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Background: Increasing age increases the incidence of chronic constipation and fecal impaction. The contribution of the natural aging process to this phenotype is unclear. This study explored the effects of age on key motility patterns in the murine colon and determined the contribution that altered neurokinin 2 (NK2) ‐mediated signaling made to the aging phenotype. Methods: Mucosal reflexes, colonic migrating motor complexes (CMMCs) and colonic motility assays were explored in isolated ex vivo colons from 3, 12–14, 18‐ and 24‐months old mice and the NK2‐mediated response determined. Electrical field stimulation (EFS) or exogenous drug application were used to explore the role of the mucosa in colonic segments. Key Results: Aging reduced the force of contraction of the distal colon mucosal reflex, the frequency and force of contraction of CMMCs and the NK2‐mediated component of both motility patterns. Ondansetron, a 5‐HT3 receptor antagonist, blocked a component of both motility patterns in full thickness but not in mucosa‐free segments of the distal colon. 5, hydroxytryptamine (5‐HT) and EFS‐evoked NK2‐dependent contractions were reduced with increasing age. Smooth muscle sensitivity to 5‐HT or neurokinin A (NKA) was not altered with age. In isolated colon motility assays application of NKA decreased transit time in 24‐months colon and the NK2 antagonist GR159897 increased transit times in both 3‐ and 24‐months old colons. Conclusions and Inferences: Aging impairs key motility patterns in the murine colon. These changes involve a decrease in mucosally‐evoked NK2‐mediated signaling. Targeting NK2‐mediated signaling may provide a novel approach to treating age‐related motility disorders in the lower bowel. [ABSTRACT FROM AUTHOR]

Background & Aims: Ammonia is metabolized into urea in the liver. In acute liver failure (ALF), ammonia has been associated with survival. However, urea variation has been poorly studied. Methods: Observational cohort including ALF patients from Curry Cabral Hospital (Lisbon, Portugal) and Clinic Hospital (Barcelona, Spain) between 10/2010 and 01/2023. The United States ALF Study Group cohort was used for external validation. Primary exposures were serum ammonia and urea on ICU admission. Primary endpoint was 30‐day transplant‐free survival (TFS). Secondary endpoint was explanted liver weight. Results: Among 191 ALF patients, median (IQR) age was 46 (32; 57) years and 85 (44.5%) were males. Overall, 86 (45.0%) patients were transplanted and 75 (39.3%) died. Among all ALF patients, following adjustment for age, sex, body weight, and aetiology, higher ammonia or lower urea was independently associated with higher INR on ICU admission (p <.009). Among all ALF patients, following adjustment for sex, aetiology, and lactate, higher ammonia was independently associated with lower TFS (adjusted odds ratio (95% confidence interval [CI]) = 0.991 (0.985; 0.997); p =.004). This model predicted TFS with good discrimination (area under receiver operating curve [95% CI] = 0.78 [0.75; 0.82]) and reasonable calibration (R2 of 0.43 and Brier score of 0.20) after external validation. Among transplanted patients, following adjustment for age, sex, actual body weight, and aetiology, higher ammonia (p =.024) or lower (p <.001) urea was independently associated with lower explanted liver weight. Conclusions: Among ALF patients, serum ammonia and urea were associated with ALF severity. A score incorporating serum ammonia predicted TFS reasonably well. [ABSTRACT FROM AUTHOR]

Glyphosate (GLY), the most widely used herbicide, has been regarded as an emergent environmental contaminant due to its constant and cumulative use, with potential harm to non‐target organisms, such as crops, disrupting cells' redox balance. Therefore, plants need to fine‐tune their antioxidant (AOX) mechanisms to thrive under GLY‐contaminated environments. Proline overaccumulation is a common response in plants exposed to GLY, yet its role in GLY‐induced toxicity remains unclear. Thus, this study explores whether Pro overaccumulation in response to GLY is perceived as a downstream tolerance mechanism or an early‐warning stress signal. To investigate this, Arabidopsis thaliana T‐DNA mutant lines for Pro biosynthetic (P5CS1) and catabolic genes (ProDH) were used and screened for their GLY susceptibility. Upon seedlings' exposure to GLY (0.75 mg L−1) for 14 days, the herbicide led to reduced biomass in all genotypes, accompanied by Pro overaccumulation. Mutants with heightened Pro levels (prodh) exhibited the greatest biomass reduction, increased lipid peroxidation (LP), and hydrogen peroxide (H2O2) levels, accompanied by a compromised performance of the AOX system. Conversely, p5cs1–4, mutants with lower Pro levels, demonstrated an enhanced AOX system activation, not only with increased levels of glutathione (GSH) and ascorbate (AsA), but also with increased activity of both ascorbate peroxidase (APX) and catalase (CAT). These findings suggest that Pro overaccumulation under GLY exposure is associated with stress sensitivity rather than tolerance, highlighting its potential as an early‐warning signal for GLY toxicity in non‐target plants and for detecting weed resistance. [ABSTRACT FROM AUTHOR]

Introduction: During child dental treatment, different behavior management techniques (BMTs) are applied and it is important to understand the possible discomfort in the operator. Objective: The present systematic review aimed to evaluate the acceptability of dental students and professionals concerning BMTs applied with paediatric dentistry patients. Materials and Methods: A systematic search was conducted, following the PEOS strategy: Population (P) – dental students/professionals (S); Exposure (E) – BMTs preconized by the American Academy of Paediatric Dentistry, Outcome (O) – proportion of BMT acceptance; and Study design (S) – observational studies based on data from PubMed, Scopus, Web of Science, BVS (Lilacs/BBO), Cochrane, and Open Grey databases up to September 2021. The eligible studies were submitted to data extraction and to the evaluation of methodological quality, using the Joanna Briggs Institute Critical Appraisal Tool. The certainty of evidence was evaluated by GRADE. Results: The search retrieved 710 articles; a total of 21 fulfilled the eligibility criteria and were used for qualitative analysis. Among the undergraduate students and dentists, the most accepted techniques were tell‐show‐do and positive reinforcement, while paediatric dentists preferred the tell‐show‐do technique and dental professionals with graduate degrees preferred sedation using nitrous oxide and positive reinforcement. The least accepted technique was protective stabilization. Seven students presented a low risk for bias, while 14 presented a high risk. The certainty of evidence was classified as very low. Conclusion: Although the basis of available certainty of evidence is scarce and with a considerable risk for bias, it is still possible to conclude that the more accepted techniques were based on communication. [ABSTRACT FROM AUTHOR]

Gene expression networks associated with placebo effects are understudied; in this study, we identified transcriptomic profiles associated with placebo responsivity. Participants suffering from chronic pain underwent a verbal suggestion and conditioning paradigm with individually tailored thermal painful stimulations to elicit conditioned placebo effects. Participants reported pain intensity on a visual analog scale (VAS) anchored from zero = no pain to 100 = maximum imaginable pain. RNA was extracted from venous blood and RNA sequencing and validation tests were performed to identify differentially expressed genes (DEGs) associated with placebo effects, controlling for sex and level of pain. Unbiased enrichment analyses were performed to identify biological processes associated with placebo effects. Of the 10,700 protein‐coding genes that passed quality control filters, 667 were found to be associated with placebo effects (FDR <0.05). Most genes (97%) upregulated were associated with larger placebo effects. The 17 top transcriptome‐wide significant genes were further validated via RT‐qPCR in an independent cohort of chronic pain participants. Six of them (CCDC85B, FBXL15, HAGH, PI3, SELENOM, and TNFRSF4) showed positive and significant (P < 0.05) correlation with placebo effects in the cohort. The overall DEGs were highly enriched in regulation of expression of SLITs and ROBOs (R‐HSA‐9010553, FDR = 1.26e−33), metabolism of RNA (R‐HSA‐8953854, FDR = 1.34e−30), Huntington's disease (hsa05016, FDR = 9.84e−31), and ribosome biogenesis (GO:0042254, FDR = 2.67e−15); alternations in these pathways might jeopardize the proneness to elicit placebo effects. Future studies are needed to replicate this finding and better understand the unique molecular dynamics of people who are more or less affected by pain and placebo. [ABSTRACT FROM AUTHOR]

Objectives: Well‐established clinical practice for assessing progress in labor involves routine abdominal palpation and vaginal examination (VE). However, VE is subjective, poorly reproducible and painful for most women. In this study, our aim was to evaluate the feasibility of systematically integrating transabdominal and transperineal ultrasound assessment of fetal position, parasagittal angle of progression (psAOP), head–perineum distance (HPD) and sonographic cervical dilatation (SCD) to monitor the progress of labor in women undergoing induction of labor (IOL). We also aimed to determine if ultrasound can reduce women's pain during such examinations. Methods: Women were recruited as they presented for IOL in three maternity units. Ultrasound assessments were performed in 100 women between 37 + 0 and 41 + 6 weeks' gestation. A baseline combined transabdominal and transperineal scan was performed, including assessment of fetal biometry, umbilical artery and fetal middle cerebral artery Doppler, amniotic fluid index, fetal spine and occiput positions, psAOP, HPD, SCD and cervical length. Intrapartum scans were performed instead of VE, unless there was a clinical indication to perform a VE, according to protocol. Participants were asked to indicate their level of pain by verbally giving a pain score between 0 and 10 (with 0 representing no pain) during assessment. Repeated measures data were analyzed using mixed‐effect models to identify significant factors that affected the relationship between psAOP, HPD, SCD and mode of delivery. Results: A total of 100 women were included in the study. Of these, 20% delivered by Cesarean section, 65% vaginally and 15% by instrumental delivery. There were no adverse fetal or maternal outcomes. A total of 223 intrapartum ultrasound scans were performed in 87 participants (13 women delivered before intrapartum ultrasound was performed), with a median of two scans per participant (interquartile range (IQR), 1–3). Of these, 76 women underwent a total of 151 VEs with a median of one VE per participant (IQR, 0–2), with no significant difference between vaginal‐ or Cesarean‐delivery groups. After excluding those with epidural anesthesia during examination, the median pain score for intrapartum scans was 0 (IQR, 0–1) and for VE it was 3 (IQR, 0–6). Cesarean delivery was significantly associated with a slower rate of change in psAOP, HPD and SCD. Conclusions: Comprehensive transabdominal and transperineal ultrasound assessment can be used to assess progress in labor and can reduce the level of pain experienced during examination. Ultrasound assessment may be able to replace some transabdominal and vaginal examinations during labor. © 2024 The Authors. Ultrasound in Obstetrics & Gynecology published by John Wiley & Sons Ltd on behalf of International Society of Ultrasound in Obstetrics and Gynecology. [ABSTRACT FROM AUTHOR]

Wolves, akin to their fellow canids, extensively employ chemical signals for various aspects of communication, including territory maintenance, reproductive synchronisation and social hierarchy signalling. Pheromone‐mediated chemical communication operates unconsciously among individuals, serving as an innate sensory modality that regulates both their physiology and behaviour. Despite its crucial role in the life of the wolf, there is a lacuna in comprehensive research on the neuroanatomical and physiological underpinnings of chemical communication within this species. This study investigates the vomeronasal system (VNS) of the Iberian wolf, simultaneously probing potential alterations brought about by dog domestication. Our findings demonstrate the presence of a fully functional VNS, vital for pheromone‐mediated communication, in the Iberian wolf. While macroscopic similarities between the VNS of the wolf and the domestic dog are discernible, notable microscopic differences emerge. These distinctions include the presence of neuronal clusters associated with the sensory epithelium of the vomeronasal organ (VNO) and a heightened degree of differentiation of the accessory olfactory bulb (AOB). Immunohistochemical analyses reveal the expression of the two primary families of vomeronasal receptors (V1R and V2R) within the VNO. However, only the V1R family is expressed in the AOB. These findings not only yield profound insights into the VNS of the wolf but also hint at how domestication might have altered neural configurations that underpin species‐specific behaviours. This understanding holds implications for the development of innovative strategies, such as the application of semiochemicals for wolf population management, aligning with contemporary conservation goals. [ABSTRACT FROM AUTHOR]

Introduction: Serum levels of procalcitonin and C‐reactive protein (CRP) have been used to predict anastomotic leakage after colorectal surgery, but information is scarce in advanced ovarian cancer (AOC) surgery with bowel resection. This study aimed to assess the predictive value of procalcitonin and CRP in detecting anastomotic leakage after AOC surgery with bowel resection. The study also aimed to determine the optimal postoperative reference values and the best day for evaluating these markers. Material and methods: This prospective, observational and multicentric trial included 92 patients with AOC undergoing debulking surgery with bowel resection between 2017 and 2020 in 10 reference hospitals in Spain. Procalcitonin and CRP levels were measured at baseline and on postoperative days 1–6. Receiver operating characteristic analysis was performed to evaluate the predictive value of procalcitonin and CRP at each postoperative day. Sensitivity, specificity, positive and negative predictive values were calculated. Results: Anastomotic leakage was detected in six patients (6.5%). Procalcitonin and CRP values were consistently higher in patients with anastomotic leakage at all postoperative days. The maximum area under the curve (AUC) for procalcitonin was observed at postoperative day 1 (AUC = 0.823) with a cutoff value of 3.8 ng/mL (83.3% sensitivity, 81.3% specificity). For CRP, the maximum AUC was found at postoperative day 3 (AUC = 0.833) with a cutoff level of 30.5 mg/dL (100% sensitivity, 80.4% specificity). Conclusions: Procalcitonin and C‐reactive protein are potential biomarkers for early detection of anastomotic leakage after ovarian cancer surgery with bowel resection. Further prospective studies with a larger sample size are needed to confirm these findings. [ABSTRACT FROM AUTHOR]

Background: This phase 1b study (ClinicalTrials.gov identifier NCT03695380) evaluated regimens combining PARP and MEK inhibition, with or without PD‐L1 inhibition, for BRCA wild‐type, platinum‐sensitive, recurrent ovarian cancer (PSROC). Methods: Patients with PSROC who had received one or two prior treatment lines were treated with 28‐day cycles of cobimetinib 60 mg daily (days 1–21) plus niraparib 200 mg daily (days 1–28) with or without atezolizumab 840 mg (days 1 and 15). Stage 1 assessed safety before expansion to stage 2, which randomized patients who had BRCA wild‐type PSROC to receive either doublet or triplet therapy, stratified by genome‐wide loss of heterozygosity status (<16% vs. ≥16%; FoundationOne CDx assay) and platinum‐free interval (≥6 to <12 vs. ≥12 months). Coprimary end points were safety and the investigator‐determined objective response rate (ORR) according to Response Evaluation Criteria in Solid Tumors (RECIST). Potential associations between genetic parameters and efficacy were explored, and biomarker profiles of super‐responders (complete response or those with progression‐free survival [PFS] >15 months) and progressors (disease progression as the best response) were characterized. Results: The ORR in patients who had BRCA wild‐type PSROC was 35% (95% confidence interval, 20%–53%) with the doublet regimen (n = 37) and 27% (95% confidence interval, 14%–44%) with the triplet regimen (n = 37), and the median PFS was 6.0 and 7.4 months, respectively. Post‐hoc analyses indicated more favorable ORR and PFS in the homologous recombination‐deficiency‐signature (HRDsig)‐positive subgroup than in the HRDsig‐negative subgroup. Tolerability was consistent with the known profiles of individual agents. NF1 and MKNK1 mutations were associated with sustained benefit from the doublet and triplet regimens, respectively. Conclusions: Chemotherapy‐free doublet and triplet therapy demonstrated encouraging activity, including among patients who had BRCA wild‐type, HRDsig‐positive or HRDsig‐negative PSROC harboring NF1 or MKNK1 mutations. In this phase 1b study evaluating the efficacy and safety of a cobimetinib–niraparib doublet regimen and a cobimetinib–niraparib–atezolizumab triplet regimen as treatment for BRCA wild‐type, platinum‐sensitive, recurrent ovarian cancer, clinical outcomes were more favorable in the subgroup with homologous recombination‐deficiency signature–positive tumors than in the subgroup with homologous recombination‐deficiency signature–negative tumors. In exploratory analyses within the doublet arm, NF1 mutations showed a trend toward sustained benefit, whereas FGFR1 and WHSC1L1 alterations tended to be associated with resistance; with the triplet regimen, MKNK1 mutations showed a trend toward sustained benefit and PIK3CA alterations with resistance. [ABSTRACT FROM AUTHOR]

Preparing children for adoption is one of the major goals of the child welfare system. Research on adoption preparation has mainly focused on the perspective of adults, and studies addressing the views of children eligible for adoption are meagre. This study aimed to contribute to filling this gap by exploring the child's perspective on adoption and preparation for adoption. Twenty children aged 9–13 years old (seven girls) and living in residential care institutions, participated in three semi‐structured focus group interviews. Thematic analysis of the data revealed three major themes: understanding of adoption, challenges associated with adoption and preparation and other factors that facilitate adoption. The results suggest that children perceive adoption as an opportunity for a better life that involves challenges such as navigating ambivalence, distancing from biological parents and anticipated risks. Preparation for adoption is key to overcome the expected difficulties. We discussed these results considering the importance of prioritizing children's best interests and exploring practical applications of incorporating their perspectives in adoption preparation. Addressing the views of children eligible for adoption may contribute to promoting the quality of child‐centred care in adoption preparation practices. [ABSTRACT FROM AUTHOR]

Social interactions, including agonistic behavior, are very important for the management and welfare of individuals forming groups in captivity. One of the main concerns for the stability and durability of adult male groups is a noticeable level of intraspecific aggression. This study comprises a Social Network Analysis to illustrate social structure in different groups of captive Saharan Dorcas gazelles (Gazella dorcas neglecta). Our main objectives were to examine the relationship between agonistic, affiliative, and association networks and their reciprocity, assessing also whether the agonistic networks can conform to a linear dominance hierarchy. For these purposes, we recorded the behavior of 23 adult males organized in five herds, three composed only of Saharan Dorcas gazelle males and two mixed herds in which there were also Mhorr gazelle males (Nanger dama mohor). Observations were carried out during 295 h through scan sampling. We found no correlation between the affiliative and association networks in any group, although there was a significant correlation between the agonistic and association networks in mixed‐species groups which was not present in single‐species groups. Overall, there was no consistent reciprocity in either affiliative nor agonistic networks and none of the agonistic networks showed a linear structure. These results indicate that affiliative behavior in Saharan Dorcas gazelles offers distinctive and valuable information about the bonds between individuals, however, their dominance structure is far more complex than previously thought. As information provided by affiliative and proximity behaviors is different in this species, we suggest considering affiliative interactions to stablish affinity between individuals. Evaluating different social behaviors and not only agonistic interactions in later studies, is also recommended to develop a more accurately daily management in zoos that guarantee group stability and individuals' welfare, which will improve the conservation of captive populations. [ABSTRACT FROM AUTHOR]

This study aims to find more efficient ways to manufacture highly reactive polyisobutylene (HRPIB) and modified conventional PIB materials (MCPIB) industrially with high vinyl exo‐group contents through cationic polymerization at mild temperatures. The study performed polymerizations using aluminum trichloride (AlCl3) as a catalyst with different nonpolar solvents (hexane and toluene), reaction temperatures (10 and 30°C), and co‐catalysts (water and dibutyl ether [DBE]). At 30°C, toluene can provide vinyl contents above 30 mol%. Particularly, an important synergetic effect was observed between toluene and ether, as corroborated by statistical analyses, resulting in vinyl contents above 50 mol%, while reactions performed in n‐hexane provided maximum vinyl content of 20 mol%. In all cases, number average molar masses ranged from 200 to 1000 Da, which are typical of CPIB and MCPIB materials. Moreover, addition of excess of ether indicated the likely inhibition of reaction rates in presence of high ether concentrations (≥1.18 × 10 −1 mol/L). The obtained results indicated that AlCl3 can be used successfully to manufacture MCPIB products with terminal vinyl contents above 50 mol% at mild temperatures in common nonpolar solvents (n‐hexane and toluene) and in presence of common co‐catalysts (water and DBE) with high rates of reactions. [ABSTRACT FROM AUTHOR]

Aim: To assess the periapical alveolar bone pattern and the serum levels of proinflammatory cytokines, biochemical markers and metabolites in rats subjected to chronic alcohol and nicotine consumption and induced apical periodontitis. Methodology: Twenty‐eight male Wistar rats were divided into four groups: Control, Alcohol, Nicotine and Alcohol+Nicotine. The alcohol groups were exposed to self‐administration of a 25% alcohol solution, while the other groups were given only filtered water. The nicotine groups received daily intraperitoneal injections of a nicotine solution (0.19 μL of nicotine/mL), whereas the other groups received saline solution. Periapical lesions were induced by exposing the pulps of the left mandibular first molars for 28 days. After euthanasia, the mandibles were removed and the percentage bone volume, bone mineral density, trabecular thickness, trabecular separation and trabecular number of the periapical bone were measured using micro‐computed tomography images. Serum samples were collected for analysis of proinflammatory cytokines (IL‐1β, IL‐4, IL‐6 and TNF‐α), biochemical and metabolomic analysis. Statistical analysis was performed with a significance level of 5%. Nonparametric data were analysed using the Kruskal‐Wallis test followed by Dunn's test, while one‐way anova followed by Tukey's test was performed for parametric data. Results: The groups exposed to alcohol or nicotine consumption exhibited an altered bone pattern indicating lower bone density and higher levels of IL‐1β, IL‐6 and TNF‐α compared to the Control group (p <.05). Significant differences were observed among the groups in the levels of aspartate aminotransferase (AST), alanine aminotransferase (ALT), alkaline phosphatase, cholesterol, triglycerides, urea, creatinine, albumin, uric acid, bilirubin and calcium. Metabolomic analysis revealed significant differences in glycine, phosphocholine, lysine, lactate, valine, pyruvate and lipids (CH2CH2CO), n(CH2) and n(CH3). Most of these parameters were even more altered in the simultaneous consumption of both substances compared to single consumption. Conclusion: Alcohol and nicotine chronic consumption altered several metabolic markers, impaired liver and kidney function, increased the production of systemic proinflammatory mediators and harmed the periapical bone microarchitecture in the presence of apical periodontitis. The simultaneous consumption of alcohol and nicotine intensified these detrimental effects. [ABSTRACT FROM AUTHOR]

Background: Paclitaxel (PTX) is a microtubule‐stabilizing antineoplastic that has been shown to damage healthy tissues like the skin. Hyperpigmentation can be found among the adverse effects caused by PTX, but the literature is limited and the mechanisms driving PTX‐induced pigmentary alterations are unknown. Objectives: This study aimed to describe the pigmentary alterations caused by PTX and to determine the effects of PTX on melanocytes. Methods: Pigmentary skin alterations were measured in 20 gynecological cancer patients under PTX treatment by using specific probes, which determine the melanin index and the pigmentation level. Melanocytes were incubated with paclitaxel to analyze melanogenesis markers gene expression, melanin content, and transcription factors activation. Results: Paclitaxel induced alterations in the skin pigmentation with no visible clinical manifestations. Gynecological cancer patients under paclitaxel treatment had an increase in the melanin index and pigmentation levels. In vitro, PTX exposure to melanocytes increased the expression of melanogenesis markers, melanin content, and induced activation of ERK and MITF. Conclusions: The results suggest that PTX alters pigmentation in patients with no clinically visible manifestations, and these alterations might be driven by its capacity to stimulate melanogenesis on melanocytes through the MITF activation pathway. [ABSTRACT FROM AUTHOR]

The state of the art related to parameter correlation in two‐parameter models has been reviewed in this paper. The apparent contradictions between the different authors regarding the ability of D‐optimality to simultaneously reduce the correlation and the area of the confidence ellipse in two‐parameter models were analyzed. Two main approaches were found: (1) those who consider that the optimality criteria simultaneously control the precision and correlation of the parameter estimators and (2) those that consider a combination of criteria to achieve the same objective. An analytical criterion combining in its structure both the optimality of the precision of the estimators of the parameters and the reduction of the correlation between their estimators is provided. The criterion was tested both in a simple linear regression model, considering all possible design spaces, and in a nonlinear model with strong correlation of the estimators of the parameters (Michaelis–Menten) to show its performance. This criterion showed a superior behavior to all the strategies and criteria to control at the same time the precision and the correlation. This paper reviews the conflicting views on using D‐optimality to control parameter correlation in two‐parameter models. It proposes an analytical criterion that effectively balances both the precision and correlation of parameter estimators. The criterion outperforms existing strategies in both linear and nonlinear models, specifically in the Michaelis‐Menten model. [ABSTRACT FROM AUTHOR]

Objective: To evaluate the level of agreement between ultrasound measurements to evaluate fetal head position and progress of labor by attending midwives and obstetricians after appropriate training. Methods: In this prospective study, women in the first stage of labor giving birth to a single baby in cephalic presentation at our Obstetric Unit between March 2018 and December 2019 were invited to participate; 109 women agreed. Transperineal and transabdominal ultrasound was independently performed by a trained midwife and an obstetrician. Two paired measurements were available for comparisons in 107 cases for the angle of progression (AoP), in 106 cases for the head‐to‐perineum distance (HPD), in 97 cases for the cervical dilatation (CD), and in 79 cases for the fetal head position. Results: We found a good correlation between the AoP measured by obstetricians and midwives (intra‐class correlation coefficient [ICC] = 0.85; 95% confidence interval [CI] 0.80–0.89). There was a moderate correlation between the HPD (ICC = 0.75; 95% CI 0.68–0.82). There was a very good correlation between the CD measured (ICC = 0.94; 95% CI 0.91–0.96). There was a very good level of agreement in the classification of the fetal head position (Cohen's κ = 0.89; 95% CI 0.80–0.98). Conclusions: Ultrasound assessment of fetal head position and progress of labor can effectively be performed by attending midwives without previous experience in ultrasound. Synopsis: Ultrasound assessment of fetal head position and progress of labor can effectively be performed by attending midwives without previous experience on ultrasound. [ABSTRACT FROM AUTHOR]

Background: Fluoride varnish (FV) is widely recommended for caries prevention in preschool children, despite its anticaries benefits being uncertain and modest. Dentists often report using clinical practice guidelines (CPGs) as a source of scientific information. Aim: To identify and analyze recommendations for clinical practice on the use of FV for caries prevention in preschool children and to assess the methodological quality of the CPG on this topic. Design: Two researchers independently used 12 search strategies and searched the first five pages of Google Search™ and three guideline databases for recommendations freely available to health professionals on the use of FV for caries prevention in preschoolers. Then, they retrieved and recorded recommendations that met the eligibility criteria and extracted the data. A third researcher resolved disagreements. Each included CPG was appraised using the AGREE II instrument. Results: Twenty‐nine documents were included. Recommendations varied according to age, patients' caries risk, and application frequency. Of the six CPGs, only one scored above 70% in the AGREE II overall assessment. Conclusion: Recommendations on the use of FV lacked scientific evidence, and CPGs were of poor quality. Application of FV is widely recommended despite recent evidence showing an uncertain, modest, and possibly not clinically relevant anticaries benefit. Dentists should be aware that it is necessary to critically appraise CPGs since they may be of poor quality. [ABSTRACT FROM AUTHOR]

Summary: Background: Serum ammonia variation in critically ill patients with cirrhosis has been poorly studied. Aim: To describe and assess the impact of serum ammonia variation in these patients' outcomes. Methods: We studied patients ≥18 years old admitted to the intensive care units (ICUs) at University of Alberta Hospital (Edmonton, Canada) and Curry Cabral Hospital (Lisbon, Portugal; derivation cohort, n = 492) and Northwestern University Hospital (Chicago, USA; validation cohort, n = 600) between January 2010 and December 2021. Primary exposure was ICU days 1–3 serum ammonia. Primary endpoint was all‐cause hospital mortality. Results: In the derivation cohort, 330 (67.1%) patients were male and median (IQR) age was 57 (50–63) years. On ICU day 1, median ammonia was higher in patients with grade 3/4 hepatic encephalopathy (HE) than those with grade 2 HE or grade 0/1 HE (112 vs. 88 vs. 77 μmoL/L, respectively; p < 0.001). Furthermore, medium ammonia was higher in hospital non‐survivors than survivors (99 vs. 86 μmol/L; p < 0.030). Following adjustment for significant confounders (age, HE, vasopressor use and renal replacement therapy delivery), higher ICU day 2 ammonia was independently associated with higher hospital mortality (adjusted OR per each 10 μmoL/L increment [95% CI] = 1.11 [1.01–1.21]; p = 0.024). In the validation cohort, this model with serial ammonia (ICU days 1 and 3) predicted hospital mortality with reasonably good discrimination (c‐statistic = 0.73) and calibration (R2 = 0.19 and Brier score = 0.17). Conclusions: Among patients with cirrhosis in the ICU, early serum ammonia variation was independently associated with hospital mortality. In this context, serial serum ammonia may have prognostic value. [ABSTRACT FROM AUTHOR]

This study assessed the influence of pH variation on the volumetric change of EndoSequence BC Sealer compared to AH Plus Jet. Eighteen single‐rooted teeth were uniformly prepared and filled with one of the sealers. After 24‐h storing, samples were scanned in a micro‐CT device. Then, roots were immersed in 20 ml phosphate‐buffered saline (PBS) with pH of 5, 7 or 12 at 37°C for 7 and 30 days and rescanned. Statistical analysis was performed using Shapiro–Wilk's test, one‐way ANOVA and Tukey's or Student's t‐tests (p < 0.05). Differences between sealers were observed only at neutral pH and after 30 days of acidic pH exposure, with a higher loss of EndoSequence (p < 0.05). After 7 days, alkaline pH reduced and increased the volumetric loss of EndoSequence and AH Plus, respectively, compared to neutral pH (p < 0.05). It can be concluded that the pH directly influenced the volumetric change of both tested root canal sealers in different ways. [ABSTRACT FROM AUTHOR]

This article discusses a study that aimed to evaluate the reproducibility of measurements of breech progression angle (BPA) using transperineal ultrasound (US). The study involved providing 3D ultrasound volumes to eight operators from four maternity units in Spain and Italy. The operators measured the BPA using 3D US volume processing software, and the interobserver reproducibility was assessed. After an online review and the development of an image-based score for BPA measurement, the reproducibility improved. The study concludes that the measurement of BPA is feasible and reproducible when using a standardized image-based score. [Extracted from the article]

The renin‐angiotensin system (RAS) plays essential roles in maintaining peripheral cardiovascular homeostasis, with its potential roles in the brain only being recognized more recently. Angiotensin‐I‐converting enzyme (ACE) is the main component of the RAS, and it has been implicated in various disorders of the brain. ACE and other RAS components, including the related enzyme ACE2, angiotensin peptides and their respective receptors, can participate in the pathological state, as well as with potential to contribute to neuroprotection and/or to complement existing treatments for psychiatric illness. In this narrative review, we aimed to identify the main studies describing the functions of the RAS and ACEs in the brain and their association with brain disorders. These include neurodegenerative disorders such as Parkinson's and Alzheimer's diseases, psychiatric illnesses such as schizophrenia, bipolar disorder, and depression. We also discuss the possible association of a functional polymorphism of the ACE gene with these brain diseases and the relevance of the neuroprotective and anti‐inflammatory properties of ACE inhibitors (ACEis) and angiotensin receptor blockers (ARBs). Based on this, we conclude that there is significant potential value to the inclusion of ACEis and/or ARBs as a novel integrated approach for the treatment of various disorders of the brain, and particularly for psychiatric illness. [ABSTRACT FROM AUTHOR]

Objectives: This study aimed to develop and test a questionnaire's validity and reliability to evaluate undergraduate dental students' feelings regarding child dental care. Methods: The questionnaire was developed using a focus group of 10 undergraduate dental students. This questionnaire was then structured and applied digitally via Google Forms to 90 dental students aged 22.95 years (±0.89) who had already completed or were enrolled in a pediatric dentistry discipline. The test–retest was conducted with 15 students. Descriptive analysis, exploratory factorial analysis (EFA), and intraclass correlation coefficient were performed to evaluate the test–retest reliability, Cronbach's alpha (α) to measure the internal consistency, and Mann–Whitney test was used to determine the discriminant validity (p < 0.05). Results: The final version of the questionnaire concerning the feelings of dental students when faced with pediatric dental treatment comprised three items, which evaluated anxiety, fear, and insecurity. The visual analog scale was used to evaluate the answer for each item. The questionnaire resulted in a total score that varied from 0 to 10. The higher the score on the questionnaire, the greater the negative feelings regarding pediatric dental treatment. The results of the EFA were satisfactory (Bartlett's sphericity = 0.001; Kayser–Meyer–Olkin measure = 0.725). The EFA extracted a single dimension with an eigenvalue of 2.4 and a total explained variance of 80%. The internal consistency of the questionnaire was satisfactory (α = 0.877), and the test–retest reliability was good (intraclass correlation coefficient = 0.691). Students who felt confident about carrying out invasive procedures in children demonstrated more positive feelings related to the pediatric dental treatment (average = 3.50 ± 2.73) than those who did not feel such confidence (average = 5.00 ± 2.35; p = 0.007). Conclusions: The unidimensional questionnaire proposed by this study is valid and reliable in evaluating the feelings of undergraduate dental students regarding child dental care. [ABSTRACT FROM AUTHOR]

In the last years, microtomography has proved to be a powerful technique on insects' studies, allowing a detailed view of the structures' internal with a high resolution. One of the most important advantages about the use of microtomography in these studies is the fact that the dissection is not necessary, which decreases considerably the number of samples used on the insects' research. Some insects are used constantly in studies about morphology, metamorphosis, and reproduction, because they work as a model for others, and Rhodnius prolixus is one of the most studied in this group. This insect is also one of the main insect vectors of Chagas disease that kills around 12,000 people every year in Latin America. Some studies using laboratory microtomography conventional scanners combining with the correct staining methods have proved that it could be a powerful tool in biological research, allowing the visualisation of low‐density tissues. The main goal of the present work was to use staining protocols to study Rhodnius prolixus with laboratory microtomography conventional scanners. The experiments were carried out at the imaging lab in the Theoretical Biology Department, University of Vienna, using an Xradia MicroXCT and at the University of Oslo, using a Skyscan 2211. LAY DESCRIPTION: Microtomography is a technique widely used to study the inside of insects without the need to cut or dissect them. In this work we used this technique to study an insect called Rhodnius prolixus, well known in Latin America for being the main vector of Chagas disease, which kills around 12,000 people a year. Microtomography can be used in two different ways, through particle accelerators, known as a synchrotron, and also through conventional microtomography. The main objective of this work was to show results of conventional microtomography of Rhodnius prolixus through different staining techniques, to visualize its internal anatomy and thus contribute to future studies of pest control and Chagas disease. The measurements were performed at the University of Vienna and at the University of Oslo [ABSTRACT FROM AUTHOR]

Cocaine use is a public health concern in many countries worldwide, particularly in the Americas and Oceania. Overdose deaths involving stimulants, such as cocaine, have been increasing markedly in North America, especially with concurrent opioid involvement. To date, no pharmacological treatment is available to treat stimulant (including cocaine) use disorders. Prescription psychostimulants (PPs) could be useful to treat cocaine use disorder (CUD) as they share the pharmacological effects with cocaine, as evidenced by a recent meta‐analysis that assessed 38 randomized clinical trials (RCTs). PPs were found to promote sustained abstinence and reduce drug use in patients with CUD. The aim of this paper is to provide a narrative review of the clinical pharmacology of PPs and comment on the current stage of evidence supporting PPs to treat CUD. We also propose a model of care that integrates PPs with evidence‐based psychosocial interventions (such as cognitive‐behavioural therapy [CBT] and contingency management [CM]), a harm reduction approach and case management with social support. [ABSTRACT FROM AUTHOR]

Chemotherapy (CT) and immunotherapy (IO) act synergically in the treatment of non-small cell lung cancer (NSCLC). However, the molecular basis of such interaction is poorly understood. The aim of this review was to explore the mechanisms of CT to potentiate the immune system and, consequently, the action of IO. The most up-todate knowledge concerning the interaction of CT and IO in NSCLC was reviewed and a bibliographic search was made in PubMed/Medline database, using the mentioned keywords, with preference given to recently published articles in English. In addition to the direct cytotoxic effect, CT affects the immune system leading indirectly to cell death. The immune response triggered by PD-1 inhibition is enhanced by the cytotoxic immunogenic effects of CT. This potentiation phenomenon occurs due to an increase in effector cells relatively to regulatory cells, inhibition of myeloid derived suppressor cells, increased potential for cross-presentation by dendritic cells after the death of tumor cells or blocking the STAT6 pathway to increase dendritic cell activity. In conclusion, the effects of CT on the immune system work in synergy with the actions of IO, transforming "cold" tumors into "hot" tumors, which are more visible to the immune system. [ABSTRACT FROM AUTHOR]

Aiming to improve the sustainability of materials for lithium‐ion batteries (LIBs), this work reports on the development of novel membranes based on iota‐carrageenan biopolymer and their suitability as separator in LIBs applications. The membranes are prepared by freeze‐drying and its morphology, thermal, mechanical, and electrochemical properties are evaluated as a function of polymer concentration in the solution. Porous membranes with a degree of porosity above 90% and different interconnected pore sizes between 50 and 70 µm for both polymer concentrations are obtained. The electrochemical parameters of the membranes are influenced by the carrageenan polymer concentration, being 1.34 mS cm‐1, 3, 7, and 0.48 for ionic conductivity, tortuosity, MacMullin number, and lithium transference number, respectively, for the membrane prepared from the 4 wt% carrageenan content solution. The half‐cells cathodic prepared with the developed membranes show good cyclability and rate capability. The discharge capacity values obtained with the membrane prepared from 4 wt% carrageenan content are 145 and 25 mAh g‐1 at C/10‐ and 1C‐rates, respectively, demonstrating excellent battery cycling performance and long‐term stability. Thus, this work demonstrates that iota‐carrageenan biopolymer membranes developed by freeze‐drying can be used as separators for a next generation of more sustainable batteries. [ABSTRACT FROM AUTHOR]

This article evaluates the accuracy of using fetal biparietal diameter (BPD) at 11-13 weeks for pregnancy dating compared to the measurement of Crown-rump length (CRL). The study was conducted in Spain, UK, Belgium, and Bulgaria and included women with singleton, non-malformed fetus/neonate. The researchers developed a formula for pregnancy dating based on BPD and validated it against commonly used formulas. The results showed that pregnancy dating based on ultrasound measurement of fetal BPD is a reliable alternative to dating based on CRL. [Extracted from the article]

Text Spotting is the union of the tasks of detection and transcription of the text that is present in images. Due to the various problems often found when retrieving text, such as orientation, aspect ratio, vertical text or multiple languages in the same image, this can be a challenging task. In this paper, the most recent methods and publications in this field are analysed and compared. Apart from presenting features already seen in other surveys, such as their architectures and performance on different datasets, novel perspectives for comparison are also included, such as the hardware, software, backbone architectures, main problems to solve, or programming languages of the algorithms. The review highlights information often omitted in other studies, providing a better understanding of the current state of research in Text Spotting, from 2016 to 2022, current problems and future trends, as well as establishing a baseline for future methods development, comparison of results and serving as guideline for choosing the most appropriate method to solve a particular problem. [ABSTRACT FROM AUTHOR]

The aim was to assess the reproductive efficiency of different techniques used to preserve spermatozoa in artificial insemination semen doses (AI‐doses) by evaluating refrigeration at 15°C, cryopreservation and encapsulation. Forty‐two hyperprolific sows were treated with buserelin and inseminated once at a single fixed time. The fertility rate, embryonic vesicles viability and the early embryonic mortality (arrested conceptuses) evaluated post‐mortem at 24th day of pregnancy, were analysed in order to assess the effectiveness of each proposed technique. Results show an overall reduction on fertility using the three proposal sperm preservation techniques (69.27%, 60.00% and 78.75% for refrigerated, frozen–thawed and encapsulated AI‐doses, respectively). Total number of embryonic vesicles was very similar among the three treatments; yet, the number of viable vesicles was numerically different among groups, and thus, embryonic viability was 79.25%, 80.0% and 87.15% for refrigerated, frozen–thawed and encapsulated AI‐doses, respectively. [ABSTRACT FROM AUTHOR]

The aim of this study was to assess whether vulvar morphometric changes occurring in female pigs during proestrus and oestrus could be objective, accurate and predictive indicators of the onset to oestrus and thus performed artificial inseminations at the most appropriate time. For that purpose, pictures of vulvas from 60 hyperprolific females (30 gilts and 30 sows) during proestrus and oestrus were taken once a day. Vulva measurements (area, perimeter, length and width) on these pictures were performed using the image processing ImageJ software. Gilts and sows showed statistical differences (p <.01) in all vulvar morphometric measurements between proestrus and oestrus. Statistical differences in vulvar metrics were detected 24 h before the onset to oestrus, affecting all vulvar measurements in gilts, whereas only vulvar width was affected in sows. The image analysis used in this study may contribute to the development of smart technology in swine farming. [ABSTRACT FROM AUTHOR]

Seafood products have been one of the main drivers behind the popularity of high‐pressure processing (HPP) in the food industry owing to a high demand for fresh ready‐to‐eat seafood products and food safety. This review provides an overview of the advanced knowledge available on the use of HPP for production of wholesome and highly nutritive clean label fish and shellfish products. Out of 653 explored items, 65 articles published during 2016–2021 were used. Analysis of the literature showed that most of the earlier work evaluated the HPP effect on physicochemical and sensorial properties, and limited information is available on nutritional aspects. HPP has several applications in the seafood industry. Application of HPP (400–600 MPa) eliminates common seafood pathogens, such as Vibrio and Listeria spp., and slows the growth of spoilage microorganisms. Use of cold water as a pressure medium induces minimal changes in sensory and nutritional properties and helps in the development of clean label seafood products. This technology (200–350 MPa) is also useful to shuck oysters, lobsters, crabs, mussels, clams, and scallops to increase recovery of the edible meat. High‐pressure helps to preserve organoleptic and functional properties for an extended time during refrigerated storage. Overall, HPP helps seafood manufacturers to maintain a balance between safety, quality, processing efficiency, and regulatory compliance. Further research is required to understand the mechanisms of pressure‐induced modifications and clean label strategies to minimize these modifications. [ABSTRACT FROM AUTHOR]

Background: The Cantabrian capercaillie (Tetrao urogallus cantabricus) is critically endangered. This subspecies has the lowest genetic variability and it is in regression. It belongs to Phasianidae family; therefore, the domestic chicken (Gallus gallus domesticus) could be a good model for developing reproductive technologies for use in capercaillie populations with low availability of animals. Objectives: In this study, we analyzed the response of capercaillie sperm to the freezing–thawing process for contributing to the development of a semen cryobank of Cantabrian capercaillie. Methods: We used domestic chicken as the animal model in order to obtain the freezing protocol before applying on capercaillie. In the first experiment, two different extenders (EK and LR84) and different concentrations [4% and 6% dimethyl‐acetamide (DMA) v:v] of cryoprotectants were evaluated using in‐straw freezing method in domestic chickens. A pilot study in capercaillie males, using the same conditions evaluated in chicken, was performed. Results: In chicken, we found that the LR84‐4% DMA media provided the best results for freezing semen. In capercaillie study, LR84 extender seemed to be the most appropriate diluent and 4% was the better dose of DMA cryoprotectant agent. Further, based on previous studies carried out in rooster samples, we also tested the glycerol (8% v/v) as a cryoprotectant for capercaillie semen cryopreservation. Conclusions: Our results suggest that sperm from both domestic and wild species had a similar response to freezing–thawing processes. Mediterranean chickens may be used as a suitable model for developing sperm freezing protocols that can be extrapolated to threatened capercaillie populations. In addition, LR84 media with glycerol was the most efficient extender to freeze capercaillie sperm native. [ABSTRACT FROM AUTHOR]

Neuroanatomy is difficult for psychology students because of spatial visualization and the relationship among brain structures. Some technologies have been implemented to facilitate the learning of anatomy using three‐dimensional (3D) visualization of anatomy contents. Augmented reality (AR) is a promising technology in this field. A mobile AR application to provide the visualization of morphological and functional information of the brain was developed. A sample of 67 students of neuropsychology completed tests for visuospatial ability, anatomical knowledge, learning goals, and experience with technologies. Subsequently, they performed a learning activity using one of the visualization methods considered: a 3D method using the AR application and a two‐dimensional (2D) method using a textbook to color, followed by questions concerning their satisfaction and knowledge. After using the alternative method, the students expressed their preference. The two methods improved knowledge equally, but the 3D method obtained higher satisfaction scores and was more preferred by students. The 3D method was also more preferred by the students who used this method during the activity. After controlling for the method used in the activity, associations were found between the preference of the 3D method because of its usability and experience with technologies. These results found that the AR application was highly valued by students to learn and was as effective as the textbook for this purpose. [ABSTRACT FROM AUTHOR]

To address the environmental issues related to lithium‐ion batteries, environmentally friendlier separators based on poly(hydroxybutyrate‐co‐hydroxyvalerate) (PHBV) membranes are prepared by electrospinning. Cobalt ferrite (CFO) fillers can be incorporated to improve the electrochemical properties of the membranes and it is shown that fiber orientation and CFO filler addition have no relevant effect on the physicochemical properties of membranes. PHBV membranes show a well‐defined porosity, resulting in liquid electrolyte retention above 300% by weight and an ionic conductivity at room temperature well above 1 mS cm−1, that depends on fiber orientation and filler addition. Battery separator performance is evaluated on half‐cells demonstrating a discharge capacity value of about 130 mAh g−1 at C/5‐rate with a relatively stable cycling behavior, independently of the electrospun membrane type. Composite membranes with oriented fibers show the best cycling behavior with 90 mAh g−1 at C/2‐rate. The results confirm that the addition of CFO improves the battery performance of the PHBV membranes. The composite membranes based on natural polymers, still poorly explored alternatives to synthetic polymers for battery applications, show good cycling performance are demonstrated. The studied composite membranes are attractive candidates for the next generation of environmentally friendlier natural polymer‐based separator membranes for lithium‐ion battery applications. [ABSTRACT FROM AUTHOR]

In this study, total mercury (THg) was analyzed in archaeological human bone from 23 sites dating to between the Middle Neolithic and the Antiquity. A total of 370 individuals from individual or collective burials was sampled, mostly using cortical bone from the humerus. These individuals were recovered from over 50 different funerary structures ranging from tholoi, pits, caves, and hypogea. Although cinnabar (HgS) is a likely cause of mercury poisoning and toxicity for people exposed to this mineral from mining or use as a paint or pigment, not all sites investigated here had cinnabar associated with the burials or other excavated areas. We found unusual levels of THg in many of the sampled individuals that we assume were caused by exposure to cinnabar in life, and not by diagenetic processes or other exposures to mercury such as through diet, which would only cause negligible accumulation of THg in bone. Our data, based on the largest sampling ever undertaken on contamination of human bone through archaeological evidence, provide a baseline for additional research on cinnabar and its use in Prehistory. Moderate to high levels of THg in human bone are mainly associated with societies dating from the second half of the 4th to late 3rd millennia B.C. (Late Neolithic to Middle Chalcolithic) in southern Iberia. By the Late Chalcolithic and Early Bronze Age, the use of cinnabar decreased significantly and became minimal or absent. The use and abuse of cinnabar appears to have been pervasive throughout the above‐mentioned period and particularly between c. 2900–2300 B.C. This occurred in connection with the high symbolic and probably sacred value of the substance, which was sought after, traded, and extensively used in a variety of rituals and social practices. [ABSTRACT FROM AUTHOR]

This systematic review and meta‐analysis evaluated whether epoxy resin‐based root canal sealers present an increased solubility than calcium silicate‐based root canal sealers. A systematic search was performed in the following databases: PubMed, Science Direct, Scopus, Web of Science and Open Grey. The inclusion criteria consisted of in vitro studies that compared the solubility of epoxy resin‐based and calcium silicate‐based sealers. The quality assessment and data extraction of the selected articles were performed. The meta‐analysis of the pooled data and the subgroups according to the root thirds were carried out using the RevMan software (P < 0.05). After the duplicate removal and eligibility criteria assessment, a total of 22 studies were included all of them were considered as having a low risk of bias. The meta‐analysis demonstrated overall lower solubility of AH Plus. AH Plus presented lower solubility than Bio‐C Sealer, BioRoot RCS, MTA Fillapex, Sealer Plus and Total Fill BC Sealer. [ABSTRACT FROM AUTHOR]

Background: There is evidence of a genetic association between Down Syndrome (DS) and early progression of Alzheimer's disease (AD). Few brief instruments have been validated for the screening of dementia in this population. Previously, we showed that the Informant Questionnaire on Cognitive Decline in the Elderly (IQCODE) may be useful for cognitive screening in adults with DS1. Nonetheless, the adaptation of certain items to account for the presence of intellectual deficiency may increase diagnostic accuracy. The aim of the present study is to evaluate the predictive ability of IQCODE items for adults with DS. Method: Univariate and multivariate logistic regressions were used to assess the effects of the 26 IQCODE items on the diagnosis of cognitive decline (prodromal dementia or dementia versus stable cognition) according to the Cambridge Examination for Mental Disorders of Older People with DS and Others with Intellectual Disabilities, CAMDEX‐DS. The study comprised 92 participants with DS aged ≥35 years. The accuracy of the final multivariate model was evaluated using receiver operator characteristics (ROC) curve. Result: Associations were found between all IQCODE items and diagnosis, except for two items (handling money for shopping and financial matters). Multivariate logistic regression using the CAMDEX‐DS diagnosis as dependent and the items of IQCODE as predictors, showed that four items remained in the model (remembering: members of family and friends, day and month, things they learned when they were younger, and adjusting to change in routine). Participants who presented more difficult with these items were, respectively, 84.1, 86.1, 10.1 and 23.6 times more likely to have a diagnosis of prodromal dementia or dementia. Using the estimated probability of these 4 items, we found an area under the ROC curve of 0.961. Conclusion: The IQCODE items showed good ability to discriminate subjects with cognitive decline as indicated by the CAMDEX‐DS. The use of 4 of the IQCODE items proved to suffice to discriminate between diagnostic groups. We will next perform an adaptation and validation study to warrant the "IQCODE‐DS" as a reliable, brief test for the cognitive screening in this population. [ABSTRACT FROM AUTHOR]

Kidney diseases are the most common illness for cats with a prevalence seven times higher than in dogs. Metanephros is the last of three renal systems to be formed during the embryonic period, which then becomes the permanent kidney. The current work aimed to analyse the morphology and to quantify the structures present in the development of metanephros from domestic cat (Felis catus) embryos and foetuses. For this purpose, the evaluation of the biometric parameters of metanephros from cat embryos and foetuses was performed in addition to the quantification of renal corpuscles and volume of cortical and medullary layers by stereological analysis. The evaluated biometric parameters were weight, width, height, thickness and volume. The values of the measured biometric parameters increased throughout the gestational stages. The quantity of renal corpuscles gradually increased following the embryo‐foetal development, mainly during the middle of the gestational stage. It was during this phase that morphologically, a complete corticomedullary division was observed. Although the difference in the quantity of renal corpuscles between the middle and the end of the gestational stages was not statistically significant, there was an increase in the volume of the medullary layer and a decrease in the volume of the cortical layer between these two stages. These findings suggest that the metanephros presents a progressive growth with the renal corpuscles following this development until the middle of the gestational stage. Starting from this phase, the differentiation of the corticomedullary layers can be seen with a significant increase in the medullary layer. [ABSTRACT FROM AUTHOR]

Amino acid insertions have been rarely found in the integrase (IN) coding region of Human immunodeficiency virus 1 (HIV‐1), and have been considered as natural polymorphisms. It is still unclear the potential impact of these insertion mutations on the viral replication capacity and/or susceptibility to integrase strand transfer inhibitors (INSTIs). The objective of this study was to describe a previously unreported amino acid insertion in the IN coding region of HIV‐1 isolates obtained from antiretroviral treatment‐naïve infected individuals. Nucleotide sequences of HIV‐1 isolates obtained from two infected individuals were analyzed for genotypic resistance to antiretroviral drugs. Phylogenetic inference was carried out for HIV‐1 genetic variant identification. An unreported insertion of a threonine (T) and an asparagine (N) between codon 255 and 256 (S255N_TN) was identified in the IN C‐terminal domain of HIV‐1 subtype G isolates. No resistance‐associated mutations to INSTIs were detected in the inserted sequences. Both individuals maintained undetectable HIV‐1 RNA viral load, 24 months after undergoing antiretroviral treatment with an INSTI containing regimen. The results demonstrated the possibility of transmission of this insertion mutation and suggested that the codon 255 insert by itself may not affect susceptibility to INSTIs. Highlights: A new insertion mutation in HIV‐1 integrase. The codon 255 insert by itself may not affect susceptibility to INSTIs. [ABSTRACT FROM AUTHOR]

Objective: The Southeast and South Coast of Brazil was inhabited during most of the Holocene by shellmound builders. Although there are cultural differences in the archaeological record between regions, it is still debatable how these differences may relate to different population histories. Here, we contribute to this discussion by exploring dental morphological affinities between several regional series. Materials and Methods: Dental morphology of 385 individuals from 14 archaeological sites was analyzed using the Arizona State University Dental Anthropology System. Fifteen traits were used to explore morphological affinities among series through Euclidean distance, Mean Measure of Divergence, and Principal Component Analysis. Mantel matrix correlation and partial correlation tests were used to examine the association between biological, geographic, and chronological distances. Results: Morphological affinities show that ceramic and nonceramic South Coast groups cluster and differ from most Southeast series. In contrast, Southeast coastal and riverine groups display high morphological variance, showing less biological coherence among them. These biological distances between regions are partially explained by geography, but not by chronology. Conclusions: The results support that these coastal populations were low‐mobility groups. Although interactions between individuals of different regions likely existed, gene flow occurred mostly among individuals from local or adjacent areas. The introduction of ceramic in the South Coast is not associated with changes in dental morphology patterns, suggesting its adoption is not exclusively associated with the arrival of different biological groups. Southeast coastal and riverine groups show high phenotypic diversity, suggesting a different history of human occupation and cultural development than observed in the South Coast. Research Highlights: There is high phenotypic variance among Brazilian precolonial coastal societies.Gene flow is partially mediated by geography, but not chronology, suggesting local continuities over time.In the South region, the arrival of ceramic is not associated with biological differences in dental traits.The cultural differences between South and Southeast Coast are associated with biological differences between them. [ABSTRACT FROM AUTHOR]

Background: The Internet provides a plethora of information on health issues related to children's oral health. Aim: Identify online recommendations of paediatric dentistry associations of the Americas (PDAAs) regarding breastfeeding practices, weaning, sugar introduction and initiating oral hygiene. Design: Websites of PDAAs were accessed to record recommendations/questions (Q) relevant to early childhood that specifically covered issues about exclusive breastfeeding—Q1, indications of bottle feeding—Q2, when and how to start weaning—Q3 and Q4, respectively, association of breast milk and dental caries—Q5, when to start oral hygiene and how to introduce it—Q6 and Q7, respectively, and guidance on the introduction of sugar—Q8. Similarity/dissimilarity frequencies between the associations (Euclidean distances) were calculated. Results: From 35 countries on the two American continents, 21 associations were affiliated with the International Association of Paediatric Dentistry and/or the Latin American Pediatric Dentistry Association, whereas eight did not have websites. Higher (P <.05) dissimilarities for Q6 (68.2%), Q7 (72.7%), and Q8 (62.1%) were observed. Results were similar for Q1 and Q5 (P >.05). No association mentioned Q2, Q3 or Q4 responses, whereas Q7 was the most frequently discussed issue. Conclusion: Not all of the investigated issues are mentioned on websites of PDAAs, potentially stymieing efforts by both the layperson and health professional to gather information. [ABSTRACT FROM AUTHOR]

Composites based on chitin (CH) biopolymer and metal‐organic framework (MOF) microporous nanoparticles have been developed as broad‐scope pollutant absorbent. Detailed characterization of the CH/MOF composites revealed that the MOF nanoparticles interacted through electrostatic forces with the CH matrix, inducing compartmentalization of the CH macropores that led to an overall surface area increase in the composites. This created a micro‐, meso‐, and macroporous structure that efficiently retained pollutants with a broad spectrum of different chemical natures, charges, and sizes. The unique prospect of this approach is the combination of the chemical diversity of MOFs with the simple processability and biocompatibility of CH that opens application fields beyond water remediation. [ABSTRACT FROM AUTHOR]

Introduction: Thrombotic thrombocytopenic purpura (TTP) is a rare life‐threatening thrombotic microangiopathy (TMA) characterized by the severe deficiency of ADAMTS13 activity (<10%). Rapid ADAMTS13 testing is crucial for early diagnosis and optimal management of TTP patients and other TMAs. The objective of this study was to retrospectively evaluate the performance of the recently commercialized HemosIL Acustar® ADAMTS13 activity chemiluminescent immunoassay (Instrumentation Laboratory, Bedford, Massachusetts, United States) in a multicentric study between Spain and Portugal. Methods: A comparison method was performed to compare HemosIL Acustar® with an in‐house FRETS‐VWF73 assay and two commercial ELISA assays: the TECHNOZYM® ADAMTS13 Activity (Technoclone GmbH, Vienna, Austria) and the DG‐EIA ADAMTS‐13 Activity (Diagnostic Grifols, SA, Barcelona, Spain). A set of 241 frozen plasma samples with known ADAMST13 levels was used. Agreement between methods was assessed with focus on two cut‐off ADAMTS13 activity values: <10% (the clinical accepted cut‐off value to confirm TTP diagnosis) and <5%. Results: HemosIL AcuStar® showed high agreement with the other methods in correctly classify patients with ADAMTS13 values below 10% (Kappa = 0.89) and even below 5% (Kappa = 0.94) with no false negatives and few false positives (5.40%; 95% CI: 2.20 to 8.60%). However, it also tended to underestimate ADAMTS13 levels, especially for the high assay range values (>40%) (absolute mean bias of 8.40% (95% CI: 6.53 to 10.42%)) when compared to other assays. Conclusions: HemosIL AcuStar® is highly sensitive to detect ADAMTS13 values below 10% and 5%. A large prospective validation study is needed to corroborate its utility in clinical practice. [ABSTRACT FROM AUTHOR]

Polyamine (PA) metabolism and functions have started to raise attention from plant scientists in the last years. PAs have been investigated for their involvement in plant cell signalling and protection, proving that alterations in their endogenous levels can affect plant growth, development and survival. The recognised roles of PAs in metal‐stressed plants are presented and discussed on a "case‐study" basis, for each metal. Bearing in mind that the contamination of soils by heavy metals (HMs) is a growing problem worldwide, it is important to find efficient mechanisms through which agricultural productivity and food quality are safeguarded in a scenario of increased pollution. Making cultivars more tolerant to HM‐stress, capable of detoxifying or accumulating them safely, is a goal that will most certainly benefit from researching the functions and applicability of PAs. To date, plant PAs have been recognised for their roles as membrane‐, protein‐ and nucleic acid‐stabilisers, as protectors of cellular integrity and photosynthetic machinery, as direct and indirect signalling agents, and as emerging members of the non‐enzymatic antioxidant system. Moreover, PAs are not only important in normal plant developmental processes but have also been suggested to induce stress priming, to act as epigenetic regulators of gene expression and to enhance the detoxification and vacuolar compartmentalization of HMs. Although the stress‐ameliorating effects of PAs have been widely studied for several abiotic stresses, not much is known regarding their effects on metal induced‐stress, except for Cd. This review summarises the available work on the effects of PAs in plants exposed to Cu, Cd, Fe, Mn, Cr, Ni, Hg, Al, Pb and Zn. [ABSTRACT FROM AUTHOR]

LINKED CONTENT: This article is linked to Cardoso et al papers. To view these articles, visit https://doi.org/10.1111/apt.17650 and https://doi.org/10.1111/apt.17698 [ABSTRACT FROM AUTHOR]

One of the critical issues in spintronics‐based technologies is to increase the data storage density. Current strategy is based on shrinking the devices size down to tens of nanometers, or several nanometers, which is reaching its limit. A new proposal is to use multi‐level cells (MLCs) to store more than two bits in each cell. In this work, the multi‐level switching is realized in CoFeB/MgO/CoFeB based nano‐scale single perpendicular magnetic tunnel junctions (p‐MTJs) with three or four stable resistance states. A large range of writing currents for each state is obtained, accompanying with a good repeatability of set‐reset operations between different states. The developed multi‐domain model perfectly matches the experimental results, reflecting the magnetic behaviors during multi‐level switching. Furthermore, current‐driven domain wall (DW) motion is revealed in the circular p‐MTJs, where the DW position can be reversibly manipulated by applied current. To design high‐performance multi‐level p‐MTJs, the parameter diagrams are calculated, suggesting various feasible strategies to improve the multi‐level switching through materials optimization and devices geometry. In summary, the demonstration of multi‐level switching in single p‐MTJ shows the high potential of realizing the new generation of p‐MTJ‐based multi‐level spintronic devices, such as multi‐level memories and spin‐neuron devices. [ABSTRACT FROM AUTHOR]