Search

This study reports the pair distribution function (PDF) analysis of combined wide‐ and small‐angle X‐ray scattering (WAXS/SAXS) profiles of poly(styrene sulfonic acid) (PSSA) grafted poly(ethylene‐co‐tetrafluoroethylene) polymer electrolyte membranes (ETFE‐PEMs) within a wide grafting degree (GD) of 0%–117%. The PDF analysis of WAXS profiles (from Cu‐Kα1 radiation) provides a measure in size of the crystallite domains (5.1–8.7 nm). The extension of the PDF analysis for only SAXS profiles shows the distances of crystallite layers of 25.1–32 nm. In particular, SAXS‐PDF analysis is effective in showing the existence of newly generated graft domains with distances ≈60–64 nm, which can not be determined previously by the conventional SAXS analysis. The high similarity in local and higher‐order structures observed for polystyrene grafted ETFE films and ETFE‐PEMs suggests that the hierarchical structures including the spatial arrangement of large amorphous contents in the membranes can be determined at the graft polymerization step. Note that the presence of newly generated PSSA graft domains at large dimension can explain well the comparable or higher proton conductivity of ETFE‐PEMs as compared with commercial Nafion membrane. [ABSTRACT FROM AUTHOR]

Summary: Durian fruit rinds (Durio zibethinus) have increasingly attracted scientific interest due to their potent bioactive metabolites. In the present study, a comprehensive approach combining chromatographic techniques and bioassays was employed to elucidate the phytochemical constituents present in durian fruit rinds and their corresponding bioactivities. The crude ethanolic extract (CEE) and its fractions obtained through silica gel column chromatography (F1, F2, F3, and F4) were qualitatively and quantitatively analysed for their flavonoid profiles using thin‐layer chromatography, high‐performance liquid chromatography (HPLC), and liquid chromatography/mass spectrometry (LC/MS). Among the tested samples, fraction F2 exhibited the highest total flavonoid content (179.55 mg QE/g DW). TLC and HPLC analyses showed the presence of quercetin in all tested samples, with its content ranking in the order of F2 > F3 > F1 > F4 > CEE. The fractions exhibited inhibitory effects on albumin denaturation, protease activity, lipoxygenase (LOX), heat‐induced haemolysis, and xanthine oxidase (XO), surpassing those of the crude extract. These observed bioactivities correlated with the distribution of flavonoids and quercetin content in the samples. LC/MS analysis further showed the presence of flavonoids‐chalcone, flavonols, terpenoids, stilbene glycosides, anthocyanins, phenolics, and amino acids in fraction F2. These results determine the phytochemical profiles, anti‐inflammatory, and anti‐XO activities of bioactive fraction obtained from durian fruit rinds. [ABSTRACT FROM AUTHOR]

Introduction: Hypertension is the single most important leading cause of morbidity and mortality in the Vietnamese population and remains poorly controlled by the current conventional care model. Objectives: To evaluate whether pharmacist‐led interventions can improve hypertension knowledge, medication adherence, and blood pressure (BP) control in Vietnamese patients with hypertension. Methods: A multi‐center, randomized, controlled trial was conducted in three hospitals in Vietnam from October 2021 to May 2022. The educational interventions included direct counseling, printed material, and educational videos for smartphones. The primary outcome was hypertension knowledge assessed by the Hypertension Knowledge‐Level Scale (HK–LS). Secondary outcomes were medication adherence as assessed by the Morisky Green Levine Adherence Scale (MGL) and changes in systolic (SBP) and diastolic BP (DBP) at week 12. Results: A total of 381 patients were included in the study, with 190 and 191 patients in the intervention and control groups, respectively. At week 12, patients in the intervention group had a significantly higher mean HK–LS than the control group (18.97 ± standard deviation [SD] 2.10 vs. 14.98 ± SD 3.55, respectively; p < 0.001). Significantly higher medication adherence was observed in the intervention group than in the control group (MGL score of 3.76 ± 0.52 vs. 3.20 ± 0.87, respectively; p < 0.001). Patients in the intervention group had a significant reduction in mean SBP/DBP (−6.15/−2.58 mmHg) compared with the control group (−0.98/−0.92 mmHg; p < 0.001). Conclusion: Pharmacist‐led interventions resulted in a significant improvement in disease knowledge, medication adherence, and BP control in the Vietnamese context of practice and health system. [ABSTRACT FROM AUTHOR]

Nanoparticles made of porous coordination polymers, known as metal‐organic frameworks (MOFs), are becoming increasingly popular in nanomaterials research, especially in catalytic applications. With their intricate architectures, MOFs make it possible to incorporate metal nodes, encapsulate substrates, and use functional linkers, all of which contribute to synergistic engineering. A Ni‐based metal‐organic framework sample was prepared by the solvothermal method with NiCl2.6H2O as a precursor of Ni metal and terephthalic (H2BDC) acid as a linker. The as‐synthesized NiBDC was verified by X‐ray diffraction (XRD), Fourier‐transform infrared spectroscopy (FT‐IR), scanning electron microscopy (SEM), scanning electron microscopy with energy dispersive X‐ray spectroscopy (SEM‐EDX), transmission electron microscopy (TEM), and N2 adsorption/desorption isotherms. Based on these findings, we applied the as‐synthesized NiBDC to the oxidative coupling reaction of benzylamine. The results revealed that with NiBDC as a heterogeneous catalyst, the oxidative coupling reaction of benzylamine achieved a performance of 92%. Furthermore, the catalyst maintains good stability after four catalytic cycles, with an efficiency of approximately 82%. [ABSTRACT FROM AUTHOR]

Myoelectric is a biological signal produced from physiological variations in muscle fibers when they contract and relax. The study of muscle activity through the recording and analysis of myoelectric signals is called electromyography. Electromyography can provide a comprehensive view of the operation and performance of internal muscle groups and cells. The objective of this study is an investigation into hand movement classification using surface electromyography (sEMG) signals. For training and evaluating the proposed model, two data sets from the Ninapro project, a publicly available database for prosthetic hand control, were used: DB5 with low‐cost 16 channels and 200 Hz sampling rate setting and DB10 with 12 channels and 1926 kHz sampling rate setup. First, we divided the EMG data into segments using the windowing technique. These segments were then used to extract a set of time features. Finally, the retrieved feature information was loaded into a simple pattern recognition model: Artificial Neural Network. © 2024 Institute of Electrical Engineers of Japan and Wiley Periodicals LLC. [ABSTRACT FROM AUTHOR]

In this work, intrinsic spin Hall conductivity of β‐W and its alloy with V has been theoretically studied by the combination of ab initio method with the tight binding method. Both two possible configurations of V in β‐W structure are fully considered and their total energy difference used to estimate the thermodynamic average SHC of alloy by using Maxwell‐Boltzmann distribution. It is found that due to the small total energy difference between two configurations, there is a significant contribution to the thermodynamic average SHC of the alloy from both configurations, which results in the average SHC of alloy being enhanced up to 12.3% compared with the pristine β‐W. © 2024 Institute of Electrical Engineers of Japan and Wiley Periodicals LLC. [ABSTRACT FROM AUTHOR]

We investigate a potential primary effect of leveraged buyouts (LBOs) by private equity (PE) on peers in the same industry using data on US public‐to‐private LBO transactions between 1985 and 2016. We use a network‐based instrumental variable approach to account for potential endogeneity concerns. Our findings indicate that the LBOs by PEs matter for peer firms' performance and corporate strategy relative to nonpeer firms. Our study supports a learning factor hypothesis, but we find no evidence to support the conjecture that peers lose due to the increased competitiveness of the LBO target. [ABSTRACT FROM AUTHOR]

The β and β′ subunits of the RNA polymerase (RNAP) are large proteins with complex multi‐domain architectures that include several insertional domains. Here, we analyze the domain organizations of RNAP‐β and RNAP‐β′ using sequence, experimentally determined structures and AlphaFold structure predictions. We observe that lineage‐specific insertional domains in bacterial RNAP‐β belong to a group that we call BEAN (broadly embedded annex). We observe that lineage‐specific insertional domains in bacterial RNAP‐β′ belong to a group that we call HABAS (hammerhead/barrel‐sandwich hybrid). The BEAN domain has a characteristic three‐dimensional structure composed of two square bracket‐like elements that are antiparallel relative to each other. The HABAS domain contains a four‐stranded open β‐sheet with a GD‐box‐like motif in one of the β‐strands and the adjoining loop. The BEAN domain is inserted not only in the bacterial RNAP‐β′, but also in the archaeal version of universal ribosomal protein L10. The HABAS domain is inserted in several metabolic proteins. The phylogenetic distributions of bacterial lineage‐specific insertional domains of β and β′ subunits of RNAP follow the Tree of Life. The presence of insertional domains can help establish a relative timeline of events in the evolution of a protein because insertion is inferred to post‐date the base domain. We discuss mechanisms that might account for the discovery of homologous insertional domains in non‐equivalent locations in bacteria and archaea. [ABSTRACT FROM AUTHOR]

Summary: This paper presents an ultrahigh input impedance, low noise, and wide bandwidth four‐channels analog front‐end (AFE) for low‐power neural recording systems. To achieve high input impedance, the buffer channels are placed between the electrodes and the main amplifier stage of the AFE. The buffer is designed with low noise and low power consumption to obtain high input impedance of overall AFE while maintaining low input‐referred noise and low power consumption. A chopper capacitively coupled chopper instrumentation amplifier (CCIA) is placed after the buffer as the main amplifier stage of the AFE to improve the common mode rejection ratio (CMRR) and the input‐referred noise of the overall AFE design. A new chopper stabilization control technique is proposed and used in the CCIA stage to reduce the charge injection and clock feedthrough and consequently the high‐frequency ripple of the AFE output signal. A programmable gain amplifier (PGA) is designed as the third stage to adjust the overall gain of the AFE. Benefiting from PGA, the AFE can adapt its gain with both action potential and local field potential signals. To reduce the number of the electrode to be implanted and reduce the impedance mismatch that causes the degradation on overall CMRR performance, two AFE channels shared a reference electrode followed by a reference buffer. The proposed AFE is designed and simulated using a standard 180 nm CMOS process and operates in a wide frequency band of 2.1 to 2500 Hz with low input‐referred noise of 1.6 μVrms and a CMRR over 80 dB at 2.1 Hz. The total power consumption is lower than 4.3 μW per channel. With the proposed structure of AFE, the input impedance is 35 GΩ @ 21 Hz and the minimum impedance over operational bandwidth is 75 MΩ @ 2.5 kHz. [ABSTRACT FROM AUTHOR]

Aim: One third of Australian children diagnosed with type 1 diabetes present with life‐threatening diabetic ketoacidosis (DKA) at diagnosis. Screening for early‐stage, presymptomatic type 1 diabetes, with ongoing follow‐up, can substantially reduce this risk (<5% risk). Several screening models are being trialled internationally, without consensus on the optimal approach. This pilot study aims to assess three models for a routine, population‐wide screening programme in Australia. Methods: An implementation science‐guided pilot study to evaluate the feasibility, acceptability and costs of three screening models in children will be conducted between July 2022 and June 2024. These models are as follows: (1) Genetic risk‐stratified screening using newborn heel prick dried bloodspots, followed by autoantibody testing from 11 months of age; (2) genetic risk‐stratified screening of infant (6–12 months) saliva followed by autoantibody testing from 10 months of age; and (3) autoantibody screening using capillary dried bloodspots collected from children aged 2, 6 or 10 years. Cohorts for each model will be recruited from targeted geographic areas across Australia involving ≥2 states per cohort, with a recruitment target of up to 3000 children per cohort (total up to 9000 children). The primary outcome is screening uptake for each cohort. Secondary outcomes include programme feasibility, costs, parental anxiety, risk perception, satisfaction, well‐being and quality of life, and health professional attitudes and satisfaction. Conclusions: This pilot is the first direct comparison of three screening implementation models for general population screening. Findings will provide evidence to inform a potential national screening programme for Australian children. Trial Registration: ACTRN12622000381785. [ABSTRACT FROM AUTHOR]

Aim: To identify unique clinical phenotypes in type 2 diabetes (T2D) and investigate their treatment response to canagliflozin using latent class analysis. Methods: This was a pooled latent class analysis of the individuals in the CANVAS Program and CREDENCE trial. The co‐primary endpoints were hospitalization for heart failure (HHF) and the composite of cardiovascular death (CVD) or HHF. Secondary endpoints included three‐point major adverse CV events, its individual components, and all‐cause mortality. We completed Cox proportional hazards models to evaluate the effect of canagliflozin across phenotypes. Results: Four distinct phenotypes were identified: Phenotype 1 (n = 966, 6.6%), with the lowest prevalence of heart failure, kidney dysfunction and hypertension; Phenotype 2 (n = 4169, 28.7%), primarily comprising females with a high prevalence of atherosclerotic vascular disease (ASCVD); Phenotype 3 (n = 7108, 48.9%), predominately males with a high prevalence of ASCVD; and Phenotype 4 (n = 2300, 15.8%), possessing the highest prevalences of HF and renal dysfunction. A hierarchical increase in the risk of the primary endpoint was observed across the phenotypes, with the highest CV risk observed for Phenotype 4 (hazard ratio for HHF: 7.57 [95% CI: 4.19‐13.69]). Canagliflozin significantly reduced HHF and the composite CVD or HHF across phenotypes (all P values for interaction >.05). Conclusion: We identified four clinically distinct T2D phenotypes with differential CV risks. Canagliflozin reduced the risk of CV events, irrespective of the phenotype, emphasizing its broad therapeutic acceptability. [ABSTRACT FROM AUTHOR]

Metastatic lung cancer is a highly prevalent cancer with a very low chance of long‐term survival. Metastasis at secondary sites requires that cancer cells develop anoikis resistance to survive during circulation. High levels of bone sialoprotein (BSP), a member of the small integrin‐binding ligand N‐linked glycoproteins (SIBLINGs), have been shown to promote the spread of lung cancer cells; however, the effects of BSP in anoikis resistance are largely unknown. In this study, we determined that BSP promotes anoikis resistance in lung cancer cells. BSP was also shown to promote the expression of E‐cadherin and vimentin (epithelial‐to‐mesenchymal transition markers, which have been utilized as indicators of anoikis resistance). It appears that BSP facilitates MMP‐14‐dependent anoikis resistance by inhibiting the synthesis of miR‐150‐5p and activating the ERK signalling pathway. Knockdown of BSP expression was shown to block lung cancer metastasis by lowering anoikis resistance in vivo. These results indicate that BSP is a promising target to deal with anoikis resistance and metastasis in human lung cancers. [ABSTRACT FROM AUTHOR]

Nanofibrous membranes were developed by combining chitosan (CS), polyvinyl alcohol (PVA), and calcium chloride (CC) to incorporate curcumin (CCM) through a co‐axial electro‐spinning method to improve CCM bioavailability. The optimal parameters were PVA/CS ratio of 7:3 v/v, PVA/CCM ratio of 8:2 v/v, CC amount of 0.5 g, fiber collection distance of 15 cm, voltage value of 18 kV, and injection flow of 0.1 mL/h (both core and shell layer). The prepared PVA/CCM@CS/PVA/CC nanofiber showed smooth surfaces and uniform bead‐free morphology with core‐shell structure. The average fiber diameter was 301.55 ± 76.77 nm with a narrow distribution. Using the Korsmeyer‐Peppas kinetic release model, the nanofiber membrane effectively released ∼85% CCM at pH 7.4 over 96 h via Fickian diffusion transport mechanism. In vitro antibacterial tests demonstrated that the membrane was efficient against both Gram‐positive (Staphylococcus aureus) and Gram‐negative (Pseudomonas aeruginosa) bacteria. When compared to free CCM, the membrane improved cell survival due to its nontoxic and cytobiocompatible features. In vivo tests found that the membrane significantly improved healing in incised‐wound rats, reducing inflammation, fibroblast proliferation, and collagen deposition. These findings indicate that the novel PVA/CCM@CS/PVA/CC nanofiber membrane, which has numerous biological functions, could be a promising candidate for wound dressing therapeutic applications. [ABSTRACT FROM AUTHOR]

Highlights Graphene (nano) platelets (GPs) are cost‐effective and possess high structural integrity, but their limited surface functional groups hinder their compatibility with polymers. In this study, an eco‐friendly, water‐based mechanochemical approach was developed to modify GPs with polyacrylamide (PAM), creating PAM graphene platelets (PAM‐GPs) with a grafting ratio of approximately 15%. The platelet was measured to be a few nanometers in thickness, and the grafted PAM provides abundant functional groups, including amide groups, which enhance compatibility with polymers. A typical polymer, bisphenol‐A epoxy, was compounded with PAM‐GPs, resulting in a high degree of exfoliation and dispersion of PAM‐GPs within the matrix. The resulting epoxy/PAM‐GP composites exhibited significantly improved mechanical properties, including an 18% increase in Young's modulus and a substantial enhancement in fracture toughness, with a 71% increase at a low filler fraction of 0.5 wt%. These improvements are attributed to the effective interfacial interaction between the PAM‐GPs and the epoxy matrix, facilitated by the grafted functional groups. This study highlights the potential of PAM‐GPs as toughening fillers for epoxy composites, emphasizing their applicability in enhancing the durability and performance of structural components in industrial applications. Polyacrylamide (PAM)‐modified graphene platelets by a water‐based approach. A strong interface promoted exfoliation and dispersion of platelets. PAM‐modified platelets improved epoxy modulus and toughness. Fractographic analysis unveils toughening mechanisms. [ABSTRACT FROM AUTHOR]

A library of neutral and cationic palladium complexes of cis‐chelating hetero‐dicarbene ligands have been prepared. These ligands contain two different NHC donors allowing for a wider degree of variation, and the impact of the distinct NHC units has been compared using various spectroscopic means. In addition, the catalytic activities of these complexes in the direct C‐H arylation of thiophenes with aryl halides were studied leading to the finding that the neutral dibromido complexes of the type [PdBr2(diNHC)] generally outperformed their cationic [Pd (NCMe)2(diNHC)](OTf)2 counterparts. More importantly, complexes containing more distinct NHC units give rise to superior catalysts due to an amplified "stereoelectronic asymmetry" within the complex. A preliminary photophysical study of some selected thiophene reaction products has been conducted as well. The ability to individually change each NHC donor in such dicarbene ligands allows for a better fine‐tuning of complex properties in search for superior catalysts. [ABSTRACT FROM AUTHOR]

Background: Consumption of raw cow's milk has repeatedly been shown to protect from asthma, allergies, and respiratory infections. As raw milk bears potential health hazards, it cannot be recommended for prevention. Therefore, we performed an intervention study with microbially safe but otherwise minimally processed cow's milk. Here we describe feasibility and safety of the trial. Methods: The MARTHA trial (DRKS00014781) was set up as a double‐blind randomized intervention in a population residing in Bavaria. Infants from 6 to 36 months of age consumed minimally processed cow's milk (intervention arm) or ultra‐heat‐treated (UHT) semi‐skimmed milk (comparator arm). Results: At the age of 6 to 12 months, 260 infants were enrolled, with 72% having a family history of atopy. The extensive screening system for milk consumption and symptoms suggestive of adverse events was well accepted with 22,988 completed weekly surveys and an average completion of 82% surveys sent out. The children consumed the study milk on average on 457 days (61% of intervention days). The intervention proved to be safe without any case of milk allergy or milk intolerance under the intervention in both arms. All 6 cases of serious adverse events were unrelated to milk. The most common reason was unscheduled hospitalization of more than 3 days. Conclusions: The intervention with minimally processed milk and the study instruments proved feasible. During the age of 6 to 36 months, there was no increased risk of milk allergy in a population with a substantial proportion of family history of atopy. [ABSTRACT FROM AUTHOR]

Predicting traffic flow is vital for optimizing transportation efficiency, reducing fuel consumption, and minimizing commute times. While artificial intelligence tools have been effective in addressing this, there have been some difficulties in processing spatial and temporal data. Current transformer‐based methods, although cutting‐edge for traffic prediction, encounter challenges with handling long sequences and capturing temporal relations effectively. Addressing these, the research introduces a model combining multi‐scale attention modules within transformer layers. This model employs spatio‐temporal transformer blocks, enriched with multi‐scale convolutional attention mechanisms, allowing for a deeper understanding of temporal and spatial traffic patterns. This unique attention mechanism enhances data feature interpretation, leading to heightened prediction precision. The tests on extensive traffic datasets showcase the model's prowess in capturing both local and global traffic features, resulting in superior traffic status predictions. In summary, the innovative model offers an efficacious approach to long‐sequence traffic data learning and temporal relationship extraction, setting a new benchmark in traffic flow prediction accuracy. [ABSTRACT FROM AUTHOR]

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

Collagen derived from freshwater fish scales is a potential material for hemostatic and wound healing. 3D printing method is an environmentally friendly technique to geometrically‐controlled samples and is widely applied to prepare collagen‐based materials. This work aims to compare the advantages of preparation methods for hemostatic materials based on collagen, in which, the traditional method, solution will be compared with the modern method, 3D printing. Collagen in gel form was crosslinked with glutaraldehyde and was first time modified with ginsenoside Rb1 and Camellia chrysantha polyphenols. The characteristics of biomaterial samples, including functional groups, morphology, and element composition of samples have been assessed using infrared spectroscopy, energy‐dispersive x‐ray, field emission scanning electron microscopy. The swelling degree and hemostatic ability of biomaterial samples prepared according to two methods would be tested. The antibacterial, anti‐inflammatory tests, and in vivo test on mice were carried out on these biomaterials. The findings confirmed that the 3D printing method with direct ink writing technique is more suitable for the preparation of hemostatic collagen‐based membrane than the solution method. The time to hemostasis when using collagen‐based membrane was found to be 104.0 ± 16.7 s. Moreover, the collagen‐based biomaterials also have anti‐inflammatory and antibacterial activity. This opens potential applications of the biomaterials from fish scale collagen in practice. [ABSTRACT FROM AUTHOR]

The preparations of homo‐ and hetero‐bimetallic complexes as well as thiourea and selenourea derivatives of a mesoionic Janus‐type N‐heterocyclic dicarbene (diNHC) are reported. Analogues of its monocationic intermediate NHC have also been obtained for comparison. Using the main group adducts, the π‐acceptor properties of both NHCs were determined using low temperature 77Se NMR spectroscopy completing their stereoelectronic profiling. Moreover, catalytic investigations reveal that the mesoionic dipalladium Janus‐diNHC complex can be used in the sequential C2‐ and C5‐arylation of 1‐methylpyrrole for the preparation of non‐symmetrical 2,5‐diarylpyrroles. [ABSTRACT FROM AUTHOR]

Summary: While wavelength division multiplexing (WDM) technology combines several wavelengths onto a single waveguide, the technology of mode division multiplexing (MDM) allows many orthogonal modes of the same wavelength to operate simultaneously without interchannel crosstalk. Thus, the hybrid WDM and MDM network in which the two above‐mentioned techniques cooperate could give a several‐fold increase in the overall network capacity. Constructing this network requires hybrid wavelength‐and‐mode multiplexers, especially ones with high integration and complementary metal‐oxide‐semiconductor (CMOS) compatibility. In this paper, we propose a design of a four‐mode triple‐band multiplexer that is capable of multiplexing up to 12 separate optical signal flows by utilizing four eigenmodes (TE0, TE1, TE2, and TE3) and three‐wavelength windows, which center at 1310, 1490, and 1550 nm. The device is on silicon‐on‐insulator (SOI) platform, consisting of four butterfly‐shaped multimode interference (MMI) couplers, four directional couplers, and a 4×1 cascaded asymmetric Y‐junction coupler. Via numerical simulations, the proposed design is verified to be able to operate effectively on the three aforementioned bandwidth slots with an optical conversion efficiency of over 93% in all functions. Moreover, it exhibits insertion loss less than 1.5 dB and crosstalk smaller than −16 dB within 25 nm bandwidth at each wavelength window. These results can affirm the success of wavelength–mode combination, which leads to a massive improve in the channel capacity on the same optical multiplexing system for optical telecommunications and photonics on‐chip interconnections. [ABSTRACT FROM AUTHOR]

Summary: Acute myeloid leukaemia (AML) is a heterogeneous disease characterized by complex molecular and cytogenetic abnormalities. Pro‐oxidant cellular redox status is a common hallmark of AML cells, providing a rationale for redox‐based anticancer strategy. We previously discovered that auranofin (AUF), initially used for the treatment of rheumatoid arthritis and repositioned for its anticancer activity, can synergize with a pharmacological concentration of vitamin C (VC) against breast cancer cell line models. In this study, we observed that this drug combination synergistically and efficiently killed cells of leukaemic cell lines established from different myeloid subtypes. In addition to an induced elevation of reactive oxygen species and ATP depletion, a rapid dephosphorylation of 4E‐BP1 and p70S6K, together with a strong inhibition of protein synthesis were early events in response to AUF/VC treatment, suggesting their implication in AUF/VC‐induced cytotoxicity. Importantly, a study on 22 primary AML specimens from various AML subtypes showed that AUF/VC combinations at pharmacologically achievable concentrations were effective to eradicate primary leukaemic CD34+ cells from the majority of these samples, while being less toxic to normal cord blood CD34+ cells. Our findings indicate that targeting the redox vulnerability of AML with AUF/VC combinations could present a potential anti‐AML therapeutic approach. [ABSTRACT FROM AUTHOR]

As DNA sequencing technology continues to rapidly improve, studies investigating the microbial communities of host organisms (i.e., microbiota) are becoming not only more popular but also more financially accessible. Across many taxa, microbiomes can have important impacts on organismal health and fitness. To evaluate the microbial community composition of a particular microbiome, microbial DNA must be successfully extracted. Fecal samples are often easy to collect and are a good source of gut microbial DNA. Additionally, interest in the avian preen gland microbiome is rapidly growing, due to the importance of preen oil for many aspects of avian life. Microbial DNA extractions from avian fecal and preen oil samples present multiple challenges, however. Here, we describe a modified PrepMan Ultra Sample Preparation Reagent microbial DNA extraction method that is less expensive than other commonly used methodologies and is highly effective for both fecal and preen oil samples collected from a broad range of avian species. We expect our method will facilitate microbial DNA extractions from multiple avian microbiome reservoirs, which have previously proved difficult and expensive. Our method therefore increases the feasibility of future studies of avian host microbiomes. [ABSTRACT FROM AUTHOR]

This work aimed to isolate and characterize a novel chitin‐degrading bacterium from Yok Don National Park, Vietnam, for crop production studies. Among the chitinolytic isolates, strain YSY‐4.3 was selected, which grew rapidly and produced a large halo around the colony. 16S rDNA analysis indicated that the strain is a novel species in the genus Paenibacillus, and an in vitro evaluation showed that the strain produced phytohormones (IAA, GA3, and zeatin), biofilms, and siderophores; possessed cellulase; and exerted antifungal activity. The whole genome of the strain was 5,628,400 bp with 49.3% GC content, 5056 coding sequences, 48 tRNA, and 1 rRNA. It shared the highest values of digital DNA–DNA hybridization (67.4%) and average nucleotide identity (89.54%) with those of Paenibacillus woosongensis B2_4 (CP126084.1), suggesting a novel species. Of the coding sequences, 4287 proteins were identified by COG, and 2561 were assigned by KEGG. The genome contained at least 51 genes involved in plant growth and resistance to heavy‐metal toxicity and 359 carbohydrate‐active enzymes. The chitinolytic system of the strain was composed of 15 enzymes, among them, PsChiC, which contained a GH18 catalytic domain and a GH5 catalytic domain, had not been previously reported. In addition, the genome possessed 15 gene clusters encoding antimicrobial metabolites, 10 of which are possible novel clusters. This study expands knowledge regarding novel chitinolytic bacteria from Yok Don National Park and provides a valuable gene resource for future studies. [ABSTRACT FROM AUTHOR]

Background: Terbinafine is widely used to treat onychomycosis caused by dermatophyte fungi. Terbinafine resistance in recent years is causing concern. Resistance has so far been associated with single‐nucleotide substitutions in the DNA sequence of the enzyme squalene epoxidase (SQLE) but how this affects SQLE functionality is not understood. Objectives: The aim of this study was to understand newly discovered resistance in two Australian strains of Trichophyton interdigitale. Patients/Methods: Resistance to terbinafine was tested in four newly isolated strains. Three‐dimensional SQLE models were prepared to investigate how the structure of their SQLE affected the binding of terbinafine. Results: This study found the first Australian occurrences of terbinafine resistance in two T. interdigitale strains. Both strains had novel deletion mutations in erg1 and frameshifts during translation. Three‐dimensional models had smaller SQLE proteins and open reading frames as well as fewer C‐terminal α‐helices than susceptible strains. In susceptible strains, the lipophilic tail of terbinafine was predicted to dock stably into a hydrophobic pocket in SQLE lined by over 20 hydrophobic amino acids. In resistant strains, molecular dynamics simulations showed that terbinafine docking was unstable and so terbinafine did not block squalene metabolism and ultimately ergosterol production. The resistant reference strain ATCC MYA‐4438 T. rubrum showed a single erg1 mutation that resulted in frameshift during translation, leading to C‐terminal helix deletion. Conclusions: Modelling their effects on their SQLE proteins will aid in the design of potential new treatments for these novel resistant strains, which pose clinical problems in treating dermatophyte infections with terbinafine. [ABSTRACT FROM AUTHOR]

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

Objective: To assess the effectiveness of evidence‐based quality improvement (EBQI) as an implementation strategy to expand the use of medications for opioid use disorder (MOUD) within nonspecialty settings. Data Sources and Study Setting: We studied eight facilities in one Veteran Health Administration (VHA) region from October 2015 to September 2022 using administrative data. Study Design: Initially a pilot, we sequentially engaged seven of eight facilities from April 2018 to September 2022 using EBQI, consisting of multilevel stakeholder engagement, technical support, practice facilitation, and data feedback. We established facility‐level interdisciplinary quality improvement (QI) teams and a regional‐level cross‐facility collaborative. We used a nonrandomized stepped wedge design with repeated cross sections to accommodate the phased implementation. Using aggregate facility‐level data from October 2015 to September 2022, we analyzed changes in patients receiving MOUD using hierarchical multiple logistic regression. Data Collection/Extraction Methods: Eligible patients had an opioid use disorder (OUD) diagnosis from an outpatient or inpatient visit in the previous year. Receiving MOUD was defined as having been prescribed an opioid agonist or antagonist treatment or a visit to an opioid substitution clinic. Principal Findings: The probability of patients with OUD receiving MOUD improved significantly over time for all eight facilities (average marginal effect [AME]: 0.0057, 95% CI: 0.0044, 0.0070) due to ongoing VHA initiatives, with the probability of receiving MOUD increasing by 0.577 percentage points, on average, each quarter, totaling 16 percentage points during the evaluation period. The seven facilities engaging in EBQI experienced, on average, an additional 5.25 percentage point increase in the probability of receiving MOUD (AME: 0.0525, 95%CI: 0.0280, 0.0769). EBQI duration was not associated with changes. Conclusions: EBQI was effective for expanding access to MOUD in nonspecialty settings, resulting in increases in patients receiving MOUD exceeding those associated with temporal trends. Additional research is needed due to recent MOUD expansion legislation. [ABSTRACT FROM AUTHOR]

The elucidation of the underlying cause of polyuria‐polydipsia syndrome (PPS) is a challenging—especially in the differentiation of partial defects of arginine vasopressin (AVP) secretion or action from primary polydipsia. The water deprivation test has been utilized for many decades, and its application in the paediatric population has been applied using parameters predominantly established in adult cohorts. In more recent times, the development of automated commercial assays for copeptin, a surrogate marker for AVP, has represented a significant advancement in the diagnostic approach to PPS. Measurement of copeptin concentrations has major advantages and has essentially superseded measurement of AVP in diagnostic protocols for PPS. Additionally, stimulated‐copeptin protocols utilizing hypertonic saline infusion, arginine, and glucagon have been investigated, and are promising. However, further studies are required in the population—incorporating the differences in physiological regulation of water homeostasis, and safety requirements—before there is widespread adoption into clinical practice. [ABSTRACT FROM AUTHOR]

This study optimizes the main parameters of the cold‐side heat exchanger (CHE) longitudinal fin, including fin quantity (Nf), fin thickness (Tf), and fin height (Hf), to enhance the performance of motorcycle exhaust thermoelectric generator units (TGUs) utilizing the computational fluid dynamics approach. The investigation shows that these parameters significantly affect the dissipation area of the CHE heat and the outside air velocity distribution in fin gaps, resulting in the fluctuation of TGU output power. The output power increases with respect to Hf; nevertheless, it first increases as Nf and Tf increase but decreases dramatically when Nf or Tf becomes too large. Besides, Hf significantly affects output power, and its impact is almost independent of Tf and Nf, and vice versa; meanwhile, Tf and Nf have a strong relation. This study proposes two Hf of 40 and 60 mm along with the optimal Tf of 1 mm and Nf of 29, providing significantly high output power, low weight, and compact size for TGU. This work contributes insight into the effect of CHE parameters on the TGU performance, and it is a crucial case study for selecting suitable heat sink parameters for TGU, considering practical requirements and conditions. [ABSTRACT FROM AUTHOR]

Proton exchange membrane water electrolysis (PEMWE) emerges as a promising avenue for storing excess renewable energy by generating H2 gas without introducing additional carbon emissions. However, PEMWE systems still grapple with challenges related to energy efficiency, cell longevity, and maximum operational current density. Consequently, extensive research efforts have been directed toward enhancing the performance of electrocatalysts and refining system designs to overcome these limitations. Within this framework, this study introduces a novel synthetic approach for fabricating N‐doped carbon matrices with a checkered pattern on the surface of porous transport layers (PTLs) composed of titanium (Ti). The resulting N‐doped checkered carbon matrices serve as robust hosts for Ir‐Ru nanoparticles during the oxygen evolution reaction (OER), ensuring their stable integration. Additionally, the checkered pattern of the N‐doped carbon matrices facilitates the efficient transport of both electrolyte and produced O2 gas. Capitalizing on these advantages, the incorporation of checkered carbon matrices with Ir‐Ru nanoparticles has achieved a cell current density of 6.82 A cm−2 at a unit cell voltage of 2.0 V. The benefits of this structural innovation extend beyond water electrolysis and can be extrapolated to other electrochemical systems involving the production and transport of gas bubbles, such as CO2 reduction. [ABSTRACT FROM AUTHOR]

This research has progressed to an effective detection chemosensor of zinc, aluminum ions and oxytetracycline hydrochloride antibiotic based on the fluorescence technique. A straightforward method utilizing microwave irradiation was employed to synthesize the salen‐type Schiff base ligand N,N′‐bis(salicylaldehyde)4,5‐dichloro‐1,2‐phenylenediamine (H2I), providing a good 70 % yield. In ethanol, the H2I sensor demonstrated remarkable rapidity, selectivity, and sensitivity in detecting zinc ions. The fluorescence spectrum exhibited a 44‐fold substantial enhancement at 522 nm and achieved a low limit of detection (LOD) of 1.47 μM. Furthermore, the H2I probe's emission intensity increased by 124 times when compared to the ligand's ability to detect Al3+ ions at 494 nm with a LOD value of 7.4 μM. Additional research was done using the H2I probe's effective Zn2+ detection capability. The ability to recognize zinc ions in different real water samples demonstrated a recovery rate of 98.67 % to 103.31 %. Interestingly, a naked‐eye visible fluorescence color of H2I solution impregnated filter papers turned colorless into yell ow under UV irradiation by adding Zn2+ ions, renders it suitable for developing a practical zinc ion detection kit test. In particular, the I‐Zn2+ complex effectively quenched the fluorescence toward oxytetracycline hydrochloride (OTC) with a LOD value of 1.49×10−2 μM in DMSO:H2O (6 : 4, v/v). This is a novel and effective procedure for sensing OTC antibiotic by the I‐Zn2+ complex. These findings hold immense potential for the development of dual fluorescent probes, thereby enhancing sensitivity and specificity in identifying metal ions and antibiotics in a wide range of applications. [ABSTRACT FROM AUTHOR]

T lymphocytes play a central role in immunotherapy, utilizing physical interactions to actively inhibit the development of metastases. However, tumor immune privilege and heterogeneity pose challenges by protecting against immune attacks and limiting immune cell infiltration into tumors, particularly in invasive metastatic clusters. Here, a tumor penetrating magnetic particles (TUP) containing the cascade‐responsive cell membrane‐mimetic copolymer (zwitterionic 2‐methacryloyloxyethyl phosphorylcholine‐co‐3‐hydroxypyridin‐4‐one, PH) and cuproptosis molecules (elesclomol‐copper, EsCu) for programming T cell infiltration is developed. The intravenously injected TUP accumulates at the tumor via the charge conversion of PH and hyperthermia effects of TUP. In metastatic clusters, ES and Cu, triggered by intracellular environments and hyperthermia, are readily released. ES and Cu simultaneously induce cuproptosis of cancer cells and stimulate immune responses. This process destroys self‐defense mechanisms and exacerbates cytotoxicity. The therapies facilitate the release of tumor‐associated antigens, including neoantigens and damage‐associated molecular patterns. Following this, the 3‐hydroxypyridin‐4‐one groups on TUP act as antigen reservoirs, transporting autologous tumor‐associated antigens to dendritic cells, thereby inducing prolonged immune activation. TUP acts as an antigen reservoir in copper apoptosis‐mediated lung metastasis, promoting the accumulation of immune cells in metastatic clusters and effectively preventing the progression of metastatic tumors. [ABSTRACT FROM AUTHOR]

Nutrition in early life plays a key role in shaping an infant's future health. There is limited understanding of the perspectives of Vietnamese mothers with children under 24 months of age regarding breastmilk expression, donation and use. In this cross‐sectional study, an online survey was administered through two parenting social media communities to assess opinions on breastmilk expression, breastmilk donation including contributions from bereaved mothers and the use of donor human milk. A 4‐point Likert scale was used to evaluate respondents' opinions, and demographic and breastfeeding information was collected. Among 375 respondents, almost 30% had received breastmilk from another woman, either through direct breastfeeding (14.7%), expressed breastmilk (12.5%) or from a human milk bank (2.7%). In this survey of 375 mothers, 84.0% indicated they would store excess breastmilk, while 75.7% and 69.6% would donate to a human milk bank or another mother, respectively. When faced with insufficient breastmilk, 88.5% of mothers would seek ways to increase supply, whereas 23.8% considered using commercial milk formula. Regarding milk expression among the 375 mothers, 78.4% preferred electric pumps, compared to 48.6% for manual pumps and 45.9% for hand expression. Additionally, 80.5% of the 375 mothers would suggest donating stored milk to bereaved peers and 85.6% would suggest mothers with mild COVID‐19 to continue breastfeeding with precautions. These findings indicate that this sample has positive views on breastfeeding, breastmilk donation and the use of donor human milk. [ABSTRACT FROM AUTHOR]

The design principles of acceptor1–acceptor2 copolymers featuring alternating diketopyrrolopyrrole (DPP) and thienopyrrolodione (TPD) moieties are investigated. The investigated series of polymers is obtained by varying the aromatic linker between the two acceptor motifs between thiophene, thiazole, pyridine, and benzene. High electron affinities between 3.96 and 4.42 eV, facilitated by the synergy of the acceptor motifs are determined with optical gaps between 1.37 and 2.02 eV. Grazing incidence wide‐angle X‐ray scattering studies reveal a range of film morphologies after thermal annealing, including face‐on, end‐on and superstructure edge‐on‐like crystallites. Conversely, all materials form thin edge‐on layers on the polymer–air interface, as demonstrated by multi‐elemental near‐edge X‐ray absorption fine‐structure spectroscopy. The benefit of the electron‐deficient linkers thiazole and pyridine is evident: In organic field effect transistors, electron mobilities of up to 4.6 × 10−2 cm2 V−1 s−1 are obtained with outstanding on/off current ratios of 5 × 105, facilitated by the absence of detectable hole transport in these materials. Viability for all‐polymer solar cells is assessed in active layer blends with the donor polymer PM6, yielding a maximum average power conversion efficiency of 4.8% and an open circuit voltage above 1 V. [ABSTRACT FROM AUTHOR]

Background: Parenteral penicillin G (PENG) and oral amoxicillin (AMOX) are recommended as treatment for pediatric community‐acquired pneumonia (CAP). With recent epidemiologic penicillin susceptibility data for Streptococcus pneumoniae, the most common etiology of CAP, the objective of this study was to evaluate optimal dosing regimens of PENG and AMOX based on population pharmacokinetics linked to current susceptibility data. Methods: Using NONMEM v7.3, Monte Carlo simulations (N = 10,000) were conducted for AMOX 15 mg/kg/dose PO every 8 h (standard‐dose), AMOX 45 mg/kg/dose PO every 12 h (high‐dose), and PENG 62,500 units/kg/day IV every 6 h using six virtual subjects with ages spanning 3 months to 15 years old. The probability of target attainment (PTA) was determined for both serum and epithelial lining fluid (ELF) to achieve free drug concentrations above the minimum inhibitory concentration (%fT>MIC) across the population of pneumococci for 30%–50% of the dosing interval. Results: In 2018, all 21 (100%) pneumococcal isolates were susceptible to both PENG and AMOX based on Clinical and Laboratory Standards Institute (CLSI; MIC at 2 mg/L) breakpoints, and 15 of 21 (71%) were susceptible based on EUCAST (MIC at 0.5 mg/L) breakpoints. As compared to CLSI, EUCAST breakpoints consistently achieved higher PTA for all antibiotic regimens. At 50% fT>MIC in the serum at the susceptible MICs, standard‐dose AMOX achieved >4% PTA (CLSI) and >86% PTA (EUCAST); high‐dose AMOX achieved >73% PTA (CLSI) and >99% PTA (EUCAST); and PENG achieved 0% PTA (using CLSI) and 100% PTA (using EUCAST). Standard‐dose AMOX, high‐dose AMOX, and PENG achieved >71%, >93%, and 100% PTA, respectively, in the serum at 30%–50% fT>MIC when each patient was stochastically linked to an MIC based on the frequency distribution of national susceptibility data. The PTA was consistently lower in ELF as compared with serum for all regimens. Conclusion: Based on the recent rates of resistance, antibiotic doses evaluated provide appropriate exposure for pediatric CAP based on the serum and ELF data associated with predicted clinical and microbiologic success for pneumococcus. High‐dose AMOX may still be required to treat pediatric CAP, especially if using CLSI breakpoints. Ongoing surveillance for resistance is essential. [ABSTRACT FROM AUTHOR]

Anisotropic conductive adhesives (ACAs) are the preferred interconnection technology for applications that employ large dies, flexible substrates, and ultra fine‐pitch interconnects. Conventional ACAs require relatively high bonding pressures and temperatures, and ultra fine‐pitch applications challenge the trade‐off between low interconnect resistance and risk of short circuits. This study introduces an ACA‐like interconnection technology that addresses these limitations, allowing for low‐pressure, low‐temperature assembly processes with enhanced particle control at the interconnects. Conductive particles are deposited onto a patterned carrier and subsequently transferred to electrical pads using either non‐conductive film or Ag sintering. The Ag sintering process is performed at a low temperature (140 °C) and low bonding pressure (1 N for a 10 × 10 mm2 chip). The capability of controlling the position and number of conductive particles within individual interconnects is demonstrated. This presents possibilities for achieving ultra‐fine pitch interconnects with negligible risk of short circuits, without compromising electrical resistance. It is demonstrated that interconnect resistance can be tuned by varying the number of conductive particles (achieving a resistance as low as 33 mΩ with 25 particles per interconnect). This approach is applicable to scenarios where the bonding force and temperature must remain low due to the nature of substrate materials. [ABSTRACT FROM AUTHOR]

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

Introduction: For the majority of patients with acute myeloid leukemia (AML) an allogeneic stem cell transplant (SCT) in first complete remission (CR) is preferred. However, whether the number of courses required to achieve CR has a prognostic impact is unclear. It is unknown which factors remain important in patients requiring more than one course of induction to attain remission. Methods: This Acute Leukaemia Working Party study from the European Society for Blood and Marrow Transplantation identified adults who received an allograft in first CR from either a fully matched sibling or 10/10 or 9/10 human leucocyte antigen (HLA)‐matched unrelated donor (HLA‐A, HLA‐B, HLA‐C, HLA‐DR, or HLA‐DQ). Univariate and multivariate analyses were undertaken to identify the prognostic impact of one or two courses of induction to attain CR. Results: A total of 4995 patients were included with 3839 (77%) patients attaining a CR following one course of induction chemotherapy (IND1), and 1116 patients requiring two courses (IND2) to attain CR. IND2 as compared to IND1 was a poor prognostic factor in a univariate analysis and remained so in a multivariate Cox model, resulting in an increased hazard ratio of relapse (1.38; 95% confidence interval [CI], 1.16–1.64; p =.0003) and of death (1.27; 95% CI, 1.09–1.47; p =.002). Adverse prognostic factors in a multivariate analysis of the outcomes of patients requiring IND2 included age, FLT3‐ITD, adverse cytogenetics, and performance status. Pretransplant measurable residual disease retained a prognostic impact regardless of IND1 or IND2. Conclusion: Initial response to chemotherapy as determined by number of courses to attain CR, retained prognostic relevance even following SCT in CR. Patients requiring two courses of induction to attain complete remission (CR) have a higher incidence of relapse and inferior survival as compared to those who require one course. Pretransplant measurable residual disease remains important in predicting outcomes following an allogeneic stem cell transplant in those requiring two courses of induction to achieve CR. [ABSTRACT FROM AUTHOR]

Purpose: To design a patient specific quality assurance (PSQA) process for the CyberKnife Synchrony system and quantify its dosimetric accuracy using a motion platform driven by patient tumor traces with rotation. Methods: The CyberKnife Synchrony system was evaluated using a motion platform (MODUSQA) and a SRS MapCHECK phantom. The platform was programed to move in the superior‐inferior (SI) direction based on tumor traces. The detector array housed by the StereoPhan was placed on the platform. Extra rotational angles in pitch (head down, 4.0° ± 0.15° or 1.2° ± 0.1°) were added to the moving phantom to examine robot capability of angle correction during delivery. A total of 15 Synchrony patients were performed SBRT PSQA on the moving phantom. All the results were benchmarked by the PSQA results based on static phantom. Results: For smaller pitch angles, the mean gamma passing rates were 99.75% ± 0.87%, 98.63% ± 2.05%, and 93.11% ± 5.52%, for 3%/1 mm, 2%/1 mm, and 1%/1 mm, respectively. Large discrepancy in the passing rates was observed for different pitch angles due to limited angle correction by the robot. For larger pitch angles, the corresponding mean passing rates were dropped to 93.00% ± 10.91%, 88.05% ± 14.93%, and 80.38% ± 17.40%. When comparing with the static phantom, no significant statistic difference was observed for smaller pitch angles (p = 0.1 for 3%/1 mm), whereas a larger statistic difference was observed for larger pitch angles (p < 0.02 for all criteria). All the gamma passing rates were improved, if applying shift and rotation correction. Conclusions: The significance of this work is that it is the first study to benchmark PSQA for the CyberKnife Synchrony system using realistically moving phantoms with rotation. With reasonable delivery time, we found it may be feasible to perform PSQA for Synchrony patients with a realistic breathing pattern. [ABSTRACT FROM AUTHOR]

Investigation of Lewis acid–base interactions has been conducted by ab initio calculations and machine learning (ML) models. This study aims to resolve two critical tasks that have not been quantitatively investigated. First, ML models developed from density functional theory (DFT) calculations predict experimental BF3 affinity with Pearson correlation coefficients around 0.9 and mean absolute errors around 10 kJ mol−1. The ML models are trained by DFT‐calculated BF3 affinity of more than 3000 adducts, with input features readily obtained by rdkit. Second, the ML models have the capability of predicting the relative strength of Lewis base binding atoms in Lewis polybases, which is either an extremely challenging task to conduct experimentally or a computationally expensive task for ab initio methods. The study demonstrates and solidifies the potential of combining DFT calculations and ML models to predict experimental properties, especially those that are scarce and impractical to empirically acquire. [ABSTRACT FROM AUTHOR]

Introduction: In Viet Nam, key populations (KPs) face barriers accessing HIV services. Virtual platforms can be leveraged to increase access for KPs, including for HIV self‐testing (HIVST). This study compares reach and effectiveness of a web‐based HIVST intervention from pilot to scale‐up in Viet Nam. Methods: A mixed‐methods explanatory sequential design used cross‐sectional and thematic analysis. The pilot launched in Can Tho in November 2020, followed by Hanoi and Nghe An in April 2021. Scale‐up included Can Tho and Nghe An, with 21 novel provinces from April to December 2022. After risk assessment, participants registered on the website, receiving HIVST (OraQuick®) by courier, peer educator or self‐pick‐up. Test result reporting and completing satisfaction surveys were encouraged. Intervention reach was measured through numbers accessing the testing, disaggregated by demographics, and proportion of individuals reporting self‐testing post‐registration. Effectiveness was measured through numbers reporting self‐test results, testing positive and linking to care, and testing negative and using HIVST to manage pre‐exposure prophylaxis (PrEP) use. Thematic content analysis of free‐text responses from the satisfaction survey synthesized quantitative outcomes. Results: In total, 17,589 participants registered on the HIVST website; 11,332 individuals ordered 13,334 tests. Participants were generally young, aged <25 years (4309/11,332, 38.0%), male (9418/11,332, 83.1%) and men who have sex with men (6437/11,332, 56.8%). Nearly half were first‐time testers (5069/11,332, 44.9%). Scale‐up participants were two times more likely to be assigned female at birth (scale‐up; 1595/8436, 18.9% compared to pilot; 392/3727, 10.5%, p < 0.001). Fewer test results were reported in scale‐up compared with pilot (pilot: 3129/4140, 75.6%, scale‐up: 5811/9194, 63.2%, p < 0.001). 6.3% of all tests were reactive (pilot: 176/3129, 5.6% reactive compared to scale‐up: 385/5811, 6.6% reactive, p = 0.063); of which most linked to care (509/522, 97.5%). One‐fifth of participants with a negative test initiated or continued PrEP (pilot; 19.8%, scale‐up; 18.5%, p = 0.124). Thematic analysis suggested that community delivery models increased programmatic reach. Live chat may also be a suitable proxy for staff support to increase result reporting. Conclusions: Web‐based self‐testing in Viet Nam reached people at elevated risk of HIV, facilitating uptake of anti‐retroviral treatment and direct linkage to PrEP initiations. Further innovations such as the use of social‐network testing services and incorporating features powered by artificial intelligence could increase the effectiveness and efficiency of the approach. [ABSTRACT FROM AUTHOR]

Aim: To determine the reliability of hospital discharge codes for heart failure (HF), acute myocardial infarction (AMI) and stroke compared with adjudicated diagnosis, and to pilot a scalable approach to adjudicate records on a population‐based sample. Methods: A population‐based sample of 685 people with diabetes admitted (1274 admissions) to one of three Australian hospitals during 2018–2020 were randomly selected for this study. All medical records were reviewed and adjudicated. Results: Cardiovascular diseases were the most common primary reason for hospitalisation in people with diabetes, accounting for ~17% (215/1274) of all hospitalisations, with HF as the leading cause. ICD‐10 codes substantially underestimated HF prevalence and had the lowest agreement with the adjudicated diagnosis of HF (Kappa = 0.81), compared with AMI and stroke (Kappa ≥ 0.91). While ICD‐10 codes provided suboptimal sensitivity (72%) for HF, the performance was better for AMI (sensitivity 84%; specificity 100%) and stroke (sensitivity 85%; specificity 100%). A novel approach to screen possible HF cases only required adjudicating 8% (105/1274) of records, correctly identified 78/81 of HF admissions and yielded 96% sensitivity and 98% specificity. Conclusions: While ICD‐10 codes appear reliable for AMI or stroke, a more complex diagnosis such as HF benefits from a two‐stage process to screen for suspected HF cases that need adjudicating. The next step is to validate this novel approach on large multi‐centre studies in diabetes. [ABSTRACT FROM AUTHOR]

Cytochrome P450 (CYP) 3A4 is an enzyme involved in the metabolism of many drugs that are currently on the market and is therefore a key player in drug–drug interactions (DDIs). ACT‐1004‐1239 is a potent and selective, first‐in‐class ACKR3/CXRC7 antagonist being developed as a treatment for demyelinating diseases including multiple sclerosis. Based on the human absorption, distribution, metabolism, and excretion (ADME) study results, ACT‐1004‐1239 is predominantly metabolized by CYP3A4. This study investigated the effect of the strong CYP3A4 inhibitor, itraconazole, on the pharmacokinetics of single‐dose ACT‐1004‐1239 in healthy male subjects. In the open‐label, fixed‐sequence DDI study, a total of 16 subjects were treated. Each subject received a single dose of 10 mg ACT‐1004‐1239 (Treatment A) in the first period followed by concomitant administration of multiple doses of 200 mg itraconazole and a single dose of 10 mg ACT‐1004‐1239 in the second period. We report a median of difference in tmax (90% confidence interval, CI) of 0.5 h (0.0, 1.0) comparing both treatments. The geometric mean ratio (GMR) (90% CI) of Cmax and AUC0−∞ was 2.16 (1.89, 2.47) and 2.77 (2.55, 3.00), respectively. The GMR (90% CI) of t1/2 was 1.46 (1.26, 1.70). Both treatments were well‐tolerated with an identical incidence in subjects reporting treatment‐emergent adverse events (TEAE). The most frequently reported TEAEs were headache and nausea. In conclusion, ACT‐1004‐1239 is classified as a moderately sensitive CYP3A4 substrate (i.e., increase of AUC ≥2‐ to <5‐fold), and this should be considered in further clinical studies if CYP3A4 inhibitors are concomitantly administered. [ABSTRACT FROM AUTHOR]