Prevalence of temporomandibular disorders and their associated factors in Confucian heritage cultures: A systematic review and meta-analysis.

BACKGROUND: Temporomandibular disorders (TMDs) may be an 'idiom' of psychological distress in Confucian heritage cultures (CHCs). OBJECTIVES: This systematic review/meta-analysis estimated the prevalence of TMDs in CHCs and compared the differences in TMD occurrence between time periods and age groups. Additionally, the associated biopsychosocial risk factors were also examined. METHODS: The study protocol was developed a priori following the PRISMA guidelines and Joanna Briggs Institute systematic review methodology (CRD42021245526). Electronic searches of seven databases were conducted from January 2002 to Dec 2021. Reference lists of identified studies were hand-searched for additional articles. Study selection, quality assessment, and data extraction were done. Meta-analysis was performed using the RevMan 5.4 software. RESULTS: Forty-eight articles were included in the systematic review. Overall prevalences were: TMDs-15% (95% CI: 15-16%); TMD pain-8% (95% CI: 7-9%); TMJ sounds-24% (95% CI: 21-27%); and TMJ locking-7% (95% CI: 1-13%). While TMD prevalence appeared to have declined from 2002 to 2011 to 2012-2021, the occurrence of TMD pain, TMJ sounds, and locking increased marginally or remained constant. TMD prevalence in children/adolescents was 18% (95% CI: 14-22%) and 17% (95% CI: 16-18%) among adults. Significant associations between TMDs and bruxism/psychological distress/education levels were specified by 73%/90%/88% of the relevant studies. CONCLUSIONS: TMDs are prevalent in CHCs and a slight increase in TMD pain (2%) and TMJ sounds (8%) were discerned over the past two decades. TMDs are related to a myriad of biopsychosocial variables, particularly psychological distress, and these factors must be addressed within the cultural context of patients.

Approximately 50% of acute intestinal failure (AIF) patients on short-term parenteral nutrition (PN) have intestinal failure-associated liver disease (IFALD) without effect on hospital length of stay and mortality.

INTRODUCTION: Patients with intestinal failure (IF) are often dependent on PN for provision of calories and nutrients for survival. Similar to chronic intestinal failure (CIF) patients, those who have AIF are also at risk of IFALD, which is a poorly understood but potentially fatal condition. The local incidence of IFALD amongst AIF patients is not known. OBJECTIVES: The primary objective of this study was to determine the incidence of IFALD in AIF patients on short-term PN. Secondary objectives were to analyse patient and PN risk factors of IFALD, and clinical outcomes of length of stay (LOS) and inpatient mortality. DESIGN: This was a retrospective cross-sectional cohort study of hospitalised adult patients with AIF prescribed with short-term PN. All adult patients aged 21 years and above who received PN for at least 5 consecutive days and had normal liver function tests (LFTs) at the time of PN initiation were included in this study. RESULTS: A total of 171 patients were enrolled in this study, with 77 (45%) having deranged LFTs at the end of PN therapy and categorised under the IFLAD group. The patient cohort was predominantly male (92 [54%]) and had a median age of 68 years (IQR 59-76). Patients with IFALD at the end of PN therapy had higher diabetes prevalence (36% vs 26%, p = 0.2) and were on PN for a longer duration (median [IQR]: 12 [8-17] vs 8 [6-15] days, p = 0.003) than those without IFALD. There were no significant differences in patient and PN characteristics between the IFLAD and non-IFALD group. The multivariable models showed that the IFALD cohort had longer hospital stays (HR 0.90, 95% CI 0.65-1.23) and lower odds of inpatient death (OR 0.75, 95% CI 0.12-4.60), though both findings are not statistically significant (p = 0.5, 0.7). CONCLUSION: In this study, IFALD is a common phenomenon in AIF and the incidence was found to be an estimated 50% amongst patients on short-term PN with similar clinical outcomes between the two groups.

The Hybrid of Cu─TCPP@Mn3 O4 for Inflammation Relief by ROS Scavenging and O2 Production: An Efficient Strategy for Antiviral Therapy.

Seasonal influenza still greatly threatens public health worldwide, leading to significant morbidity and mortality. Antiviral medications for influenza treatment are limited and accompanied by increased drug resistance. In severe influenza virus infection, hyperinflammation and hypoxia may be the significant threats associated with mortality, so the development of effective therapeutic methods to alleviate excessive inflammation while reducing viral damage is highly pursued. Here, a multifunctional MOF-based nanohybrid of Cu─TCPP@Mn3 O4 as a novel drug against influenza A virus infection (MOF = metal-organic framework; TCPP = tetrakis (4-carboxyphenyl) porphyrin) is designed. Cu─TCPP@Mn3 O4 exhibits potent inhibitory capability against influenza A virus infection in vitro and in vivo. The mechanism study reveals that Cu─TCPP@Mn3 O4 inhibits the virus entry by binding to the HA2 subunit of influenza A virus hemagglutinin. In addition, the nanoparticles of Mn3 O4 in Cu─TCPP@Mn3 O4 can scavenge intracellular ROS with O2 generation to downregulate inflammatory factors and effectively inhibit cytokines production. By reconstructing the antioxidant microenvironment, Cu─TCPP@Mn3 O4 features as a promising nanomedicine with anti-inflammatory and anti-viral synergistic effects.

Parenteral nutrition-related complications in older patients with acute intestinal failure: A descriptive cohort study.

INTRODUCTION: Reported outcomes for parenteral nutrition (PN)-related complications in older adult patients with acute intestinal failure who are receiving PN in the acute hospital setting are limited. Our study aims to compare PN-related complications between older and younger adult patients. METHODS: A retrospective descriptive study of inpatients who were administered PN from January 1, 2019, to December 31, 2019, was performed. Patients were categorized into older (≥65 years old) and younger (<65 years old) adult groups. RESULTS: Two hundred thirty-five patients were included. There were 103 patients in the older adult group (mean age: 73.9 [SD: 6.9] years) and 132 patients in the younger adult group (mean age: 52.4 [SD: 12.5] years). There was a significantly higher Charlson Comorbidity Index score and lower Karnofsky score in the older adult group. The older adult group received significantly lower total energy (20.8 [SD: 7.8] vs 22.8 [SD: 6.3] kcal/kg/day), dextrose (3.1 [SD: 1.4] vs 3.6 [SD: 1.4] g/kg/day), and protein (1.1 [SD: 0.4] vs 1.2 [SD: 0.3] g/kg/day) than the younger group received. The mean length of stay was significantly shorter in the older adult group (35.9 [SD: 21.3] vs 59.8 [SD: 55.3]; P < 0.05). There was no significant difference in PN-related complications and clinical outcomes (catheter-related bloodstream infections, hypoglycemia or hyperglycemia, fluid overload, or inpatient mortality) between the two groups. CONCLUSION: Despite more comorbidities in the older adult, the usage of PN in older adult patients with acute intestinal failure was associated with neither an increased rate of PN-related complications nor worse clinical outcomes when compared with that of younger patients.

Immunogenic Radiation Therapy for Enhanced Antitumor Immunity via a Core-Shell Nanosensitizer-Mediated Immunosuppressive Tumor Microenvironment Modulation.

Due to the immunosuppressive tumor microenvironment (TME) and weak radiation absorption, the immune response triggered by radiation therapy (RT) is limited. Herein, a core-shell nanosensitizer UiO@MnS (denoted as UM) was genuinely constructed for the amplification of RT efficacy and induction of immunogenicity via integrating MnS-reprogrammed TME with Hf-based UiO-sensitized RT. The acid-sensitive MnS would produce H2S under acidic TME to improve oxygenation through inhibition mitochondrial respiration and reducing metabolic oxygen consumption, leading to decreased HIF-1α expression and enhanced radiosensitization. In addition, the generated H2S inhibited the catalase activity to increase the H2O2 level, which subsequently enhanced the Mn2+-mediated Fenton-like reaction, resulting in G2/M cell cycle arrest to improve the cellular sensitivity for radiation. This impressive tumor oxygenation, cell cycle arrest, and radiosensitization procedure boosted RT efficacy and resulted in strong antitumor immunogenicity. Taken together, combining the immunosuppressive TME modulation with a sensitizing radiation strategy shows great promise for magnifying immunogenic RT outputs.

Noninvasive interventions for temporomandibular disorders: a scoping review of systematic reviews from 2017 to 2022.

OBJECTIVES: This scoping review assessed systematic reviews on noninvasive temporomandibular disorder therapies to identify evidence gaps and formulate clinical recommendations. METHOD AND MATERIALS: The scoping review was conducted according to the PRISMA scoping review guidelines and Joanna Briggs Institute updated scoping review methodology using a two-step process involving four reviewers. Four key databases (Embase, PubMed, Scopus, and Google Scholar) were thoroughly searched from January 2017 to December 2022. The selected systematic reviews were classified, charted, critically appraised, and synthesized. RESULTS: Of the initial 522 listings, 61 systematic reviews were eligible for inclusion, with the majority bearing very low- to low-quality evidence, and meta-analysis not being conducted in about a third of them. Moderate- to high-quality evidence was available for patient self-management, botulinum toxin, manual, laser, and splint therapy. CONCLUSIONS: Further high-quality investigations with consistent patient selection, diagnostic criteria, treatment/assessment protocols, and outcome measures are needed to confirm the effectiveness of the various interventions for temporomandibular disorder pain/dysfunction.

Exploring an Efficient Evolutionary Game Model for the Government-Enterprise-Public during the Double Carbon Policy in China.

The realization of China's "double carbon" goal is of great significance to the world environment and China's economy and society. Through the establishment of the "government-enterprise-public" evolutionary game model, this paper explores the interaction between government policy guidance, low-carbon technology R&D behavior of enterprises, and public purchase of carbon label products, as well as the micro-driving path, aiming to provide suggestions for the implementation of the "double carbon" policy and carbon label system in China. The results show that the choice of government, enterprises, and public strategies is closely related to their own costs and benefits. Public sentiment can effectively urge the government to actively fulfill its responsibilities. Effective government policy guidance plays a key role in low-carbon technology R&D behavior of enterprises. There is an interaction between low-carbon technology R&D behavior of enterprises and public purchase of carbon label products.

Significance of DMBT1 in Papillary Thyroid Carcinoma Concurrent With Hashimoto's Thyroiditis.

BACKGROUND: Papillary thyroid carcinoma (PTC) concurrent with Hashimoto's thyroiditis (HT) was associated with a better clinical prognosis. This study aimed to investigate a potential mRNA gene that affects the development of PTC, which helps PTC concurrent with HT patients have a better prognosis. MATERIAL/METHODS: PTC data were obtained from The Cancer Genome Atlas (TCGA) database. And the validation data of tissue specimens were collected from Guangzhou First People's Hospital. The thyroid tissue sections were hybridized with deleted in malignant brain tumor 1 (DMBT1) probes by situ hybridization. Survival rates were analyzed using Kaplan-Meier curves, and the log-rank test was used to compare group survival rates. Prognosis clinicopathological factors were analyzed by Cox regression. Gene Ontology (GO) and Kyoto Gene and Genomic Encyclopedia (KEGG) pathway enrichment analyses were performed using single-sample gene set enrichment analysis (ssGSEA). Finally, the correlation of deletion in DMBT1 expression with overall immune status, tumor purity, and human leukocyte antigen (HLA) gene expression profile was analyzed. RESULTS: HT was significantly associated with sex, tumor foci, extrathyroidal extension (ETE), residual tumor, and tumor stage (T stage). Moreover, PTC concurrent with HT had a lower risk of recurrence versus non-HT groups. A total of 136 differentially expressed mRNAs (DEMs) were identified between HT and non-HT groups. Among them, the expression level of DMBT1 in HT groups was statistically higher than that in non-HT groups. A significant association with ETE and recurrence was revealed in the high expression and the low expression of DMBT1. Furthermore, DMBT1 was an independent predictor of survival. The overall immune activity of high expression of DMBT1 was higher than that of the low-expression group. CONCLUSIONS: The PTC patients with HT had better behavior features and prognosis than those with simple PTC. DMBT1 in PTC-HT patients was a potential possible factor that inhibits tumors. High expression of DMBT1 may improve PTC prognosis by immune-related pathways.

Modified minimal-contact COVID-19 workflow allows for safe, remote parenteral nutrition prescribing in non-critically ill patients.

BACKGROUND: In line with recent guidance from the American Society for Parenteral and Enteral Nutrition (ASPEN) and the European Society for Clinical Nutrition and Metabolism (ESPEN) to minimize healthcare team exposure by clustering care and relying on other providers or telehealth to collect relevant nutrition assessments, our nutrition support team has adopted a modified workflow using information technology to provide parenteral nutrition (PN) remotely in a safe and timely manner. We aim to compare our prescribing adequacy and PN-related complications before and during the coronavirus disease 2019 (COVID-19) outbreak using the modified workflow in non-critically ill patients. METHODS: This study reviewed a prospectively recruited cohort of adults receiving PN in the general wards or high-dependency units from December 5, 2019, to April 15, 2020. Demographic data, nutrition assessment, PN prescriptions, blood results, electronic notes, capillary blood glucose monitoring, and catheter-related bloodstream infection rates were reviewed for patients who received PN. RESULTS: We found that patients who started PN during COVID-19 were more malnourished with lower body mass index and higher proportion of Subjective Global Assessment B/C scores (52 [92.9%] vs 36 [73.5%], P < .005). The proportion of patients who achieved target energy amounts within 5 days was similar in both groups. Protein prescription was >1 g/kg/day in both groups, though there was a trend of higher protein prescription during COVID-19. Complications were similar in both groups. CONCLUSION: Our study demonstrates that minimal contact with effective multidisciplinary communication using the modified workflow can allow for safe and timely PN administration.

Inhibition of the STAT3 Signaling Pathway Contributes to the Anti-Melanoma Activities of Shikonin.

BACKGROUND: Malignant melanoma is an extremely aggressive and metastatic cancer, and highly resistant to conventional therapies. Signal transducer and activator of transcription 3 (STAT3) signaling promotes melanoma development and progression, which has been validated as an effective target in melanoma treatment. Natural naphthoquinone shikonin is reported to exert anti-melanoma effects. However, the underlying mechanisms have not been fully elucidated. PURPOSE: This study aims to evaluate the anti-melanoma activities of shikonin and explore the involvement of STAT3 signaling in these effects. METHODS: Zebrafish tumor model was established to evaluate the anti-human melanoma effects of shikonin in vivo. MTT assay and colony formation assay were employed to investigate the anti-proliferative effects of shikonin on human melanoma A375 and A2058 cells. Flow cytometry was used to analyze cell cycle distribution and apoptosis induction. Wound healing assay and Transwell chamber assay were conducted to examine the cell migratory and invasive abilities. Immunofluorescence assay was used to observe F-actin, Tubulin, and STAT3 localization. Western blotting was used to determine the expression levels of proteins associated with apoptosis and key proteins in the STAT3 signaling pathway. Immunoblotting was performed in DSS cross-linked cells to determine the homo-dimerization of STAT3. Gelatin zymography was employed to evaluate the enzymatic activity of MMP-2 and MMP-9. Transient transfection was used to overexpress STAT3 in cell models. RESULTS: Shikonin suppressed melanoma growth in cultured cells and in zebrafish xenograft models. Shikonin induced melanoma cells apoptosis, inhibited cell migration and invasion. Mechanistic study indicated that shikonin inhibited the phosphorylation and homo-dimerization of STAT3, thus reduced its nuclear localization. Further study showed that shikonin decreased the levels of STAT3-targeted genes Mcl-1, Bcl-2, MMP-2, vimentin, and Twist, which are involved in melanoma survival, migration, and invasion. More importantly, overexpression of constitutively active STAT3 partially abolished the anti-proliferative, anti-migratory, and anti-invasive effects of shikonin. CONCLUSION: The anti-melanoma activity of shikonin is at least partially attributed to the inhibition on STAT3 signaling. These findings provide new insights into the anti-melanoma molecular mechanisms of shikonin, suggesting its potential in melanoma treatment.

Prevalence of temporomandibular disorders in patients seeking orthodontic treatment: A systematic review.

The objective of this systematic review was (a) to establish the prevalence of temporomandibular disorders (TMDs) in patients seeking orthodontic treatment and (b) to determine the association between the presence of TMD and sex, age and malocclusion. A systematic literature search was performed according to PRISMA guidelines from 1969 to 2019 using the PubMed and LIVIVO databases. Eight study articles met the inclusion and exclusion criteria. An additional three contributions were identified through manual searching of the reference lists of retrieved articles. The methodological quality of the 11 articles was assessed with the Joanna Briggs Institute Critical Appraisal Checklist for prevalence studies. TMD prevalence ranged from 21.1% to 73.3%. The frequency of painful TMD signs/symptoms varied from 3.4% to 65.7%, while non-painful signs/symptoms ranged from 3.1% to 40.8%. The percentage of males and females presenting with TMD varied from 10.6% to 68.1% and 21.2 to 72.4%, respectively. In all studies, TMD prevalence was higher among females. The majority of articles reported more TMD signs/symptoms in individuals older than 18 years as compared to younger ones (≤18 years). While in four studies no association between TMD and malocclusion was found, another three investigations indicated that TMD may be related to certain occlusal traits. The TMD prevalence in patients seeking orthodontic treatment was high, with many individuals presenting painful TMD signs/symptoms. Female and older patients appear to have a greater occurrence of TMD. Although no strong association between TMD and malocclusion was established, several occlusal traits were implicated.

[Effects of labile carbon addition on organic carbon mineralization and microbial growth strategies in subtropical forest soils.] / å¤–æºç¢³è¾“å ¥å¯¹ä¸­äºšçƒ­å¸¦æ£®æž—æ·±å±‚åœŸå£¤ç¢³çŸ¿åŒ–å’Œå¾®ç”Ÿç‰©å†³ç­–ç¾¤è½çš„å½±å“.

Deep soil is a major organic carbon pool in terrestrial ecosystems. Labile carbon inputs can stimulate soil organic carbon (SOC) mineralization, causing priming effect, which in turn affects soil carbon emission. However, the mechanism of the priming effect in deep soil is still unclear. Therefore, to know how deep soil responds to labile carbon addition is essential for better understanding of deep soil carbon dynamics. In this study, we incubated three profiled soils (0-10 cm, 10-30 cm, 30-60 cm) from a subtropical forest with 13C-labeled glucose addition to analyze the priming effects and their relationship with the shift of microbial communities (r-K strategies). The results showed that glucose addition increased SOC mineralization in all soil layers, causing positive priming effects. But glucose addition significantly decreased the specific growth rates of microorgani-sms for all soils, indicating a relative decrease of r-strategists and a relative increase of K-strategists in the microbial community. Thus, we inferred that the positive priming effect was possibly attributed to the increased contribution of K-strategists. The priming effect in deep soil (156%) was significantly higher than that in surface soil (45%). Meanwhile, the ratio of dissolved organic carbon (DOC) and dissolved nitrogen (DN) after glucose addition was significantly higher in deep soil (76.03) than that in surface soil (13.00). These results suggested that there existed a stronger nitrogen limitation in deep soil. The microorganisms in deep soil tended to decompose recalcitrant SOC to acquire nitrogen, which then caused a greater priming effect. Overall, deep soil was more vulne-rable to labile carbon addition due to its carbon and nitrogen limitations, and hence was likely more sensitive to climate change in the future.

[Effects of altitude on soil microbial community in Quercus liaotungensis forest].

Taking the Quercus liaotungensis forest soil in Dongling Mountain of Beijing as the object, and by using chloroform fumigation-extraction and phospholipid fatty acid (PLFA) analysis methods, this paper studied the variation characteristics of soil microbial community along an altitudinal gradient in the tree growth season. With increasing altitude, the soil microbial biomass carbon and nitrogen and the quantities of various soil microbial groups in the forest had definite differences but not significant. The ratio of soil bacteria to fungi increased, but the ratio of G(+)- to G- bacteria decreased. The soil microbial biomass carbon and nitrogen and the quantities of soil bacteria, fungi, and G(+)- and G- bacteria had significant positive correlations with the contents of soil moisture, organic carbon, and total nitrogen, and the quantity of soil fungi was positively correlated with soil carbon/nitrogen ratio. The variations of the soil microbial community structure (bacteria/fungi and G(+)-/G- bacteria) were mainly affected by soil temperature and moisture content, which meant that the soil microbial community structure was sensitive to the environmental conditions. Along with the global warming, the proportions of soil fungi and G+ bacteria in the Q. liaotungensis forests in warm temperate zone would have an increase.

[Soil microbial properties under different vegetation types in Loess hilly region].

By using fumigation-extract (FE) method and Biolog Ecoplate, this paper investigated the microbial biomass and diversity in 0-20 cm soil layer under five vegetation types, including artificial woodland, shrubland, cropland, abandoned farmland, and natural grassland, in Dingxi of Gansu Province. In the meanwhile, the relationships between soil microbes and soil nutrients were studied by path analysis, and the five typical vegetation types were evaluated from the aspect of soil microbes. Relative to cropland, "grain for green" project played a key role in improving soil microbial resources. Microbial biomass carbon was the highest in ridge grassland, abandoned farmland, and pine woodland, followed by in Caragana korshinskii land, Medicago sativa land, restored land, and roadside land, and in wheat field and potato field. Microbial biomass nitrogen was the highest in ridge land, abandoned farmland, Pinus tabulaeformis woodland, Caragana korshinskii land, and Medicago sativa land, followed by in restored land and roadside land, and in wheat field and potato field. Caragana korshinskii land and Medicago sativa land, due to the existence of N-fixing rhizobium, had the highest ratio of soil microbial biomass nitrogen to soil total nitrogen. Owing to the continual biomass loss and rare feedback, cropland had the lowest quantity and activity of soil microbes. Through planting trees, shrubs and grasses or through fallowing, soil microbial biomass and activity were recovered, and the effect was increased with time. In 20-year old Caragana korshinskii land, the quantity and activity of soil microbes were similar to those in 50-year old Pinus tabulaeformis woodland, and the microbial community catabolic activity and soil nutrient use efficiency were higher. Considering the features of soil microbes under test vegetation types, Caragana korshinskii would be a good choice for local vegetation restoration.

[Influence of soil moisture, nitrogen and phosphorus contents on Bauhinia faberi seedlings growth characteristics in arid valley of Minjiang River].

To study the influence of resources thresholds on plant growth is a major theme in restoration ecology. Based on the simulation of the natural thresholds of soil moisture, nitrogen (N), and phosphorus (P) under drought condition in the arid valley of Mingjiang River, a full factorial experiment was designed to study the dynamics of Bauhinia faberi seedlings survival rate, growth, biomass production, and resources use efficiency across one growth season. High soil moisture (40% field water capacity), high soil P (24 mg P x kg(-1)), and low N (100 mg N x kg(-1)) increased the seedlings survival rate, and promoted the seedlings growth, biomass production, and water use efficiency. There was a significant coupling effect between soil N and P, but the interactions between soil moisture and soil N and P were not obvious. High N (240 mg N x kg(-1)) restrained the seedlings growth markedly, while high P mitigated the negative effects of high N via increasing root area, root length, and root mass to promote the seedlings N and P uptake. The N and P use efficiency across one growth season kept steady, and had significant positive correlation with root/shoot mass ratio. The combination of high soil moisture, low N, and high P promoted the seedlings growth effectively, while that of low soil moisture, low P, and high N inhibited the seedlings growth markedly.