A nomogram for predicting the risk of temporomandibular disorders in university students.

OBJECTIVES: Temporomandibular disorders (TMDs) have a relatively high prevalence among university students. This study aimed to identify independent risk factors for TMD in university students and develop an effective risk prediction model. METHODS: This study included 1,122 university students from four universities in Changchun City, Jilin Province, as subjects. Predictive factors were screened by using the least absolute shrinkage and selection operator (LASSO) regression and the machine learning Boruta algorithm in the training cohort. A multifactorial logistic regression analysis was used to construct a TMD risk prediction model. Internal validation of the model was conducted via bootstrap resampling, and an external validation cohort comprised 205 university students undergoing oral examinations at the Stomatological Hospital of Jilin University. RESULTS: The prevalence of TMD among university students was 44.30%. Ten predictive factors were included in the model, comprising gender, facial cold stimulation, unilateral chewing, biting hard or resilient foods, clenching teeth, grinding teeth, excessive mouth opening, malocclusion, stress, and anxiety. The model demonstrated good predictive ability with area under the receiver operating characteristic curve (AUC) values of 0.853, 0.838, and 0.821 in the training cohort, internal validation cohort, and external validation cohort, respectively. The calibration curves demonstrated that the predicted results were consistent with the actual results, and the decision curve analysis (DCA) indicated the model's high clinical utility. CONCLUSIONS: An online nomogram of TMD in university students with good predictive performance was constructed, which can effectively predict the risk of TMD in university students. The model provides a useful tool for the early identification and treatment of TMDs in university students, helping clinicians to predict the probability of TMDs in each patient, thus providing more personalized and accurate treatment decisions for patients.

Meta-analysis of the efficacy of invisible orthodontic appliances for maxillary molar distalization in adult patients / 口腔疾病防治

Objective@#To evaluate the clinical efficacy of invisible orthodontic appliances without brackets for the distal movement of maxillary molars to improve the ability of orthodontists to predict treatment outcomes.@*Methods@#Web of Science, Cochrane Library, Embase, PubMed, Wanfang Database, CNKI Database, and VIP Database were searched for studies investigating the efficacy of invisible orthodontic appliances for distal movement of maxillary molars in adult patients and published from database inception to August 1, 2023. A total of three researchers screened the studies and evaluated their quality and conducted a meta-analysis of those that met quality standards.@*Results@#This study included 13 pre- and postcontrol trials with a total sample size of 281 patients. The meta-analysis revealed no significant differences in the sagittal or vertical parameters of the jawbone after treatment when compared with those before treatment (P>0.05). The displacement of the first molar was MD=-2.34, 95% CI (-2.83, -1.85); the displacement was MD=-0.95, 95% CI (-1.34, -0.56); and the inclination was MD=-2.51, 95% CI (-3.56, -1.46). There was a statistically significant difference in the change in sagittal, vertical, and axial tilt of the first molar before and after treatment. After treatment, the average adduction distance of the incisors was MD=-0.82, 95% CI (-1.54, -0.09), and the decrease in lip inclination was MD=-1.61, 95% CI (-2.86, -0.36); these values were significantly different from those before treatment (P<0.05).@*Conclusion@#Invisible orthodontic appliances can effectively move the upper molars in a distal direction and control the vertical position of the molars. When the molars move further away, there is some degree of compression and distal tilt movement, which is beneficial for patients with high angles. The sagittal movement of incisors is beneficial for improving the patient's profile.

Invasive Wedelia trilobata Performs Better Than Its Native Congener in Various Forms of Phosphorous in Different Growth Stages.

At present, many hypotheses have been proposed to explain the mechanism of alien plants' successful invasion; the resource fluctuations hypothesis indicates that nutrient availability is a main abiotic factor driving the invasion of alien plants. Higher phosphorus utilization and absorption efficiency might be one of the important reasons for alien plants successful invasion. Wedelia trilobata, one of the notorious invasive weeds in China, possesses a strong ability to continue their development under infertile habitats. In this study, firstly, W. trilobata and its native congener, W. chinensis, were grown in various phosphorus forms to test their absorption efficiency of phosphorus. Secondly, the different responses of W. trilobata and W. chinensis to the insoluble phosphorus in three growth stages (at 30, 60, and 150 days cultivation) were also tested. The results showed that the growth rate, root morphology, and phosphorus absorption efficiency of W. trilobata under various insoluble, organic, or low phosphorus conditions were significantly higher than that of W. chinensis. During the short-term cultivation period (30 d), the growth of W. trilobata under insoluble and low phosphorus treatments had no significant difference, and the growth of W. trilobata in insoluble phosphorus treatment also had no significant effect in long-term cultivation (60 and 150 d). However, the growth of W. chinensis in each period under the conditions of insoluble and low phosphorus was significantly inhibited throughout these three growth stages. Therefore, invasive W. trilobata had a higher phosphorus utilization efficiency than its native congener. This study could explain how invasive W. trilobata performs under nutrient-poor habitats, while also providing favorable evidence for the resource fluctuations hypothesis.

Dose dependent effect of nitrogen on the phyto extractability of Cd in metal contaminated soil using Wedelia trilobata.

Cadmium (Cd) is one of the toxic heavy metal that negatively affect plant growth and compromise food safety for human consumption. Nitrogen (N) is an essential macronutrient for plant growth and development. It may enhance Cd tolerance of invasive plant species by maintaining biochemical and physiological characteristics during phytoextraction of Cd. A comparative study was conducted to evaluate the phenotypical and physiological responses of invasive W. trilobata and native W. chinensis under low Cd (10 µM) and high Cd (80 µM) stress, along with different N levels (i.e., normal 91.05 mg kg-1 and low 0.9105 mg kg-1). Under low-N and Cd stress, the growth of leaves, stem and roots in W. trilobata was significantly increased by 35-23%, 25-28%, and 35-35%, respectively, compared to W. chinensis. Wedelia trilobata exhibited heightened antioxidant activities of catalase and peroxidase were significantly increased under Cd stress to alleviate oxidative stress. Similarly, flavonoid content was significantly increased by 40-50% in W. trilobata to promote Cd tolerance via activation of the secondary metabolites. An adverse effect of Cd in the leaves of W. chinensis was further verified by a novel hyperspectral imaging technology in the form of normalized differential vegetation index (NDVI) and photochemical reflectance index (PRI) compared to W. trilobata. Additionally, W. trilobata increased the Cd tolerance by regulating Cd accumulation in the shoots and roots, bolstering its potential for phytoextraction potential. This study demonstrated that W. trilobata positively responds to Cd with enhanced growth and antioxidant capabilities, providing a new platform for phytoremediation in agricultural lands to protect the environment from heavy metals pollution.

A Green Approach Used for Heavy Metals 'Phytoremediation' Via Invasive Plant Species to Mitigate Environmental Pollution: A Review.

Heavy metals (HMs) normally occur in nature and are rapidly released into ecosystems by anthropogenic activities, leading to a series of threats to plant productivity as well as human health. Phytoremediation is a clean, eco-friendly, and cost-effective method for reducing soil toxicity, particularly in weedy plants (invasive plant species (IPS)). This method provides a favorable tool for HM hyperaccumulation using invasive plants. Improving the phytoremediation strategy requires a profound knowledge of HM uptake and translocation as well as the development of resistance or tolerance to HMs. This review describes a comprehensive mechanism of uptake and translocation of HMs and their subsequent detoxification with the IPS via phytoremediation. Additionally, the improvement of phytoremediation through advanced biotechnological strategies, including genetic engineering, nanoparticles, microorganisms, CRISPR-Cas9, and protein basis, is discussed. In summary, this appraisal will provide a new platform for the uptake, translocation, and detoxification of HMs via the phytoremediation process of the IPS.

Different Responses of Invasive Weed Alternanthera philoxeroides and Oryza sativa to Plant Growth Regulators.

Invasive plants cause a global loss of biodiversity, pose a major threat to the environment and economy, and also significantly affect agricultural production and food security. Plant growth regulators (PGRs) are widely used in agricultural production and might also affect invasive weeds distributed around crops in various ways. At present, there are few studies concerning whether there are significant effects of PGRs on invasive weeds. In this study, two widely used PGRs in paddy fields, gibberellic acid (GA) and paclobutrazol (PAC), were applied on Oryza sativa and a noxious weed Alternanthera philoxeroides, which is frequently distributed in paddy fields. The purpose of this study was to investigate if there are different responses of rice and weeds to these two plant regulators and the significant effects of PGRs on invasive weeds. The results showed that GA significantly promotes the total biomass of A. philoxeroides by 52.00%, but does not significantly affect that of O. sativa. GA significantly increases the growth of aboveground and belowground A. philoxeroides, but not that of O. sativa. On the other hand, PAC extremely inhibited the aboveground and belowground biomass of A. philoxeroides by more than 90%, but did not significantly inhibit the belowground biomass of O. sativa. PAC also enhanced the leaf nitrogen content and chlorophyll content of A. philoxeroides, but not the traits of O. sativa. Therefore, the effects of PGRs are significantly different between rice and the invasive weed. The potential promotion effects of PGRs on weeds that are frequently distributed in farmland warrant sufficient attention. This is probably one of the important reasons why invasive weeds can successfully invade the agricultural ecosystem with large human disturbance. This study might sound an alarm for weed control in paddy fields.