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Autoimmune diseases result from autoantigen-mediated activation of adaptive immunity; intriguingly, autoantigen-specific T cells are also present in healthy donors. An assessment of dynamic changes of this autoreactive repertoire in both health and disease is thus warranted. Here we investigate the physiological versus pathogenic autoreactive processes in the context of Type 1 diabetes (T1D) and one of its landmark autoantigens, glutamic acid decarboxylase 65 (GAD65). Using single cell gene expression profiling and tandem T cell receptor (TCR) sequencing, we find that GAD65-specific true naïve cells are present in both health and disease, with GAD65-specific effector and memory responses showing similar ratios in healthy donors and patients. Deeper assessment of phenotype and TCR repertoire uncover differential features in GAD65-specific TCRs, including lower clonal sizes of healthy donor-derived clonotypes in patients. We thus propose a model whereby physiological autoimmunity against GAD65 is needed during early life, and that alterations of these physiological autoimmune processes in predisposed individuals trigger overt Type 1 diabetes. Autoreactive T cells contribute to the onset of autoimmune diseases but are also detectable in healthy individuals. Here, by examining the dynamics of autoreactive T cell responses to a diabetogenic antigen, the authors show that specific phenotype and T cell receptor repertoire changes are associated with health or disease, with additional cues implicated for this transition. [ABSTRACT FROM AUTHOR]

Copyright of Retos: Nuevas Perspectivas de Educación Física, Deporte y Recreación is the property of Federacion Espanola de Asociaciones de Docentes de Educacion Fisica 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.)

Aims. The line of sight toward Sk 143 (AzV 456), an O9.5 Ib star in the Small Magellanic Cloud (SMC), shows significant absorption from neutral atoms and molecules. We report a new study of this line of sight by means of high-resolution spectra obtained with the ESPRESSO spectrograph at the VLT of ESO. Methods. The absorption from neutral and ionized species is well characterized by a single component at vhel ≈ +132 km s−1 that was modeled with the ASTROCOOK code. Results. The rubidium Rb I 780.0 nm line is detected for the first time outside the Galaxy, and we derive [Rb/H] = −1.86 ± 0.09. As a result of the high resolution, the 85Rb and 87Rb isotope lines are also exceptionally well resolved. The 85Rb/87Rb isotope ratio is 0.46, which is opposite of the meteoritic value of 2.43. This implies that Rb is made through a dominant contribution of the r-process, which is dominant for the 87Rb isotope. We also confirm the presence of 7Li I 670.7 nm and set a limit on the isotopic ratio of 6Li/7Li < 0.1. Conclusions. The dominance of the 87Rb isotope implies that Rb is made through a dominant contribution of the r-process. At the low metallicity of the cloud of [Zn/H] = −1.28 ± 0.09, neutron rich material may have occurred in rotating metal-poor massive stars. Moreover, the low metallicity of the cloud leads to an absolute Li abundance of A(7Li) ≈ 2.2, which differs from the expectation from big bang nucleosynthesis. Because the gas-phase abundance is not affected by stellar depletion, the burning of Li inside the halo stars is probably not the solution for the cosmological 7Li problem. [ABSTRACT FROM AUTHOR]

Surface enhanced Raman spectroscopy (SERS) is meeting the requirements in biomedical science being a highly sensitive and specific analytical tool. By employing portable Raman systems in combination with customized sample pre-treatment, point-of-care-testing (POCT) becomes feasible. Powerful SERS-active sensing surfaces with high stability and modification layers if required are available for testing and application in complex biological matrices such as body fluids, cells or tissues. This review summarizes the current state in sample collection and pretreatment in SERS detection protocols, SERS detection schemes, i.e. direct and indirect SERS as well as targeted and non-targeted SERS, and SERS-active sensing surfaces. Moreover, the recent developments and advances of SERS in biomedical application scenarios, such as infectious diseases, cancer diagnostics and therapeutic drug monitoring is given, which enables the readers to identify the sample collection and preparation protocols, SERS substrates and detection strategies that are best-suited for their specific applications in biomedicine. [ABSTRACT FROM AUTHOR]

Platelet-rich plasma (PRP) is an autologous blood-derived product utilized nowadays as a treatment for various non-hemostatic, orthopedic, and muscular injuries. Although the exact mechanism of PRP use and effectivity is not yet fully understood, PRP applications are extensively developing and expanding. PRP, as the name implies, contains mostly platelets; thus, platelets are the main players in this therapeutic management for numerous tissue disorders and conditions. Platelets are known to facilitate wound healing and tissue repair through the various growth factors present in their granules. The growth factors in platelets also act on cells found in tissues other than those involved in wound repair, resulting in an increased interest in PRP use as a regenerative therapy for various disorders. In this paper, we discussed platelets and its morphology, and the various growth factors present within the platelet granules. The effects of these growth factors on tissue recovery are highlighted. PRP components, preparation considerations and classifications are presented here to showcase PRP differences and complexity. [ABSTRACT FROM AUTHOR]

Background Rosacea is a chronic inflammatory disease of the skin characterised by facial erythema, oedema, telangiectasias, papules, pustules and nodules. There is a paucity of effective therapeutic modalities for the management of rosacea. Intense Pulsed Light (IPL), a modality in which flash lamps installed in an optical treatment device (head or tip) with mirrors to reflect light, has in recent times gained popularity in the management of this condition. Aim This systematic review aims to evaluate the efficacy, safety and adverse effects of IPL treatment for rosacea. Methods This systematic review was conducted in accordance with the Preferred Reporting Item for Systematic Reviews and Meta-Analysis. The electronic databases searched were Medline, PubMed and Scopus databases. The Risk of bias in non-randomised studies of interventions (ROBINS-I) and risk-of-bias tools for randomised trials (RoB-2) was employed to assess the risk of bias. Results Of a total of 233 articles retrieved from Medline, Scopus and PubMed databases, 14 studies qualified for final analysis. The studies included patients with Fitzpatrick skin types I to IV, with ages ranging from 15 to 78 years. Although the included studies showed heterogeneity between the parameters used, most studies demonstrated positive effects of IPL treatment on telangiectasia and erythema in rosacea and that the adverse effects presented were transitory. Limitation The methodological quality of the included studies was poor. Conclusion Although most studies showed the efficacy of IPL in the treatment of rosacea, the poor quality of the studies was of concern. [ABSTRACT FROM AUTHOR]

Given the proven benefits of screening to reduce diabetic ketoacidosis (DKA) likelihood at the time of stage 3 type 1 diabetes diagnosis, and emerging availability of therapy to delay disease progression, type 1 diabetes screening programmes are being increasingly emphasised. Once broadly implemented, screening initiatives will identify significant numbers of islet autoantibody-positive (IAb+) children and adults who are at risk of (confirmed single IAb+) or living with (multiple IAb+) early-stage (stage 1 and stage 2) type 1 diabetes. These individuals will need monitoring for disease progression; much of this care will happen in non-specialised settings. To inform this monitoring, JDRF in conjunction with international experts and societies developed consensus guidance. Broad advice from this guidance includes the following: (1) partnerships should be fostered between endocrinologists and primary-care providers to care for people who are IAb+; (2) when people who are IAb+ are initially identified there is a need for confirmation using a second sample; (3) single IAb+ individuals are at lower risk of progression than multiple IAb+ individuals; (4) individuals with early-stage type 1 diabetes should have periodic medical monitoring, including regular assessments of glucose levels, regular education about symptoms of diabetes and DKA, and psychosocial support; (5) interested people with stage 2 type 1 diabetes should be offered trial participation or approved therapies; and (6) all health professionals involved in monitoring and care of individuals with type 1 diabetes have a responsibility to provide education. The guidance also emphasises significant unmet needs for further research on early-stage type 1 diabetes to increase the rigour of future recommendations and inform clinical care. [ABSTRACT FROM AUTHOR]

Objective. To analyze the long-term survival of subcutaneous biosimilar tumor necrosis factor inhibitors compared to the originator molecules in patients with rheumatic diseases, as well as the factors associated with drug discontinuation. Methods. Retrospective analysis of BIOBADASER, the Spanish multicenter prospective registry of patients with rheumatic disease receiving biologic and targeted disease-modifying antirheumatic drugs. Patients who started etanercept (ETN) or adalimumab (ADA) from January 2016 to October 2023 were included. The survival probabilities of biosimilars and originators were compared using Kaplan-Meier estimating curves. To identify factors associated with differences in the retention rates, hazard ratios (HR) were estimated using Cox regression models for all and specific causes (inefficacy or adverse events [AEs]) of discontinuation. Results. A total of 4162 patients received 4723 treatment courses (2991 courses of ADA and 1732 courses of ETN), of which 722 (15.29%) were with originator molecules and 4001 (84.71%) were with biosimilars. The originators were more frequently discontinued than biosimilars (53.32% vs 33.37%, respectively). The main reason for discontinuation was inefficacy (60.35% of the treatments). The risk of overall discontinuation was lower for biosimilars (adjusted HR 0.84, 95% CI 0.75-0.95). Female sex, obesity, and second or later treatment lines increased the risk of discontinuation, whereas disease duration and the use of concomitant methotrexate were associated with a greater survival. When assessing cause-specific reasons of discontinuation, excluding nonmedical switching, the results from the crude and adjusted analyses showed no significant differences in the retention rate between biosimilars and originators. Conclusion. No significant differences were found between treatments in long-term survival due to inefficacy or AEs. [ABSTRACT FROM AUTHOR]

Background: Next-generation sequencing (NGS) is gradually replacing Sanger sequencing for HIV genotypic drug resistance testing (GRT). This work evaluated the concordance among different NGS-GRT interpretation tools in a real-life setting. Methods: Routine NGS-GRT data were generated from viral RNA at 11 Italian laboratories with the AD4SEQ HIV-1 Solution v2 commercial kit. NGS results were interpreted by the SmartVir system provided by the kit and by two online tools (HyDRA Web and Stanford HIVdb). NGS-GRT was considered valid when the coverage was >100 reads (100×) at each PR/RT/IN resistance-associated position listed in the HIVdb 9.5.1 algorithm. Results: Among 629 NGS-GRT, 75.2%, 74.2%, and 70.9% were valid according to SmartVir, HyDRA Web, and HIVdb. Considering at least two interpretation tools, 463 (73.6%) NGS-GRT had a valid coverage for resistance analyses. The proportion of valid samples was affected by viremia <10,000–1000 copies/mL and non-B subtypes. Mutations at an NGS frequency >10% showed fair concordance among different interpretation tools. Conclusion: This Italian survey on NGS resistance testing suggests that viremia levels and HIV subtype affect NGS-GRT coverage. Within the current routine method for NGS-GRT, only mutations with frequency >10% seem reliably detected across different interpretation tools. [ABSTRACT FROM AUTHOR]

Background: Neonates with hypoxic ischemic encephalopathy receiving therapeutic hypothermia (HIE + TH) are at risk for acute kidney injury (AKI). The standardized Kidney Disease Improving Global Outcomes (KDIGO) criteria identifies AKI based on a rise in serum creatinine (SCr) or reduced urine output. This definition is challenging to apply in neonates given the physiologic decline in SCr during the first week of life. Gupta et al. proposed alternative neonatal criteria centered on rate of SCr decline. This study aimed to compare the rate of AKI based on KDIGO and Gupta in neonates with HIE and to examine associations with mortality and morbidity. Methods: A retrospective review was performed of neonates with moderate to severe HIE + TH from 2008 to 2020 at a single center. AKI was assessed in the first 7 days after birth by KDIGO and Gupta criteria. Mortality, brain MRI severity of injury, length of stay, and duration of respiratory support were compared between AKI groups. Results: Among 225 neonates, 64 (28%) met KDIGO, 69 (31%) neonates met Gupta but not KDIGO, and 92 (41%) did not meet either definition. Both KDIGO-AKI and GuptaOnly-AKI groups had an increased risk of the composite mortality and/or moderate/severe brain MRI injury along with longer length of stay and prolonged duration of respiratory support compared to those without AKI. Conclusions: AKI in neonates with HIE + TH was common and varied by definition. The Gupta definition based on rate of SCr decline identified additional neonates not captured by KDIGO criteria who are at increased risk for adverse outcomes. Incorporating the rate of SCr decline into the neonatal AKI definition may increase identification of clinically relevant kidney injury in neonates with HIE + TH. [ABSTRACT FROM AUTHOR]

Aims/hypothesis: Delivery by Caesarean section continues to rise globally and has been associated with the risk of developing type 1 diabetes and the rate of progression from pre-symptomatic stage 1 or 2 type 1 diabetes to symptomatic stage 3 disease. The aim of this study was to examine the association between Caesarean delivery and progression to stage 3 type 1 diabetes in children with pre-symptomatic early-stage type 1 diabetes. Methods: Caesarean section was examined in 8135 children from the TEDDY study who had an increased genetic risk for type 1 diabetes and were followed from birth for the development of islet autoantibodies and type 1 diabetes. Results: The likelihood of delivery by Caesarean section was higher in children born to mothers with type 1 diabetes (adjusted OR 4.61, 95% CI 3.60, 5.90, p<0.0001), in non-singleton births (adjusted OR 4.35, 95% CI 3.21, 5.88, p<0.0001), in premature births (adjusted OR 1.91, 95% CI 1.53, 2.39, p<0.0001), in children born in the USA (adjusted OR 2.71, 95% CI 2.43, 3.02, p<0.0001) and in children born to older mothers (age group >28–33 years: adjusted OR 1.19, 95% CI 1.04, 1.35, p=0.01; age group >33 years: adjusted OR 1.80, 95% CI 1.58, 2.06, p<0.0001). Caesarean section was not associated with an increased risk of developing pre-symptomatic early-stage type 1 diabetes (risk by age 10 years 5.7% [95% CI 4.6%, 6.7%] for Caesarean delivery vs 6.6% [95% CI 6.0%, 7.3%] for vaginal delivery, p=0.07). Delivery by Caesarean section was associated with a modestly increased rate of progression to stage 3 type 1 diabetes in children who had developed multiple islet autoantibody-positive pre-symptomatic early-stage type 1 diabetes (adjusted HR 1.36, 95% CI 1.03, 1.79, p=0.02). No interaction was observed between Caesarean section and non-HLA SNPs conferring susceptibility for type 1 diabetes. Conclusions/interpretation: Caesarean section increased the rate of progression to stage 3 type 1 diabetes in children with pre-symptomatic early-stage type 1 diabetes. Data availability: Data from the TEDDY study (https://doi.org/10.58020/y3jk-x087) reported here will be made available for request at the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) Central Repository (NIDDK-CR) Resources for Research (R4R) (https://repository.niddk.nih.gov/). [ABSTRACT FROM AUTHOR]

Given the proven benefits of screening to reduce diabetic ketoacidosis (DKA) likelihood at the time of stage 3 type 1 diabetes diagnosis, and emerging availability of therapy to delay disease progression, type 1 diabetes screening programs are being increasingly emphasized. Once broadly implemented, screening initiatives will identify significant numbers of islet autoantibody–positive (IAb+) children and adults who are at risk for (confirmed single IAb+) or living with (multiple IAb+) early-stage (stage 1 and stage 2) type 1 diabetes. These individuals will need monitoring for disease progression; much of this care will happen in nonspecialized settings. To inform this monitoring, JDRF, in conjunction with international experts and societies, developed consensus guidance. Broad advice from this guidance includes the following: 1) partnerships should be fostered between endocrinologists and primary care providers to care for people who are IAb+; 2) when people who are IAb+ are initially identified, there is a need for confirmation using a second sample; 3) single IAb+ individuals are at lower risk of progression than multiple IAb+ individuals; 4) individuals with early-stage type 1 diabetes should have periodic medical monitoring, including regular assessments of glucose levels, regular education about symptoms of diabetes and DKA, and psychosocial support; 5) interested people with stage 2 type 1 diabetes should be offered trial participation or approved therapies; and 6) all health professionals involved in monitoring and care of individuals with type 1 diabetes have a responsibility to provide education. The guidance also emphasizes significant unmet needs for further research on early-stage type 1 diabetes to increase the rigor of future recommendations and inform clinical care. [ABSTRACT FROM AUTHOR]

OBJECTIVE: To characterize distinct islet autoantibody profiles preceding stage 3 type 1 diabetes RESEARCH DESIGN AND METHODS: The T1DI (Type 1 Diabetes Intelligence) study combined data from 1,845 genetically susceptible prospectively observed children who were positive for at least one islet autoantibody: insulin autoantibody (IAA), GAD antibody (GADA), or islet antigen 2 antibody (IA-2A). Using a novel similarity algorithm that considers an individual's temporal autoantibody profile, age at autoantibody appearance, and variation in the positivity of autoantibody types, we performed an unsupervised hierarchical clustering analysis. Progression rates to diabetes were analyzed via survival analysis. RESULTS: We identified five main clusters of individuals with distinct autoantibody profiles characterized by seroconversion age and sequence of appearance of the three autoantibodies. The highest 5-year risk from first positive autoantibody to type 1 diabetes (69.9%; 95% CI 60.0–79.2) was observed in children who first developed IAA in early life (median age 1.6 years) followed by GADA (1.9 years) and then IA-2A (2.1 years). Their 10-year risk was 89.9% (95% CI 81.9–95.4). A high 5-year risk was also found in children with persistent IAA and GADA (39.1%) and children with persistent GADA and IA-2A (30.9%). A lower 5-year risk (10.5%) was observed in children with a late appearance of persistent GADA (6.1 years). The lowest 5-year diabetes risk (1.6%) was associated with positivity for a single, often reverting, autoantibody. CONCLUSIONS: The novel clustering algorithm identified children with distinct islet autoantibody profiles and progression rates to diabetes. These results are useful for prediction, selection of individuals for prevention trials, and studies investigating various pathways to type 1 diabetes. [ABSTRACT FROM AUTHOR]

Background: Garlic belongs to the largest monocot genus, Allium, comprising different species known for their use as spices and medicinal plants. It ranks second in volume and area of production among the Allium species, next to onoin. The Philippines is renowned for garlic varieties with a strong and pungent odour observed in the seven accessions registered at the National Seed Industry Council (NSIC), Department of Agriculture, Philippines. Morphological, phytochemical and molecular characterization of the different garlic varieties would provide baseline information important to the identification of the registered varieties, their conservation and improvement. Methods: Physiologically mature and disease-free NSIC-registered garlic accessions were characterized and evaluated at the Institute of Crop Science, University of the Philippines Los Baños. The bulbs were separated from each other and planted in a homogenous field. Morphological characterization was done from the vegetative stage until bulb harvesting using an Allium spp. descriptor list. The mature bulbs of each accession were screened for phytochemicals and alliin content. SSR markers were used to fingerprint the eight garlic accessions. Result: Qualitative characters showed low diversity (H' = 0.22), while quantitative characters had intermediate diversity (H'= 0.51). Identical phytochemicals, flavonoids and phenols, were detected across all the garlic accessions. Despite this, alliin content varied considerably with Bang-ar and Mindoro having the highest (37.70±0.70 mg/g) and lowest (17.22±0.68 mg/g) alliin contents, respectively. Only one SSR primer, ASA-24, showed polymorphic bands that can discriminate Batanes White and MMSU Gem from the other NSIC-registered garlic varieties. [ABSTRACT FROM AUTHOR]

The use of nitrogen-fixing bacteria in leguminous plants is a widespread approach, and the exploration of symbiotic bacteria that are efficient in biological nitrogen fixation (BNF) continues to be explored. The aim of the present study was to evaluate the effect of inoculation and coinoculation of mung bean plants with different combinations of Bradyrhizobium (B. elkanii BR 2003, B. pachyrhizi BR 3262, B. yuanmingense BR 3267, B. paxllaeri BR 10398 and B. icense BR 10399), Azospirillum baldaniorum (Sp245) and Bacillus pumilus (UFPEDA 472) on the contribution of biomass, the concentration of nitrogen (N) compounds and BNF. The experiment was carried out under greenhouse conditions with pots containing washed and autoclaved sand. Mung bean seeds were inoculated or coinoculated (double or triple) with Bradyrhizobium, A. baldaniorum and/or Bacillus pumilus, and one absolute control (not inoculated) was used. The experimental design was a completely randomized design with 21 treatments harvested in two different periods (flowering and pod maturation). Inoculation and coinoculation positively influenced the number of nodules, shoot dry weight, N accumulated, total N content and inorganic and organic compounds (free ammonia, nitrate, ureides and leghemoglobin), indicating that there was efficiency in BNF and synergistic interaction between the bacteria used and the mung bean plants. Inoculation with Bradyrhizobium species and the combination of these strains with A. baldaniorum and Bacillus pumilus positively influenced N fixation and metabolism in mung bean plants, especially when B. elkanii BR 2003 and B. pachyrhizi BR 3262 were used. [ABSTRACT FROM AUTHOR]

We report on simulations of a novel design of optical design of optical titanium nitride (TiN)-based Kinetic Inductance Detectors (KIDs) in order to improve in order to improve their response to optical photons. We propose to separate the meander from the substrate to trap hot phonons generated by optical photons, preventing their rapid propagation through the substrate. These phonons would in turn contribute to the breaking of more Cooper pairs, thereby increasing the response of the detector. In our design, the meander is suspended a few hundred nanometers above the substrate. Furthermore, reflective gold (Au) or aluminum (Al)-based layers can be placed under the meander to improve photon coupling in the optical wavelengths. [ABSTRACT FROM AUTHOR]

Background: Despite great scientific efforts, understanding the role of COVID-19 clinical biomarkers remains a challenge. Methods: A cross-sectional descriptive study in two Peruvian cities at different altitudes for comparison: Lima and Huaraz. In each place, three groups were formed, made up of 25 patients with COVID-19 in the ICU, 25 hospitalized patients with COVID-19 who did not require the ICU, and 25 healthy subjects as a control group. Five biomarkers were measured: IL-6, hepcidin, ferritin, C-reactive protein, and zinc using ELISA assays. Results: Ferritin, C-reactive protein, and IL-6 levels were significantly higher in the ICU and non-ICU groups at both study sites. In the case of hepcidin, the levels were significantly higher in the ICU group at both study sites compared to the non-ICU group. Among the groups within each study site, the highest altitude area presented statistically significant differences between its groups in all the markers evaluated. In the lower altitude area, differences were only observed between the groups for the zinc biomarker. Conclusion: COVID-19 patients residing at high altitudes tend to have higher levels of zinc and IL-6 in all groups studied compared to their lower altitude counterparts. [ABSTRACT FROM AUTHOR]

Wildlife bridges represent a major component of any sustainable strategy to counteract the negative consequences of cutting the natural habitat of wildlife into disconnected parts by motorways and rail. This is especially true for a small and densely populated country such as Switzerland with diverse wildlife scattered through its territory. Up to now all wildlife bridges in Switzerland have been made of concrete with steel reinforcement. The wildlife bridge under investigation here is the first one in Switzerland made of wood-based materials. The idea of building a wildlife bridge by using wood-based materials represents besides a challenging technological endeavor also an ecological progress regarding embodied energy. A further advantage which resulted after realizing the construction, was the short interruption time it needed for installation on a motorway in operation. The most urgent question with respect to the wood-based elements is their moisture uptake when subjected to weather conditions. The present paper reports on a long-term monitoring of this wooden wildlife bridge over a period of approximately 2 years. Different kind of sensors, data from a nearby meteorological station, data regarding hourly number of different kind of vehicles passing beneath the wildlife bridge as well as lab measurements have been used to enable a robust and reliable statement on wooden wildlife bridges subjected to Swiss flatland weather conditions. [ABSTRACT FROM AUTHOR]

The viability of incorporating agricultural by-products, such as oat husks, not yet explored in limestone-based composites, as more sustainable alternatives for use as novel aggregates may be improved through the adoption of well-known valorisation strategies applied to other plant-based resources. In this context, this work innovates by assessing how treatments on oat husk surfaces and the choice of limestone-based binders impact the mechanical performance of composites. The strategy adopted to achieve these objectives, in addition to carrying out the physical and geometric characterisation of the husks, consists of treating the husks' surface using washing cycles in water, cement/pozzolan binder, and linseed oil. Furthermore, matrices combining cement, calcium hydroxide Ca(OH)2, and microsilica (SiO2) were used. In conclusion, even though the effects of different binder combinations are inconsistent, coating oat husks—especially with linseed oil—works well in delaying particle degradation and improving mechanical strength compared to untreated particles. Furthermore, when aggregates are substituted with the longer and lamellar particles of oat husk, the impact of the water/cement ratio on mechanical performance and composite workability significantly decreases. [ABSTRACT FROM AUTHOR]

This article aims to explore how the staging of Papet Pasyon, a children's play by Amelia Lapeña-Bonifacio, a Philippine National Artist, impart and continues to communicate to the local younger audience an understanding of culture and an appreciation of the art of puppetry. This is then followed by the conceptualization of the actual staging of the play vis-à-vis her vision of a children's theatre. Afterward, Papet Pasyon is asserted as a pedagogy for younger audiences. Results of the study show (1) how the pre-show conversation prepares the audience for the performance and how it provides an understanding of Filipino cultural traditions and an appreciation of the art of puppetry; (2) how the performance serves as a venue for experiential learning; (3) how the art of puppetry challenges one's imagination in manipulating the puppet (in the case of the puppeteer) and in creating meanings from what they hear and see onstage (in the case of the audience); (4) cooperation and integration are made evident by the interactions between the puppet and the puppeteer and the puppet and puppeteer with the audience; and (5) that although puppetry is foreign to the audience, they have expressed appreciation of the art form by repeatedly watching the performance through the years. [ABSTRACT FROM AUTHOR]

An objective method to establish apex and base type descriptor states is proposed using elliptic Fourier descriptors derived from appropriately segmented images. Using pili (Canarium ovatum Engl.) kernel-in-shell apex as a model, 51 pili accessions represented by 10 kernel-in-shell images per accession were acquired using a calibrated VideometerLab3 setup. An appropriate segmentation scheme was applied by developing an algorithm that would segment blobs that cover only the apical region (upper 25%) of the closed contours using OpenCV implemented in Python 3.7. From the segmented blobs, elliptic Fourier descriptors (EFDs) were derived. Subsequently, the EFDs were analyzed using principal component analysis and cluster analysis. Two effective principal components were able to explain 94.18% of the variation which were visualized to show differences involving length to width ratio, apex angle and left-to-right leaning orientation of the segmented images. Although a single apex shape was observed, mean EFDs of three clusters were able to represent three apex type descriptor states-narrowly acute, acute and widely acute. This indicated that elliptic Fourier analysis can characterize variations in the apical regions, particularly apex shape and angle, given the proper segmentation protocol. [ABSTRACT FROM AUTHOR]

We present an atlas and follow-up spectroscopic observations of 87 thin stream-like structures detected with the STREAMFINDER algorithm in Gaia DR3, of which 28 are new discoveries. Here, we focus on using these streams to refine mass models of the Galaxy. Fits with a double-power-law halo with the outer power-law slope set to − β h = −3 yield an inner power-law slope of − γ h = - (0.97 − 0.21 + 0.17 ) , a scale radius of r 0 , h = 14.7 − 1.0 + 4.7 kpc , a halo density flattening q m, h = 0.75 ± 0.03, and a local dark matter density of ρ h,⊙ = 0.0114 ± 0.0007 M ⊙ pc−3. Freeing β yields β = 2.53 − 0.16 + 0.42 , but this value is heavily influenced by our chosen virial mass limit. The stellar disks are found to have a combined mass of 4.20 − 0.53 + 0.44 × 10 10 M ⊙ , with the thick disk contributing 12.4% ± 0.7% to the local stellar surface density. The scale lengths of the thin and thick disks are 2.17 − 0.08 + 0.18 and 1.62 − 0.13 + 0.72 kpc , respectively, while their scale heights are 0.347 − 0.010 + 0.007 and 0.86 − 0.02 + 0.03 kpc , respectively. The virial mass of the favored model is M 200 = 1.09 − 0.14 + 0.19 × 10 12 M ⊙ , while the mass inside of 50 kpc is M R <50 = 0.46 ± 0.03 × 1012 M ⊙. We introduce the Large Magellanic Cloud (LMC) into the derived potential models, and fit the Orphan stream therein, finding a mass for the LMC that is consistent with recent estimates. Some salient highlights include the nearby trailing arm of ω Cen, and a nearby very metal-poor stream that was once a satellite of the Sagittarius dwarf galaxy. Finally, we unambiguously detect a hot component around the GD-1 stream, consistent with it having been tidally preprocessed within its own dark matter subhalo. [ABSTRACT FROM AUTHOR]

Ruxolitinib is beneficial in patients with myelofibrosis (MF) and polycythemia vera (PV). Information on ruxolitinib adherence is scant. The Ruxolitinib Adherence in Myelofibrosis and Polycythemia Vera (RAMP) prospective multicenter study (NCT06078319) included 189 ruxolitinib-treated patients. Patients completed the Adherence to Refills and Medications Scale (ARMS) and Distress Thermometer and Problem List (DTPL) at the earliest convenience, after registration in the study, and at later timepoints. At week-0, low adherence (ARMS > 14) and high distress (DT ≥ 4) were declared by 49.7% and 40.2% of patients, respectively. The main reason for low adherence was difficult ruxolitinib supply (49%), intentional (4.3%) and unintentional (46.7%) non-take. In multivariable regression analysis, low adherence was associated to male sex (p = 0.001), high distress (p < 0.001), and treatment duration ≥ 1 year (p = 0.03). Over time, rates of low adherence and high distress remained stable, but unintentional non-take decreased from 47.9% to 26.0% at week-48. MF patients with stable high adherence/low distress were more likely to obtain/maintain the spleen response at week-24. Low adherence to ruxolitinib represents an unmet clinical need that require a multifaceted approach, based on reason behind it (patients characteristics and treatment duration). Its recognition may help distinguishing patients who are truly refractory and those in need of therapy optimization. [ABSTRACT FROM AUTHOR]

Copyright of Revista Foco (Interdisciplinary Studies Journal) is the property of Revista Foco 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.)

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COVID-19 is a devastating disease and imbalanced matrix metalloproteinase (MMP) activity may contribute to its pathophysiology. This exploratory study examined whether increased circulating concentrations of MMP-2 and MMP-9, and their endogenous inhibitors, the tissue inhibitors of MMP (TIMP)-1, TIMP-2, TIMP-3 and TIMP-4 are persistently found in patients 2 weeks after their recovery from severe or critical COVID-19 as compared with those in healthy controls. Subjects who had severe (n = 26) or critical (n = 25) PCR-confirmed COVID-19 and healthy controls (n = 21) had blood samples drawn 2 weeks after recovery and serum MMP-2, MMP-9, TIMP-1, TIMP-2, TIMP-3 and TIMP-4 were determined using two Human Luminex® Discovery Assays. Circulating MMP activity was also determined by gel zymography. Patients who had severe or critical COVID-19 had increased circulating MMP-9 and MMP-2 concentrations, with increased MMP-9/TIMP-1 and MMP-2/TIMP-2 ratios indicating increased MMP activity, confirmed by gel zymography (all p < 0.05). Higher circulating MMP-9 (but not MMP-2) concentrations were found in critical versus severe COVID-19 (p < 0.05). We found increased circulating MMP-9 and MMP-2 concentrations and activity many days after recovery from the acute disease, with MMP-9 levels associated with disease severity. These biochemical alterations suggest that MMP-2 and MMP-9 may be important pharmacological targets in COVID-19. [ABSTRACT FROM AUTHOR]

Climate change is increasing the likelihood of drought in sub-Saharan Africa, where HIV prevalence is high. Drought could increase HIV transmission through various mediating mechanisms; we investigated these associations. We used data on people aged 15–59 from Population-Based HIV Impact Assessment surveys from 2016 in Eswatini, Lesotho, Tanzania, Uganda, and Zambia. Survey data were geospatially linked to precipitation data for 2014–2016, with local droughts defined as cumulative rainfall between 2014 and 2016 being in < 15th percentile of all 2-year periods over 1981–2016. Using multivariable logistic regression, stratified by sex and rural/urban residence, we examined associations between (a) drought and poverty, (b) wealth quintiles and sexual behaviours (transactional, high-risk, and intergenerational sex), (c) sexual behaviours and recently acquiring HIV, and (d) drought and recent HIV. Among 102,081 people, 31.5% resided in areas affected by drought during 2014–2016. Experiencing drought was positively associated with poverty for women and men in rural, but not urban, areas. For each group, increasing wealth was negatively associated with transactional sex. For rural women, intergenerational sex was positively associated with wealth. Women reporting each sexual behaviour had higher odds of recent HIV, with strong associations seen for high-risk sex, and, for urban women, intergenerational sex, with weaker associations among men. Women in rural areas who had been exposed to drought had higher odds of having recently acquired HIV (2.10 [95%CI: 1.17–3.77]), but not women in urban areas, or men. Droughts could potentially increase HIV transmission through increasing poverty and then sexual risk behaviours, particularly among women in rural areas. [ABSTRACT FROM AUTHOR]

The introduction of the first JAK inhibitor (JAKi) ruxolitinib 10 years ago represented a pivotal advancement in myelofibrosis (MF) treatment, mostly in terms of spleen and symptoms response. Nowadays three more JAKi, fedratinib, pacritinib, and momelotinib, are available for both ruxolitinib-resistant and naïve patients. Moreover, many drugs are currently being investigated, both alone and in combination with JAKi. In this review we discuss the long-term data of ruxolitinib and more recent evidence coming from clinical trials of fedratinib, pacritinib, and momelotinib, used as first- or second-line MF therapy. More, focus is set on data from non-JAKi drugs, such as the quite extensively studied BET-inhibitors (pelabresib) and BCL-inhibitors (navitoclax), novel target therapies, and drugs aimed to improve anemia, still representing a major determinant of reduced survival in MF. It's now evident that JAKi monotherapy, though clinically effective, is rarely able to change MF natural history; novel drugs are promising but long-term data are inevitably lacking. We feel that soon MF treatment will require clinicians to select the most appropriate JAKi inhibitor, based on patient characteristics, associating either front-line or in case of early suboptimal response, non-JAKi drugs with the aim to pursue disease modification. [ABSTRACT FROM AUTHOR]

This article discusses the implementation of a new GATE Digitizer Unit for versions post v9.3. The GATE Digitizer Unit is an important component of the Geant4 Application for Tomographic Emission (GATE), a platform used for numerical simulations in medical imaging and radiotherapy. The update was necessary to incorporate new features and address issues with the previous version. The article provides information on the added functionalities, impact on users, current status of the work, and future perspectives. The article also explains the new GDU framework and its architecture, as well as the testing conducted to ensure reliability and stability. The new GDU simplifies the architecture of the Digitizer Unit and allows for the digitization and output of multiple Sensitive Detectors. It provides flexibility and addresses limitations in previous versions of Geant4. The article discusses the use of the GATE software for simulation studies in medical imaging and presents simulation results comparing the old and new versions of GATE, showing good agreement between the two. The new version of GATE also offers improved execution speed and flexibility, allowing for the simulation of systems with multiple detector types and prototype experimental setups. The article highlights the potential uses of the new GDU and mentions future features planned for GATE. Overall, the GDU brings significant improvements to the GATE platform and further developments are ongoing. [Extracted from the article]

Aims/hypothesis: The aim of this study was to determine whether BMI in early childhood was affected by the COVID-19 pandemic and containment measures, and whether it was associated with the risk for islet autoimmunity. Methods: Between February 2018 and May 2023, data on BMI and islet autoimmunity were collected from 1050 children enrolled in the Primary Oral Insulin Trial, aged from 4.0 months to 5.5 years of age. The start of the COVID-19 pandemic was defined as 18 March 2020, and a stringency index was used to assess the stringency of containment measures. Islet autoimmunity was defined as either the development of persistent confirmed multiple islet autoantibodies, or the development of one or more islet autoantibodies and type 1 diabetes. Multivariate linear mixed-effect, linear and logistic regression methods were applied to assess the effect of the COVID-19 pandemic and the stringency index on early-childhood BMI measurements (BMI as a time-varying variable, BMI at 9 months of age and overweight risk at 9 months of age), and Cox proportional hazard models were used to assess the effect of BMI measurements on islet autoimmunity risk. Results: The COVID-19 pandemic was associated with increased time-varying BMI (β = 0.39; 95% CI 0.30, 0.47) and overweight risk at 9 months (β = 0.44; 95% CI 0.03, 0.84). During the COVID-19 pandemic, a higher stringency index was positively associated with time-varying BMI (β = 0.02; 95% CI 0.00, 0.04 per 10 units increase), BMI at 9 months (β = 0.13; 95% CI 0.01, 0.25) and overweight risk at 9 months (β = 0.23; 95% CI 0.03, 0.43). A higher age-corrected BMI and overweight risk at 9 months were associated with increased risk for developing islet autoimmunity up to 5.5 years of age (HR 1.16; 95% CI 1.01, 1.32 and HR 1.68, 95% CI 1.00, 2.82, respectively). Conclusions/interpretation: Early-childhood BMI increased during the COVID-19 pandemic, and was influenced by the level of restrictions during the pandemic. Controlling for the COVID-19 pandemic, elevated BMI during early childhood was associated with increased risk for childhood islet autoimmunity in children with genetic susceptibility to type 1 diabetes. [ABSTRACT FROM AUTHOR]

We study extended shift symmetries that arise for fermionic fields on anti-de Sitter (AdS) space and de Sitter (dS) space for particular values of the mass relative to the curvature scale. We classify these symmetries for general mixed-symmetry fermionic fields in arbitrary dimension and describe how fields with these symmetries arise as the decoupled longitudinal modes of massive fermions as they approach partially massless points. For the particular case of AdS4, we look for non-trivial Lie superalgebras that can underly interacting theories that involve these fields. We study from this perspective the minimal such theory, the Akulov-Volkov theory on AdS4, which is a non-linear theory of a spin-1/2 Goldstino field that describes the spontaneous breaking of = 1 supersymmetry on AdS4 down to the isometries of AdS4. We show how to write the nonlinear supersymmetry transformation for this theory using the fermionic ambient space formalism. We also study the Lie superalgebras of candidate multi-field examples and rule out the existence of a supersymmetric special galileon on AdS4. [ABSTRACT FROM AUTHOR]

The present study aims to characterize and to evaluate the biological effects of a skin dressing manufactured with the organic part of the Chondrilla caribensis marine sponge (called spongin-like collagen (SC)) associated or not to photobiomodulation (PBM) on the skin wound healing of rats. Skin dressings were manufactured with SC and it was characterized using scanning electron microscopy (SEM) and a tensile assay. In order to evaluate its biological effects, an experimental model of cutaneous wounds was surgically performed. Eighteen rats were randomly distributed into three experimental groups: control group (CG): animals with skin wounds but without any treatment; marine collagen dressing group (DG): animals with skin wounds treated with marine collagen dressing; and the marine collagen dressing + PBM group (DPG): animals with skin wounds treated with marine collagen dressing and PBM. Histopathological, histomorphometric, and immunohistochemical evaluations (qualitative and semiquantitative) of COX2, TGFβ, FGF, and VEGF were done. SEM demonstrates that the marine collagen dressing presented pores and interconnected fibers and adequate mechanical strength. Furthermore, in the microscopic analysis, an incomplete reepithelialization and the presence of granulation tissue with inflammatory infiltrate were observed in all experimental groups. In addition, foreign body was identified in the DG and DPG. COX2, TGFβ, FGF, and VEGF immunostaining was observed predominantly in the wound area of all experimental groups, with a statistically significant difference for FGF immunostaining score of DPG in relation to CG. The marine collagen dressing presented adequate physical characteristics and its association with PBM presented favorable biological effects to the skin repair process. [ABSTRACT FROM AUTHOR]

Background: Meniere's disease (MD) is a disabling disease, especially in patients who are refractory to medical therapy. Moreover, selective vestibular neurectomy (VN), in these selected cases, can be considered a surgical alternative which preserves hearing function and facial nerve. Methods: We retrospectively studied 23 patients with MD diagnosis and history of failed extradural endolymphatic sac surgery (ELSS) who underwent combined micro-endoscopic selective VN, between January 2019 and August 2023, via a presigmoid retrolabyrinthine approach. All patients were stratified according to clinical features, assessing preoperative and postoperative hearing levels and quality of life. Results: At the maximum present follow-up of 2 years, this procedure is characterized by a low rate of complications and about 90% vertigo control after surgery. No definitive facial palsy or hearing loss was described in this series. One patient required reintervention for a CSF fistula. Statistically significant (p = 0.001) difference was found between the preoperative and the postoperative performance in terms of physical, functional, and emotive scales assessed via the DHI questionnaire. Conclusions: Selective VN via a presigmoid retrolabyrinthine approach is a safe procedure for intractable vertigo associated with MD, when residual hearing function still exists. The use of the endoscope and intraoperative neuromonitoring guaranteed a precise result, saving the cochlear fibers and facial nerve. The approach for VN is a familiar procedure to the otolaryngologist, as is lateral skull base anatomy to the neurosurgeon; therefore, the best results are obtained with multidisciplinary teamwork. [ABSTRACT FROM AUTHOR]

The major intention of this study is to design and validate manipulatives for homebased physics experiments. The Covid-19 pandemic has caused tremendous and rapid amendments to educational systems worldwide, immediately shifting from traditional on-the-ground teaching to virtual classroom instruction or modular learning approach to name a few. Similarly, it has made laboratory experiments problematic. Demonstrations are limited just to the four corners of the electronic gadget's screen, while simulations can only do so much in terms of experiential learning; hence, the urgency of developing these low-cost laboratory kits for students' use at home. The laboratory activities and kits went through thorough examination for validation by 3 experts in the field of Physics, all of them holding Masters-degree. The setup was found to be valid (overall mean of 4.67 from a 5-point Likert scale validation tool). The effectiveness, in terms of the performance of learners, was established using quasi-experimental methods involving 30 students (15 males and 15 females) in the control group and 30 learners (15 males and 15 females) in the experimental group. The control group was exposed to customary lectures via online classes with virtual simulations. The students in the experimental group attended the same online lectures and were provided with the home-based manipulative kit. The analysis and interpretation of data collected from the pretest-posttest scores of the student participants revealed that the laboratory manipulative kits are effective and highly acceptable. The normalized gain of the experimental group (g = 0.82, high gain) was significantly higher than that of the control group (g = 0.45, medium gain). [ABSTRACT FROM AUTHOR]

Sustainable development requires several stakeholders, including companies, to take action. For this, employees need to have their positions and sustainability roles defined so they can carry out activities. In turn, activities need alignment with corporate policies and strategy. However, the literature lacks discussion about job specifications and which activities relate to sustainability. Therefore, this article aims to explore the panorama of positions and professional activities of corporate sustainability professionals. To achieve this goal, we conducted a bibliometric assessment of terms related to corporate sustainability professionals and to understand what scholars have addressed in the area thus far. In the second stage, we tackle this problem by conducting a world survey of 143 professionals working in sustainability‐related positions. The methods are complementary because they provide different types of information that can be used to gain insights into research topics and trends. In this sense, this research contributes to the literature and practice in two main ways. First, the sustainability professionals' positions are still recent and under construction; few sustainability professionals are leaders. Second, this research identified that the sustainability professionals' actions focus on the environmental dimension, suggesting that companies have to invest more in social and governance dimensions. In addition, the findings evidence the need for more reporting on these dimensions as well as aligning all sustainability‐related policies, practices and activities with the strategy's company. Theoretical and practical implications, such as the need for more training on sustainability aspects, and the study's limitations are also addressed. [ABSTRACT FROM AUTHOR]