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Background: Despite a large amount of evidence evaluating elevated troponin I levels and adverse clinical outcomes, little is known about the role of a normal (negative) troponin I during the first 24 h of admission for risk stratification in patients with Coronavirus Disease 2019 (COVID-19). This study aims to evaluate the utility and negative predictive value of a serum troponin I level to predict in-hospital mortality. Methods: We retrospectively analyzed all adult patients (>18 years of age) with COVID-19 admitted to an HCA Healthcare facility between March 2020 and March 2021 who had a troponin I level drawn at admission. Patients were initially stratified into two groups based on their cardiac troponin I value in the first 24 h of admission (elevated vs negative). Results: A total of 65,580 patients were included in the final analysis. A negative troponin I value was associated with lesser odds of death during admission (OR = 0.32, 95 % CI 0.31–0.34, p

Summary: The African trypanosome survives the immune response of its mammalian host by antigenic variation of its major surface antigen (the variant surface glycoprotein or VSG). Here we describe the antibody repertoires elicited by different VSGs. We show that the repertoires are highly restricted and are directed predominantly to distinct epitopes on the surface of the VSGs. They are also highly discriminatory; minor alterations within these exposed epitopes confer antigenically distinct properties to these VSGs and elicit different repertoires. We propose that the patterned and repetitive nature of the VSG coat focuses host immunity to a restricted set of immunodominant epitopes per VSG, eliciting a highly stereotyped response, minimizing cross-reactivity between different VSGs and facilitating prolonged immune evasion through epitope variation.

The Internet of Things (IoT) has recently been implemented in various applications. An IoT network is a group of Internet-connected computing devices embedded in everyday objects. Usually, those devices can interact with each other via the Internet by exchanging data. Because of privacy and security requirements, users of IoT-connected objects need measures to secure corresponding data during storage and transmission. This work presents an architecture that integrates IoT devices, blockchain technology, and embedded homomorphic encryption to ensure high computation speed and security levels in IoT systems. The ultralight linear encryption technique enhances computation speed, making it possible to obtain homomorphic addition over the encrypted data. Using this technique, each administrator gains specific access to the encrypted data. Security, stability, traceability, and anonymity are provided through blockchain technology, which is used to store data. The proposed architecture is demonstrated via a use case from the healthcare sector. The experimental analysis shows our technique's effectiveness in energy consumption reduction and privacy preservation with minimal computation and communication costs. By using five fields per record, name, ID, age, gender, and blood glucose level, we achieved an encryption time equals 0,19 ms and decryption time equals 0,98 ms vs. 15,7 and 1,6 respectively in the best comparison technique. In communication cost, we achieved 1KB vs. 5KB. [ABSTRACT FROM AUTHOR]

Introduction: Cardiac rehabilitation (CR) adherence and functional outcomes were measured after COVID-19 regulations reduced group sizes to one-onone, modeling a natural experiment. Methods: A retrospective analysis using a natural experiment model measured participants in 12 weeks of CR during the 17 months before and after a COVID-19-related closure was conducted. The age, sex, race, ethnicity, and referral diagnoses of the pre-COVID-19 closure and post-COVID-19 closure groups were analyzed using a student's unpaired T-test. Adherence (completion rate of CR) and functional outcomes [change in six-minute walk test (6MWT)] were assessed between the two groups using unpaired two-tailed student T tests in GraphPad Prism and confidence intervals were calculated with the Baptista-Pike method. Results: There were 204 patients in the pre-COVID-19 group and 51 patients in the post-COVID-19 group, due to the smaller group sizes in the post-COVID-19 group, with no significant differences in baseline characteristics between the groups. The pre-COVID-19 group had a higher patient-to-provider ratio [2.8 patients/provider (SD 0.74)] relative to the post-COVID-19 group [0.4 patients/provider (SD 0.12); p < 0.0001]. The post-COVID-19 group had a higher completion rate than pre-COVID-19 group [75% vs. 21%; OR 10.9 (95% CI, 5.3-21.3, p < 0.0001)]. Among those that completed CR, there was no significant difference between groups in 6MWT improvement [+377.9 ft. (n = 47; SD 275.67 ft.) vs. +346.9 ft. (n = 38; SD 196.27 ft.); p = 0.59]. Discussion: The reduction in group size to one-on-one was associated with 10 times higher odds of CR completion. Among those that completed CR, functional outcomes were not influenced by group size. Thus, pursuit of one-on-one sessions may improve CR adherence. [ABSTRACT FROM AUTHOR]

The yellow scorpion, Buthus boumalenii, has long been recognized as a potentially dangerous species endemic to Morocco. However, there is currently no data on the in vivo toxicity or effects of Buthus boumalenii venom, as it has not been studied to the best of our knowledge. In order to achieve the objective of this study, the LD50 of B. boumalenii venom will be initially calculated, followed by determining its impact on vital organs using histological, biochemical, and behavioral analyses. The investigation also explores potential neurobehavioral impairments in Swiss mice at intervals of 3 hours, 6 hours, and 12 hours post-envenomation. The LD50 for Buthus boumalenii scorpion venom in mice was determined to be 353 µg/kg based on body weight. The findings of the study highlight the potential lethality of B. boumalenii. Observations related to the poisoning provide indications of potential tissue damage in specific vital organs. To sum up, the venom from this scorpion has the potential to result in considerable medical complications, including fatalities, particularly in individuals at risk. Consequently, healthcare practitioners should be knowledgeable about the diverse scorpion species in their regions and adhere to contemporary medical protocols when addressing scorpion envenomation. [ABSTRACT FROM AUTHOR]

Secondary metabolites derived from plants have demonstrated significant biological activity and hold both edible and medicinal significance. These compounds play a crucial role in the development of pharmaceuticals, particularly in the context of inflammatory disorders and chronic diseases associated with oxidative stress. The objective of this study was to investigate the chemical characterization, antioxidant potential, and antibacterial properties of the aqueous extract of Anacyclus pyrethrum (AEAP). To achieve this, we employed various analytical techniques including HPLC–ESI–MS/MS, Fourier transform infrared, X-ray diffraction, scanning electron microscopy, and energy-dispersive X-ray spectroscopy. The antioxidant activity of the AEAP was assessed using DPPH (2,2-Diphenyl-1-picrylhydrazyl) and reducing power assays, while antibacterial activity was evaluated against both Gram-negative (Escherichia coli and Pseudomonas aeruginosa) and Gram-positive bacteria (Staphylococcus aureus and Enterococcus faecium) using the broth microdilution assay. Our findings demonstrated significant antioxidant activity of the AEAP, as well as broad-spectrum antibacterial activity against both Gram-positive and Gram-negative bacteria. HPLC analysis identified important bioactive compounds, notably pellitorine and 3,4-dihydroxybenzoic acid, known for their antioxidant and antibacterial properties. Overall, the AEAP demonstrated potent antioxidant and antibacterial activities, suggesting its potential as a valuable natural source of bioactive compounds with various therapeutic applications.

This paper presents findings regarding the addition of robotics education in kindergarten and elementary school as a tool for enhancing technological thinking, increasing children's confidence in using technology, developing essential twenty-first century skills and increasing children's self-confidence. A unique tailored compulsory program for kindergarten and elementary schools is presented. An important feature of this program is that the general education teachers are trained as robotics instructors. A quantitative survey of 197 children and a qualitative analysis of interviews are presented. Gender and age-related differences in attitudes towards robotics, self-confidence and technological self-efficacy are analysed. Children were assessed on their knowledge of basic robotics, sensors and programming, understanding technology and technological thinking and their desire to continue to study robotics and technology. Results show that kindergarten and elementary school children feel confident in their ability to invent new robots and other technological devices, and have positive attitudes towards learning technology, science and robotics in future.

Any listening task, from sound recognition to sound-based communication, rests on auditory memory which is known to decline in healthy ageing. However, how this decline maps onto multiple components and stages of auditory memory remains poorly characterised. In an online unsupervised longitudinal study, we tested ageing effects on implicit auditory memory for rapid tone patterns. The test required participants (younger, aged 20–30, and older adults aged 60–70) to quickly respond to rapid regularly repeating patterns emerging from random sequences. Patterns were novel in most trials (REGn), but unbeknownst to the participants, a few distinct patterns reoccurred identically throughout the sessions (REGr). After correcting for processing speed, the response times (RT) to REGn should reflect the information held in echoic and short-term memory before detecting the pattern; long-term memory formation and retention should be reflected by the RT advantage (RTA) to REGr vs REGn which is expected to grow with exposure. Older participants were slower than younger adults in detecting REGn and exhibited a smaller RTA to REGr. Computational simulations using a model of auditory sequence memory indicated that these effects reflect age-related limitations both in early and long-term memory stages. In contrast to ageing-related accelerated forgetting of verbal material, here older adults maintained stable memory traces for REGr patterns up to 6 months after the first exposure. The results demonstrate that ageing is associated with reduced short-term memory and long-term memory formation for tone patterns, but not with forgetting, even over surprisingly long timescales.

Tight binding of Gdown1 represses RNA polymerase II (Pol II) function in a manner that is reversed by Mediator, but the structural basis of these processes is unclear. Although Gdown1 is intrinsically disordered, its Pol II interacting domains were localized and shown to occlude transcription factor IIF (TFIIF) and transcription factor IIB (TFIIB) binding by perfect positioning on their Pol II interaction sites. Robust binding of Gdown1 to Pol II is established by cooperative interactions of a strong Pol II binding region and two weaker binding modulatory regions, thus providing a mechanism both for tight Pol II binding and transcription inhibition and for its reversal. In support of a physiological function for Gdown1 in transcription repression, Gdown1 co-localizes with Pol II in transcriptionally silent nuclei of early Drosophila embryos but re-localizes to the cytoplasm during zygotic genome activation. Our study reveals a self-inactivation through Gdown1 binding as a unique mode of repression in Pol II function.

Nuclear pore complexes play central roles as gatekeepers of RNA and protein transport between the cytoplasm and nucleoplasm. However, their large size and dynamic nature have impeded a full structural and functional elucidation. Here we determined the structure of the entire 552-protein nuclear pore complex of the yeast Saccharomyces cerevisiae at sub-nanometre precision by satisfying a wide range of data relating to the molecular arrangement of its constituents. The nuclear pore complex incorporates sturdy diagonal columns and connector cables attached to these columns, imbuing the structure with strength and flexibility. These cables also tie together all other elements of the nuclear pore complex, including membrane-interacting regions, outer rings and RNA-processing platforms. Inwardly directed anchors create a high density of transport factor-docking Phe-Gly repeats in the central channel, organized into distinct functional units. This integrative structure enables us to rationalize the architecture, transport mechanism and evolutionary origins of the nuclear pore complex.

The Barbary macaque is currently the only macaque species that occurs beyond Asia. It has been classified as an endangered species on the IUCN’s Red List and is listed in CITES Appendix I. This species is actually restricted to small and fragmented habitats in the Moroccan Rif, Middle and High Atlas, and in the Algerian areas of Chiffa, Grande Kabylie and the Petite Kabylie. A very large number of studies indicated that this primate is in decline and its population is estimated to have declined at a rate exceeding 50% over the last three generations. This article aims to review the major threats and challenges to the Barbary macaque conservation in North Africa. Data were gathered from research articles, scientific books, communications, thesis and PhD dissertations of the authors and of other researchers. Results showed that the major threats to the survival of Barbary macaques are habitat loss and degradation, population fragmentation, capture and trade of macaques, effects of human activities on Barbary macaques’ behavior and ecology, conflict with inhabitants due to crop raiding, the decrease in water availability to macaques, and infectious disease risks. Based on this review, we recommend several measures to reduce the likelihood of the Barbary macaque becoming extinct in many regions of North Africa.

Background: Left bundle branch block (LBBB) causes left ventricular dyssynchrony, and its presence with concomitant left ventricular dysfunction has been proven to play a synergistic role, worsening ventricular function. Our study seeks to further explore the association between LBBB and various in-hospital outcomes in patients with takotsubo syndrome (TTS). Methods: The national inpatient sample was queried from 2016 to 2019 to identify all admissions with a primary diagnosis of TTS. International classification of diseases, tenth revision codes were used to divide patients based on the presence or absence of LBBB. Multivariate regression analysis was performed to assess the effect of LBBB among all the pre-specified outcomes. Results: A total of 26,615 admissions were included in the analysis. Admissions with LBBB were more likely to be older (72.2 vs. 66.2 years) and have a higher burden of comorbidities. The presence of a LBBB was associated with ventricular arrhythmias (OR = 1.97, 95% CI 1.08–3.61, p = 0.028) but not with sudden cardiac arrest (SCA), acute heart failure, cardiogenic shock, and all-cause intra-hospital mortality. Conclusions: Intraventricular dyssynchrony appears to play a significant role in ventricular arrhythmogenesis and SCA, as several trials have demonstrated that cardiac resynchronization therapy alone without defibrillator function reduces the rate of ventricular arrhythmias and SCA in patients with heart failure with systolic dysfunction and a widened QRS complex. The most likely mechanism of arrhythmia development in TTS is related to the elevated plasma levels of catecholamines and their proarrhythmic effects in the ventricular myocardium.

The objectives of the study were to investigate the analgesic, antianxiety and sedative effects of Pistacia lentiscus essential oil from fruits in mice. The antinociceptive effect was evaluated using three animal models such as writhing, hot plate, and formalin tests. While the sedative and antianxiety effects were evaluated using thiopental-induced sleeping time, elevated plus maze, hole-board, and open field assays. The essential oil possessed a strong antinociceptive effect at all doses. This effect was undone when animals were pretreated with naloxone and yohimbine in the neurogenic phase whereas atropine and glibenclamide were in the inflammation phase (formalin test). The administration of essential oil increased the latency of sleeping and extended time of sleeping in the thiopental test. On the other hand, essential oil possessed an anxiolytic effect. However, pretreatment with flumazenil reversed the effect indicating the possible implication of GABAA receptors.