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Introduction: Chronic hip pain is a common painful condition in the elderly population. A mini invasive technique that is increasingly being considered for management of CHP is the percutaneous denervation of hip articular branches via radiofrequency ablation. We described a new ultrasound-guided technique based on the combination of 90° ultrasound-guided anterior radiofrequency ablation of the articular branches of femoral nerve, accessory obturator nerve and obturator nerve for anterior hip, combined with 90° ultrasound-guided ablation of the articular branches of the nerve of the quadratus femoris for posterior pericapsular neurolysis of the hip. Material e methods: We retrospectively analyzed the medical records of patients from September 2022 to September 2023 treated for chronic hip pain in the ambulatory of Pain Management, identifying 22 patients who underwent ultrasound guided radiofrequency denervation of anterior hip articular branches alone (Group B); and 22 patients in which was also applied a radiofrequency denervation of the posterior articular branches, in addition to the anterior denervation (Group A). We analysed the pain intensity of both groups measured with numeric rating scale. Result: The combined anterior plus posterior approach ensured that the results obtained were maintained 6 months after the procedure (T3) with excellent pain control and an average NRS of 1455 for group A. While for the group B, with the anterior approach alone, the NRS at six months showed an upward trend with an average NRS of 3818. The dual approach is more effective in pain relief at 6 months with a statistically significant difference in NRS values (p < 0.001). Conclusion: This retrospective observational study highlighted the greater impact of the double approach (anterior plus posterior) in the denervation of the hip joint, compared to anterior neurolysis alone. [ABSTRACT FROM AUTHOR]

Throughout eastern North America, chronic white-tailed deer overbrowsing and widespread exotic plant invasions degrade native plant diversity and abundance. However, because deer densities are high across entire regions, it is challenging to find large areas where deer have been at low density for long periods. We predicted native plant diversity and abundance would be significantly higher during gap-phase regeneration where deer have been maintained at low densities (~ 7 deer/km²) compared to where deer have been chronically overabundant. Simultaneously, we predicted that exotic plant diversity and abundance would be lower in gaps where deer have been maintained at low versus high densities. We also evaluated whether deer density interacts with gap age, gap size, and gaps in dry versus more mesic forest patches. We studied 41 gaps throughout an 88 km2 fenced military post where deer were maintained near pre-European-settlement densities for 67 years and in nearby forests where deer have been overabundant for decades. Native species richness, diversity, and cover were 37–65% higher, and exotic species cover was 80% lower in canopy gaps at low relative to high deer density. Stem height and density of multiple native canopy tree species (e.g., two Quercus spp.) were 5-20-fold higher within canopy gaps at low deer density. Moreover, 10 native woody species were indicators of low deer density, including three Quercus species, whereas no native woody species were indicators of high deer density. Deer were the primary filter underlying these different patterns in diversity, abundance, and plant height. Our findings demonstrate that gaps develop a vigorous and diverse native sapling layer, with far fewer exotics, in areas of low deer density without a history of chronic overbrowsing. We propose that military posts may be conservation and native plant regeneration hotspots wherever they regularly cull deer. [ABSTRACT FROM AUTHOR]

Background: Cognitive impairment is projected to affect a preponderant proportion of the aging population. Lifelong dietary habits have been hypothesized to play a role in preventing cognitive decline. Among the most studied dietary components, fish consumptionhas been extensively studied for its potential effects on the human brain. Aims: To perform a meta-analysis of observational studies exploring the association between fish intake and cognitive impairment/decline and all types of dementia. Methods: A systematic search of electronic databases was performed to identify observational studies providing quantitative data on fish consumption and outcomes of interest. Random effects models for meta-analyses using only extreme exposure categories, subgroup analyses, and dose-response analyses were performed to estimate cumulative risk ratios (RRs) and 95% confidence intervals (CIs). Results: The meta-analysis comprised 35 studies. Individuals reporting the highest vs. the lowest fish consumption were associated with a lower likelihood of cognitive impairment/decline (RR = 0.82, 95% CI: 0.75, 0.90, I2 = 61.1%), dementia (RR = 0.82, 95% CI: 0.73, 0.93, I2 = 38.7%), and Alzheimer's disease (RR = 0.80, 95% CI: 0.67, 0.96, I2 = 20.3%). The dose-response relation revealed a significantly decreased risk of cognitive impairment/decline and all cognitive outcomes across higher levels of fish intake up to 30% for 150 g/d (RR = 0.70, 95% CI: 0.52, 0.95). The results of this relation based on APOE ε4 allele status was mixed based on the outcome investigated. Conclusions: Current findings suggest fish consumption is associated with a lower risk of cognitive impairment/decline in a dose-response manner, while for dementia and Alzheimer's disease there is a need for further studies to improve the strength of evidence. [ABSTRACT FROM AUTHOR]

Introduction: A previous network meta-analysis established 16-week relative efficacy with bimekizumab, an inhibitor of interleukin (IL)-17F in addition to IL-17A, versus other treatments for patients with radiographic axial spondyloarthritis (r-axSpA; i.e., ankylosing spondylitis), including the IL-17A inhibitors secukinumab and ixekizumab. This matching-adjusted indirect comparison (MAIC) assessed 52-week relative efficacy of bimekizumab versus secukinumab and ixekizumab. Methods: Individual patient data from BE MOBILE 2 (bimekizumab 160 mg; N = 220) were matched to pooled summary data from MEASURE 1/2/3/4 (secukinumab 150 mg), MEASURE 3 (secukinumab 300 mg; escalated dose for inadequate responders), COAST-V (ixekizumab) and COAST-V/-W (ixekizumab). BE MOBILE 2 patients were reweighted using propensity score weights based on age, sex, ethnicity, tumor necrosis factor inhibitor (TNFi) exposure, weight, baseline ASDAS and BASFI (secukinumab) and baseline BASDAI (ixekizumab), and 52-week efficacy outcomes from the trial recalculated. Odds ratios (OR) or mean difference for unanchored comparisons are reported with 95% confidence intervals (CI). Results: At week 52, MAIC demonstrated that patients may have higher likelihood of improvement in key efficacy outcomes with bimekizumab versus secukinumab 150 mg (e.g., ASAS40: [OR (95% CI): 1.48 (1.05, 2.10); p = 0.026]; effective sample size [ESS] = 177). Differences in 52-week efficacy outcomes between bimekizumab and secukinumab 300 mg dose escalation were non-significant (ESS = 120). Bimekizumab versus ixekizumab 80 mg comparisons (COAST-V only; ESS = 84) also suggested that differences were non-significant for most key efficacy outcomes. Other ixekizumab comparisons (COAST-V/-W; ESS = 45) suggested bimekizumab may have higher comparative efficacy for many of the same efficacy outcomes, however ixekizumab analyses were limited by poor population overlap, likely due to the greater proportion of patients with previous TNFi exposure. Conclusions: Patients treated with bimekizumab may have a higher likelihood of achieving improved longer-term efficacy versus secukinumab 150 mg, suggesting bimekizumab may be a favorable therapeutic option for r-axSpA. Differences in efficacy outcomes with bimekizumab versus ixekizumab 80 mg were mostly non-significant, depending on the populations considered. [ABSTRACT FROM AUTHOR]

Chiral multiferroics offer remarkable capabilities for controlling quantum devices at multiple levels. However, these materials are rare due to the competing requirements of long-range orders and strict symmetry constraints. In this study, we present experimental evidence that the coexistence of ferroelectric, magnetic orders, and crystallographic chirality is achievable in hybrid organic-inorganic perovskites [(R/S)-β-methylphenethylamine]2CuCl4. By employing Landau symmetry mode analysis, we investigate the interplay between chirality and ferroic orders and propose a novel mechanism for chirality transfer in hybrid systems. This mechanism involves the coupling of non-chiral distortions, characterized by defining a pseudo-scalar quantity, ξ = p ⋅ r (p represents the ferroelectric displacement vector and r denotes the ferro-rotational vector), which distinguishes between (R)- and (S)-chirality based on its sign. Moreover, the reversal of this descriptor's sign can be associated with coordinated transitions in ferroelectric distortions, Jahn-Teller antiferro-distortions, and Dzyaloshinskii-Moriya vectors, indicating the mediating role of crystallographic chirality in magnetoelectric correlations. Chiral multiferroics are rare materials. Here the authors report that ferroelectric, magnetic orders, and chirality coexist in copper hybrid perovskites and reveal a hybrid-improper chiral transfer mechanism by defining a pseudo-scalar order parameter. [ABSTRACT FROM AUTHOR]

Introduction: The objective of this analysis is to evaluate the improvement in spinal pain with ixekizumab, placebo, and adalimumab based on objective measures of inflammation response in patients with ankylosing spondylitis (AS). Methods: The COAST-V 52-week, double-blind, placebo-controlled, randomized phase III trial examined the efficacy of ixekizumab in patients with active AS; adalimumab was used as an active reference arm. Treatment effects on reduction in pain were assessed by objective measures of controlled and persisting inflammation (defined by magnetic resonance imaging [MRI], C-reactive protein [CRP], or MRI + CRP status). Pathway analysis was used to analyze treatment effect that was not attributable to reduction in inflammation biomarkers. Results: In patients with AS, when inflammation was controlled as assessed by MRI, patients treated with ixekizumab experienced a reduction in spinal pain at night (SP-N, numeric rating scale, ixekizumab mean = − 3.9, p < 0.001, adalimumab mean = − 2.6, p < 0.05) compared to placebo (mean = − 1.6) at week 16. When inflammation was controlled as assessed by MRI + CRP, ixekizumab and adalimumab had numerically greater reductions at week 16 in SP-N versus placebo. All ixekizumab groups had further improvements at week 52. When inflammation was persisting as assessed by MRI + CRP, ixekizumab-treated patients had significant reduction in SP-N (mean = − 3.7, p < 0.001) versus placebo (mean = − 1.7), improvement with adalimumab did not reach significance (mean = − 2.6, p = 0.06). In the pathway analysis at week 16, ixekizumab had a greater effect on pain outcomes compared to adalimumab. Conclusion: This post hoc analysis is supportive of the hypothesis that ixekizumab reduces pain in AS by additional mechanisms other than the reduction of measurable inflammation. Trial Registration Number: NCT02696785. [ABSTRACT FROM AUTHOR]

Among-individual variation in predator traits is ubiquitous in nature. However, variation among populations in this trait variation has been seldom considered in trophic dynamics. This has left unexplored (a) to what degree does among-individual variation in predator traits regulate prey populations and (b) to what degree do these effects vary spatially. We address these questions by examining how predator among-individual variation in functional traits shapes communities across habitats of varying structural complexity, in field conditions. We manipulated Chinese mantis (Tenodera sinensis) density (six or twelve individuals) and behavioral trait variability (activity level by movement on an open field) in experimental patches of old fields with varying habitat complexity (density of plant material). Then, we quantified their impacts on lower trophic levels, specifically prey (arthropods > 4 mm) and plant biomass. Predator behavioral variability only altered prey biomass in structurally complex plots, and this effect depended on mantis density. In the plots with the highest habitat complexity and mantis density, behaviorally variable groups decreased prey biomass by 40.3%. In complex plots with low mantis densities, low levels of behavioral variability decreased prey biomass by 32.2%. Behavioral variability and low habitat complexity also changed prey community composition, namely by increasing ant biomass by 881%. Our results demonstrate that among-individual trait variation can shape species-rich prey communities. Moreover, these effects depend on both predator density and habitat complexity. Incorporating this important facet of ecological diversity revealed normally unnoticed effects of functional traits on the structure and function of food webs. [ABSTRACT FROM AUTHOR]

Background: Cryptosporidium is a gastrointestinal pathogen. The oocysts are transmitted through the environment, and drinking contaminated water is one particular route. There is heavy pollution of Cryptosporidium in Njoro River, the main source of drinking water for humans and animals around the watershed. However, there is no information on the parasite concentration and estimated health risk exposed to these populations. This study determined the level of contamination and risk of infection by Cryptosporidium parasites in Njoro River. Water samples were collected monthly from three ecological sites along Njoro River for twelve months. Cryptosporidium oocysts were concentrated from these water samples using calcium carbonate flocculation method, examined and counted using epifluorescent microscopy. Quantitative microbial risk assessment was applied to estimate the health risk of Cryptosporidium infection in Njoro River using a beta-Poisson dose–response model. Results: The concentration of Cryptosporidium parasites in Njoro River is 0.936 ± 0.73 oocysts/litre. However, this concentration fluctuates with ecological site of the river; highest concentration occurs at downstream (1.325 ± 0.73), followed by midstream (0.917 ± 0.74) and least at upstream (0.567 ± 0.54). Concentration of Cryptosporidium in the river is higher during wet than dry seasons, with the difference in mean concentrations between the two seasons being significant (t(34) = − 6.101, p < 0.01). There was a negative correlation between Cryptosporidium concentration, temperature and pH, while a strong positive correlation existed between Cryptosporidium concentration and turbidity. The daily probability of infection by Cryptosporidium in Njoro River watershed is 0.25, while the annual risk is 0.99. Conclusions: Njoro River is heavily polluted with Cryptosporidium parasites. This exposes both the humans and animals that drink water from this river to a high risk of cryptosporidiosis, a potentially fatal infection particularly in immunocompromised individuals. [ABSTRACT FROM AUTHOR]

High-performance three-phase motor drives require accurate and robust acquisition of angular position and stator currents. A resolver sensor is widely used for angle measurement in harsh environmental conditions. This sensor receives a sinusoidal excitation signal and produces two amplitude-modulated outputs. Frequency division multiplexing is a useful alternative to simplify the data acquisition system (DAQ) to acquire the signals from stator current sensors and the resolver angular position sensor: a current signal and a resolver output are combined to produce a signal sent to the DAQ. In most cases, the sinusoidal excitation signal of the resolver is less than the switching frequency of the motor drive inverter. As a result, current signals may produce a significant interference in the angle estimation when the frequency of the resolver excitation signal is low. This paper describes an improved multiplexing approach where the resolver excitation frequency is 1.5 times the inverter switching frequency. Thus, the spectra of the resolver outputs and the stator currents are located further from each other, reducing the angle estimation interference. Synchronous sampling allows for the recovery of the current signals. A notch filter is added to an angle tracking observer to reduce even further this interference. Three different tests considering different operation conditions were performed. The proposed angle estimation method has less root mean square error in the angle estimation than other approaches (e.g., without using a notch filter or using a low resolver excitation frequency). Besides, the proposed multiplexing strategy allows recovering the fundamental component of the current signals. [ABSTRACT FROM AUTHOR]

Background: Tailored axillary surgery (TAS) is a novel surgical concept for clinical node-positive breast cancer. It consists of the removal of the sentinel lymph nodes (LNs), as well as palpably suspicious nodes. The TAS technique can be utilized in both the upfront and neoadjuvant chemotherapy (NACT) setting. This study assessed whether/how imaging-guided localization (IGL) influenced TAS. Patients and Methods: This was a prospective observational cohort study preplanned in the randomized phase-III OPBC-03/TAXIS trial. IGL was performed at the surgeon's discretion for targeted removal of LNs during TAS. Immediate back-up axillary lymph node dissection (ALND) followed TAS according to TAXIS randomization. Results: Five-hundred patients were included from 44 breast centers in six countries, 151 (30.2%) of whom underwent NACT. IGL was performed in 84.4% of all patients, with significant variation by country (77.6–100%, p < 0.001). No difference in the median number of removed (5 vs. 4, p = 0.3) and positive (2 vs. 2, p = 0.6) LNs by use of IGL was noted. The number of LNs removed during TAS with IGL remained stable over time (p = 0.8), but decreased significantly without IGL, from six (IQR 4–6) in 2019 to four (IQR 3–4) in 2022 (p = 0.015). An ALND was performed in 249 patients, removing another 12 (IQR 9–17) LNs, in which a median number of 1 (IQR 0–4) was positive. There was no significant difference in residual nodal disease after TAS with or without IGL (68.0% vs. 57.6%, p = 0.2). Conclusions: IGL did not significantly change either the performance of TAS or the volume of residual nodal tumor burden. Trial registration: ClinicalTrials.gov Identifier: NCT03513614. [ABSTRACT FROM AUTHOR]

Background or Purpose: The prognosis of m ixed cardiomyopathy (CMP) in patients with implanted cardioverter-defibrillators (ICDs) has not been investigated. We aim to study the demographic, clinical, device therapies and survival characteristics of mixed CMP in a cohort of patients implanted with a defibrillator. Methods: The term mixed CMP was used to categorise patients with impaired left ventricular ejection fraction attributed to documented non-ischemic triggers with concomitant moderate coronary artery disease. This is a single center observational cohort of 526 patients with a mean follow-up of 8.7 ± 3.5 years. Results: There were 42.5% patients with ischemic cardiomyopathy (ICM), 26.9% with non-ischemic cardiomyopathy (NICM) and 30.6% with mixed CMP. Mixed CMP, compared to NICM, was associated with higher mean age (69.1 ± 9.6 years), atrial fibrillation (55.3%) and greater incidence of comorbidities. The proportion of patients with mixed CMP receiving device shocks was 23.6%, compared to 18.4% in NICM and 27% in ICM. The VT cycle length recorded in mixed CMP (281.6 ± 43.1 ms) was comparable with ICM (282.5 ± 44 ms; p = 0.9) and lesser than NICM (297.7 ± 48.7 ms; p = 0.1). All-cause mortality in mixed CMP (21.1%) was similar to ICM (20.1%; p = 0.8) and higher than NICM (15.6%; p = 0.2). The Kaplan–Meier curves revealed hazards of 1.57 (95% CI: 0.91, 2.68) for mixed CMP compared to NICM. Conclusion: In a cohort of patients with ICD, the group with mixed CMP represents a phenotype predominantly comprised of the elderly with a higher incidence of comorbidities. Mixed CMP resembles ICM in terms of number of device shocks and VT cycle length. Trends of long-term prognosis of patients with mixed CMP are worse than NICM and similar to ICM. [ABSTRACT FROM AUTHOR]

Background: Late gadolinium enhancement (LGE) detected by cardiac MRI (CMR) has low correlation with low voltage zones (LVZs) detected by electroanatomical mapping (EAM). We aim to study correlation of myocardial strain by CMR- Feature Tracking (FT) alongside LGE with LVZs detected by EAM. Methods: Nineteen consecutive CMRs of patients with EAM were analyzed offline by CMR-FT. Peak value of circumferential strain (CS), longitudinal strain (LS), and LGE was measured in each segment of the left ventricle (17-segment model). The percentage of myocardial segments with CS and LS > −17% was determined. Percentage area of LGE-scar was calculated. Global and segment–wise bipolar and unipolar voltage was collected. Percentage area of bipolar LVZ (<1.5 mV) and unipolar LVZ (<8.3 mV) was calculated. Results: Mean age was 62±11 years. Mean LVEF was 37±13%. Mean global CS was −11.8±5%. Mean global LS was −11.2±4%. LGE-scar was noted in 74% of the patients. Mean percentage area of LGE-scar was 5%. There was significant correlation between percentage abnormality detected by LS with percentage bipolar LVZ (r = +0.5, p = 0.03) and combined percentage CS+LS abnormality with percentage unipolar LVZ (r = +0.5, p = 0.02). Per-unit increase in CS increased the percentage area of unipolar LVZ by 2.09 (p = 0.07) and per-unit increase in LS increased the percentage area of unipolar LVZ by 2.49 (p = 0.06). The concordance rates between CS and LS to localize segments with bipolar/unipolar LVZ were 79% and 95% compared to 63% with LGE. Conclusions: Myocardial strain detected by CMR-FT has a better correlation with electrical low voltage zones than the conventional LGE. [ABSTRACT FROM AUTHOR]

Almond is a high-market value crop that benefits from honeybee pollination services, even for self-compatible varieties. Besides, it has been recently shown that the offering of food scented with floral mimic odors specific to different crops biased honeybee foraging preferences towards sunflowers, pear, or apple trees. Herein, we analyzed the floral volatiles of two almond self-compatible varieties to propose potential mimic odors. The mixture which bees discriminated the least from the natural floral scent in olfactory conditioning assays was chosen as almond mimic (AM). In the field, colonies fed AM-scented sucrose solution increased their foraging activity and amounts of stored pollen compared with colonies fed unscented food. Our results support the conditioning of honeybees to a floral mimic odor as a potential tool to bias their foraging preferences in almond, even applicable to self-compatible varieties. Future studies should address its effect on yield. [ABSTRACT FROM AUTHOR]

Background: Cylindroma of the breast is a rare benign neoplasm. Since its first description in 2001, 20 cases have been reported in the literature. Methods and results: We report another case of this rare tumor in a 60-year-old woman with demonstration of the underlying molecular alteration. Histologically, the tumor showed the typical "jigsaw" pattern of a dual population of cells with a triple-negative phenotype. The pathognomonic mutation of the CYLD gene mutation was detected by whole exome sequencing. Cylindromas show morphological overlap with the solid-basaloid variant of adenoid cystic carcinoma, which renders this differential diagnosis difficult. However, distinction of these two lesions is of outmost importance, since cylindromas, in contrast to solid-basaloid variant of adenoid cystic carcinoma, behave in an entirely benign fashion. Conclusions: Careful evaluation of morphological features such as mitotic figures and cellular atypia is crucial in the diagnostic work-up of triple-negative breast lesions. It is important to keep cylindroma in mind as a pitfall and possible differential diagnosis for the solid-basaloid variant of adenoid cystic carcinoma. Molecular detection of CYLD gene mutation is helpful in cases with ambiguous histology. With this case report, we aim to contribute to a better understanding of mammary cylindroma and facilitate the diagnosis of this rare entity. [ABSTRACT FROM AUTHOR]

Introduction: This post hoc analysis of phase 2 trial data assessed the efficacy of tofacitinib on magnetic resonance imaging (MRI) outcomes with the detailed anatomy-based Canada–Denmark (CANDEN) MRI scoring system and evaluated tofacitinib suppression of spinal inflammation in patients with active ankylosing spondylitis (AS). Methods: Patients with active AS (per modified New York criteria) were randomized 1:1:1:1 to receive tofacitinib 2, 5, or 10 mg twice daily (BID), or placebo, in a 16-week, phase 2, double-blind clinical trial. Spine MRI assessments were performed at baseline and week 12. For post hoc analysis, MRI images from patients receiving tofacitinib 5 or 10 mg BID, or placebo, were re-evaluated by two readers blinded to time point/treatment and assessed by the CANDEN MRI scoring system. Least squares mean changes from baseline to week 12 were reported for CANDEN-specific MRI outcomes, with analysis of covariance used for comparisons of pooled tofacitinib and tofacitinib 5 or 10 mg BID versus placebo. p values without multiplicity adjustment were reported. Results: MRI data from 137 patients were analyzed. At week 12, CANDEN spine inflammation score and vertebral body, posterior elements, corner, non-corner, facet joint, and posterolateral inflammation subscores were significantly reduced with pooled tofacitinib versus placebo (p < 0.0001; except non-corner subscore, p < 0.05). Total spine fat score was numerically increased with pooled tofacitinib versus placebo. Conclusions: In patients with AS, tofacitinib treatment was associated with significant reductions in MRI scores of spinal inflammation versus placebo, as assessed by the CANDEN MRI scoring system. Tofacitinib reduced inflammation in posterolateral elements of the spine and facet joints, which has not been described previously. Trial Registration: ClinicalTrials.gov registry (NCT01786668). [ABSTRACT FROM AUTHOR]

Background: Only limited studies analyzed a possible relationship between frailty and infections. Our aim was to investigate the possible association between higher multidimensional prognostic index (MPI) values, a tool for evaluating multidimensional frailty, and the prevalence of infectious diseases, including antibiotics' cost and the prevalence of MDR (multidrug resistance) pathogens. Methods: Older patients, affected by COVID-19, were enrolled in the hospital of Palermo over four months. Results: 112 participants (mean age 77.6, 55.4% males) were included. After adjusting for potential confounders, frailer participants had a higher odds of any positivity to pathogens (prevalence: 61.5%, odds ratio = 15.56, p < 0.0001) compared to a prevalence of 8.6% in more robust, including MDR, and a higher costs in antibiotics. Conclusions: Higher MPI values, indicating frailer subjects, were associated with a higher prevalence of infections, particularly of MDR pathogens, and a consequent increase in antibiotics' cost. [ABSTRACT FROM AUTHOR]

Intraspecific phytochemical variation across a landscape can cascade up trophic levels, potentially mediating the composition of entire insect communities. Surprisingly, we have little understanding of the processes that regulate and maintain phytochemical variation within species, likely because these processes are complex and operate simultaneously both temporally and spatially. To assess how phytochemistry varies within species, we tested the degree to which resource availability, contrasting soil type, and herbivory generate intraspecific chemical variation in growth and defense of the tropical shrub, Piper imperiale (Piperaceae). We quantified changes in both growth (e.g., nutritional protein, above- and below-ground biomass) and defense (e.g., imide chemicals) of individual plants using a well-replicated fully factorial shade-house experiment in Costa Rica. We found that plants grown in high light, nutrient- and richer old alluvial soil had increased biomass. High light was also important for increasing foliar protein. Thus, investment into growth was determined by resource availability and soil composition. Surprisingly, we found that chemical defenses decreased in response to herbivory. We also found that changes in plant protein were more plastic compared to plant defense, indicating that constitutive defenses may be relatively fixed, and thus an adaptation to chronic herbivory that is common in tropical forests. We demonstrate that intraspecific phytochemical variation of P. imperiale is shaped by resource availability from light and soil type. Because environmental heterogeneity occurs over small spatial scales (tens of meters), herbivores may be faced with a complex phytochemical landscape that may regulate how much damage any individual plant sustains. [ABSTRACT FROM AUTHOR]

Metastasis is the leading cause of cancer-related deaths of breast cancer patients. Some cancer cells in a tumour go through successive steps, referred to as the metastatic cascade, and give rise to metastases at a distant site. We know that the plasticity and heterogeneity of cancer cells play critical roles in metastasis but the precise underlying molecular mechanisms remain elusive. Here we aimed to identify molecular mechanisms of metastasis during colonization, one of the most important yet poorly understood steps of the cascade. We performed single-cell RNA-Seq (scRNA-Seq) on tumours and matched lung macrometastases of patient-derived xenografts of breast cancer. After correcting for confounding factors such as the cell cycle and the percentage of detected genes (PDG), we identified cells in three states in both tumours and metastases. Gene-set enrichment analysis revealed biological processes specific to proliferation and invasion in two states. Our findings suggest that these states are a balance between epithelial-to-mesenchymal (EMT) and mesenchymal-to-epithelial transitions (MET) traits that results in so-called partial EMT phenotypes. Analysis of the top differentially expressed genes (DEGs) between these cell states revealed a common set of partial EMT transcription factors (TFs) controlling gene expression, including ZNF750, OVOL2, TP63, TFAP2C and HEY2. Our data suggest that the TFs related to EMT delineate different cell states in tumours and metastases. The results highlight the marked interpatient heterogeneity of breast cancer but identify common features of single cells from five models of metastatic breast cancer. [ABSTRACT FROM AUTHOR]

Honey bee (Apis mellifera L.) thermoregulation plays an integral part in their behaviour and physiology and has been shown to be vulnerable to the effects of neonicotinoid insecticides. Baseline thermotolerance of 53.8 °C (defined as LT50; temperature at which 50% mortality is recorded) was determined for this subspecies. We evaluated the influence of sublethal dosages of three widely used neonicotinoid insecticides, clothianidin, imidacloprid and thiamethoxam, on individual Apis mellifera scutellata thermotolerance, each evaluated at a range of increasing ambient temperatures. For all three neonicotinoid treatments, A. m. scutellata thermotolerance was decreased by more than 3 °C as compared to the baseline data. Such a reduction in honey bee thermotolerance, especially under the increasing frequency and intensity of hot weather events, is a cause for concern when considering legislation and use of these neonicotinoids in the South African agricultural and suburban setting. [ABSTRACT FROM AUTHOR]

This study evaluated level of service need before and after a short-term community mental health case management intervention from the perspective of both clients and case managers. Ontario Common Assessment of Need data were used to describe client needs. McNemar's test was applied to assess differences in pre- and post- need scores. Psychological distress, company, daytime activities, and physical health were most commonly rated by clients as unmet needs at enrolment. At discharge, there was a significant change in psychological distress from the perspective of clients, and in psychological distress and daytime activities from the perspective of case managers. Statistically significant changes were observed for Total Need, Total Unmet Need and Met Need scores from the perspective of case managers. While both clients and case managers reported changes in total service needs between admission and discharge from short-term case management, clients were less likely to report a difference in needs. [ABSTRACT FROM AUTHOR]

Key summary points: Aim: To update and validate the content of the cardiovascular segment of the RASP list, a previously validated explicit screening tool to improve geriatric polypharmacy. Findings: A three-step process was followed, starting with the tool update based on new literature and clinical experience. Next, internal discussions with four cardiologists and one cardiologist-internal medicine physician were held to finalize the construct and a Delphi consensus method was applied with the input of 17 geriatricians, cardiologists, an internal medicine physician and pharmacists to end up with a final construct with high agreement. Message: To support health care professionals in reviewing cardiovascular therapy in geriatric patients, we have worked out a valid screening tool, the RASP_CARDIO list, which identifies 95 clinically relevant instances of potentially inappropriate over-, under- or misuse of cardiovascular medications. Purpose: Cardiovascular agents commonly used in geriatric patients, are linked to potentially avoidable harm and might hence be a suitable substrate for medication review practices. Therefore, we sought to update and validate the content of the cardiovascular segment of the previously published Rationalization of Home Medication by an Adjusted STOPP list in Older Patients (RASP) List. Methods: A three-step study was conducted by the pharmacy department in collaboration with the geriatric medicine and cardiology department at the University Hospitals Leuven, Belgium. First, the cardiovascular segment of the RASP list version 2014 was updated taking into account published research, other screening tools and the input of end-users. Secondly, this draft was reviewed during three panel discussions with five expert cardiologists and three clinical pharmacists, all of whom had relevant expertise in geriatric pharmacotherapy. Thirdly, the content was validated using a modified Delphi Technique by a panel of European hospital pharmacists, cardiologists, geriatricians and an internal medicine physician. Results: After the first and second step, the RASP_CARDIO list comprised 94 statements. Consensus (≥ 80% agreement) of all statements and one new statement about gliflozins in heart failure was achieved by a panel of seventeen experts across four European countries after two validation rounds. The final construct comprised a list of 95 statements related to potentially inappropriate prescribing of cardiovascular agents. Conclusion: The RASP_CARDIO list is an updated and validated explicit screening tool to optimize cardiovascular pharmacotherapy in geriatric patients. [ABSTRACT FROM AUTHOR]

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Biobanking of surplus human healthy and disease-derived tissues is essential for diagnostics and translational research. An enormous amount of formalin-fixed and paraffin-embedded (FFPE), Tissue-Tek OCT embedded or snap-frozen tissues are preserved in many biobanks worldwide and have been the basis of translational studies. However, their usage is limited to assays that do not require viable cells. The access to intact and viable human material is a prerequisite for translational validation of basic research, for novel therapeutic target discovery, and functional testing. Here we show that surplus tissues from multiple solid human cancers directly slow-frozen after resection can subsequently be used for different types of methods including the establishment of 2D, 3D, and ex vivo cultures as well as single-cell RNA sequencing with similar results when compared to freshly analyzed material. Fresh vs. slow-frozen tissues from various malignancies are compared for the establishment of 2D, 3D and ex vivo cultures, as well as for scRNAseq analysis, and found to be comparable and suitable for cancer research. [ABSTRACT FROM AUTHOR]

Scaling of heat exchanger surfaces is a routinely encountered challenge during desalination of high-salinity brines. This can be addressed by modifying the surface morphology and chemistry to manage salt precipitation by kinetically limiting nucleation as the water is removed. In this work, we modified inherently hydrophobic polymer surfaces with a silica nanoparticle-based spray coating to render them superhydrophobic. The wettability and durability of the coating was characterized at temperatures and salinities that are encountered in brine concentration. While contact angles of 150° were maintained in hot water and sparingly soluble salt solutions, highly soluble salts like NaCl were found to reduce the interfacial adhesion over time. [ABSTRACT FROM AUTHOR]

Concerns have been raised that randomized placebo-controlled trials (RCTs) in non-radiographic axial spondyloarthritis (nr-axSpA) might be failing to identify patients that best show differences in clinical response rates between those receiving active drug and those receiving placebo therapies; in addition, some studies might even be showing spurious differences in responses to TNF and IL-17 inhibitor therapies. In particular, the most recent phase III RCTs in nr-axSpA have reported variable and generally lower response rates than observed in phase III trials of patients with ankylosing spondylitis and in trials conducted a decade ago in patients with early axSpA who were selected on the basis of axial inflammation evident on MRI scans. We argue that these observations at least partly reflect an RCT design that does not take full advantage of MRI to select patients who are responsive to therapy because the current MRI-based inclusion criteria cannot identify patients with axSpA with sufficient specificity. We propose that future studies should be designed using revised patient inclusion criteria based on expanded MRI evaluation and the application of data-driven definitions of a positive MRI for inflammatory and structural lesions typical of axSpA reported in an international multicentre analysis of MRI scans from the Assessment of SpondyloArthritis International Society (ASAS) classification cohort. [ABSTRACT FROM AUTHOR]

Despite its potential nutritional benefits, consumption of pollen by adult solitary bees has rarely been quantified. Pollen consumption by adult male bees is usually assumed to be negligible, but few studies have investigated this assumption. Here, we review existing literature on adult male bee pollen consumption and present new data on female and male pollen consumption by 9 species from 5 subgenera of spring-flying Andrena. We dissected and plated full contents of the digestive tract, calculating body-size adjusted pollen volumes for each bee. More females had consumed pollen than males (87% compared to 46%, respectively). Of the bees with pollen, females had consumed over nine times more pollen. However, 10% of males had consumed over 10,000 pollen grains and the highest two exceeded 30,000 grains. Given the large proportion of male bees that consumed pollen, we suggest future work should explore daily/seasonal patterns of consumption and possible fitness implications. [ABSTRACT FROM AUTHOR]

Two stingless bee species, Tetragonula carbonaria and Tetragonula hockingsi, engage in extreme inter-colony fights, both within and between species. Inter species fights can result in one species taking over the nest of the other. Following successful takeovers, brood from the previous colony could be retained and become workers, but this has yet to be tested. We first tested whether T. carbonaria callows are accepted when introduced into a different conspecific nest and found that they are indeed accepted as normal workers. This suggested that mixed species cohorts might be expected after a hive takeover. We assessed this in a managed T. carbonaria hive, fitted with an observation window that was subject to multiple takeover attempts. Using microsatellite genotyping, we established that multiple different colonies (of both species) attacked the observation colony over 63 days, resulting in a catastrophic collapse of the nest. Our observations inside the hive during these inter-colony invasions revealed no evidence of resource robbing, adding further support to the hypothesis that fighting behaviour in these species has the primary goal of taking over the nest. Newly emerged callows were ejected by invaders, predominantly during the initial few days of fighting. The ejection of callows ceased; however, shortly after each takeover attempt, and, following this, newly emerged callows were accepted as workers. These findings add new evidence that the invading colony co-exists with workers from the previous brood following a takeover, but only until the last of that cohort dies. [ABSTRACT FROM AUTHOR]

Two-dimensional (2D) organic-inorganic hybrid perovskites have attracted intense interests due to their quantum well structure and tunable excitonic properties. As an alternative to the well-studied divalent metal hybrid perovskite based on Pb2+, Sn2+ and Cu2+, the trivalent metal-based (eg. Sb3+ with ns2 outer-shell electronic configuration) hybrid perovskite with the A3M2X9 formula (A = monovalent cations, M = trivalent metal, X = halide) offer intriguing possibilities for engineering ferroic properties. Here, we synthesized 2D ferroelectric hybrid perovskite (TMA)3Sb2Cl9 with measurable in-plane and out-of-plane polarization. Interestingly, (TMA)3Sb2Cl9 can be intercalated with FeCl4 ions to form a ferroelastic and piezoelectric single crystal, (TMA)4-Fe(iii)Cl4-Sb2Cl9. Density functional theory calculations were carried out to investigate the unusual mechanism of ferroelectric-ferroelastic crossover in these crystals. There are few examples of tunable ferroic orders in two-dimensional layered hybrid perovskites. Here, the authors demonstrate tunable ferroic orders from ferroelectricity to ferroelasticity in such system by intercalation chemistry. [ABSTRACT FROM AUTHOR]

The command governor ( CG ) is a useful strategy to avoid constraints violation in case of control reconfiguration or operational conditions changes, like switched systems mode changes. In general, the structure of the CG specializes in producing an alternative reference signal to drive a closed-loop system to the desired reference while avoiding constraints violations in the control signal, state-space, or combinations of them. In this paper, we propose a simple strategy that modifies the conventional structures of the CG and supervisor, yielding a switched rule based on the estimated controllers' region of attraction. We present some simulations to illustrate the proposal's potential and compare it with a competitor scheme exploiting a dwell-time approach. The results suggest that our approach adds new possibilities of CG and supervisor design, reducing the transition time between system modes and improving the closed-loop performance indexes [ABSTRACT FROM AUTHOR]

Biostimulation of polycyclic aromatic hydrocarbons (PAHs) is a major concern in the environment due to their toxic nature and ubiquitous occurrence. The study aimed to determine the best animal supplement of organic carbon source (cow dung, goat dung, pig dung and poultry (fowl droppings) and indigenous microbes capable of mineralizing pyrene in clay soil. Clay soil sample was collected from the top surface soil (0 – 15 cm) in Ikpoba River and upper Lawani river bank, both in Benin City with the aid of stainless steel trowel and gloved hands and stored in a polyethylene bag. The isolation and identification process were evaluated by staining method, microscopic examination and biochemical tests. The degradation experiment was conducted in bioreactors and supplemented cow dung, pig dung, goat dung and fowl droppings were added in varying amounts of 25 g/l, 50 g/l, 75 g/l and 100 g/l. The potential effects of animal organic carbon as nutrient supplements to enhance mineralization of pyrene were investigated. The rates of mineralization of pyrene were studied for a remediation period of 35 days at room temperature of about 25 °C. Results obtained from microbial isolation showed that B. substilis and A. niger were the most populated in the soil and were therefore selected. The degradation experiment showed that mixed culture of B. substilis and A. niger using 50 g/l supplement with the dungs and droppings gave the highest percentage degradation with fowl droppings 98.3%, pig dung 98.1%, goat dung 97.8%, and cow dung 97.7%. The least degradation was observed in supplement with 100 g/l in a single culture of A. niger with fowl droppings yielded 64.5% degradation, pig dung 63.8%, goat dung 63.7% and cow dung 62.7%. The overall results of the study showed that 50 g/l of animal wastes supplement in the ratio of 1:4 with pyrene contaminated soils are most effective in degradation processes. Also the mixed culture of bacteria and fungi enhanced pyrene mineralization and degradation more than single culture. [ABSTRACT FROM AUTHOR]

Background: Localisation of the conduction system under fluoroscopy is not easy and the ideal location of the pacing leads in physiological pacing is still being debated. Objective: The primary aim was to assess the lead locations using cardiac CT scan. Secondary aims were clinical outcomes including success and safety of the procedure and lead performance. Methods: Of the 100 consecutive patients who received physiological pacing, 34 patients underwent follow-up cardiac CT scan. The four different types of pacing were identified as His bundle (HBP), para-Hisian, left bundle branch (LBBP), and deep septal pacing. Results: Most patients had successful HBP via the right atrium (RA) (87.5%) as compared to the right ventricle (RV) (12.5%). Lower thresholds were observed when leads were placed within 2 mm of the junction of the membranous and muscular ventricular septum. Unlike HBP, LBBP was possible at a wide region of the septum and selective capture of individual fascicles was feasible. LBBP showed deeper penetration of leads into the septum, as compared to deep septal pacing (70% vs. 45%). Approximately, 80% of patients did not have an intra-ventricular portion of the membranous septum. Conclusions: The anterior part of the atrio-ventricular (AV) septum at the junction between the membranous and muscular septum via RA appeared to be the best target to successfully pace His bundle. LBBP was possible at a wide region of the septum and selective capture of individual fascicle was feasible. Adequate depth of penetration of lead was very important to capture the left bundle. [ABSTRACT FROM AUTHOR]

This document is a correction notice for an article titled "Exploring the Effects of Ixekizumab on Pain in Patients with Ankylosing Spondylitis Based on Objective Measures of Inflammation: Post Hoc Analysis from a Large Randomized Clinical Trial." The correction addresses an error in the legends of Figures 1, 2, and 3, where the unit '(CRP < 5 mg/mL from week 4 to week 16)' should have read '(CRP < 5 mg/L from week 4 to week 16)'. The original article has been corrected. The authors of the article are Kurt de Vlam, Walter P. Maksymowych, Gaia Gallo, Proton Rahman, Philip Mease, Venkatesh Krishnan, Conor J. McVeigh, Jeffrey Lisse, Danting Zhu, Rebecca J. Bolce, and Philip G. Conaghan. [Extracted from the article]

Safety evaluation is a continual and iterative process throughout the drug development life cycle and requires long time horizons and large amounts of data to fully understand the safety profile of a medical product. Although randomized clinical trials (RCT) provide high-quality data for an initial assessment of safety signals, the safety signals may not all have been known at the time of approval because safety data collected from RCT only involve a relatively small number of subjects during a relatively short follow-up period. The increased accumulation of post-marketing real-world data (RWD) presents an opportunity to utilize them for safety decision-making; these include identifying new safety signals, further characterization of safety concerns that are raised in pre-marketing RCT, and further generalization of RCT findings to the broader patient populations not previously studied in RCT. In this paper, we use cardiovascular safety outcome trial for antidiabetic therapies as an illustrative example and discuss how integrative analysis of RCT and observational study data can answer regulatory concerns about cardiovascular risk in a post-marketing setting. A novel statistical analysis strategy is proposed to combine both sources of safety data in a data fusion approach. The proposed approach includes three stages: (1) feasibility analysis that uses an RCT to validate an observational study, applying estimand framework and emulating RCT with RWD; (2) integrative analysis that combines evidence from the RCT and observational study data cooperatively; and (3) sensitivity analysis that examines the consistency of the previous analyses. Two potential utilities of the proposed integrative analysis for the cardiovascular safety outcome trial are discussed. [ABSTRACT FROM AUTHOR]

Microbial associations arise as useful tools in several biotechnological processes. Among them, bioremediation of contaminated environments usually takes advantage of these microbial associations. Despite being frequently used, these associations are indicated using a variety of expressions, showing a lack of consensus by specialists in the field. The main idea of this work is to analyze the variety of microbial associations referred to as "microbial consortia" (MC) in the context of pollutants biodegradation and bioremediation. To do that, we summarize the origin of the term pointing out the features that an MC is expected to meet, according to the opinion of several authors. An analysis of related bibliography was done seeking criteria to rationalize and classify MC in the context of bioremediation. We identify that the microbe's origin and the level of human intervention are usually considered as a category to classify them as natural microbial consortia (NMC), artificial microbial consortia (AMC), and synthetic microbial consortia (SMC). In this sense, NMC are those associations composed by microorganisms obtained from a single source while AMC members come from different sources. SMC are a class of AMC in which microbial composition is defined to accomplish a certain specific task. We propose that the effective or potential existence of the interaction among MC members in the source material should be considered as a category in the classification as well, in combination with the origin of the source and level of intervention. Cross-kingdom MC and new developments were also considered. Finally, the existence of grey zones in the limits between each proposed microbial consortia category is addressed. Key points: • Microbial consortia for bioremediation can be obtained through different methods. • The use of the term "microbial consortia" is unclear in the specialized literature. • We propose a simplified classification for microbial consortia for bioremediation. [ABSTRACT FROM AUTHOR]

Key summary points: Aim: To describe a cohort of older trauma patients treated for injuries related to intentional injury over 20 years. Findings: Intentional injury among older patients is rare, but differences are evident when comparing older and younger survivors of suicide attempts. Differences with mortality method of self-inflicted injury, discharge to home and injury severity between genders were identified. Message: Although older patients are not the typical suicide attempt patient presenting at hospitals, their management and discharge planning are often complex and challenging due to undiagnosed mental health conditions, pre-existing comorbidities and difficulties with mental health resource options for this age group. Purpose: Older patients (Older) have complex health management needs often requiring additional resources. Mental health disorders are common among trauma patients, yet minimal information on older suicidal related injury and outcomes exists. A review of trauma patients with intentional self-inflicted injury at one trauma center was done to describe and identify unique elements of this cohort of patients. Methods: Trauma registry data from 2000 to 2019 were reviewed for intentional injury and data abstracted included demographics, injury severity, diagnoses, comorbidities and outcomes. Cohorts by age were compared: Older (65 +) vs Younger (< 65). Values considered significant at p ≤ 0.05. Results: 557 suicide attempts were identified with 9% among Older patients. Most patients were male with median age of 75 years for Older and 35 years for Younger cohort, with similar length of stay (LOS) and injury severity scores (ISS). Penetrating injury was more common among Older patients with firearm used most often, 34% vs 14% for Younger. Differences were evident between male and female Older patients with ISS 16.7 vs 5, p < 0.01 and mortality, p = 0.03. The outcome of discharge to home was significantly different between Older and Younger, 6% vs 20% (p < 0.05). A difference in mortality was evident, Older 38% vs Younger 18% (p < 0.05). Conclusion: With the growing aging population, it is important to acknowledge the resultant increase in concomitant mental health issues and suicidality among older patients, where depression may be undiagnosed and untreated. Providing care within this cohort may reduce future attempts and lessen the burden on the health care system. [ABSTRACT FROM AUTHOR]

Although honey bee brood does not need to seek shelter or food and restricts its movements to small wax cells, larvae have some degree of motility. Previously, other studies described how honey bee larvae showed analogous behaviours to the wandering period in holometabolous insects. The current research aimed to measure locomotion of the honey bee brood at different conditions of food supply and larval stadia. Besides, we developed an actometry assay to describe the larval behaviour under laboratory conditions. Our results suggested that the satiety and developmental program of larvae modulated their locomotion. Before they pupated, larval speed increased sharply and then it dropped until quiescence. However, starvation also induced an increase in angular velocity of brood. Starved larvae were between three and five times faster than the satiated ones. Moreover, fifth instars left their wax cells after 2 h of starvation without nurse bees. In the actometry assay, larvae showed behaviours of dispersion and changes in their kinematic parameters after detecting a tactile stimulus like the edge of arenas. [ABSTRACT FROM AUTHOR]

Bee surveys bring valuable information regarding species distribution, phenology, and their interactions with host plants, and thus are important to bee conservation, especially in the present scenario of drastic declines reported worldwide. The Brazilian bee fauna has been surveyed intensively since the late 1960s, but the state-of-the-art of this research topic has not been explored in detail. Our main goal is to analyze the scientific literature through a systematic review of Brazilian bee surveys, describing (i) spatial sampling gaps; (ii) preferred sampling frequency and methods; (iii) species identification and vouchering practices; (iv) gender participation; and (v) how the studies are distributed among scientific journals. Our review includes 213 published studies, of which half targeted the entire bee fauna (Apoidea: Apidae sensu lato) while the other half targeted the orchid bees (Euglossini). Sampling sites are predominant in eastern Brazil, particularly within the Atlantic Forest. Hand netting bees for 1 year long was the most frequent sampling protocol to capture bees. Taxonomic identification and voucher deposition practices were mentioned in most of the papers. Men and women published almost the same number of papers, but women were less frequent as lead or senior authors and appeared less as prolific researchers. Most papers were published in a few Brazilian journals. We highlight that surveys in understudied areas are needed, especially in Amazon. Monitoring bees in previously surveyed locations is also encouraged to investigate temporal changes in bee assemblages, such as population declines, impacts of land-use changes, and effects of climate change. [ABSTRACT FROM AUTHOR]