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Microneedles (MNs) are a prospective system in cancer immunotherapy to overcome barriers regarding proper antigen delivery and presentation. This study aims at identifying the potential of MNs for the delivery of Peptide-coated Conditionally Replicating Adenoviruses (PeptiCRAd), whereby peptides enhance the immunogenic properties of adenoviruses presenting tumor associated antigens. The combination of PeptiCRAd with MNs containing polyvinylpyrrolidone and sucrose was tested for the preservation of structure, induction of immune response, and tumor eradication. The findings indicated that MN-delivered PeptiCRAd was effective in peptide presentation in vivo, leading to complete tumor rejection when mice were pre-vaccinated. A rise in the cDC1 population in the lymph nodes of the MN treated mice led to an increase in the effector memory T cells in the body. Thus, the results of this study demonstrate that the combination of MN technology with PeptiCRAd may provide a safer, more tolerable, and efficient approach to cancer immunotherapy, potentially translatable to other therapeutic applications.

Immunotherapy has emerged as a promising approach for cancer treatment, with oncolytic adenoviruses showing power as immunotherapeutic agents. In this study, we investigated the immunotherapeutic potential of an adenovirus construct expressing CXCL9, CXCL10, or IL-15 in clear cell renal cell carcinoma (ccRCC) tumor models. Our results demonstrated robust cytokine secretion upon viral treatment, suggesting effective transgene expression. Subsequent analysis using resistance-based transwell migration and microfluidic chip assays demonstrated increased T-cell migration in response to chemokine secretion by infected cells in both 2D and 3D cell models. Flow cytometry analysis revealed CXCR3 receptor expression across T-cell subsets, with the highest percentage found on CD8+ T-cells, underscoring their key role in immune cell migration. Alongside T-cells, we also detected NK-cells in the tumors of immunocompromised mice treated with cytokine-encoding adenoviruses. Furthermore, we identified potential immunogenic antigens that may enhance the efficacy and specificity of our armed oncolytic adenoviruses in ccRCC. Overall, our findings using ccRCC cell line, in vivo humanized mice, physiologically relevant PDCs in 2D and patient-derived organoids (PDOs) in 3D suggest that chemokine-armed adenoviruses hold promise for enhancing T-cell migration and improving immunotherapy outcomes in ccRCC. Our study contributes to the development of more effective ccRCC treatment strategies by elucidating immune cell infiltration and activation mechanisms within the tumor microenvironment (TME) and highlights the usefulness of PDOs for predicting clinical relevance and validating novel immunotherapeutic approaches. Overall, our research offers insights into the rational design and optimization of viral-based immunotherapies for ccRCC.

The COVID-19 pandemic strongly transformed the healthcare system in the Lombardy region (Italy), forcing a rapid reorganization of hospital structures. The emergency medical service (EMS) system and emergency departments (EDs) were among the most affected departments. Several studies have shown a change in the epidemiology of time-dependent pathologies, such as stroke, during the pandemic’s peak. However, there is little scientific evidence regarding the interpandemic phase. The regional register for ED accesses (EUOL) was analyzed, taking into consideration all accesses for stroke and stroke-like syndromes during the years 2019, 2020, and 2021. The analysis shows a significant difference in the average number of diagnoses per month [2092 vs. 1815 vs. 2015, respectively (p < 0.05)] and an increase in the percentage of transports carried out by EMS vehicles to EDs [17% vs. 25% vs. 22%, respectively (p < 0.05)]. The length of stay (LOS) increased for both discharged patients (9.0 vs. 10.1 vs. 11.2 h, respectively; p < 0.005) and hospitalized patients (7.5 vs. 9.7 vs. 10.6 h, respectively; p < 0.005). During the COVID-19 pandemic, the overall number of stroke diagnoses decreased, while the percentage of patients transported to EDs by EMS vehicles increased. Furthermore, an increased processing time in EDs was highlighted.

The COVID-19 pandemic drastically reshaped healthcare in Lombardy, Italy, notably impacting EMS and emergency departments and altering the epidemiology of time-dependent pathologies such as STEMI and OHCA. While previous studies focused on modifications during the pandemic peak, with an increase in the number of OHCA diagnoses and a reduction in the number of STEMI, little evidence exists regarding the inter-pandemic phases. We analyzed OHCA and STEMI accesses to the ED in the regional emergency department access register (EUOL) for 2019–2021. The analysis revealed a significant difference in monthly diagnosis averages. For STEMI, the change was statistically significant (F(2, 33) = 4.45, p = 0.02), while it was not for OHCA (F(2, 33) = 0.18, p = 0.83). Despite the monthly decreases, the likelihood of receiving a STEMI diagnosis increased with total accesses, OR 1.40 [95% CI 1.25–1.58, p < 0.0001]. Additionally, there was a significant increase in March 2020 discharge diagnoses for OHCA compared to March 2019, OR 3.35 [95% CI 2.88–3.90, p < 0.0001], corresponding to the first pandemic wave. Therefore, our analysis indicates that the epidemiology of STEMI and OHCA was altered during the COVID-19 pandemic.

This study explored the impact of reduced graphene oxide (rGO) addition on the thermal properties of recycled polyamide (PARec) obtained from repurposed textile industry microfibers initially earmarked for landfill disposal. Characterization of PARec involved techniques like differential scanning calorimetry (DSC), thermogravimetric analysis (TG), Fourier-transform infrared spectroscopy (FTIR) and scanning electron microscopy (SEM). RGO was characterized through Raman spectroscopy, scanning electron microscopy (SEM), and X-ray diffraction (XRD). Mixtures with varying rGO concentrations, such as PARec-1 (0.1% rGO), PARec-5 (0.5% rGO), and PARec-10 (1% rGO), were prepared and processed in a twin-screw extruder. SEM images at PARec show good dispersion of rGO in the polymer matrix. Thermal properties were determined via DSC and TG, revealing the presence of polyamide 6 in PARec-0 and indicating rGO's quality. Notably, PARec-10 exhibited a slight 3.8% increase in melting temperature and a 7.5% rise in crystallization temperature. These results suggest the potential for improved thermal properties with rGO incorporation. The study contributes to understanding polymer blend thermal properties and introduces an innovative, efficient polymer waste recycling method aligned with sustainability principles.

Precision agriculture techniques contribute to optimizing the use of agricultural inputs, as they consider the spatial and temporal variability in the production factors. Prescription maps of limestone and fertilizers at variable rates (VRA) can be generated using various soil sampling techniques, such as point grid sampling, cell sampling, and management zone sampling. However, low-density grid sampling often fails to capture the spatial variability in soil properties, leading to inaccurate fertilizer recommendations. Sampling techniques by cells or management zones can generate maps of better quality and at lower costs than the sampling system by degree of points with low sampling density. Thus, this study aimed to compare the accuracy of different sampling techniques for mapping soil attributes in precision agriculture. For this purpose, the following sampling techniques were used: high-density point grid sampling method, low-density point grid sampling method, cell sampling method, management zone sampling method, and conventional method (considering the mean). Six areas located in the Brazilian states of Bahia, Minas Gerais, Mato Grosso, Goias, Mato Grosso do Sul, and Sao Paulo were used. The Root-Mean-Square-Error (RMSE) method was determined for each method using cross-validation. It was concluded that the cell method generated the lowest error, followed by the high-density point grid sampling method. Management zone sampling showed a lower error compared to the low-density point grid sampling method. By comparing different sampling techniques, we demonstrate that management zone and cell grid sampling can reduce soil sampling while maintaining comparable or superior accuracy in soil attribute mapping.

Mutations in the genes ANKRD26, RUNX1, and ETV6 cause three clinically overlapping thrombocytopenias characterized by a predisposition to hematological neoplasms. The ANKRD26 gene, which encodes a protein involved in protein-protein interactions, is downregulated by RUNX1 during megakaryopoiesis. Mutations in 5′UTR of ANKRD26, leading to ANKRD26-RT, disrupt this regulation, resulting in the persistent expression of ANKRD26, which leads to impaired platelet biogenesis and an increased risk of leukemia. Although ANKRD26 and ETV6 exhibit inverse expression during megakaryopoiesis, ETV6 does not regulate the ANKRD26 expression. Hypothesizing an interplay between ETV6 and ANKRD26 through in vitro studies, we explored the interactions between the two proteins. In this study, we found that ANKRD26 interacts with ETV6 and retains it in the cytoplasm, phenocopying ETV6-RT-related mutants. We found that GPS2, a component of the NCoR complex, binds both ANKRD26 and ETV6, mediating this interaction. Furthermore, ANKRD26 overexpression deregulates ETV6 transcriptional repression, supporting a common pathogenic mechanism underlying ANKRD26-RT, FPD/AML, and ETV6-RT. Our results unveil a novel ANKRD26-ETV6-GPS2 axis, providing new insights to investigate the molecular mechanism underlying thrombocytopenias with a predisposition to myeloid neoplasms that need to be further characterized.

An experimental study on the distribution of residual stresses induced by shot peening on samples of SAE 1020 steel with pre-existing compressive stresses is presented. Two samples with similar geometries were subjected to a heat treatment to relieve stress. Then, one of the samples was subjected to a cementation process to introduce compressive residual stresses. Both samples, with and without cementation, were subjected to the same shot peening treatment. Using X-ray diffraction and electrolytic polishing to remove superficial layers, the depth-resolved residual stress distribution was obtained. It was concluded that the effect of pre-existing compressive stresses should be considered as a factor that influences the final distribution of the residual stresses induced by shot peening, namely the maximum of shot peening induced residual stresses moves closer to the surface in a sample with large initial compressive stresses and its value is greater than the maximum value for a specimen with lower initial compressive stresses.

This study aimed to analyze yield components and maize yield cultivated at different population densities in management zones (MZs) delimited based on mapping the spatial variability of the soil’s apparent electrical conductivity (ECa). The soil ECa was measured, and two MZs were subsequently delimited, one with low ECa and the other with high ECa. In each MZ, four maize sowing densities were tested: 60,000 (D1); 80,000 (D2); 100,000 (D3); and 140,000 (D4) seeds ha−1. Ear length, number of grains per ear, number of grains per row, number of rows per ear, thousand-grain weight, and yield were evaluated. The increase in sowing density in the high ECa MZ linearly reduced the values of ear diameter, number of rows per ear, number of grains per ear, and thousand-grain weight. Sowing density D3, when implemented in the low ECa MZ, showed higher values for the ear length, ear diameter, number of grains per row, number of grains per ear, and thousand-grain weight. Sowing density D2 was the one with the highest yield, regardless of the MZ where it was implemented (5628.48 kg ha−1 in the high ECa management zone and 4463.63 kg ha−1 in the low ECa).

Given the consistent release of zinc oxide (ZnO) nanoparticles into the environment, it is urgent to study their impact on plants in depth. In this study, grains of rice were treated with two different concentrations of ZnO nanoparticles (NP-ZnO, 10 and 100 mg/L), and their bulk counterpart (B-ZnO) were used to evaluate whether ZnO action could depend on particle size. To test this hypothesis, root growth and development assessment, oxidative stress parameters, indole-3-acetic acid (IAA) content and molecules/enzymes involved in IAA metabolism were analyzed. In situ localization of Zn in control and treated roots was also performed. Though Zn was visible inside root cells only following nanoparticle treatment, both materials (NP-ZnO and B-ZnO) were able to affect seedling growth and root morphology, with alteration in the concentration/pattern of localization of oxidative stress markers and with a different action depending on particle size. In addition, only ZnO supplied as bulk material induced a significant increase in both IAA concentration and lateral root density, supporting our hypothesis that bulk particles might enhance lateral root development through the rise of IAA concentration. Apparently, IAA concentration was influenced more by the activity of the catabolic peroxidases than by the protective action of phenols.

Polystyrene nanoplastics and titanium dioxide nanoparticles are widely spread in all environments, often coexisting within identical frameworks. Both these contaminants can induce negative effects on cell and plant physiology, giving concerns on their possible interaction which could increase each other’s harmful effects on plants. Despite the urgency of this issue, there is very little literature addressing it. To evaluate the potential risk of this co-contamination, lentil seeds were treated for five days with polystyrene nanoplastics and titanium dioxide nanoparticles (anatase crystalline form), alone and in co-presence. Cytological analyses, and histochemical and biochemical evaluation of oxidative stress were carried out on isolated shoots and roots. TEM analysis seemed to indicate the absence of physical/chemical interactions between the two nanomaterials. Seedlings under cotreatment showed the greatest cytotoxic and genotoxic effects and high levels of oxidative stress markers associated with growth inhibition. Even if biochemical data did not evidence significant differences between materials treated with polystyrene nanoplastics alone or in co-presence with titanium dioxide nanoparticles, histochemical analysis highlighted a different pattern of oxidative markers, suggesting a synergistic effect by the two nanomaterials. In accordance, the fluorescence signal linked to nanoplastics in root and shoot was higher under cotreatment, perhaps due to the well-known ability of titanium dioxide nanoparticles to induce root tissue damage, in this way facilitating the uptake and translocation of polystyrene nanoplastics into the plant body. In the antioxidant machinery, peroxidase activity showed a significant increase in treated roots, in particular under cotreatment, probably more associated with stress-induced lignin synthesis than with hydrogen peroxide detoxification. Present results clearly indicate the worsening by metal nanoparticles of the negative effects of nanoplastics on plants, underlining the importance of research considering the impact of cotreatments with different nanomaterials, which may better reflect the complex environmental conditions.

O objetivo deste estudo foi revisar sistematicamente a contribuição da família e da escola no desenvolvimento de habilidades para a vida (HV) no contexto de formação esportiva. As buscas foram conduzidas em sete bases de dados e por meio da pesquisa de referências. Foram seguidas as descrições do Prisma, identificando 51 estudos. Os resultados demonstraram uma predominância de investigações no Canadá e nos Estados Unidos. Os autores dos estudos têm utilizado diferentes instrumentos, variáveis e modelos teóricos para verificar a contribuição da escola e/ou da família no desenvolvimento de habilidades para a vida. Conclui-se que o envolvimento escolar e o familiar no esporte podem contribuir com a aquisição, refinamento e transferência de características que podem ser aplicadas na vida dos indivíduos. Por fim, existe a necessidade de construir instrumentos quantitativos específicos que avaliem em conjunto a contribuição da escola e da família neste processo.

Background Cancer immunotherapy relies on using the immune system to recognize and eradicate cancer cells. Adaptive immunity, which consists of mainly antigen-specific cytotoxic T cells, plays a pivotal role in controlling cancer progression. However, innate immunity is a necessary component of the cancer immune response to support an immunomodulatory state, enabling T-cell immunosurveillance.Methods Here, we elucidated and exploited innate immune cells to sustain the generation of antigen-specific T cells on the use of our cancer vaccine platform. We explored a previously developed oncolytic adenovirus (AdCab) encoding for a PD-L1 (Programmed-Death Ligand 1) checkpoint inhibitor, which consists of a PD-1 (Programmed Cell Death Protein 1) ectodomain fused to an IgG/A cross-hybrid Fc. We coated AdCab with major histocompatibility complex (MHC-I)-restricted tumor peptides, generating a vaccine platform (named PeptiCab); the latter takes advantage of viral immunogenicity, peptide cancer specificity to prime T-cell responses, and antibody-mediated effector functions.Results As proof of concept, PeptiCab was used in murine models of melanoma and colon cancer, resulting in tumor growth control and generation of systemic T-cell-mediated antitumor responses. In specific, PeptiCab was able to generate antitumor T effector memory cells able to secrete various inflammatory cytokines. Moreover, PeptiCab was able to polarize neutrophils to attain an antigen-presenting phenotype by upregulating MHC-II, CD80 and CD86 resulting in an enhanced T-cell expansion.Conclusion Our data suggest that exploiting innate immunity activates T-cell antitumor responses, enhancing the efficiency of a vaccine platform based on oncolytic adenovirus coated with MHC-I-restricted tumor peptides.

Understanding the spatial variability of factors that influence crop yield is essential to apply site-specific management. The present study aimed to evaluate apparent soil electrical conductivity (ECa) in two fields (A = rainfeed; B = central-pivot irrigation), based on delimited management zones (MZs). In each MZ, the soil density (Sd) was characterized at two soil depths, and whether the delimitation of MZs, based on the spatial variability of ECa, was able to identify regions of the field with different Sd was assessed. In general, MZs with the highest mean value of ECa also presented the highest mean values of Sd. The highest Sd values were observed in the 0.1–0.2 m layer, regardless of the studied area. Regardless of soil texture, the proposed ECa was able to detect in-field differences in Sd. The delimitation of MZs, based on the spatial variability of ECa mapping, was able to differentiate the mean values of Sd between MZ 1 (1.53 g cm−3) and MZ 2 (1.67 g cm−3) in field A, in the 0.1–0.2 m layer. A statistical difference was observed for the mean values of Sd, in MZ 1, at layer 0.1–0.2 m, when comparing the two fields: A (1.53 g cm−3) and B (1.64 g cm−3). We suggest that further studies should be carried out to confirm the efficiency of ECa in detecting the soil bulk density at different soil depths.

Somatic mosaicism appears as a recurrent phenomenon among patients suffering from Fanconi anemia (FA), but its direct prognostic significance mostly remains an open question. The clinical picture of FA mosaic subjects could indeed vary from just mild features to severe hematologic failure. Here, we illustrate the case of a proband whose FA familiarity, modest signs (absence of hematological anomalies and fertility issues), and chromosome fragility test transition to negative overtime were suggestive of somatic mosaicism. In line with this hypothesis, genetic testing on patient’s peripheral blood and buccal swab reported the presence of the only FANCA paternal variant (FANCA:c.2638C>T, p. Arg880*) and of both parental alleles (the additional FANCA:c.3164G>A, p. Arg1055Gln), respectively. Moreover, the SNP analysis performed on the same biological specimens allowed us to attribute the proband’s mosaicism status to a possible gene conversion mechanism. Our case clearly depicts the positive association between somatic mosaicism and the proband's favorable clinical course due to the occurrence of the reversion event at the hematopoietic stem cell level. Since this condition concerns only a limited subgroup of FA individuals, the accurate evaluation of the origin and extent of clonality would be key to steer clinicians toward the most appropriate therapeutic decision for their FA mosaic patients.

This review delves into the groundbreaking impact of induced pluripotent stem cells (iPSCs) and three-dimensional organoid models in propelling forward neuropathology research. With a focus on neurodegenerative diseases, neuromotor disorders, and related conditions, iPSCs provide a platform for personalized disease modeling, holding significant potential for regenerative therapy and drug discovery. The adaptability of iPSCs, along with associated methodologies, enables the generation of various types of neural cell differentiations and their integration into three-dimensional organoid models, effectively replicating complex tissue structures in vitro. Key advancements in organoid and iPSC generation protocols, alongside the careful selection of donor cell types, are emphasized as critical steps in harnessing these technologies to mitigate tumorigenic risks and other hurdles. Encouragingly, iPSCs show promising outcomes in regenerative therapies, as evidenced by their successful application in animal models.

Glucose-derived isosorbide is a rigid polyester monomer with a low reactivity. Here, the authors report the synthesis of high molecular weight biobased polyesters with promising barrier and mechanical properties via in situ generation of reactive aryl ester groups.

Introduction: Fanconi anemia (FA) is a genome instability condition that drives somatic mosaicism in up to 25% of all patients, a phenomenon now acknowledged as a good prognostic factor. Herein, we describe the case of P1, a FA proband carrying a splicing variant, molecularly compensated by a de novo insertion.Methods and Results: Targeted next-generation sequencing on P1’s peripheral blood DNA detected the known FANCA c.2778 + 83C > G intronic mutation and suggested the presence of a large deletion on the other allele, which was then assessed by MLPA and RT-PCR. To determine the c.2778 + 83C > G splicing effect, we performed a RT-PCR on P1’s lymphoblastoid cell line (LCL) and on the LCL of another patient (P2) carrying the same variant. Although we confirmed the expected alternative spliced form with a partial intronic retention in P2, we detected no aberrant products in P1’s sample. Sequencing of P1’s LCL DNA allowed identification of the de novo c.2778 + 86insT variant, predicted to compensate 2778 + 83C > G impact. Albeit not found in P1’s bone marrow (BM) DNA, c.2778 + 86insT was detected in a second P1’s LCL established afterward, suggesting its occurrence at a low level in vivo. Minigene assay recapitulated the c.2778 + 83C > G effect on splicing and the compensatory role of c.2778 + 86insT in re-establishing the physiological mechanism. Accordingly, P1’s LCL under mitomycin C selection preserved the FA pathway activity in terms of FANCD2 monoubiquitination and cell survival.Discussion: Our findings prove the role of c.2778 + 86insT as a second-site variant capable of rescuing c.2778 + 83C > G pathogenicity in vitro, which might contribute to a slow hematopoietic deterioration and a mild hematologic evolution.

Mutations in the genes ANKRD26, RUNX1, and ETV6 cause three clinically overlapping thrombocytopenias characterized by a predisposition to hematological neoplasms. The ANKRD26 gene, which encodes a protein involved in protein-protein interactions, is downregulated by RUNX1 during megakaryopoiesis. Mutations in 5′UTR of ANKRD26, leading to ANKRD26-RT, disrupt this regulation, resulting in the persistent expression of ANKRD26, which leads to impaired platelet biogenesis and an increased risk of leukemia. Although ANKRD26 and ETV6 exhibit inverse expression during megakaryopoiesis, ETV6 does not regulate the ANKRD26 expression. Hypothesizing an interplay between ETV6 and ANKRD26 through in vitro studies, we explored the interactions between the two proteins. In this study, we found that ANKRD26 interacts with ETV6 and retains it in the cytoplasm, phenocopying ETV6-RT-related mutants. We found that GPS2, a component of the NCoR complex, binds both ANKRD26 and ETV6, mediating this interaction. Furthermore, ANKRD26 overexpression deregulates ETV6 transcriptional repression, supporting a common pathogenic mechanism underlying ANKRD26-RT, FPD/AML, and ETV6-RT. Our results unveil a novel ANKRD26-ETV6-GPS2 axis, providing new insights to investigate the molecular mechanism underlying thrombocytopenias with a predisposition to myeloid neoplasms that need to be further characterized. [ABSTRACT FROM AUTHOR]

This study aimed to analyze yield components and maize yield cultivated at different population densities in management zones (MZs) delimited based on mapping the spatial variability of the soil's apparent electrical conductivity (ECa). The soil ECa was measured, and two MZs were subsequently delimited, one with low ECa and the other with high ECa. In each MZ, four maize sowing densities were tested: 60,000 (D1); 80,000 (D2); 100,000 (D3); and 140,000 (D4) seeds ha−1. Ear length, number of grains per ear, number of grains per row, number of rows per ear, thousand-grain weight, and yield were evaluated. The increase in sowing density in the high ECa MZ linearly reduced the values of ear diameter, number of rows per ear, number of grains per ear, and thousand-grain weight. Sowing density D3, when implemented in the low ECa MZ, showed higher values for the ear length, ear diameter, number of grains per row, number of grains per ear, and thousand-grain weight. Sowing density D2 was the one with the highest yield, regardless of the MZ where it was implemented (5628.48 kg ha−1 in the high ECa management zone and 4463.63 kg ha−1 in the low ECa). [ABSTRACT FROM AUTHOR]

Precision agriculture techniques contribute to optimizing the use of agricultural inputs, as they consider the spatial and temporal variability in the production factors. Prescription maps of limestone and fertilizers at variable rates (VRA) can be generated using various soil sampling techniques, such as point grid sampling, cell sampling, and management zone sampling. However, low-density grid sampling often fails to capture the spatial variability in soil properties, leading to inaccurate fertilizer recommendations. Sampling techniques by cells or management zones can generate maps of better quality and at lower costs than the sampling system by degree of points with low sampling density. Thus, this study aimed to compare the accuracy of different sampling techniques for mapping soil attributes in precision agriculture. For this purpose, the following sampling techniques were used: high-density point grid sampling method, low-density point grid sampling method, cell sampling method, management zone sampling method, and conventional method (considering the mean). Six areas located in the Brazilian states of Bahia, Minas Gerais, Mato Grosso, Goias, Mato Grosso do Sul, and Sao Paulo were used. The Root-Mean-Square-Error (RMSE) method was determined for each method using cross-validation. It was concluded that the cell method generated the lowest error, followed by the high-density point grid sampling method. Management zone sampling showed a lower error compared to the low-density point grid sampling method. By comparing different sampling techniques, we demonstrate that management zone and cell grid sampling can reduce soil sampling while maintaining comparable or superior accuracy in soil attribute mapping. [ABSTRACT FROM AUTHOR]

We are in the throes of a digital revolution. Although this has been taking place for several decades, the advent of modern digital technologies, machine learning and artificial intelligence has accelerated this transformation. Data impacts all facets of our lives, both personal and professional. It influences everything we do. Embracing digital transformation is not a 'nice-to-have', but a mandatory capability to survive in today's competitive world. The payment industry is no stranger to this transformation. Every step of the payment process is governed by a complex and intricate series of transactions, critically dependent on accurate and timely data. As the speed and velocity of these transactions increase, data is the fuel and data management is the discipline that ensures a trusted and efficient process. In this paper, the best practice capabilities of data management will be explored in their relationship to the payment process. The paper explores the intricacies of the payment process, highlighting how effective data management at each step — from transaction initiation to reconciliation — ensures efficiency, security and customer satisfaction. The efficient movement of funds across the payment process fuels a vibrant global economy. By adhering to industry standards and leveraging advanced data management techniques, the payments industry can navigate the complexities of a digital ecosystem, providing a reliable and trusted payment environment and position it for continued improvement and innovation. [ABSTRACT FROM AUTHOR]

Immunotherapy has emerged as a promising approach for cancer treatment, with oncolytic adenoviruses showing power as immunotherapeutic agents. In this study, we investigated the immunotherapeutic potential of an adenovirus construct expressing CXCL9, CXCL10, or IL-15 in clear cell renal cell carcinoma (ccRCC) tumor models. Our results demonstrated robust cytokine secretion upon viral treatment, suggesting effective transgene expression. Subsequent analysis using resistance-based transwell migration and microfluidic chip assays demonstrated increased T-cell migration in response to chemokine secretion by infected cells in both 2D and 3D cell models. Flow cytometry analysis revealed CXCR3 receptor expression across T-cell subsets, with the highest percentage found on CD8+ T-cells, underscoring their key role in immune cell migration. Alongside T-cells, we also detected NK-cells in the tumors of immunocompromised mice treated with cytokine-encoding adenoviruses. Furthermore, we identified potential immunogenic antigens that may enhance the efficacy and specificity of our armed oncolytic adenoviruses in ccRCC. Overall, our findings using ccRCC cell line, in vivo humanized mice, physiologically relevant PDCs in 2D and patient-derived organoids (PDOs) in 3D suggest that chemokine-armed adenoviruses hold promise for enhancing T-cell migration and improving immunotherapy outcomes in ccRCC. Our study contributes to the development of more effective ccRCC treatment strategies by elucidating immune cell infiltration and activation mechanisms within the tumor microenvironment (TME) and highlights the usefulness of PDOs for predicting clinical relevance and validating novel immunotherapeutic approaches. Overall, our research offers insights into the rational design and optimization of viral-based immunotherapies for ccRCC. [ABSTRACT FROM AUTHOR]

PurposeTo investigate morpho-functional changes after surgical treatment for ERM foveoschisis or lamellar macular hole (LMH), and to evaluate whether the two entities are associated with different healing processes and long-term outcomes.DesignRetrospective interventional case series.MethodsA total of 56 eyes, treated for lamellar macular defects and followed up for 24 months, were enrolled. The eyes were divided into two groups: 34 with ERM foveoschisis and 22 with LMH. Changes in the following features were evaluated and compared between the two groups: best-corrected visual acuity (BCVA), external limiting membrane (ELM) and ellipsoid zone (EZ) defects, central foveal thickness (CFT), and autofluorescence (FAF) diameter and area.ResultsAfter surgery, progressive BCVA improvement was observed with no significant difference between the two groups (p-value: 0.06). An increased number of eyes with intact outer-retinal layers was found both in the ERM foveoschisis and LMH groups. FAF diameter and area decreased significantly throughout the FU with no significant difference between the two groups (p-value: 0.2).ConclusionIn the present study, significant functional and microstructural improvements were observed after surgery for both ERM foveoschisis and LMH, demonstrating considerable repair potential in both types of lamellar defects. These findings question the true “degenerative” nature of LMH.

Objectives To evaluate the methodological quality of randomised controlled trial (RCT) abstracts in leading critical care nursing journals against the Consolidated Standards of Reporting Trials-Abstracts (CONSORT-A) checklist and to identify variables related with abstract reporting quality.Design Descriptive methodological quality review.Data source We searched the PubMed database and the websites of each included journal.Eligibility criteria We included RCT abstracts published between 2011 and 2021 in the first 11 Scopus-ranking (2021) critical care nursing journals that reported the results of RCTs in English that referred to the care of adult patients with acute/critical illness or their relatives and/or caregivers and conducted in ICUs.Data extraction and synthesis Two independent investigators extracted the data using a prespecified 17-item checklist directly derived from CONSORT-A. For the primary outcome, each item was evaluated whether it was adequately reported or not and descriptive statistics were reported. An overall score was calculated by summing the results of all items and multivariate linear regression was conducted to detect potential predictors.Results Seventy-eight RCT abstracts were included in this review. The items with the highest CONSORT-A adherence were authors, objective, conclusion, participants, interventions and outcome. The randomisation item had the lowest CONSORT-A adherence, followed by trial registration, funding source, harms or side effects, recruitment, blinding and outcome results. The average CONSORT-A score was 8.5±1.5 points (of the maximum 17.5 points). Multivariate analysis indicated that the categorised word score and publication date were positively associated with the overall CONSORT-A score, while the first author’s country being in Asia was negatively associated with the overall CONSORT-A score.Conclusions The 78 RCT abstracts showed poor overall adherence to CONSORT-A. The results indicate that the methodological reporting quality of RCT abstracts in critical care nursing journals requires improvement to facilitate assessment of the applicability and relevance of the results reported.

Inherited thrombocytopenias (IT) are genetic diseases characterized by low platelet count, sometimes associated with congenital defects or a predisposition to develop additional conditions. Next-generation sequencing has substantially improved our knowledge of IT, with more than 40 genes identified so far, but obtaining a molecular diagnosis remains a challenge especially for patients with non-syndromic forms, having no clinical or functional phenotypes that raise suspicion about specific genes. We performed exome sequencing (ES) in a cohort of 116 IT patients (89 families), still undiagnosed after a previously validated phenotype-driven diagnostic algorithm including a targeted analysis of suspected genes. ES achieved a diagnostic yield of 36%, with a gain of 16% over the diagnostic algorithm. This can be explained by genetic heterogeneity and unspecific genotype-phenotype relationships that make the simultaneous analysis of all the genes, enabled by ES, the most reasonable strategy. Furthermore, ES disentangled situations that had been puzzling because of atypical inheritance, sex-related effects or false negative laboratory results. Finally, ES-based copy number variant analysis disclosed an unexpectedly high prevalence of RUNX1 deletions, predisposing to hematologic malignancies. Our findings demonstrate that ES, including copy number variant analysis, can substantially contribute to the diagnosis of IT and can solve diagnostic problems that would otherwise remain a challenge.

Abstract Aim To explore the perceptions of nursing students on the phenomenon of anticipated nursing care. Design A descriptive‐qualitative study was performed in 2019 according to the Consolidated Criteria for Reporting Qualitative Research principles. Methods Data were collected using 16 face‐to‐face, audio‐recorded interviews across four Italian Bachelor of Nursing degrees. Then, content analysis was performed, identifying, analysing and describing the anticipated nursing care phenomenon as perceived by nursing students. Results Administering medications, providing fundamentals of care, managing some clinical procedures, freeing up the patient's bed and starting the shifts early emerged as the most anticipated nursing interventions. Stable, older patients who were more functionally dependent were reported to receive some fundamental nursing care before the expected time, while older, stable and more independent patients were used to receiving medications in advance. Anticipated nursing care is triggered by factors at the time management, resource, programming, professional and organizational levels.

Este estudo tem como objetivo analisar o absenteísmo-doença entre professores da Rede Municipal de Ensino de Porto Alegre (RME/POA) na série temporal de 2014-2019. Para tanto, foram investigados os afastamentos por problemas de saúde entre docentes, na busca de alterações dos indicadores analisados, desde a implantação de uma nova rotina escolar no ano de 2017. Por meio da Estatística Descritiva, fez-se uma análise quantitativa de indicadores a respeito das Licenças Tratamento de Saúde (LTS), constatando-se um significativo aumento no número delas e de docentes em LTS, bem como a redução do número de dias por licença e de dias de licença por servidor. Esses resultados nos permitem sugerir que as mudanças efetuadas na rotina escolar contribuíram para a elevação do número de afastamentos para tratamento de problemas de saúde e que os gestores necessitam promover mudanças na organização de trabalho visando à promoção de saúde dos professores.