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The direct relationship between facilitative glucose transporters (GLUTs) and metabolic diseases opens new avenues for sensing metabolic deregulations and drives the development of molecular probes for GLUT-targeted detection of metabolic diseases. Radiotracer-based molecular imaging probes have been effectively utilized in reporting alterations in sugar uptake as an indication of metabolic deregulations, cancer development, or inflammation. Progress in developing fluorophore-based tools facilitated GLUT-specific analyses using more accessible fluorescence-based instrumentation. However, restrictions on the emission range of fluorophores and the requirement for substantial post-treatments to reduce background fluorescence have brought to light the critical directions for improvement of the technology for broader use in screening applications. Here we present turn-on GLUT activity reporters activated upon cells' internalization. We demonstrate a specific delivery of a sizable rhodamine B fluorophore through GLUT5 and showcase a stringent requirement in conjugate structure for maintaining a GLUT-specific uptake. With the turn-on GLUT probes, we demonstrate the feasibility of high-throughput fluorescence microscopy and flow cytometry-based GLUT activity screening in live cells and the probes' applicability for assessing sugar uptake alterations in vivo ., Competing Interests: The authors declare no competing financial interest.

The aim of our study was to explore the bat fauna of Montenegro in areas, which have not been previously surveyed. Simultaneous recordings with bat detectors and mist nets were carried out at eight sites scattered around Montenegro. Mist netting resulted in the capture of 70 bats of 16 species: Barbastella barbastellus, Hypsugo savii, Myotis aurascens, M. capaccinii, M. daubentonii, M. emarginatus, M. mystacinus, M. blythii, Miniopterus schreibersii, Nyctalus noctula, Plecotus macrobullaris, Pipistrellus nathusii, P. pipistrellus, Rhinolophus euryale, R. hipposideros and Vespertilio murinus. A total of 317 bat flight passes were recorded, including of four further species: P. kuhlii, P. pygmaeus, Eptesicus serotinus and N. leisleri. Five individuals of barbastelle (B. barbastellus), captured in the Durmitor National park in July 2015, included three females, one of which was lactating, confirming the reproduction of this species in Montenegro. This observation is important as the barbastelle is currently considered rare in Europe and is included in Annex II of the EU habitat Directive (92/43/EEC). In addition, three breeding colonies of bats were found: two of R. hipposideros (in a cave near the Dobrilovina Monastery and a barn in the Durmitor National Park) and one of R. euryale (in a cave near Risan). [ABSTRACT FROM AUTHOR]

Background: The timely provision of comprehensive contraceptive services to Rohingya women is impeded due to a lack of clarity and understanding of their traditional beliefs and cultural frameworks. Recognizing this challenge, our paper aims to explore the socio-cultural factors influencing the utilization of contraceptives among married Rohingya women living in the refugee camps of Cox's Bazar, Bangladesh. Method: A qualitative study was conducted in two unregistered Rohingya camps (Camp 7&14) located in Ukhiya Upazila, Cox's Bazar from January 10th to 20th, 2022. A total of 14 In-Depth Interviews (IDIs) were conducted among married Rohingya women of reproductive age (15–49 years), along with 16 Key Informant Interviews (KIIs) involving stakeholders engaged in reproductive healthcare provision. Participants were selected using purposive sampling. All interviews were conducted in the local language, recorded, transcribed verbatim, and subsequently translated into English. The data were analyzed using NVivo (Version 11), and the analysis process followed Neuman's three-phase coding system. Results: Five broad themes were identified: Sociocultural expectations and values attached to births, power imbalances within marital relationships, the role of religious beliefs, fear of side effects, and misperceptions about contraception. Having a larger number of children is viewed positively as it is believed that children play a crucial role in preserving the lineage and contributing to the growth of the Islamic population. Despite expressing an inclination towards contraception, the disapproval of husbands becomes a significant barrier for women. Defying their husbands' wishes can result in instances of Intimate Partner Violence (IPV) and even marriage dissolution within the camps. Moreover, the fear of side effects, such as a particular method would cause infertility, discourages women from using contraception. Many of these fears stem from myths, misconceptions, and mistrust in the existing medical system. Conclusion: Addressing the socio-cultural barriers that prevent women from using modern contraception will have important public health implications. These findings can support in crafting culturally sensitive programs and educational interventions. These initiatives can assist Rohingya refugee women in planning their pregnancies and reducing high-risk pregnancies, ultimately leading to a decrease in maternal mortality rates within the community. Plain language summary: The timely provision of comprehensive contraceptive services to Rohingya women is impeded due to a lack of clarity and understanding of their traditional beliefs and cultural frameworks. Taking this into account, our objective is to investigate the socio-cultural factors that influence the utilization of contraceptives among married Rohingya women living in the refugee camps of Cox's Bazar, Bangladesh. A total of 14 IDIs and 16 KIIs were conducted in two unregistered Rohingya camps. We found that contraceptive use among Rohingya refugees was constrained by various socio-cultural and religious beliefs. The desire for a larger number of children to ensure the continuity of the lineage and to be able to contribute to the growth of the Islamic population serves as a major barrier. Lack of decision-making power regarding reproductive life not only stops participation but also makes women vulnerable to IPV and marriage dissolution within the camps. Moreover, the fear of side effects, such as a particular method would cause infertility, discourages women from using contraception. Many of these fears stem from myths, misconceptions, and mistrust in the existing medical system. Young women often acquire information about both true side effects and myths from their social networks. Therefore, developing culturally sensitive programs and educational interventions targeting the women, their peers, and other related communities is indispensable to assist Rohingya refugee women in overcoming the identified barriers to contraception. [ABSTRACT FROM AUTHOR]

Simple Summary: Due to adaptations to a completely subterranean lifestyle, blind mole rats have become an interesting research model for longevity and cancer resistance. The lesser blind mole rat from the genus Nannospalax is additionally characterized by extensive chromosomal changes, with 74 chromosomal forms described. As a result of these changes and of their morphological similarity, their taxonomy is unclear; consequently, many unrecognized species are endangered due to habitat fragmentation and reduction. Their official conservation status is still undefined due to insufficient data. Among the 25 chromosomal forms of N. leucodon in Europe, five have been identified as completely reproductively isolated and genetically divergent cryptic species in Serbia. The most endangered, N. l. syrmiensis, which was described 50 years ago as a group of populations endemic to Serbia, has been declared extinct in the literature. Using nucleotide comparison of two mitochondrial gene segments between old, archived and recently sampled material, we provide evidence that N. l. syrmiensis is not extinct. However, it has disappeared in a large part of its former range, mainly due to urbanization, invasive agriculture, and treatment as a pest. In order to preserve biodiversity, detailed monitoring, population-structure studies, risk assessment and appropriate conservation measures are required. Blind mole rats (genus Nannospalax) attract a great deal of attention because of their cancer resistance and longevity. Due to the high rate of chromosome rearrangements, 74 Nannospalax chromosomal forms have been discovered. The convergence of their external morphology complicates their taxonomy, and many cryptic species remain unrecognized. Thus, the European N. leucodon supersp. is listed in the IUCN Red List of Threatened Species with "Data Deficient" status. It is crucial for the conservation of biodiversity to clarify its taxonomy, to recognize each cryptic species, and assign to them the correct conservation status. Of the more than 20 chromosomal forms described within N. leucodon, five cryptic species occur in Serbia. The most threatened among them—N. l. syrmiensis, described and named 50 years ago in the regions of Srem, Belgrade and Mačva—has been declared extinct in the literature, which may have negative consequences for the conservation of wildlife genetic diversity. Through five years of fieldwork and comparison of 16SrRNA and MT-CYTB gene segments between old, archived teeth and recently collected material, we show that N. l. syrmiensis is not extinct. However, its habitat has been fragmented and reduced, owing primarily to anthropogenic impact. Therefore, detailed surveillance, population-structure studies, risk assessment, and appropriate conservation measures are needed. [ABSTRACT FROM AUTHOR]

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This systematic review aims to examine key findings of previous studies in order to explore how forest therapy programs impact stress reduction on physiological and psychological levels. It was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). Quantitative studies that compared forest therapy program interventions with urban exposure were searched in February 2023 in six databases: CINAHL, EMBASE, Medline, PsycINfo, PubMed, and Web of Science (core collection). This review included 17 relevant articles selected from a total of 495 individual studies, in accordance with the set inclusion and exclusion criteria. The results of this review indicated that forest therapy programs were effective at relieving stress, particularly on a psychological level. Forest therapy programs could be used as a part of stress reduction projects. However, results regarding physiological effects have yet to be confirmed, and in the future, more in-depth and well-designed research will be required. [ABSTRACT FROM AUTHOR]

Copyright of Acta Silvae et Ligni is the property of Biotechnical Faculty, Slovenian Forestry Institute and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Recent advances in neoantigen research have accelerated the development of tumor immunotherapies, including adoptive cell therapies (ACTs), cancer vaccines and antibody-based therapies, particularly for solid tumors. With the development of next-generation sequencing and bioinformatics technology, the rapid identification and prediction of tumor-specific antigens (TSAs) has become possible. Compared with tumor-associated antigens (TAAs), highly immunogenic TSAs provide new targets for personalized tumor immunotherapy and can be used as prospective indicators for predicting tumor patient survival, prognosis, and immune checkpoint blockade response. Here, the identification and characterization of neoantigens and the clinical application of neoantigen-based TCR-T immunotherapy strategies are summarized, and the current status, inherent challenges, and clinical translational potential of these strategies are discussed. Key points: 1) Established the computational process and platform of neoantigen prediction, and comprehensive prediction and screening of tumor specific neoantigens. 2) Rapid identification of neoantigen-specific TCRs for personalized engineered TCR-T cell therapy. 3) Classification and characteristics of tumor specific neoantigen-based therapy, and combined antitumor strategies. 4) The current status, inherent challenges, and clinical translational potential of TCR-T therapy. [ABSTRACT FROM AUTHOR]

Nintedanib is a disease-modifying agent licensed for the treatment of IPF. Data on Polish experience with nintedanib in IPF are lacking. The present study aimed to describe the safety and efficacy profiles of nintedanib in a large real-world cohort of Polish patients with IPF. This was a multicenter, retrospective, observational study of IPF patients treated with nintedanib between March 2018 and October 2021. Data collection included baseline clinical characteristics, results of pulmonary function tests (PFTs), and a six-minute walk test (6MWT). Longitudinal data on PFTs, 6MWT, adverse drug reactions (ADRs), and treatment persistence were also retrieved. A total of 501 patients (70% male) with a median age of 70.9 years (IQR 65–75.7) were included in this study. Patients were followed on treatment for a median of 15 months (7–25.5). The majority of patients (66.7%) were treated with the full recommended dose of nintedanib and 33.3% of patients were treated with a reduced dose of a drug. Intermittent dose reductions or drug interruptions were needed in 20% of patients. Over up to 3 years of follow-up, pulmonary function remained largely stable with the minority experiencing disease progression. The most frequent ADRs included diarrhea (45.3%), decreased appetite (29.9%), abdominal discomfort (29.5%), weight loss (32.1%), nausea (20.8%), fatigue (19.2%), increased liver aminotransferases (15.4%), and vomiting (8.2%). A total of 203 patients (40.5%) discontinued nintedanib treatment due to diverse reasons including ADRs (10.2%), death (11.6%), disease progression (4.6%), patient's request (6.6%), and neoplastic disease (2.2%). This real-world study of a large cohort of Polish patients with IPF demonstrates that nintedanib therapy is safe, and is associated with acceptable tolerance and disease stabilization. These data support the findings of previously conducted clinical trials and observational studies on the safety and efficacy profiles of nintedanib in IPF. [ABSTRACT FROM AUTHOR]

Research over decades confirms the geological values of the Papuk UNESCO Global Geopark (Croatia) as a unique place in the regional frame where several orogenic events left their traces through the formation of diverse lithologies. The important part of the geological mosaic, at least in the western part of the Geopark, is the variety of igneous (sub)volcanic rocks. Albite rhyolite at Rupnica and Trešnjevica geosites formed in the Late Cretaceous (~81 Ma), recording the geological event(s) associated with the closure of the Neotethys Ocean. At that time, acidic silicate melt rose fast from the deep crustal levels to the near surface, where cooling caused regular cracking and the development of columnar jointing. Today, these geosites attract the attention of visitors and therefore they are important landmarks that contribute to local (geo)tourism. They are also used as educational sites for both higher education and schoolchildren with Rupko's Geological School, in which the development of columnar jointing is explained popularly, further enhancing public awareness of the geodiversity and geoheritage of the Mt. Papuk area. The recently opened Geo-info Center in Voćin significantly enhances the geoheritage presentation at the Geopark. [ABSTRACT FROM AUTHOR]

Copyright of Bulletin of the Natural History Museum in Belgrade is the property of Natural History Museum in Belgrade and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

To simulate acute lung injury (ALI) in SD male rats they we administered intratracheally with lipopolysaccharide (LPS) followed by hyperventilation of the lungs (HVL), which lead to functional changes in the respiratory system and an increase in the blood serum concentration of inflammatory cytokines. LPS + HVL after 4 h lead to pronounced histological signs of lung damage. We have studied the effectiveness of Derinat® when administered intramuscularly at dose of 7.5 mg/kg for 8 days in the ALI model. Derinat® administration lead to an increase in the concentration of most of the studied cytokines in a day. In the ALI model the administration of Derinat® returned the concentration of cytokines to its original values already 48 h after LPS + HVL, and also normalized the parameters of pulmonary respiration in comparison with animals without treatment. By the eighth day after LPS + HVL, respiratory parameters and cytokine levels, as well as biochemical and hematological parameters did not differ between groups, while histological signs of residual effects of lung damage were found in all animals, and were more pronounced in Derinat® group, which may indicate stimulation of the local immune response. Thus, the administration of Derinat® stimulates the immune response, has a pronounced protective effect against cytokinemia and respiratory failure caused by ALI, has immunomodulatory effect, and also stimulates a local immune response in lung tissues. Thus, Derinat® is a promising treatment for ALI. [ABSTRACT FROM AUTHOR]

Boron neutron capture therapy is a low-invasive cancer therapy based on the neutron fission process that occurs upon thermal neutron irradiation of 10B-containing compounds; this process causes the release of alpha particles that selectively damage cancer cells. Although several clinical studies involving mercaptoundecahydro-closo-dodecaborate and the boronophenylalanine–fructose complex are currently ongoing, the success of this promising anticancer therapy is hampered by the lack of appropriate drug delivery systems to selectively carry therapeutic concentrations of boron atoms to cancer tissues, allowing prolonged boron retention therein and avoiding the damage of healthy tissues. To achieve these goals, numerous research groups have explored the possibility to formulate nanoparticulate systems for boron delivery. In this review. we report the newest developments on boron vehiculating drug delivery systems based on nanoparticles, distinguished on the basis of the type of carrier used, with a specific focus on the formulation aspects. [ABSTRACT FROM AUTHOR]

Background: Delays in seeking timely maternity care from health care professionals are crucial to address among the Rohingya population where many preventable pregnancy-related deaths occur within the camps when care is not sought. To address the challenges related to the referral of emergency and routine Sexual and Reproductive Health and Rights (SRHR) cases, United Nations Population Fund, through its partners, implemented a community-based referral transportation project called Referral hub. This paper presents the barriers and facilitators to the implementation of this referral transportation system from the perspectives of the beneficiaries and providers. Methods: The research adopted a sequential explanatory mixed-method design. The quantitative phase consisted of a survey among 100 women while the qualitative phase comprised of in-depth interviews with a total of 12 mothers who used the services and key informant interviews with 21 providers. Results: The barriers identified for referral hub are discordant understanding of emergency, strict gender norms and practices, distrust in providers, poor roads and mobile phone networks. The facilitators are partnership with the community, within and other organizations. Conclusion: The study observed that the referral hub has a high potential to increase the utilization of SRHR services. Despite the barriers, the facilitating factors show a scope of improvement for these services. [ABSTRACT FROM AUTHOR]

Colorectal cancer (CRC) is one of the most devastating diseases worldwide. Immunotherapeutic agents for CRC treatment have shown limited efficacy due to the immunosuppressive tumor microenvironment (TME). In this context, various types of nanoparticles (NPs) have been used to reverse the immunosuppressive TME, potentiate the effect of immunotherapeutic agents and reduce their systemic side effects. Many advantages could be offered by NPs, related to drug-loading efficiency, particle size and others that can potentially aid the delivery of immunotherapeutic agents. The recent research on how nano-based immunotherapy can remodel the immunosuppressive TME of CRC and hence boost the antitumor immune response, as well as the challenges that face clinical translation of NPs and future perspectives, are summarized in this review article. [ABSTRACT FROM AUTHOR]

Interleukin-18 (IL-18) is a potent pro-inflammatory cytokine involved in host defense against infections and regulates the innate and acquired immune response. IL-18 is produced by both hematopoietic and non-hematopoietic cells, including monocytes, macrophages, keratinocytes and mesenchymal cell. IL-18 could potentially induce inflammatory and cytotoxic immune cell activities leading to autoimmunity. Its elevated levels have been reported in the blood of patients with some immune-related diseases, including rheumatoid arthritis, systemic lupus erythematosus, type I diabetes mellitus, atopic dermatitis, psoriasis, and inflammatory bowel disease. In the present review, we aimed to summarize the biological properties of IL-18 and its pathological role in different autoimmune diseases. We also reported some monoclonal antibodies and drugs targeting IL-18. Most of these monoclonal antibodies and drugs have only produced partial effectiveness or complete ineffectiveness in vitro, in vivo and human studies. The ineffectiveness of these drugs targeting IL-18 may be largely due to the loophole caused by the involvement of other cytokines and proteins in the signaling pathway of many inflammatory diseases besides the involvement of IL-18. Combination drug therapies, that focus on IL-18 inhibition, in addition to other cytokines, are highly recommended to be considered as an important area of research that needs to be explored. [ABSTRACT FROM AUTHOR]

Post-concussion symptoms often occur after TBI, persist and cause disabilities. The Rivermead Post-Concussion Symptoms Questionnaire (RPQ) is widely used in this population, but little is known about the comparability of the symptoms over time, i.e., longitudinal measurement invariance (MI). The objectives of this study were to analyze the longitudinal MI of RPQ symptoms from three to twelve months after TBI and to find factors related to RPQ symptoms. The study involved 1023 individuals after TBI who took part in the Collaborative European NeuroTrauma Effectiveness Research in TBI (CENTER-TBI) study and completed the RPQ at three, six and twelve months post-injury. Longitudinal confirmatory factor analysis showed that the three-factor structure (somatic, emotional and cognitive) remains stable within one year after TBI. Linear mixed models revealed that sex, injury cause and prior psychiatric problems were related to the RPQ three-factor structure as well as to the RPQ total score. The study strengthens evidence for the RPQ's factorial structure stability within one year after TBI and identifies sex, injury cause and prior psychiatric problems as important factors that may help clinicians to prevent future complications of symptomatology after TBI. [ABSTRACT FROM AUTHOR]

Copyright of SportLogia is the property of University Banja Luka, Faculty of Physical Education & Sports and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Botanica Serbica is the property of University of Belgrade, Institute of Botany & Botanical Garden Jevremovac and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Acta Economica is the property of University of Banja Luka, Faculty of Economics and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Background: There is an increasing global concern of financing poor people who live in low- and middle-income countries. The burden of non-communicable diseases of these people is, by in large, connected to a lack of access to effective and affordable medical care, weak financing, and delivery of health services. Policymakers have assumed, until recently, that poor people in developing countries would not pay health insurance premiums for the cost of future hospitalization. The emergence of community-based health financing (CBHF) has brought forth a renewed and empowered alternative. CBHF schemes are designed to be sustainable, varying in size, and well organized. Developing countries, such as Nigeria, have been testing and finetuning such schemes in the hope that they may 1 day reciprocate high-income countries. Methods: A sample size of 372 respondents was used to assess the slums of Awka, the capital city of Anambra State, Nigeria, and empirically evaluate the socio-demographic characteristics of those who uptake CBHF using the provider Jamii Bora Trust (JBT). Cross-sectional research used a quantitative research approach with the instrumentality of structured questionnaires. Descriptive analysis was adopted to determine the socio-demographic characteristics of those who have CBHF uptake in Awka and evaluate the presence and benefits of CBHF in the city's slums. Results: The results show that more youth and middle-aged persons from 18 to 50 years are more insured (i.e., 73.8% combined) than those who are over 50 years of age. Gender distribution confirm more females (i.e., 61.9%) to be health-insured than their male counterpart (i.e., 38.1%). This perhaps reflected the reproductive roles by women and the fact that women have better health-seeking behavioral attitude. Moreover, the results correlate with previous studies that confirm women are more involved in local sustainable associations in low-income settings, of this nature, in sub-Saharan Africa. Corroborating this further, married people are more insured (i.e., 73.8%) than those who are not married (i.e., 26.2%) and insured members report higher use of hospitalization care than the non-insured. Conclusion: CBHF uptake favored members in the lower income quintiles who are more likely to use healthcare services covered by the JBT scheme. This confirmed that prepayment schemes and the pooling of risk could reduce financial barriers to healthcare among the urban poor. Recommendations are suggested to improve enrollment levels in the CBHF programs. [ABSTRACT FROM AUTHOR]

Cholecystocolonic fistula is a rare condition often diagnosed intraoperatively, requiring an adequate set of knowledge and skills to allow safe intraoperative change of prior planned surgery and alleviate significant morbidity. [ABSTRACT FROM AUTHOR]

The Scythians are frequently presented, in popular and academic thought alike, as highly mobile warrior nomads who posed a great economic risk to growing Mediterranean empires from the Iron Age into the Classical period. Archaeological studies provide evidence of first millennium BCE urbanism in the steppe while historical texts reference steppe agriculture, challenging traditional characterizations of Scythians as nomads. However, there have been few direct studies of the diet and mobility of populations living in the Pontic steppe and forest-steppe during the Scythian era. Here, we analyse strontium, oxygen, and carbon isotope data from human tooth enamel samples, as well as nitrogen and carbon isotope data of bone collagen, at several Iron Age sites across Ukraine commonly associated with 'Scythian' era communities. Our multi-isotopic approach demonstrates generally low levels of human mobility in the vicinity of urban locales, where populations engaged in agro-pastoralism focused primarily on millet agriculture. Some individuals show evidence for long-distance mobility, likely associated with significant inter-regional connections. We argue that this pattern supports economic diversity of urban locales and complex trading networks, rather than a homogeneous nomadic population. [ABSTRACT FROM AUTHOR]

Background: There is growing attention to addressing the menstrual hygiene management (MHM) needs of the over 21 million displaced adolescent girls and women globally. Current approaches to MHM-related humanitarian programming often prioritize the provision of menstrual materials and information. However, a critical component of an MHM response includes the construction and maintenance of water, sanitation and hygiene (WASH) facilities, including more female-friendly toilets. This enables spaces for menstruating girls and women to change, dispose, wash and dry menstrual materials; all of which are integral tasks required for MHM. A global assessment identified a number of innovations focused on designing and implementing menstruation-supportive WASH facilities in the Rohingya refugee camps located in Cox's Bazar (CXB), Bangladesh. These pilot efforts strove to include the use of more participatory methodologies in the process of developing the new MHM-supportive WASH approaches. This study aimed to capture new approaches and practical insights on innovating menstrual disposal, waste management and laundering in emergency contexts through the conduct of a qualitative assessment in CXB. Methods: The qualitative assessment was conducted in the Rohingya refugee camps in CXB in September of 2019 to capture new approaches and practical insights on innovating for menstrual disposal, waste management and laundering. This included Key Informant Interviews with 19 humanitarian response staff from the WASH and Protection sectors of a range of non-governmental organizations and UN agencies; Focus Group Discussions with 47 Rohingya adolescent girls and women; and direct observations of 8 WASH facilities (toilets, bathing, and laundering spaces). Results: Key findings included: one, the identification of new female-driven consultation methods aimed at improving female beneficiary involvement and buy-in during the design and construction phases; two, the design of new multi-purpose WASH facilities to increase female beneficiary usage; three, new menstrual waste disposal innovations being piloted in communal and institutional settings, with female users indicating at least initial acceptability; and four, novel strategies for engaging male beneficiaries in the design of female WASH facilities, including promoting dialogue to generate buy-in regarding the importance of these facilities and debate about their placement. Conclusions: Although the identified innovative participatory methodologies and design approaches are promising, the long term viability of the facilities, including plans to expand them, may be dependent on the continued engagement of girls and women, and the availability of resources. [ABSTRACT FROM AUTHOR]

Background: The Rohingya refugee crisis in Bangladesh continues to outstrip humanitarian resources and undermine the health and security of over 900,000 people. Spatial, sector-specific information is required to better understand the needs of vulnerable populations, such as women and girls, and to target interventions with improved efficiency and effectiveness. This study aimed to create a gender-based vulnerability index and explore the geospatial and thematic variations in gender-based vulnerability of Rohingya refugees residing in Bangladesh by utilizing pre-existing, open source data. Methods: Data sources included remotely-sensed REACH data on humanitarian infrastructure, United Nations Population Fund resource availability data, and the Needs and Population Monitoring Survey conducted by the International Organization for Migration in October 2017. Data gaps were addressed through probabilistic interpolation. A vulnerability index was designed through a process of literature review, variable selection and thematic grouping, normalization, and scorecard creation, and Pareto ranking was employed to rank sites based on vulnerability scoring. Spatial autocorrelation of vulnerability was analyzed with the Global and Anselin Local Moran's I applied to both combined vulnerability index rank and disaggregated thematic ranking. Results: Of the settlements, 24.1% were ranked as 'most vulnerable,' with 30 highly vulnerable clusters identified predominantly in the northwest region of metropolitan Cox's Bazar. Five settlements in Dhokkin, Somitapara, and Pahartoli were categorized as less vulnerable outliers amongst highly vulnerable neighboring sites. Security- and health-related variables appear to be the most significant drivers of gender-specific vulnerability in Cox's Bazar. Clusters of low security and education vulnerability measures are shown near Kutupalong. Conclusion: The humanitarian sector produces tremendous amounts of data that can be analyzed with spatial statistics to improve research targeting and programmatic intervention. The critical utilization of these data and the validation of vulnerability indexes are required to improve the international response to the global refugee crisis. This study presents a novel methodology that can be utilized to not only spatially characterize gender-based vulnerability in refugee populations, but can also be calibrated to identify and serve other vulnerable populations during crises. [ABSTRACT FROM AUTHOR]

Background: Pirfenidone is an antifibrotic agent approved for the treatment of idiopathic pulmonary fibrosis (IPF). The drug is available for Polish patients with IPF since 2017. The PolExPIR study aimed to describe the real-world data (RWD) on the Polish experience of pirfenidone therapy in IPF with respect to safety and efficacy profiles.Methods: This was a multicentre, retrospective, observational study collecting clinical data of patients with IPF receiving pirfenidone from January 2017 to September 2019 across 10 specialized pulmonary centres in Poland. Data collection included baseline characteristics, pulmonary function tests (PFTs) results and six-minute walk test (6MWT). Longitudinal data on PFTs, 6MWT, adverse drug reactions (ADRs), treatment persistence, and survival were also collected up to 24 months post-inclusion.Results: A total of 307 patients receiving pirfenidone were identified for analysis. The mean age was 68.83 (8.13) years and 77% were males. The median time from the first symptoms to IPF diagnosis was 15.5 (9.75-30) months and from diagnosis to start of pirfenidone treatment was 6 (2-23) months. Patients were followed on treatment for a median of 17 (12-22.75) months. Seventy-four patients (24.1%) required dose adjustments and 35 (11.4%) were chronically treated with different than the full recommended dose. A total of 141 patients (45.92%) discontinued therapy due to different reasons including ADRs (16.61%), death (8.79%), disease progression (6.51%), patient's own request (5.54%), neoplastic disease (3.91%) and lung transplantation (0.33%). Over up to 24 months of follow-up, the pulmonary function remained largely stable. The median annual decline in forced vital capacity (FVC) during the first year of pirfenidone therapy was -20 ml (-200-100) and during the second year was -120 ml (-340-30). Over a study period, 33 patients (10.75%) died.Conclusions: The PolExPIR study is a source of longitudinal RWD on pirfenidone therapy in the Polish cohort of patients with IPF supporting its long-term acceptable safety and efficacy profiles and reinforce findings from the previous randomised clinical trials and observational studies. [ABSTRACT FROM AUTHOR]

BACKGROUND AND OBJECTIVE: Hydatid disease is a common health problem in developing countries. The liver and lungs are the most common organs affected by this infection. Hydatid cyst is very rare in the inguinal area. The aim of this case report was to introduce a patient with multiple hydatid cysts in the right inguinal area who developed symptoms of inguinal hernia. CASE REPORT: The patient is a 92-year-old man who was referred to Imam Reza Hospital in Mashhad due to pain, swelling and redness in the right inguinal area. The patient's blood tests showed an increase in neutrophils, and a decrease in eosinophils, basophil and monocyte. Ultrasound examinations of the patient revealed right inguinal hernia and hydatid cysts in the liver, abdomen and pelvic cavity. Finally, the patient was operated with a diagnosis of incarcerated inguinal hernia. During the operation, multiple cysts were observed in the inguinal area; the cysts were removed and sent to pathology. Pathological findings confirmed the presence of hydatid cyst. After 2 days, the patient was discharged in relatively good general condition and with albendazole (400 mg) twice daily for 6 months. At the end of the treatment period, no signs of recurrence of hydatid cyst were observed in the patient. CONCLUSION: According to the cases reported in patients diagnosed with hydatid cyst with inguinal pain, the possibility of migration or hernia of hydatid cyst should be considered, because knowing its presence is useful for preoperative planning and reduction of complications. [ABSTRACT FROM AUTHOR]

The red-coloured hematite-bearing granite from Mt. Požeška Gora (N Croatia) and the albite rhyolite from the Rupnica locality (town of Voćin, NW part of the Geopark Papuk, Croatia) with well-exposed phenomenon of columnar jointing are both characterized by a highly siliceous composition and enrichment in alkalies (high-K calc-alkaline series) and aluminium (peraluminous). They belong to a group of oxidized and ferroan rocks with low CaO, MgO, MnO and FeOT contents, and high FeOT/FeOT+MgO ratios. Moreover, standard geochemical classification and spider diagrams show that these rocks might have had the same source of origin.The Mt. Požeška Gora granite is composed of alkali feldspar and quartz; with a small amount of plagioclase. Hematite, zircon, and apatite are accessory phases. Inclusions of kumdykolite, kokchetavite, hematite and apatite have been detected in zircon. Kumdykolite and kokchetavite are metastable phases crystallized from enclosed melt and are indicators, together with crystallographically oriented ilmenite exolutiosn in hematite and perthite, of a rapid cooling of the host magma. This granite shows a geochemical signature typical for the A2-type of post-collisional granite.The Rupnica rhyolite is composed of albite and quartz and minor clinopyroxene and amphibole. Zircon, apatite, anatase and Fe-oxides are accessory phases. Analysis of columnar jointing developed in this rhyolite together with Zr saturation temperature point to a high-temperature and rapidly cooled (sub)surface acidic igneous body. The investigation of the zircon typology resulted in the dominance of the D-type in the granite and the G1-type in the rhyolite. Both types are characteristic for an alkali and dry A-type of (granitic) magma with origin in the lower crust or even the upper mantle. Calculated Zr-saturation temperatures are similar and quite high for both rocks (860-950°C for granite; 840-870°C for rhyolite) compatible with the determined high Ti-in-zircon temperature (930°C for rhyolite) and apatite saturation temperature (900°C for rhyolite). Furthermore, Zr/Hf ratios, which are also similar for granite and rhyolite (39-42 for whole-rock and 54-57 for zircon), together with other characteristic ratios (such as Rb/Sr, K/Ba, K/Rb) point to both crustal and mantle contribution to the granitic melt.Cretaceous and Miocene ages were suggested for the formation of the Rupnica rhyolite. The ages obtained in this study on zircon using LA-ICP-MS (determined from 206Pb/238U) are 83.8±1.7 Ma for the rhyolite and 85.7±1.7 Ma (SEM) for the Mt. Požeška Gora granite. Thus, we think that regional Late Cretaceous events, which led to the closure of the western Neotethys branch, produced deep-seated magmas that ascended along a zone between the European and Adria plates.Support by the Croatian Science Foundation (IP-2014-09-9541) is acknowledged. [ABSTRACT FROM AUTHOR]

The use of fluctuating asymmetry (FA) as a measure of developmental instability and its relationship to stress and fitness is highly controversial. We examined whether the selection of different FA indices and traits influences the results of FA analysis. We chose four meristic traits and three FA indices (two single-trait and two multiple-trait indices) to assess FA levels in the common wall lizard (Podarcis muralis) from three different habitat types (urban, suburban and natural). Urbanization has already been linked to developmental instability in P. muralis. We therefore expected to detect different FA levels among the habitats. However, we also wanted to see whether we obtained the same patterns using different indices and traits. Our results showed that different traits can yield different FA patterns between habitats. The only statistically significant difference between habitats was detected for the FA2 index in femoral pores. The highest level of FA was detected in the urban population, while the lowest level was in the natural population. It is clear that caution must be exerted when deciding on which traits and indices are to be used for FA analysis. [ABSTRACT FROM AUTHOR]

Cholecystocolic fistula (CCF) is a rare and late complication of gallbladder disease. The cause of CCF is known to be peptic ulcer, gallbladder disease, malignant tumor, trauma, and postoperative complications. The proper treatment method is to perform cholecystectomy and to identify and alleviate the CCF. However, cholecystectomy is not always possible owing to technical difficulties and disease severity. CCF is difficult to diagnose preoperatively, and CCF operation without an accurate preoperative diagnosis can lead to a more complicated surgery and cause surgeons to face more difficult situations or to endanger patients’ lives. We report a case of asymptomatic CCF successfully treated with laparoscopic surgery after accurate diagnosis before surgery. [ABSTRACT FROM AUTHOR]

In this study, zeolite/activated carbon@MnO 2 composite was used as a novel adsorbent to eliminate methylene blue (MB) and brilliant blue (BB) dyes from aqueous media. To this end, activated carbon (AC) was produced by Ziziphus Spina-Christi leaves and then used to synthesize zeolite/AC@MnO 2 composite. Various analyses such as BET, SEM, EDX, Map, FTIR, and XRD were performed to determine the surface features of the above composite. BET analysis indicated that the aforementioned composite has a mesoporous structure. Also, the best conditions for the adsorption of MB and BB dyes were obtained at pH of 9 and 2, temperature of 25 °C, adsorbent dosage of 1 and 2 g/L, initial dye concentration of 10 mg/L, and contact time of 40 and 60 min, respectively. Under optimal conditions, the utmost removal efficiency of MB and BB dyes using the zeolite/AC@MnO 2 composite was 98.43% and 96.54%, respectively, indicating significant adsorption efficiencies. Moreover, the utmost adsorption capacity of MB and BB dyes was 67.56 and 66.22 mg/g, respectively. Furthermore, intraparticle and film diffusion mechanisms were very important in the adsorption process. Besides, thermodynamic and equilibrium studies indicated that the adsorption process is exothermic, physical, and spontaneous. Generally, the aforementioned composite has a significant adsorption capacity and can be a suitable adsorbent to eliminate cationic dyes from industrial effluents., (© 2022. The Author(s), under exclusive licence to Springer Nature Switzerland AG.)

The growing significance of the real estate market prompts investors to search for factors and variables which support cohesive analyses of real estate markets, market comparisons based on diverse criteria and determination of market potential. The specificity of the real estate market is determined by the unique attributes of property. The authors assumed that developing real estate market ratings identifies the types of information and factors which affect decision-making on real estate markets. The main objective of real estate market ratings is to create a universal and standardized classification system for evaluating the real estate market. One from the most important problem in this area is collection of appropriate features of real estate market and development dataset. The main problem involves the selection and application of appropriate features, which would be relevant to the specificity of information related to the real estate market and create a kind of coherent system aiding the decision-making process. The main aim of this study is to elaboration set of variables (knowledge platform) that were used to elaborate the real estate market ratings. The results lead to obtain the necessary set of features that constitute essential information which describes the situation on the local real estate market. [ABSTRACT FROM AUTHOR]

Introduction: Modern combined antiretroviral therapies (cART) allow to effectively suppress HIV-1 viral load, with the 90% virologic success rate, meeting the WHO target in most clinical settings. The aim of this study was to analyse antiretroviral treatment efficacy in Poland and to identify variables associated with virologic suppression. Methods: Cross-sectional data on 5152 (56.92% of the countrywide treated at the time-point of analysis) patients on cART for more than six months with at least one HIV-RNA measurement in 2016 were collected from 14 Polish centres. Patients' characteristics and treatment type-based outcomes were analysed for the virologic suppression thresholds of <50 and <200 HIV-RNA copies/ml. CART was categorized into two nucleos(t)ide (2NRTI) plus non-nucleoside reverse transcriptase (NNRTI) inhibitors, 2NRTI plus protease (PI) inhibitor, 2NRTI plus integrase (InI) inhibitor, nucleos(t)ide sparing PI/r+InI and three drug class regimens. For statistics Chi-square and U-Mann Whitney tests and adjusted multivariate logistic regression models were used. Results: Virologic suppression rates of <50 copies/mL were observed in 4672 (90.68%) and <200 copies/mL in 4934 (95.77%) individuals. In univariate analyses, for the suppression threshold <50 copies/mL higher efficacy was noted for 2NRTI+NNRTIbased combinations (94.73%) compared to 2NRTI+PI (89.93%), 2NRTI+InI (90.61%), nucleos(t)ide sparing PI/r+InI (82.02%) and three drug class regimens (74.49%) (p < 0.0001), with less pronounced but significant differences for the threshold of 200 copies/mL [2NRTI+NNRTI-97.61%, 2NRTI+PI-95.27%, 2NRTI+InI-96.61%, PI/r+InI- 95.51% and 86.22% for three drug class cART) (p < 0.0001). However, in multivariate model, virologic efficacy for viral load <50 copies/mL was similar across treatment groups with significant influence by history of AIDS [OR:1.48 (95%CI:1.01-2.17) if AIDS diagnosed, p = 0.046], viral load < 5 log copies/mL at care entry [OR:1.47 (95%CI:1.08-2.01), p = 0.016], baseline lymphocyte CD4 count =200 cells/µL [OR:1.72 (95%CI:1.04-2.78), p = 0.034] and negative HCV serology [OR:1.97 (95%CI:1.29-2.94), p = 0.002]. For viral load threshold <200 copies/mL higher likelihood of virologic success was only associated with baseline lymphocyte CD4 count =200 cells/µL [OR:2.08 (95%CI:1.01-4.35), p = 0.049] and negative HCV status [OR:2.84 (95%CI:1.52-5.26), p = 0.001]. Conclusions: Proportion of virologically suppressed patients is in line with WHO treatment target confirming successful application of antiretroviral treatment strategy in Poland. Virological suppression rates depend on baseline patient characteristics, which should guide individualized antiretroviral tre0atment decisions. [ABSTRACT FROM AUTHOR]

Zbog specifičnosti sporta i težinskih kategorija rvači se odlikuju i specifičnim morfološkim karakteristikama. Sa razvojem novih tehnologija mjerenja stvaraju se i nove mogućnosti za usavršavanje načina dobijanja novih informacija značajnih za sistem sporta. Jedna od novih tehnologija, koja se primenjuje u prostoru mjerenja strukture tjelesnog sastava je metod bioimpedance, a najnovije generacije koriste varijantu multikanalne bioelektrične bioimpedance. Cilj ovog rada je da definiše morfološki model vrhunskih rvača seniorskog uzrasta, primjenom tehnološki najnovije metode, čime će se izvršiti revalidacija postojećih saznanja o datom prostoru. Uzorak ispitanika je bio sastavljen od 22 ispitanika muškog pola, rvača iz discipline grčko-rimski, takmičara vrhunskog seniorskog nivoa iz četiri zemlje: Srbija (n = 10), Hrvatska (n = 9), Crna Gora (n = 2) i Grčka (n = 1). Mjerenje tjelesnog sastava je izvršeno metodom multikanalne bioelektrične impedance pomoću profesionalnog aparata najnovije generacije - InBody 720 Tetrapolar 8-Point Tactile Electrode System (Biospace, Co., Ltd). Najvažniji rezultat ovog istraživanja je definisanje generičkog (opšteg) četvorodimenzionalnog modela (4D model) sastava tijela u funkciji kvalitetnih rvača međunarodne klase koji ima sljedeće karakteristike (u odnosu na prosječnu tjelesnu masu rvača iz uzorka – 81,95 kg): sadržaj vode iznosi 55,08 L ili 67,24%, količina proteina iznosi 15,00 kg ili 18,33 %, masa minerala iznosi 4,98 kg ili 5,97% i masa masti iznosi 6,99 kg ili 8,49%.

Alluvial stream-bank gravel bars are one of the most interesting types of habitat in montane regions. The flora of two streams representative of Eastern and Western Carpathians were analysed. Both valleys are similar in respect to geomorphological shape, length and the influence of anthropopressure, but different in respect to vegetation adjacent to stream-bed and flora richness. Both streams were divided into three sections. Ecological differentiation of analysed gravel flora in both stream valleys was expressed by the share of elements of different syntaxa (and EUNIS types of habitat) and in the other hand by species characterised with selected ecological indices (pH, humidity, trophism and soil dispersal). This paper is focused on proving that heterogeneity of gravel bars as habitat which is caused by frequent submergences makes the close coexistence of plants with extremely different habitat requirements possible. The results showed that the flora of gravel bars of both streams in spite of their floristic differences and regardless of floristic richness represents almost entire ecological spectrum. [ABSTRACT FROM AUTHOR]

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