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Joshi, Gomes et al. employ a chemical modulation approach of the cellular interactome to a hyperconnectivity state and show association with the increased response of pancreatic cancer cell lines to specific drugs, including those that target the MAPK-pathways and PI3K-mTOR pathway. To achieve this, the authors employ chemical modulation of the interactome via epichaperome inhibition with the small molecule PU-H71.

Background: Type 2 diabetes mellitus (T2DM) is a significant health burden globally, with uncontrolled DM often resulting in short- and long-term complications. Unfortunately, healthcare providers have little control over patients’ necessary lifestyle modification practices outside the consultation room. Aim: To determine the level of knowledge, attitude and practice (KAP) of lifestyle modifications among patients with T2DM attending the National District Hospital Outpatient Department, Bloemfontein, and identify possible barriers to lifestyle modifications experienced by patients. Setting: Outpatient Department at a Free State hospital. Methods: Using a cross-sectional study, patients with previously diagnosed T2DM were invited to participate. Respondents completed a structured questionnaire to assess their KAP regarding lifestyle modifications. Results: Of the 149 respondents, 64.4% (n = 94) were obese and 24.0% (n = 35) overweight despite good knowledge of lifestyle modifications. Respondents displayed a positive attitude toward physical exercise but less so to adjusting their diets. In practice, 63.4% (n = 83) claimed to exercise regularly, but two-thirds irregularly monitored their weight. The practice of a controlled and planned diet was poor. Perceived barriers to lifestyle modifications included being too busy to engage in physical exercise, bad weather and financial constraints. Conclusion: Despite displaying good knowledge regarding lifestyle modifications, the attitude and practice thereof remain poor. It is essential to re-emphasise to patients why it is crucial to engage in lifestyle modification practices and assess whether they are doing so correctly. Contribution: It highlights the importance of lifestyle considerations of T2DM patients in the clinical context.

Introduction Highly active antiretroviral therapy (HAART) and HIV/AIDS have been demonstrated to induce endocrine/metabolic dysfunction with a consequential increase in morbidity/mortality due to organ toxicities. This study aimed at investigating the possible protective effect of Hypoxis hemerocallidea (HH) against metabolic and hepatic histomorphology of diabetic rats under HAART. Material and methods Sixty-two adult male Sprague-Dawley rats were divided into a normoglycemic group A (n = 6) and 7 diabetic (110 mg/kg nicotinamide + 45 mg/kg streptozotocin) groups (B–H) (n = 8) and treated according to protocols. Concomitant treatment with adjuvant HH and HAART resulted in the least %body weight gain as the liver weight decreased in all treated animals. Results Significant changes in serum lipids were aggravated by treatment with HH and HAART, triglycerides and total cholesterol levels were elevated (p < 0.001/0.05), but changes in high-density lipoprotein (HDL) and total protein levels were insignificant. While artherosclerotic and cardiopulmonary indexes remained insignificant, concomitant use of HH with HAART in diabetes resulted in reduction of low-density lipoprotein (LDL) (p < 0.001), and increased triglyceride (p < 0.05) and total cholesterol (p < 0.001). The parameters of liver injury showed a significant (p < 0.05) increase in ALT of animals treated with HH alone, HAART + HH and melatonin; however, an insignificant decline in AST level was recorded. Treatment with adjuvant HAART, HH and melatonin resulted in significant (p < 0.005/0.0001) up-regulation of ALP and total bilirubin levels. Histopathology derangement ranged from severe hepatocellular distortions, necrosis with reduced glycogen expression following co-treatment of HAART+melatonin, HH and HAART alone in diabetes. Conclusions Presumptive hypoglycemic use of HH with HAART by people living with HIV/AIDS requires caution as implications for hepatocellular injuries are suspected with further uncontrolled metabolic disorder.

In contemporary high-pressure die casting foundries, the mastery of each sequence in the production cycle is more and more important. In the paper, an example of virtual analysis of gearbox casting from Al alloy will be presented. It includes a large variety of parameters, as follows: choosing of appropriate foundry technology, calculation of computer simulation of casting process which takes into account the filling process of cold chamber and filling of cavity, model description of three phases in high-pressure die casting, flow of molten metal, solidification, formation of stress and deformations. Additionally, the optimization of cooling and heating systems will be compared with calculated volume defects, dimensions of castings and their deformations with experimentally obtained values.

Background Person-centred care (PCC) is being internationally recognised as a critical attribute of high-quality healthcare. The International Alliance of Patients Organisations defines PCC as care that is focused and organised around people, rather than disease. Focusing on delivery, we aimed to review and evaluate the evidence from interventions that aimed to deliver PCC for people with serious physical illness and identify models of PCC interventions.Methods Systematic review of literature using Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. We searched AMED, CINAHL, Cochrane Library, Embase, Medline, PsycINFO, using the following key concepts: patient/person-centred care, family centred care, family based care, individualised care, holistic care, serious illness, chronic illness, long-term conditions from inception to April 2022. Due to heterogeneity of interventions and populations studied, narrative synthesis was conducted. Study quality was appraised using the Joanna Briggs checklist.Results We screened n=6156 papers. Seventy-two papers (reporting n=55 different studies) were retained in the review. Most of these studies (n=47) were randomised controlled trials. Our search yielded two main types of interventions: (1) studies with self-management components and (2) technology-based interventions. We synthesised findings across these two models:Self-management component: the interventions consisted of training of patients and/or caregivers or staff. Some studies reported that interventions had effect in reduction hospital admissions, improving quality of life and reducing costs of care.Technology-based interventions: consisted of mobile phone, mobile app, tablet/computer and video. Although some interventions showed improvements for self-efficacy, hospitalisations and length of stay, quality of life did not improve across most studies.Discussion PCC interventions using self-management have some effects in reducing costs of care and improving quality of life. Technology-based interventions improves self-efficacy but has no effect on quality of life. However, very few studies used self-management and technology approaches. Further work is needed to identify how self-management and technology approaches can be used to manage serious illness.PROSPERO registration number CRD42018108302.

Background. Integrating care for common mental disorders (CMDs) such as depression, anxiety and alcohol abuse into primary healthcare (PHC) should assist in reducing South Africa (SA)’s quadruple burden of disease. CMDs compromise treatment adherence, health behaviour change and self-management of illnesses. Appropriate identification of mental disorders in primary care can be facilitated by brief, easy-to-administer screening that promotes high specificity.Objectives. To establish the criterion-based validity of a seven-item Brief Mental Health (BMH) screening tool for assessing positive symptoms of CMDs in primary care patients.Methods. A total of 1 214 participants were recruited from all patients aged ≥18 years visiting 10 clinics as part of routine care in the Newcastle subdistrict of Amajuba District in KwaZulu-Natal Province, SA, over a period of 2 weeks. Consenting patients provided basic biographical information prior to screening with the BMH tool. PHC nurses remained blind to this assessment. PHC nurse-initiated assessment using the Adult Primary Care (APC) guidelines was the gold standard against which the performance of the BMH tool was compared. A specificity standard of 80% was used to establish cut-points. Specificity was favoured over sensitivity to ensure that those who did not have CMD symptoms were excluded, as well as to reduce over-referrals.Results. Of the participants, 72% were female. The AUD-C (alcohol abuse) performed well (area under the curve (AUC) 0.91 (95% confidence interval (CI) 0.88 - 0.95), cut-point ≥4, Cronbach alpha 0.87); PHQ-2 (depression) performed reasonably well (AUC 0.72 (95% CI 0.65 - 0.78), cut-point ≥3, alpha 0.71); and GAD-2 (anxiety) performance was acceptable (AUC 0.69 (95% CI 0.58 - 0.80), cut-point ≥3, alpha 0.62). Using the higher cut-off scores, patients who truly did not have CMD symptoms had negative predictive values (NPVs) of >90%. Overall, 26% of patients had CMD positive symptoms relative to 8% using the APC guidelines.Conclusions. Using a higher specificity index, the positive predictive value and NPV show that at higher cut-point values the BMH not only helps identify individuals with alcohol misuse, depression and anxiety symptoms but also identifies a majority of those who do not have symptoms (true negatives), thus not overburdening nurses with false positives needing assessment. Research is needed to assess whether use of such a short and valid screening tool is generalisable to other clinic contexts as well as how mental health screening should best be introduced into routine clinic functioning and practice.Â

Abstract Background There is a controversy on the effectiveness of post-operating splinting in patients with carpal tunnel release (CTR) surgery. This study aimed to systematically evaluate various outcomes regarding the effectiveness of post-operating splinting in CTR surgery. Methods Multiple databases, including PubMed, EMBASE, CINAHL, Web of Science, and Cochrane, were searched for terms related to carpal tunnel syndrome. A total of eight studies involving 596 patients were included in this meta-analysis. The quality of studies was evaluated, and their risk of bias was calculated using the methodological index for non‐randomized studies (MINORS) and Cochrane’s collaboration tool for assessing the risk of bias in randomized controlled trials. Data including the visual analogue scale (VAS), pinch strength, grip strength, two-point discrimination, symptom severity score (SSS), and functional status scale (FSS) were extracted. Results Our analysis showed no significant differences between the splinted and non-splinted groups based on the VAS, SSS, FSS, grip strength, pinch strength, and two-point discrimination. The calculated values of the standardized mean difference (SMD) or the weighted mean difference (WMD) and a 95% confidence interval (CI) for different variables were as follows: VAS [SMD = 0.004, 95% CI (-0.214, 0.222)], pinch strength [WMD = 1.061, 95% CI (-0.559, 2.681)], grip strength [SMD = 0.178, 95% CI (-0.014, 0.369)], SSS [WMD = 0.026, 95% CI (- 0.191, 0.242)], FSS [SMD = 0.089, 95% CI (-0.092, 0.269)], and the two-point discrimination [SMD = 0.557, 95% CI (-0.140, 1.253)]. Conclusions Our findings revealed no statistically significant differences between the splinted and non-splinted groups in terms of the VAS, SSS, FSS, grip strength, pinch strength, and two-point discrimination. These results indicate that there is no substantial evidence supporting a significant advantage of post-operative splinting after CTR.

The use of geese to clean fields of tough perennial grasses—such as Johnson, Bermuda, and nutgrass—has expanded in recent years to include nearly all broadleaf crops.

Studying flower color evolution can be challenging as it may require several different areas of expertise, ranging from botany and ecology through to understanding color sensing of insects and thus how they perceive flower signals. Whilst studies often view plant-pollinator interactions from the plant's perspective, there is growing evidence from psychophysics studies that pollinators have their own complex decision making processes depending on their perception of color, viewing conditions and individual experience. Mimicry of rewarding flowers by orchids is a fascinating system for studying the pollinator decision making process, as rewarding model flowering plants and mimics can be clearly characterized. Here, we focus on a system where the rewardless orchid Eulophia zeyheriana mimics the floral color of Wahlenbergia cuspidata (Campanulaceae) to attract its pollinator species, a halictid bee. Using recently developed psychophysics principles, we explore whether the color perception of an insect observer encountering variable model and mimic flower color signals can help explain why species with non-rewarding flowers can exist in nature. Our approach involves the use of color discrimination functions rather than relying on discrimination thresholds, and the use of statistical distributions to model intraspecific color variations. Results show that whilst an experienced insect observer can frequently make accurate discriminations between mimic and rewarding flowers, intraspecific signal variability leads to overlap in the perceived color, which will frequently confuse an inexperienced pollinator. This new perspective provides an improved way to incorporate pollinator decision making into the complex field of plant-pollinator interactions.

Background: Efavirenz is a drug used in combination as highly active antiretroviral therapy (HAART) used for the treatment of human immunodeficiency virus (HIV). Aims and Objectives: To investigate the effects of Efavirenz and vitamin E on the histopathology and biochemical parameters in the liver of Wistar rats. Materials and Methods: Twenty five Wistar rats were divided into fi ve groups. Group A were administered with 1 ml of distil water; group B animals were administered with 8.57 mg/kg Efavirenz, group C were administered with 17.14 mg/kg Efavirenz; group D were administered with 8.57 mg/kg, Efavirenz and 14.82 mg/kg Vitamin E, and group E were administered with 14.82 mg/kg Vitamin E for 32 days. On day 33, the rats were sacrificed using chloroform inhalation method. The liver were excised, routinely processed, stained using haematoxylin and eosin method, and viewed in DPX medium under light microscope. Blood samples from the rats were collected and then centrifuged after 30 minutes to obtain the serum for analysis of aspartate amino transaminase (AST), alanine amino transaminase (ALT), alkaline phosphatase (ALP), and total bilirubin (TB). Results: The liver of Wistar rats administered with Efavirenz, showed distortions with various degree of vacoulations, dilatation of sinusoidal spaces and nuclei pyknoctic changes. In the group where Efavirenz was combined with vitamin E this changes were ameliorated. This also agreed with the biochemical changes which showed significant levels of increase in AST and ALT in Efavirenz groups, this changes were also ameliorated in the group that Efavirenz was combined with vitamin E. Conclusion: Efavirenz administration can damage the liver, vitamin E can ameliorate this effect, therefore Vitamin E should be prescribed for patients on Efavirenz administration.

Dr. Gunther von Hagens developed plastination as a technique of tissue preservation in 1977. He used a delicate method of forced impregnation with curable polymers like silicone, epoxy or polyester resins for preservation of anatomical specimens. With plastination, every part of a biological tissue is treated, preserving it for educational purposes. Hence, there are vast applications in the medical field. We set out to survey the knowledge and opinion of lecturers of anatomy about plastinated specimen use in medical schools through the administration of questionnaires to respondents who participated at the Society of Experimental and Clinical Anatomists of Nigeria (SECAN) conference in 2011. It was found that 50.0%and 23.75%of respondents respectively, had their masters and doctorate degrees in Anatomy. Less than 8.0% utilised plastination as a tool for teaching as against 40%(plastic models), 36.25%(cadavers) and 15.0%(pathology pots). Conventional methods such as fixation by immersion (15.0%) and embalming (52.5%) with formaldehyde were commonly used for long term preservation of tissues in their various institutions. These methods were found to be less costly (25.0%), easy to use (56.25%) and the only method (12.25%) available, even though they posed some health hazards (96.0%). Whilst only 6.25%of the respondents did not know anything about plastination, 93.75%were aware of it. The advocacy for preservation of tissues by plastination has been gradual in developed countries. We recommend the use of plastinates in medical schools in Nigeria.

The net effect of pollen production on fecundity in plants can range from negative--when self-pollen interferes with fecundity due to incompatibility mechanisms, to positive--when pollen availability is associated with increased pollinator visitation and fecundity due to its utilization as a reward. We investigated the responses of bees to pollen and nectar rewards, and the effects of these rewards on pollen deposition and fecundity in the hermaphroditic succulent shrub Aloe tenuior. Self-pollinated plants failed to set fruit, but their ovules were regularly penetrated by self-pollen tubes, which uniformly failed to develop into seeds as expected from ovarian self-incompatibility (or strong early inbreeding depression). Bees consistently foraged for pollen during the morning and early afternoon, but switched to nectar in the late afternoon. As a consequence of this differential foraging, we were able to test the relative contribution to fecundity of pollen- versus nectar-collecting flower visitors. We exposed emasculated and intact flowers in either the morning or late afternoon to foraging bees and showed that emasculation reduced pollen deposition by insects in the morning, but had little effect in the afternoon. Despite the potential for self-pollination to result in ovule discounting due to late-acting self-sterility, fecundity was severely reduced in artificially emasculated plants. Although there were temporal fluctuations in reward preference, most bee visits were for pollen rewards. Therefore the benefit of providing pollen that is accessible to bee foragers outweighs any potential costs to fitness in terms of gender interference in this species.

Dr. Gunther von Hagens developed plastination as a technique of tissue preservation in 1977. He used a delicate method of forced impregnation with curable polymers like silicone, epoxy or polyester resins for preservation of anatomical specimens. With plastination, every part of a biological tissue is treated, preserving it for educational purposes. Hence, there are vast applications in the medical field. We set out to survey the knowledge and opinion of lecturers of anatomy about plastinated specimen use in medical schools through the administration of questionnaires to respondents who participated at the Society of Experimental and Clinical Anatomists of Nigeria (SECAN) conference in 2011. It was found that 50.0% and 23.75% of respondents respectively, had their masters and doctorate degrees in Anatomy. Less than 8.0% utilised plastination as a tool for teaching as against 40% (plastic models), 36.25% (cadavers) and 15.0% (pathology pots). Conventional methods such as fixation by immersion (15.0%) and embalming (52.5%) with formaldehyde were commonly used for long term preservation of tissues in their various institutions. These methods were found to be less costly (25.0%), easy to use (56.25%) and the only method (12.25%) available, even though they posed some health hazards (96.0%). Whilst only 6.25% of the respondents did not know anything about plastination, 93.75% were aware of it. The advocacy for preservation of tissues by plastination has been gradual in developed countries. We recommend the use of plastinates in medical schools in Nigeria.