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The effect of background elements of pictures on the visual attention among ASD children with intellectual disabilities, children with intellectual disabilities and typical development: Evidence from eye-tracking and fMRI

Lian X, Hong WCH, Gao F, Kolletar-Zhu K, Wang J, Cai C, et al.

Res Dev Disabil, 2023 Oct;141:104602.
PMID: 37757565 DOI: 10.1016/j.ridd.2023.104602

Traditional picture books for children come with colourful images and a multitude of elements to attract attention and increase the reading interest of typical-developing (TD) children. However, children with Autism Spectrum Disorder (ASD) are less capable of filtering out unimportant elements in pictures and focusing on social items (e.g., human faces). This study proposed that the removal of background and less important elements in the pictures of children's storybooks could facilitate better attention and enhance children with ASD's focus on the main object and thus the intended meaning of the storybook. We adopted pictures from a well-known children's book and modified them by removing the inessential background elements. Then, ASD children with intellectual disabilities (ASD+ID) (n = 40), children with ID (n = 38) and TD (n = 40) were asked to view the original and modified pictures in an eye-tracking experiment, respectively. Additionally, brain activation of ASD+ID participants (n = 10) was recorded as they were viewing those pictures in an fMRI scan. Eye-tracking found that ASD+ID children viewed the modified pictures with significantly longer average fixations, fewer fixations, fewer saccades, and higher fixation/saccade duration ratio. Contrary to the original pictures, no significant differences were found among ASD+ID, ID only and TD. Especially, ASD+ID group showed highly similar visual patterns to the TD participants when viewing the modified pictures and particularly focusing on the main character in the pictures. Additional fMRI evidence on ASD+ID group also revealed that modified pictures were associated with enhanced activation in bilateral fusiform gyri as compared to those from original pictures, which might suggest increased visual attention. Theoretical and practical implications were discussed in light of our findings.
Hydrogen production and heavy metal immobilization using hyperaccumulators in supercritical water gasification

Su W, Liu P, Cai C, Ma H, Jiang B, Xing Y, et al.

J Hazard Mater, 2021 01 15;402:123541.
PMID: 32745873 DOI: 10.1016/j.jhazmat.2020.123541

The dispersion of hyperaccumulators used in the phytoremediation process has caused environmental concerns because of their heavy metal (HM) richness. It is important to reduce the environmental risks and prevent the HM to reenter the ecological cycle and thereby the human food web. In this work, supercritical water gasification (SCWG) technology was used to convert Sedum plumbizincicola into hydrogen (H2) gas and to immobilize HMs into biochar. The H2 production correlated with temperature ranging from 380 to 440 ℃ with the highest H2 yield of 2.74 mol/kg at 440 ℃. The free-radical reaction and steam reforming reaction at high temperatures were likely to be the mechanism behind the H2 production. The analyses of bio-oil by the Gas Chromatography-Mass Spectrometer (GC-MS) and Nuclear magnetic resonance spectroscopy (NMR) illustrated that the aromatic compounds, oxygenated compounds, and phenols were degraded into H2-rich gases. The increase of temperature enhanced the HM immobilization efficiency (>99.2 % immobilization), which was probably due to the quickly formed biochar that helped adsorb HMs. Then those HMs were chemically converted into stable forms through complexation with inorganic components on biochar, e.g., silicates, SiO2, and Al2O3. Consequently, the SCWG process was demonstrated as a promising approach for dispersing hyperaccumulators by immobilizing the hazardous HMs into biochar and simultaneously producing value-added H2-rich gases.
Appendectomy and asthma: a search for an association in older subjects

Koay KL, Mohd Zim MA, Botross NP, Thong YK, Nordin N, Ramachandran A, et al.

Med J Malaysia, 2024 Jan;79(1):47-51.
PMID: 38287757

INTRODUCTION: Several risk factors found to be associated with postoperative complications and cancer surgery, which carry a significant morbidity risk to cancer patients. Therefore, prehabilitation is necessary to improve the functional capability and nutritional status of a patient prior to surgery, so that the patient can withstand any postoperative activity and associated deterioration. Thus, this study aims to assess the effectiveness of prehabilitation interventions on the functional status of patients with gastric and oesophageal cancer who underwent esophagectomy and gastrectomy.
MATERIAL AND METHODS: An interventional study was carried out among oesophageal and gastric cancer patients who had undergone surgery at the National Cancer Institute of Malaysia. The prehabilitation process took a maximum of two weeks, depending on the patient's optimisation before surgery. The prehabilitation is based on functional capacity (ECOG performance status), muscle function (handgrip strength), cardio-respiratory function (peak flow meter) and nutritional status (calorie and protein). Postoperative outcomes are measured based on the length of hospital stay, complications, and Clavien-Dindo Classification.
RESULTS: Thirty-one patients were recruited to undergo a prehabilitation intervention prior to gastrectomy (n=21) and esophagectomy (n=10). Demographically, most of the cancer patients were males (67.7%) with an ideal mean of BMI (23.5±6.0). Physically, the majority of them had physical class (ASA grade) Grade 2 (67.7%), ECOG performance status of 1 (61.3%) and SGA grade B (51.6%). The functional capacity and nutritional status showed a significant improvement after one week of prehabilitation interventions: peak expiratory flow meter (p<0.001), handgrip (p<0.001), ECOG performance (p<0.001), walking distance (p<0.001), incentive spirometry (p<0.001), total body calorie (p<0.001) and total body protein (p=0.004). However, those patients who required two weeks of prehabilitation for optimization showed only significant improvement in peak expiratory flow meter (p<0.001), handgrip (p<0.001), and incentive spirometry (p<0.001). Prehabilitation is significantly associated postoperatively with the length of hospital stay (p=0.028), complications (p=0.011) and Clavien-Dindo Classification (p=0.029).
CONCLUSION: Prehabilitation interventions significantly increase the functional capacity and nutritional status of cancer patients preoperatively; concurrently reducing hospital stays and complications postoperatively. However, certain cancer patients might require over two weeks of prehabilitation to improve the patient's functional capacity and reduce complications postoperatively.

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