Search

Colloidal solutions of gold nanorods and silver-coated gold nanorods were prepared. The seeded growth synthesis protocols were improved by adding a flocculation purification step. The resulting populations of pure gold nanorods and Au@Ag core–shell cuboids were characterized by very low dispersion in size and shape. UV–vis–near-infrared absorption measurements were performed on several batches of well-calibrated nano-objects, supported by calculations based on the discrete dipole approximation, allowed to highlight the impact of various morphological features on the optical response. In addition to the well-known effect of the nanorod aspect ratio on the shift of the longitudinal surface plasmon resonance mode, special attention was paid to changing either the rounding of the nanorod end-caps or that of the edges of the coating silver shell. Nanorods and cuboids were modeled as superellipsoids. This approach enabled us to model precisely their complex shapes using just a few simple parameters and analyze the evolution of their extinction spectra as a function of the rounding of their tips and edges. Such nano-objects are widely used for various applications in fields such as biomedical, biosensing, or surface-enhanced Raman spectroscopy, thus making it crucial to precisely assess the impact of each morphological feature for optimizing their performance. [ABSTRACT FROM AUTHOR]

Increasing tree diversity is considered a key management option to adapt forests to climate change. However, the effect of species diversity on a forest's ability to cope with extreme drought remains elusive. In this study, we assessed drought tolerance (xylem vulnerability to cavitation) and water stress (water potential), and combined them into a metric of drought–mortality risk (hydraulic safety margin) during extreme 2021 or 2022 summer droughts in five European tree diversity experiments encompassing different biomes. Overall, we found that drought–mortality risk was primarily driven by species identity (56.7% of the total variability), while tree diversity had a much lower effect (8% of the total variability). This result remained valid at the local scale (i.e within experiment) and across the studied European biomes. Tree diversity effect on drought–mortality risk was mediated by changes in water stress intensity, not by changes in xylem vulnerability to cavitation. Significant diversity effects were observed in all experiments, but those effects often varied from positive to negative across mixtures for a given species. Indeed, we found that the composition of the mixtures (i.e., the identities of the species mixed), but not the species richness of the mixture per se, is a driver of tree drought–mortality risk. This calls for a better understanding of the underlying mechanisms before tree diversity can be considered an operational adaption tool to extreme drought. Forest diversification should be considered jointly with management strategies focussed on favouring drought‐tolerant species. [ABSTRACT FROM AUTHOR]

Autologous(auto-) and allogeneic(allo-) hematopoietic stem cell transplantation (HSCT) are key treatments for relapsed/refractory diffuse large B-cell lymphoma (DLBCL), although their roles are challenged by CAR-T-cells and other immunotherapies. We examined the transplantation trends and outcomes for DLBCL patients undergoing auto-/allo-HSCT between 1990 and 2021 reported to EBMT. Over this period, 41,148 patients underwent auto-HSCT, peaking at 1911 cases in 2016, while allo-HSCT saw a maximum of 294 cases in 2018. The recent decline in transplants corresponds to increased CAR-T treatments (1117 cases in 2021). Median age for auto-HSCT rose from 42 (1990–1994) to 58 years (2015–2021), with peripheral blood becoming the primary stem cell source post-1994. Allo-HSCT median age increased from 36 (1990–1994) to 54 (2015–2021) years, with mobilized blood as the primary source post-1998 and reduced intensity conditioning post-2000. Unrelated and mismatched allo-HSCT accounted for 50% and 19% of allo-HSCT in 2015–2021. Three-year overall survival (OS) after auto-HSCT improved from 56% (1990–1994) to 70% (2015–2021), p < 0.001, with a decrease in relapse incidence (RI) from 49% to 38%, while non-relapse mortality (NRM) remained unchanged (4%). After allo-HSCT, 3-year-OS increased from 33% (1990–1999) to 46% (2015–2021) (p < 0.001); 3-year RI remained at 39% and 1-year-NRM decreased to 19% (p < 0.001). Our data reflect advancements over 32 years and >40,000 transplants, providing insights for evaluating emerging DLBCL therapies. [ABSTRACT FROM AUTHOR]

Summer 2022 was exceptionally hot and dry in Europe and especially in Southwest France, where the most important wildfires since 1949 had serious environmental and socio-economic impacts. Here we conduct an impact-oriented climate change attribution study by first investigating which climate indices are the most correlated with the burnt area between 2003 and 2022. We find that an index combining soil moisture integrated over 6 months and temperature and vapour pressure deficit integrated over 3 months is correlated with large burnt areas. Using the index developed, we estimate that anthropogenic climate change made climate conditions propitious for wildfire development, such as the ones of July 2022, two times more likely, with a return period of 13 years in the current climate. Our study raises the question of the sustainability of the Landes Forest and stresses the urgent need to mitigate greenhouse gas emissions and adapt to climate change. [ABSTRACT FROM AUTHOR]

Exercise hemodynamics are recommended for early detection of pulmonary arterial hypertension (PAH) and have been suggested to be predictive of future development of PAH in high-risk populations such as BMPR2 mutation carriers. However, the optimal exercise hemodynamic screening parameter remains to be determined. Recent data suggest that pulmonary vascular distensibility (α) may serve as a useful parameter for early detection of PAH. What is the value of exercise hemodynamics, including α, for predicting the occurrence of PAH during long-term follow-up in BMPR2 mutation carriers? Fifty-two asymptomatic BMPR2 mutation carriers who underwent symptom-limited exercise hemodynamic assessment were followed up for a median of 10 years. The impact of hemodynamics at rest and exercise, presence of exercise pulmonary hypertension, and α on occurrence of PAH during long-term follow-up were assessed. During long-term follow-up, five patients developed PAH. Patients who developed PAH showed a significantly lower α (0.8 ± 0.4%/mm Hg) than patients without PAH (1.8 ± 0.8%/mm Hg; P =.008). The only hemodynamic parameter that predicted the occurrence of PAH during long-term follow-up at regression analysis was α. Receiver operating characteristic analysis showed that α ≤ 1.5%/mm Hg predicted PAH occurrence with a specificity of 75% and sensitivity of 100%. The results of this study indicate that before development of PAH in BMPR2 mutation carriers, α is reduced markedly and may serve as a useful parameter in the setting of early disease detection. Given the low event rate, caution is warranted in interpreting these results, highlighting the need for validation studies. [ABSTRACT FROM AUTHOR]

Background/Objectives: Aneurysmal subarachnoid haemorrhage (aSAH) is a life-threatening event with major complications. Delayed cerebral infarct (DCI) occurs most frequently 7 days after aSAH and can last for a prolonged period. To determine the most predictive radiological scales in grading subarachnoid or ventricular haemorrhage or both for functional outcome at 3 months in a large aSAH population, we conducted a single-centre retrospective study. Methods: A 3-year single-centre retrospective cohort study of 230 patients hospitalised for aSAH was analysed. Initial computed tomography (CT) scans in patients hospitalised for aSAH were blindly assessed using eight grading systems: the Fisher grade, modified Fisher grade, Barrow Neurological Institute scale, Hijdra scale, Intraventricular Haemorrhage (IVH) score, Graeb score and LeRoux score. Results: Of 200 patients with aSAH who survived to day 7 and were included for DCI analysis, 39% of cases were complicated with DCI. The Hijdra scale was the best predictor for DCI, with a receiver operating characteristic area under the curve (ROCAUC) of 0.80 (95% confidence interval (CI), 0.74–0.85). The IVH score was the most effective grading system for predicting acute hydrocephalus, with a ROCAUC of 0.85 (95% CI, 0.79–0.89). In multivariate analysis, the Hijdra scale was the best predictor of the occurrence of DCI (hazard ratio, 1.18; 95% CI, 1.10–1.25). Conclusions: Although these results have yet to be prospectively confirmed, our findings suggest that the Hijdra scale may be a good predictor of DCI and could be useful in daily clinical practice. Clinical relevance statement: Better assessment of subarachnoid haemorrhage patients would allow for better prognostication and management of expectations, as well as referral for appropriate services and helping to appropriate use limited critical care resources. Key Points: Aneurysmal subarachnoid haemorrhage is a life-threatening event that causes severe disability and leads to major complications such as delayed cerebral infarction. Accurate assessment of the amount of blood in the subarachnoid spaces on computed tomography with the Hijdra scale can better predict the risk of delayed cerebral infarct. The Hijdra scale could be a good triage tool for subarachnoid haemorrhage patients. [ABSTRACT FROM AUTHOR]

We examine an extension of the latent class stochastic frontier model (LCSFM) to productivity estimation and the decomposition of productivity change into technical change, output-oriented technical efficiency change, and scale change. We base our productivity estimation on a Multi-class Grifell-Tatjé, Lovell & Orea Malmquist (GLOM) index. An advantage of this new productivity index is to account for classes' posterior probabilities to derive individual farm parameters. In addition, we extend our analysis to estimate a metafrontier GLOM productivity index to explore potentialities when all firms use the best available technologies. An empirical application to a sample of French sheep and goat farms observed between 2002 and 2021 confirms the necessity to account for technological heterogeneity when measuring productivity change. Among the two classes of farms identified by the LCSFM, the intensive class experiences TFP gains, while the extensive class sees its TFP worsening. However, the gap between intensive and extensive technologies seems to reduce over time. Finally, the multi-class GLOM reveals technical change as the primary driver of productivity for French goat and sheep farms. [ABSTRACT FROM AUTHOR]

Gas emissions from ships are a major environmental concern of the international maritime community. Market-based measures with incentive have been developed to reduce gas emissions. One such measure is the differentiation of port dues through the provision of rebates to environmentally friendly vessels. Existing research reveals several limitations that hinder their actual impact on emissions, such as low rebate rates, the lack of transparency of the schemes, and the costs for the port authorities, among other factors. Our article reveals that differentiated schemes can be improved to elicit changes in the shipping industry. Based on data from the Port of Tallinn, we develop an illustrative air emission index to show how transparency in the scheme can be reconciled with environmental targets. The brackets and rates of the scheme should be determined transparently based on an ex ante target and on the distribution of the emission index of vessels that call at the port. From a policy perspective, we highlight how such a transparent process can increase compliance with the schemes and how surcharges are essential to the provision of attractive rebates by preserving the financial stability of the port authority. [ABSTRACT FROM AUTHOR]

Polylactic acid (PLA) composites reinforced with 10 wt% of flax (FF) or bamboo (BF) fibers were prepared via an internal mixer and/or twin-screw extrusion. Alkali pretreated fibers were soaked in silane to improve adhesion between fibers and matrix. 0.8 wt% of Joncryl™, a grafted copolymer acting as PLA chain extender, was also used alone or in combination with silane treatment of fibers to improve interfacial adhesion. The influence of silane treatment and/or Joncryl on the composite materials on mechanical, thermal and thermomechanical properties of materials processed through injection molding was investigated. Improved adhesion of the fibers to the matrix was shown using a scanning electron microscope. Fourier Transform Infrared Spectroscopy indicated that chemical bonds were formed between the silane coupling agent and fibers. X-ray Photo-electron Spectroscopy confirmed that fibers and silane derivatives were effectively coupled. XPS also highlighted that silane coupling agent reacted in higher amounts on bamboo than flax fibers, probably due to a higher amount of lignin in the case of bamboo fibers. Thermogravimetric analyses indicated that silane-treated flax and bamboo increased the thermal stability of the corresponding composites (PLA-SFF and PLA-SFB) compared to non-treated fiber composites. The incorporation of Joncryl alone entailed a degradation of the thermal stability of the corresponding composites (PLAJ-FF and PLAJ-FB) but enhanced the PLA/fibers interfacial adhesion. The combination of Joncryl and silane treatment resulted in strong improvements of thermal stability and interfacial adhesion for the PLAJ-SFF and PLAJ-SBF composites. Increase in tensile moduli and decrease in tensile strengths with the incorporation of the pristine fibers were noted. For silane-treated fibers, the tensile modulus and the strength of the corresponding composites were improved when adding Joncryl alone or in combination with silane. From also rheological and molar weight measurements, it could be concluded that Joncryl acts both as PLA chain extender and coupling agent. [ABSTRACT FROM AUTHOR]

We investigated the influence of family alliance on infants' vagal tone. Physiological studies have shown that the quality of mother–infant interactions can influence infants' vagal tone, which is an important indicator of emotion regulation. Although research has shown that family‐level relationships have a unique impact on child development, little is known about the association between the quality of mother–father–infant interactions and infants' physiological regulation during a family interaction task. We hypothesized that infants in families with a greater family alliance, that is, degree of coordination reached by parents when completing a task, will have higher vagal tone than will infants in families with a lower family alliance. We also hypothesized that this association would be mediated by the amount of intrusive and withdrawn parental behaviors and by the impact of these behaviors on the infant during mother–father–infant interactions. This study included 82 parents with their 3‐month‐old infants. Results showed that family alliance was associated with infants' vagal tone during triadic interactions and that the impact of intrusive/withdrawn parental behaviors on the interaction partially mediated this association. [ABSTRACT FROM AUTHOR]

Chimeric antigen receptor (CAR) T-cell therapy fails to achieve durable responses in over 60% of relapsed/refractory (R/R) large B-cell lymphoma (LBCL) patients in the third or later line setting. After CAR-T failure, survival outcomes are heterogeneous and a prognostic model in this patient population is lacking. A training cohort of 216 patients with progressive disease (PD) after CAR-T from 12 Spanish centers was used to develop the Post-CAR Prognostic Index (PC-PI); primary endpoint was overall survival (OS) from CAR-T progression. Validation was performed in an external cohort from three different European centers (n = 204). The prognostic score incorporated five variables, assessed at time of PD to CAR-T: ECOG (> 0), hemoglobin (< 10 g/dL), LDH (≥ 2xULN), number of extranodal sites (> 1) and time from CAR-T to PD (< 4 months). Patients were classified in four risk groups with distinct OS (p-value < 0.05 in all comparisons). In the validation cohort, median OS in the low (31%), intermediate-low (26%), intermediate-high (17%) and high risk (26%) were 15.7, 7.1, 1.8 and 1.0 months, respectively (p < 0.05 in all comparisons). Results were consistent following adjustment for subsequent treatment. In the external cohort, the PC-PI showed a C-statistic of 0.79 (95%CI 0.76–0.82), outperforming IPI and R-IPI. In conclusion, the PC-PI score is a novel tool for OS prediction and could facilitate risk-adapted management of LBCL patients relapsing after CAR T-cells. Additionally, these results will help stratification and interpretation of trials and real-world data incorporating CART-exposed patients. Key points: Key point #1: The Post-CAR Prognostic Index (PC-PI) is a tool to inform on overall survival after CAR T-cell progression in large B-cell lymphoma patients. Key point #2: The PC-PI can help risk-stratification and interpretation of trials and real-world data of regimens incorporating CART-exposed patients. [ABSTRACT FROM AUTHOR]

Topological defects are ubiquitous, they manifest in a wide variety of systems such as liquid crystals, magnets or superconductors. The recent quest for non‐abelian anyons in condensed matter physics stimulates the interest for topological defects since they can be hosted in vortices in quantum magnets or topological superconductors. In addition to these vortex defects, this study proposes to investigate edge dislocations in 2D magnets as new building blocks for topological physics since they can be described as vortices in the structural phase field. It demonstrates the existence of higher order topological dislocations within the higher order moiré pattern of the van der Waals 2D magnet CrCl3 deposited on Au(111). Surprisingly, these higher order dislocations arise from ordinary simple edge dislocations in the atomic lattice of CrCl3. This study provide a theoretical framework explaining the higher order dislocations as vortices with a winding Chern number of 2. It is expected that these original defects can stabilize some anyons either in a 2D quantum magnet or within a 2D superconductor coupled to it. [ABSTRACT FROM AUTHOR]

Introduction: Pharmacogenetics (PGx) holds promise for optimizing psychotropic medication use, with CYP2D6 and CYP2C19 identified as key genes in antidepressant treatment. However, few studies have explored the genetic variants of these genes in real-world settings for patients experiencing ineffectiveness or adverse drug reactions (ADRs) to antidepressants. Methods: This case series includes 40 patients who underwent PGx testing due to antidepressant ineffectiveness or ADRs between June 2020 and April 2022. We describe the patients' demographic, clinical, and genetic characteristics and assess the value of PGx testing based on feedback from their psychiatrists. Results: The most common diagnoses were major depressive disorder (60.0%) and post-traumatic stress disorder (30.0%). Ineffectiveness was reported in 65.0% of patients, ADRs in 2.5%, and both in 32.5%. The antidepressants involved included SSRIs (45.0%), SNRIs (27.5%), atypical antidepressants (20.0%), and tricyclics (17.5%). Only 17.5% of patients had normal CYP2D6 and CYP2C19 metabolic activity. Actionable genetic variants were identified in 22.0% of CYP2D6/CYP2C19-antidepressant-response pairs. PGx recommendations were followed in 92.7% of cases, with significant improvement in ADRs reported in 71.4% of patients and efficacy improvement in 79.5%. Discussion: Our findings suggest that PGx testing can guide prescribing decisions for patients with antidepressant ineffectiveness or ADRs. The relatively high prevalence of genetic variants affecting pharmacokinetics supports the broader adoption of PGx testing in psychiatric practice. [ABSTRACT FROM AUTHOR]

Background: Onasemnogene abeparvovec gene replacement therapy (GT) has changed the prognosis of patients with spinal muscular atrophy (SMA) with variable outcome regarding motor development in symptomatic patients. This pilot study evaluates acceptability, validity and clinical relevance of Inertial Measurement Units (IMU) to monitor spontaneous movement recovery in early onset SMA patients after GT. Methods: Clinical assessments including CHOPINTEND score (the gold standard motor score for infants with SMA) and IMU measurements were performed before (M0) and repeatedly after GT. Inertial data was recorded during a 25-min spontaneous movement task, the child lying on the back, without (10 min) and with a playset (15 min) wearing IMUs. Two commonly used parameters, norm acceleration 95th centile (||A||_95) and counts per minute (||A||_CPM) were computed for each wrist, elbow and foot sensors. Results: 23 SMA-patients were included (mean age at diagnosis 8 months [min 2, max 20], 19 SMA type 1, three type 2 and one presymptomatic) and 104 IMU-measurements were performed, all well accepted by families and 84/104 with a good child participation (evaluated with Brazelton scale). ||A||_95 and ||A||_CPM showed high internal consistency (without versus with a playset) with interclass correlation coefficient for the wrist sensors of 0.88 and 0.85 respectively and for the foot sensors of 0.93 and 0.91 respectively. ||A||_95 and ||A||_CPM were strongly correlated with CHOPINTEND (r for wrist sensors 0.74 and 0.67 respectively and for foot sensors 0.61 and 0.68 respectively, p-values < 0.001). ||A||_95 for the foot, the wrist, the elbow sensors and ||A||_CPM for the foot, the wrist, the elbow sensors increased significantly between baseline and the 12 months follow-up visit (respective p-values: 0.004, < 0.001, < 0.001, 0.006, < 0.001, < 0.001). Conclusion: IMUs were well accepted, consistent, concurrently valid, responsive and associated with unaided sitting acquisition especially for the elbow sensors. This study is the first reporting a large set of inertial sensor derived data after GT in SMA patients and paves the way for IMU-based follow-up of SMA patients after treatment. [ABSTRACT FROM AUTHOR]

Background: Results of conventional induction chemotherapies in primary central nervous system lymphoma (PCNSL) need to be improved. Ibrutinib, a BTK inhibitor, and lenalidomide, an immunomodulatory drug, have shown promising results at relapse, supporting to further assess their individual use in combination with high-dose methotrexate-based chemotherapy. Methods: Patients with newly diagnosed PCNSL were randomized to receive four 28-day cycles of ibrutinib or lenalidomide in combination with R-MPV (rituximab, methotrexate, procarbazine, vincristine and prednisone) in a 3 + 3 design. Responders then received a consolidation with R-Cytarabine and an intensive chemotherapy with autologous stem cell transplantation. The objective of the phase IB study was to define the recommended phase II dose (RP2D) based on the dose-limiting toxicity (DLT) occurring during the first induction cycle. Results: Twenty-six patients (median age 52) were randomized. Four DLTs were observed: one grade 5 aspergillosis and pneumocystosis, one grade 4 catheter-related infection and two grade 3 increased alanine aminotransferase levels. RP2D of ibrutinib and lenalidomide were 560 mg daily (D3-14 and D17-28) and 15 mg daily (D1-21) respectively, in combination with R-MPV. In both arms, the most frequent grade ≥3 treatment-related adverse events were hepatic cytolysis, neutropenia and infections. One grade 4 Lyell's syndrome was reported at cycle 2 in the lenalidomide arm. After 4 induction cycles, the overall response rates were 76.9% and 83.3% in the lenalidomide and ibrutinib arm, respectively. Conclusion: Targeted induction therapies combining lenalidomide or ibrutinib with R-MPV are feasible for first-line PCNSL. The safety profile is consistent with the known safety profiles of R-MPV and both targeted therapies. The phase II part of the study is ongoing. Trial registration: NCT04446962. [ABSTRACT FROM AUTHOR]

An image is a visual representation that can be used to obtain information. A camera on a moving vector (e.g., on a rover, drone, quad, etc.) may acquire images along a controlled trajectory. The maximum visual information is captured during a fixed acquisition time when consecutive images do not overlap and have no space (or gap) between them. The images acquisition is said to be anomalous when two consecutive images overlap (overlap anomaly) or have a gap between them (gap anomaly). In this article, we report a new algorithm, named OVERGAP, that remove these two types of anomalies when consecutive images are obtained from an on-board camera on a moving vector. Anomaly detection and correction use here both the Dynamic Time Warping distance and Wasserstein distance. The proposed algorithm produces consecutive, anomaly-free images with the desired size that can conveniently be used in a machine learning process (mainly Deep Learning) to create a prediction model for a feature of interest. [ABSTRACT FROM AUTHOR]

Background: The microbial landscape within termite guts varies across termite families. The gut microbiota of lower termites (LT) is dominated by cellulolytic flagellates that sequester wood particles in their digestive vacuoles, whereas in the flagellate-free higher termites (HT), cellulolytic activity has been attributed to fiber-associated bacteria. However, little is known about the role of individual lineages in fiber digestion, particularly in LT. Results: We investigated the lignocellulolytic potential of 2223 metagenome-assembled genomes (MAGs) recovered from the gut metagenomes of 51 termite species. In the flagellate-dependent LT, cellulolytic enzymes are restricted to MAGs of Bacteroidota (Dysgonomonadaceae, Tannerellaceae, Bacteroidaceae, Azobacteroidaceae) and Spirochaetota (Breznakiellaceae) and reflect a specialization on cellodextrins, whereas their hemicellulolytic arsenal features activities on xylans and diverse heteropolymers. By contrast, the MAGs derived from flagellate-free HT possess a comprehensive arsenal of exo- and endoglucanases that resembles that of termite gut flagellates, underlining that Fibrobacterota and Spirochaetota occupy the cellulolytic niche that became vacant after the loss of the flagellates. Furthermore, we detected directly or indirectly oxygen-dependent enzymes that oxidize cellulose or modify lignin in MAGs of Pseudomonadota (Burkholderiales, Pseudomonadales) and Actinomycetota (Actinomycetales, Mycobacteriales), representing lineages located at the hindgut wall. Conclusions: The results of this study refine our concept of symbiotic digestion of lignocellulose in termite guts, emphasizing the differential roles of specific bacterial lineages in both flagellate-dependent and flagellate-independent breakdown of cellulose and hemicelluloses, as well as a so far unappreciated role of oxygen in the depolymerization of plant fiber and lignin in the microoxic periphery during gut passage in HT. Ak1UNwnHwhcNN-Fj12kHob Video Abstract [ABSTRACT FROM AUTHOR]

Broadband Coherent anti-Stokes Raman (BCARS) microscopy is an imaging technique that can acquire full Raman spectra (400–3200 cm−1) of biological samples within a few milliseconds. However, the CARS signal suffers from an undesired non-resonant background (NRB), deriving from four-wave-mixing processes, which distorts the peak line shapes and reduces the chemical contrast. Traditionally, the NRB is removed using numerical algorithms that require expert users and knowledge of the NRB spectral profile. Recently, deep-learning models proved to be powerful tools for unsupervised automation and acceleration of NRB removal. Here, we thoroughly review the existing NRB removal deep-learning models (SpecNet, VECTOR, LSTM, Bi-LSTM) and present two novel architectures. The first one combines convolutional layers with Gated Recurrent Units (CNN + GRU); the second one is a Generative Adversarial Network (GAN) that trains an encoder-decoder network and an adversarial convolutional neural network. We also introduce an improved training dataset, generalized on different BCARS experimental configurations. We compare the performances of all these networks on test and experimental data, using them in the pipeline for spectral unmixing of BCARS images. Our analyses show that CNN + GRU and VECTOR are the networks giving the highest accuracy, GAN is the one that predicts the highest number of true positive peaks in experimental data, whereas GAN and VECTOR are the most suitable ones for real-time processing of BCARS images. [ABSTRACT FROM AUTHOR]

Background: Results of conventional induction chemotherapies in primary central nervous system lymphoma (PCNSL) need to be improved. Ibrutinib, a BTK inhibitor, and lenalidomide, an immunomodulatory drug, have shown promising results at relapse, supporting to further assess their individual use in combination with high-dose methotrexate-based chemotherapy. Methods: Patients with newly diagnosed PCNSL were randomized to receive four 28-day cycles of ibrutinib or lenalidomide in combination with R-MPV (rituximab, methotrexate, procarbazine, vincristine and prednisone) in a 3 + 3 design. Responders then received a consolidation with R-Cytarabine and an intensive chemotherapy with autologous stem cell transplantation. The objective of the phase IB study was to define the recommended phase II dose (RP2D) based on the dose-limiting toxicity (DLT) occurring during the first induction cycle. Results: Twenty-six patients (median age 52) were randomized. Four DLTs were observed: one grade 5 aspergillosis and pneumocystosis, one grade 4 catheter-related infection and two grade 3 increased alanine aminotransferase levels. RP2D of ibrutinib and lenalidomide were 560 mg daily (D3-14 and D17-28) and 15 mg daily (D1-21) respectively, in combination with R-MPV. In both arms, the most frequent grade ≥3 treatment-related adverse events were hepatic cytolysis, neutropenia and infections. One grade 4 Lyell's syndrome was reported at cycle 2 in the lenalidomide arm. After 4 induction cycles, the overall response rates were 76.9% and 83.3% in the lenalidomide and ibrutinib arm, respectively. Conclusion: Targeted induction therapies combining lenalidomide or ibrutinib with R-MPV are feasible for first-line PCNSL. The safety profile is consistent with the known safety profiles of R-MPV and both targeted therapies. The phase II part of the study is ongoing. Trial registration: NCT04446962. [ABSTRACT FROM AUTHOR]

Background: Brown algae belong to the Stramenopiles phylum and are phylogenetically distant from plants and other multicellular organisms. This independent evolutionary history has shaped brown algae with numerous metabolic characteristics specific to this group, including the synthesis of peculiar polysaccharides contained in their extracellular matrix (ECM). Alginates and fucose-containing sulphated polysaccharides (FCSPs), the latter including fucans, are the main components of ECMs. However, the metabolic pathways of these polysaccharides remain poorly described due to a lack of genomic data. Results: An extensive genomic dataset has been recently released for brown algae and their close sister species, for which we previously performed an expert annotation of key genes involved in ECM-carbohydrate metabolisms. Here we provide a deeper analysis of this set of genes using comparative genomics, phylogenetics analyses, and protein modelling. Two key gene families involved in both the synthesis and degradation of alginate were suggested to have been acquired by the common ancestor of brown algae and their closest sister species Schizocladia ischiensis. Our analysis indicates that this assumption can be extended to additional metabolic steps, and thus to the whole alginate metabolic pathway. The pathway for the biosynthesis of fucans still remains biochemically unresolved and we also investigate putative fucosyltransferase genes that may harbour a fucan synthase activity in brown algae. Conclusions: Our analysis is the first extensive survey of carbohydrate-related enzymes in brown algae, and provides a valuable resource for future research into the glycome and ECM of brown algae. The expansion of specific families related to alginate metabolism may have represented an important prerequisite for the evolution of developmental complexity in brown algae. Our analysis questions the possible occurrence of FCSPs outside brown algae, notably within their closest sister taxon and in other Stramenopiles such as diatoms. Filling this knowledge gap in the future will help determine the origin and evolutionary history of fucan synthesis in eukaryotes. [ABSTRACT FROM AUTHOR]

Spin‐crossover (SCO) complexes have drawn significant attention for the possibility to photoswitch their electronic spin state on a sub‐picosecond timescale at the molecular level. However, the multi‐step mechanism of laser‐pulse‐induced switching in solid state is not yet fully understood. Here, time‐resolved synchrotron X‐ray diffraction is used to follow the dynamics of the crystal lattice in response to a picosecond laser excitation in nanometric thin films of the SCO complex [Fe(HB(1,2,4‐triazol‐1‐yl)3)2]. The observed structural dynamics unambiguously reveal a lattice expansion on the 100 picosecond timescale, which is temporally decoupled both from the ultrafast molecular photoswitching process (occurring within 100 fs) and from the delayed, thermo‐elastic (Arrhenius‐driven) conversion (taking place ≈10 ns). These time‐separated dynamics are also manifested by the observation of damped acoustic oscillations in the time evolution of the lattice volume, whereas no such oscillations are observed in the electronic spin‐state dynamics. Overall, these results suggest the existence of a universal behavior whereby the intramolecular energy barrier between low‐spin and high‐spin states acts as an intrinsic dynamical bottleneck in the out‐of‐equilibrium spin‐state switching dynamics of SCO materials. [ABSTRACT FROM AUTHOR]

We study by femtosecond infrared spectroscopy the ultrafast and persistent photoinduced phase transition of the Rb0.94Mn0.94Co0.06[Fe(CN)6]0.98 ⋅ 0.2H2O material, induced at room temperature by a single laser shot. This system exhibits a charge‐transfer based phase transition with a 75 K wide thermal hysteresis, centred at room temperature, from the low temperature Mn3+−N−C−Fe2+ tetragonal phase to the high temperature Mn2+−N−C−Fe3+ cubic phase. At room temperature, the photoinduced phase transition is persistent. However, the out‐of‐equilibrium dynamics leading to this phase is multi‐scale. Femtosecond infrared spectroscopy, particularly sensitive to local reorganizations through the evolution of the frequency of the N−C vibration modes with the different characteristic electronic states, reveals that at low laser fluence and on short time scale, the photoexcitation of the Mn3+−N−C−Fe2+ phase creates small charge‐transfer polarons [Mn2+−N−C−Fe3+]* within ≃250 fs. The local trapping of photoinduced intermetallic charge‐transfer is characterized by the appearance of a polaronic infrared band, due to the surrounding Mn2+−N−C−Fe2+ species. Above a threshold fluence, when a critical fraction of small CT‐polarons is reached, the macroscopic phase transition to the persistent Mn2+−N−C−Fe3+ cubic phase occurs within ≃ 100 ps. This non‐linear photo‐response results from elastic cooperativity, intrinsic to a switchable lattice and reminiscent of a feedback mechanism. [ABSTRACT FROM AUTHOR]

We study by femtosecond infrared spectroscopy the ultrafast and persistent photoinduced phase transition of the Rb0.94Mn0.94Co0.06[Fe(CN)6]0.98 ⋅ 0.2H2O material, induced at room temperature by a single laser shot. This system exhibits a charge‐transfer based phase transition with a 75 K wide thermal hysteresis, centred at room temperature, from the low temperature Mn3+−N−C−Fe2+ tetragonal phase to the high temperature Mn2+−N−C−Fe3+ cubic phase. At room temperature, the photoinduced phase transition is persistent. However, the out‐of‐equilibrium dynamics leading to this phase is multi‐scale. Femtosecond infrared spectroscopy, particularly sensitive to local reorganizations through the evolution of the frequency of the N−C vibration modes with the different characteristic electronic states, reveals that at low laser fluence and on short time scale, the photoexcitation of the Mn3+−N−C−Fe2+ phase creates small charge‐transfer polarons [Mn2+−N−C−Fe3+]* within ≃250 fs. The local trapping of photoinduced intermetallic charge‐transfer is characterized by the appearance of a polaronic infrared band, due to the surrounding Mn2+−N−C−Fe2+ species. Above a threshold fluence, when a critical fraction of small CT‐polarons is reached, the macroscopic phase transition to the persistent Mn2+−N−C−Fe3+ cubic phase occurs within ≃ 100 ps. This non‐linear photo‐response results from elastic cooperativity, intrinsic to a switchable lattice and reminiscent of a feedback mechanism. [ABSTRACT FROM AUTHOR]

Low levels of essential mineral elements such as cobalt, copper, and iron, in organisms reduce immune function, increasing the chances of parasitic infection. This phenomenon has been demonstrated widely in domestic animals but rarely in wildlife. In this study, we used data from 7‐ to 9‐month‐old roe deer (Capreolus capreolus), living in two different populations facing contrasting environmental conditions (Trois‐Fontaines and Chizé), to investigate whether the parasitic and immunological statuses could be related to essential element status. Between 2016 and 2019, we collected feces to measure parasite burdens (gastrointestinal and pulmonary nematodes), blood to measure immunological parameters (globulins and white blood cells), and hair to assess the concentration of 11 essential elements (calcium [Ca], chromium [Cr], cobalt [Co], copper [Cu], iron [Fe], magnesium [Mg], manganese [Mn], potassium [K], molybdenum [Mo], selenium [Se], and zinc [Zn]). The results showed first heterogeneity in the individual phenotypes of the two populations. Roe deer with low body mass had high concentrations of all the essential elements (in particular, Ca, Fe, Cu, K, and Mn), a high parasitic burden, and high concentrations of globulins. An association between high concentrations of essential elements and a high parasite burden was found at the two study sites despite markedly different environmental conditions. A relationship between essential element concentrations and immune parameters was also detected, with more basophils and globulins being associated with high concentrations of essential trace elements (i.e., Ca, Fe, Cu, and, to a lesser extent, Se, Cr, and Zn). These results suggest that young individuals with low body mass and high parasitism may select feeding resources rich in mineral elements, which may improve their ability to control the infestation and/or mitigate the negative consequences of parasites by maintaining immune system functions. [ABSTRACT FROM AUTHOR]

The production of species checklists is fundamental to setting baseline knowledge of biodiversity across the world and they are invaluable for global conservation efforts. The main objective of this study is to provide an up-to-date extensive checklist of the ants of the Democratic Republic of Congo (DRC), the largest country in sub-Saharan Africa, based on available literature to serve as a foundation for future research and ant faunistic developments. We gathered the literature available to us, most of it compiled from the Global Ant Biodiversity Informatics (GABI) Project and treated the data to province level when possible. We also offer insight into who, when and where contributions have emerged to the current knowledge of the ants of the DRC and each of its 26 provinces. The current list is restricted to valid species and subspecies, discarding morphospecies and some misidentified taxa. The list comprises eight subfamilies, 64 genera and 736 species, the highest species diversity for a country located within the Afrotropical realm. [ABSTRACT FROM AUTHOR]

Understanding the niche interactions between blood and bone through the in vitro co-culture of osteo-competent cells and endothelial cells is a key factor in unraveling therapeutic potentials in bone regeneration. This can be additionally supported by employing numerical simulation techniques to assess local physical factors, such as oxygen concentration, and mechanical stimuli, such as shear stress, that can mediate cellular communication. In this study, we developed a Mesenchymal Stem Cell line (MSC) and a Human Umbilical Vein Endothelial Cell line (HUVEC), which were co-cultured under flow conditions in a three-dimensional, porous, natural pullulan/dextran scaffold that was supplemented with hydroxyapatite crystals that allowed for the spontaneous formation of spheroids. After 2 weeks, their viability was higher under the dynamic conditions (>94%) than the static conditions (<75%), with dead cells central in the spheroids. Mineralization and collagen IV production increased under the dynamic conditions, correlating with osteogenesis and vasculogenesis. The endothelial cells clustered at the spheroidal core by day 7. Proliferation doubled in the dynamic conditions, especially at the scaffold peripheries. Lattice Boltzmann simulations showed negligible wall shear stress in the hydrogel pores but highlighted highly oxygenated zones coinciding with cell proliferation. A strong oxygen gradient likely influenced endothelial migration and cell distribution. Hypoxia was minimal, explaining high viability and spheroid maturation in the dynamic conditions. [ABSTRACT FROM AUTHOR]

Most of Optical Camera Communication (OCC) systems benefit from the rolling shutter mechanism of Complementary Metal-Oxide Semiconductor (CMOS) cameras to record the brightness evolution of the Light-Emitting Diode (LED) through dark and bright strips within images. While this technique enhances the maximum achievable data rate, the main difficulty lies in the demodulation of the signal extracted from images, subject to blooming effect. Thus, two main approaches were proposed to deal with this issue, using adaptive thresholds whose value evolves according to amplitude changes or detecting signal variations with the first-order derivative. As the second method is more robust, a new demodulation method based on the detection of the zeros of the first-order derivative of the extracted signal was proposed in this paper. Obtained results clearly show an improvement in the extracted signal demodulation compared to other methods, achieving a raw Bit Error Rate (BER) of 10−3 around 50 cm in a Line-Of-Sight scenario, and increasing the maximum communication distance by 43.5%, reaching 330 cm in the case of a Non-Line-Of-Sight transmission. [ABSTRACT FROM AUTHOR]

We aimed to evaluate the ability of naturally occurring colonies of Microcystis, embedded in a thick mucilage, to persist in estuarine waters. In two batch experiments, we examined the dynamics of microbial communities, including cyanobacteria and associated heterotrophic bacteria, sampled from the field during both a cyanobacterial bloom (non‐limiting nutrient condition) and the post‐bloom period (limiting nutrient condition), and subjected them to a salinity gradient representative of the freshwater‐marine continuum. We demonstrated that both Microcystis aeruginosa and M. wesenbergii survived high salinities due to osmolyte accumulation. Specifically, prolonged exposure to high salinity led to betaine accumulation in the cyanobacterial biomass. The relative abundance of the mcyB gene remained around 30%, suggesting no selection for toxic genotypes with salinity or nutrient changes. Microcystins were predominantly intracellular, except at high salinity levels (>15), where more than 50% of the total microcystin concentration was extracellular. In both nutrient conditions, over 70% of the heterotrophic bacterial community belonged to the Gammaproteobacteria family, followed by the Bacteroidota. Bacterial community composition differed in both size fractions, as well as along the salinity gradient over time. Finally, genus‐specific core microbiomes were identified and conserved even under highly stressful conditions, suggesting interactions that support community stability and resilience. [ABSTRACT FROM AUTHOR]

Copper pollution can alter biological and trophic functions. Organisms can utilise different tolerance strategies, including accumulation mechanisms (intracellular vacuoles, external chelation, etc.) to maintain themselves in copper‐polluted environments. Accumulation mechanisms can influence the expression of other phenotypic traits, allowing organisms to deal with copper stress. Whether copper effects on accumulation strategies interact with other environmental stressors such as temperature and how this may differ within species are still unsolved questions. Here, we tested experimentally whether the combined effect of copper and temperature modulates traits linked to demography, morphology, movement and accumulation in six strains of the ciliate Tetrahymena thermophila. We also explored whether copper accumulation might modulate environmental copper concentration effects on phenotypic and demographic traits. Results showed high intraspecific variability in the phenotypic and demographic response to copper, with interactive effects between temperature and copper. In addition, they suggested an attenuation effect of copper accumulation on the sensitivity of traits to copper, but with great variation between strains, temperatures and copper concentrations. Diversity of responses among strains and their thermal dependencies pleads for the integration of intraspecific variability and multiple stressors approaches in ecotoxicological studies, thus improving the reliability of assessments of the effects of pollutants on biodiversity. [ABSTRACT FROM AUTHOR]

Copyright of Revue des Lettres Modernes is the property of Classiques Garnier and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

To effectively monitor highly heterogeneous urban CO2 emissions using atmospheric observations, there is a need to deploy cost-effective CO2 sensors at multiple locations within the city with sufficient accuracy to capture the concentration gradients in urban environments. These dense measurements could be used as input of an atmospheric inversion system for the quantification of emissions at the sub-city scale or to separate specific sectors. Such quantification would offer valuable insights into the efficacy of local initiatives and could also identify unknown emission hotspots that require attention. Here we present the development and evaluation of a mid-cost CO2 instrument designed for continuous monitoring of atmospheric CO2 concentrations with a target accuracy of 1 ppm for hourly mean measurements. We assess the sensor sensitivity in relation to environmental factors such as humidity, pressure, temperature and CO2 signal, which leads to the development of an effective calibration algorithm. Since July 2020, eight mid-cost instruments have been installed within the city of Paris and its vicinity to provide continuous CO2 measurements, complementing the seven high-precision cavity ring-down spectroscopy (CRDS) stations that have been in operation since 2016. A data processing system, called CO2calqual, has been implemented to automatically handle data quality control, calibration and storage, which enables the management of extensive real-time CO2 measurements from the monitoring network. Colocation assessments with the high-precision instrument show that the accuracies of the eight mid-cost instruments are within the range of 1.0 to 2.4 ppm for hourly afternoon (12:00–17:00 UTC) measurements. The long-term stability issues require manual data checks and instrument maintenance. The analyses show that CO2 measurements can provide evidence for underestimations of CO2 emissions in the Paris region and a lack of several emission point sources in the emission inventory. Our study demonstrates promising prospects for integrating mid-cost measurements along with high-precision data into the subsequent atmospheric inverse modeling to improve the accuracy of quantifying the fine-scale CO2 emissions in the Paris metropolitan area. [ABSTRACT FROM AUTHOR]

In two recent papers Khrennikov [1-2] uses what he calls Ozawa’s intersubjectivity theorem [3] to claim that intersubjectivity is necessarily verified in quantum mechanics and to criticize QBism and more generally all interpretations that are perspectival. In agreement with two previous QBist’s papers [4-5], I explain here why Khrennikov’s proof is not valid but in contrast with one of these papers [5], I criticize the way intersubjectivity is dealt with in QBism. [ABSTRACT FROM AUTHOR]

In temperate regions, most insect species overwinter in diapause while others continue to be active, feed, and possibly reproduce despite adverse climatic conditions. For fruit flies which remain active winter long, the presence of winter-available fruit is crucial for population persistence. This study aimed to disentangle the relative effects of climatic, landscape, and local factors on infestation rates of an important winter trophic resource, mistletoe (Viscum album) fruit, by drosophilid flies. Mistletoe fruits were sampled between January and July 2022 in seven regions of France, across a wide range of climatic conditions from Mediterranean to temperate oceanic. The fruits were used both by the invasive Drosophila suzukii and by the native D. subobscura in the latter part of winter and throughout spring, suggesting that this resource may assist these species to overcome the winter bottleneck. Infestations by both flies were positively associated with the presence of fallen mistletoe fruit on the ground and semi-natural (forest, hedgerow) and anthropogenic (garden, park) habitats. The mistletoe's host tree species also influenced the fruit infestation rate. Drosophila suzukii infestation rate was positively impacted by the accumulated thermal energy ('degree days') in the previous 14 days. Mistletoe could act as a catalyst for the development of spring D. suzukii generations and should be considered in the context of integrative pest management strategies to prevent early infestation of crop fruit. [ABSTRACT FROM AUTHOR]

The biodiversity of Brazil provides an excellent climate and favorable pollination conditions for Apis mellifera L., especially in the Eastern Amazon region, which boasts vast floral wealth, including an abundance of açaí (Euterpe oleracea) flowers and fruits. In the present study, seven types of honey were evaluated: three containing floral nectar from açaí (Açaí honey) collected in the Eastern Amazon region (Açaí honey from Breu Branco (AH1 and AH2) and Açaí honey from Santa Maria (AH3), both from the state of Pará, Brazil) and four honeys from different regions of Brazil (Aroeira honey from Minas Gerais, Cipó-Uva honey from Distrito Federal, Mangue honey from Pará, and Timbó honey from Rio Grande do Sul). The characteristics of these honeys were evaluated by examining their physicochemical properties, melissopalynological aspects, color, antioxidant potential, and their constituent compounds, which were confirmed through GC-MS analysis. Açaí floral nectar honeys presented physicochemical results similar to those of other honeys, aligning with Brazilian legislation norms, but differed in their high values of free acidity, apparent sugars, and lower reducing sugars, which are directly related to their botanical origin. These differences correlate with unique flavor and distinct aroma characteristics. Melissopalynological analysis confirmed the botanical origin of the honeys containing açaí floral nectar, which had a color range from amber to dark amber. The three açaí honeys demonstrated high antioxidant capacity and superior flavonoid and polyphenol content compared to other honeys, particularly the açaí honey from Breu Branco (AH1), which had four times the content to combat free radicals compared to the honey with the highest potential (Aroeira honey). GC-MS analysis confirmed the presence of antioxidant properties as well as potential anti-inflammatory, antibacterial, antimicrobial, and antitumor capabilities in açaí honeys, which have not yet been fully studied. [ABSTRACT FROM AUTHOR]

Background & Aims: Metabolic dysfunction‐associated steatohepatitis (MASH) is a growing cause of chronic liver disease, characterized by fat accumulation, inflammation and fibrosis, which development depends on mitochondrial dysfunction and oxidative stress. Highly expressed in the liver during fasting, peroxisome proliferator‐activated receptor‐γ coactivator‐1α (PGC‐1α) regulates mitochondrial and oxidative metabolism. Given the relevant role of mitochondrial function in MASH, we investigated the relationship between PGC‐1α and steatohepatitis. Methods: We measured the hepatic expression of Pgc‐1α in both MASH patients and wild‐type mice fed a western diet (WD) inducing steatosis and fibrosis. We then generated a pure C57BL6/J strain loss of function mouse model in which Pgc‐1α is selectively deleted in the liver and we fed these mice with a WD supplemented with sugar water that accurately mimics human MASH. Results: We observed that the hepatic expression of Pgc‐1α is strongly reduced in MASH, in both humans and mice. Moreover, the hepatic ablation of Pgc‐1α promotes a considerable reduction of the hepatic mitochondrial respiratory capacity, setting up a bioenergetic harmful environment for liver diseases. Indeed, the lack of Pgc‐1α decreases mitochondrial function and increases inflammation, fibrosis and oxidative stress in the scenario of MASH. Intriguingly, this profibrotic phenotype is not linked with obesity, insulin resistance and lipid disbalance. Conclusions: In a MASH model the hepatic ablation of Pgc‐1α drives fibrosis independently from lipid and glucose metabolism. These results add a novel mechanistic piece to the puzzle of the specific and crucial role of mitochondrial function in MASH development. [ABSTRACT FROM AUTHOR]

Scanning transmission electron microscopy (STEM) techniques are used to improve the understanding of out‐of‐plane oriented Sb2Te3 thin films deposited by sputtering on SiO2 and Si substrates. Nanobeam precession electron diffraction, energy‐dispersive X‐ray spectroscopy, and high‐angle‐annular dark‐field imaging show that the presence of 1–2 atomic planes of Te on top of the substrate is a crucial factor for successful growth of such films, which can be achieved by optimizing cosputtering of Te and Sb2Te3 targets. The formation of an actual van der Waals (vdW) gap between the substrate and the first Sb2Te3 quintuple layer allows for vdW epitaxy. This gap is larger than those separating Te planes in the pseudo‐2D Sb2Te3 structure. HAADF image analysis provides detailed information on the atomic arrangement such as interplanar distances, vdW gaps, and Debye–Waller coefficients, all these with a few pm precision. For the anisotropic atomic displacements, a new methodology is introduced based on the statistical analysis of atomic column positions that provides information on the low‐frequency phonon modes. Ab initio calculations are used to support our results. Overall, this study provides quantitative STEM tools particularly well suited for nonperiodic pseudo‐2D materials, such as Sb2Te3/GeTe superlattices. [ABSTRACT FROM AUTHOR]

Copyright of Journal of Applied Ecology is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Recognition of the important physical and ecological roles played by large wood in channels and on floodplains has grown substantially during recent decades. Although large wood continues to be routinely removed from many river corridors worldwide, the practice of wood reintroduction has spread across the United States, the United Kingdom and western Europe, Australia, and New Zealand. The state‐of‐science regarding working with wood in rivers was discussed during a workshop held in Colorado, USA, in September 2022 with 40 participants who are scientists and practitioners from across the USA, UK, Europe, and Japan. The objectives of this paper are to present the findings from the workshop; summarize two case studies of wood in river restoration in the western United States; and provide suggestions for advancing the practice of wood in river management. We summarize the workshop results based on participant judgements and recommendations with respect to: (i) limitations and key barriers to using wood, which reflect perceptions and practicalities; (ii) gaps in the use of large wood in river management; (iii) scenarios in which wood is generally used effectively; and (iv) scenarios in which wood is generally not used effectively. The case studies illustrate the importance of the local geomorphic context, the configuration complexity of the wood, and the potential for modification of river corridor morphology to enhance desired benefits. Moving forward, we stress the importance of collaboration across disciplines and across communities of research scientists, practitioners, regulators, and potential stakeholders; accounting for stakeholder perceptions of the use of large wood; and increasing non‐scientist access to the latest state‐of‐science knowledge. [ABSTRACT FROM AUTHOR]

Primary pigmented nodular adrenocortical disease (PPNAD) and bilateral macronodular adrenocortical disease (BMAD) are 2 forms of adrenocortical nodular diseases causing Cushing's syndrome but are 2 very distinct conditions. PPNAD, affecting mostly young patients with an almost constant severe Cushing's syndrome, is characterized by pigmented micronodules, usually less than 1 cm, not always visible on imaging. On the contrary, BMAD is predominantly diagnosed in the fifth and sixth decades, with highly variable degrees of cortisol excess, from mild autonomous cortisol secretion to overt Cushing's syndrome. BMAD presents as large bilateral adrenal macronodules, easily observed on imaging. Both diseases are often genetically determined: frequently PPNAD is observed in a multiple neoplasia syndrome, Carney complex, and a germline genetic defect is identified in around 80% of index cases, always affecting key actors of the cAMP/protein kinase A (PKA) pathway: mostly PRKAR1A , encoding the PKA 1-alpha regulatory subunit. On the other hand, BMAD appears mostly isolated, and 2 predisposing genes are known at present: ARMC5 , accounting for around 20% of index cases, and the recently identified KDM1A , causing the rare presentation with food-dependent Cushing's syndrome, mediated by the ectopic expression of the glucose-dependent insulinotropic polypeptide receptor (GIPR) in adrenal nodules. GIPR was the first demonstrated receptor to illegitimately regulate cortisol secretion in nodular adrenocortical diseases, and a myriad of other receptors and paracrine signals were discovered afterward. The last 30 years were pivotal in the understanding of the genetics and pathophysiology of bilateral adrenocortical nodular diseases, leading to a personalized approach of these fascinating conditions. [ABSTRACT FROM AUTHOR]

Background: Neuromonitoring devices are often used in traumatic brain injury. The objective of this report is to raise awareness concerning variations in optimal cerebral perfusion pressure (CPPopt) determination using exploratory information provided by two neuromonitoring monitors that are part of research programs (Moberg CNS Monitor and RAUMED NeuroSmart LogO). Methods: We connected both monitors simultaneously to a parenchymal intracranial pressure catheter and recorded the pressure reactivity index (PRx) and the derived CPPopt estimates for a patient with a severe traumatic brain injury. These estimates were available at the bedside and were updated at each minute. Results: Using the Bland and Altman method, we found a mean variation of − 3.8 (95% confidence internal from − 8.5 to 0.9) mm Hg between the CPPopt estimates provided by the two monitors (limits of agreement from − 26.6 to 19.1 mm Hg). The PRx and CPPopt trends provided by the two monitors were similar over time, but CPPopt trends differed when PRx values were around zero. Also, almost half of the CPPopt estimates differed by more than 10 mm Hg. Conclusions: These wide variations recorded in the same patient are worrisome and reiterate the importance of understanding and standardizing the methodology and algorithms behind commercial neuromonitoring devices prior to incorporating them in clinical use. [ABSTRACT FROM AUTHOR]

In M'bahiakro, nitrate contamination of drinking well water is becoming a cause for concern and continues despite the efforts made in the town. To help monitor these waters, this study aims to predict nitrate concentrations in the M'bahiakro water table based on physico-chemical parameters measured in situ. To this end, a gradient error back-propagation (BPNN) artificial neural network (ANN) was developed to simulate nitrate concentrations using temperature (T), electrical conductivity (EC), dissolved oxygen (O2), redox potential (Eh) and well water depth as input data. The resulting dataset was divided into two parts to form the artificial neural network, where 70% of the dataset was used for training, and the remaining 30% was also divided into two equal parts: one for testing and the other for model validation. The models were configured using a constructive approach, which consists of testing each input variable individually in a reference network and combining the variables until the best intelligent model is obtained according to the chosen performance criteria. The intelligent models obtained were evaluated on the basis of the coefficient of determination (R2) closest to 1 and the lowest mean square error (MSE). The results obtained showed that the BPNN models developed using four input variables in the dry and rainy seasons provided the best results. The MSE and R2 values were around 0.01 mg/L and 95%, respectively. They are obviously more accurate since the mean square errors are low with coefficients of determination close to unity. The BPNN models thus obtained were able to reproduce satisfactorily the nitrate concentrations obtained experimentally in 19 wells in the town of M'bahiakro. However, it is essential to continue this study in order to define the time interval during which the BPNN models obtained can remain valid in terms of performance in the M'bahiakro area. [ABSTRACT FROM AUTHOR]

This study investigates the management of internal coopetitive tensions among business units (BUs) in multiunit organizations from a management-control perspective. Existing research on internal coopetitive management has acknowledged the role of principles and mechanisms in managing these tensions but has paid less attention to the role of controls. Drawing from the literature on management control, we follow the package perspective, which suggests combining technical and social controls to manage tensions in organizations. The question becomes how a package of technical and social controls can manage coopetitive tensions. This longitudinal case study of a leading French multiunit company in the banking industry therefore (1) provides evidence of coopetitive tensions between two BUs; (2) highlights how a package of controls was used to manage these coopetitive tensions; (3) demonstrates how this package increased competition and generated competitive tensions between the BUs; and (4) describes how a new combination of controls was adapted to manage these additional tensions. These findings thus enrich the coopetition management literature by revealing (1) the essential role of controls in managing internal coopetitive relationships among BUs; (2) the package of controls for effectively managing internal coopetition; and (3) the dynamic interactions between the use of controls and tensions among BUs. [ABSTRACT FROM AUTHOR]

Background: Nailfold capillaroscopy is recommended to diagnose primary or secondary Raynaud's phenomenon (RP). Capillaroscopy is normal in primary RP, which is the most frequent. Screening for RP capillary anomalies with nailfold dermoscopy has been promising. Objective: To determine whether normal nailfold dermoscopy—based on the absence of five criteria that define a sclerodermic pattern—is able to predict normal capillaroscopy with good positive‐predictive value (PPV). Methods: Prospective, 2‐phase (monocentre and multicentre) study on patients at first consultation for RP undergoing nailfold video capillaroscopy (NVC) and nailfold dermoscopy by two different 'blinded' trained observers, respectively, a vascular specialist and a dermatologist, not familiar with capillaroscopy. The five criteria noted were as follows: disorganization, megacapillaries, low capillary density, avascular areas and haemorrhages. Results: Based on 105 patients, the dermoscopy PPV for a normal NVC was 100% (p = 0.015), with 37.9% sensitivity, when no criterion was observed. Excluding haemorrhages, the PPV remained 100% (p < 0.0001), with sensitivity rising to 73.7% and 100% specificity. Conclusions: Normal nailfold dermoscopy with the absence of four easy‐to‐observe criteria predicts normal NVC with an excellent PPV. [ABSTRACT FROM AUTHOR]

Summary: Aims: Attention‐deficit with hyperactivity disorder (ADHD) is associated with obesity and impacts the outcome of metabolic and bariatric surgery (MBS). This study aimed at calculating the prevalence in candidates for MBS, which is yet unclear. Methods: We conducted a systematic review and meta‐analysis, searching three databases from their respective inception to December 2022 for studies reporting the prevalence of ADHD in adolescents and adults assessed before undergoing MBS. The protocol was registered in PROSPERO (CRD42022384914). We adhered to Meta‐analysis of Observational Studies in Epidemiology (MOOSE) and Preferred Reporting Items for Systematic Reviews and Meta‐Analyses (PRISMA) 2020 guidelines; the quality of studies was assessed with the JBI Critical Appraisal checklist. Random‐effect meta‐analyses were performed; confidence intervals were computed with a binomial exact method, and the pooled estimate was calculated after double arcsine transformation. Findings: Fourteen studies (24,455 adults) and three studies (299 adolescents) were selected. The quality of studies was moderate to poor; meta‐analyses were performed on subgroups according to the case definition used. The prevalence is 8.94% and 9.90% in adults, and 28.73% in adolescents. Conclusions: ADHD is three times more frequent in adults and six times more frequent in adolescents than in the general population. Recommendations are provided to improve the quality of future studies and obtain more reliable estimates of prevalence. [ABSTRACT FROM AUTHOR]

The healthy adherer effect has gained increasing attention as a potential source of bias in observational studies examining the association of positive airway pressure (PAP) adherence with health outcomes in OSA. Is adherence to PAP associated with healthy behaviors and health care resource use prior to device prescription? Data from the Institut de Recherche en Santé Respiratoire (IRSR) des Pays de la Loire Sleep Cohort were linked to health administrative data to identify proxies of heathy behaviors, including adherence to cardiovascular (CV) drugs (medical possession ratio), cancer screening tests, influenza vaccination, alcohol and smoking consumption, and drowsiness-related road accidents during the 2 years preceding PAP onset in patients with OSA. Multivariable regression analyses were conducted to evaluate the association of heathy behaviors with subsequent PAP adherence. Health care resource use was evaluated according to subsequent PAP adherence. We included 2,836 patients who had started PAP therapy between 2012 and 2018 (65% of whom were PAP adherent with mean daily use ≥ 4 h/night). Being adherent to CV active drugs (medical possession ratio ≥ 80%) and being a person who does not smoke were associated with a higher likelihood of PAP adherence (OR, 1.43; 95% CI, 1.15-1.77 and OR, 1.37; 95% CI, 1.10-1.71, respectively). Patients with no history of drowsiness-related road accidents were more likely to continue PAP (OR, 1.39; 95% CI, 1.04-1.87). Patients who were PAP adherent used less health care resources 2 years before PAP initiation than patients who were nonadherent (mean number of outpatient consultations: 19.0 vs 17.2, P =.003; hospitalization days: 5.7 vs 5.0; P =.04; ED visits: 30.7% vs 24.0%, P =.0002, respectively). This study indicated that patients who adhere to PAP therapy for OSA were more health-seeking and used less health care resources prior to device initiation than patients who were nonadherent. Until the healthy adherer effect associated with PAP adherence is better understood, caution is warranted when interpreting the association of PAP adherence with CV health outcomes and health care resource use in nonrandomized cohorts. [Display omitted] [ABSTRACT FROM AUTHOR]

Understanding the effects of human disturbance on the bedload transport regime of anthropised rivers is a topic of growing importance, as such information is of interest for adequate river diagnosis, correct implementation of restoration measures and appropriate design of post‐action monitoring programs. However, such assessments are complex, especially in sites where multiple factors simultaneously influence the bedload transport regime, so that it is difficult to establish simple causal relationships between human disturbances and changes in the sediment transport regime, notably on bedload. To overcome this, there is a need for rigorous hypothesis‐driven approaches to assess the isolated effects of each driver. With this in mind, we have characterised the dynamics of bedload transport in the Upper Garonne (Central Pyrenees, Spain‐France), a river impacted by sediment retention, flow diversion and mining that influence its morphological conditions and transport regime. We assessed the effects of (1) surface grain size distribution, (2) river morphology, (3) sediment supply and (4) flow diversion on the bedload transport regime. Four sites with different degrees of river anthropisation were selected. After defining hypotheses on the most likely bedload transport conditions for each site, we proposed a set of discriminating criteria to test these hypotheses, based on temporal within‐site and spatial between‐site comparisons of coarse particle tracking measurements over four years. The results of this research showed that the hydrosedimentary regime of the Garonne is controlled by a complex combination of drivers such as valley physiography, which exerts a first‐order control on differences in reach‐scale bedforms and bedload dynamics; and human disturbances which contribute to a reduction in sediment supply through changes in land cover and hydropower dams, or to changes in hydrology (i.e., flow competence) due to water diversion and abstraction. [ABSTRACT FROM AUTHOR]