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The development of Wnt-based osteoanabolic agents has progressed rapidly in recent years, given the potent effects of Wnt modulation on bone homeostasis. Simultaneous pharmacologic inhibition of the Wnt antagonists sclerostin and Dkk1 can be optimized to create potentiated effects in the cancellous bone compartment. We looked for other candidates that might be co-inhibited along with sclerostin to potentiate the effects in the cortical compartment. Sostdc1 (Wise), like sclerostin and Dkk1, also binds and inhibits Lrp5/6 coreceptors to impair canonical Wnt signaling, but Sostdc1 has greater effects in the cortical bone. To test this concept, we deleted Sostdc1 and Sost from mice and measured the skeletal effects in cortical and cancellous compartments individually. Sost deletion alone produced high bone mass in all compartments, whereas Sostdc1 deletion alone had no measurable effects on either envelope. Mice with codeletion of Sostdc1 and Sost had high bone mass and increased cortical properties (bone mass, formation rates, mechanical properties), but only among males. Combined administration of sclerostin antibody and Sostdc1 antibody in wild-type female mice produced potentiation of cortical bone gain despite no effect of Sostdc1 antibody alone. In conclusion, Sostdc1 inhibition/deletion can work in concert with sclerostin deficiency to improve cortical bone properties. © 2023 The Authors. Journal of Bone and Mineral Research published by Wiley Periodicals LLC on behalf of American Society for Bone and Mineral Research (ASBMR).

Transit bus operations in California are experiencing new challenges due to economic conditions and the ongoing global pandemic. A confluence of factors has created a focus on this critical public-needs serving industry, due to state and local efforts to reduce emissions of pollutants and climate-changing gases. Transit bus operations in California provide essential and additional useful services that offer critical mobility to needy populations (elderly and handicapped) as well as many other groups for whom transit buses provide the most economical, convenient, and low-emission options. To address the role of transit bus operations in meeting California’s aggressive greenhouse gas (GHG) and emissions, the California Air Resources Board (ARB) has implemented an ambitious Innovative Clean Transit (ICT) regulation that requires all public transit agencies to gradually transition to a 100 percent zero-emission bus (ZEB) fleet.1 Beginning in 2029, 100% of new purchases by transit agencies must be ZEBs, with a goal for a full transition by 2040. Prior to that 25% of purchases of new buses must be ZEBs in 2023-2025 for large transit agencies, rising to 50% in 2026-2028. For smaller transit agencies, defined as those with less than 100 buses in annual maximum service, there is no requirement for 2023-2025 and the requirement for 2026-2028 is 25%, but the 100% ZEB purchase requirement starting in 2029 applies to all agencies.

A personal narrative is presented in which the author explores how library workers personalize their workspaces, focusing on comfort, functionality, and the blend of home-office elements to enhance productivity and collaboration.

Highlights Sitting‐induced impairments in postprandial blood flow are an important link between sedentary behaviour and cardiometabolic disease risk. The objective of this work was to examine the effects of resistance exercise breaks (REB) performed every 30 min during an otherwise sedentary 3‐h period on the vasodilatory response to a subsequent oral glucose load in sedentary adults. Twenty‐four sedentary adults (27 ± 7 years, 16 females) completed two conditions. Fasting blood glucose, insulin, popliteal artery blood flow (PABF) and gastrocnemius perfusion were measured immediately before standardized breakfast consumption. After breakfast, the 3‐h REB or uninterrupted (SIT) intervention period commenced. Participants sat at a workstation, and popliteal artery shear rate (PASR) was measured 60 and 120 min into this period. In the REB condition, participants performed a 3‐min REB (3 × [20 s squats, 20 s high knees, 20 s calf raises]) every 30 min. Following the intervention period, baseline measurements were repeated. Participants then consumed a 75 g glucose beverage, and PABF and perfusion were measured every 30–60 min for the following 120 min. Relative to SIT, REB increased PASR at 60 min (+31.4 ± 9.2/s, P = 0.037) and 120 min (+37.4 ± 10.2/s, P = 0.019) into the intervention period. Insulin and glucose increased (P < 0.001) in response to glucose consumption, with no differences between conditions (P ≥ 0.299). In response to the glucose load, perfusion (1.57 vs. 1.11 mL/100 mL/min, P = 0.023) and PABF (+45.3 ± 11.8 mL/min, P = 0.001) were greater after REB versus SIT. Performing 3‐min REB every 30 min during an otherwise sedentary 3‐h period augmented leg blood flow responses to an oral glucose load. What is the central question of this study? Can 3‐min resistance exercise breaks (REB) performed during an otherwise sedentary 3‐h period augment the vasodilatory response to a subsequent oral glucose load in sedentary adults? What is the main finding and its importance? Performing 3‐min REB, which included squats, high knees, and calf raises, every 30 min augmented lower limb blood flow responses to a subsequent oral glucose load compared to 3 h of uninterrupted sitting in sedentary adults. Sitting‐induced impairment in postprandial vasodilatory function has been identified as a link between sedentary behaviour and cardiometabolic disease. Thus, the current study presents a potentially effective strategy to offset this risk. What is the central question of this study?Can 3‐min resistance exercise breaks (REB) performed during an otherwise sedentary 3‐h period augment the vasodilatory response to a subsequent oral glucose load in sedentary adults?What is the main finding and its importance?Performing 3‐min REB, which included squats, high knees, and calf raises, every 30 min augmented lower limb blood flow responses to a subsequent oral glucose load compared to 3 h of uninterrupted sitting in sedentary adults. Sitting‐induced impairment in postprandial vasodilatory function has been identified as a link between sedentary behaviour and cardiometabolic disease. Thus, the current study presents a potentially effective strategy to offset this risk. [ABSTRACT FROM AUTHOR]

Sleep deficiency is a ubiquitous phenomenon among Americans. In fact, in the United States, ∼78% of teens and 35% of adults currently get less sleep than recommended for their age‐group, and the quality of sleep appears to be getting worse for many. The consequences of sleep disruption manifest in a myriad of ways, including insulin resistance and disrupted nutrient metabolism, dysregulation of hunger and satiety, and potentially increased body weight and adiposity. Consequently, inadequate sleep is related to an increased risk of various cardiometabolic diseases, including obesity, diabetes, and heart disease. Exercise has the potential to be an effective therapeutic to counteract the deleterious effects of sleep disruption listed above, whereas chronic psychosocial stress may causally promote sleep disruption and cardiometabolic risk. Here, we provide a narrative review of the current evidence on the consequences of short sleep duration and poor sleep quality on substrate metabolism, circulating appetite hormones, hunger and satiety, and weight gain. Secondly, we provide a brief overview of chronic psychosocial stress and its impact on sleep and metabolic health. Finally, we summarise the current evidence regarding the ability of exercise to counteract the adverse metabolic health effects of sleep disruption. Throughout the review, we highlight areas where additional interrogation and future exploration are necessary. [ABSTRACT FROM AUTHOR]

In 1984, a team of American researchers led by Robert Gallo announced that HIV causes AIDS. Seven months later, the US Centers for Disease Control investigated a postviral illness of unknown cause, which would later be known as chronic fatigue syndrome (aka myalgic encephalomyelitis, or ME/CFS). This article argues that ME/CFS's emergence was entangled with HIV/AIDS. Once the cause of AIDS was widely agreed upon by the 1990s, the virus-to-syndrome model became the predominant paradigm for understanding syndromic diseases of as-yet unknown cause. At the same time, ME/CFS—a multicausal illness—failed to fit this template, and societal disinterest fell in. Scientific uncertainty sustains the status of ME/CFS as proximate to, but not fully accepted as, bona fide "disease." This has implications for the history of disability and the history of medicine, as ME/CFS sits uneasily between these bodies of knowledge, demonstrating the thorny and socially overdetermined process of medicalization. [ABSTRACT FROM AUTHOR]

We compared the cardiovascular adaptations to resistance training (RT) using either traditional isotonic or iso-inertial resistance exercise in a randomized controlled study. Thirty-one healthy young adults (means ± SD, age = 24 ± 3 yr) completed 10 wk of traditional isotonic RT (TRT; n = 7 female/5 male), iso-inertial flywheel RT (FWRT; n = 7 female/4 male), or a habitual activity control (Con; n = 5 female/3 male). Before and following the intervention period, blood pressure, blood pressure reactivity, flowmediated dilation (FMD), carotid-femoral pulse wave velocity (cfPWV), baroreflex sensitivity (BRS), and heart rate variability (RMSSD) were assessed. TRT and FWRT similarly improved isometric muscle strength. TRT significantly increased systolic blood pressure reactivity during isometric exercise compared with both FWRT (mean difference ± 95% CI, þ10.8 ± 8.8 mmHg) and Con (þ11.8 ± 9.1 mmHg). Cardiovagal BRS was significantly reduced in TRT versus FWRT (-6.82 ± 4.9 ms/mmHg; P = 0.006) but not between TRT versus Con (P = 0.12) or FWRT versus Con (P = 0.43). Resting heart rate (RHR) and RMSSD worsened in TRT compared with FWRT (RHR, þ8 ± 5.8 beats/min, P = 0.006; RMSSD, -22.3 ± 15.6 ms, P = 0.004). Changes in BRS and RMSSD were associated with changes in blood pressure reactivity in the RT groups (r = -0.51 to -0.52). There were no significant changes in FMD or cfPWV in any group (P = 0.13). In conclusion, 10 wk of TRT and FWRT resulted in similar improvements in strength, but TRT caused impairments in blood pressure reactivity compared with FWRT and Con and parasympathetic nervous system activity compared with FWRT. [ABSTRACT FROM AUTHOR]

There are limited available data assessing the efficacy of acute energy drink consumption on cognition and gaming performance, nor on cardiovascular safety. To examine the efficacy of acute consumption of a novel energy drink (C4S) versus placebo for improving cognitive and gaming performance and mood. Secondarily, we examined the cardiovascular safety profile of acute C4S consumption. Forty-five healthy, young adult video gamers completed two experimental visits in randomized order where they consumed either C4S or a placebo and then completed a validated battery of neurocognitive tests, played five video games, and completed a mood state survey. Blood pressure (BP), heart rate (HR), oxygen saturation, and electrocardiogram measurements were taken at baseline and repeated throughout each visit. Acute consumption of C4S improved cognitive flexibility (absolute mean or median difference [95% CI] = +4.3 [2.2–6.4]; p < 0.001; d = 0.63), executive function (+4.3 [2.3–6.3]; p < 0.001; d = 0.63), sustained attention (+2.1 [0.6–3.6]; p = 0.01; d = 0.44), motor speed (+2.9 [0.8–4.9]; p < 0.001; d = 0.44), psychomotor speed (+3.9 [0.1–7.7]; p = 0.04; d = 0.32) working memory (+1.0 [0.1–1.9]; p = 0.02; d = 0.35), and performance in the two-dimensional visuospatial game Tetris (+463 [-419–2,065] pts; p = 0.049; d = 0.30) compared to placebo. C4S also improved Fatigue-Inertia (-1 [-3–0]; p = 0.004; d = 0.45), Vigor-Activity (+2.4 [1.3–3.6]; p < 0.001; d = 0.64), Friendliness (+0 [0–1]; p = 0.04; d = 0.32), and Total Mood Disturbance (-3 [-6–0]; p = 0.002; d = 0.44). BP increased slightly in C4S versus placebo, while HR decreased from baseline to post-drink in the C4S condition. Rate-pressure-product was higher in C4S versus placebo independent of time but did not increase from baseline. There was no effect on corrected QT interval. Acute consumption of C4S was efficacious for cognitive performance, visuospatial gaming performance, and mood enhancement, and had no effect on myocardial oxygen demand or ventricular repolarization, despite being associated with increases in BP. [ABSTRACT FROM AUTHOR]