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Studies of vertebrate bone biomechanics often focus on skeletal adaptations at upper extremes of body mass, disregarding the importance of skeletal adaptations at lower extremes. Yet mammals are ancestrally small and most modern species have masses under 5 kg, so the evolution of morphology and function at small size should be prioritized for understanding how mammals subsist. We examined allometric scaling of lumbar vertebrae in the small-bodied Philippine endemic rodents known as cloud rats, which vary in mass across two orders of magnitude (15.5 g–2700 g). External vertebral dimensions scale with isometry or positive allometry, likely relating to body size and nuances in quadrupedal posture. In contrast to most mammalian trabecular bone studies, bone volume fraction and trabecular thickness scale with positive allometry and isometry, respectively. It is physiologically impossible for these trends to continue to the upper extremes of mammalian body size, and we demonstrate a fundamental difference in trabecular bone allometry between large- and small-bodied mammals. These findings have important implications for the biomechanical capabilities of mammalian bone at small body size; for the selective pressures that govern skeletal evolution in small mammals; and for the way we define 'small' and 'large' in the context of vertebrate skeletons. [ABSTRACT FROM AUTHOR]

The presented six component force balance is a novel design used for many of the force measurements on hydrofoils and other bodies in the University of Tasmania's cavitation tunnel. This balance is a versatile piece of equipment, the distribution of its six load cells gives it a high degree of sensitivity and stiffness in all directions. The accuracy of the balance in operating conditions has yet to be defined and its use for investigations of low frequency fluid-structure interactions warrants an analysis of its dynamic properties. This paper outlines a critical analysis of the balances calibration methodologies and its measurement uncertainties. A dynamic vibration model was built and validated with finite element modelling and experiment to give a prediction of the force balances natural frequencies and how they change with different test article mass and added masses. These results provide confidence in the data produced by this device and guide future experimental investigations into fluid structure interactions. [ABSTRACT FROM AUTHOR]

Teeth lie at the interface between an animal and its environment and, with some exceptions, act as a major component of resource procurement through food acquisition and processing. Therefore, the shape of a tooth is closely tied to the type of food being eaten. This tight relationship is of use to biologists describing the natural history of species and given the high instance of tooth preservation in the fossil record, is especially useful for paleontologists. However, correlating gross tooth morphology to diet is only part of the story, and much more can be learned through the study of dental biomechanics. We can explore the mechanics of how teeth work, how different shapes evolved, and the underlying forces that constrain tooth shape. This review aims to provide an overview of the research on dental biomechanics, in both mammalian and non-mammalian teeth, and to synthesize two main approaches to dental biomechanics to develop an integrative framework for classifying and evaluating dental functional morphology. This framework relates food material properties to the dynamics of food processing, in particular how teeth transfer energy to food items, and how these mechanical considerations may have shaped the evolution of tooth morphology. We also review advances in technology and new techniques that have allowed more in-depth studies of tooth form and function. [ABSTRACT FROM AUTHOR]

Sleep quality and sleep duration are important for children's physical and mental health. Mental health diagnoses and sleep disturbances may be interlinked. We sought to identify the methods used to assess sleep in paediatric community‐based mental health programmes. A systematic review was conducted using an a priori protocol to ascertain the sleep assessment methods used in paediatric community‐based mental health programmes. Children for this review were defined as any person under the age of 19. Cochrane Library, CINAHL, Web of Science, ProQuest, APA PsycInfo, and PubMed databases were searched from January 2021 to March 2022. Of the 320 records screened, 314 records were excluded. Six studies were included for analysis. A variety of validated and non‐validated sleep instruments were used to measure sleep quality and a range of sleep disturbances in community health programmes for children. There were a limited number of studies associated with sleep assessment in paediatric community‐based settings suggesting this is an area of research that may be understudied. Sleep questionnaires were predominately completed by parents or guardians. Further research is required to establish the most effective method for screening sleep behaviour in paediatric community mental health programmes to understand the impact of sleep in the recovery of children and adolescents with mental health disorders. [ABSTRACT FROM AUTHOR]

The author focuses on prospective clinical trial registration, a process in which clinical researchers publicize trial methodology details and conduct before participants are enrolled. Topics discussed include the purpose of prospectively registering a trial, such as increased transparency and decreased selective reporting about results; the role of journals in publication of clinical trial data; and the need for improving the consistency between trial registration and resulting articles.

What is known and objective Paritaprevir/ritonavir/ombitasvir+dasabuvir (Pr OD) is a direct-acting antiviral ( DAA) approved for the treatment of chronic hepatitis C virus. We report on a probable interaction between Pr OD with ribavirin and warfarin. Case description Two weeks after the start of Pr OD with ribavirin, the patient's international normalized ratio ( INR) became subtherapeutic. Eleven weeks into therapy and following a 125% total increase in the weekly warfarin dose, therapeutic INR was achieved. Thirteen days after DAA therapy was completed and discontinued, the patient's INR became critically supratherapeutic. What is new and conclusion Patients on Pr OD plus ribavirin with warfarin should have INR followed closely upon initiation and discontinuation of therapy due to a probable drug interaction. [ABSTRACT FROM AUTHOR]

Background: Assessment and reporting of adverse events (AEs) in studies of perioperative interventions is critical given the potential for unintended and preventable iatrogenic morbidity and mortality. This focused review evaluated the quality of AE assessment and reporting in acute post-operative pain treatment trials. Since older analgesics (e.g., opioids, NSAIDs) already have a well-characterized safety profile, we concentrated on trials of pregabalin and gabapentin as a representative sample of studies where the perioperative safety profile was relatively unknown.Methods: We reviewed primary reports of trials of pregabalin and gabapentin for treatment of acute post-operative pain for: (1) adherence to the 10 recommendations from the 'CONSORT Extension for Harms,' (2) AE assessment method, (3) timing of AE assessment and reporting, and (4) assessment and reporting of AE severity.Results: We identified 31 trials of pregabalin and 59 of gabapentin. The median number of CONSORT harms recommendations that were satisfied was 7 of 10. The most common (41%) method of AE assessment was direct questioning about specific AEs by investigators. However, AE assessment method was not described in 18% of trials. AE assessments were reported for specified perioperative time points in only 24% of trials. Of greatest concern, no AE data were reported whatsoever in 8 of the included publications.Conclusions: Considerable widespread improvements are needed in AE reporting for post-operative pain treatment trials. In addition to heightened awareness among clinical investigators, mandatory journal editorial policies may further facilitate improvements in safety assessment and reporting. [ABSTRACT FROM AUTHOR]

What is known and objective Fibromyalgia is a painful disease affecting 1-2% of the United States population. Serotonin and norepinephrine reuptake inhibitors (SNRIs), such as duloxetine and milnacipran, are well studied and frequently used for treating this disorder. However, efficacy data are limited for the SNRI venlafaxine despite its use in nearly a quarter of patients with fibromyalgia. Accordingly, we systematically reviewed the efficacy of venlafaxine for treatment of fibromyalgia. Methods PubMed, Web of Science and the Cochrane Database were searched using the terms 'venlafaxine' and 'fibromyalgia'. Results were classified as primary studies or review articles based on abstract review. References of review articles were evaluated to ensure no primary studies evaluating venlafaxine were overlooked. All clinical studies that investigated venlafaxine for the treatment of fibromyalgia were included and graded on strength of evidence. Results and discussion Five studies met the inclusion criteria, including 4 open-label cohort studies and 1 randomized, controlled trial. Study durations ranged from 6 weeks to 6 months, and study sizes ranged from 11 to 102 participants. Four of the five published studies reported improvement in at least one outcome. Generally consistent improvements were observed in pain-related outcome measures, including the Fibromyalgia Impact Questionnaire (range, 26-29% reduction; n = 2 studies), Visual Analog Scale (range, 36-45% reduction; n = 2 studies), McGill Pain Questionnaire (48% reduction; n = 1 study) and Clinical Global Impression scale (51% had significant score change; n = 1 study). However, the few studies identified were limited by small sample size, inconsistent use of outcomes and methodological concerns. What is new and conclusion Studies assessing the efficacy of venlafaxine in the treatment of fibromyalgia to date have been limited by small sample size, inconsistent venlafaxine dosing, lack of placebo control and lack of blinding. In the context of these limitations, venlafaxine appears to be at least modestly effective in treating fibromyalgia. Larger randomized controlled trials are needed to further elucidate the full benefit of venlafaxine. [ABSTRACT FROM AUTHOR]

Calcium and bone metabolism remain key concerns for space travelers, and ground-based models of space flight have provided a vast literature to complement the smaller set of reports from flight studies. Increased bone resorption and largely unchanged bone formation result in the loss of calcium and bone mineral during space flight, which alters the endocrine regulation of calcium metabolism. Physical, pharmacologic, and nutritional means have been used to counteract these changes. In 2012, heavy resistance exercise plus good nutritional and vitamin D status were demonstrated to reduce loss of bone mineral density on long-duration International Space Station missions. Uncertainty continues to exist, however, as to whether the bone is as strong after flight as it was before flight and whether nutritional and exercise prescriptions can be optimized during space flight. Findings from these studies not only will help future space explorers but also will broaden our understanding of the regulation of bone and calcium homeostasis on Earth. [ABSTRACT FROM AUTHOR]

The p66Shc adapter protein regulates the morphogenesis and epithelial maturation of fetal mouse lungs. Am J Physiol Lung Cell Mol Physiol 306: L316-L325, 2014. First published December 27, 2013; doi:10.1152/ajplung.00062.2013.--Many signaling pathways are mediated by Shc adapter proteins that, in turn, are expressed as three isoforms with distinct functions. The p66Shc isoform antagonizes proliferation, regulates oxidative stress, and mediates apoptosis. It is highly expressed in the canalicular but not the later stages of mouse lung development, and its expression persists in bronchopulmonary dysplasia, a chronic disease associated with premature birth. These observations suggest that p66Shc has a developmental function. However, constitutive p66Shc deletion yields no morphological phenotype, and the structure of the Shc gene precludes its inducible deletion. To elucidate its function in lung development, we transfected p66Shc or nonsilencing small-interfering RNA (siRNA) into the epithelia of embryonic day 11 mouse lungs that were then cultured for 3 days and analyzed morphometrically. To assess cellular proliferation and epithelial differentiation, lung explants were immunostained and immunoblotted for p66Shc, proliferating cell nuclear antigen (PCNA), the proximal airway differentiation antigens Clara cell 10-kDa protein (CC10) and thyroid transcription factor (TTF)-1, and the alveolar surfactant proteins (SP)-A, -B, and -C. Explants transfected with nonsilencing siRNA demonstrated specific epithelial uptake and normal morphological development relative to uninjected controls. In contrast, transfection with p66Shc siRNA significantly increased lumenal cross-sectional areas, decreased branching, and increased epithelial proliferation (P < 0.05 for all). Relative to controls, the expression of SP-B, SP-C, CC10, and TTF-1 was decreased by p66Shc knockdown. SP-A was not expressed in either control or treated lungs. These data suggest that p66Shc attenuates epithelial proliferation while promoting both distal and proximal epithelial maturation. [ABSTRACT FROM AUTHOR]

This review seeks to provide a current overview of musculoskeletal pain in overweight and obese children. Databases searched were Academic Search Complete, CINAHL, Medline, Proquest Health and Medical Complete, Scopus, Google Scholar, SPORTDiscuss and Trove for studies published between 1 January 2000 and 30 December 2012. We used a broad definition of children within a 3- to 18-year age range. The search strategy included the following terms: obesity, morbid obesity, overweight, pain, musculoskeletal pain, child, adolescent, chronic pain, back pain, lower back pain, knee pain, hip pain, foot pain and pelvic pain. Two authors independently assessed each record, and any disagreement was resolved by the third author. Data were analysed using a narrative thematic approach owing to the heterogeneity of reported outcome measures. Ninety-seven records were initially identified using a variety of terms associated with children, obesity and musculoskeletal pain. Ten studies were included for thematic analysis when predetermined inclusion criteria were applied. Bone deformity and dysfunction, pain reporting and the impact of children being overweight or obese on physical activity, exercise and quality of life were the three themes identified from the literature. Chronic pain, obesity and a reduction in physical functioning and activity may contribute to a cycle of weight gain that affects a child's quality of life. Future studies are required to examine the sequela of overweight and obese children experiencing chronic musculoskeletal pain. [ABSTRACT FROM AUTHOR]

This review seeks to provide a current overview of musculoskeletal pain in overweight and obese children. Databases searched were Academic Search Complete, CINAHL, Medline, Proquest Health and Medical Complete, Scopus, Google Scholar, SPORTDiscuss and Trove for studies published between 1 January 2000 and 30 December 2012. We used a broad definition of children within a 3- to 18-year age range. The search strategy included the following terms: obesity, morbid obesity, overweight, pain, musculoskeletal pain, child, adolescent, chronic pain, back pain, lower back pain, knee pain, hip pain, foot pain and pelvic pain. Two authors independently assessed each record, and any disagreement was resolved by the third author. Data were analysed using a narrative thematic approach owing to the heterogeneity of reported outcome measures. Ninety-seven records were initially identified using a variety of terms associated with children, obesity and musculoskeletal pain. Ten studies were included for thematic analysis when predetermined inclusion criteria were applied. Bone deformity and dysfunction, pain reporting and the impact of children being overweight or obese on physical activity, exercise and quality of life were the three themes identified from the literature. Chronic pain, obesity and a reduction in physical functioning and activity may contribute to a cycle of weight gain that affects a child's quality of life. Future studies are required to examine the sequela of overweight and obese children experiencing chronic musculoskeletal pain. [ABSTRACT FROM AUTHOR]

Across the world, more dairy producers are considering on-farm dairy processing to add value to the milk produced on their farms. Dairy producers may bottle milk or process their milk into cheese, ice cream, butter, yogurt, or cream. The primary objective of this research was to establish a series of sound factors or indicators of success for those considering on-farm processing. A survey was employed to collect opinions and advice from managers of on-farm processing enterprises. Surveys were distributed online (n = 120), with 31 surveys returned, accounting for a 25.8% response rate. Most (64%) respondents had been involved in on-farm dairy processing for less than 10 yr. Sixty-one percent of respondents attained a positive cash flow in 1 to 3 yr. The primary products manufactured were cheese (69%), milk (59%), ice cream (31%), yogurt (25%), and butter (21%). Factors influencing the decision to start an on-farm dairy processing enterprise included commodity milk prices (61%), desire to work with the public (41%), an opportunity to promote the dairy industry (39%), a desire to maintain or expand a small family operation (29%), and product differentiation (16%). Respondents cited dealing with regulations (26%), product marketing (19%), manufacturing technicalities (19%), and securing funding (17%) as the most difficult parts of starting the business. Open-ended responses provided by the respondents of this survey were also documented to give future dairy producers advice. The most common advice to future on-farm processors was to work on realistic business plans, develop and follow realistic budgets, and observe and use market surveys within the industry. These results provide a useful array of information for future on-farm dairy processing enterprises. [ABSTRACT FROM AUTHOR]

Background/Objectives:Adults often misreport dietary intake; the magnitude varies by the methods used to assess diet and classify participants. The objective was to quantify the accuracy of the Goldberg method for categorizing misreporters on a food frequency questionnaire (FFQ) and two 24-h recalls (24HRs).Subjects/Methods:We compared the Goldberg method, which uses an equation to predict total energy expenditure (TEE), with a criterion method that uses doubly labeled water (DLW), in a study of 451 men and women. Underreporting was classified using recommended cut points and calculated values. Sensitivity and specificity, positive predictive value (PPV) and negative predictive value and the area under the receiver operating characteristic curve (AUC) were calculated. Predictive models of underreporting were contrasted for the Goldberg and DLW methods.Results:AUCs were 0.974 and 0.972 on the FFQ, and 0.961 and 0.938 on the 24HR for men and women, respectively. The sensitivity of the Goldberg method was higher for the FFQ (92%) than the 24HR (50%); specificity was higher for the 24HR (99%) than the FFQ (88%); PPV was high for the 24HR (92%) and FFQ (88%). Simulation studies indicate attenuation in odds ratio estimates and reduction of power in predictive models.Conclusions:Although use of the Goldberg method may lead to bias and reduction in power in predictive models of underreporting, the method has high predictive value for both the FFQ and the 24HR. Thus, in the absence of objective measures of TEE or physical activity, the Goldberg method is a reasonable approach to characterize underreporting. [ABSTRACT FROM AUTHOR]

The migration and invasion inhibitor protein (MIIP, also known as IIp45) was discovered as a negative regulator of cell migration and invasion in glioma. Our previous studies have shown that the MIIP protein was reduced or undetectable in some tissue samples obtained from patients with glioblastoma. The significance of MIIP in gliomagenesis is unknown. In this study, we report that MIIP has an important role in the inhibition of gliomagenesis and attenuation of mitotic transition. Increased MIIP expression levels inhibited colony formation and cell growth of glioma cell lines in vitro, whereas decreased expression by specific small interfering RNA for MIIP resulted in increased cell growth. Expression of MIIP in a glial-specific mouse model blocked glioma development and progression, thus showing that MIIP is an inhibitor of gliomagenesis. Furthermore, we show that MIIP attenuates mitotic transition and results in increased mitotic catastrophe. The biochemical mechanism of MIIP in this process is associated with its regulation of anaphase-promoting complex (APC/C) activity. MIIP interacts directly with Cdc20, and the interaction of MIIP with Cdc20 inhibits APC/C-mediated degradation of cyclin B1. Thus, MIIP attenuates mitotic transition and increases mitotic catastrophe, thereby inhibiting glioma development and progression. [ABSTRACT FROM AUTHOR]

Recombinant interferon alpha-2b (IFN-α2) has direct and indirect antiproliferative effects in lymphoma, and may augment cytotoxicity when combined with chemotherapy. CALGB 8691 is a randomized study of daily oral cyclophosphamide (CPA) at 100 mg/m2 with or without IFN-α2 at 2 × 106 IU/m2 three times per week, followed by a second randomization between IFN-α2 maintenance (2 × 106 IU/m2 three times weekly) versus observation in treatment-naive patients with follicular lymphoma (FL). Five hundred eighty-one patients were randomized to either CPA (n = 293) or CPA plus IFN-α2 (n = 288). One hundred five responding patients were randomized to observation and 99 to maintenance IFN-α2. With a median follow-up of 11.5 years, the median event-free and overall survival (OS) for CPA induction alone were 2.5 years (95% CI 2.2, 3.0) and 9 years (95% CI 7.7, 10.2), compared to 2.4 years (95% CI 2.1, 3.1) and 8.4 years (95% CI 7.5, 11.1) for the combination arm (p = NS). Patients with a partial response (PR) and randomized to observation had the worst outcome (event-free survival (EFS) 1.8 years versus 3.9 years; p = 0.002). Patients with a PR randomized to IFN-α2 had a similar EFS to compared to patients with complete response (CR), but this did not translate into a survival advantage. Myelosuppression was increased in IFN-α2-containing arms. Despite the small benefit in EFS in patients with PR randomized to IFN-α2 maintenance, we conclude that the addition of low dose IFN-α2 did not significantly improve the response rate, duration of response, event-free, or OS obtained with single-agent daily oral CPA in patients with previously untreated FL. [ABSTRACT FROM AUTHOR]

Fresh market tomatoes (Solanum lycopersicum L.) handled through dump tanks and flumes at packinghouses can absorb water via stem scar tissues. This water uptake can lead to internalization of various hazardous bacteria, including Erwinia carotovora (Jones), the causal agent of bacterial soft rot. Studies were conducted to determine if the interval between harvest and water immersion affected water uptake for 'Florida 47' and 'Sebring', cultivars with high and low water uptake, respectively. Fruit were held for 2, 8, 14, and 26 hours after harvest for the fall season and 2, 4, 6, 8, and 14 hours for the following spring season before water immersion. Mature green fruit were weighed, submerged in water for 2 min and then reweighed to determine water uptake. During the submergence, air pressure was applied such that the fruit were exposed to a static water-head equivalent to 1.3 m. In the fall season 'Sebring' fruit absorbed significantly less water than 'Florida 47' fruit at 8 and 26 hours after harvest, in the spring season fruit of 'Sebring' absorbed significantly less water than 'Florida 47' at all times after harvest, confirming results of previous studies. In the fall season, the time interval between harvest and treatment did not affect water uptake for either cultivar. By contrast, in the spring season fruit absorbed significantly greater amounts of water at 2 hours as compared with 4, 6, 8, and 14 hours after harvest, whereas similar amounts of water were absorbed at 4-14 hours after harvest. Therefore, to minimize the tendency of fruit to absorb water, packinghouse managers should hold freshly harvested fruit for at least 4 hours before immersing them in the dump tank. [ABSTRACT FROM AUTHOR]

Aim To explore the beliefs, attitudes and perceptions of adults with Type 2 diabetes and their family members. Methods Focus groups were conducted with: (i) people with good diabetes control (HbA1c < 7.0%); (ii) their family members; (iii) people with poor diabetes control (HbA1c > 8.5%); and (iv) their family members. Results There were no discernible differences between those with good and poor diabetes control or between the family members of each group. Overall, family members perceived diabetes to be more serious and as having a greater impact on daily life than those with the illness. Those with diabetes were unaware of this heightened concern and had a more relaxed approach to living with diabetes. The lack of information and perceived knowledge about diabetes impacted upon participants’ causal attributions about the illness and its perceived severity. Conclusions Diabetes is an illness that affects both individuals and families. There is a need for further investigation into the impact that family members have on the management of diabetes. [ABSTRACT FROM AUTHOR]

Genetic variations of the protease-activated receptor-1 (PAR-1) have been associated with platelet receptor density and linked to thrombin receptor-activating peptide (TRAP)-induced phenotypes of platelet aggregation and P-selectin expression. We investigated whether the PAR-1 intervening sequence-14 A&ThickSpace;>&ThickSpace;T dimorphism influences platelet procoagulant activity. We also determined whether the P2Y12 antagonist clopidogrel could offset any observed functional polymorphism of the PAR-1 receptor by inhibiting P2Y12-mediated amplification of TRAP-induced responses. We studied 54 patients listed for elective percutaneous coronary intervention assessing TRAP-induced platelet aggregation and markers of procoagulant activity. Platelet responses were measured at baseline, 4&ThickSpace;h post clopidogrel 300&ThickSpace;mg, and 10 and 28 days following clopidogrel 75&ThickSpace;mg daily. Each patient was genotyped for the PAR-1 intervening sequence-14 A/T dimorphism. Increased platelet aggregation and procoagulant responses were observed with PAR-1 A allele homozygotes. Clopidogrel significantly inhibited these platelet responses regardless of PAR-1 genotype, but did not offset the hyper-reactivity associated with the A/A homozygotes. We conclude that a common sequence variation within the PAR-1 gene influences TRAP-induced platelet procoagulant activity as well as aggregation. Higher platelet reactivity associated with PAR-1 IVS n– 14 A allele homozygotes persists despite clopidogrel therapy. These individuals may be at higher risk of thromboembolic events and may require additional anti-platelet medication. [ABSTRACT FROM AUTHOR]

The impact of a major ice storm in eastern Ontario on 28 pine plantations (red pine, Pinus resinosa Ait.; Scots pine, Pinus sylvestris L.; white pine, Pinus strobus L.; and jack pine, Pinus banksiana Lamb.) was examined for 4 years after the event. Degree of crown loss and tree mortality were quantified in relation to tree and stand characteristics (e.g., tree species, diameter at breast height (DBH), stand density, stand edge versus interior). We also tested whether salvaging damaged material reduced subsequent tree mortality. Jack and Scots pine were 2.5 times more likely to be damaged by the ice storm than were red pine and white pine. Overstocked stands, and stands with lower mean DBH, were most susceptible to storm damage. Trees were five times more likely to be damaged in the interior versus the edge of a stand, in contrast with previous findings in hardwood stands. In unsalvaged stands, ca. 75% tree mortality was observed in severely damaged trees (>50% crown loss) compared with ca. 45% tree mortality in salvaged stands. Properly timed thinnings to increase diameter growth and the removal of dead and dying wood from heavily damaged stands are recommended to reduce the long-term effects of ice storms. [ABSTRACT FROM AUTHOR]

Biological soil crusts cover hundreds of hectares of sand dunes at the northern tip of Cape Cod National Seashore (Massachusetts, USA). Although the presence of crusts in this habitat has long been recognized, neither the organisms nor their ecological roles have been described. In this study, we report on the microbial community composition of crusts from this region and describe several of their physical and chemical attributes that bear on their environmental role. Microscopic and molecular analyses revealed that eukaryotic green algae belonging to the genera Klebsormidium or Geminella formed the bulk of the material sampled. Phylogenetic reconstruction of partial 16S rDNA sequences obtained from denaturing gradient gel electrophoresis (DGGE) fingerprints also revealed the presence of bacterial populations related to the subclass of the Proteobacteria, the newly described phylum Geothrix/Holophaga/Acidobacterium, the Cytophaga/ Flavobacterium/Bacteroides group, and spirochetes. The presence of these crusts had significant effects on the hydric properties and nutrient status of the natural substrate. Although biological soil crusts are known to occur in dune environments around the world, this study enhances our knowledge of their geographic distribution and suggests a potential ecological role for crust communities in this landscape. [ABSTRACT FROM AUTHOR]

There is a paucity of research into rural health care services. In particular little is known about the provision of specialist cancer services for patients who live in remote rural areas of the UK. This study set out to investigate current models of medical and clinical oncology care in Scotland. A national survey with key health professionals was conducted to identify rural oncology schemes currently in operation. Detailed quantitative data about the schemes together with qualitative data on how health professionals view current models of care were collected by a computer-assisted telephone survey. Schemes that currently provide outpatient and chemotherapy oncology services for remote rural patients fell into three categories: central clinics (5); shared care outreach clinics with chemotherapy provision (11); and shared care outreach clinics without chemotherapy provision (7). All radiotherapy was conducted at central clinics (5). Widely varying practices in delivery of cancer care were found across the country. The main issues for professionals about current models of care involved expertise, traveling and accessibility (for patients), communication and expansion of the rural service. Nation-wide consistency in cancer care has still to be achieved. Traveling for treatment was seen to take its toll on all patients but particularly for the very remote, elderly and poor. Most professionals believe that an expansion of rural services would be of benefit to these patients. It is clear, however, that the proper infrastructure needs to be in place in terms of local expertise, ensured quality of care, and good communication links with cancer centres before this could happen. [ABSTRACT FROM AUTHOR]

Because of the variability of collagen crosslinks, their use as markers for bone resorption is often criticized. We hypothesized that the variability could be reduced by collecting urine for 24 hours (or longer) instead of using single voids, and by not normalizing to creatinine. Urine samples were collected from 22 healthy subjects during two or more 24-hour periods. Each 24-hour pool and each 2nd void of the day were analyzed for N-telopeptide (NTX), pyridinium (PYD), and deoxypyridinoline (DPD) crosslinks. Data were analyzed by using linear regression. For NTX, R2 for the two, 2nd-void samples (n = 38) was 0.55, whereas R2 for the two 24-hour pools was 0.51 or 0.52, expressed per day or per creatinine. For PYD and DPD, R2 for the 2nd-void samples was 0.26 and 0.18, R2 for the 24-hour pools expressed per day was 0.58 and 0.74, and R2 for the 24-hour pools expressed per creatinine was 0.65 and 0.76, respectively. Regression of the 2nd void and the corresponding 24-hour pool, expressed per day, yielded R2 = 0.19, 0.19, and 0.08, for NTX, PYD, and DPD, respectively (n = 76 each). For the 2nd-void sample and its corresponding 24-hour pool, expressed per creatinine, R2 = 0.24, 0.33, and 0.08, respectively. In a separate study, the coefficient of variation for NTX was reduced (P < 0.05) when data from more than one 24-hour collection were combined. Thus, the variability inherent in crosslink determinations can be reduced by collecting urine for longer periods. In research studies, the high variability of single-void collections, compounded by creatinine normalization, may alter or obscure findings. [ABSTRACT FROM AUTHOR]

Presents a study analyzed factors associated with caregiver compliance and childhood immunization schedules in Bamenda, Cameroon. Significance of childhood immunizations in preventing disease; List of the variables found to be associated with increased likelihood of caregiver being up-to-date with childhood immunizations; Importance of health promotion programs in increasing the rate of immunizations.

Examines the association between symbols and their meanings in the context of analytical psychology. Evidence of collective unconscious memory; Relationship between morphic resonance and collective unconscious; Development of archetypal symbol inventory.

Existing modelling tools, developed to aid the design of efficient molecular wires and to better understand their charge‐transport behaviour and mechanism, have limitations in accuracy and computational cost. Further research is required to develop faster and more precise methods that can yield information on how charge transport properties are impacted by changes in the chemical structure of a molecular wire. In this study, we report a clear semilogarithmic correlation between charge transport efficiency and nuclear magnetic resonance chemical shifts in multiple series of molecular wires, also accounting for the presence of chemical substituents. The NMR data was used to inform a simple tight‐binding model that accurately captures the experimental single‐molecule conductance values, especially useful in this case as more sophisticated density functional theory calculations fail due to inherent limitations. Our study demonstrates the potential of NMR spectroscopy as a valuable tool for characterising, rationalising, and gaining additional insights on the charge transport properties of single‐molecule junctions. [ABSTRACT FROM AUTHOR]

Existing modelling tools, developed to aid the design of efficient molecular wires and to better understand their charge‐transport behaviour and mechanism, have limitations in accuracy and computational cost. Further research is required to develop faster and more precise methods that can yield information on how charge transport properties are impacted by changes in the chemical structure of a molecular wire. In this study, we report a clear semilogarithmic correlation between charge transport efficiency and nuclear magnetic resonance chemical shifts in multiple series of molecular wires, also accounting for the presence of chemical substituents. The NMR data was used to inform a simple tight‐binding model that accurately captures the experimental single‐molecule conductance values, especially useful in this case as more sophisticated density functional theory calculations fail due to inherent limitations. Our study demonstrates the potential of NMR spectroscopy as a valuable tool for characterising, rationalising, and gaining additional insights on the charge transport properties of single‐molecule junctions. [ABSTRACT FROM AUTHOR]

Young adult (YA) cancer survivors often experience social isolation. Mobile apps facilitate peer-to-peer connections, yet little is known about their use. YA survivors (N = 181) were surveyed about a peer-to-peer cancer support app. Among those with it downloaded, 36% reported daily/weekly use. One-to-one messaging and group chat features were easy-to-use and useful, but facilitation of social presence was variable. Within group chats, 55% participated in discussions; 45% observed conversations without contributing. The app was helpful for convenient access to peer support (84%), particularly when offline social networks were inadequate (83%); some (16–25%) reported nervousness initiating connections. Qualitative feedback identified facilitators and barriers to adoption and sustained engagement. Recommendations centered on improving design and logistical factors and facilitating in-app connections. App-based peer support is promising for addressing social isolation among YA survivors. Future research should examine theory-based communication and design features to encourage meaningful engagement and longitudinal effects on psychosocial outcomes. [ABSTRACT FROM AUTHOR]

We report on the sol-gel deposition and characterization of high-quality, epitaxial films of PbZr[sub .52]Ti[sub .48]O[sub 3] (PZT) on (001)Si substrates, with a thickness range of 400 Å to 1 µm. The epitaxial growth of PZT on (001)Si is achieved using a thin template layer of SrTiO[sub 3], grown by molecular-beam epitaxy. The sol-gel PZT films have a typical surface roughness of 5 Å and exhibit well defined reflective high-energy electron diffraction patterns characteristic of smooth, epitaxial films. Using high-resolution transmission electron microscopy and double-crystal x-ray diffraction, we find that the PZT films are oriented with the c axis normal to the (001)Si plane and with the a axis lying along 〈110〉Si direction. Finally, we measure the electromechanical coupling coefficients and the surface acoustic wave velocities for our films as a function of thickness and compare our experimental data to previously published theoretical values for this system. [ABSTRACT FROM AUTHOR]

A recurrent infiltrative ameloblastoma of the mandible with a predominantly "follicular pattern" of the epithelial component is studied. The stroma contains abundant myofibroblasts; these cells have been described in benign and malignant infiltrative processes. This raises the question of the relationship between the presence of myofibroblasts and the aggressive behavior of a neoplasm. [ABSTRACT FROM AUTHOR]

The complexity and heterogeneity of patients with multimorbidity and polypharmacy renders traditional disease-oriented guidelines often inadequate and complicates clinical decision making. To address this challenge, guidelines have been developed on multimorbidity or polypharmacy. To systematically analyse their recommendations, we conducted a systematic guideline review using the Ariadne principles for managing multimorbidity as analytical framework. The information synthesis included a multistep consensus process involving 18 multidisciplinary experts from seven countries. We included eight guidelines (four each on multimorbidity and polypharmacy) and extracted about 250 recommendations. The guideline addressed (i) the identification of the target population (risk factors); (ii) the assessment of interacting conditions and treatments: medical history, clinical and psychosocial assessment including physiological status and frailty, reviews of medication and encounters with healthcare providers highlighting informational continuity; (iii) the need to incorporate patient preferences and goal setting: eliciting preferences and expectations, the process of shared decision making in relation to treatment options and the level of involvement of patients and carers; (iv) individualized management: guiding principles on optimization of treatment benefits over possible harms, treatment communication and the information content of medication/care plans; (v) monitoring and follow-up: strategies in care planning, self-management and medication-related aspects, communication with patients including safety instructions and adherence, coordination of care regarding referral and discharge management, medication appropriateness and safety concerns. The spectrum of clinical and self-management issues varied from guiding principles to specific recommendations and tools providing actionable support. The limited availability of reliable risk prediction models, feasible interventions of proven effectiveness and decision aids, and limited consensus on appropriate outcomes of care highlight major research deficits. An integrated approach to both multimorbidity and polypharmacy should be considered in future guidelines. [ABSTRACT FROM AUTHOR]

The article offers information on a study which examined the factors that reduce readmission of patients with chronic obstructive pulmonary disease. This research found that effective discharge planning is essential to prevent further episodes of the disease. The researchers agreed that psychological support, pulmonary rehabilitation and integrated care is also helpful to assist patients. Medical errors and miscommunication are said to be factors that affect the readmission rate of patients.

The aim of this study was to ascertain whether health care professionals are able to accurately identify overweight and obese children by observation alone. Eighty health care professionals were asked to view photographs of 33 children and assign each into one of six categories, ranging from "very underweight" to "obese". The health care professionals' categorisation was compared with the children's degree of adiposity based on conventional clinical criteria for BMI. The health care professionals were found to be generally poor at assessing the weight status of the children, and in particular tended to underestimate overweight and obesity in children. This study suggests that it is not appropriate to rely on informal assessment to identify obesity and highlights the need for health care professionals to be aware of their lack of accuracy in this regard. [ABSTRACT FROM AUTHOR]

The article describes a randomized controlled trial which investigated the positive effect of peer support on patients with type 2 diabetes. The study, which was done in Ireland, has found that peer support for type 2 diabetes patients is feasible in general practice setting. However, the peer support intervention was not effected in all type 2 diabetes patients.

This article focuses on a study that shows multiple antiplatelet effects of clopidogrel are not modulated by statin type in patients undergoing percutaneous coronary intervention. Clopidogrel acts on the platelet P2Y12 receptor, which plays a central role in amplifying numerous platelet responses. Clopidogrel has wide ranging anti-thrombotic and antinflammatory effects in patients undergoing elective PCI and a 300 mg loading dose may be suboptimal when administered 4 hours prior to PCI. Statins do not influence inhibitory effects of clopidogrel on multiple platelet responses.

Examines the comparison between the performance indices of character index and fitness index in measuring and selecting Trichogramma minutum. Use of performance indices in selecting desirable traits of organisms; Calculation on the correlated response of each trait; Genetic aspects of T. minutum.

INFORMAS (International Network for Food and Obesity/non-communicable diseases Research, Monitoring and Action Support) aims to monitor and benchmark the healthiness of food environments globally. In order to assess the impact of food environments on population diets, it is necessary to monitor population diet quality between countries and over time. This paper reviews existing data sources suitable for monitoring population diet quality, and assesses their strengths and limitations. A step-wise framework is then proposed for monitoring population diet quality. Food balance sheets ( FBa S), household budget and expenditure surveys ( HBES) and food intake surveys are all suitable methods for assessing population diet quality. In the proposed 'minimal' approach, national trends of food and energy availability can be explored using FBa S. In the 'expanded' and 'optimal' approaches, the dietary share of ultra-processed products is measured as an indicator of energy-dense, nutrient-poor diets using HBES and food intake surveys, respectively. In addition, it is proposed that pre-defined diet quality indices are used to score diets, and some of those have been designed for application within all three monitoring approaches. However, in order to enhance the value of global efforts to monitor diet quality, data collection methods and diet quality indicators need further development work. [ABSTRACT FROM AUTHOR]

Goldstein RB, Dawson DA, Smith SM, Grant BF. Antisocial behavioral syndromes and 3-year quality-of-life outcomes in United States adults. Objective: To examine 3-year quality-of-life (QOL) outcomes among United States adults with Diagnostic and Statistical Manual of Mental Disorders - Fourth Edition (DSM-IV) antisocial personality disorder (ASPD), syndromal adult antisocial behavior without conduct disorder (CD) before age 15 [adulthood antisocial behavioral syndrome (AABS), not a DSM-IV diagnosis], or no antisocial behavioral syndrome at baseline. Method: Face-to-face interviews ( n = 34 653). Psychiatric disorders were assessed using the Alcohol Use Disorder and Associated Disabilities Interview Schedule - DSM-IV Version. Health-related QOL was assessed using the Short-Form 12-Item Health Survey, version 2 (SF-12 v2). Other outcomes included past-year Perceived Stress Scale-4 (PSS-4) scores, employment, receipt of Supplemental Security Income (SSI), welfare, and food stamps, and participation in social relationships. Results: Antisocial personality disorder and AABS predicted poorer employment, financial dependency, social relationship, and physical health outcomes. Relationships of antisociality to SSI and food stamp receipt and physical health scales were modified by baseline age. Both antisocial syndromes predicted higher PSS-4, AABS predicted lower SF-12 v2 Vitality, and ASPD predicted lower SF-12 v2 Social Functioning scores in women. Conclusion: Similar prediction of QOL by ASPD and AABS suggests limited utility of requiring CD before age 15 to diagnose ASPD. Findings underscore the need to improve prevention and treatment of antisocial syndromes. [ABSTRACT FROM AUTHOR]

An electron spin resonance (ESR) study of the effects of pulverization on non-irradiated crystalline sugar was performed. It indicated that the crystalline sugar before being ground did not give any ESR signal but an ESR signal was found in pulverized sugar. These results implied that free radicals were produced by pulverization. Moreover, the free radical density increased as the particle size decreased. From high-performance liquid chromatography analysis and the ESR spectrum of non-irradiated powdered sucrose, it can be inferred that the pulverization-induced free radical in sugar is a sucrose radical. Recently, many researchers have reported that sugar irradiated with 60Co γ-rays at different doses produced stable sucrose radicals. This may imply that the process of sucrose radical formation by mechanical stress is similar to that for irradiation. [ABSTRACT FROM AUTHOR]

Background: Despite frequent clinical use, information about the pharmacokinetics and efficacy of pantoprazole in camelids is not available. Objectives: To examine the pharmacokinetics of both IV and SC pantoprazole and to determine whether pantoprazole administration would increase 3rd compartment pH in alpacas. Animals: Six healthy adult alpacas. Methods: Alpacas were fitted with a 3rd compartment cannula for measuring gastric pH. After recovery, alpacas received 1 mg/kg pantoprazole IV, q24h for 3 days or 2 mg/kg SC q24h for 3 days. Alpacas received both IV and SC pantoprazole, with a minimum of 3 weeks between treatments. Third compartment pH was recorded and plasma samples were taken for pharmacokinetic analysis. Results: Pantoprazole induced a slow but sustained increase in 3rd compartment pH when given by both the IV and SC routes. Third compartment pH was significantly increased as compared with baseline values (1.81 ± 0.7; mean ± SD) at 24 (2.47 ± 0.8), 48 (3.53 ± 1.0) and 72 hours (4.03 ± 1.3) after daily IV administration of pantoprazole. Third compartment pH increased from 1.73 ± 0.6 at baseline to 3.05 ± 1.1, 4.02 ± 1.4, and 3.61 ± 1.6 at 24, 48, and 72 hours after SC administration, respectively. Pharmacokinetic analysis demonstrated that pantoprazole had a short elimination half-life (0.47 + 0.06 h) and a high clearance rate (12.2 ± 2.9 mL/kg/min) after both IV and SC administration. Conclusions and Clinical Relevance: Based on the results of this study, pantoprazole represents a safe and effective drug for increasing 3rd compartment pH in camelids. Either IV or SC administration is likely to be an effective treatment for gastric ulcers. [ABSTRACT FROM AUTHOR]

Objective: To compare baseline cardiovascular risk management between people from two different health- care systems recruited to a research trial of an intervention to optimise secondary prevention. Design: Cross-sectional study. Setting: 16 randomly selected general practices in Northern Ireland (NI) (UK NHS, strong infrastructure, pay- for-performance) and 32 in the Republic of Ireland (Aol) (mixed healthcare economy, less infrastructure, no pay- for-performance). Patients: 903 (mean age 67.5 years; 69.9% male) randomly selected patients with known coronary heart disease. Main outcome measures: Blood pressure (BP), cholesterol, medications; validated questionnaires for diet (DINE), exercise )Godin) and quality of life )SF-12); healthcare usage. Results: More Aol than NI participants had systolic BP >140 mm Hg (37% vs 28%, p = 0.01) and cholesterol >5 mmol/l (24% vs 17%, p = 0.02). Aol mean systolic BP was higher (139 vs 132 mm Hg). More Aol participants reported a high fibre intake (35% vs 23%), higher levels of physical activity (62% vs 44%) and better physical and mental health )SF-12); they also had more GP (5.6 vs 4.4) and fewer nurse visits (1.6 vs 2.1) in the previous year. Fewer participants in the Aol (55% vs 70%) were prescribed )3 blockers. ACE inhibitor prescribing was similar for both groups (41%; 48%); high proportions were prescribed statins (84%; 85%) and aspirin (83%; 77%). Conclusions: BP and cholesterol are better controlled among patients in a primary healthcare system with a strong infrastructure supporting computerisation and rewarding measured performance, but this is not associated with healthier lifestyle or better quality of life. Further exploration of differences in professionals' and patients' engagement in secondary prevention in different healthcare systems is needed. [ABSTRACT FROM AUTHOR]

This study investigated the use of event-related brain potentials (ERPs) as a neurophysiological measure of eyewitness identification accuracy during a lineup task (ERP-lineup). Time delay between viewing the crime and completing the ERP-lineup (no-delay, 1-h delay and 1-week delay conditions) and culprit presence or absence were also manipulated. Results demonstrated that a P300 provided a reliable index of recognition of the culprit relative to the other lineup members across all time delay conditions. Although participants' accuracy decreased at the 1-week time delay compared to no delay and the 1-h time delay, the P300 effect remained strong for participants that made correct identifications irrespective of the time delay. In addition, the P300 was attenuated or was not elicited when the culprit was absent from the lineup. [ABSTRACT FROM AUTHOR]

Multibeam bathymetric data and seismic-reflection profiles collected in eastern Long Island Sound and western Block Island Sound reveal previously unrecognized glacial features and modern bedforms. Glacial features include an ice-sculptured bedrock surface, a newly identified recessional moraine, exposed glaciolacustrine sediments, and remnants of stagnant-ice-contact deposits. Modern bedforms include fields of transverse sand waves, barchanoid waves, giant scour depressions, and pockmarks. Bedform asymmetry and scour around obstructions indicate that net sediment transport is westward across the northern part of the study area near Fishers Island, and eastward across the southern part near Great Gull Island. [ABSTRACT FROM AUTHOR]

1 It is widely known that many bark and wood-boring beetle species use nonresistant coarse woody debris (CWD) created by disturbances; however, the ability of these secondary species to cause mortality in healthy trees following a build-up of their populations remains unclear. We characterized the pattern of colonization by Ips pini (Say) following a major ice storm that created large amounts of CWD varying in resistance to colonization (i.e. ranging from snapped tops with no resistance to heavily damaged trees with intact root systems). A major question was how the beetles responded to the different types of storm-damaged material and whether healthy undamaged trees were colonized and killed following increases in beetle populations. 2 Six red pine, Pinus resinosa Ait., plantations in eastern Ontario were monitored from 1998 to 2001 inclusive: three with high storm damage (approximately 120 m3/ha CWD) and three with minimal damage (approximately 20 m3/ha CWD). Transects (200 × 2 m) were sampled yearly in each plantation to assess the type and amount of damaged pine brood material colonized by the pine engraver beetle, I. pini. 3 Beetles preferentially infested the most nonresistant material available each year (i.e. all snapped tops in year 1, all standing snags, up-rooted trees and many bent trees by year 2, but still less than 50% of trees blown over but with intact root systems by year 3). By years 3 and 4, the majority (approximately 75%) of severely damaged trees (with > 50% crown loss) died prior to beetle colonization. 4 The size of the beetle population tracked the abundance of available woody material from year-to-year within a plantation; populations were very large in the first 2 years, and declined significantly in the last 2 years. 5 Healthy standing red pines were apparently resistant to colonization by the beetles, despite the significant build-up in their populations. Hence, the results of the present study suggest that native bark beetle populations will not cause further tree mortality following such a disturbance in this region. [ABSTRACT FROM AUTHOR]