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Methane (CH4), an important greenhouse gas that affects radiation balance and consequently the earth's climate, still has uncertainties in its sinks and sources. The world's oceans are considered to be a source of CH4 to the atmosphere, although the biogeochemical processes involved in its formation are not fully understood. Several recent studies provided strong evidence of CH4 production in oxic marine and freshwaters but its source is still a topic of debate. Studies of CH4 dynamics in surface waters of oceans and large lakes have concluded that pelagic CH4 supersaturation cannot be sustained either by lateral inputs from littoral or benthic inputs alone. However, frequently regional and temporal oversaturation of surface waters occurs. This comprises the observation of a CH4 oversaturating state within the surface mixed layer, sometimes also termed the "oceanic methane paradox". In this study we considered marine algae as a possible direct source of CH4. Therefore, the coccolithophore Emiliania huxleyi was grown under controlled laboratory conditions and supplemented with two 13C-labelled carbon substrates, namely bicarbonate and a position-specific 13C-labelled methionine (R-S-13CH3). The CH4 production was 0.7 µg POC g-1 d-1, or 30 ng g-1 POC h-1. After supplementation of the cultures with the 13C labelled substrate, the isotope label was observed in headspace-CH4. Moreover, the absence of methanogenic archaea within the algal culture and the oxic conditions during CH4 formation suggest that marine algae such as Emiliania huxleyi contribute to the observed spatial and temporal restricted CH4 oversaturation in ocean surface waters. [ABSTRACT FROM AUTHOR]

OBJECTIVE: To survey quality criteria for evidence-based patient information (EBPI) and to compile the evidence for the identified criteria. METHODS: Databases PubMed, Cochrane Library, PsycINFO, PSYNDEX and Education Research Information Center (ERIC) were searched to update the pool of criteria for EBPI. A subsequent search aimed to identify evidence for each criterion. Only studies on health issues with cognitive outcome measures were included. Evidence for each criterion is presented using descriptive methods. RESULTS: 3 systematic reviews, 24 randomized-controlled studies and 1 non-systematic review were included. Presentation of numerical data, verbal presentation of risks and diagrams, graphics and charts are based on good evidence. Content of information and meta-information, loss- and gain-framing and patient-oriented outcome measures are based on ethical guidelines. There is a lack of studies on quality of evidence, pictures and drawings, patient narratives, cultural aspects, layout, language and development process. CONCLUSION: The results of this review allow specification of EBPI and may help to advance the discourse among related disciplines. Research gaps are highlighted. PRACTICE IMPLICATIONS: Findings outline the type and extent of content of EBPI, guide the presentation of information and describe the development process. [ABSTRACT FROM AUTHOR]

In the environment of Alpine glacier forefields, bacteria represent the functional link between initial soil development and secondary colonization. An important question is whether soil bacteria are adapted to the poor nutrient availability in this environment and whether selection processes significantly limit their local expansion along the gradients of chemical and biological factors. To address these questions, we used a two-dimensional sampling strategy at our study site, the Damma glacier forefield, Switzerland, to characterize the soil environment by selected biogeochemical parameters. Our results revealed two contrasting sites that differed in time since deglaciation (‘young’ and ‘old’ soil, ≤ 13 years and > 53 years of ice-free conditions) and vegetation cover (threefold increase), but also showed significant differences in soil properties thought to be relevant for the successional development of glacier forefield soils, such as pH (0.5-fold decrease), ammonium (0.5-fold decrease) concentration, and the content of total organic carbon (10-fold increase). Isolated strains, affiliated to the genus Pseudomonas, according to their 16S rDNA profile, were tested experimentally for local adaptation by a reciprocal transfer experiment. The bacteria from both young and old soils showed a significant interaction with their local environment; the direction of the interaction, however, did not follow the expected pattern of local adaptation. The significant genoype-with-environment interaction indicates a limited local expansion of soil bacteria in the Damma glacier forefield over the range of only 110 m. The lack of local adaptation could be explained by environmental constraints such as exclusion of competition, different migration behaviour of bacteria from young and old soil, or the ability of early colonizing bacteria to survive under the glacier ice. [ABSTRACT FROM AUTHOR]

Purpose: This study investigated whether enrichment improves hindlimb movement following complete spinal cord transection and transplantation of olfactory ensheathing glia (OEG), with or without a Schwann cell (SC) bridge. Methods: Motor activity was encouraged through provision of motor enrichment housing (MEH); a multi-level cage containing ramps, textured surfaces and rewards. Hindlimb joint movement was assessed weekly for 22 weeks starting one week post-surgery, comparing rats housed in MEH to those in basic housing (BH). Transganglionic tracer was injected into the crushed right sciatic nerve three days prior to sacrifice, allowing sensory axons in the dorsal columns to be visualized by immunolabeling. Serotonergic axons and glial cells expressing low affinity nerve growth factor receptor were identified by immunolabeling. Results: All rats, having received transplants, recovered some hindlimb movement. Rats housed in BH progressively lost recovered hindlimb function whereas recovered hindlimb movements were sustained in most rats in MEH. In rats transplanted with SCs and OEG, effects of MEH were first significant 14 weeks after injury. In rats transplanted with OEG, a trend was seen from 14 weeks after injury, but this did not reach significance. In all rats, traced sensory axons died back from sites of transplantation and did not regenerate rostrally. Further, in no rat were serotonergic axons observed regenerating into, around or beyond transplants. Conclusions: Transection and transplantation of SC/OEG or OEG induced recovery of hindlimb function. This recovered hindlimb movement was sustained in rats housed in MEH but was progressively lost in rats housed in BH. Because benefits of MEH were not observed until 14 weeks after injury, long-term assessment of behavior is recommended. BH conditions are not conducive to maintenance of recovered hindlimb function, and MEH should be used in studies of recovery of function following spinal cord injury. [ABSTRACT FROM AUTHOR]

Tuberous sclerosis complex (TSC) is a multisystem genetic disorder. Sonography is the modality of choice for many of the organs commonly affected with this disease. The authors present a case of TSC that demonstrates the association between sonography and this disorder. The case involves both the common findings (angiomyolipoma, cardiac rhabdomyoma, and renal cysts) as well as rare findings (abdominal aortic aneurysm and renal cell carcinoma). All of the findings were discovered by sonography or confirmed sonographically. This case report provides sonographers and doctors with a good review of this disorder, focusing on the role of sonography. [ABSTRACT FROM AUTHOR]

Presents guidelines recommended by the American Society for Neural Transplantation and Repair for studies of human subjects with spinal cord injury. Outline of the issues that should be considered in the planning, initiation and conduct of human clinical trials in spinal cord injury; Directive that the design and conduct of clinical trials should be in full compliance with local and national standards; Instruction that clinical trials should never be conducted when validation from animal models is entirely lacking.

Abstract Clinically, high-dose treatment with the glucocorticosteroid, methylprednisolone (MP), within 8 h after spinal cord injury, has been shown to improve neurological recovery. The current standard of care is to administer MP as a bolus of 30 mg/kg followed by a 23-h infusion of 5.4 mg/kg/h to spinal cord injured patients. To better understand the role of MP in neuroprotection, we have studied how MP administration affects macrophage accumulation, tissue loss, and axonal dieback at 1, 2, 4 and 8 weeks after a complete transection of the eighth thoracic spinal cord in the adult rat. A 30 mg/kg dose of MP was administered intravenously at 5 min, and 2 and 4 h after injury. The number of ED1 (antibody against microglia/macrophages) -positive cells was quantified in a 500-μm-wide strip of tissue directly adjacent and parallel to the transection. At all time points, MP treatment led to a significant decrease in the number of ED1-positive cells in both rostral and caudal stumps. Over the 2-month post-transection period, the average MP-induced reduction in the number of ED1-positive cells was 82% in the rostral cord stump and 66% in the caudal stump. Using a computerized image analysis system, it was observed that MP treatment resulted in a significant reduction in tissue loss in both cord stumps at 2, 4 and 8 week post-injury. Over the 2-month post-lesion period, the average MP-induced reduction in tissue loss in the caudal cord stump was higher than that in the rostral stump; 48 versus 37%, respectively. Immunostaining for neurofilaments and growth-associated protein-43 (GAP-43) revealed the presence of numerous axons near and in the lesion site. Anterograde neuronal tracing with biotinylated dextran amine showed that, in MP-treated animals, dieback of vestibulospinal fibres, but not of corticospinal fibres, was significantly diminished at all time points studied. In addition, with MP administration, 1 and 2 weeks after injury, an increase in the number of vestibulospinal fibres was found at 1 and 2 mm from the transection, suggesting transient regenerative sprouting of these fibres. The results demonstrate that treatment with MP shortly after spinal cord transection in the adult rat led to a long-term reduction of ED1-positive cells and spinal tissue loss, reduced dieback of vestibulospinal fibres, and a transient sprouting of vestibulospinal fibres near the lesion at 1 and 2 weeks post-lesion. The possible relationships between the inflammatory changes, spinal tissue sparing, and axonal survival and sprouting are complex and need to be further explored. [ABSTRACT FROM AUTHOR]

Reports on mammography use in Wisconsin during 1980-1993. Annual survey of mammography providers in Wisconsin since 1989; Increase in number of mammographies performed; Increase in the number of mammography providers.

Fifty patients with ankylosing spondylitis (AS) confined to the spine and sacroiliac joints were compared with 50 cases of AS complicated by various patterns of non-axial joint involvement. Radiological and clinical features were evaluated and HLA-DR4 typing was carried out. This antigen was found in 16% of 200 normal individuals in 18% of patients suffering from exclusively axial AS, and in 54% of patients with additional purely peripheral joint involvement (wrist, finger, ankle, toe). The possibility that HLA-DR4 represents a non-specific marker for peripheral arthritis in patients with ankylosing spondylitis is discussed. [ABSTRACT FROM PUBLISHER]

Abstract: Intrathoracic stomach is a rare and serious congenital abnormality. The anomaly may be complicated by gastric volvulus and can lead to ischemic gastric infarction in the neonate. If diagnosed antenatally, neonatal management can be planned in advance so as to reduce morbidity. This anomaly must be differentiated from the more common congenital diaphragmatic hernia, as associated pulmonary hypoplasia is common in the latter and rare with gastric herniation. We report an infant born to a mother with Marfan''s syndrome with the antenatal diagnosis of intrathoracic stomach. The ultrasound and magnetic resonance imaging features of this congenital abnormality are described. A review of the literature would indicate that this is the first case report of gastric volvulus diagnosed in utero. [Copyright &y& Elsevier]

To foster axonal growth from a Schwann cell bridge into the caudal spinal cord, spinal cells caudal to the implant were transduced with adeno-associated viral (AAV) vectors encoding for brain-derived neurotrophic factor (BDNF) and neurotrophin-3 (AAV-NT-3). Control rats received AAV vectors encoding for green fluorescent protein or saline. AAV–BDNF- and AAV–NT-3-transduced 293 human kidney cells produced and secreted BDNF or NT-3, respectively, in vitro. The secreted neurotrophins were biologically active; they both promoted outgrowth of sensory neurites in vitro. In vivo, transgene expression was observed predominantly in neurons for at least 16 weeks after injection. Compared with controls, a modest though significant improvement in hind-limb function was found in rats that received AAV–BDNF and AAV–NT-3. Retrograde tracing demonstrated that twice as many neurons with processes extending toward the Schwann cell graft were present in the second lumbar cord segment of AAV–BDNF- and AAV–NT-3-injected animals compared with controls. We found no evidence, however, for growth of regenerated axons from the Schwann cell implant into the caudal cord.Our results suggest that AAV vector-mediated overexpression of BDNF and NT-3 in the cord caudal to a Schwann cell bridge modified the local lumbar axonal circuitry, which was beneficial for locomotor function. [Copyright &y& Elsevier]

Increasing scientific and regulatory concern regarding environmental concentrations of bisphenol A (BPA) increases the need to understand the sources and sinks of this chemical. We developed a coupled flow network/fugacity-based fate and transport model to assess the contribution of different emissions sources to the concentration of BPA in surface water in Germany. The model utilizes BPA loadings and sinks, BPA physicochemical properties, a water flow network, environmental characteristics, and fugacity equations. The model considers industrial emissions, leaching from BPA-containing articles, wastewater treatment and bypass events, and emissions from landfills. The model also considers different scenarios that account for changes in the usage profile of BPA. Model predictions compare favorably to measured surface water concentrations, with the modeled concentrations generally falling within the range of measured values. Model scenarios that consider reductions in BPA usage due to government-mandated restrictions and voluntary reductions in usage predict falling BPA concentrations that are consistent with the most recent monitoring data. Model predictions of the contributions from different usage scenarios and wastewater treatment methods can be used to assess the efficacy of different restrictions and waste handling strategies to support efforts to evaluate the costs and benefits associated with actions aimed at reducing BPA levels in the environment. This feature of the model is of particular importance, given current efforts to update the regulations regarding BPA usage in the EU. The model indicates that as the current restriction on BPA in thermal paper works through the paper recycling process, BPA concentrations will continue to decrease. Other actions, such as upgrades to the stormwater and wastewater infrastructure to minimize the frequency of storm-related bypasses, are predicted to provide more meaningful reductions than additional restrictions on usage. Integr Environ Assess Manag 2024;20:226-238. © 2023 The Authors. Integrated Environmental Assessment and Management published by Wiley Periodicals LLC on behalf of Society of Environmental Toxicology & Chemistry (SETAC)., (© 2023 The Authors. Integrated Environmental Assessment and Management published by Wiley Periodicals LLC on behalf of Society of Environmental Toxicology & Chemistry (SETAC).)

Bisphenol A (BPA) enters the environment through various industrial and consumer-related pathways. Industrial sources include BPA manufacturing and secondary industrial uses such as the manufacturing of polymers and other substances based on or containing BPA. However, secondary sources and emissions to the environment, such as those related to the consumer use of articles containing BPA, may be more important than industrial emissions. Although readily biodegradable, BPA is widely distributed in various environmental compartments and living organisms. It is still not well understood which specific sources and pathways are responsible for releasing BPA into the environment. Therefore, we developed FlowEQ, a coupled flow network and fugacity-based fate and transport model for the assessment of BPA in surface water. The work is divided into two parts. In Part I, inputs needed to support the modeling and model validation were collected. Bisphenol A was measured at 23 wastewater treatment plants (WWTPs) and 21 landfills in Germany. In addition, the BPA content of 132 consumer articles from 27 article classes was analyzed. Bisphenol A concentrations in WWTPs ranged from 0.33 to 910 µg L -1 in influents and from less than 0.01 to 0.65 µg L -1 in effluents, resulting in removal efficiencies of 13%-100%. Average BPA concentrations in landfill leachate ranged from less than 0.01 to approximately 1400 µg L -1 . Bisphenol A concentrations measured in consumer articles varied significantly by type, ranging from less than 0.5 µg kg -1 in printing inks up to 1 691 700 µg kg -1 in articles made from recycled polyvinyl chloride (PVC). These concentrations were combined with information on use, leaching, and contact with water to develop estimates of loadings. Together with the results of the FlowEQ modeling presented in Part II, this assessment improves our understanding of the sources and emission pathways of BPA in surface water. The model considers various sources of BPA and can estimate future surface water concentrations of BPA based on changes in use. Integr Environ Assess Manag 2024;20:211-225. © 2023 The Authors. Integrated Environmental Assessment and Management published by Wiley Periodicals LLC on behalf of Society of Environmental Toxicology & Chemistry (SETAC)., (© 2023 The Authors. Integrated Environmental Assessment and Management published by Wiley Periodicals LLC on behalf of Society of Environmental Toxicology & Chemistry (SETAC).)

Central vascular access is frequently required for preterm infants. Confirmation of positioning of central line is typically on chest and abdominal radiographs; POCUS is a relatively novel diagnostic method. Misdiagnosis is the main concern limiting use of this modality. The aim of this study is to validate our standard protocol accuracy in locating the central catheter position by correlating catheter position as determined by POCUS with radiographs. Premature babies < or equal to 30 weeks gestation who had peripheral central lines or surgical lines were enrolled. Confirmation of line position by radiographs was compared to images obtained through a specific US protocol technique. The operator of US exam was blinded to the radiograph findings. All images were reviewed by two radiologists who were blinded to the radiograph findings. 35 central line placements were assessed. 22 lines were inserted in the UL, and 13 were inserted in the LL with a total of 91 ultrasound scans and radiographs. The position of the line was interpreted as normal in 79/91 scans with interpreter reliability of [Formula: see text]=0.778 (p < 0.001), sensitivity of 0.83 and specificity of 0.96, and positive predictive value of 0.77 and negative predictive value of 0.97. There was no significant difference between the ultrasound interpretation and the radiograph interpretation of UL and LL.  Conclusion: The protocol of POCUS that we propose is a reliable tool for assessing the central line positions in preterm infants. What is Known: • POCUS is a reliable tool assessing the central line positions in preterm infants. What is New: • The protocol of POCUS that we propose is a reliable tool for assessing the central line positions in preterm infants., (© 2023. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.)

Competing Interests: The authors report no conflicts of interest.

Extramedullary leukemia in pediatric acute myeloid leukemia can manifest as a myeloid sarcoma (MS), also known as granulocytic sarcoma or chloroma, in a variety of sites, or as leukemic blasts in the cerebrospinal fluid. Isolated MS of the central nervous system is rare. We report a case of acute myeloid leukemia with central nervous system-MS presenting as a posterior fossa mass mimicking a primary intracranial tumor., Competing Interests: The authors declare no conflict of interest., (Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.)

Objective: The objective of our study was to characterize and update the radiologic patterns of pediatric pulmonary blastomycosis, and correlate the radiologic patterns with patient age., Materials and Methods: Patients 0-18 years old with pulmonary blastomycosis who underwent chest imaging from 2005 to 2016 were included in this study. The following data were collected: age, sex, clinical information, and imaging findings including presence of extrapulmonary involvement and scarring on follow-up examinations. Concordance between radiography and CT was analyzed., Results: Thirty-six patients (28 boys and eight girls) ranging in age from 3 months to 17 years (mean, 10.5 years) were identified. Consolidation was found in 94.4% of patients and was unilateral in 76.5% of cases and bilateral in 23.5%. Upper (70.6%) and middle (47.1%) lobes were more frequently involved. Air bronchograms were identified in 76.5% of patients with consolidations, masslike consolidation was found in 55.9%, cavitation in 38.2%, and bubbly pattern (i.e., multiple small cavities) in 32.4%. In all patients younger than 5 years, consolidations involved multiple lobes. In 67.6% of patients, consolidations were associated with the following additional pulmonary or pleural abnormalities: pulmonary nodules (50% of patients), diffuse patchy opacification (26.5%), reticulonodular pattern (41.2%), atelectasis (5.9%), pleural effusion (20.6%), and hilar lymphadenopathy (23.5%). Pulmonary scarring was found in 70.4% of patients. Five patients had extrapulmonary involvement. The concordance between radiography and CT was excellent for location and extension of consolidation and diagnosis of cavitation, bubbly pattern, and nodules., Conclusion: The most common pattern of lung involvement from pulmonary blastomycosis in our series was a combination of consolidations with bilateral lung nodules and reticulonodular opacification.

Professional phagocytic cells such as macrophages are a central part of innate immune defence. They ingest microorganisms into membrane-bound compartments (phagosomes), which acidify and eventually fuse with lysosomes, exposing their contents to a microbicidal environment. Gram-positive Rhodococcus equi can cause pneumonia in young foals and in immunocompromised humans. The possession of a virulence plasmid allows them to subvert host defence mechanisms and to multiply in macrophages. Here, we show that the plasmid-encoded and secreted virulence-associated protein A (VapA) participates in exclusion of the proton-pumping vacuolar-ATPase complex from phagosomes and causes membrane permeabilisation, thus contributing to a pH-neutral phagosome lumen. Using fluorescence and electron microscopy, we show that VapA is also transferred from phagosomes to lysosomes where it permeabilises the limiting membranes for small ions such as protons. This permeabilisation process is different from that of known membrane pore formers as revealed by experiments with artificial lipid bilayers. We demonstrate that, at 24 hr of infection, virulent R. equi is contained in a vacuole, which is enriched in lysosome material, yet possesses a pH of 7.2 whereas phagosomes containing a vapA deletion mutant have a pH of 5.8 and those with virulence plasmid-less sister strains have a pH of 5.2. Experimentally neutralising the macrophage endocytic system allows avirulent R. equi to multiply. This observation is mirrored in the fact that virulent and avirulent R. equi multiply well in extracts of purified lysosomes at pH 7.2 but not at pH 5.1. Together these data indicate that the major function of VapA is to generate a pH-neutral and hence growth-promoting intracellular niche. VapA represents a new type of Gram-positive virulence factor by trafficking from one subcellular compartment to another, affecting membrane permeability, excluding proton-pumping ATPase, and consequently disarming host defences., (© 2018 John Wiley & Sons Ltd.)

Background: Many children with neurofibromatosis type 1 (NF1) have focal abnormal signal intensities (FASI) on brain MRI, whose full clinical impact and natural history have not been studied systematically. Our aims are to describe the clinical and neuroradiological features in children with NF1 and cerebellar FASI, and report on the natural history of FASI that display atypical features such as enhancement and mass effect., Method: A retrospective review of the hospital charts and brain MRIs was performed on children from Manitoba diagnosed between 1999 and 2008 with NF1, who also had cerebellar FASI on MRI., Results: Fifty patients (mean age: 16.1y, minimum-maximum: 6.4 - 30y, 27 M) were identified. Mean duration of follow up was 10.1y. Developmental delay, learning disabilities, tumors, and visual signs occurred commonly. Cerebellar signs were not reported. Mean age of the patients at baseline MRI was 7.8 (SD: 4.5) years. FASI occurred in several brain locations and were rarely confined to the cerebellum. FASI displayed mass effect and enhancement infrequently but were associated with malignancy only once. The number of FASI at baseline MRI was significantly less in patients with attention deficient hyperactivity disorder and more if a first degree relative had NF1 or if they had decreased visual acuity., Discussion: Patients with NF1 and cerebellar FASI do not have motor or consistent non-motor (e.g. developmental delay or learning disabilities) cerebellar features. The number of FASI may correlate with some clinical features. FASI may display enhancement and mass effect but they rarely become malignant., Competing Interests: Ethical approval for the study was given by the Research Ethics Board of the University of Manitoba.Not applicable.The authors declare that they have no competing interests.Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.