Preconceptional maternal hyperandrogenism and metabolic syndrome risk in male offspring: a long-term population-based study

PURPOSE

There is limited research on the effects of maternal hyperandrogenism (MHA) on cardiometabolic risk factors in male offspring. We aimed to compare the risk of metabolic syndrome (MetS) in sons of women with preconceptional hyperandrogenism (HA) to those of non-HA women in later life.

METHODS

Using data obtained from the Tehran Lipid and Glucose Cohort Study, with an average of 20 years follow-up, 1913 sons were divided into two groups based on their MHA status, sons with MHA (n = 523) and sons without MHA (controls n = 1390). The study groups were monitored from the baseline until either the incidence of events, censoring, or the end of the study period, depending on which occurred first. Age-scaled unadjusted and adjusted Cox regression models were utilized to evaluate the hazard ratios (HRs) and 95% confidence intervals (CIs) for the association between MHA and MetS in their sons.

RESULTS

There was no significant association between MHA and HR of MetS in sons with MHA compared to controls, even after adjustment (unadjusted HR (95% CI) 0.94 (0.80-1.11), P = 0.5) and (adjusted HR (95% CI) 0.98 (0.81-1.18), P = 0.8). Sons with MHA showed a HR of 1.35 for developing high fasting blood sugar compared to controls (unadjusted HR (95% CI) 1.35 (1.01-1.81), P = 0.04), however, after adjustment this association did not remain significant (adjusted HR (95% CI) 1.25 (0.90-1.74), P = 0.1).

CONCLUSION

The results suggest that preconceptional MHA doesn't increase the risk of developing MetS in sons in later life. According to this suggestion, preconceptional MHA may not have long-term metabolic consequences in male offspring.

Bismuth-Polyoxocation Coordination Networks: Controlling Nuclearity and Dimension-Dependent Photocatalysis

Bismuth-oxocluster nodes for metal-organic frameworks (MOFs) and coordination networks/polymers are less prolific than other families featuring zinc, zirconium, titanium, lanthanides, etc. However, Bi³⁺ is non-toxic, it readily forms polyoxocations, and its oxides are exploited in photocatalysis. This family of compounds provides opportunity in medicinal and energy applications. Here, we show that Bi node nuclearity depends on solvent polarity, leading to a family of Bi_x-sulfonate/carboxylate coordination networks with x = 1-38. Larger nuclearity-node networks were obtained from polar and strongly coordinating solvents, and we attribute the solvent's ability to stabilize larger species in solution. The strong role of the solvent and the lesser role of the linker in defining node topologies differ from other MOF syntheses, and this is due to the Bi³⁺ intrinsic lone pair that leads to weak node-linker interactions. We describe this family by single-crystal X-ray diffraction (eleven structures), obtained in pure forms and high yields. Ditopic linkers include NDS (1,5-naphthalenedisulfonate), DDBS (2,2'-[biphenyl-4,4'-diylchethane-2,1-diyl] dibenzenesulphonate), and NH₂-benzendicarboxylate (BDC). While the BDC and NDS linkers yield more open-framework topologies that resemble those obtained by carboxylate linkers, topologies with DDBS linkers appear to be in part driven by association between DDBS molecules. An in situ small-angle X-ray scattering study of Bi₃₈-DDBS reveals stepwise formation, including Bi₃₈-assembly, pre-organization in solution, followed by crystallization, confirming the less important role of the linker. We demonstrate photocatalytic hydrogen (H₂) generation with select members of the synthesized materials without the benefit of a co-catalyst. Band gap determination from X-ray photoelectron spectroscopy (XPS) and UV-vis data suggest the DDBS linker effectively absorbs in the visible range with ligand-to-Bi-node charge transfer. In addition, materials containing more Bi (larger Bi₃₈-nodes or Bi₆ inorganic chains) exhibit strong UV absorption, also contributing to effective photocatalysis by a different mechanism. All tested materials became black with extensive UV-vis exposure, and XPS, transmission electron microscopy, and X-ray scattering of the black Bi₃₈-framework suggest that Bi⁰ is formed in situ, without phase segregation. This evolution leads to enhanced photocatalytic performance, perhaps due to increased light absorption.

Bismuth Coordination Polymers with Fluorinated Linkers: Aqueous Stability, Bivolatility, and Adsorptive Behavior

Bismuth metal-organic frameworks and coordination polymers (CP) are challenging to synthesize, given the poor solubility of bismuth precursors and asymmetric and labile ligation of Bi³⁺ due to its intrinsic lone pair. Here, we synthesize and structurally characterize three Bi³⁺-CPs, exploiting a tetrafluoroterephtalate (F₄BDC) linker to determine the effect of high acidity on these synthesis and coordination challenges. Single-crystal X-ray diffraction characterization showed that pi-pi stacking of linkers directs framework arrangement and generally deters open porosity in the three structures, respectively featuring Bi chains (Bi _chain -F ₄ BDC), Bi dimers (Bi ₂ -F ₄ BDC) linked into chains, and Bi tetramers (Bi ₄ -F ₄ BDC). Powder X-ray diffraction and microscopic imaging show the high purity and stability of these compounds in water. Naphthalenedisulfonate (NDS) was used as a mineralizer in the synthesis of (Bi _chain -F ₄ BDC) and (Bi ₄ -F ₄ BDC), and studies of its role in assembly pathways yielded two additional structures featuring mixed NDS and F₄BDC, respectively, linking monomer and octamer Bi nodes, and confirmed that F₄BDC is the preferred (less labile) linker. Methylene blue (MB) adsorption studies show differing efficacies of the three Bi-F₄BDC phases, attributed to surface characteristics of the preferential growth facets, while generally most effective adsorption is attributed to the hydrophobicity of fluorinated ligands. Finally, thermogravimetric analysis of all three Bi-F₄BDC phases indicates simultaneous ligand degradation and in situ formation of volatile Bi compounds, which could be exploited in the chemical vapor deposition of Bi-containing thin films.

The relationship between air pollutants and gestational diabetes: an updated systematic review and meta-analysis

PURPOSE

Air pollution is an environmental stimulus that may predispose pregnant women to gestational diabetes mellitus (GDM). This systematic review and meta-analysis were conducted to investigate the relationship between air pollutants and GDM.

METHODS

PubMed, Web of Science, and Scopus were systematically searched for retrieving English articles published from January 2020 to September 2021, investigating the relationship of exposure to ambient air pollution or levels of air pollutants with GDM and related parameters, including fasting plasma glucose (FPG), insulin resistance, and impaired glucose tolerance. Heterogeneity and publication bias were evaluated using I-squared (I2), and Begg's statistics, respectively. We also performed the subgroup analysis for particulate matters (PM2.5, PM10), Ozone (O3), and sulfur dioxide (SO2) in the different exposure periods.

RESULTS

A total of 13 studies examining 2,826,544 patients were included in this meta-analysis. Compared to non-exposed women, exposure to PM2.5 increases the odds (likelihood of occurrence outcome) of GDM by 1.09 times (95% CI 1.06, 1.12), whereas exposure to PM10 has more effect by OR of 1.17 (95% CI 1.04, 1.32). Exposure to O3 and SO2 increases the odds of GDM by 1.10 times (95% CI 1.03, 1.18) and 1.10 times (95% CI 1.01, 1.19), respectively.

CONCLUSIONS

The results of the study show a relationship between air pollutants PM2.5, PM10, O3, and SO2 and the risk of GDM. Although evidence from various studies can provide insights into the linkage between maternal exposure to air pollution and GDM, more well-designed longitudinal studies are recommended for precise interpretation of the association between GDM and air pollution by adjusting all potential confounders.

The targeted high-risk case-finding approach versus universal screening for thyroid dysfunction during pregnancy: thyroid-stimulating hormone (TSH) and/or thyroid peroxidase antibody (TPOAb) test?

PURPOSE

To compare the effects of different thyroid screening scenarios, using the universal and targeted high-risk case-finding approaches with different diagnostic tests on the prevalence of subclinical hypothyroidism (SCH), thyroid autoimmunity, and pregnancy outcomes after adjustments for the intervention.

METHODS

During a secondary analysis of data collected in Tehran Thyroid and Pregnancy Study, a total of 2277 women from the total population, including 1303 high-risk individuals for thyroid dysfunction. The Cochran-Mantel-Haenszel method, adjusted for the intervention, was also used to evaluate the relationships between different screening scenarios [i.e., universal approach using thyroid-stimulating hormone (TSH) and/or thyroid peroxidase antibody (TPOAb) tests and targeted high-risk case-finding approach using TSH and/or TPOAb tests] and pregnancy outcomes (i.e., preterm delivery and NICU admission). The universal approach using both TSH and TPOAb measurements was considered as the reference scenario. We analyzed outcomes of different screening methods in individuals treated with LT4, compared to those individuals who were not treated.

RESULTS

Compared to the universal screening approach with both TSH and TPOAb measurements, the targeted high-risk case-finding approach overlooked approximately 42%, 62%, and 74% of women with elevated TSH (> 4 µlU/mL) when using both TSH and TPOAb tests, TSH alone, and TPO alone, respectively. After adjusting for the missed cases, 2.86% of women with preterm delivery and 2.76% of women with NICU admission were missed when they were screened using the targeted high-risk case-finding approach by measuring both TSH and TPOAb. The percentage of missed cases increased when applying the targeted approach with the TSH test alone, without measuring TPOAb. Overall, 4.16% and 4.02% of women with preterm delivery and NICU admission were overlooked in this scenario, respectively. After adjustments for the intervention, the probability of NICU admission in neonates of mothers, who were screened using the targeted high-risk case-finding approach with TPOAb measurement, was 2.31 folds higher than those screened by the reference scenario.

CONCLUSION

This study suggests that although the targeted high-risk case-finding approach including both TSH and TPOAb tests, may overlook some women with SCH, it is a reasonable option since it is not associated with a higher risk of adverse pregnancy outcomes.

Investigation of the Solution Chemistry of Hybrid Organic-Inorganic Indium Halides for New Material Discovery

Recently, metal halide perovskites (MHPs) have emerged as a new class of materials for optical and electronic applications such as solar cells and ionizing radiation detectors. Although the solution-processability of MHPs is among their greatest advantages, the solution chemistries of most metal halide systems and their relationship with the observed structural and chemical diversity are poorly understood. In this work, we study the solution chemistry of a model indium halide system, methylammonium (MA)-In-Br, using a combination of the UV-vis spectroscopy, electrospray ionization mass spectrometry (ESI-MS) measurements, small-angle X-ray scattering (SAXS), and density functional theory (DFT) calculations. Our results show that indium could form either octahedral [InBr₆^3-] or tetrahedral [InBr₄^-] anions in solution or a combination of both, depending on the loading ratios of MABr and InBr₃ reactants. Understanding the solution chemistry of this system and recognizing the optical fingerprints of these polyanions allow for targeted crystallization of two novel compounds: MAInBr₄ featuring tetrahedral [InBr₄^-] anions and MA₂InBr₅ containing both octahedral [InBr₆^3-] and tetrahedral [InBr₄^-] anions. Further increase of the MABr content leads to the formation of previously reported MA₄InBr₇, containing only octahedral [InBr₆^3-] anions separated by Br^- anions. Our results suggest that understanding the solution chemistry of multinary metal halide systems could be a valuable tool for discovering functional materials for practical applications.

The Role of demand - control - support model in nursing musculoskeletal disorders:A systematic review

Introduction: Nursing is one of the high risk jobs in the world and its occupational hazards have a direct impact on the health of nurses. Work-based musculoskeletal disorders are prevalent among health care workers, particularly nursing staff.  The purpose of this study was to systematically review studies on the relationship between occupational stress based on demand-control-support model and nurses' musculoskeletal disorders. Materials and Methods: In this study, major international electronic databases including PubMed, ISI Web of Science, Scopus and ScienceDirect and Persian databases, including SID, Irandoc, Magiran and Medlib were studied. The keywords used were: social support, job stress, job control, job demand, and musculoskeletal disorder. The main criterion for inclusion was the survey of the top three variables in the nursing community. After evaluating the inclusion criteria and the quality of the articles, 6 studies were identified and included in the study. Results: According to the results of 6 studies, in 4 studies variables of job strain and in 5 studies psychological demands of job were related to the musculoskeletal disorders. The relationship between job control and supervisor support has also been confirmed in one study. Conclusion: Surveys clearly show that the greater the individual's perception of control over their work and the lower the level of psychological demands in their job, the health of the individual increases.

HCV cure: an appropriate moment to reduce cannabis use in people living with HIV? (ANRS CO13 HEPAVIH data)

BACKGROUND

Thanks to direct-acting antivirals, hepatitis C virus (HCV) infection can be cured, with similar rates in HCV-infected and HIV-HCV co-infected patients. HCV cure is likely to foster behavioral changes in psychoactive substance use, which is highly prevalent in people living with HIV (PLWH). Cannabis is one substance that is very commonly used by PLWH, sometimes for therapeutic purposes. We aimed to identify correlates of cannabis use reduction following HCV cure in HIV-HCV co-infected cannabis users and to characterize persons who reduced their use.

METHODS

We used data collected on HCV-cured cannabis users in a cross-sectional survey nested in the ANRS CO13 HEPAVIH cohort of HIV-HCV co-infected patients, to perform logistic regression, with post-HCV cure cannabis reduction as the outcome, and socio-behavioral characteristics as potential correlates. We also characterized the study sample by comparing post-cure substance use behaviors between those who reduced their cannabis use and those who did not.

RESULTS

Among 140 HIV-infected cannabis users, 50 and 5 had reduced and increased their use, respectively, while 85 had not changed their use since HCV cure. Cannabis use reduction was significantly associated with tobacco use reduction, a decrease in fatigue level, paying more attention to one's dietary habits since HCV cure, and pre-HCV cure alcohol abstinence (p = 0.063 for alcohol use reduction).

CONCLUSIONS

Among PLWH using cannabis, post-HCV cure cannabis reduction was associated with tobacco use reduction, improved well-being, and adoption of healthy behaviors. The management of addictive behaviors should therefore be encouraged during HCV treatment.

Oxo-Cluster-Based Zr/HfIV Separation: Shedding Light on a 70-Year-Old Process

Zirconium and hafnium in the tetravalent oxidation state are considered the two most similar elements on the periodic table, based on their coexistence in nature and their identical solid-state chemistry. However, differentiating solution phase chemistry is crucial for their separation for nuclear applications that exploit the neutron capture of Hf and neutron transparency of Zr. Here we provide molecular level detail of the multiple factors that influence Zr/Hf separation in a long-exploited, empirically designed industrial solvent-extraction process that favors Hf extraction into an organic phase. In the aqueous solution, both Hf and Zr form an oxo-centered tetramer cluster with a core formula of [OM₄(OH)₆(NCS)₁₂]^4- (OM₄-NCS, M = Hf, Zr). This was identified by single-crystal X-ray diffraction, as well as small-angle X-ray scattering (SAXS), of both the aqueous and organic phase. In addition to this phase, Zr also forms (1) a large oxo-cluster formulated [Zr₄₈O₃₀(OH)₉₂(NCS)₄₀(H₂O)₄₀] (Zr₄₈) and (2) NCS adducts of OZr₄-NCS. Zr₄₈ was identified first by SAXS and then crystallized by exploiting favorable soft-metal bonding to the sulfur of NCS. While the large Zr₄₈ likely cannot be extracted due to its larger size, the NCS adducts of OZr₄-NCS are also less favorable to extraction due to the extra negative charge, which necessitates coextraction of an additional countercation (NH₄⁺) per extra NCS ligand. Differentiating Zr and Hf coordination and hydrolysis chemistry adds to our growing understanding that these two elements, beyond simple solid-state chemistry, have notable differences in chemical reactivity.

Solvent-Driven Transformation of Zn/Cd2+-Deoxycholate Assemblies

Deoxycholic acid (DOC) is a unique, biologically derived surfactant with facial amphiphilicity that has been exploited, albeit minimally, in supramolecular assembly of materials. Here, we present the synthesis and structural characterization of three hybrid metal (Zn²⁺ and Cd²⁺)-DOC compounds. Analysis by single-crystal X-ray diffraction reveals the many interactions that are possible between these facial surfactants and the influence of solvent molecules that drive the assembly of materials. These structures are the first metal-DOC complexes besides those obtained from alkali and alkaline earth metals. We isolated polymeric chains of both Cd and Zn (Zn_poly-DOC and Cd_poly-DOC) from water. Major interactions between DOC molecules in these phases are hydrophobic in nature. Cd_poly-DOC exhibits unique P1 symmetry, with complete interdigitation of the amphiphiles between neighboring polymeric chains. Zn₄-DOC, obtained from methanol dissolution of Zn_poly-DOC, features the OZn₄ tetrahedron, widely known in basic zinc acetate and MOF-5 (metal organic framework). We document a solvent-driven, room-temperature transition between Zn_poly-DOC and Zn₄-DOC (in both directions) by scanning and transmission electron microscopies in addition to small-angle X-ray scattering, powder X-ray diffraction, and infrared spectroscopy. These studies show the methanol-driven transition of Zn_poly-DOC to Zn₄-DOC occurs via an intermediate with no long-range order of the Zn₄ clusters, indicating the strongest interactions driving assembly are intramolecular. On the contrary, water-driven solid-to-solid transformation from Zn₄-DOC to Zn_poly-DOC exhibits crystal-to-crystal transformation. Zn_poly-DOC is robust, easy to synthesize, and comprised of biologically benign components, so we demonstrate dye absorption as a proxy for water treatment applications. It favors absorption of positively charged dyes. These studies advance molecular level knowledge of the supramolecular assembly of facial surfactants that can be exploited in the design of organic-inorganic hybrid materials. This work also highlights the potential of solvent for tuning supramolecular assembly processes, leading to new hybrid materials featuring facial surfactants.

The effectiveness of mindful parenting training on attention deficit/hyperactivity disorder symptoms in male students

OBJECTIVE

One of the main influential factors in the occurrence of behavioral problems in children with attention deficit/hyperactivity disorder (ADHD) is the behavior related to the parenting styles. This study aimed at investigating the effect of mindful parenting training on mothers of children with ADHD in reducing the symptoms of hyperactivity/impulsivity and inattention behaviors.

MATERIALS AND METHODS

The research method was quasi-experimental with a pretest-posttest control group. The study population consisted of all mothers of children from 8 to 12 years. Therefore, 24 mothers of children with ADHD whose scores in the Connors questionnaire (parent form) were above the cut-off point score and diagnostic interview were selected and randomly paired and assigned into two experimental and control groups. All the mothers were between 30 to 38 years old. The research tools included the Connors questionnaire. Mindful parenting training was accomplished in eight 90-minute sessions for the experimental group. In the end, the two groups completed the questionnaires as post-test. Analysis of covariance was used to analyze the data.

RESULTS

The analysis of the results showed the effect of mindful parenting training on reducing the symptoms of hyperactivity/impulsivity and inattention behaviors of children with ADHD in the experimental group compared to the control group (p-value <0.05).

CONCLUSIONS

The educational and behavioral methods that parents and especially mothers use in response to their children's problematic and undesirable behaviors can increase the incidence of these behavioral problems in the long run. Hence, it is addressed in this study due to the great importance of changing the behavioral and educational methods of such parents. The findings generally show that mindful parenting education has affected the emotional climate governing parent-child interactions and has reduced behavioral problems in children suffering from ADHD.

Improved Constraints on Primordial Gravitational Waves using Planck, WMAP, and BICEP/Keck Observations through the 2018 Observing Season

We present results from an analysis of all data taken by the BICEP2, Keck Array, and BICEP3 CMB polarization experiments up to and including the 2018 observing season. We add additional Keck Array observations at 220 GHz and BICEP3 observations at 95 GHz to the previous 95/150/220  GHz dataset. The Q/U maps now reach depths of 2.8, 2.8, and 8.8  μK_{CMB} arcmin at 95, 150, and 220 GHz, respectively, over an effective area of ≈600 square degrees at 95 GHz and ≈400 square degrees at 150 and 220 GHz. The 220 GHz maps now achieve a signal-to-noise ratio on polarized dust emission exceeding that of Planck at 353 GHz. We take auto- and cross-spectra between these maps and publicly available WMAP and Planck maps at frequencies from 23 to 353 GHz and evaluate the joint likelihood of the spectra versus a multicomponent model of lensed ΛCDM+r+dust+synchrotron+noise. The foreground model has seven parameters, and no longer requires a prior on the frequency spectral index of the dust emission taken from measurements on other regions of the sky. This model is an adequate description of the data at the current noise levels. The likelihood analysis yields the constraint r_{0.05}<0.036 at 95% confidence. Running maximum likelihood search on simulations we obtain unbiased results and find that σ(r)=0.009. These are the strongest constraints to date on primordial gravitational waves.

Unraveling Nanoscale Cobalt Oxide Catalysts for the Oxygen Evolution Reaction: Maximum Performance, Minimum Effort

The oxygen evolution reaction (OER) is a key bottleneck step of artificial photosynthesis and an essential topic in renewable energy research. Therefore, stable, efficient, and economical water oxidation catalysts (WOCs) are in high demand and cobalt-based nanomaterials are promising targets. Herein, we tackle two key open questions after decades of research into cobalt-assisted visible-light-driven water oxidation: What makes simple cobalt-based precipitates so highly active-and to what extent do we need Co-WOC design? Hence, we started from Co(NO₃)₂ to generate a precursor precipitate, which transforms into a highly active WOC during the photocatalytic process with a [Ru(bpy)₃]²⁺/S₂O₈^2-/borate buffer standard assay that outperforms state of the art cobalt catalysts. The structural transformations of these nanosized Co catalysts were monitored with a wide range of characterization techniques. The results reveal that the precipitated catalyst does not fully change into an amorphous CoO_x material but develops some crystalline features. The transition from the precipitate into a disordered Co₃O₄ material proceeds within ca. 1 min, followed by further transformation into highly active disordered CoOOH within the first 10 min. Furthermore, under noncatalytic conditions, the precursor directly transforms into CoOOH. Moreover, fast precipitation and isolation afford a highly active precatalyst with an exceptional O₂ yield of 91% for water oxidation with the visible-light-driven [Ru(bpy)₃]²⁺/S₂O₈^2- assay, which outperforms a wide range of carefully designed Co-containing WOCs. We thus demonstrate that high-performance cobalt-based OER catalysts indeed emerge effortlessly from a self-optimization process favoring the formation of Co(III) centers in all-octahedral environments. This paves the way to new low-maintenance flow chemistry OER processes.

Deliberate Construction of Polyoxoniobates Exploiting the Carbonate Ligand

Polyoxometalates (POMs, metals=V^V , Nb^V , Ta^V , Mo^VI , W^VI ) are molecular metal oxides that can be isolated without capping ligands. The high negative charge of polyoxoniobates (PONb) provides strong interactions with heterocations, advantageous for electrostatic assembly of modular materials. In four single-crystal X-ray structures, we demonstrate that carbonate combined with the very reactive decaniobate [Nb₁₀ O₂₈ ]^6- reassembles into a new decaniobate, [Nb₁₀ O₂₅ (CO₃ )₆ ]^12- , featuring three carbonate-ligated Nb-polyhedra. These Nb-sites can be replaced by heterometals (lanthanides), and the tridentate carbonate can serve as an anchor point to build niobate-frameworks. Small-angle X-ray scattering and two additional X-ray structures reveal that the reaction pathway proceeds through a Nb₂₄ -PONb intermediate, and the obtained PONb (with or without carbonate) is counterion, temperature, and solvent-dependent (water or mixed water-methanol). This provides an uncommon level of control for PONb chemistry.

Effects of oral contraceptives on serum concentrations of adipokines and adiposity indices of women with polycystic ovary syndrome: a randomized controlled trial

PURPOSE

To compare the effects of oral contraceptives (OCs) with different progestins, including Levonorgestrel (LNG), Desogestrel (DSG), Cyproterone Acetate (CPA), and Drospirenone (DRSP) on adipokines levels and adiposity indices in women with polycystic ovary syndrome (PCOS).

METHODS

In this parallel randomized clinical trial, 120 women with PCOS randomly assigned to intervention with OCs containing LNG, DSG, CPA, or DRSP. Outcomes of interest, including serum concentrations of adiponectin, leptin, and resistin, and adiposity indices, i.e., body mass index (BMI), waist circumference (WC), obesity, central obesity, waist to hip ratio (WHR), waist to height ratio (WHtR), lipid accumulation product (LAP), a body shape index (ABSI), body roundness index (BRI), and visceral adiposity index (VAI), and lipid profiles were assessed at baseline, and 6 months of treatment.

RESULTS

This study showed no significant differences in serum concentrations of adipokines between the four study groups after 6 months of treatment. Our results also showed that patients treated with various compounds of OC for 6 months had no significant differences in their adiposity indices, except for LAP (p = 0.04), and VAI (p = 0.03). PCOS patients treated with OCs containing CPA had significantly a higher mean LAP, compared to those using products containing LNG. Besides, patients treated with OCs containing CPA had significantly a higher mean VAI, compared to those treated with OCs containing DRSP.

CONCLUSION

This study demonstrated that OCs with low androgenic and antiandrogenic activities had identical effects on serum concentrations of adipokines, and adiposity indices, except LAP, and VAI parameters.

REGISTRATION NUMBER

IRCT20080929001281N3.

Discrete Hf18 Metal-oxo Cluster as a Heterogeneous Nanozyme for Site-Specific Proteolysis

The selective hydrolysis of proteins by non-enzymatic catalysis is difficult to achieve, yet it is crucial for applications in biotechnology and proteomics. Herein, we report that discrete hafnium metal-oxo cluster [Hf₁₈ O₁₀ (OH)₂₆ (SO₄ )₁₃ ⋅(H₂ O)₃₃ ] (Hf₁₈ ), which is centred by the same hexamer motif found in many MOFs, acts as a heterogeneous catalyst for the efficient hydrolysis of horse heart myoglobin (HHM) in low buffer concentrations. Among 154 amino acids present in the sequence of HHM, strictly selective cleavage at only 6 solvent accessible aspartate residues was observed. Mechanistic experiments suggest that the hydrolytic activity is likely derived from the actuation of Hf^IV Lewis acidic sites and the Brønsted acidic surface of Hf₁₈ . X-ray scattering and ESI-MS revealed that Hf₁₈ is completely insoluble in these conditions, confirming the HHM hydrolysis is caused by a heterogeneous reaction of the solid Hf₁₈ cluster, and not from smaller, soluble Hf species that could leach into solution.

Bismuth for Controlled Assembly/Disassembly of Transition-Metal Oxo Clusters, Defining Reaction Pathways in Inorganic Synthesis and Nature

Trivalent bismuth is a unique heavy p-block ion. It is highly insoluble in water, due to strong hydrolysis tendencies, and known for low toxicity. Its lone pair is structure-directing, providing framework materials with structural flexibility, leading to piezoelectric and multiferroic function. The flexibility it provides is also advantageous for dopants and vacancies, giving rise to conductivity, luminescence, color, and catalytic properties. We are exploiting Bi³⁺ in a completely different way, as a knob to "tune" the solubility and stability of transition-metal oxo clusters. The lone pair allows capping and isolation of metastable cluster forms for solid-state and solution characterization. With controlled release of the bismuth (via bismuth oxyhalide metathesis), the metal oxo clusters can be retained in aqueous solution, and we can track their reaction pathways and conversion to related metal oxyhydroxides. Here we present isolation of a bismuth-stabilized Mn^IV cluster, fully formulated [Mn^IV₆Bi₂KO₉(CH₃COO)₁₀(H₂O)₃(NO₃)₂] (Mn₆Bi₂). In addition to characterization by single-crystal X-ray diffraction, solution characterization in acetonitrile and acetonitrile-acetic acid by small-angle X-ray scattering (SAXS) and electrospray ionization mass spectrometry shows high stability and the tendency of Mn₆Bi₂ to link into chains by bridging the bismuth (and potassium) caps with nitrate and acetate ligands. On the other hand, the dissolution of Mn₆Bi₂ in water, with and without metathesis of the bismuth, leads to the precipitation of related oxyhydroxide phases, which we characterized by transmission electron microscopy (TEM), electron diffraction, and energy-dispersive spectroscopy, and the conversion pathway by SAXS. Without removal of bismuth, amorphous manganese/bismuth oxyhydroxides precipitate within a day. On the other hand, metathesis of BiOBr yields a solution containing soluble manganese oxyhydroxide prenucleation clusters that assemble and precipitate over 10 days. This allows tracking of the reaction pathway via SAXS. We observe one-dimensional growth of species, followed by the precipitation of nanocrystalline hollandite (identified by TEM). The hollandite is presumably templated by the K⁺, originally in the crystalline lattice of Mn₆Bi₂. In this Forum Article that combines new results and prospective, we compare these results to prior studies in which we first introduced the use of capping Bi³⁺ to stabilize reactive clusters, followed by destabilization to understand reaction pathways in synthesis and low-temperature geochemistry.

Electro-Optical Properties of Monolayer and Bilayer Pentagonal BN: First Principles Study

Two-dimensional hexagonal boron nitride (hBN) is an insulator with polar covalent B-N bonds. Monolayer and bilayer pentagonal BN emerge as an optoelectronic material, which can be used in photo-based devices such as photodetectors and photocatalysis. Herein, we implement spin polarized electron density calculations to extract electronic/optical properties of mono- and bilayer pentagonal BN structures, labeled as B2N4, B3N3, and B4N2. Unlike the insulating hBN, the pentagonal BN exhibits metallic or semiconducting behavior, depending on the detailed pentagonal structures. The origin of the metallicity is attributed to the delocalized boron (B) 2p electrons, which has been verified by electron localized function and electronic band structure as well as density of states. Interestingly, all 3D networks of different bilayer pentagonal BN are dynamically stable unlike 2D structures, whose monolayer B4N2 is unstable. These 3D materials retain their metallic and semiconductor nature. Our findings of the optical properties indicate that pentagonal BN has a visible absorption peak that is suitable for photovoltaic application. Metallic behavior of pentagonal BN has a particular potential for thin-film based devices and nanomaterial engineering.

Atomically Precise Lanthanide-Iron-Oxo Clusters Featuring the ϵ-Keggin Ion

Atomically precise molecular metal-oxo clusters provide ideal models to understand metal oxide surfaces, self-assembly, and form-function relationships. Devising strategies for synthesis and isolation of these molecular forms remains a challenge. Here, the synthesis of four Ln-Fe oxo clusters that feature the ϵ-{Fe₁₃ } Keggin cluster in their core is reported. The {Fe₁₃ } metal-oxo cluster motif is the building block of two important iron oxyhydroxyide phases in nature and technology, ferrihydrite (as the δ-isomer) and magnetite (the ϵ-isomer). The reported ϵ-{Fe₁₃ } Keggin isomer as an isolated molecule provides the opportunity to study the formation of ferrihydrite and magnetite from this building unit. The four currently reported isostructural lanthanide-iron-oxo clusters are fully formulated [Y₁₂ Fe₃₃ (TEOA)₁₂ (Hyp)₆ (μ₃ -OH)₂₀ (μ₄ -O)₂₈ (H₂ O)₁₂ ](ClO₄ )₂₃ ⋅50 H₂ O (1, Y₁₂ Fe₃₃ ), [Gd₁₂ Fe₃₃ (TEOA)₁₂ (Hyp)₆ (μ₃ -OH)₂₀ (μ₄ -O)₃₂ (H₂ O)₁₂ ](ClO₄ )₁₅ ⋅50 H₂ O (2, Gd₁₂ Fe₃₃ ) and [Ln₁₆ Fe₂₉ (TEOA)₁₂ (Hyp)₆ (μ₃ -OH)₂₄ (μ₄ -O)₂₈ (H₂ O)₁₆ ](ClO₄ )₁₆ (NO₃ )₃ ⋅n H₂ O (Ln=Y for 3, Y₁₆ Fe₂₉ , n=37 and Ln=Gd for 4, Gd₁₆ Fe₂₉ n=25; Hyp=trans-4-Hydroxyl-l-proline and TEOA=triethanolamine). The next metal layer surrounding the ϵ-{Fe₁₃ } core within these clusters exhibits a similar arrangement as the magnetite lattice, and Fe and Ln can occupy the same positions. This provides the opportunity to construct a family of compounds and optimize magnetic exchange in these molecules through composition tuning. Small-angle X-ray scattering (SAXS) and high-resolution electrospray ionization mass spectrometry (HRESI-MS) show that these clusters are stable upon dissolution in both water and organic solvents, as a first step to performing further chemistry towards building magnetic arrays or investigating ferrihydrite and magnetite assembly from pre-nucleation clusters.

Stabilizing Reactive Fe(III) Clusters by Freeze-Dry/Solvent-Exchange To Benchmark Iron Hydrolysis Pathways

Isolating Fe(III) clusters from water without stabilizing ligands is significantly challenged by the high acidity of Fe³⁺-bound water, leading to uncontrolled precipitation of iron oxyhydroxides. Here we demonstrate a freeze-drying solvent-exchange method that enabled the isolation of a metastable Fe(III) sulfate decameric cluster formulated [Fe₁₀O₂(SO₄)₁₂(OCH₃)₂]·14CH₃OH (Fe₁₀). Without stabilization by solvent-exchange, the aqueous species undergoes rapid conversion to the iron sulfate mineral schwertmannite. Monitoring the hydrolysis process from cluster intermediates to schertmannite by small-angle X-ray scattering, we observe the progression from Fe₁₀ to 37 Å soluble nanoparticles prior to the precipitation process. This condensation behavior of Fe₁₀ is further exploited to develop a simple laboratory synthesis of schwetmannite. In addition, we demonstrate the versatility of the freeze-drying solvent-exchange method by isolating Al(III), Zn(II), and Cd(II) substituted Fe(III) sulfate clusters. The freeze-drying solvent-exchange method provides a unique opportunity to isolate cluster intermediates and models to aid in our understanding of metal-ion hydrolysis processes in environmental, material science, and geological studies.

The Role of Bi3+ in Promoting and Stabilizing Iron Oxo Clusters in Strong Acid

Metal oxo clusters and metal oxides assemble and precipitate from water in processes that depend on pH, temperature, and concentration. Other parameters that influence the structure, composition, and nuclearity of "molecular" and bulk metal oxides are poorly understood, and have thus not been exploited. Herein, we show that Bi³⁺ drives the formation of aqueous Fe³⁺ clusters, usurping the role of pH. We isolated and structurally characterized a Bi/Fe cluster, Fe₃ BiO₂ (CCl₃ COO)₈ (THF)(H₂ O)₂ , and demonstrated its conversion into an iron Keggin ion capped by six Bi³⁺ irons (Bi₆ Fe₁₃ ). The reaction pathway was documented by X-ray scattering and mass spectrometry. Opposing the expected trend, increased cluster nuclearity required a pH decrease instead of a pH increase. We attribute this anomalous behavior of Bi/Fe(aq) solutions to Bi³⁺ , which drives hydrolysis and condensation. Likewise, Bi³⁺ stabilizes metal oxo clusters and metal oxides in strongly acidic conditions, which is important in applications such as water oxidation for energy storage.

Antimicrobial Effect of Copper Oxide Nanoparticles on Some Oral Bacteria and Candida Species

STATEMENT OF PROBLEM

Acid producing bacteria including Streptococcus mutans and lactobacilli cause tooth demineralization and lead to tooth decay. Also, oral colonization of the species of Candida has been reported in many studies that are resistant to antifungal agents.

OBJECTIVES

In this study, antibacterial and antifungal effects of nano-CuO were studied against some oral bacteria and yeast fungi.

MATERIALS AND METHODS

The minimum inhibitory concentrations (MICs) of copper oxide nanoparticles (CuO NPs) for oral bacterial and fungal test strains were determined in 96-well microtiter plate technique. The agar diffusion test (ADT) was employed to assess the antifungal properties of nystatin.

RESULTS

The MIC₅₀ value of CuO NPs was determined at the range of 1-10 µg/ml for S. mutans, < 1 µg/ml for L. acidophilus, and 10 µg/ml for L. casei. Higher concentrations of CuO NPs (100-1000 µg/ml) were effective on the bacterial cell growth, resulting in 100% reduction in the optical density in TSB medium. The cells of Candida albicans, C. krusei and C. glabrata were treated with CuO NPs and the results showed a decrease in fungal growth at a concentration of 1-1000 µg/ml in TSB medium. The MIC50 value of CuO NPs was determined 1000 µg/ml for three species of Candida. The diameter of growth inhibition zones of 1100 µg/ml nystatin was obtained 15-21 mm for clinical isolates of three species of Candida.

CONCLUSIONS

With respect to the potential bactericidal activity of CuO NPs on various cariogenic bacteria examined in this study, these NPs could be introduce as a candidate control agent for preventing dental caries or dental infections. In our study, on the other hand, Nano copper oxide had a weak effect on the candida species.

Cervical Musculoskeletal Impairment in Frequent Intermittent Headache. Part 1: Subjects With Single Headaches

Musculoskeletal disorders are considered the underlying cause of cervicogenic headache, but neck pain is commonly associated with migraine and tension-type headaches. This study tested musculoskeletal function in these headache types. From a group of 196 community-based volunteers with headache, 73 had a single headache classifiable as migraine ( n = 22), tension-type ( n = 33) or cervicogenic headache ( n = 18); 57 subjects acted as controls. Range of movement, manual examination of cervical segments, cervical flexor and extensor strength, the cranio-cervical flexion test (CCFT), cross-sectional area of selected extensor muscles at C2 (ultrasound imaging) and cervical kinaesthetic sense were measured by a blinded examiner. In all but one measure (kinaesthetic sense), the cervicogenic headache group were significantly different from the migraine, tension-type headache and control groups (all P < 0.001). A dicriminant function analysis revealed that collectively, restricted movement, in association with palpable upper cervical joint dysfunction and impairment in the CCFT, had 100% sensitivity and 94% specificity to identify cervicogenic headache. There was no evidence that the cervical musculoskeletal impairments assessed in this study were present in the migraine and tension-type headache groups. Further research is required to validate the predictive capacity of this pattern of impairment to differentially diagnose cervicogenic headache.

Cervical Musculoskeletal Impairment in Frequent Intermittent Headache. Part 2: Subjects With Concurrent Headache Types

A pattern of musculoskeletal impairment inclusive of upper cervical joint dysfunction, combined with restricted cervical motion and impairment in muscle function, has been shown to differentiate cervicogenic headache from migraine and tension-type headache when reported as single headaches. It was questioned whether this pattern of cervical musculoskeletal impairment could discriminate a cervicogenic headache as one type of headache in more complex situations when persons report two or more headaches. Subjects with two or more concurrent frequent intermittent headache types ( n = 108) and 57 non-headache control subjects were assessed using a set of physical measures for the cervical musculoskeletal system. Discriminant and cluster analyses revealed that 36 subjects had the pattern of musculoskeletal impairment consistent with cervicogenic headache. Isolated features of physical impairment, e.g. range of movement (cervical extension), were not helpful in differentiating cervicogenic headache. There were no differences in measures of cervical musculoskeletal impairment undertaken in this study between control subjects and those classified with non-cervicogenic headaches.

Smart micro/nanoparticles in stimulus-responsive drug/gene delivery systems

New achievements in the realm of nanoscience and innovative techniques of nanomedicine have moved micro/nanoparticles (MNPs) to the point of becoming actually useful for practical applications in the near future. Various differences between the extracellular and intracellular environments of cancerous and normal cells and the particular characteristics of tumors such as physicochemical properties, neovasculature, elasticity, surface electrical charge, and pH have motivated the design and fabrication of inventive "smart" MNPs for stimulus-responsive controlled drug release. These novel MNPs can be tailored to be responsive to pH variations, redox potential, enzymatic activation, thermal gradients, magnetic fields, light, and ultrasound (US), or can even be responsive to dual or multi-combinations of different stimuli. This unparalleled capability has increased their importance as site-specific controlled drug delivery systems (DDSs) and has encouraged their rapid development in recent years. An in-depth understanding of the underlying mechanisms of these DDS approaches is expected to further contribute to this groundbreaking field of nanomedicine. Smart nanocarriers in the form of MNPs that can be triggered by internal or external stimulus are summarized and discussed in the present review, including pH-sensitive peptides and polymers, redox-responsive micelles and nanogels, thermo- or magnetic-responsive nanoparticles (NPs), mechanical- or electrical-responsive MNPs, light or ultrasound-sensitive particles, and multi-responsive MNPs including dual stimuli-sensitive nanosheets of graphene. This review highlights the recent advances of smart MNPs categorized according to their activation stimulus (physical, chemical, or biological) and looks forward to future pharmaceutical applications.

Assessment of the Effects of IL9, IL9R, IL17A, and IL17F Gene Polymorphisms on Women with Allergic Rhinitis in Shahrekord, Iran

Background:

The genes encoding IL9, IL9R, IL17A, and IL17F have recently been implicated in the genetic basis of rhinitis and allergy.

Aim:

The purpose of this study was to assess the association of the single nucleotide polymorphisms (SNPs) of IL9, IL9R, IL17A, and IL17F and potential interaction of these genes with the determination of IgE levels in women with allergic rhinitis (AR) in Shahrekord, Iran.

Subjects and Methods:

In a case–control study, SNPs from the IL9, IL9R, IL17A, and IL17F were genotyped in 394 random samples including 195 AR patients and 199 normal controls. Enzyme-linked immunosorbent assay was performed for the determination of serum total IgE levels. The Student's t-test was used to compare the differences. The Chi-square test was performed to compare proportions of cases with different clinical features among cases with different genotypes. The genotype and allele frequencies were obtained by direct counting. Hardy–Weinberg equilibrium was tested between cases and controls separately. The relative risk associated with rare alleles was estimated as an odds ratio with 95% confidence interval. P ≤ 0.05 was considered statistically significant.

Results:

The rs731476 SNP in the IL9R was significantly associated with the AR phenotype in women. No association was found between any of the other SNPs in IL9, IL17A, and IL17F genes and AR. In the gene–gene interaction analysis, we found that IL9R/IL9 genotype rs731476 T-/rs2069885 G conferred a higher risk for AR phenotype development. We also did not find a significant association in terms of IgE levels between cases and controls.

Conclusion:

Our result suggests that the rs731476 SNP located in the IL9R is associated with an increased susceptibility to AR in females. In a subsequent gene–gene interaction analysis, the rs731476 T-/rs2069885 G-genotype combination (IL9R/IL9) has significantly been associated with the development of the AR phenotype.

Impact of treatment with inhaled corticosteroids on bone mineral density of patients with asthma: related with age

The effect of inhaled corticosteroid on bone mineral density (BMD) was investigated in 44 asthmatic patients after median treatment duration of 6.5 years. Compared with controls, BMD decreased only in patients aged <50 years in both the spine (11.3 %, p = 0.013) and hip (8.8 %, p = 0.044), whereas in patients ≥50 years BMD did not decrease significantly.

INTRODUCTION

The results of studies which addressed the impact of inhaled corticosteroid (ICS) therapy on BMD of patients with asthma are conflicting. This case-control study aimed to compare BMD status in ICS user with asthma with healthy controls according to age.

METHODS

BMD at the lumbar spine (LS), femoral neck (FN) was measured by dual energy X-ray absorptiometry (DEXA). Patients and controls were compared according to BMD gr/cm(2), BMD T-score, BMD Z-score, frequency of osteoporosis (defined as BMD T-score ≤-2.5), and frequency of patients with BMD Z-score <-1 at LS and FN with regard to age <50 and ≥50 years old.

RESULTS

Forty-four ICS user patients (females 63.6 %) with median treatment duration of 6.5 years and 50 controls (females, 69.4 %) with respective mean age of 49.2 ± 9.5 and 47.4 ± 10.5 years (p = 0.38 and p = 0.35) entered the study. Overall LS-BMD and FN-BMD gr/cm2 in total patients were lower than in controls by 6 % (p = 0.065) and 5.9 % (p = 0.09), respectively. In patients <50 years, mean LS-BMD gr/cm(2) was lower than controls by 11.3 % (p = 0.013) and FN-BMD by 8.8 % (p = 0.044). Mean BMD T-score and BMD Z-score in both measurement sites were also lower than controls (p = 0.013 and 0.01, respectively. Frequency of osteoporosis did not differ but frequency of patients with BMD Z-score <-1 was significantly higher in patients (odds ratio (OR) = 6.57 95 % CI, 1.8-23.9, p = 0.004). In age group ≥50 years old, reduction of BMD in both measurement sites did not reach to a significant level.

CONCLUSION

This study indicates that BMD reduction in ICS user with asthma is dependent on age and appears that younger patients are at greater risk of BMD loss. These findings suggest preventive measures particularly in patients <50 years.

Boceprevir and telaprevir-based triple therapy for chronic hepatitis C: virological efficacy and impact on kidney function and model for end-stage liver disease score

Triple therapy using telaprevir or boceprevir [hepatitis C virus (HCV)-NS3/NS4A protease inhibitors (PI)] in association with PEG-IFN/ribavirin has recently become the new standard of care (SOC) for treatment of HCV genotype 1 patients. Our objective was to assess the efficacy and tolerance of triple therapy in routine clinical practice. A total of 186 consecutive HCV patients initiating triple therapy were enrolled in a single centre study. Clinical, biological and virological data were collected at baseline and during follow-up as well as tolerance and side effect details. Among 186 HCV patients initiating triple therapy, 69% received telaprevir and 31% boceprevir. Sixty-one per cent of patients had cirrhosis. The overall extended rapid virological response (eRVR) rate and sustained virological response (SVR) rate were 57.0% and 59.7%, respectively. IL28B CC phenotype was associated with increased probability of achieving eRVR and SVR, whereas previous non-response was associated with low eRVR and SVR rates. The SVR rate increased from 30.8% in previously non-responders to 59.1% in partial non-responders and 75% in relapsers. SVR rate in naive patients was 62.5%. Glomerular filtration rate assessed by MDRD after 12 weeks of therapy was significantly reduced for both PI (P < 0.001). The model for end-stage liver disease (MELD) score was significantly increased at W12 for telaprevir (P = 0.008) and at W24 for boceprevir (P = 0.027). PI-based triple therapy leads to high rates of virological response even in previously non-responder patients. Renal function after triple therapy is impaired as well as MELD score in all patients. Cautious clinical monitoring should focus not only on haematological and dermatological side effects but also on renal function.

Regulation of luteinizing hormone receptor in hippocampal neurons following different long-lasting treatments of castrated adult rats

The aim of this study was to investigate the effects of different Luteinizing hormone (LH) and steroid hormones levels on LH receptor (LHR) expression in the hippocampal cells. Rats (24 males and 24 females) were assigned to four groups: one control and three experimental [gonadectomy (GDX), gonadectomy + gonadotropin releasing hormone analogue (GDX+GnRHa) and GDX+GnRHa+estradiol (E2) or testosterone (T)] independently for each gender. All experimental rats were gonadectomized; then GnRHa was administrated to GDX+GnRHa group, and GnRHa plus steroid hormone to GDX+GnRHa+E2 or T group in both genders for four-month. LHR mRNA expression and its protein level in hippocampal cells were measured using QRT-PCR and Western blotting. Quantification of mRNA revealed a decrease in LHR transcripts level in GDX+GnRHa group of females. A significant change was observed between GDX groups and GDX+GnRHa+E2 or T versus GDX+GnRHa group in females. High levels of LH decreased significantly the immature isoform of LHR in GDX group compared to control group in both genders, but low LH concentrations in GDX+GnRHa group induced immature LHR isoform production only in females. Therefore increased LH concentration induces production of incomplete LHR transcripts in hippocampal cells and decreases immature LHR at the protein level. This implies that LH decreases the efficiency of translation through either producing non-functional LHR molecules or preventing their translation.