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The article discusses the upcoming National Health Reform Agreement in Australia, highlighting key themes such as intersectoral collaboration, optimal models of care, financing reform, and rural and remote service delivery. The review emphasizes the need for continuity of care, relevant key performance indicators, and incentivizing prevention to improve the health system. It also addresses challenges such as linking Commonwealth and state-funded services, supporting system-wide change management, and avoiding new bureaucracies. The article calls for broad discussion and policy reform to ensure equitable and accessible healthcare for all Australians. [Extracted from the article]

Earlier reviews to discover research on interventions for children after neglect have concluded little was available, despite the well-documented prevalence and harmful effects of neglect on children. We revisited this question through a systematic literature review to discover the state of research on interventions for children who have experienced neglect. We searched MEDLINE, PsycINFO, ERIC, Sociological Abstracts and EMBASE for studies published between 2003 and 2021. Studies were included if neglect could be distinguished, and child outcomes reported. Eight reports describing six studies about six interventions were identified. These studies differed in interventions, age-groups, definitions of neglect, and outcomes. Four studies reported positive child outcomes though with varying degree of quality. More research is needed to inform a coherent theory of change following neglect. There remains an urgent need for research on interventions to help children recover from neglect. [ABSTRACT FROM AUTHOR]

The cognitive neuroscience of language aims at revealing how linguistic information is represented and manipulated in the brain to enable communication and meaningful behaviour. An important aspect of the underlying brain processes is the integration and transformation of information across multiple brain systems. In order to understand these processes, a detailed characterisation of brain connectivity is key. For the most accurate characterisation of brain connectivity, connectivity methods should make use of the full multivariate and multidimensional information available from neuroimaging data. This should include a characterisation of transformations between patterns of activation across brain regions, and in particular their dependence on stimulus features, task and context. Methods for this type of analysis in event-related experimental designs have only recently begun to emerge. This paper describes these novel developments and their potential to transform the neuroscience of language, with a focus on fMRI and EEG/MEG research. [ABSTRACT FROM AUTHOR]

Binary systems comprise approximately 15 per cent of the near-Earth asteroid population, yet thermal-infrared (IR) data are often interpreted for these bodies as if they are single objects. Thermal-IR light curves of binary asteroids (3905) Doppler and (175706) 1996 FG3 are analysed using an adaptation of the Advanced Thermophysical Model, deriving new constraints on their thermal inertias as |$\Gamma = 114 \pm 31\, \, \mathrm{J}\, \mathrm{m}^{-2}\, \mathrm{K}^{-1}\, \mathrm{s}^{-1/2}$| and |$\Gamma = 142 \pm 6\, \, \mathrm{J}\, \mathrm{m}^{-2}\, \mathrm{K}^{-1}\, \mathrm{s}^{-1/2}$|⁠ , respectively. We determine that this adapted model is suitable for binary systems where their primary rotation to secondary orbit period ratios can be approximately characterized by small integers. Objects with more complex orbital states require a model with alternative temperature convergence methodologies. Thermal inertia is shown to have a strong effect on binary thermophysical light-curve morphology, introducing significant modulations both inside and outside of mutual event times. The depths of eclipse events are shown to be suppressed at longer wavelengths due to the sensitivity to cooler parts of the surface, meanwhile surface roughness is shown to have little effect on the thermal light-curve morphology. A proof of concept model for the (65803) Didymos system is demonstrated, showing how such a binary model could be used to study the system during the European Space Agency's Hera mission, and the applicability of this adapted model to NASA's Lucy mission is also briefly discussed. [ABSTRACT FROM AUTHOR]

Background: Mindfulness meditation is ubiquitous in health care, education, and communities at large. Mindfulness-Based Interventions (MBIs) are the focus of hundreds of NIH-funded trials given the myriad health benefits associated with this practice across multiple populations. Notwithstanding, significant gaps exist in how mindfulness concepts are measured using currently available self-report instruments. Due to the number of available mindfulness measurement tools, each measuring different aspects, it is difficult to determine the extent to which individuals develop comparable mindfulness skills and attitudes and which health benefits can be attributed to which gains in mindfulness. The Patient-Reported Outcomes Measurement Information System (Puerto RicoOMIS®) has established a rigorous instrument development methodology to create brief, precise, and clinically relevant outcomes tools. Objective: This is the first of 4 papers representing an NCCIH-funded initiative (R01AT009539), which has applied Puerto RicoOMIS® instrument development methodologies to mindfulness measurement to improve the rigor, relevance, and reproducibility of MBI research results. Methods/Results: This introductory paper sets the stage for why improved mindfulness measurement tools are needed and briefly describes the Puerto RicoOMIS® development approach. The second 2 papers highlight results from a national survey, focus groups, and expert interviews to identify and organize relevant mindfulness concepts, domains, and items for eventual item bank creation. The fourth paper reviews the item writing and development process of these new instruments, including results from stakeholder cognitive interviews and a translatability review. Conclusion: Together these papers feature the rigorous development approach, rationale, logic, and significance that supports the development, calibration, and validation of new Puerto RicoOMIS® measures of mindfulness and related concepts. [ABSTRACT FROM AUTHOR]

Background: The most recent vitamin D data from the National Health and Nutrition Examination Survey (NHANES) have not been examined. We used data from NHANES to describe trends in 25-hydroxyvitamin D [25(OH)D] from 2011 to 2018 and for the most recent cycle (2017–2018) to identify groups with lower levels of 25(OH)D and factors predictive of 25(OH)D. Methods: The 31,628 participants were weighted to represent the entire U.S. population. For each 2-year NHANES survey cycle (2011 to 2018), we calculated the weighted median (25th and 75th percentiles) of 25(OH)D and the proportion of the population within the following categories (nmol/L): <30, 30-<50, 50-<75, 75-<125, and ≥125. For 2017–2018, we stratified by demographic and behavioral factors. Multivariate linear regression identified variables predictive of 25(OH)D. Results: The median 25(OH)D (nmol/L) increased slightly from 2013–2014 [66.5 (25th and 75th percentiles: 51.3, 83.0)] to 2017–2018 [68.7 (52.3, 87.8)], and the prevalence of 25(OH)D <50 nmol/L decreased slightly (23.4% vs. 21.3%). In 2017–2018, characteristics associated with lower 25(OH)D were age (12–39 years), male gender, non-Hispanic Black, higher BMI, lower income and education, winter season, not taking vitamin D supplements, or "never" using sunscreen. When stratified by age, race/ethnicity, and gender simultaneously, median 25(OH)D was lowest among non-Hispanic Black females aged 12–19 (38.5 nmol/L) or 20–39 (38.9 nmol/L). Predictors of 25(OH)D level differed by race/ethnicity, e.g., increasing BMI was associated with larger decrements in 25(OH)D among Mexican Americans. Conclusions: This analysis is the first to examine vitamin D levels stratified by multiple characteristics simultaneously. This strategy identified populations at higher risk for health sequelae due to low levels of vitamin D. For example, high levels of deficiency were found in non-Hispanic Black females of reproductive age. [ABSTRACT FROM AUTHOR]

Crustose coralline algae (CCA) from the genus Titanoderma are reported to induce high levels of coral larval settlement across a wide diversity of species. Consequently, Titanoderma is a promising taxon to cultivate in aquaculture facilities for application in coral reef restoration projects. However, knowledge on the optimum conditions to promote growth and reproduction in Titanoderma is limited. To investigate this, we cultured adult fragments of Titanoderma sp. at two temperatures (27.5 or 30 °C) and two light levels (mean maximum midday irradiance of 10 or 40 µmol photons m−2 s−1) on three different tile materials (CaCO3, concrete, or PVC). We found that the combination of 27.5 °C and 40 µmol photons m−2 s−1 were best for adult fragment growth. Greater number of conceptacles were formed under higher light intensities, while temperature did not have an influence. Sporeling settlement and subsequent growth into juveniles were only evident at 40 µmol photons m−2 s−1, with substantially higher recruitment on substrates made of concrete. These results provide important insights for developing optimal conditions to cultivate Titanoderma sp. in aquaculture facilities to support reef restoration projects using sexually produced corals. [ABSTRACT FROM AUTHOR]

The study of alpha band oscillations in the brain is a popular topic in cognitive neuroscience. A fair amount of research in recent years has focused on the potential role these oscillations may play in the discrete sampling of continuous sensory information. In particular, the question of whether or not peak frequency in the alpha band is linked with the temporal resolution of visual perception is a topic of ongoing debate. Some studies have reported a correlation between the two, whereas others were unable to observe a link. It is unclear whether these conflicting findings are due to differing methodologies and/or low statistical power, or due to the absence of a true relationship. Replication studies are needed to gain better insight into this matter. In the current study, we replicated an experiment published in a 2015 paper by Samaha and Postle. Additionally, we expanded on this study by adding an extra behavioural task, the critical flicker fusion task, to investigate if any links with peak alpha frequency are generalizable across multiple measures for visual temporal resolution. We succeeded in replicating some, but not all of Samaha and Postle's findings. Our partial replication suggests that there may be a link between visual temporal resolution and peak alpha frequency. However, this relationship may be very small and only apparent for specific stimulus parameters. The correlations found in our study did not generalize to other behavioural measures for visual temporal resolution. [ABSTRACT FROM AUTHOR]

As an adoptive cellular therapy, Chimeric Antigen Receptor T cell (CAR T cell) therapy has shown remarkable success in hematological malignancies but only limited efficacy against solid tumors. Compared with blood cancers, solid tumors present a series of challenges that ultimately combine to neutralize the function of CAR T cells. These challenges include, but are not limited to, antigen heterogeneity - variability in the expression of the antigen on tumor cells, as well as trafficking and infiltration into the solid tumor tissue. A critical question for solving the heterogeneity problem is whether CAR T therapy induces bystander effects, such as antigen spreading. Antigen spreading occurs when CAR T cells activate other endogenous antitumor CD8 T cells against antigens that were not originally targeted. In this work, we develop a mathematical model of CAR T cell therapy for solid tumors that considers both antigen heterogeneity and bystander effects. Our model is based on in vivo treatment data that includes a mixture of target antigen-positive and target antigen-negative tumor cells. We use our model to simulate large cohorts of virtual patients to better understand the relationship involving bystander killing. We also investigate several strategies for enhancing bystander effects, thus increasing CAR T cell therapy's overall efficacy for solid tumors. [ABSTRACT FROM AUTHOR]

Background: The WHO global action plan on antibiotic resistance (ABR) emphasises improving awareness of ABR and optimising antibiotic use. Objectives: To assess physicians' and pharmacists' knowledge and perceptions of ABR and antibiotic stewardship (AS) and hospital preparedness to implement AS. Methods: This descriptive cross-sectional survey included 124 physicians and 61 pharmacists from the University of Uyo Teaching Hospital, Akwa Ibom State, Nigeria. Participants were given a 16-item questionnaire during their clinical/review meetings. The data were analysed with SPSS version 25.0. Results: Both physicians (98%) and pharmacists (97%) perceived ABR as a global and national concern. Only 47% of physicians and 53% of pharmacists accurately defined AS. More pharmacists (70%) than physicians (45%) knew that excessive antibiotic usage in agriculture and livestock causes resistance (p = 0.002) and that prompt de-escalation of empirical antibiotic therapy based on culture/sensitivity results reduces ABR (93% vs. 79%, respectively, p = 0.013). Knowledge scores varied among physicians according to position (p = 0.002), length of practice (p < 0.001), and age (p = 0.002); only pharmacists' age (p = 0.046) was associated with their knowledge level. Conclusions: Participants demonstrated good knowledge of ABR and AS strategies but little awareness about the hospital's intention to implement AS programmes. Hospital management should emphasise optimising antibiotic use through AS programmes. [ABSTRACT FROM AUTHOR]

Stable isotope data have made pivotal contributions to nearly every discipline of the physical and natural sciences. As the generation and application of stable isotope data continues to grow exponentially, so does the need for a unifying data repository to improve accessibility and promote collaborative engagement. This paper provides an overview of the design, development, and implementation of IsoBank (www.isobank.org), a community-driven initiative to create an open-access repository for stable isotope data implemented online in 2021. A central goal of IsoBank is to provide a web-accessible database supporting interdisciplinary stable isotope research and educational opportunities. To achieve this goal, we convened a multi-disciplinary group of over 40 analytical experts, stable isotope researchers, database managers, and web developers to collaboratively design the database. This paper outlines the main features of IsoBank and provides a focused description of the core metadata structure. We present plans for future database and tool development and engagement across the scientific community. These efforts will help facilitate interdisciplinary collaboration among the many users of stable isotopic data while also offering useful data resources and standardization of metadata reporting across eco-geoinformatics landscapes. [ABSTRACT FROM AUTHOR]

Background: Antimicrobial stewardship (AMS) aims to improve antibiotic use while reducing resistance and its consequences. There is a paucity of data on the availability of AMS programmes in southern Nigeria. Further, there is no data on Nigerian healthcare professionals' knowledge of the WHO 'Access, Watch and Reserve' (AWaRe) classification of antibiotics. This study sought to assess knowledge of AMS and the AWaRe classification of antibiotics among frontline healthcare professionals in Akwa Ibom State, Nigeria. Methods: This was a cross-sectional survey of 417 healthcare professionals, comprising medical doctors, pharmacists and nurses, across 17 public hospitals in Akwa Ibom State, Nigeria. A paper-based self-completion questionnaire was used to collect data from the participants during working hours between September and November 2023. Statistical analysis was done using SPSS version 25.0, with p < 0.05 indicating statistical significance. Results: Four hundred and seventeen out of the 500 healthcare professionals approached agreed to participate, giving an 83.4% response rate. Most of the participants were female (62.1%) and nurses (46.3%). Approximately 57% of participants were familiar with the term antibiotic/antimicrobial stewardship, however, only 46.5% selected the correct description of AMS. Majority (53.0%) did not know if AMS programme was available in their hospitals. 79% of participants did not know about AWaRe classification of antibiotics. Among the 87 (20.9%) who knew, 28.7% correctly identified antibiotics into the AWaRe groups from a given list. Only profession significantly predicted knowledge of AMS and awareness of the AWaRe classification of antibiotics (p < 0.001). Pharmacists were more likely to define AMS correctly than medical doctors (odds ratio [OR] = 2.02, 95% confidence interval [CI] = 1.16–3.52, p = 0.012), whereas nurses were less likely to be aware of the WHO AWaRe classification of antibiotics than medical doctors (OR = 0.36, 95% CI = 0.18–0.72, p = 0.004). Conclusions: There was a notable knowledge deficit in both AMS and the AWaRe classification of antibiotics among participants in this study. This highlights the need for educational interventions targeted at the different cadres of healthcare professionals on the role of AMS programmes in reducing antimicrobial resistance and its consequences. [ABSTRACT FROM AUTHOR]

Background: Hypertension has been linked to socially patterned stressors, including discrimination. Few studies have quantified the risk of hypertension associated with exposure to perceived job discrimination. Methods: We used prospective cohort data from the Sister Study (enrollment from 2003–2009) to estimate self‐reported incident hypertension associated with perceived job discrimination based on race, gender, age, sexual orientation, or health status. Job discrimination in the prior 5 years was assessed in 2008–2012, and incident doctor‐diagnosed hypertension was ascertained in previously hypertension‐free participants. Results: Among the 16,770 eligible participants aged 37–78 years at the start of follow‐up, 10.5% reported job discrimination in the past 5 years, and 19.2% (n = 3226) reported incident hypertension during a median follow‐up of 9.7 years (interquartile range 8.2–11.0 years). Self‐reported poor health or inclusion in minoritized groups based on race/ethnicity or sexual orientation were more frequent among those reporting job discrimination. In a Cox proportional hazards model adjusting for covariates, report of at least one type of job discrimination (compared to none) was associated with a 14% (hazard ratio = 1.14 [95% confidence: 1.02–1.27]) higher hypertension risk. Results from sensitivity analyses reinforced the findings. Conclusions: Results suggest that interventions addressing job discrimination could have workplace equity and health benefits. [ABSTRACT FROM AUTHOR]

BACKGROUND People with HIV (human immunodeficiency virus; PWH) have higher rates of cardiovascular disease than people without HIV. However, limited information exists about hypertension prevalence and associated risk factors in PWH. METHODS This cross-sectional study included adult patients in the 2022 IQVIATM Ambulatory Electronic Medical Record—US data. HIV was identified based on ≥2 HIV diagnosis codes or a positive HIV test. Hypertension was identified by diagnosis codes, ≥2 blood pressure (BP) readings ≥130/80 mm Hg, or an antihypertensive medication prescription. Among those with hypertension, control was defined as the most recent BP < 130/80 mm Hg. Logistic models using the marginal standardization method were used to estimate adjusted prevalence ratios (aPR) of hypertension and hypertension control among all patients and PWH specifically, controlling for covariates. RESULTS Of 7,533,379 patients, 19,102 (0.3%) had HIV. PWH had higher hypertension prevalence (66% vs. 54%, aPR:1.14, 95% CI: 1.13–1.15) compared with people without HIV. Among persons with hypertension, PWH were more likely to have controlled hypertension (aPR: 1.10, 95% CI: 1.07–1.13) compared with people without HIV. Among PWH, those from the South were more likely to have hypertension (aPR: 1.07, 95% CI: 1.02–1.12) than PWH from the Northeast, while Black PWH were less likely to have controlled hypertension (aPR: 0.72, 95% CI: 0.67–0.77) than White PWH. CONCLUSIONS PWH were more likely to have hypertension than people without HIV. Geographic and racial disparities in hypertension prevalence and control were observed among PWH. Optimal care for PWH includes comprehensive strategies to screen for, prevent, and manage hypertension. [ABSTRACT FROM AUTHOR]

U.S. State Hazard Mitigation Plans (SHMPs) identify hazards, locate jurisdictional vulnerabilities and risks, and prioritize state hazard mitigation actions. As environmental hazards become more prevalent and costlier due to climate change, these mitigation plans and activities serve as critical decision-making tools for disaster risk reduction. This investigation systematically evaluates all fifty SHMPs on Hazards Identification and Risk Assessment (HIRA) quality. This assessment of HIRA quality examines three elements: (1) adherence to FEMA HIRA requirements; (2) incorporation of social vulnerability analysis; and (3) risk assessment methodology. The evaluation considers the new FEMA requirements and additional best practices to illustrate necessary improvements as states undergo revisions for their next SHMP update. Results find that most states meet a majority of FEMA's plan requirements. Still, only twenty-seven SHMPs examine either social vulnerability or hazard risk at the sub-state level, and only seven states consider both. Ignoring sub-state variability in vulnerability and hazard risk can lead to misunderstanding true hazard risk at the local level, inequitable mitigation planning, and higher rates of future loss among underserved populations. Plans that employ a quantitative risk scoring methodology score higher on average, serving as best practice examples for SHMP improvement. [ABSTRACT FROM AUTHOR]

The widespread and pervasive use of artificial light at night (ALAN) in our modern 24-hour society has emerged as a substantial disruptor of natural circadian rhythms, potentially leading to a rise in unhealthy lifestyle-related behaviors (e.g., poor sleep; shift work). This phenomenon has been associated with an increased risk of type 2 diabetes mellitus (T2DM), which is a pressing global public health concern. However, to date, reviews summarizing associations between ALAN and T2DM have primarily focused on the limited characteristics of exposure (e.g., intensity) to ALAN. This literature review extends beyond prior reviews by consolidating recent studies from 2000 to 2024 regarding associations between both indoor and outdoor ALAN exposure and the incidence or prevalence of T2DM. We also described potential biological mechanisms through which ALAN modulates glucose metabolism. Furthermore, we outlined knowledge gaps and investigated how various ALAN characteristics beyond only light intensity (including light type, timing, duration, wavelength, and individual sensitivity) influence T2DM risk. Recognizing the detrimental impact of ALAN on sleep health and the behavioral correlates of physical activity and dietary patterns, we additionally summarized studies investigating the potential mediating role of each component in the relationship between ALAN and glucose metabolism. Lastly, we proposed implications of chronotherapies and chrononutrition for diabetes management in the context of ALAN exposure. [ABSTRACT FROM AUTHOR]

Simple Summary: Immune checkpoint inhibitors (ICIs) are cancer immunotherapeutics that reinvigorate immune cells' ability to attack tumor cells. Despite remarkable results in some patients, ICIs do not demonstrate the same efficacy across all individuals. In this study, we present the first side-by-side comparison of an agent-based model (ABM) with an ordinary differential equation (ODE) model for ICIs targeting the PD-1/PD-L1 immune checkpoint. We consider tumor cells of high and low antigenicity and two distinct immune-cell kill mechanisms. Using key parameters calibrated from mouse bladder cancer studies, we simulate virtual tumors using both models. Our research identifies crucial tumor-immune characteristics that influence the efficacy of ICIs. By exploring the unique spatial insights provided by the ABM, we underscore the importance of considering the spatial complexity of the tumor microenvironment in mathematical models of ICIs, potentially paving the way for more effective cancer treatments. Since the introduction of the first immune checkpoint inhibitor (ICI), immunotherapy has changed the landscape of molecular therapeutics for cancers. However, ICIs do not work equally well on all cancers and for all patients. There has been a growing interest in using mathematical and computational models to optimize clinical responses. Ordinary differential equations (ODEs) have been widely used for mechanistic modeling in immuno-oncology and immunotherapy. They allow rapid simulations of temporal changes in the cellular and molecular populations involved. Nonetheless, ODEs cannot describe the spatial structure in the tumor microenvironment or quantify the influence of spatially-dependent characteristics of tumor-immune dynamics. For these reasons, agent-based models (ABMs) have gained popularity because they can model more detailed phenotypic and spatial heterogeneity that better reflect the complexity seen in vivo. In the context of anti-PD-1 ICIs, we compare treatment outcomes simulated from an ODE model and an ABM to show the importance of including spatial components in computational models of cancer immunotherapy. We consider tumor cells of high and low antigenicity and two distinct cytotoxic T lymphocyte (CTL) killing mechanisms. The preferred mechanism differs based on the antigenicity of tumor cells. Our ABM reveals varied phenotypic shifts within the tumor and spatial organization of tumor and CTLs despite similarities in key immune parameters, initial simulation conditions, and early temporal trajectories of the cell populations. [ABSTRACT FROM AUTHOR]

The capacity of many macroalgae to rapidly absorb soluble inorganic nutrients and convert them into primary biomass provides opportunities for their use in the bioremediation of nutrient-enriched waters. Marine-based macroalgal cultivation has the potential to target diffuse source nutrient discharges and produce valuable bioproducts such as fertiliser, soil conditioning agents and agricultural feed additives and phycocolloids. Whilst macroalgal diversity offers benefits for improving and maintaining healthy marine ecosystems, it also presents a challenge for determining the best candidate species for cultivation as a nutrient biofilter and, ultimately, a source of bioproducts. We developed and applied a multi-criteria selection model to identify likely candidate macroalgal species for cultivation in Queensland's coastal waters for biofiltration and bioproduct development, focusing on native species and product development for the agronomical and horticultural sectors. From a species database of 1380 macroalgal species, candidates were initially selected based on their regional abundance, distribution and morphological characteristics considered amenable to in-situ cultivation and harvesting. From a resulting shortlist of 17 species, five systematic literature searches were applied to identify biofilter potential, bioproduct potential and current cultivation status. Of the shortlisted species, Ulva lactuca, Gracilaria edulis and Hypnea cervicornis ranked most highly in the multi-criteria analysis, with several other species showing good potential, but requiring further investment in understanding key biological processes and the development of cultivation protocols. [ABSTRACT FROM AUTHOR]

Sex differences and age-related changes in the human heart at the tissue, cell, and molecular level have been well-documented and many may be relevant for cardiovascular disease. However, how molecular programs within individual cell types vary across individuals by age and sex remains poorly characterized. To better understand this variation, we performed single-nucleus combinatorial indexing (sci) ATAC- and RNA-Seq in human heart samples from nine donors. We identify hundreds of differentially expressed genes by age and sex and find epigenetic signatures of variation in ATAC-Seq data in this discovery cohort. We then scale up our single-cell RNA-Seq analysis by combining our data with five recently published single nucleus RNA-Seq datasets of healthy adult hearts. We find variation such as metabolic alterations by sex and immune changes by age in differential expression tests, as well as alterations in abundance of cardiomyocytes by sex and neurons with age. In addition, we compare our adult-derived ATAC-Seq profiles to analogous fetal cell types to identify putative developmental-stage-specific regulatory factors. Finally, we train predictive models of cell-type-specific RNA expression levels utilizing ATAC-Seq profiles to link distal regulatory sequences to promoters, quantifying the predictive value of a simple TF-to-expression regulatory grammar and identifying cell-type-specific TFs. Our analysis represents the largest single-cell analysis of cardiac variation by age and sex to date and provides a resource for further study of healthy cardiac variation and transcriptional regulation at single-cell resolution. Analysis of single-nucleus RNA- and ATAC-Seq from healthy human heart revealed age- and sex-specific alterations, defines candidate developmental stage-specific regulatory patterns, and identifies cell type-specific regulatory signatures. [ABSTRACT FROM AUTHOR]

As public attention is increasingly drawn toward more sustainable transportation methods, the popularity of electric vehicles (EVs) as part of the solution is rapidly expanding. Operating conditions within EVs can be severe compared to standard combustion powertrains, and the risk of electrical arcing across mechanical surfaces from electric leakage currents incites additional concern. This study employed a series of electro-tribological tests utilizing various moving patterns to improve understanding of the driving conditions for electrically induced bearing damage (EIBD). Rolling ball-on-disk tests were performed with different polyurea-thickened greases. Rotational tests were initially run at various speeds and test durations, but electrical damage was limited. However, electrical damage was unmistakable when a reciprocating motion was used at different track lengths and speeds. These results suggest that the conditions associated with the track length, such as the number of directional changes and speed-dependent film thickness, play a considerable role in forming electrical damage. This work provides critical insights into the mechanisms of EIBD in EVs and other electrical systems. It highlights the importance of understanding the operational conditions that contribute to EIBD, which can lead to improved designs and maintenance practices, ultimately enhancing the efficiency and lifespan of these systems. [ABSTRACT FROM AUTHOR]

This autoethnography asks newsrooms to consider how the actions and culture of white newsrooms can negatively affect Black female reporters through the usage of autoethnography and critical race theory. I reflect upon my experiences with workplace bullying as a reporter at a Southern newspaper to illustrate how white workspaces can be harmful for Black women and their identity. Critical race theory's social construction of race thesis and the theory's emphasis on storytelling via the voice of color thesis were used to explore bullying and lack of acknowledgement for the bullying that took place in the white newsroom. This paper also drew from communication literature that focuses on workplace bullying, gender, and identity. The analysis of my experiences and literature shed light on the isolation and bullying found within white newsrooms. I offer my newsroom experiences in hopes of creating changes in newsroom culture for Black female journalists and white newsrooms. [ABSTRACT FROM AUTHOR]

This study examines National Collegiate Athletic Association (NCAA) Division I athletes' experiences engaging in activism through the lens of the communicative constitution of organizations. Specifically, we investigated the modalities and approaches collegiate athletes employ in their activism. Findings indicate that collegiate athletes gravitate toward online and offline channels, and fiscal, ideological, and organizational activities as modalities for their activist efforts. We also uncovered that collegiate athletes' inclination to call-in versus call-out is characterized by their willingness to engage with the recipients of their cause-related messages. This inquiry demonstrates the discursive and material nature of collegiate athlete activism, highlighting the call-in approach, and provides direction for athletes and athletic institutions in this time of heightened activist engagement. [ABSTRACT FROM AUTHOR]

Background: Previous studies exploring difficult inpatients have mostly focused on psychiatric inpatients. Objective: To explore the characteristics of difficult medicine inpatients. Design: Qualitative study using focus groups and semi-structured interviews. Transcripts were recorded, transcribed, and coded (MAXQDA) using thematic content analysis. Participants: Medicine inpatient providers at a tertiary care facility. Key Results: Our sample consisted of 28 providers (6 hospitalists, 10 medicine attendings, 6 medicine residents, and 6 interns). Theme 1: Provider experience: Difficult inpatients were time-consuming and evoked emotional responses including frustration and dysphoria. Theme 2: Patient characteristics: Included having personality disorders or mental health issues, being uncooperative, manipulative, angry, demanding, threatening, or distrustful. Difficult patients also had challenging social situations and inadequate support, unrealistic care expectations, were self-destructive, tended to split care-team messages, and had unclear diagnoses. Theme 3: Difficult families: Shared many characteristics of difficult patients including being distrustful, demanding, manipulative, threatening, or angry. Difficult families were barriers to care, disagreed with the treatment plan and each other, did not act in the patient's best interest, suggested inappropriate treatment, or had unrealistic expectations. Strategies: Approaches to dealing with difficult patients or families included building trust, being calm, and having a consistent message. Communication approaches included naming the emotion, empathetic listening, identifying patient priorities and barriers, and partnering. Conclusions: Difficult patients induced emotional responses, dysphoria, and self-doubt among providers. Underlying personality disorders were often mentioned. Difficult patients and families shared many characteristics. Communication and training were highlighted as key strategies. [ABSTRACT FROM AUTHOR]

Aim: Predicting spatial and temporal changes in species distributions is difficult for highly mobile species, making effective management challenging. We aim to understand the seasonal variability in habitat suitability for Atlantic bluefin tuna (Thunnus thynnus; ABFT) by using tracking data to create species distribution models. Location: North‐east Atlantic Ocean. Methods: Forty‐nine ABFT were tagged with pop‐up archival satellite tags along the west coast of Ireland during successive autumns from 2016 to 2021. Four thousand two hundred and sixteen daily locations were used to build a habitat model to describe ABFT environmental preferences and habitat suitability. For each location, 100 'pseudoabsence' locations were simulated using correlated random walks. Results: Tags had a mean retention rate of 237 ± 107 days, resulting in 11,602 cumulative days at liberty, and a mean daily distance travelled of 51 ± 143 km. ABFT showed two primary migration routes from Ireland, travelling to the Bay of Biscay or across the Mid‐Atlantic ridge in the winter. However, in 2019 six individuals travelled northwards towards Iceland, likely in response to a marine heatwave. Eight ABFT entered the Mediterranean in May/June for putative spawning, with six returning to Irish waters a year later. Five environmental covariates best described ABFT habitat, with habitat suitability highest at sea surface temperatures (SST) of 15–18°C, a mixed layer depth between ~200 and 300 m, high relief bathymetric features (i.e. shelf breaks and seamounts) and frontal regions as revealed by non‐linear preferences of eddy kinetic energy and SST standard deviation. Main Conclusions: In the last decade, ABFT have been re‐establishing historic foraging grounds in higher latitudes, for example, Irish and Nordic waters. Our model shows the extent of suitable habitat in these regions and how recent ocean warming may have contributed to northern expansions. Understanding the drivers behind these reappearances is fundamental to successful future management. Achoimre: Aidhm: Tá sé deacair athraithe i ndáileadh ama agus spásdháileadh speiceas atá an‐soghluaiste a thuar, rud a chiallaíonn go bhfuil sé dúshlánach bainistiú éifeachtach a dhéanamh. Tá muid ag iarraidh inathraitheacht shéasúrach in oiriúnacht ghnáthóg an Tuinnín Gorm Atlantach (Thunnus thynnus; TGA) a thuiscint tríd sonraí rianaithe a úsáid chun samhail dháileadh speiceas a chruthú. Suíomh: Oirthuaisceart an Atlantaigh. Modh: Rinneadh clibeadh ar 49 TGA le clibeanna cartlainne a thagann go barr uisce ar chósta iarthar na hÉireann le linn ceithre fhómhair i ndiaidh a chéile ó 2016–2021. Úsáideadh 4216 suíomhanna laethúil chun samhail ghnáthóg a chruthú a rinne cur síos ar roghanna timpeallachta agus oiriúnacht ghnáthóg an TGA. I gcomhair gach suíomh, ionsamhlaíodh 100 suíomhanna bréag‐neamhláithreacht ag úsáid siúlóidí randamacha comhghaolaithe. Torthaí: Bhí meán ráta coinneála de 237 ± 107 lá ag na clibeanna, rud a thug 11,602 lá taifeadta i ndiaidh a chéile agus meán fhad laethúil taistealta de 51 ± 143 km dá bharr. Léirigh TGA dhá phríomhbhealaí imirce ó hÉirinn, ag taisteal go Bá na Bioscáine nó thar Droim an Atlantaigh Láir i rith an gheimhridh. Ach i 2019 thaisteal sé iasc ó thuaidh i dtreo an Íoslainn, is dócha mar gheall ar thonn teasa mara. Chuaigh ocht TGA isteach sa Mheánmhuir i rith mí Bealtaine/mí an Mheitheamh chun uibheacha a sceitheadh de réir dealraimh. Tháinig sé dóibh ar ais go huiscí na hÉireann an bhliain dar gcionn. Déanann cúig athróg timpeallachta an cur síos is fearr ar ghnáthóg an TGA, tá oiriúnacht ghnáthóg is airde ag teocht barr uisce (TBA) de 15–18°C, nuair atá doimhneacht an chisil mheasctha idir ~200 agus 300 m, ag gnéithe bataiméadrach ard‐rilíf (i.e. scoilteanna scairbhe agus tuláin grinnill), agus ag réigiúin frontacha léirithe ag roghanna neamh‐líneacha fuinneamh cinéatach guairneánach agus diall caighdeánach TBA. Príomhchonclúidí: Le leathscór bliain anuas tá TGA tar éis réigiúin sealgaireachta stairiúil a athbhunú in áiteanna le hard‐domhanleithead, ar nós uiscí na hÉireann agus uiscí Nordacha. Taispeánann ár samhail achar an ghnáthóg oiriúnach sna réigiúin seo agus an bhaint féideartha a bhí ag téámh aigéanach le gairid ar leathadh ó thuaidh. Tá sé buntábhachtach na cúiseanna don athfhilleadh seo a thuiscint i gcomhair bainistiú rathúil amach anseo. [ABSTRACT FROM AUTHOR]

Marine dimethylsulfide (DMS) is an important source of natural sulfur to the atmosphere, with potential implications for the Earth's radiative balance. Coral reefs are important regional sources of DMS, yet their contribution is not accounted for in global DMS climatologies or in model simulations. This study accounts for coral-reef-derived DMS and investigates its influence on the atmosphere of the Great Barrier Reef (GBR), Australia, using the Australian Community Climate and Earth System Simulator Atmospheric Model version 2 (ACCESS-AM2). A climatology of seawater surface DMS (DMSw) concentration in the GBR and an estimate of direct coral-to-air DMS flux during coral exposure to air at low tide are incorporated into the model, increasing DMS emissions from the GBR region by 0.02 Tg yr-1. Inclusion of coral-reef-derived DMS increased annual mean atmospheric DMS concentration over northeastern Australia by 29%, contributing to an increase in gas-phase sulfate aerosol precursors of up to 18% over the GBR. The findings suggest that the GBR is an important regional source of atmospheric sulfur, with the potential to influence local-scale aerosol-cloud processes. However, no influence on sulfate aerosol mass or number concentration was detected, even with a reduction in anthropogenic sulfur dioxide emissions, indicating that DMS may not significantly influence the regional atmosphere at monthly, annual or large spatial scales. Further research is needed to improve the representation of coral-reef-derived DMS in climate models and determine its influence on local, sub-daily aerosol-cloud processes, for which observational studies suggest that DMS may play a more important role. [ABSTRACT FROM AUTHOR]

The sudden exposure of venous endothelial cells (vECs) to arterial fluid shear stress (FSS) is thought to be a major contributor to coronary artery bypass vein graft failure (VGF). However, the effects of arterial FSS on the vEC secretome are poorly characterised. We propose that analysis of the vEC secretome may reveal potential therapeutic approaches to suppress VGF. Human umbilical vein endothelial cells (HUVECs) pre-conditioned to venous FSS (18 h; 1.5 dynes/cm2) were exposed to venous or arterial FSS (15 dynes/cm2) for 24 h. Tandem Mass Tagging proteomic analysis of the vEC secretome identified significantly increased fibroleukin (FGL2) in conditioned media from HUVECs exposed to arterial FSS. This increase was validated by Western blotting. Application of the NFκB inhibitor BAY 11-7085 (1 µM) following pre-conditioning reduced FGL2 release from vECs exposed to arterial FSS. Exposure of vECs to arterial FSS increased apoptosis, measured by active cleaved caspase-3 (CC3) immunocytochemistry, which was likewise elevated in HUVECs treated with recombinant FGL2 (20 ng/mL) for 24 h under static conditions. To determine the mechanism of FGL2-induced apoptosis, HUVECs were pre-treated with a blocking antibody to FcγRIIB, a receptor FGL2 is proposed to interact with, which reduced CC3 levels. In conclusion, our findings indicate that the exposure of vECs to arterial FSS results in increased release of FGL2 via NFκB signalling, which promotes endothelial apoptosis via FcγRIIB signalling. Therefore, the inhibition of FGL2/FcγRIIB signalling may provide a novel approach to reduce arterial FSS-induced vEC apoptosis in vein grafts and suppress VGF. [ABSTRACT FROM AUTHOR]

Crosstalk between the actin and microtubule cytoskeletons is important for many cellular processes. Recent studies have shown that microtubules and F-actin can assemble to form a composite structure where F-actin occupies the microtubule lumen. Whether these cytoskeletal hybrids exist in physiological settings and how they are formed is unclear. Here, we show that the short-crossover Class I actin filament previously identified inside microtubules in human HAP1 cells is cofilin-bound F-actin. Lumenal F-actin can be reconstituted in vitro, but cofilin is not essential. Moreover, actin filaments with both cofilin-bound and canonical morphologies reside within human platelet microtubules under physiological conditions. We propose that stress placed upon the microtubule network during motor-driven microtubule looping and sliding may facilitate the incorporation of actin into microtubules. Using focused ion beam milling and cryoelectron tomography, Tsuji et al. found actin filaments, with both cofilin-bound and canonical morphologies, within the lumen of human platelet microtubules and reconstituted these structures in vitro. [ABSTRACT FROM AUTHOR]

Aims Formylpeptide receptors (FPRs) play a critical role in the regulation of inflammation, an important driver of hypertension-induced end-organ damage. We have previously reported that the biased FPR small-molecule agonist, compound17b (Cmpd17b), is cardioprotective against acute, severe inflammatory insults. Here, we reveal the first compelling evidence of the therapeutic potential of this novel FPR agonist against a longer-term, sustained inflammatory insult, i.e. hypertension-induced end-organ damage. The parallels between the murine and human hypertensive proteome were also investigated. Methods and results The hypertensive response to angiotensin II (Ang II, 0.7 mg/kg/day, s.c.) was attenuated by Cmpd17b (50 mg/kg/day, i.p.). Impairments in cardiac and vascular function assessed via echocardiography were improved by Cmpd17b in hypertensive mice. This functional improvement was accompanied by reduced cardiac and aortic fibrosis and vascular calcification. Cmpd17b also attenuated Ang II-induced increased cardiac mitochondrial complex 2 respiration. Proteomic profiling of cardiac and aortic tissues and cells, using label-free nano-liquid chromatography with high-sensitivity mass spectrometry, detected and quantified ∼6000 proteins. We report hypertension-impacted protein clusters associated with dysregulation of inflammatory, mitochondrial, and calcium responses, as well as modified networks associated with cardiovascular remodelling, contractility, and structural/cytoskeletal organization. Cmpd17b attenuated hypertension-induced dysregulation of multiple proteins in mice, and of these, ∼110 proteins were identified as similarly dysregulated in humans suffering from adverse aortic remodelling and cardiac hypertrophy. Conclusion We have demonstrated, for the first time, that the FPR agonist Cmpd17b powerfully limits hypertension-induced end-organ damage, consistent with proteome networks, supporting development of pro-resolution FPR-based therapeutics for treatment of systemic hypertension complications. [ABSTRACT FROM AUTHOR]

Aims/hypothesis: A protective role of sodium–glucose cotransporter 2 inhibitors (SGLT2is) and glucagon-like peptide 1 receptor agonists (GLP1-ra) in the development of diabetic retinopathy and diabetic macular oedema has been described in some recent studies, which may extend beyond glycaemic control. We aimed to review the clinical impact of SGLT2i and GLP1-ra therapy on the risk of diabetic retinopathy and diabetic macular oedema in individuals with type 2 diabetes taking insulin. Methods: This is a retrospective cohort analysis of approximately two million people with type 2 diabetes receiving insulin across 97 healthcare organisations using a global federated health research network (TriNetX, Cambridge, USA). Two intervention cohorts (SGLT2i + insulin, n=176,409; GLP1-ra + insulin, n=207,034) were compared against a control cohort (insulin with no SGLT2i/GLP1-ra, n=1,922,312). Kaplan–Meier survival analysis was performed and estimated HRs were reported for each outcome. Propensity score was used to 1:1 match for age, sex, ischaemic heart disease, hypertension, microvascular complications, chronic kidney disease, HbA1c, BMI and use of pioglitazone, lipid modifying agents, antilipemic agents, ACE inhibitors, angiotensin II inhibitors and metformin. A sub-analysis comparing the two intervention cohorts was also performed. Results: SGLT2i with insulin was associated with a reduced HR (95% CI) for diabetic macular oedema compared with the control cohort (0.835; 0.780, 0.893), while GLP1-ra with insulin demonstrated a lack of signal with no statistical significance to the HR (1.013; 0.960, 1.069). SGLT2i with insulin was not associated with a clinically significant increase in the risk of developing diabetic retinopathy (1.076; 1.027, 1.127), while GLP1-ra with insulin increased diabetic retinopathy risk (1.308; 1.261, 1.357). Compared with SGLT2i with insulin, GLP1-ra with insulin was associated with higher risk of diabetic retinopathy (1.205; 1.153, 1.259) and diabetic macular oedema (1.130; 1.056, 1.208). Conclusions/interpretation: Our study suggests that the combination of SGLT2i and insulin is associated with lower risk of developing diabetic macular oedema. However, the use of GLP1-ra was associated with an increased risk of diabetic retinopathy in individuals with type 2 diabetes also taking insulin. A comparative analysis showed favourable outcomes with SGLT2i and insulin in the development of diabetic macular oedema and diabetic retinopathy. RCTs using dedicated retinal imaging are required to determine the causal relationship with these therapies. [ABSTRACT FROM AUTHOR]

Analysis of stable isotopes in consumers is used commonly to study their ecological and/or environmental niche. There is, however, considerable debate regarding how isotopic values relate to diet and how other sources of variation confound this link, which can undermine the utility. From the analysis of a simple, but general, model of isotopic incorporation in consumer organisms, we examine the relationship between isotopic variance among individuals, and diet variability within a consumer population. We show that variance in consumer isotope values is directly proportional to variation in diet (through Simpson indices), to the number of isotopically distinct food sources in the diet, and to the baseline variation within and among the isotope values of the food sources. Additionally, when considering temporal diet variation within a consumer we identify the interplay between diet turnover rates and tissue turnover rates that controls the sensitivity of stable isotopes to detect diet variation. Our work demonstrates that variation in the stable isotope values of consumers reflect variation in their diet. This relationship, however, can be confounded with other factors to the extent that they may mask the signal coming from diet. We show how simple quantitative corrections can recover a direct 1:1 correlation in some situations, and in others we can adjust our interpretation in light of the new understanding arising from our models. Our framework provides guidance for the design and analysis of empirical studies where the goal is to infer niche width from stable isotope data. [ABSTRACT FROM AUTHOR]

Introduction: Burnout poses a substantial, ongoing threat to healthcare worker (HCW) wellbeing and to the delivery of safe, quality healthcare. While systemic and organization-level changes in healthcare are critically important, HCWs also need individual-level skills to promote resilience. The objective of this trial is to test feasibility, acceptability, and efficacy of PARK, an online self-guided positive affect regulation intervention, in a sample of healthcare workers during the COVID-19 pandemic. Design and methods: In the context of the unprecedented rise in burnout during the COVID-19 pandemic, we conducted a randomized waitlist-controlled trial of the Positive Affect Regulation sKills (PARK) program—a five-week, online, self-guided coping skills intervention nested within an ongoing cohort of HCWs. N = 554 healthcare workers were randomly assigned to receive the intervention immediately or to receive the intervention after approximately 12 weeks. Outcomes included change in burnout, emotional wellbeing (positive affect, meaning and purpose, depression, anxiety) and sleep over approximately 12 weeks. Analyses included mixed-effects linear regression models comparing change over time in outcomes between intervention and control conditions. Results: One third (n = 554) of the participants in the cohort of HCWs consented to participate and enrolled in PARK in April 2022. Compared to those who did not enroll, participants in the trial reported higher burnout, poorer emotional wellbeing, and poorer sleep at baseline (April, 2022; all ps <.05). Intent-to-treat analyses showed that participants randomly assigned to the intervention immediately (PARK-Now) improved significantly on anxiety (within-group change on PROMIS T-score = -0.63; p =.003) whereas those in the waitlist (PARK-Later) did not (within group T-score change 0.04, p = 0.90). The between-group difference in change, however, was not statistically significant (B = -0.67 p = 0.10). None of the other wellbeing outcomes changed significantly in the intervention group compared to the waitlist. Additional as-treated analyses indicated that those participants who completed all 5 of the weekly online lessons (N = 52; 9.4%) improved significantly more on the primary outcome of positive affect compared to those who enrolled in PARK but completed zero lessons (n = 237; 42.8%; B = 2.85; p =.0001). Conclusions: Online self-guided coping skills interventions like PARK can be effective in targeted samples and future work will focus on adaptations to increase engagement and tailor PARK for HCWs who could most benefit. [ABSTRACT FROM AUTHOR]

Individuals with autism spectrum disorder (ASD) engage in less physical activity than typically-developing peers. This can result in serious negative consequences for individual well-being and may contribute to the physical, behavioral, and emotional challenges associated with ASD. This study explored the potential benefits of trainer-led, individualized, physical fitness sessions specialized for ASD. Eleven individuals (ages 7–24 years) with ASD were assessed at baseline and following 15 fitness sessions. Participants demonstrated improvements in core and lower-body strength and reductions in restricted and repetitive patterns of behavior, along with non-significant but marked reductions in issues with daytime sleepiness. Results suggest the merit of specialized fitness programs and emphasize the need for larger and more rigorous research studies on this topic. [ABSTRACT FROM AUTHOR]

OBJECTIVE: To characterize high type 1 diabetes (T1D) genetic risk in a population where type 2 diabetes (T2D) predominates. RESEARCH DESIGN AND METHODS: Characteristics typically associated with T1D were assessed in 109,594 Million Veteran Program participants with adult-onset diabetes, 2011–2021, who had T1D genetic risk scores (GRS) defined as low (0 to <45%), medium (45 to <90%), high (90 to <95%), or highest (≥95%). RESULTS: T1D characteristics increased progressively with higher genetic risk (P < 0.001 for trend). A GRS ≥90% was more common with diabetes diagnoses before age 40 years, but 95% of those participants were diagnosed at age ≥40 years, and their characteristics resembled those of individuals with T2D in mean age (64.3 years) and BMI (32.3 kg/m2). Compared with the low-risk group, the highest-risk group was more likely to have diabetic ketoacidosis (low GRS 0.9% vs. highest GRS 3.7%), hypoglycemia prompting emergency visits (3.7% vs. 5.8%), outpatient plasma glucose <50 mg/dL (7.5% vs. 13.4%), a shorter median time to start insulin (3.5 vs. 1.4 years), use of a T1D diagnostic code (16.3% vs. 28.1%), low C-peptide levels if tested (1.8% vs. 32.4%), and glutamic acid decarboxylase antibodies (6.9% vs. 45.2%), all P < 0.001. CONCLUSIONS: Characteristics associated with T1D were increased with higher genetic risk, and especially with the top 10% of risk. However, the age and BMI of those participants resemble those of people with T2D, and a substantial proportion did not have diagnostic testing or use of T1D diagnostic codes. T1D genetic screening could be used to aid identification of adult-onset T1D in settings in which T2D predominates. [ABSTRACT FROM AUTHOR]

Background: The COVID‐19 pandemic negatively affected adolescent mental health due to school closures, isolation, family loss/hardships, and reduced health care access. Methods: We compared adolescent mental health in Rhode Island before versus during the pandemic, separately among middle and high schoolers. This serial cross‐sectional study used Youth Risk Behavior Survey data from 2019 and 2021 (N = 7403). Multivariable logistic regression models estimated the association between year and mental health status, adjusting for sociodemographics. Results: Middle schoolers in 2021 had higher odds of ever seriously considering suicide (22.6% vs 16.7%) and ever attempting suicide (9.3% vs 6.1%) compared to 2019. Among high schoolers, those in 2021 had higher odds of experiencing persistent sadness/hopelessness in the past year (37.4% vs 32.0%). However, high schoolers in 2019 and 2021 had similar odds of considering suicide in the past year, while those in 2021 had lower odds of having attempted suicide in the past year (8.5% vs 14.6%). Conclusion: The COVID‐19 pandemic may have worsened multiple aspects of adolescent mental health in Rhode Island, particularly among middle schoolers. Implications for school health policy, practice, and equity: Promoting school connectedness, creating supportive environments, and diversifying the mental health workforce may help overcome adverse pandemic effects. [ABSTRACT FROM AUTHOR]

Empathy is thought to be reduced in videoconference (VC) compared to face-to-face (F2F) therapy. To empirically test this possibility, therapist and client ratings of empathy and its correlates were examined in VC and F2F sessions. Forty-eight students in clinical training programs were randomly assigned to the role of 'therapist' or 'client', forming 24 dyads. Each dyad completed a simulated clinical session in F2F and in VC and reported on empathy and telepresence. Both therapist and client ratings of empathy were significantly lower in VC compared to F2F. Therapist empathy correlated with telepresence, particularly its physical subcomponent, and therapeutic presence, but these associations were not found for clients. The relationship between empathy and telepresence was investigated further in a real-world study. Twelve clients met with clinical psychology trainees over VC and reported on empathy and telepresence. The associations between therapist empathy, total telepresence, and the physical component of telepresence were replicated. Again, client ratings of empathy and telepresence did not correlate. These results provide the first empirical evidence that empathy is reduced in VC teletherapy compared to F2F and highlight the connection between the degree of empathy felt by therapists and their sense of telepresence during teletherapy. [ABSTRACT FROM AUTHOR]

Hypertension induces cardiac fibrotic remodelling characterised by the phenotypic switching of cardiac fibroblasts (CFs) and collagen deposition. We tested the hypothesis that Wnt1-inducible signalling pathway protein-1 (WISP-1) promotes CFs' phenotypic switch, type I collagen synthesis, and in vivo fibrotic remodelling. The treatment of human CFs (HCFs, n = 16) with WISP-1 (500 ng/mL) induced a phenotypic switch (α-smooth muscle actin-positive) and type I procollagen cleavage to an intermediate form of collagen (pC-collagen) in conditioned media after 24h, facilitating collagen maturation. WISP-1-induced collagen processing was mediated by Akt phosphorylation via integrin β1, and disintegrin and metalloproteinase with thrombospondin motifs 2 (ADAMTS-2). WISP-1 wild-type (WISP-1+/+) mice and WISP-1 knockout (WISP-1−/−) mice (n = 5–7) were subcutaneously infused with angiotensin II (AngII, 1000 ng/kg/min) for 28 days. Immunohistochemistry revealed the deletion of WISP-1 attenuated type I collagen deposition in the coronary artery perivascular area compared to WISP-1+/+ mice after a 28-day AngII infusion, and therefore, the deletion of WISP-1 attenuated AngII-induced cardiac fibrosis in vivo. Collectively, our findings demonstrated WISP-1 is a critical mediator in cardiac fibrotic remodelling, by promoting CFs' activation via the integrin β1-Akt signalling pathway, and induced collagen processing and maturation via ADAMTS-2. Thereby, the modulation of WISP-1 levels could provide potential therapeutic targets in clinical treatment. [ABSTRACT FROM AUTHOR]

This letter published in the Journal of General Internal Medicine discusses the use of medications listed in the Beers Criteria among older patients in the United States. The study analyzed data from the National Ambulatory Medical Care Survey from 2010 to 2019 and found that 45% of primary care patients over the age of 65 were taking at least one medication on the Beers list. The study also identified differences in the use of specific drug classes among older patients, with an increase in the use of antihistamines and antipsychotics over the decade analyzed. The authors acknowledged limitations in the study and suggested that future research should consider medical indications and comorbid conditions to better understand medication practices in the older population. [Extracted from the article]

The article provides information about the Uniform Law Commission (ULC). It identifies the subject matter areas covered by the ULC, including commercial law, real estate law, family law, administrative procedure and alternative dispute resolution. It also describes the process of drafting a uniform law, which consists of proposal, creation of a drafting committee and introduction to interested states.