Search

The Tor network is known for its opaque characteristics and involvement in illicit activities, motivating to shed light on the exposure, lifetime, and functionalities of onion services. This study focuses on the appearance of Tor links in online advertising and monitors the connectivity status and protocols of the collected onion domains through the Tor network over 105 days. Out of 54,602 onion addresses gathered, it was found that 38% of Tor links were advertised only once, 43% between two and five times, and 19% more than five times. Furthermore, 50% of the addresses were exclusively advertised on the surface web, 6% on the dark web, and 44% on both portions. The temporal analysis revealed that 67% of the addresses were predominantly active, 7% were intermittent, and 26% were mostly inactive. The study examined fifteen protocols used by onion services, concluding that 94% employed a single protocol, while 6% utilized between two and eight protocols. Among active sites, HTTP was present in 99.75% of cases, followed by SSH (4.95%) and HTTPS (0.64%). Additionally, onion services without web services often deploy cryptocurrency or instant messaging servers. This study offers a comprehensive and current understanding of the dark web, surpassing previous research in its scope. [ABSTRACT FROM AUTHOR]

Mountainous regions are biodiversity hotspots with a high rate of endemism. However, these areas are witnessing accelerated warming, that threaten biodiversity and potentially causes habitat shrinkage for many species. Our study focuses on one such species, Andesiops peruvianus, a native mayfly of the mountains regions of South America. Our objectives were to analyze the genetic diversity of the 16 S gene in several populations, to assess their climate niche and potential distribution under future climate change scenarios. For genetic analysis samples were collected and sequenced from different sites across the South America (Argentina, Bolivia, Ecuador, and Colombia) and combine with the GenBank database. We identified 17 unique haplotypes based on 16 S gene, grouping them into two mains lineages: northern (Colombia and Ecuador) and southern (Bolivia and Argentina). Niche analysis showed a significant divergence between the northern and the southern lineages, suggesting distinct ecological niches. As future climatic changes were examined, both groups were observed to potentially lose about half of their suitable habitats. Habitat loss is the greatest at lower altitudes, but with some gain at higher altitudes. Isothermality and Annual Mean Temperature played a crucial role in defining habitats suitable for A. peruvianus. These features, coupled with their low thermal tolerance, might render the species particularly vulnerable to the impacts of climate change. Implications for insect conservation: This study highlights the need for targeted conservation strategies that protect and restore habitats along the altitudinal gradient to facilitate gene flow and enhance the resilience of A. peruvianus and other species to climate change. [ABSTRACT FROM AUTHOR]

Induced pluripotent stem cell (iPSC)-derived mesenchymal stromal cells (iMSCs) offer a promising alternative to primary mesenchymal stromal cells (MSCs) and their derivatives, particularly extracellular vesicles (EVs), for use in advanced therapy medicinal products. In this study we evaluated the immunomodulatory and regenerative potential of iMSCs as well as iMSC-EVs, alongside primary human umbilical cord-derived mesenchymal stromal cells (hUCMSCs). Our findings demonstrate that iMSCs exhibit comparable abilities to hUCMSCs in regulating lymphocyte proliferation and inducing an anti-inflammatory phenotype in monocytes. We also observed decreased TNFα levels and increased IL-10 induction, indicating a potential mechanism for their immunomodulatory effects. Furthermore, iMSC-EVs also showed effective immunomodulation by inhibiting T cell proliferation and inducing macrophage polarization similar to their parental cells. Additionally, iMSC-EVs exhibited pro-regenerative potential akin to hUCMSC-EVs in in vitro scratch assays. Notably, priming iMSCs with pro-inflammatory cytokines significantly enhanced the immunomodulatory potential of iMSC-EVs. These results underscore the considerable promise of iMSCs and iMSCs-EVs as an alternate source for MSC-derived therapeutics, given their potent immunomodulatory and regenerative properties. [ABSTRACT FROM AUTHOR]

The pacarana (Dinomys branickii) is among the rarest of mammals under human care, with few research about the species health. This study is aimed at describing for the first time values for pacaranas under human care for commonly used hematologic and blood chemistry parameters. After the physical restraint, animals were anesthetized with a combination of dexmedetomidine, midazolam, and butorphanol for preventive medical exams. Based on phylogenetic and morphological proximity, the data from the present study were compared with data from a worldwide zoological databank, Zoological Information Management System (ZIMS) for chinchillas (Chinchilla lanigera), prehensile-tailed porcupines (Coendou prehensilis), and capybaras (Hydrochoerus hydrochaeris). For most of the hematological and biochemical values, pacaranas were similar to the data reported to prehensile-tailed porcupines. This information will be valuable for future initiatives to assess the health of individuals arriving in rehabilitation centers and kept in zoological institutions. [ABSTRACT FROM AUTHOR]

The risk of the use of toxic chemicals for unlawful acts has been a matter of concern for different governments and multilateral agencies. The Organisation for the Prohibition of Chemical Weapons (OPCW), which oversees the implementation of the Chemical Weapons Convention (CWC), considering recent events employing chemical warfare agents as means of assassination, has recently included in the CWC "Annex on Chemicals" some organophosphorus compounds that are regarded as acting in a similar fashion to the classical G- and V-series of nerve agents, inhibiting the pivotal enzyme acetylcholinesterase. Therefore, knowledge of the activity of the pyridinium oximes, the sole class of clinically available acetylcholinesterase reactivators to date, is plainly justified. In this paper, continuing our research efforts in medicinal chemistry on this class of toxic chemicals, we synthesized an A-230 nerve agent surrogate and applied a modified Ellman's assay to evaluate its ability to inhibit our enzymatic model, acetylcholinesterase from Electrophorus eel, and if the clinically available antidotes are able to rescue the enzyme activity for the purpose of relating the findings to the previously disclosed in silico data for the authentic nerve agent and other studies with similar A-series surrogates. Our experimental data indicates that pralidoxime is the most efficient compound for reactivating acetylcholinesterase inhibited by A-230 surrogate, which is the opposite of the in silico data previously disclosed. [ABSTRACT FROM AUTHOR]

High-order harmonic generation (HHG) has become an indispensable process for generating attosecond pulse trains and single attosecond pulses used in the observation of nuclear and electronic motion. As such, improved control of the HHG process is desirable, and one such possibility for this control is through the use of structured laser pulses. We present numerical results from solving the one-dimensional time-dependent Schrödinger equation for HHG from hydrogen using Airy and Gaussian pulses that differ only in their spectral phase. Airy pulses have identical power spectra to Gaussian pulses, but different spectral phases and temporal envelopes. We show that the use of Airy pulses results in less ground state depletion compared to the Gaussian pulse, while maintaining harmonic yield and cutoff. Our results demonstrate that Airy pulses with higher intensity can produce similar HHG spectra to lower intensity Gaussian pulses without depleting the ground state. The different temporal envelopes of the Gaussian and Airy pulses lead to changes in the dynamics of the HHG process, altering the time-dependence of the ground state population and the emission times of the high harmonics. [ABSTRACT FROM AUTHOR]

D-dimer levels significantly increase with declining renal function and hence, renal function-adjusted D-dimer cutoffs to rule out pulmonary embolism were suggested. Aim of this study was to "post hoc" validate previously defined renal function-adjusted D-dimer levels to safely rule out pulmonary embolism in patients presenting to the emergency department. In this retrospective, observational analysis, all patients with low to intermediate pre-test probability receiving D-dimer measurement and computed tomography angiography (CTA) to rule out pulmonary embolism between January 2017 and December 2020 were included. Previously defined renal function-adjusted D-dimer cutoffs (1306 µg/l for moderate and 1663 µg/l for severe renal function impairment) were applied to determine sensitivity, specificity, negative and positive predictive values. One thousand, three hundred sixty-nine patients were included of which 229 (17%) were diagnosed with pulmonary embolism. The estimated glomerular filtration rate (eGFR) was ≥ 60 ml/min in 1079 (79%), 30–59 ml/min in 266 (19%) and < 30 ml/min in 24 (2%) patients. Only three patients (1.1%) with an eGFR < 60 ml/min had a D-dimer level < 500 µg/l. There was a significant correlation between D-dimer and eGFR (R = − 0.159, p < 0.001). Calculated on the standard D-dimer cutoff value of 500 µg/l, sensitivity of D-dimer testing was 97% for patients with an eGFR ≥ 60 ml/min and 100% for those with 30–60 ml/min, while specificity decreased in patients with renal function impairment. A negative predictive value of 0.99 as a premise to safely rule out pulmonary embolism was achieved by applying a D-dimer cutoff of 1480 µg/l for eGFR 30–59 ml/min and 1351 µg/l for eGFR < 30 ml/min. The findings of this study underline that application of renal function-adapted D-dimer levels in combination with a clinical prediction rule appears feasible to rule out pulmonary embolism. Out of the current dataset, renal function-adjusted D-dimer cutoffs to rule out pulmonary embolism were slightly different compared to previously defined cutoffs. Further studies on a larger scale are needed to validate possible renal function-adjusted D-dimer cutoffs. [ABSTRACT FROM AUTHOR]

In this article, the synthesis of graphene oxide from coal or coke and a composite graphene oxide-geopolymer were carried out to produce adsorbents applied to Ciprofloxacin (CIP) removal from water in a laboratory scale. The characterization analyzes of the adsorbent were performed by Thermogravimetric Analysis (TGA), Zeta Potential (ZP), Particle Size Distribution (PSD), X-ray Diffraction (XRD), Fourier Transform Infrared Spectroscopy (FTIR), Field Emission Gun Scanning Electron Microscopy (FEG/EDS), and RAMAN spectroscopy. Multilayer graphene oxide was identified after coal or coke thermal treatment and ultrasound exfoliation followed by ozone oxidation of the solid surface. A composite produced using phosphate mining residues and graphene oxide incorporation (22 wt%) showed the highest adsorption capacity. Affinity tests showed removal rates for CIP ranging from 15% to 55%. Kinetic studies indicated that the equilibrium time varied between 100 min and 120 min for three different initial CIP concentrations. With regard to the kinetic study, the pseudo-first order model better described the kinetics at the concentration of 0.05 mmol L-1, while the pseudo-second order model better described the kinetics at concentrations of 0.1 mmol L-1 and 0.2 mmol L-1. The studies on adsorption equilibrium showed that the Langmuir model provided the most accurate fit to the experimental data. The maximum adsorption capacity was found at 45 °C and it was of 0.24 mmol g-1. The possible mechanisms of adsorption are related to electrostatic interactions and covalent bonds. [ABSTRACT FROM AUTHOR]

Background: Chitinase (Chi) is a pathogenesis-related protein, also reported to play an important role in plant responses to abiotic stress. However, its role in response to abiotic stress in barley is still unclear. Results: In this study, a total of 61 Chi gene family members were identified from the whole genome of wild barley EC_S1. Phylogenetic analysis suggested that these family genes were divided into five groups. Among these genes, four pairs of collinearity genes were discovered. Besides, abundant cis-regulatory elements, including drought response element and abscisic acid response element were identified in the promoter regions of HvChi gene family members. The expression profiles revealed that most HvChi family members were significantly up-regulated under drought stress, which was also validated by RT-qPCR measurements. To further explore the role of Chi under drought stress, HvChi22 was overexpressed in Arabidopsis. Compared to wild-type plants, overexpression of HvChi22 enhanced drought tolerance by increasing the activity of oxidative protective enzymes, which caused less MDA accumulation. Conclusion: Our study improved the understanding of the Chi gene family under drought stress in barley, and provided a theoretical basis for crop improvement strategies to address the challenges posed by changing environmental conditions. [ABSTRACT FROM AUTHOR]

Context: Urbanization is rapidly increasing worldwide, with about 60% of the global population currently residing in cities and expected to reach 68% by 2050. In Latin America's tropical Andes region, managing these changes poses challenges, including biodiversity loss and vulnerability to climate change. Objectives: This study assesses urban growth and agricultural intensification impacts on the ecological functionality of metropolitan green infrastructures and their capacity to provide ecosystem services using a landscape sustainability and sociometabolic approach. Specifically, it aims to identify landscape configurations promoting socio-ecological sustainability amidst rapid urbanization. Methods: A landscape-metabolic model (IDC) was applied to evaluate the interactions between land use changes and ecosystem functions in the metropolitan region of Cali. Results: Agricultural intensification and industrialization, coupled with uncontrolled urban growth, have significantly transformed the landscape, posing threats to its sustainability. The prevailing biocultural landscapes hold a substantial potential to provide essential ecosystem services to the metropolis. The IDC offers an approach that utilizes a land cover map and agricultural production/metabolism data to calculate an indicator closely related to ecosystem services and multifunctionality. Conclusions: The IDC model stands out for efficiently capturing landscape dynamics, providing insights into landscape configuration and social metabolism without extensive resource requirements. This research highlights the importance of adopting a landscape-metabolic and green infrastructure framework to guide territorial policies in the tropical Andes and similar regions. It stresses the need for informed land use planning to address challenges and leverage opportunities presented by biocultural landscapes for regional sustainability amidst rapid urbanization and agricultural expansion. [ABSTRACT FROM AUTHOR]

Several catastrophic building collapses1–5 occur because of the propagation of local-initial failures6,7. Current design methods attempt to completely prevent collapse after initial failures by improving connectivity between building components. These measures ensure that the loads supported by the failed components are redistributed to the rest of the structural system8,9. However, increased connectivity can contribute to collapsing elements pulling down parts of a building that would otherwise be unaffected10. This risk is particularly important when large initial failures occur, as tends to be the case in the most disastrous collapses6. Here we present an original design approach to arrest collapse propagation after major initial failures. When a collapse initiates, the approach ensures that specific elements fail before the failure of the most critical components for global stability. The structural system thus separates into different parts and isolates collapse when its propagation would otherwise be inevitable. The effectiveness of the approach is proved through unique experimental tests on a purposely built full-scale building. We also demonstrate that large initial failures would lead to total collapse of the test building if increased connectivity was implemented as recommended by present guidelines. Our proposed approach enables incorporating a last line of defence for more resilient buildings.A design approach arrests collapse propagation in buildings after major initial failures by ensuring that specific elements fail before the failure of the most important components for global stability. [ABSTRACT FROM AUTHOR]

The World Health Organization (WHO) has established as a criterion of parasitological quality for irrigation water, ≤ 1 helminth egg/liter, which guarantees the safety in agricultural products. In this study, the presence of parasites in surface water used for irrigation of crops (n = 96) and vegetables (celery and lettuce) (n = 120), from the Former La Ramada irrigation district, was evaluated using conventional and molecular parasitological methods. Our findings showed contamination of irrigation systems in the study area with domestic wastewater, demonstrated by the presence of Ancylostomatidae eggs, Ascaris spp., Hymenolepis spp., Trichuris spp., Capillaria spp., Giardia spp. cysts, and oocysts of Toxoplasma gondii and Cryptosporidium spp. A prevalence of 33% and 23.3% was calculated for helminths and protozoa, respectively in vegetables, representing a possible risk to human and animal health in relation to these parasites. These findings show the need for continuous monitoring of the water quality used for crop irrigation, as well as the safety of food, taking into account the values established in national and international regulations. [ABSTRACT FROM AUTHOR]

A new set of tools to measure the time stationarity, shape and ordinal ranking bias of Revealed Comparative Advantage (RCA) indexes is suggested. The aim is to help select the most consistent RCA index for a given set of countries, products and time periods, which is especially relevant for economic policy based on comparative advantages. The GMM estimation of an AR(1) process based on RCA indexes provides three measures of time stationarity that are more rational than the measures available in the literature. Furthermore, we revise the statistics that are commonly used to capture shape. Finally, with respect to ordinal ranking bias, we modify the use of Spearman's rank correlation coefficient in Leromain and Orefice (Int Econ 139:48–70, 2014) and generalize the non-parametric measure of Stellian and Danna-Buitrago (J Appl Econ 22(1):349–379, 2019). We discuss different methods of ranking RCA indexes according to all proposed measures. An application to 33 RCA indexes, 67 trade areas and three product classifications shows that, on average, the most accurate RCA indexes are Contribution-to-the-Trade-Balance indexes, Revealed Competitiveness indexes and regression-based indexes. [ABSTRACT FROM AUTHOR]

Background: Patients undergoing cardiac surgery are exposed to many factors that activate catabolic and inflammatory pathways, which affect skeletal muscle and are, therefore, related to unfavorable hospital outcomes. Given the limited information on the behavior of muscle mass in critically ill patients, the objective of this study was to evaluate the impact on quantitative and qualitative measurements of quadriceps muscle mass using ultrasound after cardiac surgery. To accomplish this, a prospective, descriptive, and correlational study was conducted at a tertiary care hospital. Quadriceps muscle mass was evaluated via ultrasound in 31 adult patients in the postoperative period of cardiac surgery, with daily follow-up until postoperative day 7, as well as an assessment of associations with negative outcomes at 28 days. Results: A 16% reduction in the cross-sectional area of the rectus femoris was found (95% CI 4.2–3.5 cm2; p 0.002), as well as a 24% reduction in the pennation angle of the rectus femoris (95% CI 11.1–8.4 degrees; p: 0.025). However, changes in the thickness of the rectus femoris, vastus internus, vastus lateralis, the length of the fascicle of the vastus lateralis, the pennation angle of the vastus lateralis, the sarcopenia index, and the Hekmat score were not statistically significant. There was no significant association between quadriceps muscle mass measurements and Intensive Care Unit (ICU) length stay or 28-day mortality. Conclusions: Patients in the postoperative period of cardiac surgery evaluated by ultrasound exhibit both quantitative and qualitative changes in quadriceps muscle mass. A significant reduction in muscle mass is observed but this is not associated with unfavorable outcomes. [ABSTRACT FROM AUTHOR]

Invasive alien species are the second cause of biodiversity loss worldwide and imply huge economic costs related to their impact on ecosystems, production systems, and human health. Quantifying these losses is a complex task, but it becomes essential to evaluate the problem and support measures to prevent and control biological invasions. In the last 6 years, Rugulopteryx okamurae has invaded a large part of the rocky bottoms of the coasts of the Strait of Gibraltar. Moreover, it has meant significant losses for the economic activities that take place along the Andalusian coast. Using a mixed-method approach, this work estimated the costs associated with the presence of Rugulopteryx okamurae in the municipality of Tarifa, Spain, in a minimum annual loss of more than three million euros, concentrated mainly in the fishing sector and public administration. These results buttress the relevance of prevention, early detection, and prompt action measures to soften the economic impact of future biological invasion processes in the marine-coastal environment. [ABSTRACT FROM AUTHOR]

Temperature is a key factor that shapes the distribution of organisms. Having knowledge about how species respond to temperature is relevant to devise strategies for addressing the impacts of climate change. Aquatic insects are particularly vulnerable to climate change, yet there is still much to learn about their ecology and distribution. In the Yungas ecoregion of Northwestern Argentina, cold- and warm-adapted species of the orders Ephemeroptera, Plecoptera, and Trichoptera (EPT) are segregated by elevation. We modeled the ecological niche of South American EPT species in this region using available data and projected their potential distribution in geographic space. Species were grouped based on their ecogeographic similarity, and we analyzed their replacement pattern along elevation gradients, focusing on the ecotone where opposing thermal preferences converge. Along this interface, we identified critical points where the combined incidence of cold and warm assemblages maximizes, indicating a significant transition zone. We found that the Montane Cloud Forest holds the interface, with a particularly greater suitability at its lower boundary. The main axis of the interface runs in a N-S direction and falls between 14°C–16°C mean annual isotherms. The probability of a particular location within a basin being classified as part of the interface increases as Kira's warmth index approaches a score around 150. Understanding the interface is critical for defining the thermal limits of species distribution and designing biomonitoring programs. Changes in the location of thermal constants related to mountainous ecotones may cause vertical displacement of aquatic insects and vegetation communities. We have recognized significant temperature thresholds that serve as indicators of suitability for the interface. As global warming is anticipated to shift these indicators, we suggest using them to monitor the imprints of climate change on mountain ecosystems. [ABSTRACT FROM AUTHOR]

Hundreds of millions of people cross deficient bridges each day. With damage to these structures likely to intensify because of climate change and ageing, technicians and policymakers must act to make them safer. [ABSTRACT FROM AUTHOR]

We prove that for any and the maximum size of an induced subtree of the binomial random graph is concentrated asymptotically almost surely at two consecutive points. [ABSTRACT FROM AUTHOR]

Fructosyl peptide oxidases (FPOX) are deglycating enzymes that find application as key enzymatic components in diabetes monitoring devices. Indeed, their use with blood samples can provide a measurement of the concentration of glycated hemoglobin and glycated albumin, two well-known diabetes markers. However, the FPOX currently employed in enzymatic assays cannot directly detect whole glycated proteins, making it necessary to perform a preliminary proteolytic treatment of the target protein to generate small glycated peptides that can act as viable substrates for the enzyme. This is a costly and time consuming step. In this work, we used an in silico protein engineering approach to enhance the overall thermal stability of the enzyme and to improve its catalytic activity toward large substrates. The final design shows a marked improvement in thermal stability relative to the wild type enzyme, a distinct widening of its access tunnel and significant enzymatic activity towards a range of glycated substrates. [ABSTRACT FROM AUTHOR]

Historically, the use of ultrasound (US) in the management of peripheral nervous system (PNS) pathology has been limited to diagnostic confirmation or guidance for interventional injections. This technical case series will demonstrate the utility and versatility of preoperative US-guided needle localization for the excision of lower extremity neuromas and other pathology of the PNS. Five patients with symptomatic lower extremity PNS tumors were retrospectively reviewed. This case series corroborates the technical nuances of localizing lower extremity neuromas by US-guided needle and wire placement prior to operative excision. This was achieved by a multidisciplinary team that included plastic surgery, neurosurgery, and radiology. Five patients had US-guided needle localization of a lower extremity PNS target prior to operative intervention. Three patients had lower extremity neuromas of varying origins, including the lateral femoral cutaneous nerve (LFCN), saphenous nerve, and sural nerve. The remaining two patients had a sciatic nerve sheath Schwannoma and a femoral nerve glomus tumor. Under sonographic visualization, a needle was advanced to the target perimeter and withdrawn, leaving behind a percutaneous guidewire. This technique simplified the marking of the nerve course prior to dissection and led to efficient intraoperative identification of all five PNS tumors without any complications. Preoperative US-guided needle localization led to safe, accurate, and efficient perioperative and intraoperative identification of neuromas and other PNS tumors of the lower extremity prior to excision. By reducing the challenges of nerve identification in a scarred tissue bed, this multidisciplinary approach may decrease postoperative patient morbidity. [ABSTRACT FROM AUTHOR]

Background: Hispanic/Latinx (H/L) patients with cancer treated with stem cell transplant are vulnerable to adverse outcomes, including higher mortality. This study explored their unmet transplant needs, barriers, and facilitators. Methods: Eighteen English- or Spanish-speaking H/L patients (M age = 59.2) who had a transplant in the past year were interviewed about their transplant experience and rated their interest in receiving information about transplant topics (0 = not at all to 10 = extremely). Results: Content analysis revealed five main themes: (1) pre-transplant barriers and concerns; (2) complex relationships with medical teams; (3) informational mismatch; (4) impacts on daily life after transplant; and (5) methods of coping. Participants were most interested in information about ways of coping with transplant (M = 9.11, SD = 1.45) and words of hope and encouragement (M = 9.05, SD = 1.80). At just above the scale's midpoint, they were least interested in information about side effects and unintended consequences of transplant (M = 5.61, SD = 3.85). Conclusions: Cultural factors, social determinants, and structural inequalities give rise to unique needs in this growing patient population. Healthcare team members and researchers can better meet the needs of H/L transplant recipients through attention to described considerations, such as financial barriers, communication difficulties, family dynamics, and coping styles. [ABSTRACT FROM AUTHOR]

Microplastics have now been identified as a class of emerging pollutants and is considered as a threat to aquatic organisms. This baseline paper investigated the distribution, composition, and potential ecological risks of microplastic (MP) pollution on St. Mary's Island, revealing an average abundance of 0.218 particles/L in water samples. Blue fibres and white foams were the primary MPs identified, and fishing activities and packaging were the main sources of pollution. Six types of polymers were identified: low-density polyethylene (LDPE), polystyrene (PS), polyamide (PA), polypropylene (PP), polyethylene (PE), and high-density polyethylene (HDPE). The Polymer Hazard Index (PHI) and Potential Ecological Risk Index (PERI) indicated a medium environmental risk for the island. Additionally, it was discovered that MPs' surfaces contained dangerous substances that could endanger aquatic life. The research emphasizes the significance of implementing measures such as responsible disposal, management, elimination, regulatory policies, and local administration techniques to mitigate the impact of MP pollution on the island's shores and marine biota. This research provides a baseline for monitoring MP contamination and underscores the need for continuous investigation to assess their impacts on marine life. [ABSTRACT FROM AUTHOR]

Histone post-translational modifications promote a chromatin environment that controls transcription, DNA replication and repair, but surprisingly few phosphorylations have been documented. We report the discovery of histone H3 serine-57 phosphorylation (H3S57ph) and show that it is implicated in different DNA repair pathways from fungi to vertebrates. We identified CHK1 as a major human H3S57 kinase, and disrupting or constitutively mimicking H3S57ph had opposing effects on rate of recovery from replication stress, 53BP1 chromatin binding, and dependency on RAD52. In fission yeast, mutation of all H3 alleles to S57A abrogated DNA repair by both non-homologous end-joining and homologous recombination, while cells with phospho-mimicking S57D alleles were partly compromised for both repair pathways, presented aberrant Rad52 foci and were strongly sensitised to replication stress. Mechanistically, H3S57ph loosens DNA-histone contacts, increasing nucleosome mobility, and interacts with H3K56. Our results suggest that dynamic phosphorylation of H3S57 is required for DNA repair and recovery from replication stress, opening avenues for investigating the role of this modification in other DNA-related processes. Histone post-translational modifications control several fundamental processes on DNA. Here, the authors describe a conserved phosphorylation of histone H3 on the globular core and show that it loosens the nucleosome and regulates DNA repair. [ABSTRACT FROM AUTHOR]

Introduction: Glioblastoma (GBM) is an aggressive primary brain cancer. Lack of effective therapy is related to its highly invasive nature. GBM invasion has been studied with reductionist systems that do not fully recapitulate the cytoarchitecture of the brain. We describe a human-derived brain organotypic model to study the migratory properties of GBM IDH-wild type ex vivo. Methods: Non-tumor brain samples were obtained from patients undergoing surgery (n = 7). Organotypic brain slices were prepared, and green fluorescent protein (GFP)-labeled primary human GBM IDH-wild type cells (GBM276, GBM612, GBM965) were placed on the organotypic slice. Migration was evaluated via microscopy and immunohistochemistry. Results: After placement, cells migrated towards blood vessels; initially migrating with limited directionality, sending processes in different directions, and increasing their speed upon contact with the vessel. Once merged, migration speed decreased and continued to decrease with time (p < 0.001). After perivascular localization, migration is limited along the blood vessels in both directions. The percentage of cells that contact blood vessels and then continue to migrate along the vessel was 92.5% (− 3.9/ + 2.9)% while the percentage of cells that migrate along the blood vessel and leave was 7.5% (− 2.9/ + 3.9) (95% CI, Clopper-Pearson (exact); n = 256 cells from six organotypic cultures); these percentages are significantly different from the random (50%) null hypothesis (z = 13.6; p < 10–7). Further, cells increase their speed in response to a decrease in oxygen tension from atmospheric normoxia (20% O2) to anoxia (1% O2) (p = 0.033). Conclusion: Human organotypic models can accurately study cell migration ex vivo. GBM IDH-wild type cells migrate toward the perivascular space in blood vessels and their migratory parameters change once they contact vascular structures and under hypoxic conditions. This model allows the evaluation of GBM invasion, considering the human brain microenvironment when cells are removed from their native niche after surgery. [ABSTRACT FROM AUTHOR]

Background: An institutional management protocol for patients with subarachnoid hemorrhage (SAH) based on initial cardiac assessment, permissiveness of negative fluid balances, and use of a continuous albumin infusion as the main fluid therapy for the first 5 days of the intensive care unit (ICU) stay was implemented at our hospital in 2014. It aimed at achieving and maintaining euvolemia and hemodynamic stability to prevent ischemic events and complications in the ICU by reducing periods of hypovolemia or hemodynamic instability. This study aimed at assessing the effect of the implemented management protocol on the incidence of delayed cerebral ischemia (DCI), mortality, and other relevant outcomes in patients with SAH during ICU stay. Methods: We conducted a quasi-experimental study with historical controls based on electronic medical records of adults with SAH admitted to the ICU at a tertiary care university hospital in Cali, Colombia. The patients treated between 2011 and 2014 were the control group, and those treated between 2014 and 2018 were the intervention group. We collected baseline clinical characteristics, cointerventions, occurrence of DCI, vital status after 6 months, neurological status after 6 months, hydroelectrolytic imbalances, and other SAH complication. Multivariable and sensitivity analyses that controlled for confounding and considered the presence of competing risks were used to adequately estimate the effects of the management protocol. The study was approved by our institutional ethics review board before study start. Results: One hundred eighty-nine patients were included for analysis. The management protocol was associated with a reduced incidence of DCI (hazard ratio 0.52 [95% confidence interval 0.33–0.83] from multivariable subdistribution hazards model) and hyponatremia (relative risk 0.55 [95% confidence interval 0.37–0.80]). The management protocol was not associated with higher hospital or long-term mortality, nor with a higher occurrence of other unfavorable outcomes (pulmonary edema, rebleeding, hydrocephalus, hypernatremia, pneumonia). The intervention group also had lower daily and cumulative administered fluids compared with historic controls (p < 0.0001). Conclusions: A management protocol based on hemodynamically oriented fluid therapy in combination with a continuous albumin infusion as the main fluid during the first 5 days of the ICU stay appears beneficial for patients with SAH because it was associated with reduced incidence of DCI and hyponatremia. Proposed mechanisms include improved hemodynamic stability that allows euvolemia and reduces the risk of ischemia, among others. [ABSTRACT FROM AUTHOR]

Helioseismic holography applied to HMI observations of a sunquake associated with the SOL20140207T10:29M1.9 flare hosted by NOAA AR11968 shows the signature of a compact submerged acoustic source. In the 9 – 11-mHz bandpass, this source appears to be at a depth of 2 Mm. This is nearly double the depth of the highly impulsive acoustic transient, referred to as an ultra-impulsive transient source recently found in the SOL20110730T02:09M9.3 flare, emerging from NOAA AR11261 in 2011. The latter source was compound, having multiple surface components overlaying a single submerged component. Many of the sources observed have evidence of being constituted of multiple components, some of which are staggered in depth. The helioseismic source of the flare of 2014-02-07 is distinguished by the apparent absence of a strong shallow compact overlying source component matching the character of those apparent in the flare of 2011-07-30. This suggests that the volume several Mm beneath active-region photospheres could possibly harbor many more ultra-impulsive transient acoustic sources than the rarities that have so far appeared in familiar surface-focal-plane diagnostics. Based on weak surface signatures that appear in place of the strong ones, we find a temporal delay between weak surface and strong submerged sources similar to that found between surface-and-submerged sources in the flare of 2011-07-30. While it remains highly speculative based on the limited statistics we have at this point, this temporal delay supports a model in which the submerged source is perturbed by some presently invisible triggering disturbance that propagates downward from the flaring outer atmosphere at ∼ 5 km s−1. This is slower than the sound speed anywhere in the 0 – 2-Mm depth range. However, this potentially could be an Alfvèn speed if submerged magnetic flux densities along which the trigger propagates are as high as possible. The standard local-helioseismic diagnostics we have used in the past have been heavily reinforced in this study by a powerful new control resource found in the recognition of temporal defocusing of compact transient sources. In particular, its tight relationship to the standard spatial defocusing upon which helioseismic holography has capitalized from its early advent. [ABSTRACT FROM AUTHOR]

Cryptococcal meningitis (CM) remains a significant global health burden, especially for persons living with HIV. Despite effective antiretroviral and antifungal therapy, mortality rates are still approximately 70% in low- and middle-income countries and 20–30% in high-income countries. Central nervous system symptoms range from mild to severe, depending on burden of disease, and prompt and appropriate therapy is critical to reducing mortality. Treatment consists of three phases: induction, consolidation, and maintenance. Although treatment regimens have largely remained unchanged for decades, recent clinical trials have led the World Health Organization to update guidelines to reflect best practices in resource-limited settings. We review the clinical presentation, diagnosis, and standard therapy for CM, present a case with a challenging diagnostic and treatment course complicated by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic, and discuss the benefits of a new treatment dosing strategy highlighting potential advantages of adopting this novel dosing option in high-income countries. [ABSTRACT FROM AUTHOR]

The research concerns the geometric aspects of the style of carpentry developed during the Mudejar period (Spain, 12th -16th centuries) traditionally called carpintería de lo blanco, focusing in its characteristic wooden ceilings with lacework designs based on the 10-fold rosette, known as lefe. The unknown origins of the peculiar Mudejar approximation of the 36º angle are traced. [ABSTRACT FROM AUTHOR]

The majority of massive disk galaxies in the local Universe show a stellar barred structure in their central regions, including our Milky Way1,2. Bars are supposed to develop in dynamically cold stellar disks at low redshift, as the strong gas turbulence typical of disk galaxies at high redshift suppresses or delays bar formation3,4. Moreover, simulations predict bars to be almost absent beyond z = 1.5 in the progenitors of Milky Way-like galaxies5,6. Here we report observations of ceers-2112, a barred spiral galaxy at redshift zphot ≈ 3, which was already mature when the Universe was only 2 Gyr old. The stellar mass (M★ = 3.9 × 109 M⊙) and barred morphology mean that ceers-2112 can be considered a progenitor of the Milky Way7–9, in terms of both structure and mass-assembly history in the first 2 Gyr of the Universe, and was the closest in mass in the first 4 Gyr. We infer that baryons in galaxies could have already dominated over dark matter at z ≈ 3, that high-redshift bars could form in approximately 400 Myr and that dynamically cold stellar disks could have been in place by redshift z = 4–5 (more than 12 Gyrs ago)10,11.We report observations of ceers-2112 that show that this galaxy, at a redshift of 3, unexpectedly has a barred spiral structure. [ABSTRACT FROM AUTHOR]

The use of natural resources as an input to economic growth and the interactions between economic and ecological systems have resulted in an accumulation of environmental externalities. This accumulation can negatively affect future levels of welfare and economic growth. In this paper, such dynamics are assessed and quantified by introducing explicit environmental externality variables in a production function. This is performed in an endogenous growth model where cumulative environmental externalities interact with economic growth. Using efficiency analysis, a dynamic econometric model is estimated showing the significance of a negative influence of past levels of use of natural resources on GDP over a broad range of stochastic frontier analysis estimations. The results are applied to propose an alternative specification to the production function of a modelling tool used by the European Commission for the assessment of climate policies in the European Union. The findings show that observed GDP is overestimated when environmental externalities are not considered. [ABSTRACT FROM AUTHOR]

Oily sludge is a residue from the petroleum industry composed of a mixture of sand, water, metals, and high content of hydrocarbons (HCs). The heavy oily sludge used in this study originated from Colombian crude oil with high density and low American Petroleum Institute (API) gravity. The residual waste from heavy oil processing was subject to thermal and centrifugal extraction, resulting in heavy oily sludge with very high density and viscosity. Biodegradation of the total petroleum hydrocarbons (TPH) was tested in microcosms using several bioremediation approaches, including: biostimulation with bulking agents and nutrients, the surfactant Tween 80, and bioaugmentation. Select HC degrading bacteria were isolated based on their ability to grow and produce clear zones on different HCs. Degradation of TPH in the microcosms was monitored gravimetrically and with gas chromatography (GC). The TPH removal in all treatments ranged between 2 and 67%, regardless of the addition of microbial consortiums, amendments, or surfactants within the tested parameters. The results of this study demonstrated that bioremediation of heavy oily sludge presents greater challenges to achieve regulatory requirements. Additional physicochemical treatments analysis to remediate this recalcitrant material may be required to achieve a desirable degradation rate. [ABSTRACT FROM AUTHOR]

Background: Paracoccidioidomycosis is a systemic fungal infection that is potentially fatal, and the most prevalent of its kind in Latin America. The predisposition to infection appears to be related to abnormalities in cellular immunity, given its low prevalence in endemic regions. The role of myeloperoxidase deficiency has not been elucidated. Case presentation: We present a case of 48-year-old female patient with acute lymphoblastic leukemia, stem cell transplant candidate, who developed a fever with lymphadenopathy and lung nodules, consistent with paracoccidioidomycosis infection, in whom a myeloperoxidase deficiency was later discovered. The treatment of the hematologic malignancy had a good impact solving the enzymatic deficiency and antifungal therapy achieve controlling the infection. Conclusions: This case lays out the possible association between acute leukemia, an alteration in neutrophil function (needed to fight fungal infections) and an infection due to Paracoccidioides brasiliensis. [ABSTRACT FROM AUTHOR]

The emergence of COVID-19 as a global pandemic forced researchers worldwide in various disciplines to investigate and propose efficient strategies and/or technologies to prevent COVID-19 from further spreading. One of the main challenges to be overcome is the fast and efficient detection of COVID-19 using deep learning approaches and medical images such as Chest Computed Tomography (CT) and Chest X-ray images. In order to contribute to this challenge, a new dataset was collected in collaboration with "S.E.S Hospital Universitario de Caldas" (https://hospitaldecaldas.com/) from Colombia and organized following the Medical Imaging Data Structure (MIDS) format. The dataset contains 7,307 chest X-ray images divided into 3,077 and 4,230 COVID-19 positive and negative images. Images were subjected to a selection and anonymization process to allow the scientific community to use them freely. Finally, different convolutional neural networks were used to perform technical validation. This dataset contributes to the scientific community by tackling significant limitations regarding data quality and availability for the detection of COVID-19. Measurement(s) Radiologic Examination Technology Type(s) Artificial Intelligence Sample Characteristic - Location Colombia [ABSTRACT FROM AUTHOR]

Between June 2018 and April 2019, a sampling campaign was carried out to collect PM2.5, monitoring meteorological parameters and anthropogenic events in the Sartenejas Valley, Venezuela. We develop a logistic model for PM2.5 exceedances (≥ 12.5 µg m−3). Source appointment was done using elemental composition and morphology of PM by scanning electron microscopy coupled with energy dispersive spectroscopy (SEM–EDS). A proposal of an early warning system (EWS) for PM pollution episodes is presented. The logistic model has a holistic success rate of 94%, with forest fires and motor vehicle flows as significant variables. Source appointment analysis by occurrence of events showed that samples with higher concentrations of PM had carbon-rich particles and traces of K associated with biomass burning, as well as aluminosilicates and metallic elements associated with resuspension of soil dust by motor-vehicles. Quantitative source appointment analysis showed that soil dust, garbage burning/marine aerosols and wildfires are three majority sources of PM. An EWS for PM pollution episodes around the Sartenejas Valley is proposed considering the variables and elements mentioned. [ABSTRACT FROM AUTHOR]

Immunoglobulin G (IgG) is one of the five antibody classes produced in mammals as part of the humoral responses accountable for protecting the organisms from infection. Its antibody heavy chain constant region is encoded by the Ig heavy-chain gamma gene (IGHG). In humans, there are four IGHG genes which encode the four subclasses, each with a specialized effector function. Although four subclasses of IgG proteins have also been reported in macaques, this does not appear to be the rule for all primates. In Platyrrhini, IgG has been stated to be encoded by a single-copy gene. To date, it remains unknown how the IGHG has expanded or contracted in the primate order; consequently, we have analyzed data from 38 primate genome sequences to identify IGHG genes and describe the evolution of IGHG genes in primate order. IGHG belongs to a multigene family that evolves by the birth–death evolutionary model in primates. Whereas Strepsirrhini and Platyrrhini have a single-copy gene, in Catarrhini, it has expanded to several paralogs in their genomes; some deleted and others pseudogenized. Furthermore, episodic positive selection may have promoted a species-specific IgG effector function. We propose that IgG evolved to reach an optimal number of copies per genome to adapt their humoral immune responses to different environmental conditions. This study has implications for biomedical trials using non-human primates. [ABSTRACT FROM AUTHOR]

Dysregulation of sphingomyelin and ceramide metabolism have been implicated in Alzheimer's disease. Genome-wide and transcriptome-wide association studies have identified various genes and genetic variants in lipid metabolism that are associated with Alzheimer's disease. However, the molecular mechanisms of sphingomyelin and ceramide disruption remain to be determined. We focus on the sphingolipid pathway and carry out multi-omics analyses to identify central and peripheral metabolic changes in Alzheimer's patients, correlating them to imaging features. Our multi-omics approach is based on (a) 2114 human post-mortem brain transcriptomics to identify differentially expressed genes; (b) in silico metabolic flux analysis on context-specific metabolic networks identified differential reaction fluxes; (c) multimodal neuroimaging analysis on 1576 participants to associate genetic variants in sphingomyelin pathway with Alzheimer's disease pathogenesis; (d) plasma metabolomic and lipidomic analysis to identify associations of lipid species with dysregulation in Alzheimer's; and (e) metabolite genome-wide association studies to define receptors within the pathway as a potential drug target. We validate our hypothesis in amyloidogenic APP/PS1 mice and show prolonged exposure to fingolimod alleviated synaptic plasticity and cognitive impairment in mice. Our integrative multi-omics approach identifies potential targets in the sphingomyelin pathway and suggests modulators of S1P metabolism as possible candidates for Alzheimer's disease treatment. Complementary multi-omics approach, in silico metabolic flux, and neuroimaging analyses link the sphingolipid pathway to Alzheimer's disease pathogenesis with therapeutic targets validated using behavioral assessments in amyloidogenic APP/PS1 mice. [ABSTRACT FROM AUTHOR]

Immunoglobulin G (IgG) is an essential antibody in adaptive immunity; a differential expansion of the gene encoding the Fc region (IGHG) of this antibody has been observed in mammals. Like humans, animal biomedical models, such as mice and macaques, have four functional genes encoding 4 IgG subclasses; however, the data for New World monkeys (NWM) seems contentious. Some publications argue for the existence of a single-copy gene for IgG Fc; however, a recent paper has suggested the presence of IgG subclasses in some NWM species. Here, we evaluated the genetic distances and phylogenetic relationships in NWM to assess the presence of IgG subclasses using the sequences of IGHG genes from 13 NWM species recovered from genomic data and lab PCR and cloning-based procedures available in GenBank. The results show that several sequences do not cluster into the expected taxon, probably due to cross-contamination during laboratory procedures, and consequently, they appear to be wrongly assigned. Additionally, several sequences reported as subclasses were shown to be 100% identical in the CH domains. The data presented here suggests that there is not enough evidence to establish the presence of IgG subclasses in NWM. [ABSTRACT FROM AUTHOR]

Background: Chemoprevention for colorectal neoplasia has attracted growing interest, with multiple medications investigated. Metformin may decrease the overall incidence of cancer in patients with diabetes and may decrease the incidence of colorectal cancer. Aims: We aimed to determine the impact of metformin use on the behavior of colorectal adenomas in a US veteran population. Methods: All patients with at least two high-quality colonoscopies between January 1997 and December 2013 at Veterans Affairs New York Harbor Healthcare System were identified. Outpatient prescription records were used to determine metformin exposure, and colonoscopy findings were recorded. Multivariable logistic regression was used to determine factors associated with adenoma detection on baseline and interval colonoscopy. Results: In total, 1869 patients with two successive colonoscopies (median 4.5 years) were included. Four hundred and sixty patients had metformin exposure prior to baseline and/or interval colonoscopy. Overall adenoma detection rate was 59.7% at baseline and 45.9% at interval colonoscopy. On multivariable analysis, metformin use was associated with decreased adenoma prevalence at baseline (OR 0.68; 95% CI 0.51–0.92; p = 0.015). Metformin did not impact adenoma incidence at interval colonoscopy whether prescribed before baseline (OR 1.26; 95% CI 0.60–2.67), after baseline (OR 1.25; 95% CI 0.91–1.72), or before and after baseline (OR 1.14; 95% CI 0.82–1.58). Conclusions: In this retrospective analysis of an average-risk cohort, metformin use was associated with a decreased prevalence of colorectal adenomas at baseline colonoscopy. This inverse association did not persist on interval colonoscopy. Prospective studies are needed to evaluate potential chemoprotective effects of metformin over time. [ABSTRACT FROM AUTHOR]

This paper reflects upon the remarkable ceiling of the Picasso Museum in Malaga, an example of the wooden coffered ceilings built during the early Renaissance in Spain. The unusual design of the ceiling is based on octagons surrounded by four-pointed stars. This is used as the point of departure for a mathematical investigation of polyhedral forms. Two different polyhedra are constructed, conceived in such a way that the honeycombs generated by them, can be considered a polyhedral generalization of the planar pattern of regular octagons and four-pointed stars. Both are constructed by means of special truncations of a cube. The truncation procedure is extended to construct a polyhedral generalization of the planar pattern of four-pointed stars and 45° rhombuses; in this case, the polyhedron obtained is a variation of one of the star polyhedra drawn by Jamnitzer. The geometric honeycombs thus defined could be used as models for new designs. [ABSTRACT FROM AUTHOR]

The effects and the prescription parameters of therapeutic exercise are not clear. For this reason, is needed to determine the effect of therapeutic exercises on the motor function of children with Down Syndrome (DS) aged 0 to 3 years. The present study is systematic review and meta-analysis of effectiveness outcomes in this population: gait, balance, motor development, fine motor skills, and executive functions. The databases of PubMed, PEDro, EMBASE, SCIELO, Lilacs, Cochrane library were searched from January to December 2019. We recruited Randomized Controlled Trials (RCTs) which met the inclusion criteria in our study. Six studies and 151 participants were included. Two types of therapeutic exercises, aerobic and neuromuscular, were identified. Both types of exercise were effective in improving outcomes. There were no differences between the modes of application of the exercise. No differences were identified between the treadmill and the physiotherapy plan for the reduction of the time to reach independent walking, Mean Difference (MD) 46.79, 95% Confidence Interval (IC) (− 32.60, 126.19), nor for the increase in walking speed MD 0.10 IC (− 0.02, 0.21) m/s. This study suggests that aerobic exercise therapy has a potentially effective role to promote the gait and motor development of children with DS aged 0 to 3 years when it is applied using a treadmill with a frequency of 5 days, a duration of 6–8 min, and an intensity of between 0.2 and 0.5 m/s. Studies with less heterogeneity and larger sample sizes are required. [ABSTRACT FROM AUTHOR]

We produced and characterised biochar made from Caribbean pine sawdust as raw material. The biochar (BC500) was used as biocompatible support to co-inoculate phosphate solubilizing bacteria (PSB) (BC500/PSB) on Allium cepa L., plants at a greenhouse scale for four months. The three biomaterials study included proximate analysis, elemental analysis, aromaticity analysis, scanning electron microscopy, Fourier transform infrared spectroscopy (FTIR), adsorption studies at different pH and PSB stability as a function of time. The results indicated that BC500 is suitable as organic support or solid matrix to maintain the viability of PSB able to solubilise P from phosphate rock (PR). The biofertilizer (BC500/PSB) allows increasing germination, seedling growth, nutrient assimilation, and growth of Allium cepa L., because PSB immobilised on BC500 promoted nutrient mobilisation, particularly P, during cultivation of Allium cepa L., at pots scale. The two treatments to evaluate the biofertilizer (BC500/PSB) showed the highest concentrations of total P with 1.25 ± 0.13 and 1.38 ± 0.14 mg bulb−1 in A. cepa L. This work presents the benefits of a new product based on bacteria naturally associated with onion and an organic material (BC500) serving as a bacterial carrier that increases the adsorption area of highly reactive nutrients, reducing their leaching or precipitation with other nutrients and fixation to the solid matrix of the soil. [ABSTRACT FROM AUTHOR]

This paper draws upon a critical analysis of the three RCA indexes in Vollrath (1991) to propose a new class of RCA indexes. The baseline RCA index in this new class rests on the overall structure of trade, is symmetric, avoids size bias and is compatible with the Kunimoto-Vollrath principle. Possible modifications of the baseline RCA index are subsequently suggested to take into account GDP per capita data and to use adjusted trade data with the aim of better measuring comparative advantages. These modified versions together with the baseline RCA index give rise to a whole new class of RCA indexes. An application to the Euro area indicates that this new class is able to rank countries according to their respective levels of comparative advantages in a more consistent way than alternative RCA indexes. Furthermore, the new class of RCA indexes provides second-best solutions for time stationarity and the desirable distributional characteristics of an RCA index. [ABSTRACT FROM AUTHOR]

Purpose: Social determinants of health (SDoH)—socioeconomic and environmental factors—impact outcomes. The Area Deprivation Index (ADI), a composite of seventeen SDoH factors, has been correlated with poorer outcomes. We aimed to compare outcomes and treatment access for glioblastoma, a universally fatal malignant brain tumor, in patients more (ADI 34–100%) versus less disadvantaged (ADI 0–33%). Methods: A 5-year retrospective study of Rhode Island Hospital and Mayo Clinic databases was conducted from 2012 to 2017 for patients ≥ 18 years with glioblastoma. Patient addresses were matched to ADI percentiles and grouped into more (top 66% ADI) and less disadvantaged. Adjusted multivariable regressions were used to compare outcomes between groups. Results: A total of 434 patients met inclusion; 92.9% were insured, 56.2% were more disadvantaged (n = 244), and the more disadvantaged cohort was younger on average (62 years). After adjustment, the more disadvantaged group had decreased odds of receiving gross total resection (adjusted odds ratio (aOR) 0.43, 95% CI [0.27–0.68]; p < 0.001). This cohort also had decreased odds of undergoing chemotherapy (aOR 0.51[0.26–0.98]), radiation (aOR 0.39[0.20–0.77]), chemoradiation (aOR 0.42[0.23–0.77]), tumor-treating fields (aOR 0.39[0.16–0.93]), and clinical trial participation (aOR 0.47[0.25–0.91]). No differences in length of survival or postoperative Karnofsky Performance Status Scale were observed. Conclusion: More disadvantaged glioblastoma patients had decreased odds of receiving gross total resection. They also exhibited decreased odds of receiving standard of care like chemoradiation as well as participating in a clinical trial, compared to the less disadvantaged group. More research is needed to identify modifiable SDoH barriers to post-operative treatment in disadvantaged patients with glioblastoma. [ABSTRACT FROM AUTHOR]

This article aims to make visible a common non-oncologic pain condition in cancer patients. Myofascial pain syndrome can generate an increase in the symptomatic burden of the oncologic patient, increase the demand for opioid medication, and decrease the quality of life. We consider that health professionals involved in the care of cancer patients in its different stages should be aware of it, diagnose it, and treat it early to avoid processes of pain chronification, peripheral tissue modification, and deterioration of the functional condition of patients with oncologic diseases. [ABSTRACT FROM AUTHOR]

Online gambling has significantly altered the situational and structural characteristics of gambling products, to the extent that online gamblers might be substantially different from traditional offline gamblers. A growing body of literature has identified the evolving features of online gambling and the individuals who engage in it. However, beyond understanding the individual characteristics of this subgroup, relatively less effort has been made to examine whether existing cognitive-behavioural therapy (CBT) approaches are still entirely relevant for online problem gamblers, or whether changes are needed to adapt according to gambling mode of access. To understand what kind of challenges online gambling poses to mental health professionals dealing with disordered gamblers, four focus groups comprising 28 Spanish participants were carried out. All the treatment providers had ongoing experience with online gamblers undergoing treatment, and included clinical psychologists, mental health social workers, and a medical doctor. The data were examined using thematic analysis. The analysis identified five main themes that characterised online gamblers: (1) being of younger age, (2) lack of conflicts at home and at work/educational centre, rarely presenting violent or aggressive behaviour, (3) gambling disorder only being identified by overdue debt, (4) co-occurring conditions with technology-related abuse rather than other substance-related addictions, and (5) skill-based gambling. The study highlights mental health workers' perceived insecurities about how to best treat online gamblers, and discusses the specific characteristics that CBT for gambling disorder might need to incorporate to adjust for this particular group of gamblers. [ABSTRACT FROM AUTHOR]

Across the world, the COVID-19 pandemic has disproportionately affected economically disadvantaged groups. This differential impact has numerous possible explanations, each with significantly different policy implications. We examine, for the first time in a low- or middle-income country, which mechanisms best explain the disproportionate impact of the virus on the poor. Combining an epidemiological model with rich data from Bogotá, Colombia, we show that total infections and inequalities in infections are largely driven by inequalities in the ability to work remotely and in within-home secondary attack rates. Inequalities in isolation behavior are less important but non-negligible, while access to testing and contract-tracing plays practically no role because it is too slow to contain the virus. Interventions that mitigate transmission are often more effective when targeted on socioeconomically disadvantaged groups. [ABSTRACT FROM AUTHOR]