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Being able to process multiword sequences is central for both language comprehension and production. Numerous studies support this claim, but less is known about the way multiword sequences are acquired, and more specifically how associations between their constituents are established over time. Here we adapted the Hebb naming task into a Hebb lexical decision task to study the dynamics of multiword sequence extraction. Participants had to read letter strings presented on a computer screen and were required to classify them as words or pseudowords. Unknown to the participants, a triplet of words or pseudowords systematically appeared in the same order and random words or pseudowords were inserted between two repetitions of the triplet. We found that response times (RTs) for the unpredictable first position in the triplet decreased over repetitions (i.e., indicating the presence of a repetition effect) but more slowly and with a different dynamic compared with items appearing at the predictable second and third positions in the repeated triplet (i.e., showing a slightly different predictability effect). Implicit and explicit learning also varied as a function of the nature of the triplet (i.e., unrelated words, pseudowords, semantically related words, or idioms). Overall, these results provide new empirical evidence about the dynamics of multiword sequence extraction, and more generally about the role of statistical learning in language acquisition. [ABSTRACT FROM AUTHOR]

Burnout is an increasing concern among working professionals; however, relatively little research has examined burnout among those in the childcare field. This is a major gap, given high demand for childcare services in the United States coupled with high rates of turnover in the field. Between February 2019 and January 2020, 320 home- and center-based childcare professionals completed an online survey about their experiences, which included the Maslach Burnout Inventory (MBI) and questions about perceptions of child behaviors. Organizational/administrative challenges emerged as a significant predictor of burnout. Burnout was significantly related to childcare professionals' perceptions of how difficult it was to effectively respond to relatively common challenging child behaviors. Results underscore the importance of enhanced supports for childcare professionals at risk of burnout. [ABSTRACT FROM AUTHOR]

Background: Teaching clinical pharmacology is often a challenge for medical schools. The benefits and popularity of active recall and spaced repetition through Anki flashcards are well‐established and can offer a solution for teaching complex topics, but educators are often unfamiliar with this resource. Approach: We implemented 501 faculty‐generated pharmacology flashcards in five modules across the medical preclinical curriculum, available to 104 first‐year students. At the end of each module, students were surveyed on the usefulness of this novel resource. The data from the cohort who had access to flashcards was compared with the previous cohort, without access, to analyse whether student use of Anki flashcards changed students' perceptions of the pharmacology curriculum and whether there were changes in pharmacology exam performance. Evaluation: Seventy‐five percent of the respondents rated the Anki pharmacology flashcards as 'very useful' or 'somewhat useful'. Eight hundred and seventy‐five responses were analysed with a natural language processing algorithm, showing that fewer students mentioned pharmacology as a difficult topic in the cardiovascular and renal modules, compared with the cohort who did not use Anki flashcards. There was not a statistically significant difference in test scores between the cohorts. Implications: Anki flashcards were well‐received by medical students, which might have impacted their perception of the curriculum, as evidenced by the decrease in mentions of pharmacology being a difficult topic, maintaining consistency in academic performance. Educators should consider providing flashcards to offer spaced repetition opportunities in the curriculum; an additional benefit could be increasing information equality in medical schools. [ABSTRACT FROM AUTHOR]

ABSTRACT Pyoderma gangrenosum (PG) is a rare necrotizing neutrophilic dermatosis driven by monokines and cytokines elaborated by monocytes and autoreactive T cells, respectively. Th1‐mediated autoimmune disorders and myeloproliferative disease are among the potential disease associations. More recently, certain medications were implicated, including TNF‐alpha inhibitors, rituximab, and IL‐17A inhibitors, such as secukinumab, where the development of PG is held to represent a cutaneous immune adverse effect. We present two patients who developed an autoinflammatory syndrome resembling PG in the setting of drug therapy with agents exhibiting an IL‐17A inhibitory effect. The drugs were erunumab in one and secukinumab in the other. One patient received the anti‐calcitonin gene‐related peptide targeted therapy, erenumab, for migraine prophylaxis. While this drug has not been previously implicated in the development of PG, it can cause IL‐17A blockade. The other patient was on secukinumab, a monoclonal antibody that selectively targets IL‐17A. We documented a microenvironment enriched in IL‐17A, emphasizing that the blockade impacts the functionality of the receptor as opposed to a quantitative reduction in IL‐17A production by T cells. Qualitative functional IL‐17A blockade could result in a paradoxical increase in IL‐23, a pro‐inflammatory cytokine that may contribute to the influx of neutrophils pathogenetically implicated in PG. [ABSTRACT FROM AUTHOR]

Humic substances (HS) are commonly employed as plant biostimulants to enhance crop yields. However, the HS mechanisms of action, as well as the differences between radicular and foliar modes of application, remain unclear. Here, we explored the changes in phytohormonal balance as possible mechanism of HS to enhance lettuce (Lactuca sativa L.) growth, and the difference between both modes of application. For this purpose, BLACKJAK®, a HS‐based product was applied as radicular (R) and foliar (F) at the concentrations (mL/L): 0.20 (R1), 0.40 (R2), 0.60 (R3), 0.80 (R4), 5.00 (F1), 7.50 (F2), 10.00 (F3), and 12.50 (F4). The experiment was performed in pots filled with vermiculite:perlite (3:1) and HS were applied three times with a periodicity of 10 days. Shoot and root growth parameters were measured. In addition, the phythormones indole‐3‐acetic acid (IAA), gibberellins (GAs), trans‐zeatine (tZ), isopentenyl adenine (iP), 1‐aminocyclopropane‐1‐carboxylic acid (ACC), abscisic acid (ABA), jasmonic acid (JA), and salicylic acid (SA), were analysed by U‐HPLC‐MS. BLACKJAK® application resulted in higher shoot growth at doses R1, R2, R3, F2, and F3, whereas root biomass was increased at R2, R3, F2, F3, and F4, showing radicular better plant growth than foliar applications. Furthermore, HS changed phytohormonal balance in shoots and roots. However, it was with radicular applications, especially at R2, where phytohormonal profile was best associated with plant growth due to the increases observed in IAA, GAs, JA, SA, tZ, and decreased ABA. However, further research is needed to clarify the involvement of hormones in the growth‐promoting action of HS. [ABSTRACT FROM AUTHOR]

According to developmental psychologists, more supportive and less conflictual relationships with teachers play a positive role in children's social behavior with peers both concurrently and in the future. This meta-analysis examined the association between teacher-student relationship quality, as measured by the Student-Teacher Relationship Scale (STRS), and social competence from early childhood through high school. Based on nearly 30,000 students from 87 studies, the weighted average association between teacher-student relationship quality and social competence with peers was r =.31 (z =.32; 95% CI:.28, 37). Neither age nor length of time between assessments were associated with effect size, suggesting that teacher-student relationships continue to be associated with children's social competence beyond the early years. Additionally, the STRS total score was the best predictor of social competence, whereas dependency was more weakly associated with social competence. The findings of this study suggest that teacher-student relationship quality as measured by the STRS is an important correlate of both concurrent and future social competence from early childhood to adolescence. Impact Statement Closer and less conflictual teacher-student relationships are consistently associated with higher social skills, peer relationships, and social acceptance among peers from early childhood through adolescence. Further work implementing teacher training programs that aim to improve teacher-student relationship quality as a mechanism for enhancing students' social competence with peers is needed to evaluate the effectiveness of such trainings across ages and sociocultural contexts. [ABSTRACT FROM AUTHOR]

Background: The prevalence of cardiovascular disease is burgeoning in low- and middle-income countries (LMICs). In sub-Saharan Africa, the prevalence of cardiovascular risk factors is increasing, though rates of CVD diagnosis and management remain low. Awareness of the influence of social determinants of health (SDOH) on cardiovascular outcomes is growing, however, most work focuses on high-income countries. Material needs security is a measure of SDOH that may be particularly relevant for LMICs. This study investigated the relationship between material needs security and cardiovascular risk in older adults living in South Africa. Methods: The analysis included 5059 respondents age ≥ 40 in the Health and Aging in Africa survey, an observational cohort study administered in 2014 in Mpumalanga Province, South Africa. Linear regression models tested the association between material needs and eight cardiovascular risk factors (waist-to-hip ratio, body mass index, blood pressure, glucose, cholesterol, LDL, and triglycerides). Adjusted linear regression models controlled for sociodemographic confounders. Results: There were significant adjusted associations found between increased material needs security and four cardiovascular risk factors, including waist-to-hip ratio (β = 0.001; 95% CI [0.00002,0.002]), BMI (β = 0.19; 95%CI=[0.14,0.24]), glucose (β = 0.46; 95%CI=[0.02,0.90]), and triglycerides (β = 0.26; 95%CI=[0.02,0.49]). Conclusion: Increased material needs security was associated with significantly increased cardiovascular risk in older adults in rural South Africa. These findings can inform the approach to treatment and management of cardiovascular disease in South Africa and similar LMICs. Future investigations should evaluate the implementation and efficacy of interventions that recognize the role of material needs security in cardiovascular risk. [ABSTRACT FROM AUTHOR]

Background: The Social Determinants of Health (SDH) influence the health of people throughout their lives, and can be positive, protective or risk factors for the population and, in turn, biological, psychological, or social. The social environment conditions the health status of the neighborhood, population, and social group, which can be a health asset due to its strong psychosocial and socio‐cultural influence. Social capital is a community asset of the healthy neighborhood that must be known in order to promote community health. Objectives: The objective is to determine the relationship between social capital and neighborhood biopsychosocial health. Methods: A systematic review was conducted based on PRISMA: PubMed, Wos, Scopus, Embase, and Cochrane databases. The search was conducted from January to March 2023. Three authors independently extracted data using a structured form. Results: Out of 527 records, 17 results passed the inclusion and exclusion criteria. The positive and statistically significant relationship between neighborhood social capital (NSC) and the physical and mental health of neighbors is confirmed, that is, the higher the NSC, the more exercise, better oral health in children and physical health in pregnant women, lower tobacco consumption and lower prevalence of human immunodeficiency virus. At the psychological level, greater NSC leads to better mental health, mental well‐being, life satisfaction, quality of life, self‐perceived health, higher cognitive function, and less depression. Conclusions: In conclusion, social capital is an important SDH and health asset that influences neighborhood biopsychosocial health and should be known and researched for health promotion in community settings. More evidence is needed to support the results obtained. [ABSTRACT FROM AUTHOR]

Background: Intramammary infection is the result of invasion and multiplication of microorganisms in the mammary gland and commonly leads to mastitis in dairy animals. Although much has been done to improve cows' udder health, mastitis remains a significant and costly health issue for dairy farmers, especially if subclinical. In this study, quarter milk samples from clinically healthy cows were harvested to detect pathogens via quantitative PCR (qPCR) and evaluate changes in individual milk traits according to the number of quarters infected and the type of microorganism(s). A commercial qPCR kit was used for detection of Mycoplasma bovis, Mycoplasma spp., Staphylococcus aureus, coagulase-negative staphylococci (CNS), Streptococcus agalactiae, Streptococcus dysgalactiae, Streptococcus uberis, Prototheca spp., Escherichia coli, Klebsiella spp., Enterococcus spp. and Lactococcus lactis ssp. lactis. Quarter and pooled milk information of 383 Holstein, 132 Simmental, 129 Rendena, and 112 Jersey cows in 9 Italian single-breed herds was available. Results: Among the cows with pathogen(s) present in at least 1 quarter, CNS was the most commonly detected DNA, followed by Streptococcus uberis, Mycoplasma bovis, and Streptococcus agalactiae. Cows negative to qPCR were 206 and had the lowest milk somatic cell count. Viceversa, cows with DNA isolated in ≥ 3 quarters were those with the highest somatic cell count. Moreover, when major pathogens were isolated in ≥ 3 quarters, milk had the lowest casein index and lactose content. In animals with pathogen(s) DNA isolated, the extent with whom milk yield and major solids were impaired did not significantly differ between major and minor pathogens. Conclusions: The effect of the number of affected quarters on the pool milk quality traits was investigated in clinically healthy cows using a commercial kit. Results remark the important negative effect of subclinical udder inflammations on milk yield and quality, but more efforts should be made to investigate the presence of untargeted microorganisms, as they may be potentially dangerous for cows. For a smarter use of antimicrobials, analysis of milk via qPCR is advisable – especially in cows at dry off - to identify quarters at high risk of inflammation and thus apply a targeted/tailored treatment. [ABSTRACT FROM AUTHOR]

In status epilepticus (SE), "time is brain." Currently, first‐line therapy consists of benzodiazepines (BDZs) and SE is classified by the response to treatment; stage 2 or established SE is defined as "BDZ‐resistant SE." Nonetheless, this classification does not always work, especially in the case of prolonged convulsive SE, where many molecular changes occur and γ‐aminobutyric acid signaling becomes excitatory. Under these circumstances, BDZ therapy might not be optimal, and might be possibly detrimental, if given alone; as the duration of SE increases, so too does BDZ resistance. Murine models of SE showed how these cases might benefit more from synergistic combined therapy from the start. The definition of Stage 1 plus is suggested, as a stage requiring combined therapy from the start, which includes prolonged SE with seizure activity going on for >10 min, the time that marks the disruption of receptor homeostasis, with increased internalization. This specific stage might require a synergistic approach from the start, with a combination of first‐ and second‐line treatment. [ABSTRACT FROM AUTHOR]

Introduction: Medical departments have evolved from a position of support to one of strategic leadership. The number of tasks and the complexity of interactions in which they are involved is increasing. However, the spectrum of their activity in the sector differs significantly from one company to another. Therefore, the aim of this study was to describe their situation within the pharmaceutical industry, analyzing the positions, functions, and profiles of their professionals. Methods: This study consisted of an online survey containing 25 questions grouped into four blocks (structure, medical direction, training, and activities and responsibilities). Medical departments in the Spanish pharmaceutical industry of different sizes and scope were invited to participate. The survey took place in 2021, with a designated response period of three months. It is important to note that all responses collected during this time were treated as anonymous. Results: Thirty companies participated. A total of 93.3% of respondents worked for an international laboratory, with a size of 0–5 or 11–20 people (20.7%). For 27.6% of the companies, the number of medical advisors per medical department was 1 or 4, with varying numbers of medical scientific liaisons (1, 6–10, and > 20). A total of 56.7%, 33.3%, and 6.7% indicated that the country manager, head of regional medical affairs, and head of global medical affairs, respectively, had a solid-line reporting relationship with the medical directorate. Medical directors were mostly graduates in medicine (86.2%) with a doctorate (34.5%), and medical managers were mainly graduates in medicine (77.8%) and pharmacy (66.7%). Conclusions: This study reveals that respondents predominantly work in internationally focused laboratories, with professionals ranging from experienced medical directors to managers with 6–20 years of experience, each with distinct roles. [ABSTRACT FROM AUTHOR]

T cell dyscrasias that demonstrate a proclivity for the subcutaneous fat include atypical lymphocytic lobular panniculitis, lupus profundus, and primary subcutaneous T cell lymphoma, including subcutaneous panniculitis-like T cell lymphoma (SPTCL). We encountered two patients who developed fever and indurated abdominal erythema at their peginterferon alfa-2a injection sites. Biopsies showed an atypical CD8 positive, granzyme positive, CD5 negative, MXA negative lymphocytic lobular panniculitis, diagnostic of SPTCL. Peginterferon alfa-2a was held in both patients. One patient received chemotherapy with an excellent response, while the other continued to have progressive disease. Peginterferon alfa-2a is known to significantly elevate serum MXA, which may induce high levels of MXA expression at the injection site, creating a microenvironment for the development of lupus profundus, which may eventuate into SPTCL. In summation, a potential risk of peginterferon alfa-2a injections is the development of SPTCL potentially arising in a background of an exogenous interferon triggered lymphocytic panniculitis. [ABSTRACT FROM AUTHOR]

The article discusses the importance of incorporating evaluation scales in the post-rehabilitation process for heart surgery patients. The authors conducted a literature review to identify the most effective evaluation scales for assessing various parameters such as disability, functional independence, clinical symptoms, and emotional well-being. They propose the use of scales such as the Visual Analogic Scale, 6-minute walking test, Borg scales, Tinetti Scale, Barthel index, Berg Balance Scale, and others to optimize the patient's recovery and provide a flexible and customizable model for evaluation and therapy planning. The authors emphasize the need for unified procedures and further research to analyze the impact of these scales in different clinical contexts. [Extracted from the article]

In this article we present a set of murine vascular representations from contrada Santa Anastasia (Randazzo, Sicily), dated to the 5th century BC. We offer a full archaeological contextualisation for these items, and we discuss a potential link with the role of epidemics in the past through a combination of historico-medical, palaeopathological and infectivological arguments. [ABSTRACT FROM AUTHOR]

Resistance and toxicity associated with current treatments for human cytomegalovirus (HCMV) infection highlight the need for alternatives and immunotherapy has emerged as a promising strategy. This study examined the in vitro immunological effects of co-administration of Thymosin-alpha-1 (Tα1) and polyanionic carbosilane dendrimers (PCDs) on peripheral blood mononuclear cells (PBMCs) during HCMV infection. The biocompatibility of PCDs was assessed via MTT and LDH assays. PBMCs were pre-treated with the co-administered compounds and then exposed to HCMV for 48 h. Morphological alterations in PBMCs were observed using optical microscopy and total dendritic cells (tDCs), myeloid dendritic cells (mDCs), and plasmacytoid dendritic cells (pDCs), along with CD4+/CD8+ T cells and regulatory T cells (Treg), and were characterized using multiparametric flow cytometry. The findings revealed that Tα1 + PCDs treatments increased DC activation and maturation. Furthermore, increased co-receptor expression, intracellular IFNγ production in T cells and elevated Treg functionality and reduced senescence were evident with Tα1 + G2-S24P treatment. Conversely, reduced co-receptor expression, intracellular cytokine production in T cells, lower functionality and higher senescence in Treg were observed with Tα1 + G2S16 treatment. In summary, Tα1 + PCDs treatments demonstrate synergistic effects during early HCMV infection, suggesting their use as an alternative therapeutic for preventing virus infection. [ABSTRACT FROM AUTHOR]

Service design is a practice-based discipline developed as a co-creative and human-centred view of service-dominant logic (S-D logic). In the literature, operationalisation of S-D logic requires integration with other approaches that encourage continued interactions with users through the evolution of the design process. Emotional mechanics of gamification can facilitate these interactions, creating a conducive environment for value co-creation. We address the problematization of service design and try to operationalise SD logic as a theoretical framework. Emotional mechanics of gamification and the value co-creation are antecedents of service design. The aim of this study is to analyse the impact of the emotional mechanics of gamification in service design to foster co-creation experiences. Value co-creation is included as a mediating variable in the relationship between the emotional mechanics of gamification and service design. A quantitative approach through structural equation modelling was applied. Simple random sampling and a self-administered questionnaire were used to gather data from 390 users of gamified sports applications. The study contributes to the literature on service design, gamification and value co-creation by proposing and validating a theoretical framework based on a mix of human-centred design and value-co-creation. It can also be applied as a practical tool in customer engagement. [ABSTRACT FROM AUTHOR]

Biostimulants are presented as a potential tool to achieve the main objectives of modern agriculture: increase crop yield and nutritional quality while reducing chemical fertilizer use. Here, we investigated the use of a HS-based product (BLACKJAK®, from Sofbey S.A., Mendrisio, Switzerland) as a biostimulant to enhance plant growth, nitrogen (N), phosphorus (P), and potassium (K) use efficiency, as well as antioxidant capacity. For this purpose, BLACKJAK® was applied to lettuce (Lactuca sativa L.) as radicular ('R') and foliar ('F') at doses: 0.20 mL/L (R1), 0.40 mL/L (R2), 0.60 mL/L (R3), and 0.80 mL/L (R4), 5.00 mL/L (F1), 7.50 mL/L (F2), 10.00 mL/L (F3), and 12.50 mL/L (F4), along with a control. Shoot fresh weight (FW) and dry weight (DW), leaf area, NPK use efficiency parameters, and antioxidant capacity were evaluated. Our results showed that R1, R2, R3, F2, and F3 enhanced shoot FW and leaf area, while only R3 increased shoot DW. Furthermore, in general, most of the doses employed enhanced NPK use efficiency parameters such as apparent crop recovery, nutrient export, physiological efficiency, and internal utilization of applied nutrients. Similarly, HS also increased ascorbate, glutathione, and phenol concentrations, showing an improvement in antioxidant capacity measured through FRAP (Ferric Reducing Antioxidant Power) and TEAC (Trolox Equivalent Antioxidant Capacity) assays. Overall, root-HS offered better results than foliar-HS, especially at R3. Hence, our results indicate that BLACKJAK® could be a good candidate to enhance crop productivity and nutritional quality while reducing the use of chemical NPK fertilizers. [ABSTRACT FROM AUTHOR]

Introduction: Onychopapilloma most commonly presents as longitudinal erythronychia, but diagnosis may be challenging in some cases due to varied clinical presentations. Most patients with onychopapillomas do not report associated pain but instead more commonly report functional interference. Case Report: We present a case of a 74-year-old female with a 5-year history of splitting and lifting of the right thumbnail, accompanied by nail sensitivity and intermittent painful throbbing. Clinical examination was significant for a less than 1 mm red line with distal onycholysis. Love's test and a cold test performed with ice pack were negative. X-ray of the right thumb was negative for erosion or exostosis. Nail biopsy was performed, and dermatopathology was consistent with onychopapilloma with a concomitant traumatic neuroma. Conclusion: We report a case of onychopapilloma with a concomitant traumatic neuroma. Subungual neuromas are extremely rare and have not previously been associated with onychopapilloma. Our case supports the expansion of the differential diagnosis for a painful nail and demonstrates the importance of diagnostic confirmation with biopsy and histopathology. [ABSTRACT FROM AUTHOR]

This work focuses on the documentary analysis of an extension program entitled "Educa Pontal", carried out through an university/basic education system partnership. The program, result of diagnostic and learning assessment actions, has been carried out since 2019. Through an Extension Management System, the university operationalizes the registration and monitoring of the actions linked to the Program. The objective was to identify and analyze the program's managerial and documentary data. The research approach is qualitative, elaborated by using documentary sources/reports from 2019 to 2021, downloaded from the Management System, categorized and analyzed textually and by descriptive statistics. The results indicate that training processes were developed that covered workshops with the following themes: citizenship, ethics, teaching and learning, skills training, and others, with an average of 100 to over 1,000 participants, being these basic education teachers, managers, and high school students. [ABSTRACT FROM AUTHOR]

This study aims to analyze the effect of victimization suffered during the COVID-19 lockdown on psychological trauma in early and late adolescents. The sample of this study comprised of 933 Peruvian adolescents, 45.5% (n= 423) were males and (54.5%) (n= 506) were females. 44.5% (n=415) were in early adolescence (12 to 13 years) and 55.5 % (n=518) were in late adolescence (14 to 17 years). Data was collected online during the COVID-19 lockdown. Results show that early adolescents who have suffered victimization have higher probabilities of suffering psychological trauma than late adolescents compared to non-victims. In addition, loneliness is observed to play a significant role as a mediator in the relationship between victimization and psychological trauma in Early Adolescents (B = .69, SE = 0.08, CI [ .53, .86]) and late adolescents (B = .66, SE = 0.07, CI [.51, .81]). Results suggests that the cost-benefit of COVID 19 lockdown should be reconsidered. Social distance could had made difficult for adolescents to stablish interpersonal relationships and solve conflicts associated with victimization. Loneliness could be an expression of these difficulties and therefore explain symptoms of psychological trauma. Finally, results are discussed in order to prevent the harmful effects of the pandemic and the measures taken on adolescent mental health, especially in middle- and low-income countries. [ABSTRACT FROM AUTHOR]

ABGAs are historically associated with Encephalitis Lethargica (EL). Typically ABGAs are also found in children resulting in a variety of neuropsychiatric and extrapyramidal disorders, rare cases are reported in adults with atypical movement disorders. No description of basal ganglia reversible lesions related to ABGAs are reported and these antibodies are not included in the list of autoimmune encephalitis. A 55 years old female presented sub-acute onset of an anxious-depressive disorder and obsessive-compulsive behavior associated with intractable insomnia affecting sleep onset and sleep maintenance. Brain-MRI showed diffuse hyperintensities on FLAIR sequences in the basal ganglia. A therapy with IV-immunoglobulin was started and the clinical condition improved dramatically and insomnia and psychiatric symptoms resolved completely. Our case highlights the importance of making a fast diagnosis. When caught early ABGAs-related encephalitis is susceptible of a good outcome and response to treatment. Reversible insomnia and dementia in our case expand ABGA clinical presentation in adults and favors the hypothesis of an immune pathogenesis for Encephalitis Lethargica, especially in the hyperkinetic form as previously suggested, as in our case. [ABSTRACT FROM AUTHOR]

Protein–nanoparticle hybridization can ideally lead to novel biological entities characterized by emerging properties that can sensibly differ from those of the parent components. Herein, the effect of ionic strength on the biological functions of recombinant His-tagged spermine oxidase (i.e., SMOX) was studied for the first time. Moreover, SMOX was integrated into colloidal surface active maghemite nanoparticles (SAMNs) via direct self-assembly, leading to a biologically active nano-enzyme (i.e., SAMN@SMOX). The hybrid was subjected to an in-depth chemical–physical characterization, highlighting the fact that the protein structure was perfectly preserved. The catalytic activity of the nanostructured hybrid (SAMN@SMOX) was assessed by extracting the kinetics parameters using spermine as a substrate and compared to the soluble enzyme as a function of ionic strength. The results revealed that the catalytic function was dominated by electrostatic interactions and that they were drastically modified upon hybridization with colloidal ɣ-Fe2O3. The fact that the affinity of SMOX toward spermine was significantly higher for the nanohybrid at low salinity is noteworthy. The present study supports the vision of using protein–nanoparticle conjugation as a means to modulate biological functions. [ABSTRACT FROM AUTHOR]

Certain T-cell lymphomas exhibit unique homing properties of the neoplastic lymphocytes for the subcutaneous fat. There are two primary forms of subcutaneous panniculitic lymphomas of T-cell origin. One falls under the designation of primary cutaneous gamma-delta T-cell lymphomas (PGD-TCL) whereby there is dominant involvement of the fat defininng a panniculitic form of PGD-TCL. The neoplastic cells are of the gamma-delta subset and are either double negative for CD4 and CD8 and/or can express CD8. They often have an aggressive clinical course. The other form of panniculitic T-cell lymphoma falls under the designation of subcutaneous panniculitis-like T-cell lymphoma (SPTCL). It represents a subcutaneous lymphoma derived from CD8+ T cells of the alpha-beta subset and typically has an indolent course. These two forms of panniculitic T-cell lymphoma exhibit overlapping histologic features with lupus profundus (LP), a putative form of panniculitic T-cell dyscrasia. We present three cases of PGD-TCL of the fat in the setting of lupus erythematosus (LE) (two cases) and dermatomyositis (DM) (one case), respectively. There were concurrent features of LE and DM in their lymphoma biopsies in two cases while a prior biopsy in one was interpreted as LP. In this latter case, the LP diagnosis presaged the diagnosis of panniculitic PGD-TCL by three years. One patient diagnosed with panniculitic PGD-TCL had hemophagocytic syndrome after developing a lupus-like complex including certain supportive serologies such as antibodies to double-stranded DNA following initiation of statin therapy. The second patient presented with PGD-TCL and concomitant features of anti-nuclear matrix 2 (NXP2) DM. The third patient presented in 2003 with LP and overlying skin features of acute LE, initially responding to Plaquenil, and then four years later was diagnosed with PGD-TCL heralded by Plaquenil treatment resistance. Two of the patients died of their lymphoma. All biopsies showed a characteristic histopathology of PGD-TCL. In two cases, the PGD-TCL was associated with overlying LE-cutaneous findings; another case had skin changes of lymphocyte-rich DM. In two cases, the MXA stain was strikingly positive, the surrogate type I interferon marker that is typically upregulated in biopsies of LE and DM. There are eight prior reported cases describing SPTCL with concomitant cutaneous changes of LE. In six cases there was an established history of LE, including LP responding initially to Plaquenil, similar to one of our cases. In the context of SPTCL or panniculitic PGD-TCL, panniculitic T-cell lymphomas can be associated with concomitant clinical and histologic features of LE or DM, including an upregulated type I interferon signature. Identifying histologic features associated with either of these prototypic autoimmune conditions should not be considered exclusionary to diagnosing any panniculitic T-cell lymphoma. A clinical, histomorphologic, and pathophysiologic continuum exists with LP, SPTCL and panniculitic PGD-TCL. [ABSTRACT FROM AUTHOR]

Introduction: The drug allergy alert system reduces the frequency of adverse drug events, although it is subjected to collateral effects, since 80–90% of alerts are not real, and a large percentage of alerts are overridden (46.2–96.2%). We reviewed how the alert system is used at University Hospital Fundación Alcorcon (HUFA). Methods: Data were obtained from the drug allergy alert and the alert overriding notification forms (both in the period 2011–20). We also recorded drug allergy diagnoses at HUFA, drug consumption in primary care in 2016. We calculated the incidence of drug allergy alert activation, temporal trends in use, and correlations between the number of drugs in several datasets. Results: We collected 15,535 alerts. NSAIDs and penicillins were the drugs with the highest number of drug allergy alerts (36.55% and 26.91%, respectively). A correlation was found between the number of drug alerts and the type of drug allergy in HUFA in 2016. Only 6.83% of the alerts were removed, and, of these, 21.77% were reactivated. Approximately 100 overrides were recorded per year from 2016 (6.8% of 8,434 activated alerts during 2014–2020). Conclusions: The number of drug allergy alerts recorded via the drug allergy alert system of HUFA correlates with the distribution of drug allergy diagnoses in the hospital, although many of the alerts could be false positives (as per current published evidence). We detected a very low frequency of removed alerts (6.83%), a relevant frequency of reactivations (one quarter), and a very low frequency of overrides (6.8%). [ABSTRACT FROM AUTHOR]

Background: Auto‐antibodies neutralizing the activity of type I interferons have been recently described in patients infected by SARS‐CoV‐2. They can be present even before the onset of the infection. Since type I interferons exert a dichotomous role in the pathogenesis of acute versus chronic HIV infection and auto‐antibodies are often found in untreated and anti‐retroviral treated HIV+ patients, we investigated whether auto‐antibodies anti‐type I interferons are present at high prevalence in those HIV+ patients with concomitant opportunistic infections (OIs). Methods: The analysis of auto‐antibodies against two types of type I interferons (IFN‐α2 and IFN‐ω) was performed using the ELISA test in 60 patients chronically infected by HIV who showed concomitant infections caused by mycobacterium tuberculosis or nontuberculosis mycobacterium or with active cytomegalovirus infections. Results were compared with those of 283 SARS‐CoV‐2 swab positive patients showing mild to severe pneumonia. A chi‐square (χ2) test or the Wilcoxon–Mann–Whitney test were used to compare the HIV+ patient categorical or continuous variables, respectively. Results: A high prevalence of auto‐antibodies to type I interferons was found in middle‐aged HIV‐infected patients with concomitant OIs (11.6% vs. 5.3% in COVID‐19 subjects; p <.05). No statistically differences were found for viro/immunological characteristics (CD4 and CD8 cell counts and viral load) between patients with and without type I interferons auto‐antibodies. Conclusions: This study, which is the first searching auto‐antibodies against type I interferons in HIV‐infected patients, demonstrated that their prevalence was higher than that expected by the age of these patients. Furthermore, it indicated that these auto‐antibodies are nonspecifically increased in critical SARS‐CoV‐2 infection but can be found also in other infections. [ABSTRACT FROM AUTHOR]

Background: Surgical Site Infections (SSI) are one of the most common complications after a caesarean with significant morbidity. Evidence suggests that SSI rates can be reduced post caesarean by using a Leukomed® Sorbact® (Essity) bacteria binding wound dressing, thereby reducing bacterial wound colonisation. Barking, Havering & Redbridge University Hospitals NHS Trust, London, UK (BHRUT) maternity unit sought change their clinical practice by using Leukomed Sorbact and evaluate if this reduced their SSI rate, SSI readmission rate, antibiotic usage and evaluate any associated cost savings.Methods: From January 1st 2022, Mepore® (Molnlycke) wound dressings were replaced with Leukomed Sorbact for all caesareans. Retrospective and prospective audits were undertaken to compare SSI incidence pre- and post- implementation of the dressing. No changes were made to wound cleaning products, prophylactic antibiotic use or surgical technique. Wound closure technique remained the choice of the individual surgeon.Results: Prior to this practice change, the baseline SSI rate between January–December 2021 was 6.1% and the SSI readmission rate was 1.27%. Comparative data for January–December 2022 showed a 38% reduction in SSI rates (overall SSI rate = 3.8%), a 31% reduction in readmission rate for SSI (overall rate = 0.88%), a 38% reduction in readmission bed days and a 30% reduction in antibiotic use. There was a reduction in SSI rates in all body mass index (BMI) categories. Total savings due to the reduction in SSI rates over twelve months were £ 234,784. The cost savings to BHRUT solely attributable to the reduction in readmissions was £ 49,750 or £ 21 per Caesarean, which will be an ongoing saving.Conclusion: The use of Leukomed Sorbact dressings after Caesarean resulted in improved clinical outcomes with reduced SSI and readmission rates. Investment in the new dressing was cost effective when considering bed days freed, the reduction in antibiotic usage, reduced morbidity and improved patient experience. [ABSTRACT FROM AUTHOR]

The International Journal of Molecular Sciences has published a special issue titled "Bio-Nano Interactions 2.0." The issue explores the field of nanoscience and nanotechnology, with a focus on emulating the complexity of biological systems and integrating biology and nanotechnology. The goal is to manipulate matter at an atomic scale, similar to how nature does. The issue discusses the challenges and opportunities in bio-nano interactions and highlights the use of nanomaterials in nanomedicine. The articles also cover topics such as the design of nanomaterials, their interactions with biological molecules, and their potential applications in medicine. [Extracted from the article]

Lichen planus is a chronic inflammatory disorder that may affect the skin, nails, and/or oral mucosa. Bullous lichen planus is a rare variant of lichen planus, which is even less common in the nails. We present a case of nail bullous lichen planus, in a 48-year-old male presenting with a 10-month history of onychodystrophy of all ten fingernails. A longitudinal excision of the left thumbnail was performed, with histopathology consistent with lichen planus with focal transition to bullous lichen planus. He was treated with intralesional triamcinolone injections to the fingernails monthly, with improvements noted after three treatments. Our patient’s nail bullous lichen planus manifested with longitudinal ridging, white-yellow discoloration, onycholysis, subungual hyperkeratosis, and v-shaped nicking. Histopathological findings included classical lichen planus changes, as well as formation of subepidermal bullae, colloid bodies, and extensive inflammatory infiltrate. Increased awareness and high index of suspicion for this condition are necessary, given the often late diagnosis reported in previously published cases. [ABSTRACT FROM AUTHOR]

Inflammatory Bowel Diseases had their first peak in incidence in countries in North America, Europe, and Oceania and are currently experiencing a new acceleration in incidence, especially in Latin America and Asia. Despite technological advances, 90 years after the development of the first molecule for the treatment of IBD, we still do not have drugs that promote disease remission in a generalized way. We carried out a narrative review on therapeutic advances in the treatment of IBD, the mechanisms of action, and the challenges facing the therapeutic goals in the treatment of IBD. Salicylates are still used in the treatment of Ulcerative Colitis. Corticosteroids have an indication restricted to the period of therapeutic induction due to frequent adverse events, while technologies with less systemic action have been developed. Most immunomodulators showed a late onset of action, requiring a differentiated initial strategy to control the disease. New therapeutic perspectives emerged with biological therapy, initially with anti-TNF, followed by anti-integrins and anti-interleukins. Despite the different mechanisms of action, there are similarities between the general rates of effectiveness. These similar results were also evidenced in JAK inhibitors and S1p modulators, the last therapeutic classes approved for the treatment of IBD. [ABSTRACT FROM AUTHOR]

In recent years, deep learning has been successfully applied in various scientific domains. Following these promising results and performances, it has recently also started being evaluated in the domain of radio astronomy. In particular, since radio astronomy is entering the Big Data era, with the advent of the largest telescope in the world - the Square Kilometre Array (SKA), the task of automatic object detection and instance segmentation is crucial for source finding and analysis. In this work, we explore the performance of the most affirmed deep learning approaches, applied to astronomical images obtained by radio interferometric instrumentation, to solve the task of automatic source detection. This is carried out by applying models designed to accomplish two different kinds of tasks: object detection and semantic segmentation. The goal is to provide an overview of existing techniques, in terms of prediction performance and computational efficiency, to scientists in the astrophysics community who would like to employ machine learning in their research. [ABSTRACT FROM AUTHOR]

In this review, we will describe the importance of fibrosis in inflammatory bowel disease (IBD) by discussing its distinct impact on Crohn's disease (CD) and ulcerative colitis (UC) through their translation to histopathology. We will address the existing knowledge on the correlation between inflammation and fibrosis and the still not fully explained inflammation-independent fibrogenesis. Finally, we will compile and discuss the recent advances in the noninvasive assessment of intestinal fibrosis, including imaging and biomarkers. Based on the available data, none of the available cross-sectional imaging (CSI) techniques has proved to be capable of measuring CD fibrosis accurately, with MRE showing the most promising performance along with elastography. Very recent research with radiomics showed encouraging results, but further validation with reliable radiomic biomarkers is warranted. Despite the interesting results with micro-RNAs, further advances on the topic of fibrosis biomarkers depend on the development of robust clinical trials based on solid and validated endpoints. We conclude that it seems very likely that radiomics and AI will participate in the future non-invasive fibrosis assessment by CSI techniques in IBD. However, as of today, surgical pathology remains the gold standard for the diagnosis and quantification of intestinal fibrosis in IBD. [ABSTRACT FROM AUTHOR]

Due to the risk of cerebral hemorrhage, and its related morbidity–mortality, brain arteriovenous malformations (bAVMs) are a rare and potentially life-threatening disease. Despite this, there is only one randomized controlled trial on bAVM management, A Randomized trial of Unruptured Brain Arteriovenous malformations (ARUBA). The results of the ARUBA trial favor a noninterventional approach in the case of an unruptured bAVM; however, implementation of these findings is challenging in daily practice. Instead, management of bAVM relies on multidisciplinary discussions that lead to patient-specific strategies based on patient preferences, local expertise, and experience in referral centers. Considering the diverse patterns of presentation and numerous treatment modalities, implementing standardized guidelines in this context proves challenging, notwithstanding the recommendations or expert opinions offered. Endovascular treatment (EVT) of bAVM can be curative, or can serve as an adjunct treatment prior to surgery or radiosurgery ("pre-EVT"). EVT practice is in constant evolution (i.e., venous approach, combination with surgery during the same anesthesia, etc.). Liquid embolic agents such as ethylene vinyl alcohol (EVOH) copolymer and cyanoacrylates (CYA), and their method of injection to increase bAVM occlusion have also benefited from technical evolutions such as the use of adjunctive flow arrest techniques (mini balloons, pressure cooker technique, and multiple catheters). Further research is necessary to evaluate the advantages and disadvantages of EVT for bAVM. [ABSTRACT FROM AUTHOR]

Intertextuality is paramount in literary translation. This article studies the biblical composite permeating the second scene of the third act of Shakespeare's Richard II. It focuses on how Shakespeare's use of the scriptural concepts of kingship is transposed into Spanish by the most widely read translators of these plays. Special attention is paid to the way Shakespeare represents kingship in Richard II by quoting from the Bible. The methodology employed in this intertextual comparison involves a comparative analysis of the transposition component in both the source and the receiving intertext (the Spanish version of the text). The conclusions aim to encourage greater attention to be paid to intertextuality in the practice of translation, particularly after comparing the strengths and weaknesses of the five Spanish translations compared in this article. [ABSTRACT FROM AUTHOR]

Aging is a physiological process accompanied by a decline in cognitive performance. The cholinergic neurons of the basal forebrain provide projections to the cortex that are directly engaged in many cognitive processes in mammals. In addition, basal forebrain neurons contribute to the generation of different rhythms in the EEG along the sleep/wakefulness cycle. The aim of this review is to provide an overview of recent advances grouped around the changes in basal forebrain activity during healthy aging. Elucidating the underlying mechanisms of brain function and their decline is especially relevant in today's society as an increasingly aged population faces higher risks of developing neurodegenerative diseases such as Alzheimer's disease. The profound age-related cognitive deficits and neurodegenerative diseases associated with basal forebrain dysfunction highlight the importance of investigating the aging of this brain region. [ABSTRACT FROM AUTHOR]

It is well established that decay and interference are the two main causes of forgetting. In the present study, we specifically focus on the impact of interference on memory forgetting. To do so, we tested Guinea baboons (Papio papio) on a visuo-motor adaptation of the Serial Reaction Time task in which a target sequence is repeated, and a random sequence is interposed between repetitions, a similar situation as the one used in the Hebb repetition paradigm. In this task, one three-item sequence, the repeated sequence, was presented every second trial and interleaved with random sequences. Interference was implemented by using random sequences containing one item that was also part of the repeated sequence. In a first condition, the overlapping item was located at the same position as the repeated sequence. In a second condition, the overlapping item was located at one of the two other positions. In a third condition, there was no overlap between repeated and random sequences. Contrary to previous findings, our results reveal similar learning slopes across all three conditions, suggesting that interference did not affect sequence learning in the conditions tested. Findings are discussed in the light of previous research on sequence learning and current models of memory and statistical learning. [ABSTRACT FROM AUTHOR]

Simple Summary: In addition to the historical indicator of mammary gland health, milk somatic cell count (SCC), the differential SCC (DSCC) has been introduced to improve the accuracy of mastitis detection. No studies have yet explored DSCC variability in local breeds used for milk production such as Burlina and Alpine Grey. Although local cattle breeds show greater rusticity and resistance to disease compared to cosmopolitan specialized dairy breeds, udder health status needs to be monitored for reasons related to profitability, management improvement, and animal welfare. In the present study, we aimed at investigating the factors affecting SCC and DSCC in Italian local breeds. Finally, by combining both SCC and DSCC, we attempted to estimate the effect of the udder health status on milk yield and composition traits. Milk differential somatic cell count (DSCC) represents the percentage of polymorphonuclear neutrophils and lymphocytes out of the total somatic cell count (SCC) and has been proposed in recent years as a proxy for udder health in dairy cows. We investigated phenotypic factors affecting SCC and DSCC using 3978 records of 212 Alpine Grey and 426 Burlina cows farmed in Northern Italy. The linear mixed model accounted for the fixed effects of breed, parity, lactation stage, sampling season, and first-order interactions of breed with the other effects. Cow, herd-test-date nested within breed were random. Subsequently, four udder health status groups (UHS) were created by combining SCC and DSCC to assess the UHS impact on milk yield and quality. DSCC was greater in Alpine Grey (66.2 ± 0.8%) than Burlina cows (63.2 ± 0.6%) and, similarly to SCC, it increased with days in milk and parity regardless of breed. Milk yield and composition were affected by UHS in both breeds. These results suggest that also udder health of local breeds can be monitored on a large scale through SCC and DSCC for reduction in biodiversity loss and increased farm profitability. However, in addition to milk data, the introduction of mastitis recording and monitoring plans is advisable. [ABSTRACT FROM AUTHOR]

Automated threshold audiometry (ATA) could increase access to paediatric hearing assessment in low- and middle-income countries, but few studies have evaluated test-retest repeatability of ATA in children. This study aims to analyse test-retest repeatability of ATA and to identify factors that affect the reliability of this method. ATA was performed twice in a cohort of Nicaraguan schoolchildren. During testing, the proportion of responses occurring in the absence of a stimulus was measured by calculating a stimulus response false positive rate (SRFP). Absolute test-retest repeatability was determined between the two trials, as well as the impact of age, gender, ambient noise, head circumference, and SRFP on these results. 807 children were randomly selected from 35 schools in northern Nicaragua. Across all frequencies, the absolute value of the difference between measurements was 5.5 ± 7.8 dB. 89.6% of test-retest differences were within 10 dB. Intra-class correlation coefficients between the two measurements showed that lower SRFP was associated with improved repeatability. No effect of age, gender, or ambient noise was found. ATA produced moderate test-retest repeatability in Nicaraguan schoolchildren. Participant testing behaviours, such as delayed or otherwise inappropriate response patterns, significantly impacts the repeatability of these measurements. [ABSTRACT FROM AUTHOR]

Prior research has demonstrated that teacher-student relationships characterized by high levels of closeness and low levels of conflict are associated with higher levels of academic achievement among children. At the same time: (a) some research suggests that the quality of teacher-student relationships in part reflects the quality of early caregiving, and (b) the observed quality of early care by primary caregivers robustly predicts subsequent academic achievement. Given the potential for associations between teacher-student relationship quality and academic achievement to thus be confounded by the quality of early parenting experiences, the present study examined to what extent children's experiences in early life with primary caregivers (i.e., ages 3 to 42 months) and relationships with teachers during grade school (i.e., Kindergarten to Grade 6) were uniquely associated with an objective assessment of academic achievement at age 16 years in a sample born into poverty (N = 267; 45% female; 65% White/non-Hispanic; 41% of mothers did not complete high school). Early maternal sensitivity, though a strong predictor of later academic achievement, was not reliably associated with either teacher-reports or interview-based assessments of teacher-student relationship quality in grade school. Nonetheless, early maternal sensitivity and teacher-student relationship quality were each uniquely associated with later academic achievement, above and beyond key demographic variables. Taken together, the present results highlight that the quality of children's relationships with adults at home and at school independently, but not interactively, predicted later academic achievement in a high-risk sample. [ABSTRACT FROM AUTHOR]

Background: Many patients treated with Natalizumab experience wearing-off symptoms (WoS) towards the end of the administration cycle. During the pandemic we advised and asked patients undergoing treatment with Natalizumab if they wanted to be shifted from a standard interval dosing (StID of 4 weeks) to an extended interval dosing (ExID of 5–6 weeks), regardless of their JCV index. Our main objective was to study prevalence and incidence of WoS when ExID was adopted. Methods: We enrolled 86 patients, from May 2020 to January 2021, evaluated at baseline and during a 6 months follow-up with a survey focused on WoS, Fatigue Severity Scale (FSS), Expanded Disability Status Scale (EDSS) and MRI. Results: Among the 86 patients, 32 (37.2%) reported WoS. Most common one was fatigue (93.7%). Mean EDSS was higher in the group reporting WoS (3.8 WoS vs 3.1 non-WoS, p < 0.05). Sphincterial function was the EDSS item that significantly differed between the WoS group and the non-WoS group (1.4 WoS vs 0.6 non-WoS, p < 0.001). WoS correlate with the FSS scale (p < 0.001). Conclusion: Adopting an extended interval dosing does not result in significantly different occurrence of WoS between the ExID and the StID populations, in our cohort of patients. Interestingly, there is a strong correlation between WoS and a higher EDSS and FSS. Safety and efficacy of Natalizumab with ExID are relatively preserved in our study. [ABSTRACT FROM AUTHOR]

Despite some variability in ideal serum Adalimumab (ADA) concentrations, there is increasing evidence that higher concentrations of anti-TNF-α agents can be associated with sustained efficacy, and low or undetectable levels may lead to loss of response. This study aims to correlate serum ADA concentrations with clinical and endoscopic activity in patients with Crohn's disease (CD). A cross-sectional and multicentric study was performed with patients with CD, who used ADA for at least 24 weeks. Patients were allocated into groups according to the presence of clinical or endoscopic disease activity. Serum ADA concentrations were measured and compared between groups. Overall, 89 patients were included. A total of 27 patients had clinically active CD and 62 were in clinical remission. Forty patients had endoscopic disease activity and 49 were in endoscopic remission. The mean serum ADA concentration was 10.2 μg/mL in patients with clinically active CD and 14.3 μg/mL in patients in clinical remission (p = 0.395). The mean serum ADA concentration in patients with endoscopic activity was 11.3 μg/mL as compared to 14.5 μg/mL in those with endoscopic remission (p = 0.566). There was no difference between serum ADA concentrations regarding clinical or endoscopic activity in CD, as compared to patients in remission [ABSTRACT FROM AUTHOR]

The i Support Therapy–Access to Rapid Treatment (iSTART) was an initiative to improve patient-centered management in mild-to-moderate ulcerative colitis (UC). Our aim was to update the iSTART recommendations in order to include fecal calprotectin (FC) in the monitoring of patients with UC and improve their management. Twelve physicians from nine countries worldwide attended a virtual international consensus meeting on 4 May 2022. Data from three systematic reviews were analyzed, and a new systematic review investigating all studies reporting measurement of FC at home was conducted. Based on literature evidence, statements were formulated, discussed, and approved by voting. Statements were considered approved if at least 75% of participants agreed with a proposed statement. Fourteen statements were approved. Based on this consensus, FC measurement should be routinely performed for monitoring patients with mild-to-moderate UC to identify disease relapses early and initiate an appropriate treatment. Further studies are needed to assess whether self-monitoring of FC is associated with better disease control and improved patients' quality of life. [ABSTRACT FROM AUTHOR]

Simple Summary: Studies on the effect of thermal stress on lactating cows have increased considerably in recent years. Feedlot systems for dairy cows have become popular around the world. This article aims to develop a scientometric analysis to evaluate studies on thermal stress in lactating cows housed in a free-stall, tie-stall, and compost-bedded pack barn system. A total of 604 studies from the Web of Science database was considered for this study. The data obtained from the Web of Science was exported to Citespace software. The most used keywords by the researchers were "heat stress", "dairy cow" and "cattle". The most relevant countries, authors, institutions, and networks of co-occurrences for our research were highlighted. This article provides a comprehensive review of thermal stress in lactating cows housed in confinement in the last 22 years and contributes to future research in this area. Due to climate change, heat stress is a growing problem for the dairy industry. Based on this, annual economic losses in the dairy sector are verified mainly on a large scale. Despite several publications on thermal stress in lactating dairy cows in confinement systems, there need to be published reviews addressing this issue systematically. Our objective was to scientometrically analyze the effects of heat stress in dairy cows managed in a confinement system. Based on PRISMA guidelines, research articles were identified, screened, and summarized based on inclusion criteria for heat stress in a confinement system. Data was obtained from the Web of Science. A total of 604 scientific articles published between 2000 and April 2022 were considered. Data was then analyzed using Microsoft Excel and CiteSpace. The results pointed to a significant increase in studies on heat stress in lactating cows housed in confinement systems. The main research areas were Agriculture, Dairy Animal Science and Veterinary Sciences. The USA showed the highest concentration of studies (31.12%), followed by China (14.90%). Emerging themes included heat stress and behavior. The most influential journals were the Journal of Dairy Science and the Journal of Animal Science. The top authors were L. H. Baumgard and R. J. Collier. The leading institutions were the Chinese Academy of Agricultural Sciences, followed by the State University System of Florida and the University of Florida. The study maps the significant research domains on heat stress of lactating cows in confinement systems, discusses implications and explanations and highlights emerging trends. [ABSTRACT FROM AUTHOR]

• A review of track detection algorithms across different research fields. • Technical description of the initiation, maintenance and termination of a radar track in the BIRALES radar. • Presentation of a new track detection strategy that is used for the detection of orbital debris using a bi-static continuous-wave radar. • Performance evaluation of this new track detection method on synthetic data. The world's economy has become heavily dependent on the services provided by satellites. With the exponential increase in satellite launches, the population of defunct or inactive hardware in space has grown substantially. This is especially true in sensitive orbits such as the Low Earth Orbit (LEO) and Geostationary Earth Orbit (GEO) regimes. These objects, collectively known as orbital debris, can reach speeds of up to 28 000km h−1 in LEO. At these orbital speeds, even the smallest of objects can pose a considerable threat to operational satellites or astronauts. This makes the monitoring, and detection, of these objects of the utmost importance. This work describes the latest detection strategy used in one of Europe's largest Space Situational Awareness (SSA) installation; the BIstatic RAdar for LEo Survey (BIRALES) space debris radar. We present a novel bottom-up approach that makes use of single-linkage clustering to identify faint radar streaks in spectrogram data. Tests on synthetic data have shown that the detection strategy presented in this study obtains a higher detection rate when it is compared against existing methods. Unlike other approaches, this detection strategy, using the Multi-beam streak detection strategy (MSDS) algorithm, was still able to recall 90% of the track information at an Signal-to-Noise Ratio (SNR) of 2dB. [ABSTRACT FROM AUTHOR]

Placenta accreta spectrum (PAS) disorder is one of the most dangerous conditions that can affect pregnancy and its incidence is increasing secondary to rising cesarean section rates worldwide. The standard treatment is frequently elective hysterectomy at the time of cesarean delivery; however, uterine and fertility preserving surgery is becoming more common. In the pursuit of a reduction in blood loss and associated maternal morbidity, occlusive vascular balloons are increasingly used at the time of surgery, usually placed with fluoroscopic guidance. Occlusive balloons placed in the infrarenal aorta have been shown in the literature to be superior in terms of blood loss and hysterectomy rates than those placed more distally, such as within iliac or uterine arteries. We present the first five cases performed in Europe of ultrasound-guided infrarenal aortic balloon placement before cesarean for PAS disorder, and describe the technique we used, which provided reduced blood loss, a clearer operating field and avoided fetal and maternal exposure to radiation and intravenous contrast. [ABSTRACT FROM AUTHOR]

Parkinson's disease (PD) is a neurodegenerative disorder that results from the degeneration of dopaminergic neurons in the substantia nigra pars compacta (SNpc). Since there are only symptomatic treatments available, new cellular and molecular targets involved in the onset and progression of this disease are needed to develop effective treatments. CCAAT/Enhancer Binding Protein β (C/EBPβ) transcription factor levels are altered in patients with a variety of neurodegenerative diseases, suggesting that it may be a good therapeutic target for the treatment of PD. A list of genes involved in PD that can be regulated by C/EBPβ was generated by the combination of genetic and in silico data, the mitochondrial transcription factor A (TFAM) being among them. In this paper, we observed that C/EBPβ overexpression increased TFAM promoter activity. However, downregulation of C/EBPβ in different PD/neuroinflammation cellular models produced an increase in TFAM levels, together with other mitochondrial markers. This led us to propose an accumulation of non-functional mitochondria possibly due to the alteration of their autophagic degradation in the absence of C/EBPβ. Then, we concluded that C/EBPβ is not only involved in harmful processes occurring in PD, such as inflammation, but is also implicated in mitochondrial function and autophagy in PD-like conditions. [ABSTRACT FROM AUTHOR]

Population aging and urbanization are two growing global phenomena. This scenario requires changes that involve the urban mobility experienced by older individuals. Therefore, this study aimed to analyze the relationship between urban mobility and quality of life based on the social representations of older people. This is a qualitative research that conducted documentary research and semi-structured interviews. Eleven older individuals, who are members of the SUPERidade Project of the Social Assistance Department of the city of Chapecó, State of Santa Catarina, participated in the study. For the analysis of the information, the technique of thematic content analysis was used, delimited to the category "Urban Mobility and Quality of Life as a Right to the City." Urban mobility enables older individuals to reach desired destinations, access health care and leisure activities, which represent quality of life. The influence of urban space on the mobility of older individuals can promote quality of life and social inclusion, or the opposite, as it enables or restricts opportunities to enjoy what the city offers. It is understood that urban mobility is one of the factors that make up the social determinants of health, given its influence on the access of older individuals to the city. Considering that aging is a progressive, irreversible, and predictable process in the course of life, urban space can be restructured, contributing to the inclusion of older individuals with different degrees of functional capacity in order to promote a more just, democratic, and healthy urban space [ABSTRACT FROM AUTHOR]

An acral fibrochondromyxoid tumor is a newly described type of benign soft tissue neoplasm that presents as a single nodular lesion on a finger or toe. There has only been one previous report on this tumor, a case series that described the initial pathologic and clinical findings; however, details on clinical history, physical examination, and outcome are unknown. In this report, we describe a case of a 39-year-old male who presented with a painful enlarging mass involving the distal right 3rd finger and hyponychium. Punch biopsy was performed and the lesion was identified as an acral fibrochondromyxoid tumor on microscopic examination. X-ray showed no bony involvement. The tumor was successfully excised with complete resolution of pain symptoms. We discuss the clinical features and immunohistochemistry findings of our case in the context of the current limited knowledge about this very rare tumor. [ABSTRACT FROM AUTHOR]

Supersulfated cement (SSC) consists essentially of blast-furnace slag and calcium sulfate. It can be considered an alternative to Portland cement because its production minimizes the environmental impacts caused by the exploration of raw materials and CO2 emissions. However, the long-term durability of SSC still needs to be studied. In this article, the influence of the composition of the SSC in the attack by sodium and magnesium sulfates was analyzed, varying the source (gypsum and phosphogypsum) and content (10% and 20%) of calcium sulfate. The source of calcium sulfate did not significantly influence the resistance to sulfate attack, but it did change the mechanical strength of the SSC. The results showed that at the end of two years, all SSC samples were resistant to sodium sulfate attack; SSC pastes naturally formed a large amount of ettringite at early ages, preventing expansion at later ages. The SSC containing more calcium sulfate was the only mixture resistant under magnesium sulfate attack. A higher content of calcium sulfate in the composition of SSC can reduce the rate of diffusion of sulfate ions and improve their resistance to attack by magnesium sulfate. The lower formation of C─ S─ H, together with a higher content of calcium sulfate, provided an SSC with the best performance under magnesium sulfate attack. [ABSTRACT FROM AUTHOR]