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Herb-Induced Liver Injury by Ayurvedic Ashwagandha as Assessed for Causality by the Updated RUCAM : An Emerging Cause
(2023-08-10) Bokan, Goran; Glamočanin, Tanja; Mavija, Zoran; Vidović, Bojana; Stojanović, Ana; Björnsson, Einar Stefán; Vučić, Vesna; Faculty of Medicine
Herb-induced liver injury (HILI) caused by herbal supplements, natural products, and products used in traditional medicine are important for differential diagnoses in patients with acute liver injury without an obvious etiology. The root of Withania somnifera (L.) Dunal, commonly known as ashwagandha, has been used in Ayurvedic medicine for thousands of years to promote health and longevity. Due to various biological activities, ashwagandha and its extracts became widespread as herbal supplements on the global market. Although it is generally considered safe, there are several reported cases of ashwagandha-related liver injury, and one case ended with liver transplantation. In this paper, we review all reported cases so far. Additionally, we describe two new cases of ashwagandha hepatotoxicity. In the first case, a 36-year-old man used ashwagandha capsules (450 mg, three times daily) for 6 months before he developed nausea, pruritus, and dark-colored urine. In the second case, a 30-year-old woman developed pruritus after 45 days of using ashwagandha capsules (450 mg). In both cases, serum bilirubin and liver enzymes (aspartate transaminase (AST), alanine transaminase (ALT), and alkaline phosphatase (ALP) were increased. The liver injury pattern was hepatocellular (R-value 11.1) and mixed (R-value 2.6), respectively. The updated Roussel Uclaf Causality Assessment Method (RUCAM) (both cases with a score of seven) indicated a “probable” relationship with ashwagandha. Clinical and liver function improvements were observed after the discontinuation of ashwagandha supplement use. By increasing the data related to ashwagandha-induced liver injury, these reports support that consuming ashwagandha supplements is not without its safety concerns.
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Does early spring arrival lead to early nesting in a migratory shorebird? Insights from remote tracking
(2023-09-08) Nightingale, Josh; Gill, Jennifer A.; Gunnarsson, Tómas G.; Rocha, Afonso D.; Howison, Ruth A.; Hooijmeijer, Jos C.E.W.; Piersma, Theunis; Alves, José A.
Advancing breeding phenology is a commonly observed response to climate warming among bird species, potentially in response to shifts in the phenology of key resources. However, for migratory birds breeding at high latitudes, their capacity to breed earlier may be constrained by the time available between arrival on the breeding grounds and nesting, especially for later-arriving individuals. This may have consequences for productivity, as early laying is often linked to higher breeding success, particularly in such seasonal environments. We investigated how migratory arrival timing influences subsequent timing of breeding, in particular whether the time between arrival and laying (arrival–laying gap) varies with arrival date, and if later-arriving individuals are able to catch up with early-arriving conspecifics. We tracked individual Icelandic Black-tailed Godwit Limosa limosa islandica with GPS and PTT tags for one to two complete breeding seasons between 2013 and 2022. After arrival in Iceland, most Godwits visited their breeding territory within 5 days, though this interval was longer for earlier-arriving birds. The total gap between arrival and laying was also longer for earlier-arriving birds, such that laying date did not vary significantly with arrival date. These results suggest that, despite individual consistency in migratory phenology, subsequent timing of nesting is probably influenced by other factors, such as mate arrival timing and/or annual variation in environmental conditions. Regular pre-nesting visits to the breeding territory may indicate that Godwits are able to monitor such factors closely and to nest early when conditions allow, but a larger sample of individuals and years is needed to assess whether early-arriving individuals contribute disproportionately to population-level advances in breeding phenology. Widespread tracking with high temporal and spatial resolution helps improve our understanding of phenological variation during the breeding season and its consequences for productivity and variation in juvenile phenology.
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A Genome-Scale Atlas Reveals Complex Interplay of Transcription and Translation in an Archaeon
(2023-04-27) Lorenzetti, Alan P.R.; Kusebauch, Ulrike; Zaramela, Lívia S.; Wu, Wei Ju; de Almeida, João P.P.; Turkarslan, Serdar; de Lomana, Adrián L.G.; Gomes-Filho, José V.; Vêncio, Ricardo Z.N.; Moritz, Robert L.; Koide, Tie; Baliga, Nitin S.; Faculty of Medicine
The scale of post-transcriptional regulation and the implications of its interplay with other forms of regulation in environmental acclimation are underexplored for organisms of the domain Archaea. Here, we have investigated the scale of post-transcriptional regulation in the extremely halophilic archaeon Halobacterium salinarum NRC-1 by integrating the transcriptome-wide locations of transcript processing sites (TPSs) and SmAP1 binding, the genome-wide locations of antisense RNAs (asRNAs), and the consequences of RNase_2099C knockout on the differential expression of all genes. This integrated analysis has discovered that 54% of all protein-coding genes in the genome of this haloarchaeon are likely targeted by multiple mechanisms for putative post-transcriptional processing and regulation, with about 20% of genes likely being regulated by combinatorial schemes involving SmAP1, asRNAs, and RNase_2099C. Comparative analysis of mRNA levels (transcriptome sequencing [RNA-Seq]) and protein levels (sequential window acquisition of all theoretical fragment ion spectra mass spectrometry [SWATH-MS]) for 2,579 genes over four phases of batch culture growth in complex medium generated additional evidence for the conditional post-transcriptional regulation of 7% of all protein-coding genes. We demonstrate that post-transcriptional regulation may act to fine-tune specialized and rapid acclimation to stressful environments, e.g., as a switch to turn on gas vesicle biogenesis to promote vertical relocation under anoxic conditions and modulate the frequency of transposition by insertion sequence (IS) elements of the IS 200/IS 605, IS 4, and IS H3 families. Findings from this study are provided as an atlas in a public Web resource (https://halodata.systemsbiology.net). IMPORTANCE While the transcriptional regulation landscape of archaea has been extensively investigated, we currently have limited knowledge about post-transcriptional regulation and its driving mechanisms in this domain of life. In this study, we collected and integrated omics data from multiple sources and technologies to infer post-transcriptionally regulated genes and the putative mechanisms modulating their expression at the protein level in Halobacterium salinarum NRC-1. The results suggest that post-transcriptional regulation may drive environmental acclimation by regulating hallmark biological processes. To foster discoveries by other research groups interested in the topic, we extended our integrated data to the public in the form of an interactive atlas (https://halodata.systemsbiology.net).
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A successful nursing education promotes newly graduated nurses’ job satisfaction one year after graduation : A cross-sectional multi-country study
(2023-08-14) Koskinen, Sanna; Brugnolli, Anna; Fuster-Linares, Pilar; Hourican, Susan; Istomina, Natalja; Leino-Kilpi, Helena; Löyttyniemi, Eliisa; Nemcová, Jana; Meyer, Gabriele; De Oliveira, Célia Simão; Palese, Alvisa; Rua, Marília; Salminen, Leena; Sveinsdóttir, Herdís; Visiers-Jiménez, Laura; Zeleníková, Renáta; Kajander-Unkuri, Satu; Faculty of Nursing and Midwifery
Background: Job satisfaction is a key factor for the successful transition of newly graduated nurses (NGNs) and for retaining NGNs in their workplaces. However, there is limited evidence of the relationship between satisfaction regarding the nursing education program and NGNs’ job satisfaction in the first year after graduation. Therefore, this study aims to examine the association of the nursing education related factors and NGNs’ job satisfaction. Methods: A cross-sectional study design with the utilization of data collected from the same respondents one year earlier as educational factors was applied. The data were collected from NGNs (n = 557) in 10 European countries using an electronic survey between February 2019 and September 2020, and analyzed in detail for four countries (n = 417). Job satisfaction was measured with three questions: satisfaction with current job, quality of care in the workplace, and nursing profession. Nursing education related factors were satisfaction with nursing education program, level of study achievements, nursing as the 1st study choice, intention to stay in nursing, and generic nursing competence. The data were analyzed statistically using logistic regression. Results: Most of the NGNs in the 10 countries were satisfied with their current job (88.3%), the quality of care (86.4%) and nursing profession (83.8%). Finnish, German, Lithuanian and Spanish NGNs’ satisfaction with the nursing education program at graduation was statistically significantly associated with their job satisfaction, i.e., satisfaction with their current job, the quality of care, and the nursing profession. Moreover, NGNs who had fairly often or very often intention to stay in nursing at graduation were more satisfied with their current job, with the quality of care, and with the nursing profession compared with NGNs who had never or fairly seldom intention to stay in nursing at graduation. Conclusions: Nursing education plays a significant role in NGNs’ job satisfaction one year after graduation, indicating the importance to start career planning already during nursing education. Both nursing education providers and healthcare organizations could plan in close collaboration a transition program for NGNs to ease the transition phase and thus increase the NGNs’ job satisfaction and ultimately the high-quality care of the patients.
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Occupational variation in incidence of oropharyngeal cancer in the Nordic countries
(2024-01) Nikkilä, Rayan; Mäkitie, Antti; Carpén, Timo; Hansen, Johnni; Heikkinen, Sanna; Lynge, Elsebeth; Selander, Jenny; Mehlum, Ingrid Sivesind; Torfadottir, Jóhanna Eyrún; Salo, Tuula; Pukkala, Eero; Faculty of Medicine
Purpose: Evaluate the occupational variation in incidence of oropharyngeal cancer (OPC). Methods: We calculated standardized incidence ratios (SIRs) of OPC in occupational categories in the Nordic countries relative to the entire national populations. The data covered 6155 OPC cases. Results: Among men high risk of OPC was observed, among else, in waiters (SIR 6.28, 95% CI 4.68–8.26), beverage workers (SIR 3.00, 95% CI 1.72–4.88), and artistic workers (SIR 2.97, 95% CI 2.31–3.76). Among women high risk of OPC was observed in waiters (SIR 2.02, 95% CI 1.41–2.81) and packers (SIR 1.73, 95% CI 1.07–2.64). The lowest SIRs were observed in female gardeners (SIR 0.27, 95% CI 0.12–0.51) and male farmers (SIR 0.30, 95% CI 0.25–0.35). Conclusion: The 20-fold variation in incidence of OPC between occupations needs further investigation in studies with detailed information on occupational and non-occupational risk factors.