Tag: pubmed

Emerg Med Australas. 2026 Feb;38(1):e70220. doi: 10.1111/1742-6723.70220.

ABSTRACT

OBJECTIVES: Assess the effects of Age, Period and Cohort (APC) in the trends in emergency department (ED) visits in 2003-2023 in Australia.

METHODS: For this retrospective observational study, we obtained data on all ED visits in Australia in 2003-2023 from the Australian Institute of Health and Welfare and applied an APC model to separate Age, Period and Cohort effects.

RESULTS: The total number of ED visits increased from 4,306,183 in 2003 to 7,194,861 in 2013 (67% increase). A 25% increase was observed in 2013-2023 (n = 9,014,526 visits in 2023). Rates of ED visits have increased in Australia in 2003-2023 from 218 per 1000 residents to 338 per 1000. Rates of ED visits were higher in patients aged > 85 years and have increased in 2003-2023 from 525 per 1000 to 835 per 1000 (59% increase). The increase in the number of ED visits per capita was slightly lower in those aged 65-74 (from 226 per 1000 in 2003 to 338 per 1000 in 2023, 50% increase) and those aged 75-84 years (350 per 1000 to 526 per 1000, 50% increase) compared to residents aged > 85 years.

CONCLUSIONS: Our APC modelling shows a deceleration in the increase in the rate of ED visits in the last decade, despite at the same age younger generations having higher rates of ED visits than older generations. The consistent increase in ED visits per capita in those aged < 75 years has major implications for healthcare planning and policies needed to reduce ED demand.

PMID:41622986 | DOI:10.1111/1742-6723.70220

Nanoscale. 2026 Feb 2. doi: 10.1039/d5nr04642d. Online ahead of print.

ABSTRACT

This paper reports on the template-assisted synthesis of Pt-based catalysts featuring a porous structure. The influence of various gadolinium precursors on the synthesis of Pt-Gd oxide catalysts is systematically investigated, with the objective of optimizing their crystalline structure and correlating it with their performance in the oxygen reduction reaction (ORR). Transmission electron microscopy analyses reveal complex morphological features, while synchrotron radiation experiments, combined with an innovative and robust approach based on the Debye Scattering Equation (DSE), enable a more accurate correlation between the electrochemical performance and the actual morphology of the catalysts. Although this work does not claim the development of a breakthrough catalyst, the observed ORR activity is comparable to that of commercial benchmarks (e.g., TKK). More importantly, it underscores the value of DSE-based XRD analysis as a statistically rigorous and complementary technique for nanoparticle morphology characterization, offering significant advantages over conventional TEM in this context.

PMID:41622981 | DOI:10.1039/d5nr04642d

Am J Hum Biol. 2026 Feb;38(2):e70204. doi: 10.1002/ajhb.70204.

ABSTRACT

OBJECTIVES: The purpose of this study was to summarize the evidence regarding possible differences in areal bone mineral density (aBMD) and bone mineral content (BMC) across racial and ethnic groups of children and adolescents.

METHODS: A systematic review was conducted using five electronic databases, supplemented by complementary searches of reference lists. Studies should have used dual-energy x-ray absorptiometry to assess bone mass in children and adolescents (aged ≤ 19 years) with no special clinical conditions.

RESULTS: Of the 1791 articles initially identified, 26 were included. Whites had lower aBMD/BMC than Blacks in 60.2% (47/78) of the analyzed results. In racial/ethnic groups that did not include Blacks, aBMD/BMC values were lower when compared to Blacks or ethnic groups that included Blacks in 80.0% (8/10) of possible results. Most findings indicated a paucity of evidence regarding differences in aBMD/BMC between Whites and Asians, Pacific Islanders, Hispanics, and Mexican-Americans (percentage of results ≤ 50.0%).

CONCLUSIONS: Based on the findings, it can be concluded that White children and adolescents have lower bone mass values compared to their Black peers. Racial and ethnic groups that do not include Black individuals also exhibit lower bone mass values compared to Black children and adolescents. Additionally, there appears to be no difference in bone mass between White children and adolescents and their Asian, Pacific Islander, Hispanic, and Mexican-American counterparts.

PMID:41622979 | DOI:10.1002/ajhb.70204

Pak J Biol Sci. 2026 Jan;29(1):33-47. doi: 10.3923/pjbs.2026.33.47.

ABSTRACT

&lt;b&gt;Background and Objective:&lt;/b&gt; &lt;i&gt;Chrysanthemum&lt;/i&gt; is one of the most important ornamental plants worldwide, yet conventional propagation methods remain inefficient; therefore, microponics (a system integrating micropropagation with hydroponics) offers strong potential for producing high-quality planting materials at scale. This study evaluates the efficiency of microponic and micropropagation systems for &lt;i&gt;in vitro&lt;/i&gt; propagation of the red cultivar of &lt;i&gt;Chrysanthemum&lt;/i&gt;×&lt;i&gt;morifolium&lt;/i&gt;, focusing on optimizing medium composition, plant growth regulator levels, medium volume and culture density and comparing plantlet performance during nursery acclimatization. &lt;b&gt;Materials and Methods:&lt;/b&gt; &lt;i&gt;In vitro&lt;/i&gt; shoots, measuring 1-1.5 cm in length and consisting of two nodes, were used as explants. Experiments were arranged in a completely randomized design with five replicates. Data were statistically analyzed using Analysis of Variance (ANOVA) with IRRISTAT 5.0, SPSS 20.0 and Microsoft Excel to identify the optimal culture conditions for each system and to compare growth parameters of plantlets during nursery conditions with treatment means compared by DMRT at the 5% significance level. &lt;b&gt;Results:&lt;/b&gt; The optimal conditions for the microponic system were obtained using liquid 1/2MS medium supplemented with 0.1 ppm naphthaleneacetic acid (NAA), with a medium volume of 20 mL and a culture density of nine shoots per vessel. Under these conditions, plantlets exhibited the highest shoot height (2.03 cm), fresh mass (0.17 g), 100% root initiation, 3.89 roots per explant (0.64 cm in length) and 4.26 leaves after two weeks of culture. In contrast, the optimal micropropagation medium was solid MS supplemented with 0.3 ppm NAA, 0.5 g/L activated charcoal (AC), 30 g/L sucrose, with the same culture density that used in the microponic system. Plantlets in this system reached a shoot height of 3.14 cm, a fresh mass of 0.20 g, 100% root initiation, 4.87 roots (3.44 cm in length) and five leaves. After 90 days in the nursery, micropropagated plantlets exhibited greater height, a higher number of leaves and earlier flowering, whereas microponic-derived plantlets developed larger leaves, thicker shoots and wider canopy diameters. &lt;b&gt;Conclusion:&lt;/b&gt; The micropropagation system provided optimal conditions for &lt;i&gt;in vitro&lt;/i&gt; shoot growth and promoted earlier flowering, while the microponic system improved acclimatization and post-transplant performance of red cultivar of &lt;i&gt;Chrysanthemum&lt;/i&gt;×&lt;i&gt;morifolium&lt;/i&gt; plantlets.

PMID:41622958 | DOI:10.3923/pjbs.2026.33.47

Pak J Biol Sci. 2026 Jan;29(1):24-32. doi: 10.3923/pjbs.2026.24.32.

ABSTRACT

&lt;b&gt;Background and Objective:&lt;/b&gt; The extensive use of antibiotics has created selective pressure leading to antimicrobial resistance, with biofilm formation serving as a major defense mechanism. Nearly 80% of infections involve biofilm-producing microorganisms that conventional antibiotics fail to eradicate. This study aimed to evaluate the antimicrobial and antibiofilm properties of ethanol extract from songga wood (&lt;i&gt;Strychnos lucida&lt;/i&gt;) against &lt;i&gt;Bacillus&lt;/i&gt; sp., &lt;i&gt;Salmonella typhi&lt;/i&gt; and &lt;i&gt;Candida albicans&lt;/i&gt;. &lt;b&gt;Materials and Methods:&lt;/b&gt; Antimicrobial and antibiofilm activities of &lt;i&gt;S. lucida&lt;/i&gt; ethanol extract were assessed using the microdilution assay at graded concentrations (0.0625-1%). Biofilm inhibition was examined during both intermediate and maturation phases. Statistical analysis was performed to determine significance (p<0.05). &lt;b&gt;Results:&lt;/b&gt; At the highest tested concentration (1%), the extract demonstrated strong antimicrobial activity, inhibiting 83.89% of &lt;i&gt;Bacillus&lt;/i&gt; sp., 80.03% of &lt;i&gt;S. typhi&lt;/i&gt; and 82.43% of &lt;i&gt;C. albicans&lt;/i&gt;. Pronounced antibiofilm activity was also observed, with inhibition rates of 75.36, 75.58 and 71.82% during the intermediate phase and 61.16, 61.76 and 61.14% during the maturation phase, respectively (p<0.05). &lt;b&gt;Conclusion:&lt;/b&gt; &lt;i&gt;Strychnos lucida&lt;/i&gt; ethanol extract exhibited significant antimicrobial and antibiofilm effects, indicating its potential as a natural candidate for developing alternative therapeutic agents. Further studies on its active compounds and mechanisms are warranted to support clinical applications.

PMID:41622957 | DOI:10.3923/pjbs.2026.24.32

Pak J Biol Sci. 2026 Jan;29(1):10-23. doi: 10.3923/pjbs.2026.10.23.

ABSTRACT

&lt;b&gt;Background and Objective:&lt;/b&gt; Oral Squamous Cell Carcinoma (OSCC), particularly tongue malignancies, remains a major global health concern due to late diagnosis and limited treatment options. &lt;i&gt;Salvadora persica&lt;/i&gt; (Miswak), traditionally used by ancient Arabs for oral hygiene, contains numerous bioactive compounds with potential therapeutic value. This study aimed to evaluate the antioxidant properties of Miswak extract using different solvents, quantify its total phenolic and flavonoid content and assess its anticancer activity against an oral cancer cell line through &lt;i&gt;in vitro&lt;/i&gt; and &lt;i&gt;in silico &lt;/i&gt;approaches. &lt;b&gt;Materials and Methods:&lt;/b&gt; Miswak extracts were prepared using water, acetone and ethanol to compare antioxidant capacity and phytochemical content. The extract exhibiting the highest activity was selected for further analysis. The ethanolic extract was subsequently tested on the human tongue carcinoma cell line (HNO97) using the Sulforhodamine B (SRB) assay to determine cytotoxicity. The ELISA was conducted to quantify TNF-α and VEGF-A levels, while real-time PCR was used to measure the expression of caspase-3 and caspase-7. Molecular docking was performed to evaluate the binding affinity of Miswak-derived compounds toward DAPK1, a key protein involved in regulating apoptosis. Statistical analyses were applied to assess the significance of the findings. &lt;b&gt;Results:&lt;/b&gt; The ethanolic extract exhibited the highest antioxidant activity and was selected for anticancer evaluation. SRB assay results showed potent cytotoxicity against HNO97 cells with an IC&lt;sub&gt;50&lt;/sub&gt; of 260.03 μg/mL. The ELISA confirmed significant downregulation of TNF-α and VEGF-A, indicating pronounced anti-inflammatory and anti-angiogenic effects. Real-time PCR demonstrated upregulation of caspase-3 and caspase-7, suggesting activation of apoptotic pathways. Molecular docking supported these observations by revealing strong binding affinities of the extract’s bioactive compounds to DAPK1. &lt;b&gt;Conclusion:&lt;/b&gt; The ethanolic extract of &lt;i&gt;Salvadora persica&lt;/i&gt; demonstrates promising antioxidant, anti-inflammatory, anti-angiogenic and pro-apoptotic properties, indicating its potential as a natural therapeutic candidate for oral squamous cell carcinoma. These findings provide a strong foundation for further &lt;i&gt;in vivo&lt;/i&gt; and preclinical studies to validate its efficacy and safety.

PMID:41622956 | DOI:10.3923/pjbs.2026.10.23

Pak J Biol Sci. 2026 Jan;29(1):1-9. doi: 10.3923/pjbs.2026.1.9.

ABSTRACT

&lt;b&gt;Background and Objective:&lt;/b&gt; Subclinical atherosclerosis in obesity is often not detected early. The FAM19A5 is a novel adipokin that is atheroprotective, known to play a role in inhibiting the proliferation and migration of Vascular Smooth Muscle Cells (VSMC), but its expression in adipose tissue and its association with vascular lesions remain unclear. The Plasma Atherogenic Index (PAI) is also a predictive indicator of cardiovascular risk, but its association with coronary histopathological changes has not been widely evaluated experimentally. The study assesses the relationship between FAM19A5 levels and expression, as well as PAI values, with the histopathological picture of coronary arteries in the obesity model Rattus induced by a high-fat and high-fructose diet. &lt;b&gt;Materials and Methods:&lt;/b&gt; Fourteen male Sprague Dawley rats were divided into a control group (standard feed) and an obesity group (a high-fat and high-fructose diet for 12 weeks). An examination of FAM19A5 levels (ELISA), expression of mRNA FAM19A5 in adipose tissue (qRT-PCR), plasma lipid levels, PAI calculations and histopathological examination of coronary arteries. All analyses were conducted using SPSS version 25 and a p-value<0.05 was considered statistically significant. &lt;b&gt;Results:&lt;/b&gt; Circulating FAM19A5 levels were slightly higher in the obese group than in the control group, but not statistically significant. The expression of mRNA FAM19A5 is not detected in adipose tissue. The PAI value was higher in the obesity group. There was a significant difference in FAM19A5 levels in circulation between groups of coronary artery histopathological scores (p<0.05). The diet model successfully induces multistratified atherosclerotic lesions without additional proinflammatory substances. &lt;b&gt;Conclusion:&lt;/b&gt; The integration of FAM19A5 levels, PAI values and the histopathological picture of coronary arteries provides a preliminary understanding of the progression of subclinical atherosclerosis in obesity. The findings of undetected FAM19A5 mRNA expression support the hypothesis that FAM19A5 is not the primary adipokine and that its role in atherosclerosis is likely systemic or compensatory in nature.

PMID:41622955 | DOI:10.3923/pjbs.2026.1.9

Zhongguo Fei Ai Za Zhi. 2025 Nov 20;28(11):818-830. doi: 10.3779/j.issn.1009-3419.2025.106.32.

ABSTRACT

BACKGROUND: Lung adenocarcinoma is prone to brain metastasis, and the prognosis of patients is extremely poor. The inhibitor of apoptosis-stimulating protein of p53 (iASPP) protein, encoded by the protein phosphatase 1 regulatory subunit 13-like (PPP1R13L) gene, is a key inhibitor of the p53 pathway and promotes carcinogenesis in various tumors, but its role in brain metastasis of lung adenocarcinoma is unknown. This study aims to analyze the tumor microenvironment characteristics of patients with brain metastasis of lung adenocarcinoma and explore the expression of PPP1R13L in brain metastasis tissues and its clinical significance by single-cell sequencing and clinical sample analysis.

METHODS: Brain tissues from 4 patients with lung adenocarcinoma brain metastasis and 2 patients with oligodendroglioma (ODG) were collected from the Affiliated Tumor Hospital of Xinjiang Medical University from January 2014 to December 2024 for single-cell sequencing. The tumor microenvironment was analyzed by combining single-cell sequencing data from 4 lung adenocarcinoma samples and 4 normal lung tissue samples from public databases. Additionally, clinical data and paraffin sections of 50 patients with lung adenocarcinoma brain metastasis in this hospital were collected, and immunohistochemistry was used to assess iASPP expression and its association with clinicopathologic features and patient outcome.

RESULTS: Compared with the ODG and lung adenocarcinoma groups, the specific epithelial cells in the lung adenocarcinoma brain metastasis group were mainly enriched in oxidative phosphorylation, apoptosis, hypoxia, and p53 pathways. PPP1R13L, as an upregulated differential gene, was highly expressed in the specific epithelial cell subpopulation of the brain metastasis group; the interaction between PPP1R13L-positive cells and fibroblasts was significant, activating cell-matrix adhesion related pathways, with the key ligand-receptor pair being collagen type I alpha 1 chain-cluster of differentiation 44 (COL1A1-CD44). Statistical evaluation revealed that smoking (HR=2.543, 95%CI: 1.159-5.583, P=0.020) and high expression of iASPP (HR=3.351, 95%CI: 1.310-8.575, P=0.012) were independent predictors of poor prognosis in lung adenocarcinoma patients with brain metastases.

CONCLUSIONS: This study revealed the interaction between epithelial cells and fibroblasts in the microenvironment of lung adenocarcinoma brain metastasis and implicate PPP1R13L as a potential prognostic indicator and actionable target, offering rationale for precision therapy against lung adenocarcinoma brain metastases.

PMID:41622929 | DOI:10.3779/j.issn.1009-3419.2025.106.32

J Med Virol. 2026 Feb;98(2):e70823. doi: 10.1002/jmv.70823.

ABSTRACT

Viral load data provide critical insights into host-pathogen interactions and guide clinical and public health decisions. Because frequent testing is often infeasible, viral dynamics models are used to reconstruct infection trajectories, but optimal sampling strategies remain unclear. We compared two approaches for collecting SARS-CoV-2 viral load data: cross-sectional sampling (one measurement at symptom onset) and longitudinal sampling (every 3 days after onset) under constraints on the total number of tests and tests per individual. A viral dynamics model was first fitted to data from the National Basketball Association cohort, and the estimated parameters were treated as ground truth. Synthetic data were then generated under each sampling design, refitted, and evaluated for accuracy in estimating viral load over 30 days, peak viral load, peak time, and viral shedding duration. Longitudinal sampling consistently yielded lower root mean squared error and narrower one standard deviation interval than cross-sectional sampling. Peak timing and viral shedding duration were unbiased under both designs, but cross-sectional designs underestimated peak viral load and produced wider one standard deviation intervals. Coverage of viral load estimates was markedly higher for longitudinal designs (> 0.90) compared with cross-sectional ones (~0.10). Accuracy and coverage exceeded 0.96 even with just two tests per individual, with little additional benefit from more tests. In conclusion, longitudinal sampling-despite limited data-substantially improves accuracy and precision of viral load estimation compared with cross-sectional designs. These findings highlight efficient strategies for study design and resource allocation in infectious disease research.

PMID:41622893 | DOI:10.1002/jmv.70823

J Clin Rheumatol. 2026 Feb 2. doi: 10.1097/RHU.0000000000002322. Online ahead of print.

ABSTRACT

BACKGROUND: Psoriatic arthritis (PsA) shares genetic features with psoriasis (PsO), with HLA-Cw6 being the main risk allele that may shape its clinical phenotype. This study aimed to evaluate the association between HLA-Cw6 status and clinical features, comorbidities, and treatment outcomes in PsA.

METHODS: We conducted a retrospective study of 426 patients with PsA who fulfilled the CASPAR criteria and had documented HLA-Cw6 status. Demographic, clinical, laboratory, and treatment-related variables were extracted from medical records. Patients were compared according to HLA-Cw6 positivity using descriptive, bivariate, and multivariate analyses.

RESULTS: HLA-Cw6 was present in 24.6% of the patients. HLA-Cw6-positive individuals were more frequently female (65.7% vs. 46.1%, P=0.001) and showed earlier PsO onset (28.0 vs. 35.3 y, P=0.009) and longer PsO-arthritis latency (17 vs. 9 y, P=0.024). Dactylitis was significantly less common in HLA-Cw6-positive patients (25.7% vs. 38.0%, P=0.022). HLA-Cw6-positive patients received more targeted therapies (1.8 vs. 1.5 drug classes, P=0.014) and had shorter TNFi persistence (17 vs. 36 mo, P=0.044). IL-12/23 inhibitors showed longer persistence in this group, although the difference was not statistically significant. In multivariate models, HLA-Cw6 was independently associated with female sex (OR: 4.11, P=0.003), lower frequency of dactylitis (OR: 0.33, P=0.020), and greater odds of difficult-to-manage PsA (OR: 12.53, P=0.001) and treatment-refractory PsA (OR: 15.39, P=0.001) based on recent EULAR definitions.

CONCLUSIONS: HLA-Cw6 identifies a PsA subset with distinctive clinical features and increased therapeutic complexity. These findings support the potential of HLA-Cw6 as a biomarker for PsA characterization and individualized therapy.

PMID:41622883 | DOI:10.1097/RHU.0000000000002322