell-cell communications. Therefore, having such abilities provides scaffolds seeded with a special type of cell as an important part of tissue engineering and regenerative medicine which spinal cord regeneration is an example of. Nevertheless, the vast number of biodegradable synthetic and natural biopolymers makes choosing the right one very difficult. In this review article, it was tried to provide an inclusive survey of biopolymers seeded with Schwann cells (SCs) to be used for axonal regeneration in the nervous system.

The efficacy of Liv-52 on liver cirrhotic patients: a randomized, double-blind, placebo-controlled first approach.

Cirrhosis is the irreversible sequel of various disorders that damage liver cells permanently over time. Presently, the use of herbal medicines for prevention and control of chronic liver diseases is in the focus of attention for both the physicians and the patients; the reasons for such shift toward the use of herbals include the expensive cost of conventional drugs, adverse drug reactions, and their inefficacy. In the present study, the efficacy of herbal medicine Liv-52 (consisting of Mandur basma, Tamarix gallica and herbal extracts of Capparis spinosa, Cichorium intybus, Solanum nigrum, Terminalia arjuna and Achillea millefolium) on liver cirrhosis outcomes was compared with the placebo for 6 months in 36 cirrhotic patients referred to Tehran Hepatic Center. The outcome measures included child-pugh score, ascites, serum alanine aminotransferase (ALT), aspartate aminotransferase (AST), total billirubin, albumin, prothrombin time, platelet and white blood cells counts. The indices were recorded in all patients before and after 6 months of drug or placebo treatment. The results demonstrated that the patients treated with Liv-52 for 6 months had significantly better child-pugh score, decreased ascites, decreased serum ALT and AST. In placebo administered patients all the clinical parameters recorded at beginning of the study were not significantly different than after 6 months. We conclude that Liv-52 possess hepatoprotective effect in cirrhotic patients. This protective effect of Liv-52 can be attributed to the diuretic, anti-inflammatory, anti-oxidative, and immunomodulating properties of the component herbs.

Synthesis and anti-inflammatory activity of new 1-methyl-4-(4-X-benzenesulfonyl)pyrrolo[2,3-d] imidazole-5-carboxylates.

A series of 1-methyl-4-(4-X-arylsulfonyl)pyrrolo[2,3-d]imidazo-le-5-carboxylates were synthesized and tested as anti-inflammatory agents. Indomethacin was used as reference drug. Two of the synthesized compounds 7a and 7b had an effect equal to 0.1 of indomethacin. Our result showed that the electron-withdrawing substituents in the para position of the benzensulfonyl moiety increase activity.