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The invasive alien stink bug Bagrada hilaris (Burmeister) (Hemiptera: Pentatomidae), native to eastern‐southern Africa and central‐southern Asia, poses significant economic threats to agroecosystems due to its polyphagous diet with a preference for brassicaceous crops. Current control methods using broad‐spectrum insecticides are expensive and often result in significant negative ecological impacts, as well as posing a health risk to consumers. This study provides a detailed description of the mating behavior of B. hilaris, with the aim to ascertain whether substrate‐borne vibrations have a role in premating phases. Such knowledge may contribute to the development of alternative biorational control techniques employing vibrational strategies. Virgin adults were tested individually or in pairs on different substrates, that is, a loudspeaker membrane and a bean plant. Vibrations emitted by males and females were recorded using a laser Doppler vibrometer, and the following spectral and temporal parameters were analyzed: fundamental frequency, emission time, repetition time, and signal modulation. Three distinct types of vibration emitted by males and females were identified: a male vibrotype (MV‐1), a female vibrotype (FV), and a copula signal exclusively emitted by males (MS‐2). MV‐1 and FV were emitted prior to genitalia contact, whereas MS‐2 was emitted within the mounting and engagement phases. Statistical analysis revealed significant transitions in behavioral phases for couples that achieved mating. By analyzing the walking behavior, there was an inverse relationship between motility and signal emission when comparing the two sexes, which suggests that males might engage in a form of searching behavior. These findings provide insight into the crucial role of vibrational communication to achieve mating in B. hilaris. [ABSTRACT FROM AUTHOR]

Legius syndrome, commonly referred to as SPRED1‐related neurofibromatosis type 1‐like syndrome, is a rare autosomal dominant disorder characterized by café‐au‐lait macules, freckling, lipomas, macrocephaly, and heterogeneous neurodevelopmental manifestations, including a different degree of learning difficulties. Although a partial clinical overlap exists with neurofibromatosis type 1 (NF1), Legius syndrome is distinguished by its genetic etiology and the absence of neurofibromas, indicating an inherent lack of tumor risk. The SPRED1 gene encodes the Sprouty‐related protein with an EVH1 domain 1 (SPRED1), a negative regulator of the RAS‐MAPK signaling pathway with a crucial role in cellular growth and development. Despite various genetic variants and genomic deletions associated with Legius syndrome, the full genetic spectrum of this condition remains elusive. In this study, we investigated the underlying genetic etiology in a cohort of patients presenting with typical manifestations of Legius syndrome using a custom Next Generation Sequencing (NGS) panel and Multiplex Ligation‐Dependent Probe Amplification (MLPA) for NF1 and SPRED1. We identified 12 novel SPRED1 damaging variants segregating with the phenotype in all families. These rare variants affect conserved residues of the protein and are predicted damaging according to in silico tools. No clear genotype–phenotype correlations could be observed in the current cohort and previously reported patients, underscoring the heterogeneous genotype spectrum of this condition. Our findings expand the understanding of SPRED1 variants causing Legius syndrome and underscore the importance of comprehensively characterizing the genetic landscape of this disorder. Despite the absence of clear genotype–phenotype correlations, elucidating the genetic etiology of Legius syndrome is pertinent for facilitating accurate diagnosis, genetic counseling, and therapeutic interventions. [ABSTRACT FROM AUTHOR]

In this study, two cardanol based epoxidized resins, NC514 with less than two epoxies per molecule and side chain epoxidized cardanol glycidyl ether (SCECGE) with approximately 2.45 epoxies (1.0 phenolic+1.45 aliphatic epoxies) per molecule were methacrylated. The methacrylated versions of cardanol based NC514 (NC514VE) and SCECGE (SCECGEVE) epoxy resins were used as cross‐linker units in vinyl ester formulations with methacrylated lauric acid (MFA) and styrene (ST) as bio‐based and synthetic based reactive diluents respectively, at various concentrations (10–40 wt%). The curing reactions of the resins were studied via FTIR and the extent of polymerization was determined for different cross‐linker units in the presence of ST and MFA. Our mechanical and thermomechanical characterizations showed that VER formulations prepared with cardanol based SCECGEVE cross‐linker unit have significantly improved properties than the samples prepared with commercially available counterpart NC514VE using either reactive diluent. These properties of SCECGEVE were also comparable with to that of methacrylated petroleum‐based diglycidyl ether of bisphenol A vinyl ester (DGEBAVE) formulations unlike NC514VE formulations due to more effective side chain functionalization and cross‐linking. [ABSTRACT FROM AUTHOR]

Background Aim Methods Results Conclusion The role of autoimmune IgE responses in atopic dermatitis (AD) is highly debated. While IgE targeting self‐proteins has been extensively studied, IgE responses induced by human‐homologous exogenous molecular allergens (HEMAs) remains less understood.To investigate whether IgE antibody responses to HEMAs are associated with AD, its severity, and response to dupilumab.We enrolled 3325 participants with a history of allergic diseases, including 577 (17.3%) diagnosed with AD. Serum IgE antibodies against 183 exogenous allergenic molecules were measured using the IgE microarray (Allergy Explorer‐ALEX‐2®, MADX, Vienna). Based on international classification criteria, participants were stratified by AD severity and clinical phenotypes. For each patient, we developed an ‘IgE molecular‐mimicry index’ (IgE‐MMI), calculated from IgE reactivity to a panel of five HEMA protein families: arginine kinase, enolase (ENO), cyclophilin (CYP), lipocalin, and MnSOD. Logistic regression was employed to assess the association between IgE to HEMAs or IgE‐MMI and AD, its severity, and response to dupilumab.IgE sensitization to most HEMAs (32/48, 67%), but only to a small fraction of non‐HEMAs (3/135, 2.2%), was significantly more common in patients with severe AD compared to other patient groups. The IgE‐MMI was positive in 295/2748 (10.7%) of allergic patients without AD, and in 58/283 (20%), 52/134 (39%), and 86/160 (54%) of patients with remitting, moderate, or severe AD, respectively. It was strongly associated with specific phenotypes, such as flexural dermatitis (OR 8.4, 95% CI: 6.3–11.2), head and neck dermatitis (OR: 16.5, 95% CI: 7.4–37.2), and generalized eczema (OR: 8.6, 95% CI: 4.9–15.6). Poor response to dupilumab was associated with IgE antibodies to ENO (OR: 22.7, 95% CI: 1.7–302.9), but inversely associated with IgE antibodies to MnSOD (OR: 0.1, 95% CI: 0.02–0.8) and NPC‐2 from dust mites (OR: 0.1, 95% CI: 0.01–0.9).IgE microarrays are useful for broadly assessing IgE to HEMAs in allergic patients. IgE reactivity to HEMAs and a positive IgE‐MMI may serve as valuable biomarkers for severe AD, its clinical phenotypes, and the response to dupilumab. [ABSTRACT FROM AUTHOR]

The Mediterranean coastlines are densely populated zones which host key socio‐economic and commercial activities. For this reason, coastal areas are vulnerable sites in case of natural disasters as tsunamis that can strike coasts causing widespread damage to the population and facilities. For these reasons, several studies were performed over the last decade to study the impact of tsunami waves on the coasts. This research assessed the inundation risk due to a tsunami wave which can hit the southeastern coast of Lampedusa Island. The coastal low‐lying geomorphological setting of the southeastern part of the island led to significant socio‐economic growth, but Lampedusa falls within the Mediterranean Sea, a high‐tsunamigenic area, therefore, the need to investigate tsunami propagation and coastal flooding of this sensitive site emerged. For this scope, a calculation chain model was implemented incorporating three steps: the DELFT‐3D software for earthquake effects modelling, MIKE 21 Flow Model FM for nearshore propagation and HEC‐RAS for onshore tsunami inundation modelling. The simulations illustrate the impact of three tsunami scenarios with different magnitudes (Mw 8.5, 7.5, 6.5) generated by hypothetical earthquakes in the Hellenic Arc. In the Mw 8.5 magnitude scenario, significant flooding occurs in the harbour region, with maximum water depths reaching approximately 3.5 m. The maximum water velocity in this scenario reaches about 15 m/s in the eastern portion, adjacent to cliffs impacted by the tsunami wave. In contrast, the Mw 7.5 magnitude scenario demonstrates reduced flooded areas, with the cliffs containing the waves and preventing further flooding. Water depths and velocities in the Mw 7.5 scenario remain minimal. Changes in both propagation and flooding are not significant between scenarios Mw 7.5 and Mw 6.5. This methodology can be employed for more accurate tsunami wave simulations not only in the Mediterranean region but also in various case studies. [ABSTRACT FROM AUTHOR]

Objectives: Cell models have shown great promise as tools for research, potentially providing intriguing alternatives to animal models. However, the original tissue characteristics must be maintained in culture, a fact that is often assumed, but seldom assessed. We aimed to follow the retention of the original tissue identities of cleft lip‐derived skin and mucosa keratinocytes in vitro. Methods: Cleft lip‐derived keratinocytes were isolated from discarded tissue along the cleft margins during cheiloplasty. Cell identities were assessed by immunohistochemistry and quantitative real‐time PCR for tissue‐specific markers and compared with native lip tissue. Moreover, keratinocytes were regularly analyzed for the retention of the original tissue characteristics by the aforementioned methods as well as by differentiation assays. Results: The various anatomical zones of the human lip could be distinguished using a panel of differentiation and functional‐based markers. Using these markers, retention of the original tissue identities could be followed and confirmed in the corresponding primary keratinocytes in culture. Conclusions: Our findings promote patient‐derived cells retaining their original identities as astonishing and clinically relevant in vitro tools. Such cells allow a better molecular understanding of various lip‐associated pathologies as well as their modeling in vitro, including but not restricted to orofacial clefts. [ABSTRACT FROM AUTHOR]

Tsunamis are rare events involving several complex physical phenomena. Due to this complexity and the relative scarcity of observations, tsunami research makes extensive use of numerical simulations. For seismogenic tsunamis, the source is often modeled as an instantaneous sea‐floor displacement (IS), while the tsunami propagation and inundation is computed through a shallow water approximation (SW). Here, we investigate what is the best tsunami inundation modeling strategy for different realistic earthquake source size and duration. We use 1D earthquake‐tsunami coupled simulations of large M > 8 earthquakes in Tohoku‐like subduction zone to test for which conditions the IS and/or the SW approximations can simulate with enough accuracy the tsunami evolution. We use as a reference a time‐dependent (TD), multi‐layer, non‐hydrostatic (NH) 1D model. Source duration, and size, are based on 1D dynamic rupture simulations with realistic stress drop and rigidity. We show that slow ruptures, generating slip in the shallow part of subduction zones (e.g., tsunami earthquakes), and very large events, with an along‐dip extent comparable with the trench‐coast distance (as occurs for megathrust events) require a TD‐NH modeling, especially for regions with steep coastal bathymetry. Conversely, deeper, higher stress‐drop events can be modeled through an IS‐SW approximation. We finally show that: (a) steeper bathymetries generate larger runups and, (b) a resonant mechanism emerges with runup amplifications associated with larger source size on flatter bathymetries. These results, obtained with 1D modeling, can serve as a guide for the appropriate 2/3D simulation approach for applications ranging from fundamental tsunami science to computational‐intensive hazard assessments. Plain Language Summary: In the last two decades, tsunamis originated by large earthquakes have generated major damage and, according to the World Health Organization, more than 250 k casualties (more than 200 k due to the 2004 Indian Ocean tsunami). Strategies to quantify and mitigate the associated risk are based on numerical simulations of the physical processes regulating the generation, propagation of the waves and subsequent flooding on the coast. These simulations require significant computational resources. To make simulations more affordable, numerous approximations are introduced that need to be tested. In this work, we studied which earthquakes, depending on the speed at which they deform the sea bottom when they trigger a tsunami, and on how big they are, require a more detailed modeling approach, and which ones, instead, might be accurately simulated through approximated approaches. We also show how such findings are related to different bathymetric characteristics near the coast and inland, which may enhance or reduce the tsunami effects. Key Points: Slow and large ruptures (e.g., tsunami earthquakes and megathrust) require a time‐dependent, non‐hydrostatic modelingDeeper, high stress‐drop earthquakes might be modeled through an instantaneous source, shallow water approximationInundation depends on bathymetric features: larger inundations on steeper depth gradients and resonant runup amplifications are observed [ABSTRACT FROM AUTHOR]

Background: It is reported that treatment with anaplastic lymphoma kinase (ALK) tyrosine kinase inhibitors (TKIs) induces hypogonadism both in male patients with ALK‐positive cancer and in murine models. Methods: In this study, three groups, including an experimental group of male patients with ALK‐positive, advanced non–small cell lung cancer (ANSCLC) who were receiving alectinib (cohort A), a control group of female patients with ALK‐positive ANSCLC who were receiving alectinib (cohort B), and a control group of male patients with ALK‐negative ANSCLC (cohort C), prospectively underwent a full hormone assessment for androgen deficiency at 8 weeks after the start of treatment and in case of reported suspected symptoms. Patients with major sexual dysfunctions were referred to an endocrinologist. Results: Ninety‐five patients were consecutively enrolled onto the study. Among sixty‐eight male patients, both median total testosterone levels (2.93 vs. 4.92 ng/ml; p =.0001) and free testosterone levels (0.11 vs. 0.17 pg/ml; p =.0002) were significantly lower in ALK‐positive ANSCLC patients in cohort A compared with ALK‐negative patients in cohort C; conversely, median FSH (10.32 vs. 17.52 mUI/ml; p =.0059) and LH levels (4.72 vs. 7.49 mUI/ml; p =.0131) were significantly higher in cohort C compared to cohort A. Median inhibin B levels were higher in ALK‐positive male patients (74.3 vs. 44.24 pg/ml; p =.0038), but all patients had inhibin B values within the normal range. The percentage of male patients who had positive scores on the Androgen Deficiency in Aging Males (ADAM) questionnaire was 62% in cohort A and 26.8% in cohort C, including eight patients who reported at least one major symptom and were referred to Andrology Unit. No significant differences in the endocrine assessment were reported between cohorts A and B. Conclusions: Symptoms of androgen deficiency should be tracked in male patients with ALK‐positive ANSCLC who are receiving alectinib, and testosterone replacement should be considered, as appropriate. Male patients with ALK‐positive advanced non–small cell lung cancer treated with first‐line alectinib had lower median total testosterone (p =.0001) and free testosterone (p =.0002) levels compared with male patients who had ALK‐negative disease and were receiving other anticancer treatments. Symptoms of hypogonadism were more frequent in ALK‐positive patients compared with ALK‐negative patients (62% vs 26.8% rates of positive score at ADAM questionnaire, respectively), suggesting the need for hormone assessment and referral to an andrologist, as appropriate. [ABSTRACT FROM AUTHOR]

Background: The complexity, high prevalence, and substantial personal and socioeconomic burden collectively render atopic dermatitis (AD) a major public health concern. Using crowdsourced Internet data has the potential to provide unique insights into this concern, as demonstrated by several previous studies. However, a comprehensive comparison across European countries remains lacking. Objectives: The study aimed to investigate AD‐related web searches across Europe to assess spatiotemporal variations and associations between disease‐related and external factors. Methods: AD‐related web search data were extracted for 21 European countries between February 2019 and January 2023. Descriptive analysis and autocorrelation functions were performed to examine spatiotemporal patterns. Correlations (r) were used to evaluate the associations between web searches and disease‐related, socioeconomic and meteorological data. Results: Over 241 million AD‐related web searches were identified, with search volume varying substantially among European countries (p < 0.001) and correlating with AD prevalence and disease burden (both r = 0.51, p = 0.019). Search volume increased between 2019 and 2023 in all countries and seasonally peaked in January and March. Negative correlations with median population age (r = −0.46, p = 0.039), number of general practitioners (r = −0.29, p = 0.226) and specialists (r = −0.27, p = 0.270) were observed. Moderate to strong correlations were found between search volume and cold, humid and windy weather with fewer sunshine hours, while higher online interest typically occurred 1–3 months after such weather conditions. Conclusion: The study highlights the great potential of online crowdsourced data analysis, for example, to investigate the impact of climate change or to identify unmet needs at a population level. Furthermore, the growing online interest in AD and the corresponding seasonal peaks emphasize the necessity of adapting treatment plans, intensifying public health campaigns, and disseminating reliable online information by governments and healthcare providers, especially during these periods. [ABSTRACT FROM AUTHOR]

Brachyolmia is a rare form of skeletal dysplasia characterized by a wide genetic and clinical heterogeneity. This condition is usually diagnosed postnatally, and very few cases of prenatal diagnosis have been described so far. Here, we report a case of a pregnant woman at 20 weeks' gestation referred to our center because of fetal short long bones. On targeted ultrasound, mild bowing of the femurs and fibulae and mild micrognathia were also observed. Exome sequencing analysis showed the presence in compound heterozygosity of two pathogenic variants—both truncating variants—in the 3‐prime‐phosphoadenosine 5‐prime‐phosphosulfate synthase 2 (PAPSS2) gene, known to cause brachyolmia type 4 (OMIM #612847). Of note, all of the few cases reported prenatally have indeed truncating variants. Hence, we speculate this kind of variant is likely responsible for a complete loss of function of the protein leading to an earlier and more severe phenotype. Key points: What is already known on this topic? Brachyolmia shows a wide clinical heterogeneity and few cases have been described in fetuses. What does this study add? We report an early fetal diagnosis of brachyolmia, and speculate that the compound heterozygosity with two truncating mutations may be responsible for the prenatal onset of the bone shortening. [ABSTRACT FROM AUTHOR]

Background and Objectives: Beta‐lactam antibiotics are reported for some of them to be subject to a rapid degradation in infusion solutions and in human blood samples. However, the current data of stability available in blood samples are limited to a few number of beta‐lactam antibiotics, and the methodology of the corresponding studies may be discussed. The objective of the present study is to evaluate the stability of 10 beta‐lactam antibiotics in human plasma samples. Methods: Stability of amoxicillin, cefazolin, cefepime, cefotaxime, cefoxitin, ceftazidime, ceftriaxone, imipenem, meropenem, and piperacillin was evaluated at low and high concentrations at 20°C, 4°C, −20°C, and −80°C for 1, 7, 60, and 90 days, respectively. Results: Amoxicillin, cefepime, meropenem, and piperacillin were the least stable antibiotics. The maximum durations allowing the stability for all the evaluated beta‐lactams at both tested concentrations were estimated at 3 h, 23 h, 10 days, and 35 days at 20°C, 4°C, −20°C, and −80°C, respectively. Conclusion: We recommend to transport antibiotic plasma samples in ice at 4°C and even at −20°C if these samples come from external hospitals. Ideally, plasma samples should be stored at −80°C if possible; if not, the analysis of the samples should be performed as soon as possible in the limit of 10 days after a storage at −20°C. [ABSTRACT FROM AUTHOR]

UPF3B encodes the Regulator of nonsense transcripts 3B protein, a core‐member of the nonsense‐mediated mRNA decay pathway, protecting the cells from the potentially deleterious actions of transcripts with premature termination codons. Hemizygous variants in the UPF3B gene cause a spectrum of neuropsychiatric issues including intellectual disability, autism spectrum disorder, attention deficit hyperactivity disorder, and schizophrenia/childhood‐onset schizophrenia (COS). The number of patients reported to date is very limited, often lacking an extensive phenotypical and neuroradiological description of this ultra‐rare syndrome. Here we report three subjects harboring UPF3B variants, presenting with variable clinical pictures, including cognitive impairment, central hypotonia, and syndromic features. Patients 1 and 2 harbored novel UPF3B variants—the p.(Lys207*) and p.(Asp429Serfs*27) ones, respectively—while the p.(Arg225Lysfs*229) variant, identified in Patient 3, was already reported in the literature. Novel features in our patients are represented by microcephaly, midface hypoplasia, and brain malformations. Then, we reviewed pertinent literature and compared previously reported subjects to our cases, providing possible insights into genotype–phenotype correlations in this emerging condition. Overall, the detailed phenotypic description of three patients carrying UPF3B variants is useful not only to expand the genotypic and phenotypic spectrum of UPF3B‐related disorders, but also to ameliorate the clinical management of affected individuals. [ABSTRACT FROM AUTHOR]

Background and purpose: Post‐stroke movement disorders (PMDs) following ischemic lesions of the basal ganglia (BG) are a known entity, but data regarding their incidence are lacking. Ischemic strokes secondary to proximal middle cerebral artery (MCA) occlusion treated with thrombectomy represent a model of selective damage to the BG. The aim of this study was to assess the prevalence and features of movement disorders after selective BG ischemia in patients with successfully reperfused acute ischemic stroke (AIS). Methods: We enrolled 64 consecutive subjects with AIS due to proximal MCA occlusion treated with thrombectomy. Patients were clinically evaluated by a movement disorders specialist for PMDs onset at baseline, and after 6 and 12 months. Results: None of the patients showed an identifiable movement disorder in the subacute phase of the stroke. At 6 and 12 months, respectively, 7/25 (28%) and 7/13 (53.8%) evaluated patients developed PMDs. The clinical spectrum of PMDs encompassed parkinsonism, dystonia and chorea, either isolated or combined. In most patients, symptoms were contralateral to the lesion, although a subset of patients presented with bilateral involvement and prominent axial signs. Conclusion: Post‐stroke movement disorders are not uncommon in long‐term follow‐up of successfully reperfused AIS. Follow‐up conducted by a multidisciplinary team is strongly advisable in patients with selective lesions of the BG after AIS, even if asymptomatic at discharge. [ABSTRACT FROM AUTHOR]

Objective: The evidence‐based DETECT pulmonary arterial hypertension (PAH) algorithm is frequently used in patients with systemic sclerosis (SSc) to help clinicians screen for PAH by using noninvasive data to recommend patient referral to echocardiography and, if applicable, for a diagnostic right‐sided heart catheterization. However, the hemodynamic definition of PAH was recently updated in the 2022 European Society of Cardiology (ESC)/European Respiratory Society (ERS) guidelines. The performance of DETECT PAH in identifying patients with a high risk of PAH according to this new definition was assessed. Methods: In this post hoc analysis of DETECT, which comprised 466 patients with SSc, the performance of the DETECT PAH algorithm in identifying patients with a high risk of PAH as defined in the 2022 ESC/ERS guidelines (mean pulmonary arterial pressure [mPAP] >20 mm Hg, pulmonary capillary wedge pressure [PCWP] ≤15 mm Hg, and pulmonary vascular resistance >2 Wood units) was assessed using summary statistics and was descriptively compared to the known performance of DETECT PAH as defined in 2014, when it was developed (mPAP ≥25 mm Hg and PCWP ≤15 mm Hg). Results: The sensitivity of DETECT PAH in identifying patients with a high risk of PAH according to the 2022 ESC/ERS definition was lower (88.2%) compared to the 2014 definition (95.8%). Specificity improved from 47.8% to 50.8%. Conclusion: The performance of the DETECT algorithm to screen for PAH in patients with SSc is maintained when PAH is defined according to the 2022 ESC/ERS hemodynamic definition, indicating that DETECT remains applicable to screen for PAH in patients with SSc. [ABSTRACT FROM AUTHOR]

Catalysts are often employed to enable nonisothermal reaction kinetic studies when tracking cure progression of polyurethane reactions. However, when quickly reacting, catalyzed materials are prepared through mixing followed by the addition of fillers or additives, subsequent processing of the partially reacted material becomes difficult. Here, chemorheology is used to track changes in viscoelastic properties of uncatalyzed polybutadiene‐diisocyanate reactions for multiple days, which quantifies the degree of cure during polymerization. Viscosity profiles are accurately captured by the two‐stage Arrhenius model (r2>0.95), and conversion progress is adequately represented by the Kamal–Sourour model (r2>0.76). Transition state analysis via Wynne–Jones–Eyring–Evans theory (WJEE) reveals the presence of an associative mechanism according to entropic and enthalpic activation energies ΔS# = −96.9 J K−1 and ΔH# = 36.4 kJ, respectively. These rheokinetic modeling results align with Fourier transform infrared spectroscopy findings. To the knowledge, no rheokinetic studies have tracked cure progress of this uncatalyzed system for the extended timeframe presented here. The cure profile also presents unique viscosity growth, representative of molecular weight buildup, compared to catalyzed systems. This finding emphasizes the novelty of applying previously developed chemorheological models to multiday thermosetting reactions within a flow field in a manner that is generalizable to many long‐term curing systems. [ABSTRACT FROM AUTHOR]

This article discusses the nomenclature dilemma surrounding atopic dermatitis (AD) or atopic eczema (AE), a chronic inflammatory skin disease. The study analyzes web search data from 21 European countries to investigate the use of different terms and their impact on disease-related information access. The findings reveal that lay terms are preferred by the general population, indicating a need for standardized terminology and language in health information and patient communication. The study emphasizes the importance of adapting information to specific country needs and addressing confusion and perception differences in patient communication. [Extracted from the article]

Background: The 30‐day hospital re‐admission rate is a quality measure of hospital care to monitor the efficiency of the healthcare system. The hospital re‐admission of acute stroke (AS) patients is often associated with higher mortality rates, greater levels of disability and increased healthcare costs. The aim of our study was to identify predictors of unplanned 30‐day hospital re‐admissions after discharge of AS patients and define an early re‐admission risk score (RRS). Methods: This observational, retrospective study was performed on AS patients who were discharged between 2014 and 2019. Early re‐admission predictors were identified by machine learning models. The performances of these models were assessed by receiver operating characteristic curve analysis. Results: Of 7599 patients with AS, 3699 patients met the inclusion criteria, and 304 patients (8.22%) were re‐admitted within 30 days from discharge. After identifying the predictors of early re‐admission by logistic regression analysis, RRS was obtained and consisted of seven variables: hemoglobin level, atrial fibrillation, brain hemorrhage, discharge home, chronic obstructive pulmonary disease, one and more than one hospitalization in the previous year. The cohort of patients was then stratified into three risk categories: low (RRS = 0–1), medium (RRS = 2–3) and high (RRS >3) with re‐admission rates of 5%, 8% and 14%, respectively. Conclusions: The identification of risk factors for early re‐admission after AS and the elaboration of a score to stratify at discharge time the risk of re‐admission can provide a tool for clinicians to plan a personalized follow‐up and contain healthcare costs. [ABSTRACT FROM AUTHOR]

Lignin is an abundant and sustainable resource that exhibits numerous attractive functional properties as a reinforcing agent for benzoxazine‐based composites, due to its stiffness, thermal stability, and high carbon content. However, the low quality of lignin particles dispersions associated with the weak particles‐matrix interactions reduces the reinforcement capability. In this work, hybrid lignin/silica (NaLS/SiO2) nanoparticles were obtained from sodium lignosulfonate (NaLS) and tetraethylorthosilicate (TEOS) under basic conditions. The particles were characterized by transmission electron microscopy (TEM) confirming their spherical morphology and narrow nanometric‐size distributions. The hybrid particles were incorporated into conventional benzoxazine (BA‐a) and a difuran biobased benzoxazine (SA‐dfda) to prepare nanocomposites with different mass compositions (3, 5, and 10 wt%). Morphological, mechanical, dynamo‐mechanical, and thermal properties of the obtained composites were assessed. All the materials exhibited a homogenous filler dispersion that contributed to improve the reinforcement properties. Hybrid nanoparticles proved to be an interesting alternative as a filler in the benzoxazine matrix to prepare high‐performance thermosetting composites. [ABSTRACT FROM AUTHOR]

Addictions are thought to be fostered by the emergence of poorly regulated mesocorticolimbic responses to drug‐related cues. The development and persistence of these responses might be promoted by altered glutamate transmission, including changes to type 5 metabotropic glutamate receptors (mGluR5s). Unknown, however, is when these changes arise and whether the mGluR5 and mesocorticolimbic alterations are related. To investigate, non‐dependent cocaine polydrug users and cocaine‐naïve healthy controls underwent a positron emission tomography scan (15 cocaine users and 14 healthy controls) with [11C]ABP688, and a functional magnetic resonance imaging scan (15/group) while watching videos depicting activities with and without cocaine use. For some drug videos, participants were instructed to use a cognitive strategy to lower craving. Both groups exhibited drug cue‐induced mesocorticolimbic activations and these were larger in the cocaine polydrug users than healthy controls during the session's second half. During the cognitive regulation trials, the cocaine users' corticostriatal responses were reduced. [11C]ABP688 binding was unaltered in cocaine users, relative to healthy controls, but post hoc analyses found reductions in those with 75 or more lifetime cocaine use sessions. Finally, among cocaine users (n = 12), individual differences in prefrontal [11C]ABP688 binding were associated with midbrain and limbic region activations during the regulation trials. Together, these preliminary findings raise the possibility that (i) recreational polydrug cocaine users show biased brain processes towards cocaine‐related cues and (ii) repeated cocaine use can lower cortical mGluR5 levels, diminishing the ability to regulate drug cue responses. These alterations might promote susceptibility to addiction and identify early intervention targets. [ABSTRACT FROM AUTHOR]

Background and purpose: After successful mechanical thrombectomy for middle cerebral artery occlusion, basal ganglia infarction is commonly detectable. Whilst the functional outcome of these patients is often good, less knowledge is available about the cognitive outcome. The aim of our study was to assess the presence of cognitive impairment within 1 week after thrombectomy. Methods: In all, 43 subjects underwent a general cognitive assessment using the Montreal Cognitive Assessment and an extensive battery of tests. Patients were classified as cognitively impaired (CImp) or not (noCImp) according to a Montreal Cognitive Assessment score below 18. Results: Cognitively impaired and noCImp subjects did not differ either in their National Institutes of Health Stroke Scale (NIHSS) and modified Rankin Scale (mRS) at admittance, or in their Fazekas score and Alberta Stroke Program Early Computed Tomography Score. At discharge, CImp subjects showed higher scores than noCImp subjects on NIHSS (p = 0.002) and mRS (p < 0.001). The percentage of pathological performances on each neuropsychological test in the whole sample and in CImp and noCImp patients shows a similar cognitive profile between the groups. Conclusions: Some patients who underwent thrombectomy experienced a detectable cognitive impairment that probably led to worse NIHSS and mRS. The neuropsychological profile of such cognitive impairment at the acute stage consists of wide deficits in numerous cognitive domains, suggesting that basal ganglia damage may lead to complex functional impairments. [ABSTRACT FROM AUTHOR]

Bacterial isolates belonging to Pseudomonas syringae pv. actinidiae, the causal agent of kiwifruit bacterial canker, have been isolated, during 2021 and 2022, from Actinidia chinensis orchards of Central Italy planted with cultivars Hayward and Zespri G3®. A total of 23 isolates were obtained from twigs and leaves that showed the typical symptoms of bacterial canker, including leaf spotting and twig canker. All of them showed resistance to 1.2 mM copper sulphate added to mannitol–glutamate–yeast extract (MGY) medium. No other Pseudomonas syringae pv. actinidiae strains were isolated from the orchards. The P. s. pv. actinidiae strains that showed resistance to copper have the copA and copD genes that regulate the efflux of copper through the inner membrane and the copper sensor copS gene. They do not possess the cusABC complex that confers resistance to high concentration of copper. Representative copper‐resistant strains were proven pathogenic to kiwifruit plants upon artificial inoculation. This is the first record of copper‐resistant P. s. pv. actinidiae strains in Italy and, as far as we know, in Europe. [ABSTRACT FROM AUTHOR]

Objective: NPRL3‐related epilepsy (NRE) is an emerging condition set within the wide GATOR‐1 spectrum with a particularly heterogeneous and elusive phenotypic expression. Here, we delineated the genotype–phenotype spectrum of NRE, reporting an illustrative familial case and reviewing pertinent literature. Methods: Through exome sequencing (ES), we investigated a 12‐year‐old girl with recurrent focal motor seizures during sleep, suggestive of sleep‐related hypermotor epilepsy (SHE), and a family history of epilepsy in siblings. Variant segregation analysis was performed by Sanger sequencing. All previously published NRE patients were thoroughly reviewed and their electroclinical features were analyzed and compared with the reported subjects. Results: In the proband, ES detected the novel NPRL3 frameshift variant (NM_001077350.3): c.151_152del (p.Thr51Glyfs*5). This variant is predicted to cause a loss of function and segregated in one affected brother. The review of 76 patients from 18 publications revealed the predominance of focal‐onset seizures (67/74–90%), with mainly frontal and frontotemporal (32/67–47.7%), unspecified (19/67–28%), or temporal (9/67–13%) onset. Epileptic syndromes included familial focal epilepsy with variable foci (FFEVF) (29/74–39%) and SHE (11/74–14.9%). Fifteen patients out of 60 (25%) underwent epilepsy surgery, 11 of whom achieved complete seizure remission (11/15–73%). Focal cortical dysplasia (FCD) type 2A was the most frequent histopathological finding. Significance: We reported an illustrative NPRL3‐related epilepsy (NRE) family with incomplete penetrance. This condition consists of a heterogeneous spectrum of clinical and neuroradiological features. Focal‐onset motor seizures are predominant, and almost half of the cases fulfill the criteria for SHE or FFEVF. MRI‐negative cases are prevalent, but the association with malformations of cortical developments (MCDs) is significant, especially FCD type 2a. The beneficial impact of epilepsy surgery in patients with MCD‐related epilepsy further supports the inclusion of brain MRI in the workup of NRE patients. [ABSTRACT FROM AUTHOR]

Purpose: To investigate the correlation between postoperative limb/component alignments and clinical/functional outcomes following medial unicondylar knee arthroplasty (mUKA). Methods: Inclusion criteria included peer-reviewed English- or German-language publications assessing postoperative limb or implant alignment and clinical outcomes of mUKA. Methodological Index for Non-Randomized Studies (MINORS) was used to assess article quality. Results: A total of 2767 knees from 2604 patients were evaluated. Significant correlations were observed between postoperative limb/component alignments and clinical/functional outcomes after mUKA. Inferior outcomes were associated with lower placement and excessive valgus alignment of the tibia component (> 3°). A recommended external rotation of 4°-5° was identified for the tibia component, with specific cut-off values for the femoral and tibia components. Conclusions: Optimal outcomes in mUKA were associated with a varus coronal limb alignment. The tibia implant component performed well within a specific alignment range. An exact external rotation value was recommended for the tibia component, while internal rotation correlated negatively with the femoral component. Level of evidence: IV (level IV retrospective case series were included). [ABSTRACT FROM AUTHOR]

Pyelonephritis is a serious condition that is rarely described in horses. In contrast, urinary tract infections are common in humans and small animals, and multi‐drug‐resistant urinary infections are an emerging threat. In this report, we describe a horse with unilateral pyelonephritis caused by extended‐spectrum beta‐lactamase‐producing bacteria belonging to the Enterobacter cloacae complex. [Correction added on 9 August 2023, after first online publication: The preceding sentence was corrected.] An 11‐year‐old Swedish warmblood gelding was diagnosed with a cystolith and a cystotomy through an open left para‐inguinal approach was performed. Seven days after surgery the horse presented with pyrexia, dullness and colic. Diagnostic testing and renal transabdominal ultrasonography confirmed the presence of a right‐sided pyelonephritis. Culture and antimicrobial susceptibility testing revealed a pure growth of extended‐spectrum beta‐lactamases‐producing E. cloacae complex bacteria with resistance against beta‐lactams, aminoglycoside and trimethoprim–sulphonamide classes. Treatment included prolonged oral antimicrobials according to susceptibility testing results (enrofloxacin), judicious use of non‐steroidal anti‐inflammatory drugs, fluid therapy and gastric ulcer prophylaxis. The horse recovered successfully and is currently in good health (follow‐up of 5 years). Once the infection resolved, unilateral renal scarring occurred. Multidrug‐resistant upper‐urinary infections occur in horses and should be considered in a post‐surgical patient that develops fever. Early diagnosis, urine bacterial culturing and antimicrobial susceptibility testing were crucial in this case to successful management. [ABSTRACT FROM AUTHOR]

Dysregulation of the activity of the mechanistic target of rapamycin complex 1 (mTORC1) is commonly linked to aging, cancer, and genetic disorders such as tuberous sclerosis (TS), a rare neurodevelopmental multisystemic disease characterized by benign tumors, seizures, and intellectual disability. Although patches of white hair on the scalp (poliosis) are considered as early signs of TS, the underlying molecular mechanisms and potential involvement of mTORC1 in hair depigmentation remain unclear. Here, we have used healthy, organ‐cultured human scalp hair follicles (HFs) to interrogate the role of mTORC1 in a prototypic human (mini‐)organ. Gray/white HFs exhibit high mTORC1 activity, while mTORC1 inhibition by rapamycin stimulated HF growth and pigmentation, even in gray/white HFs that still contained some surviving melanocytes. Mechanistically, this occurred via increased intrafollicular production of the melanotropic hormone, α‐MSH. In contrast, knockdown of intrafollicular TSC2, a negative regulator of mTORC1, significantly reduced HF pigmentation. Our findings introduce mTORC1 activity as an important negative regulator of human HF growth and pigmentation and suggest that pharmacological mTORC1 inhibition could become a novel strategy in the management of hair loss and depigmentation disorders. Synopsis: Gray/white HFs exhibit high mTORC1 activity, while mTORC1 inhibition by rapamycin stimulates both HF pigmentation and hair growth by prolonging anagen, even in depigmented HFs that still contain some surviving melanocytes. The pigmentary effect occurs via increased intrafollicular production of the melanotropic hormone, α‐MSH. Rapamycin stimulates human scalp hair follicle growth and pigmentation ex vivo via increased α‐MSH production.Knockdown of intrafollicular tuberous sclerosis complex 2 (TSC2), a negative regulator of mTORC1, reduced human scalp hair follicle pigmentation.Rapamycin can restimulate pigmentation in gray/white HFs that still contain surviving melanocytes. [ABSTRACT FROM AUTHOR]

In May 2019, a two‐year‐old pomegranate orchard cultivar "Wonderful", located in Central Italy, showed extensive black pitting and longitudinal cankers on twigs as well as apical leaf wilting. Bacterial isolates were identified by applying biochemical, molecular and pathogenicity assays. All isolates showed identical biochemical characteristics typical of Pseudomonas syringae. In addition, upon artificial inoculations, the isolates caused symptoms in pomegranate twigs and leaves similar to those observed in the field, and in lemon fruit and pear leaves. The isolates possess the syrB gene. An ERIC‐PCR fingerprinting analysis revealed an identical pattern for the strains isolated from pomegranate and other strains previously obtained from lemon and chickpea, in Tunisia and Italy, respectively, as well as a similarity with other strains obtained from different host plants. The 16S rRNA gene analysis showed a very high similarity with other P. s. pv. syringae strains. The study allowed to conclude that the disease was caused by P. s. pv. syringae, reported for the first time as a pathogen for pomegranate. Frost and high humidity could have favoured the outbreak. The year after the outbreak, a formulate that contains zinc, copper, manganese, chitosan and garlic powder, effectively reduced the severity of the disease in the field. [ABSTRACT FROM AUTHOR]

Hesperetin based monomers substituted to varying degrees of methacrylate functionality were synthesized namely trimethacrylate, dimethacrylate and monomethacrylated hesperetin monomers, HTM, HDM and HMM respectively. Resins employing reactive diluents 4‐acryloylmorpholine (4AM) and styrene (Sty) were formulated. Resin formulations were determined to be Newtonian fluids with viscosities below 800 cP. Thermosets of hesperetin monomers were produced with glass transition temperature (Tg) values up to 225°C. Ultimate strength up to 20 MPa and tensile modulus of 5.0 GPa were also observed. Additionally, thermosets with char yield near 30% were measured. Char yield, ultimate strength and tensile modulus of hesperetin based thermosets were superior to those derived from the petrochemical bisphenol A dimethacrylate (BPAM). However, thermosets that employed hesperetin derived monomers displayed properties that were less than expected compared to Bicerano model predictions. Also, select HTM:Sty thermosets displayed a noticeable holographic type morphology. Reactivity ratios, spectroscopy, microscopy and structure property relationships indicated that poor copolymerization behavior during cure and high degrees of crosslinking during postcure were responsible for the microcrack formation in the material. This also caused the observed morphology and resulted in reduced properties relative to Bicerano predictions. [ABSTRACT FROM AUTHOR]

This rapid practice guideline provides evidence‐based recommendations for the use of awake proning in adult patients with acute hypoxemic respiratory failure due to COVID‐19. The panel included 20 experts from 12 countries, including one patient representative, and used a strict conflict of interest policy for potential financial and intellectual conflicts of interest. Methodological support was provided by the guidelines in intensive care, development, and evaluation (GUIDE) group. Based on an updated systematic review, and the grading of recommendations, assessment, development, and evaluation (GRADE) method we evaluated the certainty of evidence and developed recommendations using the Evidence‐to‐Decision framework. We conducted an electronic vote, requiring >80% agreement amongst the panel for a recommendation to be adopted. The panel made a strong recommendation for a trial of awake proning in adult patients with COVID‐19 related hypoxemic acute respiratory failure who are not invasively ventilated. Awake proning appears to reduce the risk of tracheal intubation, although it may not reduce mortality. The panel judged that most patients would want a trial of awake proning, although this may not be feasible in some patients and some patients may not tolerate it. However, given the high risk of clinical deterioration amongst these patients, awake proning should be conducted in an area where patients can be monitored by staff experienced in rapidly detecting and managing clinical deterioration. This RPG panel recommends a trial of awake prone positioning in patients with acute hypoxemic respiratory failure due to COVID‐19. [ABSTRACT FROM AUTHOR]

Bench-scale fluidized bed fast pyrolysis of as-received and torrefied residual olive stone (OS) was carried out at 500 °C in the presence or absence of a solid acid catalytic bed. Light to mild torrefaction conditions were investigated, with temperatures of 200, 225, and 250 °C, set in a bench-scale fluidized bed torrefier. Light torrefaction temperatures (200 and 225 °C) did not yield appreciable differences in the thermogravimetric pyrolysis studies, despite notable changes in mass and energy yield resulting from the influence of temperature difference. The mass and energy yields decreased from 91.1 to 74.0% and from 92.0 to 80.9%, respectively, moving from light to mild torrefaction. The higher heating value (HHV) increased linearly with an increase in torrefaction temperature, reaching a maximum of 22.1 MJ/kg at 250 °C, which was 9.7% greater than the as-received OS sample. A comparison was made between the influence of light and mild torrefaction on subsequent bench-scale pyrolysis experiments. In particular, the quality of bio-liquids for torrefaction coupled to fast pyrolysis shifted signifcantly towards the production of higher phenolic and aromatic derivatives that may find applications as potentaila drop-in alternative hydrocarbons. [ABSTRACT FROM AUTHOR]

A difuran bio‐based benzoxazine (SA‐dfda) was synthesized by a three‐stage process from difurandiamine (DFDA) and 2‐hydroxybenzaldehyde with a final yield of 90%. Three copolymer systems were prepared by blending the difuran bio‐resin with epoxy resin (DGEBA), conventional benzoxazine (BA‐a), and polysiloxane‐based benzoxazine precursor [Pr(BA‐3aptms)] at different ratios. In order to study the effect of the renewable content on the main characteristics of the materials, thermal, thermomechanical, and morphological analyses were performed. The bio‐based benzoxazine/epoxy systems exhibited the lowest polymerization temperature with enhanced processability. However, the incorporation of epoxy slightly decreased the mechanical properties of materials. Bio‐based copolymers containing 5 wt%. of polysilsesquioxane precursor showed the highest glass transition temperatures, thermal stability, and char yields. All the copolymers exhibited good flame retardant properties as it was observed by their limiting oxygen index values (>21) and UL‐94 tests (V‐0 or V‐1). The copolymerization of bio‐based benzoxazines with different thermoset resins such as epoxy or benzoxazines can be used as a strategy to develop novel materials with tailor‐made properties. [ABSTRACT FROM AUTHOR]

A possibility to carry out sorption‐enhanced gasification (SEG) is represented by its integration with the calcium looping concept in dual interconnected fluidized beds (DIFB). This article is focused on the sorbent CO2 uptake performance and attrition/fragmentation tendency when operating conditions simulating those of a DIFB‐SEG process are adopted. Experiments were carried out on a commercial Italian limestone in a laboratory‐scale DIFB reactor. Carbonation was carried out in a range of test conditions, including variable temperature (600–700°C) and absence/presence of steam (10% by volume); CO2 concentration was set at 10% by volume. The characterization is extended by investigating the behavior of preprocessed DIFB‐SEG samples on impact fragmentation tests, conducted in an ex situ apparatus. Tests were carried out for impact velocities in the range 17–45 m/s. Results were discussed considering both the impact velocity value and the operating conditions under which the sample was preprocessed in the fluidized bed. [ABSTRACT FROM AUTHOR]

Segmental overgrowth syndromes include a group of clinical entities, all characterized by the abundant proliferation of tissues or organs in association with vascular abnormalities. These syndromes show a wide spectrum of severity ranging from limited involvement of only small areas of the body to complex cases with impressive distortions of multiple tissues and organs. It is now clear that somatic mutations in genes of the phosphoinositide 3‐kinase (PI3K)/protein kinase B (AKT)/mammalian target of rapamycin (mTOR) pathway (in brief "mTOR pathway") are responsible for such entities. Not all the cells of the body carry the same causative mutation, which is mosaic, appearing from two (or more) distinct cell lineages after fertilization. In this article, we reconsider the clinical spectrum and surveillance programs of patients with segmental overgrowth syndromes, based on the features of six patients with diverse clinical forms of overgrowth and pathogenic variants in genes of the mTOR pathway. [ABSTRACT FROM AUTHOR]

Herbivore densities can be regulated by bottom‐up and top‐down forces such as plant defences and natural enemies, respectively. These forces can interact with each other to increase plant protection against herbivores; however, how much complementarity exists between bottom‐up and top‐down forces still remains to be fully elucidated. Particularly, because plant defences can hinder natural enemies, how these interactions affect herbivore performance and dynamics remains elusive.To address this topic, we performed laboratory and greenhouse bioassays with herbivorous mite pests and predatory mites on mutant tomato plants that lack defensive hairs on stems and leaves. Particularly, we investigated the behaviour and population dynamics of different phytophagous mite species in the absence and presence of predatory mites.We show that predatory mites do not only perform better on tomatoes lacking defensive hairs but also that they can suppress herbivore densities better and faster on these hairless plants. Hence, top‐down control of herbivores by natural enemies more than compensated the reduced bottom‐up herbivore control by plant defences.Our results lead to the counter‐intuitive insight that removing, instead of introducing, plant defence traits can result in superior protection against important pests through biological control. Read the free Plain Language Summary for this article on the Journal blog. [ABSTRACT FROM AUTHOR]

Benzoxazine monomers with high renewable content made from difuran diamine (DFDA) are presented. The benzoxazine monomers were synthesized by reacting DFDA with several bio‐based phenolic compounds and formaldehyde. These systems were purified by precipitation, and depending on composition, the resulting solid powders melt at temperatures ranging between 50 and 150°C to form low viscosity liquids that can be used to impregnate fiber reinforcements. Onset cure temperature varies depending on composition in the range of 150–240°C. The resulting polybenzoxazines have Tg's ranging from 240 to 300°C. It was found that the phenolic structure selected affects curing mechanisms of the DFDA‐based benzoxazines, Benzoxazines that have available ortho or para positions on the phenolic structures result in cure without mass loss. It was also found that adding furan rings into the backbone of the polybenzoxazine network provided the added benefit of char yield as high as 60%, as measured by thermalgravimetric analysis temperature ramps in an inert environment to 800°C. Compared with benzene‐ring‐based benzoxazine counterparts, furan‐based benzoxazines showed better thermal stability. In addition to promising processing and thermal characteristics useful for applications requiring high temperature and fire resistance, these materials contain high renewable content. [ABSTRACT FROM AUTHOR]

Hemizygous missense variants in the RPL10 gene encoding a ribosomal unit are responsible for an X‐linked syndrome presenting with intellectual disability (ID), autism spectrum disorder, epilepsy, dysmorphic features, and multiple congenital anomalies. Among 15 individuals with RPL10‐related disorder reported so far, only one patient had retinitis pigmentosa and microcephaly was observed in approximately half of the cases. By exome sequencing, three Italian and one Spanish male children, from three independent families, were found to carry the same hemizygous novel missense variant p.(Arg32Leu) in RPL10, inherited by their unaffected mother in all cases. The variant, not reported in gnomAD, is located in the 28S rRNA binding region, affecting an evolutionary conserved residue and predicted to disrupt the salt‐bridge between Arg32 and Asp28. In addition to features consistent with RPL10‐related disorder, all four boys had retinal degeneration and postnatal microcephaly. Pathogenic variants in genes responsible for inherited retinal degenerations were ruled out in all the probands. A novel missense RPL10 variant was detected in four probands with a recurrent phenotype including ID, dysmorphic features, progressive postnatal microcephaly, and retinal anomalies. The presented individuals suggest that retinopathy and postnatal microcephaly are clinical clues of RPL10‐related disorder, and at least the retinal defect might be more specific for the p.(Arg32Leu) RPL10 variant, suggesting a specific genotype/phenotype correlation. [ABSTRACT FROM AUTHOR]

Since the reports of Russian interference in the 2016 United States General Election, the security of voting processes has received increased attention from both state and federal authorities. The declaration by the US Department of Homeland Security in January 2017 that election systems be classified as the 17th component of critical infrastructure is just the beginning of a need for more secure voting processes. More recently, the COVID‐19 pandemic and the 2020 US General Election have placed greater emphasis specifically on mail‐based voting processes for electoral systems. The objective of this research is to provide greater insight into potential threats to mail‐based voting processes. Upon identifying an attack tree as an initial structure for evaluation, new threats are postulated, and an updated tree is proposed that accounts for more recent activities. Then, using an established assessment framework, the relative likelihood of each mail‐based voting process attack scenario is identified. The results facilitate providing election officials and policymakers with greater knowledge of how mail‐based voting system vulnerabilities develop as well as specific security measures that may be most beneficial. [ABSTRACT FROM AUTHOR]

Background: Xia‐Gibbs syndrome (XGS) is a rare neurodevelopmental disorder caused by pathogenic variants in the AT‐hook DNA‐binding motif‐containing 1 gene (AHDC1), encoding a protein with a crucial role in transcription and epigenetic regulation, axonogenesis, brain function, and neurodevelopment. AHDC1 variants possibly act through a dominant‐negative mechanism and may interfere with DNA repair processes, leading to genome instability and impaired DNA translesion repair. Variants affecting residues closer to the N‐terminal are thought to determine a milder phenotype with better cognitive performances. However, clean‐cut genotype–phenotype correlations are still lacking. Cases: In this study, we investigated five subjects with XGS in whom exome sequencing led to the identification of five novel de novo pathogenic variants in AHDC1. All variants were extremely rare and predicted to cause a loss of protein function. The phenotype of the reported patients included developmental delay, hypotonia, and distinctive facial dysmorphisms. Additionally, uncommon clinical features were observed, including congenital hypothyroidism and peculiar skeletal abnormalities. Conclusions: In this study, we report uncommon XGS features associated with five novel truncating variants in AHDC, thus expanding the genotype and phenotypic spectrum of this complex condition. We also compared our cases to previously reported cases, discussing the current status of genotype–phenotype correlations in XGS. [ABSTRACT FROM AUTHOR]

Background and Purpose: Airway remodelling is a critical feature of chronic lung diseases. Epithelial‐mesenchymal transition (EMT) represents an important source of myofibroblasts, contributing to airway remodelling. Here, we investigated the sphingosine‐1‐phosphate (S1P) role in EMT and its involvement in asthma‐related airway dysfunction. Experimental Approach A549 cells were used to assess the S1P effect on EMT and its interaction with TGF‐β signalling. To assess the S1P role in vivo and its impact on lung function, two experimental models of asthma were used by exposing BALB/c mice to subcutaneous administration of either S1P or ovalbumin (OVA). Key Results: Following incubation with TGF‐β or S1P, A549 acquire a fibroblast‐like morphology associated with an increase of mesenchymal markers and down‐regulation of the epithelial. These effects are reversed by treatment with the TGF‐β receptor antagonist LY2109761. Systemic administration of S1P to BALB/c mice induces asthma‐like disease characterized by mucous cell metaplasia and increased levels of TGF‐β, IL‐33 and FGF‐2 within the lung. The bronchi harvested from S1P‐treated mice display bronchial hyperresponsiveness associated with overexpression of the mesenchymal and fibrosis markers and reduction of the epithelial.The S1P‐induced switch from the epithelial toward the mesenchymal pattern correlates to a significant increase of lung resistance and fibroblast activation. TGF‐β blockade, in S1P‐treated mice, abrogates these effects. Finally, inhibition of sphingosine kinases by SK1‐II in OVA‐sensitized mice, abrogates EMT, pulmonary TGF‐β up‐regulation, fibroblasts recruitment and airway hyperresponsiveness. Conclusion and Implications: Targeting S1P/TGF‐β axis may hold promise as a feasible therapeutic target to control airway dysfunction in asthma. [ABSTRACT FROM AUTHOR]

Aim: Surgical treatment of splenic flexure cancer (SFC) still presents some debated issues, including the role of laparoscopic surgery. The literature is based on small single‐centre series, while randomized controlled studies comparing open and laparoscopic treatment for colon cancer exclude SFC. This study aimed to determine the role of laparoscopic surgery in the treatment of SFC, comparing short‐ and long‐term outcomes with open surgery. Method: This was an international multicentre retrospective cohort study that analysed patients from 10 tertiary referral centres. From a cohort of 641 cases, 484 patients with Stage I–III SFC submitted to elective surgery with curative intent were selected. After 1:1 propensity score matching, 130 patients in the laparoscopic group (LapGroup) were compared with 130 patients in the open surgery group (OpenGroup). Results: After propensity score matching, the two groups were comparable for demographic and clinical parameters. OpenGroup presented a higher incidence of overall (P = 0.02) and surgery‐related complications (P = 0.05) but a similar rate of severe complications (P = 0.75). Length of stay was notably shorter in the LapGroup (P = 0.001). Overall (P = 0.793) as well as cancer‐specific survival (P = 0.63) did not differ between the two groups. Conclusions: Elective laparoscopic surgery for Stage I–III SFC is feasible and associated with improved short‐term postoperative outcomes compared to open surgery. Moreover, laparoscopic surgery appears to provide excellent long‐term cancer outcomes. [ABSTRACT FROM AUTHOR]

Sensitization to lipid transfer protein (LTP), the most frequent cause of food allergy in southern Europe, still shows several controversial, but also intriguing, aspects. Some of these include the degree of cross‐reactivity between LTPs from botanically distant sources, the definition of risk factors, the role of some cofactors, clinical outcomes, geographical differences and the identification of the primary sensitizer in different areas. This review article tries to analyse and comment on these aspects point by point suggesting some explanatory hypotheses with the final scope to stimulate critical thoughts and elicit the scientific discussion about this issue in the readership. [ABSTRACT FROM AUTHOR]

Updated incidence data of acute Delta virus hepatitis (HDV) are lacking worldwide. Our aim was to evaluate incidence of and risk factors for acute HDV in Italy after the introduction of the compulsory vaccination against hepatitis B virus (HBV) in 1991. Data were obtained from the National Surveillance System of acute viral hepatitis (SEIEVA). Independent predictors of HDV were assessed by logistic‐regression analysis. The incidence of acute HDV per 1‐million population declined from 3.2 cases in 1987 to 0.04 in 2019, parallel to that of acute HBV per 100,000 from 10.0 to 0.39 cases during the same period. The median age of cases increased from 27 years in the decade 1991–1999 to 44 years in the decade 2010–2019 (p <.001). Over the same period, the male/female ratio decreased from 3.8 to 2.1, the proportion of coinfections increased from 55% to 75% (p =.003) and that of HBsAg positive acute hepatitis tested for by IgM anti‐HDV linearly decreased from 50.1% to 34.1% (p <.001). People born abroad accounted for 24.6% of cases in 2004–2010 and 32.1% in 2011–2019. In the period 2010–2019, risky sexual behaviour (O.R. 4.2; 95%CI: 1.4–12.8) was the sole independent predictor of acute HDV; conversely intravenous drug use was no longer associated (O.R. 1.25; 95%CI: 0.15–10.22) with this. In conclusion, HBV vaccination was an effective measure to control acute HDV. Intravenous drug use is no longer an efficient mode of HDV spread. Testing for IgM‐anti HDV is a grey area requiring alert. Acute HDV in foreigners should be monitored in the years to come. [ABSTRACT FROM AUTHOR]

Background: Clinically complex phenotypes require more and more sophisticated and comprehensive diagnostic approaches, able to discriminate genuine sensitizations from cross‐reactivity. Interpretative complexity of multiplex diagnostic arrays has somewhat limited their diffusion. This study compares two currently available methods, namely ISAC® test and ALEX2® test. Methods: In total, 140 allergic individuals, with a history of atopic dermatitis, adverse food reactions, allergic rhinitis and/or bronchial asthma were studied by Allergy Explorer‐ALEX2® macroarray and ImmunoCAP ISAC112®. Lin's concordance correlation coefficient, intraclass correlation coefficient and Bland–Altman plots were used to verify the agreement between continuous values. Cohen's kappa coefficient (k) was assessed for the molecules available in both tests. The degree of relationship was analysed using Spearman's correlation (quantitative variables) and Pearson's χ2 or Fisher's exact test (categorical variables). Results: A substantial agreement (κ = 0.795) was observed between the two methods with 94,3% concordant results when results were dichotomized as negative or positive, but if double‐negative results were discarded, the agreement dropped to 71%. Conversely, little or no concordance was observed comparing raw data. Considering the 102 molecules shared by both systems, 28/102 (27%) showed an almost perfect agreement (k > 0.81), and concordance was good (k > 0.61) in a further 32 (31%) cases. A perfect to substantial agreement was observed by comparing species‐specific aeroallergens. Heterogeneous results emerged comparing panallergens (co‐recognition ranging from 30% for tropomyosin/serum albumins to 70% for PR‐10/profilin). The correlation among LTP, profilin and PR‐10 assayed with ISAC® was better than ALEX2®, but the latter identified more positive cases due to the wider number of molecules available. The CCD blocker provided by ALEX® test abolishes the carbohydrate determinants signal in 60% of the 33 cases reactive to MUXF3 on the ISAC® test. Conclusion: Despite the excellent concordance of the species‐specific markers, the analysis of the panallergens provided in both methods suggests a better performance of the ISAC® test on those components, while the ALEX2® test, which includes a larger number of allergens, allowing a broader molecular detection. [ABSTRACT FROM AUTHOR]

The acronym VATER/VACTERL refers to the rare nonrandom association of the following component features (CFs): vertebral defects (V), anorectal malformations (ARM) (A), cardiac anomalies (C), tracheoesophageal fistula with or without esophageal atresia (TE), renal malformations (R), and limb anomalies (L). For the clinical diagnosis, the presence of at least three CFs is required, individuals presenting with only two CFs have been categorized as VATER/VACTERL‐like. The majority of VATER/VACTERL individuals displays a renal phenotype. Hitherto, variants in FGF8, FOXF1, HOXD13, LPP, TRAP1, PTEN, and ZIC3 have been associated with the VATER/VACTERL association; however, large‐scale re‐sequencing could only confirm TRAP1 and ZIC3 as VATER/VACTERL disease genes, both associated with a renal phenotype. In this study, we performed exome sequencing in 21 individuals and their families with a renal VATER/VACTERL or VATER/VACTERL‐like phenotype to identify potentially novel genetic causes. Exome analysis identified biallelic and X‐chromosomal hemizygous potentially pathogenic variants in six individuals (29%) in B9D1, FREM1, ZNF157, SP8, ACOT9, and TTLL11, respectively. The online tool GeneMatcher revealed another individual with a variant in ZNF157. Our study suggests six biallelic and X‐chromosomal hemizygous VATER/VACTERL disease genes implicating all six genes in the expression of human renal malformations. [ABSTRACT FROM AUTHOR]

BACKGROUND: Stevia leaves were subjected to convective hot‐air, infrared and vacuum drying at 40, 60 and 80 °C, followed by an assessment of thermophysical properties and microstructure, along with drying kinetics modelling and evaluation of energy features for all drying operations. RESULTS: Effective moisture diffusivity (Deff) showed dependency on temperature with values ranging from 1.08 × 10−12 to 7.43 × 10−12 m2 s−1 for convective drying, from 0.71 × 10−12 to 6.60 × 10−12 m2 s−1 for infrared drying, and from 1.29 × 10−12 to 5.39 × 10−12 m2 s−1 for vacuum drying. The thermal properties of the dried Stevia leaves under different drying conditions showed values of density, specific heat, thermal diffusivity, thermal conductivity and thermal effusivity ranging from 95.6 to 116.2 kg m−3, 3050 to 3900 J kg−1 K−1, 4.28 × 10−7 to 5.60 × 10−7 m2 s−1, 0.16 to 0.23 W m−1 K−1 and 244 to 305 W s0.5 m−2 K−1, respectively. As for microstructure, convective hot‐air drying showed better preserved leaf characteristics, compared to infrared‐ and vacuum‐drying, whereby scanning electron microscopy (SEM) image analysis also revealed noticeable differences at higher temperatures. Statistical analysis showed that the Midilli–Kuçuk model fitted best the experimental data of drying curves (0.961 < r2 < 0.999, 0.000064 < SSE < 0.005359, and 0.000074 < χ2 < 0.006278). Comparison of the drying methods with respect to energy features showed that convective drying at 80 °C led to lowest specific energy consumption (61.86 kW h kg−1) with highest efficiency (8.5%). CONCLUSION: The results of this study contribute to a better understanding of the drying behaviour and showed that thermophysical properties of dried Stevia leaves and energy features are affected by drying methods. © 2021 Society of Chemical Industry. [ABSTRACT FROM AUTHOR]