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Abstract Background The health management information system (HMIS) is an integral component of a strong health care system. Despite its importance for decision-making, the quality of HMIS data remains of concern in low- and middle-income countries. To address challenges with the quality of maternal and child health (MCH) data gathered within Malawi’s HMIS, we conducted a pilot study evaluating different support modalities to district-level HMIS offices. We hypothesized that providing regular, direct financial assistance to HMIS offices would enable staff to establish strategies and priorities based on local context, resulting in more accurate, timely, and complete MCH data. Methods The pilot intervention was implemented in Mwanza district, while Chikwawa, Neno, and Ntchisi districts served as control sites given support received from other institutions. The intervention consisted of providing direct financial assistance to Mwanza’s HMIS office following the submission of detailed budgets and lists of planned activities. In the control districts, we performed interviews with the HMIS officers to track the HMIS-related activities. We evaluated the intervention by comparing data quality between the post- and pre-intervention periods in the intervention and control districts. Additionally, we conducted interviews with Mwanza’s HMIS office staff to determine the acceptability and appropriateness of the intervention. Results Following the 10-month intervention period, we observed improvements in MCH data quality in Mwanza. The availability and completeness of MCH data collected in the registers increased by 22 and 18 percentage points, respectively. The consistency of MCH data between summary reports and electronic HMIS also improved. In contrast, 2/3 control districts noted minimal changes or reductions in data quality after 10 months. The qualitative interviews confirmed that, despite some challenges, the intervention was well received by the participating HMIS office. HMIS staff preferred our strategy to other conventional strategies that fail to give them the independence to make decisions. Conclusions This pilot intervention demonstrated an alternative approach to support HMIS offices in their daily efforts to improve data quality. Given the Ministry of Health’s (MoH) interest in strengthening its HMIS, our intervention provides a strategy that the MoH and local and international partners could consider to rapidly improve HMIS data with minimal oversight.

Abstract Background Small mammals (rodents and marsupials) have been poorly explored for the occurrence of apicomplexan (genus Hepatozoon and genera of the order Piroplasmorida) and Anaplasmataceae agents in Brazil. Thus, this study investigated the occurrence of Hepatozoon spp., Piroplasmorida, and Anaplasmataceae agents in small mammals in seven forest fragments in Brazil. Methods During 2015–2018, small mammals were captured in six forest fragments in the State of São Paulo (Cerrado and Atlantic Forest biomes) and one fragment in the State of Mato Grosso do Sul (Pantanal biome). Mammal blood, liver, spleen, and lung samples were tested molecularly for the presence of DNA of Hepatozoon, Piroplasmorida, and Anaplasmataceae agents. Results A total of 524 mammals were captured, comprising seven species of marsupials, 14 rodents, two carnivores, and one Cingulata. Four novel haplotypes (1, 2, 3, 4) of Hepatozoon spp. were detected in small mammals from different biomes. In São Paulo state, haplotype 1 was detected in rodents from Cerrado and a transition area of Cerrado and Atlantic Forest biomes, whereas haplotype 2 was detected in rodents from the Atlantic Forest biome. On the other hand, haplotypes 3 and 4 were restricted to rodents and marsupials, respectively, from the Pantanal biome of Mato Grosso do Sul. No host species shared more than one haplotype. Despite these distinct geographical and host associations, our phylogenetic analyses indicated that the four Hepatozoon haplotypes belonged to the same clade that contained nearly all haplotypes previously reported on rodents and marsupials, in addition to several reptile-associated haplotypes from different parts of the world. No mammal samples yielded detectable DNA of Piroplasmorida agents. On the other hand, the Anaplasmataceae-targeted polymerase chain reaction (PCR) assay amplified a sequence 100% identical to the Wolbachia pipientis endosymbiont of the rodent filarid Litomosoides galizai. Conclusions We report a variety of Hepatozoon haplotypes associated with small mammals in three Brazilian biomes: Cerrado, Atlantic Forest, and Pantanal. Through phylogenetic analyses, the Hepatozoon agents grouped in the rodent-marsupial-reptile large clade of Hepatozoon spp. from the world. The detection of a W. pipientis associated with the rodent filarid L. galizai indicates that the rodent was infected by filarial nematodes. Graphical Abstract

Understanding how biodiversity varies from place to place is a fundamental goal of ecology and an important tool for halting biodiversity loss. Parasitic wasps (Hymenoptera) are a diverse and functionally important animal group, but spatial variation in their diversity is poorly understood. We survey a community of parasitic wasps (Ichneumonidae: Pimplinae) using Malaise traps up a mountain in the Brazilian Atlantic Rainforest, and relate the catch to biotic and abiotic habitat characteristics. We find high species richness compared with previous similar studies, with abundance, richness, and diversity peaking at low to intermediate elevation. There is a marked change in community composition with elevation. Habitat factors strongly correlated with elevation also strongly predict changes in the pimpline community, including temperature as well as the density of bamboo, lianas, epiphytes, small trees, and herbs. These results identify several possible surrogates of pimpline communities in tropical forests, which could be used as a tool in conservation. They also contribute to the growing evidence for a typical latitudinal gradient in ichneumonid species richness, and suggest that low to medium elevations in tropical regions will sometimes conserve the greatest number of species locally, but to conserve maximal biodiversity, a wider range of elevations should also be targeted.

Peroxiredoxins (Prxs) have been shown to be important enzymes for trypanosomatids, counteracting oxidative stress and promoting cell infection and intracellular survival. In this work, we investigate the in vitro sensitivity to overoxidation and the overoxidation dynamics of Trypanosoma cruzi Prxs in parasites in culture and in the infection context. We showed that recombinant m-TXNPx, in contrast to what was observed for c-TXNPx, exists as low molecular mass forms in the overoxidized state. We observed that T. cruzi Prxs were overoxidized in epimastigotes treated with oxidants, and a significant proportion of the overoxidized forms were still present at least 24 h after treatment suggesting that these forms are not actively reversed. In in vitro infection experiments, we observed that Prxs are overoxidized in amastigotes residing in infected macrophages, demonstrating that inactivation of at least part of the Prxs by overoxidation occurs in a physiological context. We have shown that m-TXNPx has a redox-state-dependent chaperone activity. This function may be related to the increased thermotolerance observed in m-TXNPx-overexpressing parasites. This study suggests that despite the similarity between protozoan and mammalian Prxs, T. cruzi Prxs have different oligomerization dynamics and sensitivities to overoxidation, which may have implications for their function in the parasite life cycle and infection process.

Background Indicators of child height, such as mean height-for-age Z-scores (HAZ), height-for-age difference (HAD) and stunting prevalence, do not account for differences in population-average bone developmental stage. Aim Propose a measure of child height that conveys the dependency of linear growth on stage rather than chronological age. Subjects and methods Using Demographic and Health Surveys (2000–2018; 64 countries), we generated: (1) predicted HAZ at specific ages (HAZ regressed on age); (2) height-age (age at which mean height matches the WHO Growth Standards median); (3) Growth delay (GD), the difference between chronological age and height-age; (4) HAD; and (5) stunting prevalence. Metrics were compared based on secular trends within countries and age-related trajectories within surveys. Results In the most recent surveys (N = 64), GDs ranged from 1.9 to 19.1 months at 60 months chronological age. Cross-sectionally, HAZ, HAD and GD were perfectly correlated, and showed similar secular trends. However, age-related trajectories differed across metrics. Accumulating GD with age demonstrated growth faltering as slower than expected growth for children of the same height-age. Resumption of growth at the median for height-age was rarely observed. Conclusion GD is a population-level measure of child health that reflects the role of delayed skeletal development in linear growth faltering.

In this study we report the first case of an introduced alien host spider species being parasitized and manipulated by an ichneumonid wasp. Hymenoepimecis bicolor, previously described parasitizing exclusively Trichonephila clavipes (Araneidae), was observed parasitizing the European species Cyrtophora citricola (Araneidae) in southeastern Brazil. The cocoon web built by the parasitized spider is composed of a reduced horizontal sheet, which maintains the radial structure. The reduced number of radii and spirals probably reduce the chances of insect interception by these modified structures. In addition, the density of supporting threads is apparently very different between normal and modified webs. The cocoon web spun by C. citricola lacks the protective barrier structure usually observed in cocoon webs spun by parasitized females of T. clavipes. Our observations are in agreement with several predictions of the ecdysteroid hypothesis and represent an interesting opportunity for further investigation of interactions between these parasitoids and their spider hosts.

Obesity is one of the major public health burdens, and is a global pandemic that has been associated with lifestyle habits and comorbidities in the general population. Teachers comprise a wide category of workers with unestablished factors associated with obesity. This cross-sectional epidemiological study analyzed the association of obesity, defined by body mass index ≥ 30 kg/m², with work-related factors (years in the profession, hours worked weekly), lifestyle (sports practice, active commuting, TV viewing, smoking, alcohol consumption), and comorbidities (hypertension, diabetes, dyslipidemia) in a sample of 246 public school teachers. An elevated prevalence of obesity was observed in the sample (30.1%), which was associated with ≥2 h/day of TV viewing (OR: 2.10, p = 0.025) and hypertension (OR: 2.62, p = 0.010), whereas it was inversely associated with frequent active commuting by walking or cycling (OR: 0.22, p = 0.007), even after multiple adjustments. No association was observed between obesity and work-related factors. Actions focused on promoting active commuting while limiting TV time could be important strategies for facing the elevated prevalence of obesity in public school teachers. However, the analysis of longitudinal data and investigation of obesogenic determinants are still needed.

In this article, we present three algorithms for aerosol parameters retrieval from TROPOspheric Monitoring Instrument measurements in the $\text {O}_{2}$ A-band. These algorithms use neural networks 1) to emulate the radiative transfer model and a Bayesian approach to solve the inverse problem, 2) to learn the inverse model from the synthetic radiances, and 3) to learn the inverse model from the principal-component transform of synthetic radiances. The training process is based on full-physics radiative transfer simulations. The accuracy and efficiency of the neural network based retrieval algorithms are analyzed with synthetic and real data.

In the last decades, cities have increased the number of activities and services that depends on an efficient and reliable electricity service. In particular, households have had a sustained increase of electricity consumption to perform many residential activities. Thus, providing efficient methods to enhance the decision making processes in demand-side management is crucial for achieving a more sustainable usage of the available resources. In this line of work, this article presents an optimization model to schedule deferrable appliances in households, which simultaneously optimize two conflicting objectives: the minimization of the cost of electricity bill and the maximization of users satisfaction with the consumed energy. Since users satisfaction is based on human preferences, it is subjected to a great variability and, thus, stochastic resolution methods have to be applied to solve the proposed model. In turn, a maximum allowable power consumption value is included as constraint, to account for the maximum power contracted for each household or building. Two different algorithms are proposed: a simulation-optimization approach and a greedy heuristic. Both methods are evaluated over problem instances based on real-world data, accounting for different household types. The obtained results show the competitiveness of the proposed approach, which are able to compute different compromising solutions accounting for the trade-off between these two conflicting optimization criteria in reasonable computing times. The simulation-optimization obtains better solutions, outperforming and dominating the greedy heuristic in all considered scenarios.

Objective. The objective of this observational cross-sectional study was to investigate associations between farmers’ mental health scores for stress, anxiety, depression, and resilience, and sheep welfare outcomes. Materials and methods. Twenty-two sheep farms in the departments of Boyacá, Cundinamarca, Tolima, and Meta, Colombia, were visited once. Clinical health, cleanliness, and calmness of randomly selected sheep per farm were scored to identify the number of animals with different welfare problems such as lameness, hoof overgrowth, and mastitis. A face-to-face interview with the farmer was done to gather demographic information (farm size and year of establishment, gender, age, role at the farm, and education) and to complete validated psychometric scales to assess resilience, stress, anxiety, and depression. Linear regression models were used to evaluate associations between farmers’ mental health scores, demographic aspects, and within-flock prevalence of sheep welfare indicators. Results. A total of 427 sheep were evaluated across farms. The most prevalent welfare problems identified were hoof overgrowth (40.9%) and dirty fleece (32.9%), while the least prevalent were clinical mastitis (1.3%) and respiratory issues (1.2%). Farmers’ stress level was positively associated with the prevalence of clinically lame sheep and farm size. Anxiety was positively associated with the prevalence of sheep with dirty fleece, clinical lameness, and with being a female farmer. Depression was positively associated with the prevalence of hoof overgrowth. Conclusions. Findings showed that higher levels of stress, anxiety, and depression among farmers were associated with the presence of animal welfare problems, larger farms, and gender.

The global distribution and constant evolution are challenges for the control of porcine reproductive and respiratory syndrome virus (PRRSV), one of the most important viruses affecting swine worldwide. Effective control of PRRSV benefits from genotyping, which currently relies on Sanger sequencing. Here we developed and optimized procedures for real-time genotyping and whole genome sequencing of PRRSV directly from clinical samples based on targeted amplicon- and long amplicon tiling sequencing using the MinION Oxford Nanopore platform. Procedures were developed and tested on 154 clinical samples (including lung, serum, oral fluid and processing fluid) with RT-PCR Ct values ranging from 15 to 35. The targeted amplicon sequencing (TAS) approach was developed to obtain sequences of the complete ORF5 (main target gene for PRRSV genotyping) and partial ORF4 and ORF6 sequences of both PRRSV-1 and PRRSV-2 species. After only 5 min of sequencing, PRRSV consensus sequences with identities to reference sequences above 99% were obtained, enabling rapid identification and genotyping of clinical PRRSV samples into lineages 1, 5 and 8. The long amplicon tiling sequencing (LATS) approach targets type 2 PRRSV, the most prevalent viral species in the U.S. and China. Complete PRRSV genomes were obtained within the first hour of sequencing for samples with Ct values below 24.9. Ninety-two whole genome sequences were obtained using the LATS procedure. Fifty out of 60 sera (83.3%) and 18 out of 20 lung samples (90%) had at least 80% of genome covered at a minimum of 20X sequence depth per position. The procedures developed and optimized in this study here are valuable tools with potential for field application during PRRSV elimination programs.

Micronutritional deficiencies are common in atopic children suffering from atopic dermatitis, food allergy, rhinitis, and asthma. A lack of iron, in particular, may impact immune activation with prolonged deficiencies of iron, zinc, vitamin A, and vitamin D associated with a Th2 signature, maturation of macrophages and dendritic cells (DCs), and the generation of IgE antibodies. In contrast, the sufficiency of these micronutrients establishes immune resilience, promotion of regulatory cells, and tolerance induction. As micronutritional deficiencies mimic an infection, the body’s innate response is to limit access to these nutrients and also impede their dietary uptake. Here, we summarize our current understanding of the physiological function of iron, zinc, and vitamins A and D in relation to immune cells and the clinical consequences of deficiencies in these important nutrients, especially in the perinatal period. Improved dietary uptake of iron is achieved by vitamin C, vitamin A, and whey compounds, whereas zinc bioavailability improves through citrates and proteins. The addition of oil is essential for the dietary uptake of beta-carotene and vitamin D. As for vitamin D, the major source comes via sun exposure and only a small amount is consumed via diet, which should be factored into clinical nutritional studies. We summarize the prevalence of micronutritional deficiencies of iron, zinc, and vitamins in the pediatric population as well as nutritional intervention studies on atopic diseases with whole food, food components, and micronutrients. Dietary uptake via the lymphatic route seems promising and is associated with a lower atopy risk and symptom amelioration. This review provides useful information for clinical studies and concludes/emphasizes that a healthy, varied diet containing dairy products, fish, nuts, fruits, and vegetables as well as supplementing foods or supplementation with micronutrients as needed is essential to combat the atopic march.

Introduction. Research focused on listening and understanding public attitudes towards farm animal welfare is proliferating globally. Objective. To determine how consumers in Colombia perceive the welfare of farm animals and socio-demographic factors associated with such perceptions. Materials and methods. A descriptive and analytical epidemiological study was done through the implementation of a cross-sectional national online survey, conducted from September to October-2021, to obtain information on the knowledge and attitudes of consumers (≥18 years) in Colombia regarding farm animal welfare, as well as socio-demographic characteristics (sex, age, education, occupation, location, growing-up environment, level of contact with livestock farms, and diet). Logistic and multinomial logistic regression models were used to evaluate associations of demographic factors with the level of importance given to animal welfare (AW), perceptions about needs, behavior, and sentience in farm animals, and perceptions about the state and promotion of AW in Colombia. Results. Responses from 798 participants were included in the analysis, 85.57 % saw AW as a concept that refers to how to treat animals and improve their quality of life. The level of importance given to AW was 9.78±0.85 (scale from 0 to 10) and was associated with words such as health, food, caring, respect, and comfort. Sex, age, education, level of contact with a farm, and growing-up in rural areas significantly influenced the opinions regarding the concept of AW and the promotion of farm animal welfare in Colombia. Conclusion. The participants showed concern about farm animal welfare. The differences found associated with the different socio-demographic factors can be used as a basis for formulating education and empowerment strategies that help modulate changes in the way animals are seen, and what welfare means and what it implies.

The Horn of Africa is highly vulnerable to droughts and floods, and reliable long-term forecasting is a key part of building resilience. However, the prediction of the “long rains” season (March–May) is particularly challenging for dynamical climate prediction models. Meanwhile, the potential for machine learning to improve seasonal precipitation forecasts in the region has yet to be uncovered. Here, we implement and evaluate four data-driven models for prediction of long rains rainfall: ridge and lasso linear regressions, random forests and a single-layer neural network. Predictors are based on SSTs, zonal winds, land state, and climate indices, and the target variables are precipitation totals for each separate month (March, April, and May) in the Horn of Africa drylands, with separate predictions made for lead-times of 1–3 months. Results reveal a tendency for overfitting when predictors are preselected based on correlations to the target variable over the entire historical period, a frequent practice in machine learning-based seasonal forecasting. Using this conventional approach, the data-driven methods—and particularly the lasso and ridge regressions—often outperform dynamical seasonal hindcasts. However, when the selection of predictors is done independently of both the train and test data, by performing this predictor selection within the cross-validation loop, the performance of all four data-driven models is poorer than that of the dynamical hindcasts. These findings should not discourage future applications of machine learning for rainfall forecasting in the region. Yet, they should be seen as a note of caution to prevent optimistically biased results that are not indicative of the true power in operational forecast systems.

The management of the collection of Municipal Solid Waste is a complex task for local governments since it consumes a large portion of their budgets. Thus, the use of computer-aided tools to support decision-making can contribute to improve the efficiency of the system and reduce the associated costs, especially in developing countries, which usually suffer from a shortage of resources. In the present work, a simulated annealing algorithm is proposed to address the problem of designing the routes of waste collection vehicles. The proposed algorithm is compared to a commercial solver based on a mixed-integer programming formulation and two other metaheuristic algorithms, i.e., a state-of-the-art large neighborhood search and a genetic algorithm. The evaluation is carried out on both a well-known benchmark from the literature and real instances of the Argentinean city of BahȪa Blanca. The proposed algorithm was able to solve all the instances, having a performance similar to the large neighborhood procedure, while the genetic algorithm showed the worst results. The simulated annealing algorithm was also able to improve the solutions of the solver in many instances of the real dataset.

Spatio-temporal pattern recognition is a fundamental ability of the brain which is required for numerous real-world activities. Recent deep learning approaches have reached outstanding accuracies in such tasks, but their implementation on conventional embedded solutions is still very computationally and energy expensive. Tactile sensing in robotic applications is a representative example where real-time processing and energy efficiency are required. Following a brain-inspired computing approach, we propose a new benchmark for spatio-temporal tactile pattern recognition at the edge through Braille letter reading. We recorded a new Braille letters dataset based on the capacitive tactile sensors of the iCub robot's fingertip. We then investigated the importance of spatial and temporal information as well as the impact of event-based encoding on spike-based computation. Afterward, we trained and compared feedforward and recurrent Spiking Neural Networks (SNNs) offline using Backpropagation Through Time (BPTT) with surrogate gradients, then we deployed them on the Intel Loihi neuromorphic chip for fast and efficient inference. We compared our approach to standard classifiers, in particular to the Long Short-Term Memory (LSTM) deployed on the embedded NVIDIA Jetson GPU, in terms of classification accuracy, power, and energy consumption together with computational delay. Our results show that the LSTM reaches ~97% of accuracy, outperforming the recurrent SNN by ~17% when using continuous frame-based data instead of event-based inputs. However, the recurrent SNN on Loihi with event-based inputs is ~500 times more energy-efficient than the LSTM on Jetson, requiring a total power of only ~30 mW. This work proposes a new benchmark for tactile sensing and highlights the challenges and opportunities of event-based encoding, neuromorphic hardware, and spike-based computing for spatio-temporal pattern recognition at the edge.

ABSTRACT The emergence of the SARS-CoV-2 B.1.617.2 lineage (Delta variant) in 2021 was associated with increased case numbers and test positivity rates, including a large number of infections in fully vaccinated individuals. Here, we describe the findings of an investigation conducted in Tompkins County, New York, to evaluate factors underlying a significant uptick in the number of coronavirus disease 2019 (COVID-19) cases observed in the months of July and August 2021. We performed genomic surveillance and genotyping as well as virological assessments to determine infectivity of the virus in a select number of clinical diagnostic samples. Genomic sequence analyses revealed complete replacement of the B.1.1.7 lineage (Alpha variant) with the B.1.617.2 lineage (Delta variant) between July 1 and August 4 2021. We observed a strong association between viral RNA loads detected by real-time reverse transcriptase PCR and infectious virus detected in respiratory secretions by virus titration. A marked increase in positive cases among fully vaccinated individuals was observed. The sequence divergence between two index Delta variant cases in April and May, and the cases after July 1st, revealed independent Delta variant introductions in Tompkins County. Contact tracing information enabled the detection of clusters of connected cases within closely related phylogenetic clusters. We also found evidence of transmission between vaccinated individuals and between vaccinated and unvaccinated individuals. This was confirmed by detection and isolation of infectious virus from a group of individuals within epidemiologically connected transmission clusters, confirming shedding of high viral loads and transmission of the virus by fully vaccinated individuals. IMPORTANCE The SARS-CoV-2 lineage B.1.617.2 (Delta variant) emerged in Asia and rapidly spread to other countries, becoming the dominant circulating lineage. Worldwide infections with B.1.617.2 peaked at a time in which vaccination rates were increasing. In this study, we present data characterizing the emergence of SARS-CoV-2 lineage B.1.617.2 (Delta variant) in Tompkins County, New York, which has one of the highest vaccination rates in the state. We present evidence demonstrating infection, replication, and transmission of SARS-CoV-2 lineage B.1.617.2 (Delta variant) between fully vaccinated individuals. Importantly, infectious virus loads were determined in a subset of samples and demonstrated shedding of high viral titers in respiratory secretions of vaccinated individuals.

Objetivo: Reportar el caso de una paciente con trombastenia de Glanzmann que recibe manejo con transfusión de plaquetas con factor VII activado y realizar una revisión de la literatura referente al tratamiento y el pronóstico de esta patología durante la gestación. Método: Se presenta el caso de una paciente de 27 años con trombastenia de Glanzmann y embarazo de 33 semanas, con cesárea al término sin complicaciones. Se realizó una búsqueda en las bases de datos Medline vía PubMed, Lilacs, SciELO y ScienceDirect; se incluyeron reportes de caso, series de casos y revisiones bibliográficas hasta 2021. Resultados: Se encontraron 21 artículos, con 23 casos reportados. Los embarazos se presentaron entre la tercera y la cuarta décadas de la vida, siendo la mayoría pacientes con anticuerpos frente a antígenos plaquetarios (43,4% de los casos). El principal manejo fue con transfusión plaquetaria. Conclusiones: La trombastenia de Glanzmann durante el embarazo es infrecuente y se asocia a eventos hemorrágicos. La presencia de anticuerpos frente a antígenos plaquetarios condiciona el manejo con mayor riesgo de complicaciones perinatales. No tiene un enfoque terapéutico unificado, siendo el de elección la transfusión de plaquetas y como segunda línea el factor VII activado.

Abstract Transpiration makes up the bulk of total evaporation in forested environments yet remains challenging to predict at landscape‐to‐global scales. We harnessed independent estimates of daily transpiration derived from co‐located sap flow and eddy‐covariance measurement systems and applied the triple collocation technique to evaluate predictions from big leaf models requiring no calibration. In total, four models in 608 unique configurations were evaluated at 21 forested sites spanning a wide diversity of biophysical attributes and environmental backgrounds. We found that simpler models that neither explicitly represented aerodynamic forcing nor canopy conductance achieved higher accuracy and signal‐to‐noise levels when optimally configured (rRMSE = 20%; R2 = 0.89). Irrespective of model type, optimal configurations were those making use of key plant functional type dependent parameters, daily LAI, and constraints based on atmospheric moisture demand over soil moisture supply. Our findings have implications for more informed water resource management based on hydrological modeling and remote sensing.

Objective: This study analyzed the association of high blood pressure (HBP) with physical activity, sedentary behavior, and sedentary breaks in 2-year follow-up.Methods: A sample of 331 middle-aged and older adults (mean age of 59.6 ± 17.3 years) was randomly selected and assessed at baseline and after 2 years of follow-up. HBP was considered as ≥140/90 mmHg values of systolic and diastolic blood pressure. Physical activity, sedentary behavior, and sedentary breaks were assessed by questionnaire. Age, sex, socioeconomic status, and body mass index were covariates.Results: Continuous HBP was observed in 26.3% of sample between baseline and follow-up. Adults who reported continuously high sedentary breaks at leisure activities were less likely to have HBP (OR = 0.34, p = 0.011), as well as those who remained high physically active (OR = 0.41, p = 0.016), even after mutual adjustment. No association was observed between high sedentary behavior and HBP at follow-up.Conclusion: Community dwelling adults who were high active and performed frequent sedentary breaks were less likely to have HBP in 2-year follow-up. Strategies for HBP control should considered both physical activities and leisure sedentary breaks in adult population.

Local studies and modeling experiments suggest that shallow groundwater and lateral redistribution of soil moisture, together with soil properties, can be highly important secondary water sources for vegetation in water-limited ecosystems. However, there is a lack of observation-based studies of these terrain-associated secondary water effects on vegetation over large spatial domains. Here, we quantify the role of terrain properties on the spatial variations of dry season vegetation decay rate across Africa obtained from geostationary satellite acquisitions to assess the large-scale relevance of secondary water effects. We use machine learning based attribution to identify where and under which conditions terrain properties related to topography, water table depth, and soil hydraulic properties influence the rate of vegetation decay. Over the study domain, the machine learning model attributes about one-third of the spatial variations of vegetation decay rates to terrain properties, which is roughly equally split between direct terrain effects and interaction effects with climate and vegetation variables. The importance of secondary water effects increases with increasing topographic variability, shallower groundwater levels, and the propensity to capillary rise given by soil properties. In regions with favorable terrain properties, more than 60% of the variations in the decay rate of vegetation are attributed to terrain properties, highlighting the importance of secondary water effects on vegetation in Africa. Our findings provide an empirical assessment of the importance of local-scale secondary water effects on vegetation over Africa and help to improve hydrological and vegetation models for the challenge of bridging processes across spatial scales.

Background. Alterations in plantar soft tissues are often reported in adults with diabetes, whereas data on children are conflicting. Also, the extent of foot damage caused by excess body fat in children has not been fully characterized yet. This study aimed to address the relationship between body mass and structural changes of the foot in children and adolescents with and without diabetes. Methods. In a case-control study, 43 participants (age 13 ± 2.6 years) were recruited, 29 (67%) with type 1 diabetes (T1D) and 14 (33%) controls. Anthropometric parameters [body mass index (BMI), waist circumference (WC), and waist-to-height ratio (WHtR)], foot posture index-6 (FPI-6) for static foot posture, and navicular drop test (NDT) for medial longitudinal arch height (MLA) were measured in all participants. The thickness of the midfoot plantar fascia (MPF) and medial midfoot fat pad (MMFP) were quantified using ultrasound. Results. No differences in clinical and ultrasonographical parameters were observed between the study groups. MMFP thickness was correlated with MPF thickness (p = 0.027). MMFP and MPF thicknesses were positively associated with BMI (p < 0.001 and p = 0.013, respectively), WC (p < 0.001 and p = 0.013), and WHtR (p < 0.001 and p = 0.026). The NDT measured on the right and left foot correlated with WHtR (p = 0.038 and p = 0.009, respectively), but not with WC and BMI. Conclusions. Children with T1D show structural alterations of plantar soft tissues which seem related to body mass increase rather than diabetes pathology. Ultrasound is a valuable tool to assess early structural changes of the foot in young people with an elevated BMI.

The unprecedented COVID-19 pandemic posed major challenges to local, regional, and global economies and health systems, and fast clinical diagnostic workflows were urgently needed to contain the spread of SARS-CoV-2. Here, we describe the platform and workflow established at the Cornell COVID-19 Testing Laboratory (CCTL) for the high-throughput testing of clinical samples from the university and the surrounding community. This workflow enabled efficient and rapid detection and the successful control of SARS-CoV-2 infection on campus and its surrounding communities. Our cost-effective and fully automated workflow enabled the testing of over 8000 pooled samples per day and provided results for over 2 million samples. The automation of time- and effort-intensive sample processing steps such as accessioning and pooling increased laboratory efficiency. Customized software applications were developed to track and store samples, deconvolute positive pools, track and report results, and for workflow integration from sample receipt to result reporting. Additionally, quality control dashboards and turnaround-time tracking applications were built to monitor assay and laboratory performance. As infectious disease outbreaks pose a constant threat to both human and animal health, the highly effective workflow implemented at CCTL could be modeled to establish regional high-capacity testing hubs for infectious disease preparedness and emergency response.

We introduce a new family of quantum distances based on symmetric Csiszár divergences, a class of distinguishability measures that encompass the main dissimilarity measures between probability distributions. We prove that these quantum distances can be obtained by optimizing over a set of quantum measurements followed by a purification process. Specifically, we address in the first place the case of distinguishing pure quantum states, solving an optimization of the symmetric Csiszár divergences over von Neumann measurements. In the second place, by making use of the concept of purification of quantum states, we arrive at a new set of distinguishability measures, which we call extended quantum Csiszár distances. In addition, as it has been demonstrated that a purification process can be physically implemented, the proposed distinguishability measures for quantum states could be endowed with an operational interpretation. Finally, by taking advantage of a well-known result for classical Csiszár divergences, we show how to build quantum Csiszár true distances. Thus, our main contribution is the development and analysis of a method for obtaining quantum distances satisfying the triangle inequality in the space of quantum states for Hilbert spaces of arbitrary dimension.

Purpose: Inducible Slc4a11 KO leads to corneal edema by disruption of the pump and barrier functions of the corneal endothelium (CE). The loss of Slc4a11 NH3-activated mitochondrial uncoupling leads to mitochondrial membrane potential hyperpolarization-induced oxidative stress. The goal of this study was to investigate the link between oxidative stress and the failure of pump and barrier functions and to test different approaches to revert the process. Methods: Mice which were homozygous for Slc4a11 Flox and Estrogen receptor –Cre Recombinase fusion protein alleles at 8 weeks of age were fed Tamoxifen (Tm)-enriched chow (0.4 g/Kg) for 2 weeks, and controls were fed normal chow. During the initial 14 days, Slc4a11 expression, corneal thickness (CT), stromal [lactate], Na+-K+ ATPase activity, mitochondrial superoxide levels, expression of lactate transporters, and activity of key kinases were assessed. In addition, barrier function was assessed by fluorescein permeability, ZO-1 tight junction integrity, and cortical cytoskeleton F-actin morphology. Results: Tm induced a rapid decay in Slc4a11 expression that was 84% complete at 7 days and 96% complete at 14 days of treatment. Superoxide levels increased significantly by day 7; CT and fluorescein permeability by day 14. Tight junction ZO-1 distribution and the cortical cytoskeleton were disrupted at day 14, concomitant with decreased expression of Cldn1, yet with increased tyrosine phosphorylation. Stromal lactate increased by 60%, Na+-K+ ATPase activity decreased by 40%, and expression of lactate transporters MCT2 and MCT4 significantly decreased, but MCT1 was unchanged at 14 days. Src kinase was activated, but not Rock, PKCα, JNK, or P38Mapk. Mitochondrial antioxidant Visomitin (SkQ1, mitochondrial targeted antioxidant) and Src kinase inhibitor eCF506 significantly slowed the increase in CT, with concomitant decreased stromal lactate retention, improved barrier function, reduced Src activation and Cldn1 phosphorylation, and rescued MCT2 and MCT4 expression. Conclusions: Slc4a11 KO-induced CE oxidative stress triggered increased Src kinase activity that resulted in perturbation of the pump components and barrier function of the CE.

Measurement(s) evapotranspiration Technology Type(s) computational modeling technique Factor Type(s) temporal interval Sample Characteristic - Environment climate system • hydrological process Sample Characteristic - Location global Machine-accessible metadata file describing the reported data: https://doi.org/10.6084/m9.figshare.15060387

The Neotropical Polysphincta dizardi species-group is revised. We describe seven new species from South America: P. bonita sp. nov., P. cosnipata sp. nov., P. inca sp. nov., P. macroepomia sp. nov., P. organensis sp. nov., P. pichincha sp. nov., and P. teresa sp. nov. In addition, we provide a diagnosis and an identification key to all species of the group.

We report infection of 3 Malayan tigers with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) B.1.1.7 (Alpha) variant at a zoologic park in Virginia, USA. All tigers exhibited respiratory signs consistent with SARS-CoV-2 infection. These findings show that tigers are susceptible to infection with the SARS-CoV-2 B.1.1.7 variant.

Patients with inborn errors of immunity (IEI) are susceptible to developing a severe infection-related clinical phenotype, but the clinical consequences of immune dysregulation, expressed with autoimmunity, atopy, and lymphoproliferation could represent the first sign in a significant percentage of patients. Therefore, during the diagnostic work-up patients with IEI are frequently addressed to different specialists, including endocrinologists, rheumatologists, and allergologists, often resulting in a delayed diagnosis. In this paper, the most relevant non-infectious manifestations of IEI are discussed. Particularly, we will focus on the potential presentation of IEI with autoimmune cytopenia, non-malignant lymphoproliferation, severe eczema or erythroderma, autoimmune endocrinopathy, enteropathy, and rheumatologic manifestations, including vasculitis and systemic lupus erythematosus. This paper aims to identify new warning signs to suspect IEI and help in the identification of patients presenting with atypical/non-infectious manifestations.

IntroductionStroke-like syndrome (SLS) is a rare subacute neurological complication of intrathecal or high-dose (≥500 mg) Methotrexate (MTX) administration. Its clinical features, evoking acute cerebral ischaemia with fluctuating course symptoms and a possible spontaneous resolution, have elicited interest among the scientific community. However, many issues are still open on the underlying pathogenesis, clinical, and therapeutic management and long-term outcome.Materials and MethodsWe retrospectively analyzed clinical, radiological and laboratory records of all patients diagnosed with SLS between 2011 and 2021 at 4 National referral centers for Pediatric Onco-Hematology. Patients with a latency period that was longer than 3 weeks between the last MTX administration of MTX and SLS onset were excluded from the analysis, as were those with unclear etiologies. We assessed symptom severity using a dedicated arbitrary scoring system. Eleven patients were included in the study.ResultsThe underlying disease was acute lymphoblastic leukemia type B in 10/11 patients, while fibroblastic osteosarcoma was present in a single subject. The median age at diagnosis was 11 years (range 4–34), and 64% of the patients were women. Symptoms occurred after a mean of 9.45 days (± 0.75) since the last MTX administration and lasted between 1 and 96 h. Clinical features included hemiplegia and/or cranial nerves palsy, paraesthesia, movement or speech disorders, and seizure. All patients underwent neuroimaging studies (CT and/or MRI) and EEG. The scoring system revealed an average of 4.9 points (± 2.3), with a median of 5 points (maximum 20 points). We detected a linear correlation between the severity of the disease and age in male patients.ConclusionsSLS is a rare, well-characterized complication of MTX administration. Despite the small sample, we have been able to confirm some of the previous findings in literature. We also identified a linear correlation between age and severity of the disease, which could improve the future clinical management.

ABSTRACT In the present study, we assessed the diagnostic sensitivity and determined the viral RNA load and infectivity of SARS-CoV-2 in paired respiratory (nasopharyngeal and anterior nares) and oral samples (saliva and sublingual swab). Samples were collected from 77 individuals of which 75 were diagnosed with COVID-19 and classified as symptomatic (n = 29), asymptomatic (n = 31), or postsymptomatic (n = 15). Specimens were collected at one time point from each individual, between day 1 and 23 after the initial COVID-19 diagnosis, and included self-collected saliva (S), or sublingual (SL) swab, and bilateral anterior nares (AN) swab, followed by health care provider collected nasopharyngeal (NP) swab. Sixty-three specimen sets were tested using five assay/platforms. The diagnostic sensitivity of each assay/platform and specimen type was determined. Of the 63 specimen sets, SARS-CoV-2 was detected in 62 NP specimens, 52 AN specimens, 59 saliva specimens, and 31 SL specimens by at least one platform. Infectious SARS-CoV-2 was isolated from 21 NP, 13 AN, 12 saliva, and one SL specimen out of 50 specimen sets. SARS-CoV-2 isolation was most successful up to 5 days after initial COVID-19 diagnosis using NP specimens from symptomatic patients (16 of 24 positives, 66.67%), followed by specimens from asymptomatic patients (5 of 17 positives, 29.41%), while it was not very successful with specimens from postsymptomatic patients. Benefits of self-collected saliva and AN specimens balance the loss of sensitivity relative to NP specimens. Therefore, saliva and AN specimens are acceptable alternatives for symptomatic SARS-CoV-2 diagnostic testing or surveillance with increased sampling frequency of asymptomatic individuals. IMPORTANCE The dynamics of infection with SARS-CoV-2 have a significant impact on virus infectivity and in the diagnostic sensitivity of molecular and classic virus detection tests. In the present study we determined the diagnostic sensitivity of paired respiratory (nasopharyngeal and anterior nares swabs) and oral secretions (saliva and sublingual swab) and assessed infectious virus shedding patterns by symptomatic, asymptomatic, or postsymptomatic individuals. Understanding the diagnostic performance of these specimens and the patterns of infectious virus shedding in these bodily secretions provides critical information to control COVID-19, and may help to refine guidelines on isolation and quarantine of positive individuals and their close contacts identified through epidemiological investigations.

Abstract Background Effective measurement of Gender Equality and Women’s Empowerment (GEWE) is challenging in low and middle-income countries (LMICs), and even more so in humanitarian settings. Conflict, natural disasters, and epidemics may increase gender inequities, but also present an opportunity to address them. This scoping review describes and identifies gaps in the measurement tools, methods, and indicators used to measure GEWE in humanitarian settings, and presents a dashboard that can be used by researchers, organizations and governments to identify GEWE measurement tools. Methods Scientific articles published between January 2004 and November 2019 were identified using Embase, Medline, PsycInfo, CINAHL, Scopus, and PAIS index. Relevant non peer-reviewed literature was downloaded from the websites of humanitarian organizations. Publications on women and/or girls impacted by a humanitarian crisis in a LMIC, within 5 years of data collection, were included. Publications were double-screened in the title/abstract and full-text stages. We used a machine learning software during the title/abstract screening to increase the efficiency of the process. Measurement tools, sampling and data collection methods, gap areas (geographical, topical and contextual), and indicators were catalogued for easy access in an interactive Tableau dashboard. Results Our search yielded 27,197 publications and 2396 non peer-reviewed literature reports. One hundred and seventy publications were included in the final review. Extracted indicators were categorized into seven domains: economic, health, human development, leadership, psychological, security and justice, and sociocultural. The vast majority of studies were observational, and over 70% utilized a cross-sectional study design. Thirty-eight toolkits and questionnaires were identified in this review, of which 19 (50%) were designed specifically for humanitarian settings. Sociocultural was the largest domain in number of studies and indicators in this review, with gender-based violence indicators reported in 66% of studies. Indicators of economic, human development and leadership were uncommon in the peer-reviewed literature. Discussion While there has been some effort to measure GEWE in conflict-affected and other humanitarian settings, measurement has largely focused on violence and security issues. A more comprehensive framework for measuring GEWE in these settings is needed; objective measurement of women’s empowerment and gender equality should be prioritized by organizations providing humanitarian aid.

Abstract The land surface influences the atmospheric boundary layer (ABL) through its impacts on the partitioning of available energy into evaporation and warming. Previous research on understanding this complex link focused mainly on site-scale flux observations, gridded satellite observations, climate modeling, and machine-learning experiments. Observational evidence of land surface conditions, among which soil moisture, impacting ABL properties at intermediate landscape scales is lacking. Here, we use a combination of global weather balloon soundings, satellite-observed soil moisture, and a coupled land-atmosphere model to infer the soil moisture impact on the ABL. The inferred relationship between soil moisture and surface flux partitioning reflects distinctive energy- and water-limited regimes, even at the landscape scale. We find significantly different behavior between those two regimes, associating dry conditions with on average warmer (≈3 K), higher (≈400 m) and drier (≈1 kPa) afternoon ABLs than wet conditions. This evidence of land–atmosphere coupling from globally distributed atmospheric measurements highlights the need for an accurate representation of land–atmosphere coupling into climate models and their climate change projections.

SARS-CoV-2 was identified as the pathogenic agent causing the COVID-19 pandemic. Among the proteins codified by this virus, the Spike protein is one of the most-external and -exposed. A fragment of the Spike protein, named the receptor binding domain (RBD), interacts with the ACE2 receptors of human cells, allowing the entrance of the viruses. RBD has been proposed as an interesting protein for the development of diagnosis tools, treatment, and prevention of the disease. In this work, a method for recombinant RBD production using Pichia pastoris as a cell factory in a stirred-tank bioreactor (SRTB) up to 7 L was developed. Using a basal saline medium with glycerol, methanol, and compressed air in a four-stage procedure, around 500 mg/L of the raw RBD produced by yeasts (yRBD) and 206 mg/L of purified (>95%) RBD were obtained. Thereby, the proposed method represents a feasible, simple, scalable, and inexpensive procedure for the obtention of RBD for diagnosis kits and vaccines’ formulation.

Newcastle disease (ND) is endemic in Bangladesh. Locally produced or imported live Newcastle disease virus (NDV) vaccines based on lentogenic virus strains, locally produced live vaccines of the mesogenic Mukteswar strain, as well as imported inactivated vaccines of lentogenic strains, are being used in Bangladesh under different vaccination regimens. Despite these vaccinations, frequent outbreaks of ND are being reported in Bangladesh. Here we compared the efficacy of booster immunization with three different vaccines in chickens that had been primed with two doses of live LaSota vaccine. A total of 30 birds (Group A) were primed with two doses of live LaSota virus (genotype II) vaccine at days 7 and 28, while 20 birds (Group B) remained unvaccinated. At day 60, birds of Group A were divided into three sub-groups, which received booster immunizations with three different vaccines; A1: live LaSota vaccine, A2: inactivated LaSota vaccine, and A3: inactivated genotype XIII.2 vaccine (BD-C161/2010 strain from Bangladesh). Two weeks after booster vaccination (at day 74), all vaccinated birds (A1–A3) and half of the unvaccinated birds (B1) were challenged with a genotype XIII.2 virulent NDV (BD-C161/2010). A moderate antibody response was observed after the primary vaccination, which substantially increased after the booster vaccination in all groups. The mean HI titers induced by the inactivated LaSota vaccine (8.0 log2/5.0 log2 with LaSota/BD-C161/2010 HI antigen) and the inactivated BD-C161/2010 vaccine (6.7 log2/6.2 log2 with LaSota/BD-C161/2010 HI antigen) were significantly higher than those induced by the LaSota live booster vaccine (3.6 log2/2.6 log2 with LaSota/BD-C161/2010 HI antigen). Despite the differences in the antibody titers, all chickens (A1–A3) survived the virulent NDV challenge, while all the unvaccinated challenged birds died. Among the vaccinated groups, however, 50% of the chickens in Group A1 (live LaSota booster immunization) shed virus at 5- and 7-days post challenge (dpc), while 20% and 10% of the chickens in Group A2 (inactivated LaSota booster immunization) shed virus at 3 and 5 dpc, respectively, and only one chicken (10%) in Group A3 shed virus at 5 dpc. In conclusion, the genotype-matched inactivated NDV booster vaccine offers complete clinical protection and a significant reduction in virus shedding.

Influenza A viruses (IAV-S) belonging to the H1 subtype are endemic in swine worldwide. Antigenic drift and antigenic shift lead to a substantial antigenic diversity in circulating IAV-S strains. As a result, the most commonly used vaccines based on whole inactivated viruses (WIVs) provide low protection against divergent H1 strains due to the mismatch between the vaccine virus strain and the circulating one. Here, a consensus coding sequence of the full-length of HA from H1 subtype was generated in silico after alignment of the sequences from IAV-S isolates obtained from public databases and was delivered to pigs using the Orf virus (ORFV) vector platform. The immunogenicity and protective efficacy of the resulting ORFVΔ121conH1 recombinant virus were evaluated against divergent IAV-S strains in piglets. Virus shedding after intranasal/intratracheal challenge with two IAV-S strains was assessed by real-time RT-PCR and virus titration. Viral genome copies and infectious virus load were reduced in nasal secretions of immunized animals. Flow cytometry analysis showed that the frequency of T helper/memory cells, as well as cytotoxic T lymphocytes (CTLs), were significantly higher in the peripheral blood mononuclear cells (PBMCs) of the vaccinated groups compared to unvaccinated animals when they were challenged with a pandemic strain of IAV H1N1 (CA/09). Interestingly, the percentage of T cells was higher in the bronchoalveolar lavage of vaccinated animals in relation to unvaccinated animals in the groups challenged with a H1N1 from the gamma clade (OH/07). In summary, delivery of the consensus HA from the H1 IAV-S subtype by the parapoxvirus ORFV vector decreased shedding of infectious virus and viral load of IAV-S in nasal secretions and induced cellular protective immunity against divergent influenza viruses in swine.

Abstract Background The role of the immune system and inflammatory response in the pathogenesis of the severe manifestations of coronavirus disease 2019 (COVID-19) is well known. Currently, different therapies active on the immune system are used for the management of COVID-19. The involvement of the immune system also opens the opportunity for the use of nutritional supplements with antimicrobial and immunomodulatory activity. Main aspects Nutritional supplements with antimicrobial and immunomodulatory activity are promising therapeutic adjuvants for the treatment of COVID-19, and also for the prevention of viral spreading. In particular, the role of vitamin D, probiotics, lactoferrin, and zinc is of significant clinical interest, although there are only a few data on their use in COVID-19 patients. Their molecular actions, together with the results of studies performed on other respiratory infections, strongly suggest their potential utility in COVID-19. This article discusses the main properties of these nutritional supplements and their potential applicability in the prevention and treatment of COVID-19. Conclusion The supplementation with vitamin D, probiotics, lactoferrin and zinc could have a role both in preventing SARS-CoV-2 infection and in mitigating the clinical course in infected patients, contributing in the prevention of immune-mediated organ damage.

Abstract Immunization with an insect cell lysate/baculovirus mixture containing recombinant porcine epidemic diarrhea virus (PEDV) spike protein induced high levels of neutralizing antibodies in both mice and piglets. However, immunization of piglets with this vaccine resulted in enhancement of disease symptoms and virus replication in vaccine recipients exposed to PEDV challenge. Thus, these observations demonstrate a previously unrecognized challenge of PEDV vaccine research, which has important implications for coronavirus vaccine development.

Abstract This systematic review (SR) addressed the following common clinical question: What is more effective in reducing or eliminating endotoxin in endodontic infections—single or multiple-session treatments using calcium hydroxide medications? Literature searches of Medline/PubMed, Embase, Cochrane Library, Scielo, Science Direct, Web of Knowledge, Scopus, and Google Scholar databases. Two reviewers independently assessed the eligibility for inclusion, extracted data, and evaluated the quality of the studies using the risk of bias tools. Electronic searches resulted in 358 articles, of which 32 studies were included for full-text assessment, and nine were included in this review. Meta-analysis pooling all the nine studies revealed lower levels of endotoxin for multiple-session treatment (P

We report new faunistic records of Pimpla Fabricius, 1804 from Uruguay. The following species are reported from the country for the first time: P. albomarginata Cameron, 1846, P. caerulea Brullé, 1846, P. perssoni Gauld, 1991, and P. semirufa Brullé, 1846. In addition, we propose a replacement name for Pimpla rufipes Brullé, 1846 and provide diagnosis, digital images, and an identification key for all the Pimpla species known to occur in Uruguay.

Multisystem inflammatory syndrome in children (MIS-C) is a pathologic condition that has emerged during the coronavirus disease 2019 (COVID-19) pandemic. Although the epidemiological evidence of association between MIS-C and SARS-CoV-2 infection has been demonstrated, its pathogenic mechanism is still undefined. We describe the case of a 17-year old female, previously vaccinated against SARS-CoV-2, presenting with a history of asthenia, fever, cough, anorexia, abdominal pain, and vomiting. During the hospitalization, the patient developed bilateral conjunctivitis, hand vasculitis, cutaneous rash, and multiple pulmonary nodules, following by hepatitis and pancreatitis. As she reported a high-risk contact with a SARS-CoV-2 positive patient 10 days before admission, the epidemiological link and the clinical picture characterized by multi-system organ disfunction and inflammatory biomarkers increase led us to the diagnosis of MIS-C. Therefore, the patient was treated with intravenous immunoglobulin and corticosteroids, resulting in a rapid resolution of fever, cutaneous, and pulmonary involvement, while the recovery of hepatitis and pancreatitis was observed in the following weeks. This case leads to the discussion on whether SARS-CoV-2 immunized children and adolescents should be considered at risk of developing MIS-C and on their possible presentation with non-classic clinical features. Additionally, due to the increasing number of vaccinated children and adolescents, the issues resulting either from the diagnostic suspect of MIS-C or from the consequent need of an early therapeutic approach are discussed.

Recent studies from Slc4a11−/− mice have identified glutamine-induced mitochondrial dysfunction as a significant contributor toward oxidative stress, impaired lysosomal function, aberrant autophagy, and cell death in this Congenital Hereditary Endothelial Dystrophy (CHED) model. Because lysosomes are derived from endoplasmic reticulum (ER)—Golgi, we asked whether ER function is affected by mitochondrial ROS in Slc4a11 KO corneal endothelial cells. In mouse Slc4a11−/− corneal endothelial tissue, we observed the presence of dilated ER and elevated expression of ER stress markers BIP and CHOP. Slc4a11 KO mouse corneal endothelial cells incubated with glutamine showed increased aggresome formation, BIP and GADD153, as well as reduced ER Ca2+ release as compared to WT. Induction of mitoROS by ETC inhibition also led to ER stress in WT cells. Treatment with the mitochondrial ROS quencher MitoQ, restored ER Ca2+ release and relieved ER stress markers in Slc4a11 KO cells in vitro. Systemic MitoQ also reduced BIP expression in Slc4a11 KO endothelium. We conclude that mitochondrial ROS can induce ER stress in corneal endothelial cells.

Purpose: Congenital hereditary endothelial dystrophy (CHED) is a rare condition that manifests at an early age showing corneal edema, increased oxidative stress, mitochondrial dysfunction, and eventually apoptosis of the endothelium due to loss of function of the membrane transport protein SLC4A11. This project tested whether replacing Slc4a11 into the Slc4a11-/- CHED mouse model can reverse the disease-associated phenotypes. Design: Experimental study. Participants: Five-week-old or 11-week-old Slc4a11-/- mice. Age- and gender-matched Slc4a11+/+ animals were used as controls. A total of 124 animals (62 female, and 62 male) were used in this study. Fifty-three animals of the genotype Slc4a11+/+ were used as age- and gender-matched noninjected controls. Seventy-one Slc4a11-/- mice were administered anterior chamber injections of adeno-associated virus (AAV). Methods: Anterior chambers of young (5 weeks old) or older (11 weeks old) Slc4a11-/- mice were injected once with adeno-associated virus serotype 9 (AAV9) mouse Slc4a11 or AAV9-Null vectors. Corneal thickness was measured using OCT. End point analysis included corneal endothelial cell density, mitochondrial oxidative stress, and corneal lactate concentration. Main Outcome Measures: Corneal thickness, endothelial cell loss, lactate levels, and mitochondrial oxidative stress. Results: In the young animals, AAV9-Slc4a11 reversed corneal edema, endothelial cell loss, mitochondrial oxidative stress, lactate transporter expression, and corneal lactate concentration to the levels observed in wild-type animals. In the older animals, gene replacement did not reverse the phenotype but prevented progression. Conclusions: Functional rescue of CHED phenotypes in the Slc4a11-/- mouse is possible; however, early intervention is critical.

Abstract Hydrological interactions between vegetation, soil, and topography are complex, and heterogeneous in semi‐arid landscapes. This along with data scarcity poses challenges for large‐scale modeling of vegetation‐water interactions. Here, we exploit metrics derived from daily Meteosat data over Africa at ca. 5 km spatial resolution for ecohydrological analysis. Their spatial patterns are based on Fractional Vegetation Cover (FVC) time series and emphasize limiting conditions of the seasonal wet to dry transition: the minimum and maximum FVC of temporal record, the FVC decay rate and the FVC integral over the decay period. We investigate the relevance of these metrics for large scale ecohydrological studies by assessing their co‐variation with soil moisture, and with topographic, soil, and vegetation factors. Consistent with our initial hypothesis, FVC minimum and maximum increase with soil moisture, while the FVC integral and decay rate peak at intermediate soil moisture. We find evidence for the relevance of topographic moisture variations in arid regions, which, counter‐intuitively, is detectable in the maximum but not in the minimum FVC. We find no clear evidence for wide‐spread occurrence of the “inverse texture effect” on FVC. The FVC integral over the decay period correlates with independent data sets of plant water storage capacity or rooting depth while correlations increase with aridity. In arid regions, the FVC decay rate decreases with canopy height and tree cover fraction as expected for ecosystems with a more conservative water‐use strategy. Thus, our observation‐based products have large potential for better understanding complex vegetation‐water interactions from regional to continental scales.

The present study concentrates on the bioactive behavior of HVOF-sprayed HAp/TiO2 graded coatings on a Ti-6Al-4V alloy. In-vitro bioactivity was evaluated by immersing graded coating samples in Hank’s solution at body temperature up to 28 days. Natural in-vitro bioactivity of the graded coatings was compared with in-vitro electrochemical analysis also performed for 28 days. Potentiodynamic polarization, open circuit potential, linear polarization resistance, and electrochemical impedance spectroscopy measurements in Hank’s solution, at body temperature, were performed to study the interaction of the HVOF-sprayed HAp/TiO2 graded coating with the simulated body fluid. Electrochemical in-vitro data of graded coatings were compared with those from an uncoated Ti-6Al-4V alloy. Graded coatings presented a rapid interaction with simulated body fluid during the first 4 days of immersion. The interaction between HAp/TiO2 graded coating and simulated body fluid led to the formation of a bone like-apatite layer on the top surface of the graded coating. This layer was not observed on the surface of the Ti-6Al-4V alloy. The growing kinetics of the apatite layer on the top surface of the graded coatings varied on time and provided useful information for future in-vivo studies focused on studying medical healing times. From a bioactive standpoint, the present study shows the advantages that a HVOF-sprayed HAp-based coating architecture has over an un-coated Ti-6Al-4V alloy, and how it represents a step forward in the development of bioactive coatings for implant technology.

Abstract The COVID-19 pandemic has surprised the entire population. The world has had to face an unprecedented pandemic. Only, Spanish flu had similar disastrous consequences. As a result, drastic measures (lockdown) have been adopted worldwide. Healthcare service has been overwhelmed by the extraordinary influx of patients, often requiring high intensity of care. Mortality has been associated with severe comorbidities, including chronic diseases. Patients with frailty were, therefore, the victim of the SARS-COV-2 infection. Allergy and asthma are the most prevalent chronic disorders in children and adolescents, so they need careful attention and, if necessary, an adaptation of their regular treatment plans. Fortunately, at present, young people are less suffering from COVID-19, both as incidence and severity. However, any age, including infancy, could be affected by the pandemic. Based on this background, the Italian Society of Pediatric Allergy and Immunology has felt it necessary to provide a Consensus Statement. This expert panel consensus document offers a rationale to help guide decision-making in the management of children and adolescents with allergic or immunologic diseases.

Dolichomitus Smith is a widely distributed pimpline genus with more than seventy known species. There are eight species previously reported from South America: D. annulicornis (Cameron), D. bivittatus Townes, D. hypermeces Townes, D. jatai Loffredo & Penteado-Dias, D. longicauda Smith, D. megalourus (Morley), D. moacyri Loffredo & Penteado-Dias and D. zonatus (Cresson). In this paper, we describe five new species: D. mariajosae Araujo & Pádua, sp. nov., D. menai Araujo & Pádua, sp. nov., D. orejuelai Araujo & Pádua, sp. nov., D. pimmi Araujo & Pádua, sp. nov., and D. rendoni Araujo & Pádua, sp. nov. All have been collected in cloud forests in the Colombian tropical Andes. An illustrated key to the South American species of the genus is also provided.