Fundamental Care's state of knowledge around the world: Where are we now? A scoping review.

AIMS: To investigate and describe the current state of knowledge about Fundamental Care in terms of population, contexts, concepts and gaps. DESIGN: A scoping review. DATA SOURCES: CINAHL, Medline, PsycINFO and EMBASE databases were searched in April 2021 for eligible literature, published from January 2010, onwards. REVIEW METHODS: This scoping review was built around the recommendations of Peters et al. (2020 version). Two researchers conducted the literature search, and three researchers independently screened the titles and abstracts of the retrieved studies' data, using the eligibility criteria and the review questions as a guide. RESULTS: The search yielded 763 records, of which 107 were included. Results are presented under seven subheadings: (a) Countries and Continents, (b) Context, (c) Research Design, (d) Publishing/Journal, (e) Participants and Population, (f) Keywords and (g) Fundamental of Care Framework and Practice Process. All the retrieved articles describe the current state of knowledge about Fundamental Care in terms of population, contexts, concepts and gaps. CONCLUSION: This scoping review highlighted the elevated number of articles that have been published since the beginning of the work on Fundamental Care, 10 years ago. The included articles are related to different dimensions of research, practice and teaching and to the Fundamentals of Nursing Care, but also to nursing theory. Finally, most of the articles had a nursing focus. IMPACT: The results of this scoping review allow us to highlight the work from the past 10 years. This may be of interest to learn more about the research surrounding Fundamental Care. This scoping review allows us to better target the theoretical and empirical developments to focus on in the coming years.

Description of the first acoustic recording of spinner dolphins (Stenella longirostris) from the northern straits of Malacca, Malaysia (L).

Relatively little is known about spinner dolphins in Malaysian waters and the wider Southeast Asian region. This note represents the first known acoustic recording of the species sighted opportunistically in the northern Straits of Malacca. Over a brief 20 min sighting, 46 whistles were recorded and four tonal types were detected, with 54.4% being upsweep whistles. The whistle duration ranged from 36 to 977 ms and the frequency ranged from 6.6 to 23.8 kHz. Fifty-seven click trains with a mean interclick interval of 41.5 ± 19.3 ms were detected. These findings provide a baseline for future regional acoustic research on this species.

Mechanisms of pentazocine-induced ventilatory depression and antinociception in anesthetized rats.

This study was performed to clarify mechanisms underlying pentazocine-induced ventilatory depression and antinociception. Spontaneous ventilation and hind leg withdrawal response against nociceptive thermal stimulation were simultaneously recorded in anesthetized rats. Pentazocine decreased minute volume resulting from depression of the ventilatory rate and tracheal airflow, and prolonged the latency of withdrawal response. Pre-treatment of ß-funaltorexamine, but not nor-binaltorphimine, significantly attenuated pentazocine-induced ventilatory depression, while either antagonist weakened its analgesic potency. Comparing with effects of fentanyl and U50488, the present results suggest that ventilatory depression induced by pentazocine is mediated by mainly µ receptors and analgesia by both µ and κ receptors.

The NADPH oxidase inhibitor diphenyleneiodonium activates the human TRPA1 nociceptor.

Transient receptor potential ankyrin 1 (TRPA1) is a Ca(2+)-permeable nonselective cation channel expressed in neuronal and nonneuronal cells and plays an important role in acute and inflammatory pain. Here, we show that an NADPH oxidase (NOX) inhibitor, diphenyleneiodonium (DPI), functions as a TRPA1 activator in human embryonic kidney cells expressing human TRPA1 (HEK-TRPA1) and in human fibroblast-like synoviocytes. Application of DPI at 0.03-10 µM induced a Ca(2+) response in HEK-TRPA1 cells in a concentration-dependent manner. The Ca(2+) response was effectively blocked by a selective TRPA1 antagonist, HC-030031 (HC). In contrast, DPI had no effect on HEK cells expressing TRPV1-V4 or TRPM8. Four other NOX inhibitors, apocynin (APO), VAS2870 (VAS), plumbagin, and 2-acetylphenothiazine, also induced a Ca(2+) response in HEK-TRPA1 cells, which was inhibited by pretreatment with HC. In the presence of 5 mM glutathione, the Ca(2+) response to DPI was effectively reduced. Moreover, mutation of cysteine 621 in TRPA1 substantially inhibited the DPI-induced Ca(2+) response, while it did not inhibit the APO- and VAS-induced responses. The channel activity was induced by DPI in excised membrane patches with both outside-out and inside-out configurations. Internal application of neomycin significantly inhibited the DPI-induced inward currents. In inflammatory synoviocytes with TRPA1, DPI evoked a Ca(2+) response that was sensitive to HC. In mice, intraplantar injection of DPI caused a pain-related response which was inhibited by preadministration with HC. Taken together, our findings demonstrate that DPI and other NOX inhibitors activate human TRPA1 without mediating NOX.

Acoustic capture-recapture method for towed acoustic surveys of echolocating porpoises.

Passive acoustic monitoring for cetaceans mainly employ fixed-location methods or point transect samplings; an acoustic survey from a moving platform to conduct line transects is less common. In this study, acoustic capture-recapture by combining a double-observer method with line transect sampling was performed to observe Yangtze finless porpoises. Two acoustic devices were towed with the distance between them varying 0.5 to 89.5 m. The conditional probabilities that both devices would detect the porpoises within the same time window were calculated. In a 1-s time window, it became smaller as the distance between the devices increased, approaching zero when the distance between them was more than 50 m. It was considered that the devices with less than 50 m distance detected the same signals from the same animals, which means the identical detection. When the distance between them is too great, the recapture rate is reduced and the incidence of false matching may increase. Thus, a separation distance of around 50 m between two devices in acoustic capture-recapture of Yangtze finless porpoises was recommended. Note that the performance of the double detections can change depending on the particular device used and on animal behaviors such as vocalizing interval, ship avoidance.

Lysosomal-associated membrane protein-2 plays an important role in the pathogenesis of primary cutaneous vasculitis.

OBJECTIVES: Recent research suggests that lysosomal-associated membrane protein-2 (LAMP-2) could be one of the target antigens in the pathogenesis of vasculitides. We established a transgenic rat model, env-pX rats, with various vasculitides including cutaneous vasculitis. Human primary cutaneous vasculitis includes cutaneous polyarteritis nodosa (CPN) and Henoch-Schönlein purpura (HSP). We measured serum anti-LAMP-2 antibody levels in morbid env-pX rats and injected anti-LAMP-2 antibody into premorbid env-pX rats. We further measured serum anti-LAMP-2 antibody levels in patients with CPN and HSP. METHODS: Cutaneous vasculitis was observed in ∼30% of 6-month-old morbid env-pX rats. In contrast, these findings were rare in premorbid env-pX rats under 3 months old. We also examined 85 patients with CPN and 36 adult patients with HSP. Serum anti-LAMP-2 antibody levels were determined using ELISA. Premorbid env-pX rats under 3 months old were given an i.v. injection of anti-LAMP-2 antibody at day 0 and day 7. At day 14, these rats underwent histopathological and direct immunofluorescence examination. Cell surface LAMP-2 expression of rat neutrophils was examined by flow cytometry. RESULTS: Serum anti-LAMP-2 antibody levels were significantly higher in morbid env-pX rats than in wild-type normal rats. In addition, the levels in the cutaneous vasculitis group of morbid env-pX rats were significantly higher than the no cutaneous vasculitis group. Intravenous anti-LAMP-2 antibody injection into premorbid env-pX rats under 3 months old induced infiltration of neutrophils into cutaneous small vessels. Anti-LAMP-2 antibody-binding neutrophils were detected there. LAMP-2 expression on the cell surface of neutrophils in premorbid env-pX rats under PMA stimulation was higher compared with controls. Serum anti-LAMP-2 antibody levels in CPN and HSP were significantly higher than those of healthy controls. CONCLUSION: These data support a positive relationship between anti-LAMP-2 antibody and cutaneous vasculitis.

A model of the central regulatory system for cough reflex.

Cough is an important defensive reflex that eliminates particles and secretions from the airways and protects the lower airways from the aspiration of foreign materials. Although the classical cough center is thought to be situated in or around the nucleus tractus solitarius (NTS) of the brainstem, our understanding of its profile is still incomplete. Accumulating evidence suggests a new concept of the central regulatory system for cough reflex. The cough pattern generator in the brainstem appears to be identical to the respiratory pattern generator and to function by reshaping of the discharge pattern of respiratory neurons. The generated cough motor task is transmitted to spinal motoneurons through the descending respiratory pathways. The cough-gating mechanism receives the peripheral tussigenic information through the relay neurons in the NTS and activates such a functionally flexible pattern generator by producing triggering signals. This review focuses on the cough-gating neurons that constitute the gating mechanism and play a crucial role in the generation of cough reflex.

Variation in the production rate of biosonar signals in freshwater porpoises.

The biosonar (click train) production rate of ten Yangtze finless porpoises and their behavior were examined using animal-borne data loggers. The sound production rate varied from 0 to 290 click trains per 10-min time interval. Large individual differences were observed, regardless of body size. Taken together, however, sound production did not differ significantly between daytime and nighttime. Over the 172.5 h of analyzed recordings, an average of 99.0% of the click trains were produced within intervals of less than 60 s, indicating that during a 1-min interval, the number of click trains produced by each porpoise was typically greater than one. Most of the porpoises exhibited differences in average swimming speed and depth between day and night. Swimming speed reductions and usage of short-range sonar, which relates to prey-capture attempts, were observed more often during nighttime. However, biosonar appears to be affected not only by porpoise foraging, but also by their sensory environment, i.e., the turbid Yangtze River system. These features will be useful for passive acoustic detection of the porpoises. Calculations of porpoise density or abundance should be conducted carefully because large individual differences in the sound production rate will lead to large estimation error.

A multimodal detection model of dolphins to estimate abundance validated by field experiments.

Abundance estimation of marine mammals requires matching of detection of an animal or a group of animal by two independent means. A multimodal detection model using visual and acoustic cues (surfacing and phonation) that enables abundance estimation of dolphins is proposed. The method does not require a specific time window to match the cues of both means for applying mark-recapture method. The proposed model was evaluated using data obtained in field observations of Ganges River dolphins and Irrawaddy dolphins, as examples of dispersed and condensed distributions of animals, respectively. The acoustic detection probability was approximately 80%, 20% higher than that of visual detection for both species, regardless of the distribution of the animals in present study sites. The abundance estimates of Ganges River dolphins and Irrawaddy dolphins fairly agreed with the numbers reported in previous monitoring studies. The single animal detection probability was smaller than that of larger cluster size, as predicted by the model and confirmed by field data. However, dense groups of Irrawaddy dolphins showed difference in cluster sizes observed by visual and acoustic methods. Lower detection probability of single clusters of this species seemed to be caused by the clumped distribution of this species.

Variations in echolocation click characteristics of finless porpoise in response to day/night and absence/presence of vessel noise.

Small odontocetes produce echolocation clicks to feed and navigate, making it an essential function for their survival. Recently, the effect of vessel noise on small odontocetes behavior has attracted attention owing to increase in vessel activities; however, the effects of the surrounding environmental factor, vessel noise, and day/night on echolocation click characteristics have not been well studied. Here, we examined the effects of vessel noise and day/night on variations in echolocation clicks and click trains parameters. Passive acoustic monitoring of on-axis echolocation clicks produced by free-ranging finless porpoises (Neophocaena asiaeorientalis sunameri) was performed at two sites in Japan, Seto Inland Sea and Mikawa Bay, in June-September 2021 and March-August 2022, using A-tag and SoundTrap 300HF. Generalized Linear Model was used to elucidate the effect of vessel noise, day/night, and surrounding environmental factors (water temperature, synthetic flow velocity, and noise level) on echolocation click and click train parameters. Echolocation click and click train parameters were strongly affected by day/night, whereas the absence/presence vessel noise did not exhibit statistically significant influence. Particularly, -3 dB bandwidth was wider, click duration was shorter, and inter-click intervals in a train were shorter at night, which may facilitate information processing at night, thereby compensating for the lack of visual information. The interaction between day/night and the absence/presence of vessel noise affected the source level of finless porpoises, with higher levels observed in the absence of vessel noise during the daytime compared to other conditions at the site with low vessel traffic. Overall, these results suggest that echolocation clicks by finless porpoise were likely to fluctuate to adapt with surrounding complex environmental conditions, especially day/night.

Deep Neural Networks-Based Age Estimation of Cadavers Using CT Imaging of Vertebrae.

Although age estimation upon death is important in the identification of unknown cadavers for forensic scientists, to the best of our knowledge, no study has examined the utility of deep neural network (DNN) models for age estimation among cadavers. We performed a postmortem computed tomography (CT) examination of 1000 and 500 male and female cadavers, respectively. These CT slices were converted into 3-dimensional images, and only the thoracolumbar region was extracted. Eighty percent of them were categorized as training datasets and the others as test datasets for both sexes. We fine-tuned the ResNet152 models using the training datasets. We conducted 4-fold cross-validation, and the mean absolute error (MAE) of the test datasets was calculated using the ensemble learning of four ResNet152 models. Consequently, the MAE of the male and female models was 7.25 and 7.16, respectively. Our study shows that DNN models can be useful tools in the field of forensic medicine.

Artificial intelligence-based forensic sex determination of East Asian cadavers from skull morphology.

Identification of unknown cadavers is an important task for forensic scientists. Forensic scientists attempt to identify skeletal remains based on factors including age, sex, and dental treatment remains. Forensic scientists commonly consider skull or pelvic shape to evaluate the sex; however, these evaluations require sufficient experience and knowledge and lack objectivity and reproducibility. To ensure objectivity and reproducibility for sex evaluation, we applied a gated attention-based multiple-instance learning model to three-dimensional (3D) skull images reconstructed from postmortem head computed tomography scans. We preprocessed the images, trained with 864 training data, validated the model with 124 validation data, and evaluated the performance of our model in terms of accuracy with 246 test data. Furthermore, three forensic scientists evaluated the 3D skull images, and their performances were compared with those of the model. Our model showed an accuracy of 0.93, which was higher than that of the forensic scientists. Our model primarily focused on the entire skull owing to visualization but focused less on the areas often investigated by forensic scientists. In summary, our model may serve as a supportive tool to identify cadaver sex based on skull shape. Further studies are required to improve the model's performance.

Quantification of collagen fiber properties in alcoholic liver fibrosis using polarization-resolved second harmonic generation microscopy.

Liver fibrosis is assessed mainly by conventional staining or second harmonic generation (SHG) microscopy, which can only provide collagen content in fibrotic area. We propose to use polarization-resolved SHG (PR-SHG) microscopy to quantify liver fibrosis in terms of collagen fiber orientation and crystallization. Liver samples obtained from autopsy cases with fibrosis stage of F0-F4 were evaluated with an SHG microscope, and 12 consecutive PR-SHG images were acquired while changing the polarization azimuth angle of the irradiated laser from 0° to 165° in 15° increments using polarizer. The fiber orientation angle (φ) and degree (ρ) of collagen were estimated from the images. The SHG-positive area increased as the fibrosis stage progressed, which was well consistent with Sirius Red staining. The value of φ was random regardless of fibrosis stage. The mean value of ρ (ρ-mean), which represents collagen fiber crystallinity, varied more as fibrosis progressed to stage F3, and converged to a significantly higher value in F4 than in other stages. Spatial dispersion of ρ (ρ-entropy) also showed increased variation in the stage F3 and decreased variation in the stage F4. It was shown that PR-SHG could provide new information on the properties of collagen fibers in human liver fibrosis.

Passive acoustic survey of Yangtze finless porpoises using a cargo ship as a moving platform.

In order to periodically investigate the population and distribution of the Yangtze finless porpoise (Neophocaena asiaeorientalis asiaeorientalis) in its main distribution range in the Yangtze River, a passive acoustic system deployed on a cargo ship as a moving platform, rather than a dedicated research ship, was developed. A stereo acoustic event data-logger (A-tag) was installed on the cargo ship to passively detect phonating animals. In three surveys carried out in the Yangtze River from Wuhan to Shanghai, an average of 6059 clicks in each survey and 284 porpoises in total were acoustically detected along an 1100-km stretch. The animals were detected frequently in most of the survey range except two "gap sections" with 40 and 60 km lengths, respectively, where no animals were detected in all three surveys. Detected group sizes of the animals in each 120-s time window were not significantly different among the surveys, but the distribution pattern was different and suggested seasonal migration. The cargo ship based passive acoustic survey was effective in detecting phonating animals and can potentially monitor the distribution and population trend over time. Compared to surveys that used dedicated research ships, the present method is more cost effective.

Widespread passive acoustic detection of Yangtze finless porpoise using miniature stereo acoustic data-loggers: a review.

Data on distribution, abundance, ecology, and behavior are essential for conservation and management of endangered animals in the wild. Yangtze finless porpoise (Neophocaena phocaenoides asiaeorientalis) is an endangered small odontocete species, living exclusively in the Yangtze River and its connecting Poyang and Dongting Lakes. Frequent production of high-frequency bio-sonar signals allows the animal to be detectable using passive acoustic methods. Recently, a stereo acoustic event data-logger (A-tag) has been used extensively to detect the animal by using both fixed and mobile platforms. The passive acoustic monitoring methods were not only successful in detecting the presence of animals, but also in counting, localizing, and tracking phonating individuals. Underwater behavior observed acoustically helped to assess possible effects of vessels on the animals during acoustic surveys.

Density estimation of Yangtze finless porpoises using passive acoustic sensors and automated click train detection.

A method is presented to estimate the density of finless porpoises using stationed passive acoustic monitoring. The number of click trains detected by stereo acoustic data loggers (A-tag) was converted to an estimate of the density of porpoises. First, an automated off-line filter was developed to detect a click train among noise, and the detection and false-alarm rates were calculated. Second, a density estimation model was proposed. The cue-production rate was measured by biologging experiments. The probability of detecting a cue and the area size were calculated from the source level, beam patterns, and a sound-propagation model. The effect of group size on the cue-detection rate was examined. Third, the proposed model was applied to estimate the density of finless porpoises at four locations from the Yangtze River to the inside of Poyang Lake. The estimated mean density of porpoises in a day decreased from the main stream to the lake. Long-term monitoring during 466 days from June 2007 to May 2009 showed variation in the density 0-4.79. However, the density was fewer than 1 porpoise/km(2) during 94% of the period. These results suggest a potential gap and seasonal migration of the population in the bottleneck of Poyang Lake.

Effect of nicotine on the pelvic afferent nerve activity and bladder pressure in rats.

OBJECTIVES: To record afferent nerve activity and bladder pressure in anesthetized male rats and to investigate whether increased afferent nerve activity induced by nicotine is able to evoke reflex bladder contractions. METHODS: Using continuous infusion cystometrography, bladder pressure was measured via a bladder cannula. Afferent activity was recorded in the uncut L6 dorsal root. Nicotine was injected intra-arterially through a cannula placed near the bifurcation of the internal iliac artery a few minutes after micturition. RESULTS: Nicotine (0.15-1.5 micromol) evoked a marked elevation of afferent discharge without a simultaneous increase in bladder pressure. Bladder contractions appeared about 43 and 19 s after bolus injection of nicotine at 0.45 and 1.5 micromol, respectively. Firing rates of afferent nerves were reduced when the contraction appeared. Continuous infusion of nicotine at 0.75 micromol/min for 20 min evoked marked elevation of afferent discharge, which was maintained during infusion of nicotine and after it had been withdrawn. Repetitive contractions were observed thereafter and disappeared when the L6 dorsal roots were bilaterally resected. CONCLUSIONS: A transient increase in afferent discharges induced by bolus injection of nicotine was unable to evoke reflex bladder contraction. Repetitive bladder contractions after withdrawal of continuous nicotine infusion were induced in a reflex manner by the increased afferent activity.

Comparison of stationary acoustic monitoring and visual observation of finless porpoises.

The detection performance regarding stationary acoustic monitoring of Yangtze finless porpoises Neophocaena phocaenoides asiaeorientalis was compared to visual observations. Three stereo acoustic data loggers (A-tag) were placed at different locations near the confluence of Poyang Lake and the Yangtze River, China. The presence and number of porpoises were determined acoustically and visually during each 1-min time bin. On average, porpoises were acoustically detected 81.7+/-9.7% of the entire effective observation time, while the presence of animals was confirmed visually 12.7+/-11.0% of the entire time. Acoustic monitoring indicated areas of high and low porpoise densities that were consistent with visual observations. The direction of porpoise movement was monitored using stereo beams, which agreed with visual observations at all monitoring locations. Acoustic and visual methods could determine group sizes up to five and ten individuals, respectively. While the acoustic monitoring method had the advantage of high detection probability, it tended to underestimate group size due to the limited resolution of sound source bearing angles. The stationary acoustic monitoring method proved to be a practical and useful alternative to visual observations, especially in areas of low porpoise density for long-term monitoring.

Two autopsy cases of rupture of the aorta by fistula formation after thoracic endovascular aortic repair and open stent-grafting on aortic arch aneurysm.

The mortality rate of aortic aneurysm/dissection is low in Japan. Two surgical procedures, the thoracic endovascular aortic repair (TEVAR) and the open stent-grafting have contributed much in survival of such aneurysmal patients. We encountered with two autopsy cases of death by aortic rupture with fistula formation after these procedures. Case 1 is an 85-year-old male who had the history of TEVAR for thoracic aorta aneurysm one and a half year before his death. His endovascular stent-graft was composed of a steel endoskeleton consisting of six Z-shape elements while at autopsy, one of the elements locating at the distal part was found inserted deep into the wall of descending aorta, causing aorto-esophageal fistula. Case 2 is an 88-year-old male who had the history of open stent-grafting for aortic aneurysm eight years ago. At autopsy, the stent-graft was found detached from aorta at its lesser curvature, causing gap formation between the aorta and the stent. Six Z-shaped stent elements, the parts of stent-graft, were found separated from descending aorta and located in the aneurism. Furthermore, three of the separated elements were found inserted deep in the aortic wall, causing aorto-pulmonary fistula. Since aorto-esophageal fistula formation after surgery for aortic aneurysm is very rare in TEVAR and there are no reported cases of death by aorto-pulmonary fistula in the open stent-grafting, these cases are reported here.