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The sinking of alkali cations in superfluid 4He nanodroplets is investigated theoretically using liquid 4He time-dependent density functional theory at zero temperature. The simulations illustrate the dynamics of the buildup of the first solvation shell around the ions. The number of helium atoms in this shell is found to linearly increase with time during the first stages of the dynamics. This points to a Poissonian capture process, as concluded in the work of Albrechtsen et al. on the primary steps of Na+ solvation in helium droplets [Albrechtsen et al., Nature 623, 319 (2023)]. The energy dissipation rate by helium atom ejection is found to be quite similar between all alkalis, the main difference being a larger energy dissipated per atom for the lighter alkalis at the beginning of the dynamics. In addition, the number of helium atoms in the first solvation shell is found to be lower at the end of the dynamics than at equilibrium for both Li+ and Na+, pointing to a kinetic rather than thermodynamical control of the snowball size for small and strongly attractive ions. [ABSTRACT FROM AUTHOR]

Background: This multicentre retrospective observational study aims to develop imaging-based prognostic and predictive models for relapsed/refractory (R/R) B-cell lymphoma patients undergoing CAR-T therapy by integrating clinical data and imaging features. Specifically, our aim was to predict 3- and 6-month treatment response, overall survival (OS), progression-free survival (PFS), and the occurrence of the immune effector cell-associated neurotoxicity syndrome (ICANS). Results: Sixty-five patients of R/R B-cell lymphoma treated with CAR-T cells in two centres were included. Pre-infusion [18F]FDG PET/CT scans and clinical data were systematically collected, and imaging features, including kurtosis, entropy, maximum diameter, standardized uptake value (SUV) related features (SUVmax, SUVmean, SUVstd, SUVmedian, SUVp25, SUVp75), total metabolic tumour volume (MTVtotal), and total lesion glycolysis (TLGtotal), were extracted using the Quibim platform. The median age was 62 (range 21–76) years and the median follow-up for survivors was 10.47 (range 0.20–45.80) months. A logistic regression model accurately predicted neurotoxicity (AUC: 0.830), and Cox proportional-hazards models for CAR-T response at 3 and 6 months demonstrated high accuracy (AUC: 0.754 and 0.818, respectively). Median predicted OS after CAR-T therapy was 4.73 months for high MTVtotal and 37.55 months for low MTVtotal. Median predicted PFS was 2.73 months for high MTVtotal and 11.83 months for low MTVtotal. For all outcomes, predictive models, combining imaging features and clinical variables, showed improved accuracy compared to models using only clinical variables or imaging features alone. Conclusion: This study successfully integrates imaging features and clinical variables to predict outcomes in R/R B-cell lymphoma patients undergoing CAR-T. Notably, the identified MTVtotal cut-off effectively stratifies patients, as evidenced by significant differences in OS and PFS. Additionally, the predictive models for neurotoxicity and CAR-T response show promising accuracy. This comprehensive approach holds promise for risk stratification and personalized treatment strategies which may become a helpful tool for optimizing CAR-T outcomes in R/R lymphoma patients. [ABSTRACT FROM AUTHOR]

In this work, we have analysed the different causes of admissions of stone martens (Martes foina), genets (Genetta genetta) and pine martens (Martes martes) in two rehabilitation centres in Castilla y León (Spain) during 32 years (1991–2022). The results indicate that the most important factor for stone martens was road kills with 227 martens (53.4 %) followed by electrocutions with 90 martens (21.2 %). From genets, 94 of them (68.6 %) were due to roadkill and 7 (5.1 %) were due to electrocution. The most important cause of admission for pine martens was road kills with 22 (88 %) and 1 (4 %) due to electrocution. Possible explanations for the observed high mortality of stone martens in electric pylons are discussed. [ABSTRACT FROM AUTHOR]

Reproductive strategies vary widely among bats, even within the same species. The molossid Tadarida teniotis has an intermediate latitudinal distribution between tropical bats and those of temperate zones. There are still some uncertainties about its migratory behaviour and reproductive mode that are not yet fully understood. Some authors believe that this species breeds in spring and is sedentary, while others propose a bimodal breeding cycle with occasional or partial migration. In this paper, these contradictory approaches are exposed, providing more data to help solving this controversy. The results of the species monitoring for several years verified the existence of harems in spring and summer-autumn in at least one location of its range (Valladolid, central Spain). In both periods and during several months, males were observed performing patrols and displaying aggressive behaviour towards male intruders. This may have been facilitated by the peaks in migratory moth abundance. For the late parturitions occurring in autumn/winter and in case of absence of deferred reproduction mechanisms, a sex-biased migration is necessary for, at least, the females who got pregnant during the autumn mating. Thus, the species appears to show greater reproductive and migratory complexity than previously thought. [ABSTRACT FROM AUTHOR]

Background/Objectives: Elevated RDW has emerged in cardiac surgery as a potential means of preoperative risk stratification with the capacity to predict short- and long-term postoperative mortality, acute kidney injury, and postoperative atrial fibrillation. The question as to whether perioperative hemodynamic instability may be predicted by such a marker remains a topic of ongoing debate. The aim of this study was to explore the relationship between preoperative RDW and prolonged postoperative catecholamine use in minimally invasive mitral valve surgery. Methods: We performed a retrospective monocentric cohort study in an academic hospital; we enrolled patients who had undergone minimally invasive mitral valve surgery (including both robot-assisted and non-robot-assisted procedures) between January 2019 and December 2022. We considered the use of inotropes and/or vasopressors for at least twelve hours after post-surgery ICU admission to qualify as the prolonged postoperative use of catecholamines (PPUC). The RDW was obtained from the routine full blood count analysis performed upon admission or a maximum of 72 h before surgery. We also performed a multivariable logistic regression analysis with PPUC as the dependent variable. Results: We finally enrolled 343 patients. Upon multivariate analysis, RDW >14.4% was independently associated with prolonged postoperative catecholamine use when compared to the reference group (OR 2.62 [1.06–4.84]; p = 0.03). Moreover, the EuroSCORE II score (OR 1.38 [1.03–1.85]; p = 0.03), the cross-clamp time (OR 1.01 [1.01–1.02]; p < 0.01), and robot-assisted mitral valve surgery (OR 0.53 [0.30–0.93]; p < 0.03) were independently associated with the prolonged postoperative use of catecholamines. Conclusions: This study identified that an elevated preoperative RDW (>14.4%), the EuroSCORE II score, and the cross-clamp time independently predict prolonged postoperative catecholamine use in minimally invasive mitral valve surgery patients. Conversely, the robot-assisted approach was associated with a smaller hemodynamic impairment. [ABSTRACT FROM AUTHOR]

Background/Objectives: To describe the pseudochamber-protected keratoplasty (PPK) procedure with the new Endo-K Pro® implant technique and report the clinical outcomes in patients at high risk for penetrating keratoplasty (PKP). Methods: This case series study included patients who required a PKP and had a high risk for corneal transplant failure. All cases underwent the PPK procedure with simultaneous Endo-K Pro® implantation and had a minimum follow-up of 12 months. Graft survival was the primary outcome (defined as a clear graft with an endothelial cell density >500 cells/mm2). Central corneal thickness (CCT), corrected distance visual acuity (CDVA), intraocular pressure (IOP), and complication rate were the secondary outcomes. Results: Twenty-five eyes (twenty-five patients) were included. The mean follow-up was 23.64 ± 8.2 months (range: 12–36 months). Graft survival was achieved in 23 of the 25 cases (92%). One eye had to be re-transplanted due to persistent oedema secondary to uncontrolled IOP. In two cases (8%), the graft failed three months after surgery when an anterior pseudochamber collapsed due to direct contact of donor endothelium and host tissue. Six eyes experienced host tissue protrusion that was successfully managed using an Nd: YAG laser (two eyes) or injecting a cohesive viscoelastic into the pseudochamber (four eyes). CDVA increased significantly during the follow-up period. No significant changes were found in IOP. No intra- or postoperative complications were reported. Conclusions: PPK with the Endo-K Pro® implant seems to be an effective and safe surgical approach as an alternative in high-risk patients for PKP, allowing full-thickness corneal transplantation without performing an open-sky procedure. [ABSTRACT FROM AUTHOR]

This article examines the management of benign airway stenosis in patients with COVID-19. The study compares the results of endoscopic dilation as a treatment for airway stenosis in COVID-19 patients to a control group. The study finds that COVID-19 infection does not negatively impact the success of endoscopic treatment and there is no significant difference in recurrence rates between the COVID-19 group and the control group. The article provides detailed information on the study design, patient data, endoscopic procedures, and statistical analysis. Another study discussed in the article focuses on the management and recurrence of laryngotracheal stenosis (LTS) in COVID-19 patients compared to those without COVID-19. The study finds that COVID-19 patients have a longer intubation time and a lower rate of tracheostomy compared to the control group. The recurrence rate of LTS is similar between the two groups, and COVID-19 infection is not a significant predictive factor for recurrence. Subglottic stenosis and the use of laser are identified as independent prognostic factors for stenosis recurrence. The study concludes that the endoscopic treatment for COVID-19 patients with simple tracheal stenosis should be similar to that for the general population. However, the study acknowledges limitations such as a small sample size and the lack of a standardized treatment protocol. [Extracted from the article]

In most persons, human parvovirus B19 (B19) causes a mild respiratory illness, but infection can result in adverse health outcomes in persons who are pregnant, immunocompromised, or who have chronic hemolytic blood disorders. During the first quarter of 2024, several European countries reported increases in B19 activity. In the United States, there is no routine surveillance for B19. To assess increases in B19 activity in the United States, trends in testing and results from two independent populations were examined: 1) the presence of immunoglobulin (Ig) M antibodies, a marker of recent infection, in clinical specimens ordered by physicians and 2) B19 nucleic acid amplification testing (NAAT) in pooled donor source plasma from a large commercial laboratory during 2018–2024. The proportion of IgM-positive clinical specimens reached 9.9% in the second quarter (Q2) of 2024 after remaining <1.5% during 2020–2023 and was higher than Q2 peaks in 2018 (3.8%, p<0.001) and 2019 (5.1%, p<0.001). The prevalence of B19–NAAT-positive donor pools (512 donations per pool) reached 20% in June 2024 after remaining <2% during 2020–2023 and was higher than peaks in 2018 (6.7%, p<0.001) and 2019 (7.3%, p<0.001). Considering the B19 activity increase in the United States in 2024, promotion of measures to prevent respiratory viruses and monitor for adverse B19-related outcomes by health care providers and public health authorities might reduce adverse health outcomes in pregnant persons and others at increased risk. [ABSTRACT FROM AUTHOR]

Background: Ehrlichiosis and anaplasmosis are vector-borne bacterial diseases produced by intracellular rickettsial species of the genus Ehrlichia and Anaplasma. Ehrlichia canis and Anaplasma spp. (A. platys and A. phagocytophilum) have reported cases of zoonotic transmision and are the main bacterial agents of canine ehrlichiosis and anaplasmosis. They normally present an asymptomatic or mild course in domestic and wild animals with some lethal cases reported. The main vector of these diseases in Europe are the castor bean tick (Ixodes ricinus) and the brown dog tick (Rhipicephalus sanguineus), although only in the latter, the main host is the domestic dogs. The aim of this work is to apply an integrative approach to convert ecological niche models (ENMs) into potential transmission risk models and understand the relative contribution of the two potential vectors (R. sanguineus and I. ricinus) to spread both diseases in the Iberian Peninsula and Balearic Islands. Results: Two ENMs meeting all criteria were successfully generated for R. sanguineus and I. ricinus with human footprint being the most relevant explanatory variable. The novelty of the study lies in the combination of independent ENMs for both species to estimate the disease transmission risk of specific bacteria (E. canis, A. platys and A. phagocytophilum). Only the transmission risk maps that had higher contribution of R. sanguineus than I. ricinus showed relevant and positive significant correlations between risk and seroprevalence in either of the two species of bacteria (R ≥ 0.4; p < 0.05). Regarding Anaplasma spp., the map having 10% contribution of I. ricinus (10I) and 90% of R. sanguineus (90R) inferred 47.4% of infected dogs in very high-risk areas. In the case of E. canis, the model showing a proportion of 25I-75R showed better validation power (53.4% of infected dogs in very high-risk areas). Conclusion: The validation approach used in this study produced a good approximation to understand the relative contribution of the two tick species in bacterial disease transmission in dogs in the Iberian Peninsula and Balearic Islands. Rhipicephalus sanguineus appears as the main transmitter of both diseases in the study area (90% and 75% for anaplasmosis and ehrlichiosis respectively), in accordance with its higher abundance and host preference. This estimate may help veterinary staff, clinicians and owners to optimize the control of these diseases in certain vulnerable areas, and thus reduce the risk of infection in risk areas. [ABSTRACT FROM AUTHOR]

Ni/TiO2 catalysts are efficient and cost‐effective for photothermal CO2 hydrogenation. However, the achieved CO/CH4 ratio strongly depends on the specific characteristics of these catalysts. To further ascertain the role of metal dispersion and photoactivation on selectivity, in this work we investigate the impact of Ni loading over high surface area anatase on the photothermal performance. Catalysts with 3 and 10 wt. % of Ni prepared by incipient wetness impregnation show initial good dispersion of the metal, although after activation in H2 metallic Ni nanoparticles are observed for 10 %Ni/TiO2. This last catalyst demonstrates superior CO2 hydrogenation activity at high temperature, but below 200 °C it is overpassed by the catalyst with 3 wt % Ni/TiO2. The selectivity varies remarkably with Ni loadings. Thus, at 350 °C about 93 % of methane is obtained over 10 wt.% Ni/TiO2, while 3 %Ni/TiO2 yields about 97 % of CO. Low‐intensity UV irradiation enhances performance, particularly at temperatures below 200 °C, where an increment in the production of methane of up to 75 % is observed for 3 wt.% Ni/TiO2 at 200 °C. These results highlight the influence of metal dispersion, along with irradiation on modulating the selectivity of the photothermal CO2 hydrogenation. [ABSTRACT FROM AUTHOR]

In this study, sustainable nanoporous carbon materials that are efficient, renewable, cost-effective and adaptable were developed. These microporous feature carbon adsorbents were synthesized utilizing a straightforward and efficient method. Plum stones are residual fruit materials that offer a financially feasible and sustainable carbon source with exceptional porosity and desirable elemental composition. The plum stones underwent carbonization and were subsequently chemically modified with polyaniline nanofibers and then subjected to chemical activation using different activating agents. This yielded sustainable nanoporous carbon with a high degree of porosity, in conjunction with doping with precious high electron density elements such as O, N and S. The sustainable nanoporous carbons that have been developed exhibits exceptional microporosity, with BET-SSA of 1705 m2 g−1 and a pore volume of 0.726 cm3 g−1, besides, the dominance of ultramicropores of 0.6 nm size. This in addition to convenient doping of oxygen, nitrogen and sulfur elements which are crucial for H 2 uptake. The developed nanoporous carbon demonstrated highly promising capabilities for storing H 2 molecules at cryogenic and ambient temperatures. The sustainable adsorbent achieved hydrogen storage capacities of 4.63 and 0.45 wt% at 77, 296 K, and a pressure of 40 and 80 bar, respectively. This H 2 storage capacity at RT is often regarded as one of the highest reported in the literature for nanoporous adsorbents. Moreover, study investigated the separation selectivity of developed adsorbents for CO 2 /H 2 based on uptake ratio at 30 bar and RT. The results demonstrated a significant separation selectivity reaching a value of 382.5 for the CO 2 /H 2 , which is regarded as one of the most elevated values documented in the existing literature for nanoporous carbon materials. Thus, the presented sustainable nanoporous materials have shown great promise for hydrogen storage, pre-combustion CO 2 capture and H 2 purification applications at ambient temperature. • Sustainable and cost-effective microporous carbons were developed. • Plum stones and their composites with nanofibers were used as renewable carbon precursor. • Efficient nanoporous carbon with high SSA and doped with precious heteroatoms were developed. • Ultra-micropores doped with O and N were engineered for high H 2 uptake at RT. • Outstanding H 2 uptake values of 4.63 and 0.45 wt% at 77, 296 K, were achieved. [ABSTRACT FROM AUTHOR]

Cutaneous mycoses are common infections whose treatment has become more complex due to increasing antifungal resistance and the need for prolonged therapies, hindering patient adherence and increasing the incidence of adverse effects. Consequently, the use of physical therapies, especially photodynamic therapy (PDT), has increased for the treatment of onychomycosis due to its antimicrobial capacity being mediated by the production of reactive oxygen species. This study investigates the in vitro effect of applying blue light (448 nm) or red light (645 nm), alone or together with terbinafine, on the viability of human keratinocytes and the production of reactive oxygen species. The combination of terbinafine and blue light significantly increases ROS production and caspase-3 expression, while red light together with terbinafine increases catalase, superoxide dismutase (SOD) and PPARγ expression, which reduces the amount of ROS in the cultures. The effect of both treatments could be useful in clinical practice to improve the response of cutaneous mycoses to pharmacological treatment, reduce their toxicity and shorten their duration. [ABSTRACT FROM AUTHOR]

Background: The increasing integration of AI in chest X-ray evaluation holds promise for enhancing diagnostic accuracy and optimizing clinical workflows. However, understanding its performance in real-world clinical settings is essential. Objectives: In this study, we evaluated the sensitivity (Se) and specificity (Sp) of an AI-based software (Arterys MICA v29.4.0) alongside a radiology resident in interpreting chest X-rays referred from the emergency department (ED), using a senior radiologist's assessment as the gold standard (GS). We assessed the concordance between the AI system and the resident, noted the frequency of doubtful cases for each category, identified how many were considered positive by the GS, and assessed variables that AI was not trained to detect. Methods: We conducted a retrospective observational study analyzing chest X-rays from a sample of 784 patients referred from the ED at our hospital. The AI system was trained to detect five categorical variables—pulmonary nodule, pulmonary opacity, pleural effusion, pneumothorax, and fracture—and assign each a confidence label ("positive", "doubtful", or "negative"). Results: Sensitivity in detecting fractures and pneumothorax was high (100%) for both AI and the resident, moderate for pulmonary opacity (AI = 76%, resident = 71%), and acceptable for pleural effusion (AI = 60%, resident = 67%), with negative predictive values (NPV) above 95% and areas under the curve (AUC) exceeding 0.8. The resident showed moderate sensitivity (75%) for pulmonary nodules, while AI's sensitivity was low (33%). AI assigned a "doubtful" label to some diagnoses, most of which were deemed negative by the GS; the resident expressed doubt less frequently. The Kappa coefficient between the resident and AI was fair (0.3) across most categories, except for pleural effusion, where concordance was moderate (0.5). Our study highlighted additional findings not detected by AI, including 16% prevalence of mediastinal abnormalities, 20% surgical materials, and 20% other pulmonary findings. Conclusions: Although AI demonstrated utility in identifying most primary findings—except for pulmonary nodules—its high NPV suggests it may be valuable for screening. Further training of the AI software and broadening its scope to identify additional findings could enhance its detection capabilities and increase its applicability in clinical practice. [ABSTRACT FROM AUTHOR]

Background: In recent years, in case of aortic valve replacement (AVR), a significant increase in the use of bioprostheses has been observed. The Perceval sutureless bioprosthesis has proven to be safe and reliable in the short and mid-term, with limited but promising long-term results. An updated systematic review with the long-term results of patients who underwent a sutureless bioprosthesis implantation with a Perceval biological valve is herewith presented. Methods: Studies published between 2015 and 2024, including the long-term outcomes—with clinical as well as echocardiographic information for up to five years—of patients who underwent a Perceval implantation for AVR were selected from the published literature. The Cochrane GRADE system was used to assess the study quality, and the risk of bias in non-randomized studies (ROBINS-I) tool was used to evaluate studies. Results: Ten studies were selected with an overall number of 5221 patients. The long-term survival ranged from 64.8 to 87.9%, freedom from structural valve degeneration (SVD) from 96.1 to 100%, freedom from significant paravalvular leak from 98.5 to 100%, freedom from prosthetic endocarditis from 90.7 to 99%, and freedom from reintervention from 94 to 100%. The long-term mortality ranged from 6.5 to 27.4%. SVD was observed in 0–4.8% patients. Significant paravalvular leak was observed in 0–3.4% patients, and infective endocarditis was observed in 0–3.4%. A bioprosthesis-related reintervention at long-term follow-up was required for 0–4.3% of patients, and 1.7–7.1% of patients required a late new pacemaker implantation. The transprosthetic mean pressure gradient ranged from 9 to 14.7 mmHg, peak pressure gradient ranged from 17.8 to 26.5 mmHg, and EOA ranged from 1.5 to 1.7 cm2. Conclusions: This systematic review shows that there is still a paucity of data about sutureless bioprostheses. Nevertheless, the clinical results from prospective studies or retrospective series are encouraging. Medium- and long-term results seem to support the increasing use of this type of prosthesis. [ABSTRACT FROM AUTHOR]

We demonstrate a new tomographic imaging device for 2D cross-sectional and 3D volumetric images of the anterior eye segment. The optical system combines optical sectioning with a stereoscopic camera setup to determine the true spatial location of the ocular structures. Moreover, we propose a calibration procedure to estimate the triangulation function that links the stereo camera pixel indices with the eye-referenced 3D spatial coordinates. The proposed instrument will image the entire anterior chamber and contiguous structures, including the corneal limbus, sclera and eyelids. Furthermore, the system can obtain corneal topography. Finally, we studied the repeatability of the instrument and its agreement with a commercial Scheimpflug imaging tomographer in a group of healthy subjects. [ABSTRACT FROM AUTHOR]

It is estimated that at least 25 % of the anthropogenic carbon dioxide (CO 2) emitted to the atmosphere since the start of the industrial revolution has been absorbed and dissolved by the oceans. The uptake of CO 2 by the oceans leads to an increase in the seawater proton concentration ([H+]), and decreases in seawater pH, carbonate ion concentration ([CO 3 2–]), and saturation state (Ω) with respect to calcium carbonate (CaCO 3) minerals; a process commonly referred to as "ocean acidification". Shallow-water (<200 m), high-magnesium, biogenic calcites are expected to be amongst the first to respond to ocean acidification, and it has been proposed that they will dissolve selectively and sequentially according to their solubility in seawater. In this study, we test this competitive dissolution hypothesis by reacting a mixture of biogenic and synthetic carbonates of varying Mg content with acidified, natural seawater to simulate the progressive acidification of surface-ocean waters by anthropogenic CO 2. The results of this study confirm the hypothesis that carbonates will dissolve sequentially according to their respective solubility. They also reveal that the dissolution of high Mg-calcites will proceed incongruently. The originality of this contribution rests with the demonstration that the presence of a single high Mg-calcite will generate, like in a sediment of mixed mineralogy, a continuum of transient states as lower Mg-calcites of greater stability are precipitated and dissolved. Consequently, in a semi-closed or closed system, the pH buffering of the acidified seawater solution will be progressive rather than occur in steps according to changes in the solubility of the individual carbonate phases that compose a sediment. Hence, we expect that, as the oceans take up more anthropogenic CO 2 and further acidify, the average mineralogy and composition (Mg content) of shallow-water carbonate sediments and reef structures will change over the next few centuries as the most soluble carbonate phases (high-Mg calcites) are dissolved and no longer precipitated. [ABSTRACT FROM AUTHOR]

This study explores the perceived effects of a home-based end-of-life social care program in palliative care in Spain, from the perspective of caregivers. A qualitative study using semi-structured interviews with 75 caregivers from the INTecum project. Non-probability purposive sampling was used to recruit the study participants. The analytical process followed a thematic analysis. Caregivers expressed several factors that were influential in reducing stress and anxiety. Knowing that they can count on a case manager in a situation of need was highlighted as very positive. Another important factor that helped to create a positive sense of security was the speed of the project in offering its services. One of the problems that arose was the lack of support in situations where a transition between home and hospital care was required. Aspects such as listening and kindness, and affection, are highlighted in a very positive way. In addition to the final desires, caregivers also recognized that it was important for professionals to take their relative’s wishes into account when making decisions. Incorporating a psychosocial component in palliative care for both patients and family caregivers is recognized and such actions are recommended, as well the strengthening of social and health care coordination. [ABSTRACT FROM AUTHOR]

We demonstrate a new tomographic imaging device for 2D cross-sectional and 3D volumetric images of the anterior eye segment. The optical system combines optical sectioning with a stereoscopic camera setup to determine the true spatial location of the ocular structures. Moreover, we propose a calibration procedure to estimate the triangulation function that links the stereo camera pixel indices with the eye-referenced 3D spatial coordinates. The proposed instrument will image the entire anterior chamber and contiguous structures, including the corneal limbus, sclera and eyelids. Furthermore, the system can obtain corneal topography. Finally, we studied the repeatability of the instrument and its agreement with a commercial Scheimpflug imaging tomographer in a group of healthy subjects. [ABSTRACT FROM AUTHOR]

The diversity and abundance of vectors are essential parameters in the transmission dynamics of West Nile virus (WNV) between its avian reservoirs and clinically susceptible mammalian species. Knowing the determinants of vector abundance could be thus useful in preventing West Nile fever (WNF) cases and associated socio‐economic impact. We designed a survey at the wildlife–livestock interface to test the hypothesis that variations in environmental favourability between anthropized and wild scenarios modulate WNV vector abundance and transmission risk. In a continental Mediterranean region where WNF has recently emerged, we selected nine sampling sites and allocated three areas to every site with a decreasing gradient of wildlife–livestock interaction: A1—a horse farm where interaction is maximal; A2—a zone of intermediate interaction 500–1000 m from the farm; and A3—an entirely wild zone of low interaction 1–5 km from the farm. At a fortnightly frequency, we estimated mosquito abundance at each of the 27 study sites in May–December 2018 and April–July 2019. We estimated bird and mammal abundance, collected meteorological information and characterised mosquito habitat at the site scale. Thereafter, we studied the determinants of Culex spp., Culex pipiens sensu lato (s.l.) Linnaeus, 1758 (Diptera: Culicidae) and Culex theileri  Theobald, 1903 abundance by constructing negative binomial generalised linear mixed models. We identified 20 mosquito species, with a notable predominance of Culex spp. and, particularly, of Cx. pipiens s.l. We found differences in the spatiotemporal distribution of Culex spp. abundance and confirmed our hypothesis by finding important effects of local environmental variations in abundance. The accumulated rainfall in fortnights 4–14 and the mean temperature of the two fortnights before sampling were positively and statistically significantly associated with the abundance of Cx. pipiens s.l. (Z = 13.09, p < 0.001, and Z = 9.91, p < 0. 001, respectively) and Culex spp. (Z = 13.35, p < 0.001, and Z = 6.99, p < 0.001, respectively), while the mean temperature of the two previous fortnights was a positive statistically significant predictor (Z = 14.69, p < 0.001) of the abundance of Cx. theileri. The farm environment was the most conducive predictor to hosting Culex spp. compared with wild settings. Our results indicate that continental Mediterranean environments are favourable for WNV circulation and maintenance, especially the environment of anthropized rural settings such as farms. These results will have an impact on the spatiotemporal risk prediction of WNF emergence in continental Mediterranean environments. [ABSTRACT FROM AUTHOR]

Background: Sarcopenia, a syndrome characterized by age-related loss of muscle mass and function, lacks universally accepted diagnostic criteria, particularly for its role as a prognostic factor in elderly patients with non-small-cell lung cancer (NSCLC). This study aimed to evaluate the prognostic significance of sarcopenia, assessed by psoas muscle size on baseline CT scans, in patients over 70 years of age with metastatic NSCLC. Methods: We retrospectively analyzed 85 elderly patients undergoing palliative radiation therapy between August 2022 and July 2024. Using morphometric analysis of psoas size, we investigated its correlation with overall survival (OS) and progression-free survival (PFS). Results: Our results showed that decreased psoas size was significantly associated with shorter OS and PFS, with median OS of 10 months and PFS of 4 months in sarcopenic patients compared to longer survival times in non-sarcopenic patients. Median survival of non-sarcopenic vs. sarcopenic patients was 21 ± 7 months (muscle area > median) versus 5 ± 2.3 months (muscle area < median). Multivariate analysis confirmed that psoas size, along with ECOG performance status and treatment of primary NSCLC, was a significant predictor of survival. Discussion: These findings suggest that psoas muscle size is a valuable prognostic marker for elderly NSCLC patients, potentially guiding treatment decisions and patient management. Further research is needed to validate these results and refine prognostic models for this population. [ABSTRACT FROM AUTHOR]

The aim of this study was to examine the relationship between different screen time (ST)-related behaviors and mental health conditions such as depression, anxiety, and stress. In addition, this study aimed to determine the moderating role of socioeconomic status (SES). This was a cross-sectional study and included data from 620 adolescents, aged 12–17 years, from the Valle de Ricote, Region of Murcia, Spain. Mental health was assessed using the Depression, Anxiety, and Stress Scale (DASS-21). Overall ST, mobile phone use, social network use, and messaging application use were measured using validated questionnaires. SES was assessed using the Family Affluence Scale-III. The results indicated that overall ST was significantly associated with symptoms of depression at the mean SES (unstandardized beta coefficient [B] = 0.005, p = 0.023) and 1 standard deviation (SD) below the mean (B = 0.007, p = 0.011), and with stress only 1 SD below the mean (B = 0.006, p = 0.011). No significant associations were found for anxiety and stress across all socioeconomic levels. Mobile phone use exhibited a strong positive association with symptoms of depression (B = 0.891, p < 0.001), anxiety (B = 0.530, p = 0.014), and stress (B = 0.790, p < 0.001) at 1 SD below the mean SES. Similar patterns were observed for mean SES, albeit with slightly weaker associations. Conversely, social network use was positively associated with all three DASS-21 scales, particularly at 1 SD below the mean SES, with the strongest associations found for symptoms of depression (B = 0.327, p < 0.001), anxiety (B = 0.325, p < 0.001), and stress (B = 0.318, p < 0.001). Furthermore, messaging application use did not show significant associations with symptoms of depression, anxiety, or stress across any SES levels. In conclusion, social inequalities may influence the associations between various ST-related behavior and symptoms of depression, anxiety, and stress among adolescents. These findings may have implications for the design of effective interventions to improve symptoms of depression, anxiety, and stress in this population. [ABSTRACT FROM AUTHOR]

Background: Older women experience more adverse drug reactions (ADRs) than older men. However, the underlying basis for this sex difference is unclear. Sex (biological status) and/or gender (sociocultural constructs) influences on patterns of inappropriate prescribing in multimorbid older adults may be one reason for this ADR sex difference. In this secondary analysis, we examined whether incident ADR sex differences could be related to concurrent sex differences in potentially inappropriate prescribing. Design and Setting: A retrospective secondary analysis of sex differences in the prevalence of potentially inappropriate medications (PIMs), potential prescribing omissions (PPOs), and ADRs among the 1537 participants (47.2% female, median [IQR] age 78 [72–84] years) was undertaken in the SENATOR clinical trial database, conducted in six large European medical centers. Participants and Methods: We looked specifically for male/female differences relating to PIMs and PPOs (defined by STOPP/START version 2 criteria) identified within 48 h of acute hospitalization. We also assessed sex differences for ADRs identified at 14 days from admission or discharge, whichever came first. ADRs were assessed by blinded endpoint adjudication panel consensus. Results: During hospitalization, significantly more females experienced ≥1 ADR compared to males (28% and 21%, respectively; odds ratio 1.40, 95% CI 1.10–1.78, p < 0.005). Nine of the 11 STOPP‐criteria PIMs showing a significant sex difference occurred more often in females. Of the four START‐criteria PPOs showing a significant sex difference, all occurred more often in females. Some sex‐associated PIMs reflect higher prevalence of related conditions in older women. Conclusion: We conclude that specific STOPP‐criteria PIMs and START‐criteria PPOs were identified more frequently in older women than older men during acute hospitalization, possibly contributing to higher ADR incidence in older women. Prescribers should appreciate sex differences in exposure to potentially inappropriate prescribing and ADR risk, given the preponderance of older women over older men in most clinical settings. [ABSTRACT FROM AUTHOR]

Objectives: To compare early implant placement (EP) to alveolar ridge preservation and delayed implant placement (ARP/DP) in terms of contour changes, along with clinician‐ and patient‐reported outcome measures (PROMs) until the delivery of the implant‐supported restoration. Materials and Methods: Patients with a failing single tooth in the maxilla or mandible were recruited in two centres. After tooth extraction, patients were randomly assigned (1:1) to either EP or ARP/DP. At abutment connection and crown delivery, the buccal contour changes at 3 mm below the mucosal margin (primary outcome) along with clinician‐ (ease of treatment) and patient‐reported outcomes were assessed using numeric rating scales and OHIP‐14. Results: A total of 46 patients were analysed. The mean buccal contour at abutment connection decreased by −1.2 ± 0.6 mm in group EP and −1.6 ± 0.8 mm in group ARP/DP (estimated mean difference; 0.45 [95%CI, −0.02; 0.94]; p =.061) with no significant differences between the groups. ARP/DP was consistently easier than EP across all stages of the surgery (estimated mean difference; 2.0 [95%CI, 1.3; 2.7] p <.001): during flap elevation (EP: 4.8 vs. ARP/DP: 1.6), implant placement (EP: 5.7 vs. ARP/DP: 2.2) and wound closure (EP: 3.4 vs. ARP/DP: 1.6). Both interventions improved quality of life but patients who underwent ARP/DP were significantly more satisfied at the time of crown delivery (ARP/DP: 9.6 vs. EP: 9.1, p =.02). Conclusions: EP and ARP/DP show no significant differences in buccal contour changes, aesthetics and patient‐reported outcomes. However, ARP/DP is an easier procedure at all stages of the surgery compared to EP and could therefore be the preferred therapy for less experienced clinicians. [ABSTRACT FROM AUTHOR]

Objectives: Can the type of implant rehabilitation influence peri-implant bone loss in case of full-arch mandibular prosthesis? The purpose of the study was to assess, using orthopantomograms (OPGs), the bone loss around implants in different types of implant-supported prosthetic rehabilitations and identify potential risk factors, associated with the number and location of implants, that may have an association with bone defects. Methods: A radiographic study was conducted on 22,317 OPGs from 2010 to 2024. All OPGs with implant-supported prosthetic mandibular rehabilitations were included in the study. Results: A total of 155 OPGs were evaluated, with peri-implant bone loss identified in 64 (41.3%). Distal implants (furthest from the center) across various positioning patterns were most susceptible to bone loss, with positions 3.6 and 4.6 demonstrating the most frequent occurrence (25 and 26 cases, respectively). The χ2 test revealed significant associations between both the implant positioning pattern (p < 0.001) and number of implants (p < 0.001) with peri-implant bone loss. Also, by updating the sample of OPGs, increased susceptibility to bone resorption was found for implants placed distal to the mental foramen compared to mesial ones in full-arch-implant-supported fixed prostheses. Conclusions: Prospective clinical studies will therefore be useful in investigating this finding further. [ABSTRACT FROM AUTHOR]

Chatbots, or conversational robots, have become a strategy or support tool for urologic patient care, diagnostic communication, and treatment. With regard to patients, studies have shown that chatbots can answer medical questions with similar percentages of acceptability as urologists. In addition, they can contribute to patient education, allowing them to ask questions that do not arise during medical consultation. They have also proven to be good tools for health promotion and disease prevention. These benefits can also serve doctors, as robots can support medical consultation and the reading of medical records, making patient care more efficient; however, there are several limitations, including the accuracy of bot-generated answers and the acceptability that urologists give to this type of tool. [ABSTRACT FROM AUTHOR]

Purpose: This study introduces and evaluates the sitting lateral canal maneuver (SLCM), a novel seated repositioning technique for treating geotropic lateral canal benign paroxysmal positional vertigo (BPPV). Methods: We conducted a retrospective chart review at the Hospital of Salerno, focusing on 26 patients diagnosed with geotropic LC-BPPV between 2021 and 2022. The SLCM was applied, and its efficacy was assessed based on the resolution of nystagmus and vertigo symptoms. A 95% confidence interval was calculated to estimate the success rate. Results: The SLCM demonstrated a high success rate, with 22 out of 26 patients (approximately 85%, 22/26 patients) showing positive outcomes. The 95% confidence interval for the success rate ranged from approximately 65.02–100%. These findings suggest that SLCM is a potentially effective intervention for LC-BPPV, especially beneficial for patients who find traditional supine or lateral maneuvers uncomfortable. Conclusion: The SLCM represents a promising alternative to traditional BPPV maneuvers, especially for patients requiring a seated approach. While the initial results are encouraging, further research with larger sample sizes and longer follow-up periods is needed to validate its efficacy and explore its full potential in the management of LC-BPPV. Level of evidence: This study represents a Level IV source of evidence, as defined by the evidence-based practice guidelines. It is a retrospective chart review that involves a moderate cohort of patients diagnosed with geotropic horizontal positional nystagmus consistent with lateral canal benign paroxysmal positional vertigo (LC-BPPV). While the study provides valuable insights into the efficacy of the sitting lateral canal maneuver (SLCM) and contributes to the existing literature on BPPV management, it is important to note the inherent limitations associated with this level of evidence. [ABSTRACT FROM AUTHOR]

Efficiently determining the properties of the rock mass is essential for evaluating tunnel stability in tunneling projects. The back-analysis technique is commonly employed as an indirect approach for deriving rock mass parameters from field information. However, many back-analysis approaches are often time-consuming in numerical simulations and rely exclusively on monitoring data. This can lead to the identification of rock mass parameters that may not fully represent the characteristics of the surrounding rock. To improve the accuracy of prediction on the tunnel displacement during the tunnel excavation process, this study proposes a probabilistic back-analysis framework to update geo-mechanical parameters. A model based on the matrix-variate deep Gaussian process (MVDGP) and Nesterov-accelerated adaptive moment estimation algorithm (Nadam) is proposed to replace the finite element model to improve its computational efficiency. Initially, a training framework based on ABAQUS–MVDGP is used to conduct the training and evaluation. Subsequently, considering the uncertainty of the geo-mechanical parameters, a probabilistic back analysis is implemented by using the Bayesian theory. Finally, variational inference is used to solve the joint posterior distribution of the geo-mechanical parameters. A rock tunnel is chosen to illustrate the efficacy of the proposed framework. The findings indicate that utilizing the mixed types of monitoring data for vault settlement and convergence enhances the forecasting performance of MVDGP compared to models relying on a single type of monitoring data. The more stable the field monitoring data, the more conducive it is to conduct the back analysis of geo-mechanical parameters of rocks. Furthermore, the comparative results reveal that the presented method demonstrates superior prediction accuracy compared to existing back-analysis models. Highlights: A novel probabilistic back-analysis framework based on matrix-variate deep Gaussian process (MVDGP), Nadam and Bayesian theory provides a significant method for identifying and determining rock mass parameters. Compared to single types of data, mixed types of data have better predictive performance in the MVDGP. The more stable the field monitoring data, the better is the performance of probabilistic back-analysis framework. MVDGP performs better than backpropagation neural network (BPNN), multiple output Gaussian process (MOGP), multi-output support vector regression, and proper orthogonal decomposition and artificial neural network (POD–ANN). [ABSTRACT FROM AUTHOR]

Studies have shown that kind school climates are linked to positive psychological outcomes. Yet, there is scant evidence on how school kindness relates to subjective and objective measures of academic success. This research addresses this gap by examining the associations of school kindness with academic achievement and engagement using cross-sectional (Study 1) and longitudinal (Study 2) designs among Filipino high school students. Study 1 demonstrated that school kindness positively predicted agentic, behavioral, cognitive, and emotional engagement after controlling for demographic covariates and dispositional kindness. School kindness marginally predicted subjective academic performance. Study 2 showed that Time 1 school kindness positively predicted Time 2 behavioral engagement even after controlling for demographic covariates and auto-regressor effects. Results suggest that fostering kindness in school can be a potential route to facilitate students' active participation in academic activities. [ABSTRACT FROM AUTHOR]

Type 1 diabetes (T1D) results from β-cell destruction due to autoimmunity. It has been proposed that β-cell loss is relatively quiescent in the early years after seroconversion to islet antibody positivity (stage 1), with accelerated β-cell loss only developing around 6–18 months prior to clinical diagnosis. This construct implies that immunointervention in this early stage will be of little benefit, since there is little disease activity to modulate. Here, we argue that the apparent lack of progression in early-stage disease may be an artifact of the modality of assessment used. When substantial β-cell function remains, the standard assessment, the oral glucose tolerance test, represents a submaximal stimulus and underestimates the residual function. In contrast, around the time of diagnosis, glucotoxicity exerts a deleterious effect on insulin secretion, giving the impression of disease acceleration. Once glucotoxicity is relieved by insulin therapy, β-cell function partially recovers (the honeymoon effect). However, evidence from recent trials suggests that glucose control has little effect on the underlying disease process. We therefore hypothesize that the autoimmune destruction of β-cells actually progresses at a more or less constant rate through all phases of T1D and that early-stage immunointervention will be both beneficial and desirable. Article Highlights: The process of autoimmune destruction of insulin-producing beta-cells in type 1 diabetes (T1D) begins long before the onset of clinical symptoms. Most studies in preclinical T1D have used an oral glucose tolerance test (OGTT) and concluded that β-cell loss occurs late; however, the OGTT underestimates β-cell function in the earliest preclinical stage (stage 1). Loss of β-cell function is said to accelerate around the time of clinical diagnosis, but this is likely attributable to glucotoxicity rather than an acceleration of the autoimmune process. We conclude that autoimmune-mediated β-cell loss is likely progressive throughout the preclinical period, and immunointervention efforts should focus on time points earlier in the process. [ABSTRACT FROM AUTHOR]

Parasitic diseases caused by Cysticercus tenuicollis significantly impact the livestock industry. The quantification of such impacts presents challenges due to the handling of data obtained through modern molecular techniques. This investigation explores the application of neutrosophic cluster analysis to the study of Cysticercus tenuicollis DNA. Neutrosophic clustering and the use of linguistic terms help interpret analyses, employing a five-step neutrosophic clustering algorithm: selection of the clustering algorithm, definition of distance metrics, data preparation, algorithm execution, and examination of results. Samples from 20 sheep exhibiting liver cysts were collected in Cotopaxi Province, Ecuador. The analysis resulted in a neutrosophic cluster where one group displayed low truth and falsity values but a moderate level of indeterminacy. The stability of the clusters was evaluated using the Adjusted Rand Index (ARI) with 100 bootstrapping repetitions, yielding a moderate value of approximately 0.52, which implies that the detected cluster structures are robust and representative of the underlying patterns in the data. The clusters show a clear differentiation based on the initial DNA concentration. Samples with high DNA concentrations tend to group together, suggesting that the quality and quantity of DNA may be critical indicators of the samples' condition and possibly the presence and state of the parasite. [ABSTRACT FROM AUTHOR]

Acetonitrile, a polar molecule that cannot form hydrogen bonds on its own, interacts with solvent molecules mainly through the lone pair of its nitrogen atom and the π electrons of its CN triple bond [Correction added on 17 July 2024, after first online publication: Acetole has been changed to Acetonitrile in the preceeding sentence.]. Interestingly, acetonitrile exhibits an unexpected strengthening of the triple bond's force constant in an aqueous environment, leading to an upshift (blueshift) in the corresponding stretching vibration: this effect contrasts with the usual consequence of hydrogen bonding on the vibrational frequencies of the acceptor groups, that is, frequency redshift. This investigation elucidates this phenomenon using Raman spectroscopy to examine the behavior of acetonitrile in organic solvent, water, and silver ion aqueous solutions, where an even more pronounced upshift is observed. Raman spectroscopy is particularly well suited for analyzing aqueous solutions due to the minimal scattering effect of water molecules across most of the vibrational spectrum. Computational approaches, both static and dynamical, based on Density Functional Theory and hybrid functionals, are employed here to interpret these findings, and accurately reproduce the vibrational frequencies of acetonitrile in different environments. Our calculations also allow an explanation for this unique behavior in terms of electric charge displacements. On the other hand, the study of the interaction of acetonitrile with water molecules and metal ions is relevant for the use of this molecule as a solvent in both chemical and pharmaceutical applications. [ABSTRACT FROM AUTHOR]

The use of fish meal/oil in carnivorous fish feeds remains a concern for the environmental sustainability of aquaculture. In this study, we investigated the impact of an innovative diet designed to be cost‐effective and environmentally sustainable (i.e., 60% replacement of fish meal by a blend of plant, yeast [Saccharomyces cerevisiae], and krill meal feed ingredients) on the growth, health, and welfare of gilthead seabream (Sparus aurata). Over a 135‐day experiment, fish were fed either the innovative or a commercial diet (control), and various parameters were evaluated, namely growth performance, levels of physiological blood parameters related to stress, immunity, health, and welfare, as well as swimming activity, serving as a proxy for energy expenditure. Results revealed that the innovative diet enhanced growth compared to fish fed the control diet. Hematological and biochemical indicators did not highlight any impaired welfare condition in fish fed innovative diet while higher levels of Immunoglobulin M were measured in plasma of fish fed innovative diet, potentially suggesting enhancement of humoral immunity. However, accelerometer tags data revealed that fish fed the innovative diet exhibited higher overall swimming activity, suggesting higher energy expenditure, which was consistent with greater prealbumin levels measured in the plasma. In conclusion, the higher energy metabolism in fish fed the innovative diet might be compensated by the diet's content, which may boost humoral immunity and hence help the fish develop a better adaptation to rearing environment, including its viral and bacterial load, ensuring overall better growth. Longer term investigations, including measurements of additional parameters, are required to validate these promising preliminary outcomes. [ABSTRACT FROM AUTHOR]

ABSTRACT Drilling predation on echinoids (sea urchins) has been known to occur in marine ecosystems since the Jurassic Period; however, it has rarely been studied in existing species. Tests of the irregular sea urchin Brissus unicolor (Leske, 1778), which frequently occurs in shallow substrates of the Canary Islands, mostly show very evident perforations through their skeletons. The aim of this study was to describe the characteristics of these perforations in order to determine their possible origins as well as document their size, site selectivity, and frequency of occurrence among different sample sites. Of the 104 tests of B. unicolor that were collected from 15 locations off the island of Tenerife (Canary Islands, Spain), 94% showed a least one perforation. These boreholes exhibit a circular morphology, penetrating the sea urchin tests perpendicularly and entirely. Notably, they display a unique acid signature, diverging from those documented in the fossil record and other relevant studies. Our analysis showed size and site selectivity by the predator as the perforations were mainly located on the oral side of the test. The perforations are attributed to drilling predation. The characteristics of these boreholes on B. unicolor match published records of predation marks suggesting that they are produced by the predatory gastropod family Cassidae, with Semicassis undulata (Gmelin, 1791) considered to be the most probable predator. [ABSTRACT FROM AUTHOR]

Aims Methods Results Conclusion Breast cancer with human epidermal growth factor receptor 2 (HER2) immunohistochemistry (IHC) 1+ or 2+ with negative in‐situ hybridisation (ISH) (HER2‐low) can now be targeted by HER2 antibody drug conjugates. We set out to compare HER2 status between matched primary invasive breast carcinoma (IBC) and distant metastases (DM) with clinical–pathological correlation, with specific interest in HER2‐low.Biomarker studies and clinical–pathological features of primary IBC with matched DM diagnosed between 2021 and 2022 were retrospectively analysed. HER2 status was assessed per 2023 American Society of Clinical Oncology/College of American Pathologists (ASCO/CAP) guidelines for IHC (4B5) and ISH (IQFISH pharmDX). Bilateral breast primaries were excluded. HER2 IHC 0 to 1+ were reassessed.One hundred and forty‐seven cases of primary IBC with matched DM were identified. Biomarkers were performed on core biopsy (n = 74) and resection (n = 73). One hundred and twenty‐six (86%) were initially classified as ‘HER2‐negative’; of these, 67 (46%) were reclassified as HER2‐low. Patients with HER2‐positive primaries were younger (P = 0.01) and had an increased incidence of micropapillary carcinoma (P = 0.02). HER2‐low primaries also had an increased incidence of micropapillary carcinoma (P = 0.02) and oestrogen receptor (ER) positivity (P = 0.02) compared to HER2 0. One hundred and sixty‐nine matched DM cases excluding bone metastasis were identified (range = one to seven metastases per IBC). The most common sites of metastases were liver (50 of 169, 30%), lung (36 of 169; 21%), distant lymph node (26 of 169, 15%); 138 DM cases (82%) were previously classified as ‘HER2‐negative’, and 62 (37%) were reclassified as HER2‐low. Like HER2‐low primaries, HER2‐low metastases were frequently ER‐positive (52 of 62; 84%) (P = 0.02). Brain metastases were more frequently HER2‐positive (five of 32; 16%) (P = 0.04). Comparing HER2 status in matched primaries and DM, HER2 status was discordant in 62 cases (37%). Most changes occurred from HER2‐low to HER2 0 (33 of 169, 20%), HER2 0 to HER2‐low (17 of 169, 10%) and HER2‐low to positive (10 of 169, 6%). All HER2‐low to HER2 0 changes were HER2 1+ to 0. In 30 patients with multiple DM sites (47 cases), HER2 status among different DM samples was discordant in 16 patients (53%), mainly from HER2‐low to HER2 0 (16 of 47, 34%).A significant proportion of previous ‘HER2‐negative’ primaries and DM cases were reclassified as HER2‐low. Discordant HER2 status between IBC primary and metastasis and between different DM sites demonstrated tumour heterogeneity and highlights the need for HER2 retesting in distant metastasis. [ABSTRACT FROM AUTHOR]

Ozone plays a key role in both atmospheric chemistry and UV absorption in planetary atmospheres. On Mars, upper-tropospheric ozone has been widely characterized by space-based instruments. However, surface ozone remains poorly characterized, hindered by the limited sensitivity of orbiters to the lowest scale height of the atmosphere and challenges in delivering payloads to the surface of Mars, which have prevented, to date, the measurement of ozone from the surface of Mars. Systematic measurements from the Martian surface could advance our knowledge of the atmospheric chemistry and habitability potential of this planet. NASA's Mars 2020 mission includes the first ozone detector deployed on the Martian surface, which is based on discrete photometric observations in the ultraviolet band, a simple technology that could obtain the first insights into total ozone abundance in preparation for more sophisticated measurement techniques. This paper describes the Mars 2020 ozone detector and its retrieval algorithm, including its performance under different sources of uncertainty and the potential application of the retrieval algorithm on other missions, such as NASA's Mars Science Laboratory. Pre-landing simulations using the UVISMART radiative transfer model suggest that the retrieval is robust and that it can deal with common issues affecting surface operations in Martian missions, although the expected low ozone abundance and instrument uncertainties could challenge its characterization in tropical latitudes of the planet. Other space missions will potentially include sensors of similar technology. [ABSTRACT FROM AUTHOR]

Diagnostic and prognostic decision-making in patients with Disorders of Consciousness (DoC) is challenging. It has been suggested that spontaneous eye blink rate is an index of patients’ level of consciousness easy to detect in clinical practice. Further blinking features (i.e., amplitude, duration, variability in intervals between blinks) may change as a function of cognitive load, but have not been investigated in patients with DoC.This multicentre, longitudinal study aims at exploring the diagnostic and prognostic value of spontaneous eye blinking features in DoC.Eight European medical institutions will enrol consecutively admitted adult patients with DoC. Within two weeks from study entry demographic, anamnestic and clinical data will be collected. Moreover, patients will undergo two 20-minute EEG-EOG recordings at rest, to collect blinking features and EEG activity. A clinical follow-up will be performed after 6 months. A group of healthy individuals will be enrolled for reference.Possible differences in blink features between patients and the reference group, differences across diagnostic sub-groups, and correlations between blinking features and clinical outcome will be investigated.The results of this study might help clinicians to reduce misdiagnosis rate in DoC and provide useful information for prognostication and care pathway plan. [ABSTRACT FROM AUTHOR]

In canine leishmaniosis endemic areas, Leishmania infantum may occur in sympatry with the non-pathogenic Leishmania tarentolae, which is associated to reptiles. The potential infectivity of L. tarentolae for mammals raises questions about the interactions between the two Leishmania species, and the potential cross-immune protection in dogs. This study aimed to assess the outcome of experimental L. tarentolae infection in dogs, determining: i) the anti-L. tarentolae antibody production, ii) the duration of the immunity and cytokine expression, and iii) the possible pathogenic effect in the canine host. Twelve purpose-bred beagle dogs were randomly allocated to three groups (intravenous inoculation, G1; intradermal inoculation, G2; negative control, G3). G1 and G2 dogs were inoculated twice (day 0, day 28) with 108 promastigotes of L. tarentolae strain (RTAR/IT/21/RI-325) isolated from a Tarentola mauritanica gecko. The animals were followed until day 206. Blood, serum, conjunctival swabs and lymph node aspirate samples were collected monthly and bone marrow, liver and spleen biopsies on day 91. Hematological and biochemical parameters were assessed monthly, as well as serology (IFAT and ELISA) and molecular identification of L. tarentolae. Mononuclear cells (PBMC) were obtained to assess the cytokine expression through in vitro stimulation or (re-) infection. Data from this study demonstrated that DNA from L. tarentolae is detectable up to 3 months post-infection, with seroconversion after day 28. Moreover, the non-pathogenic nature of L. tarentolae was confirmed, with a neutral Th1/Th2 polarization, and a possible shift to Th1 phenotype after derived macrophages (re-) infection, as demonstrated by the expression of IFN-gamma. Therefore, L. tarentolae demonstrated a great potential as a surrogate pathogen and/or immune-prophylaxis/immune-therapy against Leishmania infections in dogs and humans. Author summary: The reptilian-associated Leishmania tarentolae may be infective for mammals, which raises questions about a potential cross-immune protection towards Leishmania infantum in dogs. This study aimed to assess the outcome of experimental L. tarentolae infection in the canine host. Twelve purpose-bred beagle dogs were allocated into three groups (intravenous inoculation, G1; intradermal inoculation, G2; negative control, G3). The first two groups were inoculated twice (day 0, day 28) with 108 promastigotes of L. tarentolae, and were followed until day 206. Hematological and biochemical parameters were assessed, as well as serology (IFAT and ELISA), molecular identification and cytokine expression. Results demonstrated that DNA from L. tarentolae is detectable up to 3 months post-infection, with seroconversion after day 28. Moreover, the non-pathogenic nature of L. tarentolae was confirmed, with a neutral Th1/Th2 polarization, and a possible shift to Th1 phenotype (i.e., expression of IFN-gamma). These results suggest that L. tarentolae could be a potential candidate for developing immune strategies, opening new avenues for the prevention of the canine leishmaniasis. [ABSTRACT FROM AUTHOR]

Amphibians are increasingly threatened, leading to growing concern about their key role in natural ecosystems globally as predators and essential consumers in food webs. Effective conservation plans are linked to up‐to‐date distributional and ecological information, but dietary knowledge is often underrepresented. This information is essential for understanding ecological requirements, changes in the species and populations, impacts of habitat modification, and developing conservation strategies. Here, we present the current knowledge on amphibian diets in Colombia, to determine (a) the number of species studied and their distribution across families and genera; (b) the temporal and regional patterns in number of articles on amphibian diets; and (c) the trends in topics studied associated with amphibian diets; and to offer (d) a qualitative description of amphibian diets and the methods used for stomach contents collection. We found 70 published studies on the diet of Colombian amphibians between the years 1914 and 2022, including 100 species (11.6% of Colombian species). The Andean region is the best represented, and the Amazon and Orinoco the least. The topics most frequently studied were prey items consumed and ontogeny, followed by systematics and taxonomy, and land‐use change impacts. Forty‐one prey items were consumed, where Coleoptera and Hymenoptera were the most common prey items. While the development of information on amphibian diets has recently increased, knowledge remains limited, with a significant information gap for many Colombian species in different regions. Conducting studies in little‐explored areas of the country, especially the Amazon, Orinoco, and Pacific regions, should have high priority. Investigations should be focused on Caudata and Gymnophiona, plus the anurans of the Hemiphractidae and Pipidae families that do not have diet records in Colombia. Indeed, we evidence the necessity to perform trophic network analysis to understand better the energy flow between species and the associated spatial, temporal, or functional trait changes. [ABSTRACT FROM AUTHOR]

This research conceptualized and offered preliminary evidence on the psychometric properties of the 10-item Divine Connectedness Scale—a measure that assesses individuals' perceptions of feeling supported by (divine guidance) and working with (divine collaboration) God or a Supreme Being. Results of exploratory factor analysis and confirmatory factor analysis with 434 undergraduate students in the United States showed that scores from a single-factor model of divine connectedness were valid and reliable. Divine connectedness was positively associated with religiosity, forgiveness, and well-being variables. Divine connectedness showed incremental validity over demographic covariates, social desirability, and religiosity in predicting later meaning in life and flourishing. [ABSTRACT FROM AUTHOR]

The implementation of a virtual learning environment is framed by multiple aspects that either put it at risk or facilitate the process. In these dynamics, the teacher is the main person responsible for designing, building and conducting a virtual teaching process, so it is necessary to recognize the impact factors that emerge from their context and circumstances to bring it to a successful conclusion. This research used a non-experimental cross-sectional exploratory methodology, based on the hermeneutic model of the qualitative approach. Information was collected through structured interviews and analyzed with Atlas.ti v.23. The results show thirteen impact factors, organized by their influence on the process (positive: facilitate / negative: hinder) and by their scope (individual: identity-related to the person / external: in the environment and not dependent on the teacher). We concluded that the factors with the greatest impact are: workload, teaching experience, mentoring methodology, teacher's disposition, level of digital competence, internal course regulations, the time considered for the development of activities, and excessive supervision. [ABSTRACT FROM AUTHOR]

This systematic review aims to determine the effectiveness of dorsal root ganglion stimulation (DRGS) in chronic pain management. In 2023, a comprehensive systematic review was undertaken utilizing various electronic databases, employing MeSH terms and free search terms tailored to the study's aims. This review included primary research such as cohorts, case-control studies, and clinical trials, all focusing on the efficacy of DRGS in treating various chronic pain conditions. Nonhuman or animal studies were omitted from the selection process. A review of study quality was conducted, followed by a meticulous analysis of the findings to synthesize the evidence. This review represents the most current research, with updates extending to 2024. A total of 400 articles were reviewed. Twenty-nine articles were included in our review after meticulous screening. Twenty-nine articles published in the last five years meeting selection criteria were identified, encompassing patients with various diagnoses warranting the use of DRGS beyond complex regional pain syndrome. Additionally, the analysis includes different outcome measurement tools, emphasizing improvements in pain management, functionality, and quality of life. Finally, common complications such as surgical site infections and issues with electrodes are highlighted. This systematic review affirms the effectiveness of DRGS therapy in managing diverse chronic pain conditions, highlighting improvements in quality of life, functionality, and mood states, making it a viable alternative for patients unresponsive to traditional treatments. [ABSTRACT FROM AUTHOR]

This paper revises the paradigm shift in the educational policy of the New Mexican School (in Spanish, Nueva Escuela Mexicana or NEM ), whose intention is to reverse the neoliberal orientation that prevailed since the end of the last century until the previous federal government. For this purpose, the paper explores the elements of the pedagogies from the Southern part of the continent as a theoretical and ideological referent of the new approach to education in Mexico. Subsequently, it addresses three substantial lines of the NEM : the revalorization of teachers through the Unit of the System for the Career of Teachers, the National Commission for the Continuous Improvement of Education, and the implementation of the 2022 Study plans and programs for basic education. It can be concluded that there have been many challenges for the outgoing government that must be addressed by the new one, but it is complicated to modify in a short period a change of such dimension, in addition to the fact that we don't have until now a comprehensive evaluation system to measure its achievements. [ABSTRACT FROM AUTHOR]

Inherited metabolic disorders (IMDs) are a growing group of genetic diseases caused by defects in enzymes that mediate cellular metabolism, often resulting in the accumulation of toxic substrates. The liver is a highly metabolically active organ that hosts several thousands of chemical reactions. As such, it is an organ frequently affected in IMDs. In this article, we review current approaches for liver‐directed gene‐based therapy aimed at metabolite detoxification in a variety of IMDs. Moreover, we discuss current unresolved challenges in gene‐based therapies for IMDs. [ABSTRACT FROM AUTHOR]

The success of mRNA vaccines against SARS-CoV-2 has prompted interest in mRNA-based pharmaceuticals due to their rapid production, adaptability, and safety. Despite these advantages, the inherent instability of mRNA and its rapid degradation in vivo underscores the need for an encapsulation system for the administration and delivery of RNA-based therapeutics. Lipid nanoparticles (LNPs) have proven the most robust and safest option for in vivo applications. However, the mid- to long-term storage of mRNA-LNPs still requires sub-zero temperatures along the entire chain of supply, highlighting the need to develop alternatives to improve mRNA vaccine stability under non-freezing conditions to facilitate logistics and distribution. Lyophilization presents itself as an effective alternative to prolong the shelf life of mRNA vaccines under refrigeration conditions, although a complex optimization of the process parameters is needed to maintain the integrity of the mRNA-LNPs. Recent studies have demonstrated the feasibility of freeze-drying LNPs, showing that lyophilized mRNA-LNPs retain activity and stability. However, long-term functional data remain limited. Herein, we focus on obtaining an optimized lyophilizable mRNA-LNP formulation through the careful selection of an optimal buffer and cryoprotectant and by tuning freeze-drying parameters. The results demonstrate that our optimized lyophilization process maintains LNP characteristics and functionality for over a year at refrigerated temperatures, offering a viable solution to the logistical hurdles of mRNA vaccine distribution. [ABSTRACT FROM AUTHOR]

Downstream costs represent one of the main obstacles to enabling microalgae to become widespread. The development of an economical, easily scaled-up strategy could reduce the overall process costs. Here, different flocculants were tested on different microalgae strains and a cyanobacterium. The results indicate that flocculation could be an alternative to centrifugation, as CaCl2 induced a complete flocculation of green and red marine strains (96 ± 4% and 87.0 ± 0.5%, respectively), whereas Chitosan was the only agent able to induce flocculation on the cyanobacterium (46 ± 1%). As for the thermoacidophilic red microalga, 100% flocculation was achieved only by increasing the pH. Carotenoids were extracted from the flocculated biomass, and the strategy improved with the use of the wet biomass. The results indicate that flocculation does not affect carotenoid yield, which is at least the same than that obtained upon centrifugation and extraction from the wet biomass. Then, for the first time, the biological activity of the extracts obtained from the flocculated biomasses was evaluated. The results indicate that only the green microalga extract shows increased antioxidant activity. In conclusion, this work highlights that a general downstream procedure cannot be developed for microalgae strains but should be rationally tailored. [ABSTRACT FROM AUTHOR]

Purpose: Localized gastrointestinal tract amyloidosis is uncommon and little is known regarding this entity. There is no current standard of care for the management of localized amyloidosis. The objective of this study was to evaluate the characteristics, available treatments, outcomes and surveillance of these patients. Methods: We conducted a systematic review of cases reported in the literature from 1962 to 2021. Patients with gastrointestinal amyloidosis reported in English literature were included in the analysis. We described and summarized the patient's characteristics, treatments, clinical presentations, outcomes and surveillance. Results: The systematic review of reported clinical cases included 62 patients. In these patients, the most common site of amyloid deposition was the stomach (42%). The median age of diagnosis is 64.4 years old; there is a 2:1 prevalence among males (63%) to females (37%); abdominal pain is the most common type of presentation (41%), although patients could also be asymptomatic. There is a high curative rate (100%) with resection alone. Among patients treated with a type of systemic therapy, 80% achieved a complete response. The minority of cases reported a type of surveillance post treatment, and among those 62% pursued serial clinical evaluations alone. Conclusion: To our knowledge, this is the first and largest systematic review of the literature in gastrointestinal tract amyloidosis. This is more common among males and seems to have an excellent curative rate (100%) with surgery alone. Systemic therapy is an option for those with non‐resectable amyloidomas. Serial clinical evaluations should be part of the standard surveillance care in these patients. [ABSTRACT FROM AUTHOR]

Molecular titanosilicates {(tBuO3)3SiO}2Ti(NR2)2 (1, R=Et; 2, R=Me) and {(tBuO3)3SiO}3TiNR2 (TSA1, R=Et; 3, R=Me) were obtained from the reaction between silanol (tBuO3)3SiOH (S1) and titanium amides Ti(NR2)4 (R=Et, R=Me). Additionally, the reaction of 3 and TSA1 with CO2 led to the exclusive formation of carbamates {(tBuO)3SiO}3Ti(O2CNR2) (4, R=Et; 5, R=Me). The molecular structure of 5 confirmed the proposed connectivity and presence of SiO4 and Ti(O2CNR2) units. In compound 4, titanium is coordinated to five oxygen atoms belonging to one bidentate carbamate group and three silicate ligands in a distorted square‐base pyramidal geometry. Also, we have performed DFT calculations and QTAIM analysis to study the distribution of the electron density in the carbamate {(tBuO)3SiO}3Ti(O2CNEt2) (4) and salt {(tBuO)3SiO}3TiO(H2NMe2) 6 which was obtained by the hydrolysis of compound 5. [ABSTRACT FROM AUTHOR]

Introduction: To analyze the effect of pharmaceutical intervention on therapeutic adherence, viral load (VL), and CD4 T lymphocyte count in human immunodeficiency virus (HIV) for strengthening the role of the pharmacist in an infectious diseases service. Methods: Retrospective observational study. Data were collected through interviews using the “Assessment of Predictive Factors of Therapeutic Adherence” questionnaire. VL and CD4 parameters were collected f were collected from the patients’ medical records at the hospital. Results: 103 patients were included, 92 % men, mean age 32.30± 10.90 years for the group of patients. After pharmaceutical intervention through strategies to promote adherence: 100 % of patients increased their knowledge of their disease, 62 % increased their knowledge of antiretroviral therapy (ART), 90 % showed tolerance to ART, and 4 % experienced adverse reactions. This was reflected in an increase in the median CD4 T lymphocyte count and a decrease in viral load (undetectable in 72 % of patients), statistically and clinically significant results (p< 0.01). Conclusions: The findings suggest that pharmaceutical intervention in therapeutic adherence to ART has beneficial effects (CD4 and VL) in the analyzed patient group. Further studies are necessary. [ABSTRACT FROM AUTHOR]