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Purpose: Postmastectomy radiation therapy (PMRT) reduces disease recurrence in appropriately selected patients but may compromise implant-based reconstruction. We investigated whether near-surface dose correlates with radiation-related toxic effects in these patients. Methods and Materials: Patients receiving PMRT at a single institution from 2016 to 2019 were retrospectively reviewed. Patient demographics and treatment information were collected. Three near-surface structures were retrospectively generated, bound by the chest wall tangent beam as well as the skin surface and the skin-3 mm contour (SR3), skin surface and skin-5 mm contour (SR5), or skin-5 and skin-10 mm contours. Dosimetric analysis of these near-surface contours was performed in 2 Gy intervals. Univariate and multivariate analyses were used to identify predictors of moist desquamation, grade 2+ chest wall pain, use of opiate pain medication, unplanned reconstructive surgery, and implant failure. Logistic regression for each outcome and near-surface contour was performed for receiver-operator area under the curve (AUC) analysis and the Youden J Statistic was used to determine the optimal threshold for each dosimetric parameter. Results: Of 126 patients reviewed, 109 met the study's eligibility criteria. Median follow-up was 2.3 years. Twenty-five patients (23%) underwent unplanned reconstructive surgery, and 10 (9.2%) experienced implant failure. Among clinical variables, low body mass index and history of smoking predicted unplanned surgery on univariate and multivariate analyses, and moist desquamation predicted grade 2+ chest wall pain. The top dosimetric parameters by AUC for moist desquamation, grade 2+ chest wall pain, use of opiates, unplanned reconstructive surgery, and implant failure were SR5 D10 cc (AUC = 0.701, optimal threshold 57.8 Gy, P < .001), SR3 D10 cc (AUC = 0.600, optimal threshold 56.8 Gy, P = .079), SR5 D10 cc (AUC = 0.642, optimal threshold 57.3 Gy, P = .041), SR3 V44 Gy (AUC = 0.711, optimal threshold 81%, P = .001), and SR3 V44 Gy (AUC = 0.688, optimal threshold 82%, P = .052), respectively. Conclusions: Near-surface dose correlates with moist desquamation and unplanned reconstructive surgery after PMRT. Further evaluation of prospective optimization of dosimetric parameters related to SR3 and SR5 should be considered.

Abstract A rapidly aging world population is fueling a concomitant increase in Alzheimer's disease (AD) and related dementias (ADRD). Scientific inquiry, however, has largely focused on White populations in Australia, the European Union, and North America. As such, there is an incomplete understanding of AD in other populations. In this perspective, we describe research efforts and challenges of cohort studies from three regions of the world: Central America, East Africa, and East Asia. These cohorts are engaging with the Davos Alzheimer's Collaborative (DAC), a global partnership that brings together cohorts from around the world to advance understanding of AD. Each cohort is poised to leverage the widespread use of mobile devices to integrate digital phenotyping into current methodologies and mitigate the lack of representativeness in AD research of racial and ethnic minorities across the globe. In addition to methods that these three cohorts are already using, DAC has developed a digital phenotyping protocol that can collect ADRD‐related data remotely via smartphone and/or in clinic via a tablet to generate a common data elements digital dataset that can be harmonized with additional clinical and molecular data being collected at each cohort site and when combined across cohorts and made accessible can provide a global data resource that is more racially/ethnically represented of the world population.

IntroductionMemory and discourse production are closely related in healthy populations. A few studies in people with amnestic mild cognitive impairment and people with dementia (PWD) suggested similar links, although empirical evidence is insufficient to inform emerging intervention design and natural language processing research. Fine-grained discourse assessment is needed to understand their complex relationship in PWD.MethodsSpoken samples from 104 PWD were elicited using personal narrative and sequential picture description and assessed using Main Concept Analysis and other content-based analytic methods. Discourse and memory performance data were analyzed in bivariate correlation and linear multiple regression models to determine the relationship between discourse production and episodic autobiographical memory and verbal short-term memory (vSTM).ResultsGlobal coherence was a significant predictor of episodic autobiographical memory, explaining over half of the variance. Both episodic autobiographical memory and vSTM were positively correlated with global coherence and informativeness, and negatively with empty speech indices.DiscussionCoherence in personal narrative may be supported by episodic autobiographical memory and vice versa, suggesting potential mechanism of interventions targeting personhood through conversation. Indices of global coherence, informativeness, and empty speech can be used as markers of memory functions in PWD.

Developmental programming of chronic adverse cardiovascular health outcomes has been studied both using numerous human populations and an array of animal models. However, the mechanisms that produce transgenerational effects have been difficult to study due to a lack of developmentally relevant models. As such, how increased disease risk is carried to the second generation has been poorly studied. We hypothesized that the endothelium which mediates many acute and chronic vascular inflammatory responses is a key player in these effects, and epidemiological studies implicate transgenerational nutritional effects on endothelial health. To study the mutigenerational effects of maternal undernutrition on offspring endothelial health, we developed a model of transgenerational nutritional stress in guinea pigs, a translationally relevant precocial species with a relatively short lifespan. First- and second-generation offspring were subjected to a high fat diet in adolescence to exacerbate negative cardiovascular health. To assess transcriptional changes, we performed bulk RNA-sequencing in carotid artery endothelial cells, with groups stratified as prenatal control or food restricted, and postnatal control or high fat diet. We detected statistically significant gene alterations for each dietary permutation, some of which were unique to treatments and other transcriptional signatures shared by multiple or all conditions. These findings highlight a core group of genes altered by high fat diet that is shared by all cohorts and a divergence of transgenerational effects between the prenatal ad libitum and dietary restriction groups. This study establishes the groundwork for this model to be used to better understand the interplay of prenatal stress and genetic reprogramming.

Fur farming involves the captive-breeding, rearing, and killing of between 85 – 100 million animals annually for their pelts. The purpose of this report is to summarise key areas of significance and concern regarding fur farming, and discuss these matters and their one-health considerations. We conducted primary literature searches using Google Scholar and PubMed that focused on issues of animal welfare, zoonoses and public health, and environmental impacts of fur farming, and examined 280 reports. We identified that at least 15 species are farmed for fur across at least 19 countries. We found 16 categories of animal welfare concern (e.g., deprivation, stress, abnormal behaviours, insanitary conditions, forced obesity, and high morbidity and mortality), 18 reported endemic pathogens and diseases with confirmed or potential zoonotic and cross-species implications (e.g., bacterial n = 6, viral n = 5, and parasitic n = 7), and four main categories of environmental concern (e.g., greenhouse gas emissions, invasive alien species, toxic chemicals, and eutrophication) associated with fur farming. Despite numerous efforts to systematically monitor and control animal welfare at fur farms, practices continue to fail to meet normal scientific principles and models used in other animal welfare situations. In our view, limited available data does not currently indicate that fur farms are major sources of zoonotic epidemics and pandemics. The environmental problems caused by fur farming are significant, and relate mainly to invasive species, toxic chemical release and eutrophication of water bodies. We offer some recommendations for monitoring and controlling particular fur farming practices, in line with many governments and other investigators we conclude that inherent problems are essentially unresolvable and advocate complete prohibitions on the sector.

Background Few tissue biomarkers exist to date that could enrich patient with cancer populations to benefit from immune checkpoint blockade by programmed cell death protein 1/ligand-1 (PD-/L-1) inhibitors. PD-L1 expression has value in this context in some tumor types but is an imperfect predictor of clinical benefit. In malignant pleural mesothelioma, PD-L1 expression is not predictive of the benefit from PD-1 blockade. We aimed to identify novel markers in malignant pleural mesothelioma to select patients better.Methods We performed a multiplex-immune histochemistry analysis of tumor samples from the phase III PROMISE-meso study, which randomized 144 pretreated patients to receive either pembrolizumab or standard second-line chemotherapy. Our panel focused on CD8+T cell, CD68+macrophages, and the expression of PD-1 and PD-L1 on these and cancer cells. We analyzed single and double positive cells within cancer tissues (infiltrating immune cells) and in the stroma. In addition, we performed cell neighborhood analysis. The cell counts were compared with clinical outcomes, including responses, progression-free and overall survivals.Results We confirmed the absence of predictive value for PD-L1 in this cohort of patients. Furthermore, total CD8 T cells, CD68+macrophages, or inflammatory subtypes (desert, excluded, inflamed) did not predict outcomes. In contrast, PD-1-expressing CD8+T cells (exhausted T cells) and PD-1-expressing CD68+macrophages were both independent predictors of progression-free survival benefit from pembrolizumab. Patients with tumors simultaneously harboring PD1+T cells and PD-1+macrophages benefited the most from immune therapy.Conclusion We analyzed a large cohort of patients within a phase III study and found that not only PD-1+CD8 T cells but also PD-1+CD68+ macrophages are predictive. This data provides evidence for the first time for the existence of PD-1+macrophages in mesothelioma and their clinical relevance for immune checkpoint blockade.

Phase change material (PCM) has gathered much attention in battery thermal management for electric vehicles, in which form-stable PCM is a promising method to reduce the leakage of energy storage material. In this paper, a composite PCM that has form-stable property is used for passive cooling of electric car battery. Three cooling configurations are set up in the gap between two batteries, and their performance is analysed by a numerical model. The results show that integrating composite PCM with forced air convection can maximally prevent battery from heat accumulation at 5C and reduce the core temperature by 15.9 K, while filling the gap with composite PCM can reduce the temperature by 15.7 K. With the discharge rate decreased, forced air convection plays more significant role than PCM in slowing down the rise in battery temperature. The maximum battery temperature reduces when the ratio of PCM thickness to battery width increases from 0 to 0.1, but the maximum temperature is limited to a certain level with thicker PCM. The addition of 4.6 wt% graphite to the composite PCM greatly improved the heat absorption capacity of PCM, and the forced air with 20 m·s-1 velocity has better cooling behaviour than PCM.

Human behavior is influenced by the presence of others, which scientists also call ‘the audience effect’. The use of social control to produce more cooperative behaviors may positively influence road use and safety. This study uses an online questionnaire to test how eyes images affect the behavior of pedestrians when crossing a road. Different eyes images of men, women and a child with different facial expressions -neutral, friendly and angry- were presented to participants who were asked what they would feel by looking at these images before crossing a signalized road. Participants completed a questionnaire of 20 questions about pedestrian behaviors (PBQ). The questionnaire was received by 1,447 French participants, 610 of whom answered the entire questionnaire. Seventy-one percent of participants were women, and the mean age was 35 ± 14 years. Eye images give individuals the feeling they are being observed at 33%, feared at 5% and surprised at 26%, and thus seem to indicate mixed results about avoiding crossing at the red light. The expressions shown in the eyes are also an important factor: feelings of being observed increased by about 10-15% whilst feelings of being scared or inhibited increased by about 5% as the expression changed from neutral to friendly to angry. No link was found between the results of our questionnaire and those of the Pedestrian Behavior Questionnaire (PBQ). This study shows that the use of eye images could reduce illegal crossings by pedestrians, and is thus of key interest as a practical road safety tool. However, the effect is limited and how to increase this nudge effect needs further consideration.

Objectives:. To estimate the prevalence of vascular malformations using retrospective data collected from 1999 to 2020 in a specialty vascular anomalies service. Methods:. The vascular anomalies service associated with the Royal Children’s Hospital provides a reference service to both adults and children, covering the entire state of Victoria, Australia, which has a population of 6.7 million and around 70,000 births per year. A database of patients was interrogated to identify those treated by the service over the study period with a diagnosis of vascular malformation, excluding capillary malformations. A total of 1501 patients were identified, including 1233 with slow-flow malformations and 147 with arteriovenous malformations. Prevalence was calculated as the number of cases born per year who attended the service plus those estimated as yet to attend for assessment, divided by the average number of live births each year. This was calculated for a selected period comprising the years when the numbers were expected to be most stable. Results:. The prevalence of slow-flow malformations is estimated to be 1 case per thousand livebirths. Approximate estimates of cases per 100,000 births for individual lesions are: venous malformation 45, lymphatic malformation 35, intramuscular slow-flow malformation 10, complex malformations (Klippel-Trenaunay and CLOVES) 4, glomuvenous malformation 5, and verrucous venous malformation 2. The prevalence of extracranial arteriovenous malformation is estimated to be around one case per 10,000 population. Conclusions:. An updated estimate, more accurate than those previously published, of the prevalence of vascular malformations has been obtained.

Aims and method The Royal College of Psychiatrists has published recommendations for managing transitions between child and adolescent mental health services (CAMHS) and adult services for eating disorders. A self-report questionnaire was designed to establish how many CAMHS teams meet these recommendations and was distributed to 70 teams providing eating disorders treatment in England. Results Of the 38 services that participated, 31 (81.6%) reported a flexible upper age limit for treatment. Only 6 services (15.8%) always transferred young people to a specialist adult eating disorders service and the majority transferred patients to either a specialist service or a community mental health team. Most services complied with recommended provision such as a written transition protocol (52.6%), individualised transition plans (78.9%), joint care with adult services (89.5%) and transition support for the family (73.7%). Clinical implications Services are largely compliant with the recommendations. It is a concern that only a small proportion of services are always able to refer to a specialist adult service and this is likely to be due to a relative lack of investment in adult services.

Abstract We study the relationship between many-body quantum chaos and energy dynamics in holographic quantum field theory states dual to the simply-spinning Myers-Perry-AdS5 black hole. The enhanced symmetry of such black holes allows us to provide a thorough examination of the phenomenon of pole-skipping, that is significantly simpler than a previous analysis of quantum field theory states dual to the Kerr-AdS4 solution. In particular we give a general proof of pole-skipping in the retarded energy density Green’s function of the dual quantum field theory whenever the spatial profile of energy fluctuations satisfies the shockwave equation governing the form of the OTOC. Furthermore, in the large black hole limit we are able to obtain a simple analytic expression for the OTOC for operator configurations on Hopf circles, and demonstrate that the associated Lyapunov exponent and butterfly velocity are robustly related to the locations of a family of pole-skipping points in the energy response. Finally, we note that in contrast to previous studies, our results are valid for any value of rotation and we are able to numerically demonstrate that the dispersion relations of sound modes in the energy response explicitly pass through our pole-skipping locations.

Abstract Objective Well‐differentiated (WDLPS) and dedifferentiated liposarcoma (DDLPS) account for the majority of liposarcomas. Although gemcitabine‐docetaxel is used as second‐line treatment in soft tissue sarcomas, its efficacy in WDLPS/DDLPS is not established. This study retrospectively analyzed the efficacy of gemcitabine regimens in WDLPS/DDLPS. Methods All patients with WDLPS or DDLPS who received gemcitabine‐based chemotherapy at our institution between September 2002 and January 2021 were included. Response was evaluated by an independent radiologist using RECIST 1.1. The Kaplan–Meier method was used to estimate distributions of survival outcomes and log‐rank tests were used to compare survival outcomes between subgroups. Results Sixty‐five WDLPS/DDLPS patients were included. Seven patients (10.8%) received a gemcitabine‐based regimen more than once, totaling 72 treatments. The median age at the start of treatment was 66 years (range 32–80 years). Sixty‐five (90.3%) regimens were gemcitabine‐docetaxel, and 7 (9.7%) were gemcitabine alone. Majorities of treatments were for disease that was recurrent/metastatic (86.1%), was abdominal/retroperitoneal (83.3%), and had DDLPS components (88.9%), while 25.0% of treatments were for multifocal disease. The overall response rate was 9.7% (7/72). All responses were in patients with documented DDLPS. The median time to progression was 9.2 months (95% CI 5.3–12.3 months). The median overall survival from the start of therapy was 18.8 months (95% CI 13.1–32.4 months). Conclusion Gemcitabine‐docetaxel is an efficacious second‐line treatment for DDLPS. Though cross study comparisons are not advisable, response to gemcitabine‐docetaxel compares favorably to current standard options trabectedin and eribulin. This combination is a valid comparator arm for future second‐line trials in DDLPS.

Abstract The influence of quality of work-life on job satisfaction is critical for sustaining high-level skilled workers and enhancing productivity in the oil and gas industry. This study examined the influence of quality of work-life on job satisfaction among workers in a gas processing plant. A descriptive analytical design and a census approach were used to assess 200 staff. The analysis established a positive relationship between employee job satisfaction and the four constructs of quality of work life; safe working environments, Work-life balance, personal development, and emotional well-being at significant levels. With the latter construct registering the highest correlation with job satisfaction, the study recommends the management of a functional early guidance support system for workers who may exhibit early symptoms of emotional well-being distress. It is imperative for management to consolidate and significantly improve on established measures for employees to maximise both work output and avoid work-family conflicts. Management should maintain robust safety protocols and an emergency response unit to ensure employees work in a relaxed environment that promotes workplace well-being. These are envisaged to sustain employee workplace assistance programs that can confidently discuss and address workers' stress, anxiety, and other related concerns at the workplace.

Abstract The natural glycopeptide antibiotic teicoplanin is used for the treatment of serious Gram-positive related bacterial infections and can be administered intravenously, intramuscularly, topically (ocular infections), or orally. It has also been considered for targeting viral infection by SARS-CoV-2. The hydrodynamic properties of teicoplanin A2 (M 1 = 1880 g/mol) were examined in phosphate chloride buffer (pH 6.8, I = 0.10 M) using sedimentation velocity and sedimentation equilibrium in the analytical ultracentrifuge together with capillary (rolling ball) viscometry. In the concentration range, 0–10 mg/mL teicoplanin A2 was found to self-associate plateauing > 1 mg/mL to give a molar mass of (35,400 ± 1000) g/mol corresponding to ~ (19 ± 1) mers, with a sedimentation coefficient s 20, w = ~ 4.65 S. The intrinsic viscosity [ $$\eta$$ η ] was found to be (3.2 ± 0.1) mL/g: both this, the value for s 20,w and the hydrodynamic radius from dynamic light scattering are consistent with a globular macromolecular assembly, with a swelling ratio through dynamic hydration processes of ~ 2.

Structural and mutational analyses reveal interactions between NAD+-glycohydrolase and Streptolysin O critical for Group A Streptococcus virulence, validated in a murine infection model.

Different location of adipose tissue may have different consequences to cardiometabolic risk. Here the authors report that deep learning enabled accurate prediction of specific adipose tissue volumes, and that after adjustment for BMI, visceral adiposity was associated with increased risk of cardiometabolic disease, while gluteofemoral adiposity was associated with reduced risk.

First-generation college students often experience disproportionate levels of stress, anxiety, and an overall lack of preparation for undergraduate education in comparison to their multigenerational peers. This can include differing levels of financial support and literacy. These differences can have a significant impact on these students' levels of resiliency, physical and mental well-being, academic success, and levels of attrition. Concurrently, these disparities can lead to adverse outcomes on their health and well-being not only in the present but also in their health and career trajectory in the future. Using a 2-phase approach, researchers collected both quantitative and qualitative data related to how first-generation college students who are participating in the New Jersey Educational Opportunity Fund (EOF) think about the role of financial literacy, and in particular, Federal Work-Study, as a component of their current and future health status and their overall academic success. The qualitative analysis gave rise to 3 major themes related to student feelings of stress, pressure/obligation, lack of preparation, and uncertainty about the role of college education in their current and future lives. Research findings are shared to better inform and guide higher education institutions on how to best educate and support their first-generation students, particularly in how to aid these students in improving their financial literacy and financial support to improve resiliency, well-being, and academic success.

This Tracés interview with Vinciane Despret looks back on her career and questions her on the importance she accords to interdisciplinarity in her academic work. Looking back at her research in the fields of philosophy, psychology and ethology, Vinciane Despret shows how, over the years, she has developed a unique research technique, in which the researcher questions her own knowledge through contact with objects and encounters. What emerges is an original form of research in which the boundaries are constantly blurred and shifted: first of all, the boundaries between disciplines, but also the boundaries between science and literature, as well as the boundaries between humans and non-humans. The aim of research is no longer defined solely as a search for truth, but as a way of enriching the world.

This interview with Francis Chateauraynaud takes as its starting point his extraordinary ability to move between disciplines, identify areas of epistemic tension, and make links between rationales of reasoning and proof. This interview is, therefore, less concerned with tracing a career chronologically than with presenting possible, and very practical common measures, particularly opening up spaces for discussion: long-term seminars, critical discussions, and also relevant comments in publications. It outlines an interdisciplinarity based on pragmata: actions, things, practices - not slogans. It is not about sticking to “principles” or following what is really happening in theory; it only involves giving precedence to a principle of access and description, through experience.

This paper presents an online application—called 3D integrator—enabling visual cross-examinations of architectural and acoustic data on web browsers and explains the rationale behind its development. The tool consists of a series of overlays developed over the Potree 3D point cloud renderer. It is used to display visually, in an interactive environment, the 3D point clouds resulting from a survey protocol tailored to the specific needs of the corpus under scrutiny—15 small-scale edifices often referred to as “minor heritage assets”—and to the research’s overall ambition, reasoning on architectural and acoustic features at an interdisciplinary level. One of the tool’s distinctive features is to project abstract information (acoustic descriptors) in a “close to real” 3D space (point clouds), hence merging scientific visualisation and information visualisation practices. The paper first shortly sums up the particularities of the survey protocol and discusses the implementation of the analytical add-ons that have been introduced (visual trace of the survey protocol itself, volume calculation, and exploratory 3D representation of acoustic descriptors). It then focuses on use cases that illustrate what the approach helps to observe concerning the interiors of edifices when capturing and co-examining dimensional and acoustic features.

A lack of diversity permeates the science, technology, engineering, and mathematics (STEM) field. Under-representation within STEM fields can stifle innovation and progressive approaches to the future of STEM. Traditional STEM pathways focus on identifying participants who show academic promise in schools. One segment of young people, youth who have been ‘pushed out’ of high schools, have often been excluded from STEM pathways. Alternative education programs have the potential to support youth who have been pushed out, to re-engage in STEM. The purpose of this study was to understand what factors contributed to the STEM aspirations of students at Xinaxtli Charter School (XCS), an alternative education program for youth who have been ‘pushed out’ in Southern California. This quantitative study utilized Structural Equation Modeling to analyze a conceptual model for STEM aspirations at XCS. Specifically, this study looked at how each of the following areas—student perception of their science teacher, critical science education, student sense of agency to create knowledge in science class, student engagement in science class, and the relevance of science to the student—impacted student STEM aspirations. The best predictors of student STEM aspirations came from the following factors: (a) relevance of science to students, (b) student sense of agency to create knowledge, (c) and critical science education. Findings from this study provide a framework for educators of STEM classrooms to re-engage youth who have previously ‘pushed out’ of their traditional secondary schools.

Innovative cell-based therapies are important new weapons in the fight against difficult-to-treat cancers. One promising strategy involves cell therapies equipped with multiple receptors to integrate signals from more than one antigen. We developed a specific embodiment of this approach called Tmod, a two-receptor system that combines activating and inhibitory inputs to distinguish between tumor and normal cells. The selectivity of Tmod is enforced by the inhibitory receptor (blocker) that recognizes an antigen, such as an HLA allele, whose expression is absent from tumors because of loss of heterozygosity. Although unwanted cross-reactivity of the blocker likely reduces efficacy rather than safety, it is important to verify the blocker’s specificity. We have tested an A∗02-directed blocker derived from the PA2.1 mouse antibody as a safety mechanism paired with a mesothelin-specific activating CAR in our Tmod construct. We solved the crystal structure of humanized PA2.1 Fab in complex with HLA-A∗02 to determine its binding epitope, which was used to bioinformatically select specific class I HLA alleles to test the blocker’s functional specificity in vitro. We found that this A∗02-directed blocker is highly specific for its cognate antigen, with only one cross-reactive allele (A∗69) capable of triggering comparable function.

Abstract Depression is a common mental disorder that may comprise distinct, underlying symptom patterns over time. Associations between stressful life events throughout the civilian lifecourse—including during childhood—and adult depression have been documented in many populations, but are less commonly assessed in military samples. We identified different trajectories of depression symptoms across four years in a military cohort using latent class growth analysis, and investigated the relationship between these trajectories and two domains of civilian life experiences: childhood adversity (e.g., being mistreated during childhood) and more proximal stressful experiences (e.g., divorce). A four-group depression model was identified, including a symptom-free group (62%), an increasing symptom group (13%), a decreasing symptom group (16%), and a “chronic” symptom group (9%). Compared to the symptom-free group, soldiers with childhood adversity were more likely to be in the chronic depression, decreasing, and increasing symptom groups. Time-varying adult stressors had the largest effect on depression symptoms for the increasing symptom group compared to other groups, particularly in the last two years of follow-up. This study indicates the importance of considering events from throughout the lifecourse—not only those from deployment—when studying the mental health of servicemembers.

Background and Aim: Scientists are interested in identifying natural antibiotic substitutes that are effective against drug-resistant pathogenic microbes and spoilage fungi to counter pathogens and reduce the major public health problem of antibiotic residues in animal products. This study aimed to evaluate the antimicrobial activity of Rumex nervosus leaves (RNL) as a medicinal herb against four bacterial and two fungal strains using absolute ethanol, 50% ethanol, and aqueous extracts. Materials and Methods: The antimicrobial activities of various RNL extracts against selected microbes were evaluated using the disk diffusion antibiotic susceptibility test, minimum inhibitory concentrations (MICs), minimum bactericidal concentrations (MBCs), minimum fungicidal concentrations, and the poisoned food technique. Results: The absolute ethanol RNL extract showed the best bacteriostatic/bactericidal activity against Salmonella Typhimurium, Escherichia coli, and Staphylococcus aureus (MIC/MBC: 0.20/0.40, 0.20/0.40, and 0.32/0.65 mg/mL, respectively). The diameter of the zone of inhibition was larger (p < 0.05) for the 100% ethanol RNL extract (8.17 mm) against Salmonella Typhimurium, the 50% ethanol-RNL extract (11.5 mm) against E. coli, and the aqueous RNL extract (14.0 mm) against S. aureus than for any other bacterial isolate. The aqueous RNL extract strongly (p < 0.0001) inhibited the mycelial growth of Aspergillus fumigatus (100%) and Aspergillus niger (81.4%) compared with the control. Conclusion: The results of this study suggest that RNL is a promising new natural antimicrobial agent for food preservation. To date, most research on the antimicrobial properties of natural herbs has been conducted in vitro, with few exceptions in vivo and intervention-based research.

Background: Peripartum cardiomyopathy (PPCM) is associated with severe morbidity and mortality, and the significance of right ventricular (RV) involvement is unclear. We sought to determine whether RV systolic dysfunction or dilatation is associated with adverse clinical outcomes in women with PPCM. Methods: We conducted a multicentre retrospective cohort study examining the association between echocardiographic RV systolic dysfunction or dilatation at the time of PPCM diagnosis and clinical outcomes. Clinical endpoints of interest were the need for mechanical support, recovery of left ventricular ejection fraction at follow-up, and a combined endpoint of hospitalization for heart failure, cardiac transplant, or death. Results: A total of 67 women, median age 30 years (interquartile range: 7), were diagnosed with PPCM between 1994 and 2015 in 17 participating centres. Twin pregnancies occurred in 11%; 62% of women were multiparous; and 24% had preeclampsia. RV systolic function was impaired in 18 (27%) and dilated in 8 (12%). Seven women required ventricular assistance, and 8 experienced the composite outcome during follow-up (25 [interquartile range 61] months). RV dysfunction was associated with the need for mechanical support (odds ratio 10.10 (95% confidence interval: 1.86-54.81), P = 0.007), but neither RV dysfunction nor dilatation was associated with left ventricular ejection fraction recovery, the need for cardiac transplant, heart failure hospitalization, or death. Conclusions: RV dysfunction is associated with the need for mechanical support in women with PPCM. These findings may improve risk stratification of complications and clinical management. Résumé: Introduction: La cardiomyopathie du péripartum (CMP-PP) est associée à la morbidité grave et à la mortalité, mais on ignore l’importance de l’atteinte ventriculaire droite (VD). Nous avons cherché à déterminer si la dysfonction systolique ou la dilatation VD sont associées aux résultats cliniques défavorables chez les femmes atteintes de CMP-PP. Méthodes: Nous avons mené une étude de cohorte rétrospective multicentrique sur l’association entre la dysfonction systolique ou la dilatation VD à l’échographie au moment du diagnostic de CMP-PP et les résultats cliniques. Les critères cliniques d’intérêt étaient la nécessité d’une assistance mécanique, la récupération de la fraction d’éjection ventriculaire gauche (FEVG) au suivi et un critère combiné d’hospitalisation liée à l’insuffisance cardiaque (IC), la transplantation cardiaque ou la mort. Résultats: Un total de 67 femmes, dont l’âge médian était de 30 ans (écart interquartile [EI] : 7), ont reçu un diagnostic de CMP-PP entre 1994 et 2015 dans 17 centres participants. Les grossesses gémellaires sont survenues chez 11 % ; 62 % de femmes étaient multipares ; et 24 % souffraient de prééclampsie. La fonction systolique VD était compromise chez 18 (27 %) femmes et le VD, dilaté, chez huit (12 %) femmes. Sept femmes ont eu besoin d’une assistance ventriculaire, et huit ont subi le critère composite durant le suivi (25 [EI : 61] mois). La dysfonction VD a été associée à la nécessité d’une assistance mécanique (rapport de cotes 10,10 [intervalle de confiance à 95 % : 1,86-54,81], P = 0,007), mais ni la dysfonction ni la dilatation VD n’ont été associées à la récupération de la FEVG, à la nécessité d’une transplantation cardiaque, à une hospitalisation liée à l’IC ou à la mort. Conclusions: La dysfonction VD est associée à la nécessité d’une assistance mécanique chez les femmes atteintes de CMP-PP. Ces conclusions peuvent permettre d’améliorer la stratification des risques de complications et la prise en charge clinique.

Measurement(s) transmission of virus • drug toxicity Technology Type(s) fluorescence microscopy Factor Type(s) virus genotype • cell line • incubation temperature • number of cells seeded/ seeding density • inoculation time • virus input FFU • drug concentration Sample Characteristic - Organism Homo sapiens • Rhinovirus A • Influenza A virus • Human alphaherpesvirus 1 Sample Characteristic - Environment epithelium Sample Characteristic - Location Switzerland

La neutralidad monetaria tiene consecuencias complejas en economías pequeñas, abiertas y dolarizadas. Por ejemplo, puede provocar que el endeudamiento externo empleado como estabilizador del stock de dinero circulante ante shocks exógenos negativos no contribuya al crecimiento económico en tiempos de estancamiento. El objetivo de este artículo es ilustrar esta posibilidad para la economía ecuatoriana empleando una metodología de cointegración y un modelo vectorial de corrección de error (VEC, por su sigla en inglés) para el período 2000-2019 (trimestral). Los resultados de las funciones impulso-respuesta del modelo VEC brindan evidencia a favor de la neutralidad monetaria (sobre todo a largo plazo), mientras que la simulación de un shock petrolero exógeno negativo describe cualitativamente el potencial vínculo entre dinero circulante, endeudamiento externo y producción en dolarización. Al final, se identifican varios patrones monetarios-reales empíricos que podrían motivar a investigaciones futuras enfocadas a una mejor comprensión de la dolarización.

Myositis and myonecrosis are rare sequela of coronavirus disease 2019 (COVID-19). Until now, it has not been seen in muscles of the head and neck. We present a 22-year-old male with 4 months of retroauricular headaches following COVID-19 infection. Magnetic resonance imaging revealed rim-enhancing fluid collections in the bilateral masticator spaces which were sampled by fine-needle aspiration. We also discuss this case in the context of the current understanding of COVID-19-related myositis.

Abstract Protected areas are important in species conservation, but high rates of human-caused mortality outside their borders and increasing popularity for recreation can negatively affect wildlife populations. We quantified wolverine (Gulo gulo) population trends from 2011 to 2020 in > 14,000 km2 protected and non-protected habitat in southwestern Canada. We conducted wolverine and multi-species surveys using non-invasive DNA and remote camera-based methods. We developed Bayesian integrated models combining spatial capture-recapture data of marked and unmarked individuals with occupancy data. Wolverine density and occupancy declined by 39%, with an annual population growth rate of 0.925. Density within protected areas was 3 times higher than outside and declined between 2011 (3.6 wolverines/1000 km2) and 2020 (2.1 wolverines/1000 km2). Wolverine density and detection probability increased with snow cover and decreased near development. Detection probability also decreased with human recreational activity. The annual harvest rate of ≥ 13% was above the maximum sustainable rate. We conclude that humans negatively affected the population through direct mortality, sub-lethal effects and habitat impacts. Our study exemplifies the need to monitor population trends for species at risk—within and between protected areas—as steep declines can occur unnoticed if key conservation concerns are not identified and addressed.

Abstract Background Major advances in management of common pleural diseases have taken place in the past decade. However, pleural diseases are often managed by physicians of diverse training background and research on implementation of new knowledge is scanty. We aim to evaluate the practice pattern in pleural medicine among physicians in Hong Kong, for identification of possible gaps for clinical service improvement. Methods The Hong Kong Thoracic Society undertook a cross-sectional questionnaire survey in 2019, targeting clinicians of various subspecialties in internal medicine and levels of experience (basic and higher trainees, specialists) from twelve regional hospitals of diverse service scopes throughout Hong Kong. Respondents were selected by non-probability quota sampling. The questionnaire tool consisted of 46 questions covering diagnostic and therapeutic aspects of common pleural diseases. The responses were anonymous, and analysed independently using SPSS statistics software. Results The survey collected 129 responses, 47(36%) were from clinicians specialized in respiratory medicine. Majority of the respondents (98%) managed pleural diseases, including performing pleural procedures in their practice. Fifty-five percent of all the respondents had not received any formal training in transthoracic ultrasonography. A significant proportion of clinicians were unaware of pleuroscopy for investigation of exudative pleural effusion, indwelling pleural catheter for recurrent malignant pleural effusion, and combined intra-pleural Alteplase plus DNase for treatment of pleural infection (30%, 15% and 70% of non-respiratory clinicians respectively). Significant heterogeneity was found in the management of pleural infection, malignant pleural effusion and pneumothorax among respiratory versus non-respiratory clinicians. Contributing factors to the observed heterogeneity included lack of awareness or training, limited accessibility of drugs, devices, or dedicated service support. Conclusion Significant heterogeneity in management of pleural diseases was observed among medical clinicians in Hong Kong. Continuous medical education and training provision for both specialists and non-specialists has to be strengthened to enhance the implementation of advances, improve quality and equity of healthcare provision in pleural medicine.

Effective delivery of imagery training has been studied for some time. Recently, researchers have determined that, in some contexts, Progressive Imagery (PI), in which content is added to the imagery script in phases, can be more effective than Routine Imagery (RI), in which all the imagery content is presented in every session of an imagery program. However, most research to date consists of field studies, lacking ecological validity. We examined the efficacy of a PI program presented to highly-skilled basketball players in league competition across a whole season, using a Single-Case Design (SCD). Participants were five male players from Division 1 of the State Basketball League, who were pre-tested on the Sport Imagery Ability Measure (SIAM) to ensure they had at least moderate imagery ability. We monitored their Free-Throw Shooting (FTS) percentage in every league match of the whole season. The first 4 to 6 matches (Phase A) gave a stable baseline. Phase B, again lasting 4 to 6 matches, involved imagery that focused on static aspects of FTS movements. In Phase C (4 to 6 matches), more complex elements of FTS were added to imagery, including teammates and opponents on court. Phase D, lasting at least 4 matches, introduced imagery of a high-pressure context in which the FTS shot would decide the match. At the end of the season, each participant was interviewed about his experiences with imagery. We employed visual analysis and the split-middle technique to measure performance and self-efficacy. On these measures, all participants improved their FTS from baseline to Phase D, although two performed best in Phase C. Participants reported feeling comfortable with the changing phases, although one commented that he would have preferred the high-pressure imagery earlier, before he faced real high-pressure finals. We concluded that PI was an effective intervention among highly-skilled participants over a full competition season, while timing of high-pressure imagery should be tested prior to crucial season-ending matches.

Abstract Background Cognitive Behavioural Therapy for psychosis (CBTp) has an established evidence base and is recommended by clinical guidelines to be offered during the acute phases of psychosis. However, few research studies have examined the efficacy of CBTp interventions specifically adapted for the acute mental health inpatient context with most research trials being conducted with white European community populations. Aims The aim of this study is to conduct a pilot randomised controlled trial (RCT), which incorporates the examination of feasibility markers, of a crisis-focused CBTp intervention adapted for an ethnically diverse acute mental health inpatient population, in preparation for a large-scale randomised controlled trial. The study will examine the feasibility of undertaking the trial, the acceptability and safety of the intervention and the suitability of chosen outcome measures. This will inform the planning of a future, fully powered RCT. Methods A single-site, parallel-group, pilot RCT will be conducted examining the intervention. Drawing on principles of coproduction, the intervention has been adapted in partnership with key stakeholders: service users with lived experience of psychosis and of inpatient care (including those from ethnic minority backgrounds), carers, multi-disciplinary inpatient clinicians and researchers. Sixty participants with experience of psychosis and in current receipt of acute mental health inpatient care will be recruited. Participants will be randomly allocated to either the crisis-focused CBTp intervention or treatment as usual (TAU). Discussion Findings of this pilot RCT will indicate whether a larger multi-site RCT is needed to investigate the efficacy of the intervention. If the initial results demonstrate that this trial is feasible and the intervention is acceptable, it will provide evidence that a full-scale effectiveness trial may be warranted. Trial registration This trial has been prospectively registered on the ISRCTN registry ( ISRCTN59055607 ) on the 18th of February 2021.

ObjectiveTo evaluate the long-term efficacy and safety of osilodrostat in patients with Cushing’s disease.MethodsThe multicenter, 48-week, Phase III LINC 4 clinical trial had an optional extension period that was initially intended to continue to week 96. Patients could continue in the extension until a managed-access program or alternative treatment became available locally, or until a protocol amendment was approved at their site that specified that patients should come for an end-of-treatment visit within 4 weeks or by week 96, whichever occurred first. Study outcomes assessed in the extension included: mean urinary free cortisol (mUFC) response rates; changes in mUFC, serum cortisol and late-night salivary cortisol (LNSC); changes in cardiovascular and metabolic-related parameters; blood pressure, waist circumference and weight; changes in physical manifestations of Cushing’s disease; changes in patient-reported outcomes for health-related quality of life; changes in tumor volume; and adverse events. Results were analyzed descriptively; no formal statistical testing was performed.ResultsOf 60 patients who entered, 53 completed the extension, with 29 patients receiving osilodrostat for more than 96 weeks (median osilodrostat duration: 87.1 weeks). The proportion of patients with normalized mUFC observed in the core period was maintained throughout the extension. At their end-of-trial visit, 72.4% of patients had achieved normal mUFC. Substantial reductions in serum cortisol and LNSC were also observed. Improvements in most cardiovascular and metabolic-related parameters, as well as physical manifestations of Cushing’s disease, observed in the core period were maintained or continued to improve in the extension. Osilodrostat was generally well tolerated; the safety profile was consistent with previous reports.ConclusionOsilodrostat provided long-term control of cortisol secretion that was associated with sustained improvements in clinical signs and physical manifestations of hypercortisolism. Osilodrostat is an effective long-term treatment for patients with Cushing’s disease.Clinical trial registrationClinicalTrials.gov, identifier NCT02180217

Noradrenergic projections from the brainstem locus coeruleus drive arousal, attentiveness, mood, and memory, but specific adrenoceptor (AR) function across the varied brain cell types has not been extensively characterized, especially with agonists. This study reports a pharmacological analysis of brain AR function, offering insights for innovative therapeutic interventions that might serve to compensate for locus coeruleus decline, known to develop in the earliest phases of neurodegenerative diseases. First, β-AR agonist activities were measured in recombinant cell systems and compared with those of isoprenaline to generate Δlog(Emax/EC50) values, system-independent metrics of agonist activity, that, in turn, provide receptor subtype fingerprints. These fingerprints were then used to assess receptor subtype expression across human brain cell systems and compared with Δlog(Emax/EC50) values arising from β-arrestin activation or measurements of cAMP response desensitization to assess the possibility of ligand bias among β-AR agonists. Agonist activity profiles were confirmed to be system-independent and, in particular, revealed β2-AR functional expression across several human brain cell types. Broad β2-AR function observed is consistent with noradrenergic tone arising from the locus coeruleus exerting heterocellular neuroexcitatory and homeostatic influence. Notably, Δlog(Emax/EC50) measurements suggest that tested β-AR agonists do not show ligand bias as it pertains to homologous receptor desensitization in the system examined. Δlog(Emax/EC50) agonist fingerprinting is a powerful means of assessing receptor subtype expression regardless of receptor expression levels or assay readout, and the method may be applicable to future use for novel ligands and tissues expressing any receptor with available reference agonists.

Liquid desiccant technology is an energy-efficient substitute for technologies that are conventionally applied for temperature and humidity control; however, innovative desiccant solutions have not been extensively explored in terms of their performance and feasibility. This work aimed to investigate desiccant solutions with moisture sorption analysis technically and economically. Various conditions of temperature and humidity were tested in a climatic chamber and the moisture absorption and desorption capacity, thermo-chemical energy storage capacity, and cost of conventional and innovative desiccant solutions were assessed by experiment. Calcium chloride showed the highest moisture desorption capacity (0.3113 gH2O/gsol in the climatic chamber at 50 °C and 25% RH) and the lowest cost, despite its low moisture absorption capacity. Ionic liquids show high moisture absorption capacity (as high as 0.429 gH2O/gsol in the climatic chamber at 25 °C and 90% RH) and could be used as additives (in which a maximum increase of 84.1% was observed for moisture absorption capacity due to the addition of ionic liquids), and thus, they are promising substitutes for conventional desiccant solutions. As solutions for better performance under various conditions were identified, the study will advance liquid desiccant technology.

The Lutheran missionary Carl Strehlow translated narratives of the Arrernte of Central Australia into German. In the first volume of his huge ethnographic study, published in 1907, he describes the Arrernte Altjira as a high god, arguing that the name should not be translated as “dreaming”, which is how most Australians understand the mythological primal time of First Nations cultures. Strehlow also implicitly justified the appropriation of Altjira as the name of his Christian god. The split between these two translations of Altjira became a confrontation between two networks that distributed trust in translations in very different ways. Although Strehlow offered no theory for his translation practice from Arrernte into German, his discourse can be understood as drawing on a nineteenth-century tradition of pedagogical translation, on the theory of natural religion expounded by the Lutheran Max Müller, and on the linguistic humanism of Wilhelm von Humboldt, which saw a common human aspiration in language, demanding respect for the words and ideas of the other, but also provided secular justification for the imposition of supposedly advanced cultural forms.

Abstract Invasive species have established populations around the world and, in the process, characteristics of their realized environmental niches have changed. Because of their popularity as a source of game, deer have been introduced to, and become invasive in, many different environments around the world. As such, deer should provide a good model system in which to test environmental niche shifts. Using the current distributions of the six deer species present in Australia, we quantified shifts in their environmental niches that occurred since introduction; we determined the differences in suitable habitat between their international (native and invaded) and their Australian ranges. Given knowledge of their Australian habitat use, we then modeled the present distribution of deer in Australia to assess habitat suitability, in an attempt to predict future deer distributions. We show that the Australian niches of hog (Axis porcinus), fallow (Dama dama), red (Cervus elaphus), rusa (C. timorensis), and sambar deer (C. unicolor), but not chital deer (A. axis), were different to their international ranges. When we quantified the potential range of these six species in Australia, chital, hog, and rusa deer had the largest areas of suitable habitat outside their presently occupied habitat. The other three species had already expanded outside the ranges that we predicted as suitable. Here, we demonstrate that deer have undergone significant environmental niche shifts following introduction into Australia, and these shifts are important for predicting the future spread of these invasive species. It is important to note that current Australian and international environmental niches did not necessarily predict range expansions, thus wildlife managers should treat these analyses as conservative estimates.

Existem reivindicações que dizem que serviços de tradução e interpretação reduzem a motivação de imigrantes para aprender a língua do país de acolhimento, constituindo, assim, um custo social injustificado. Estudos com requerentes de asilo, no entanto, não demonstram evidências para tal relação, enquanto estudos na área de saúde indicam que o uso direcionado de intérpretes, mediadores/as e prestadores/as bilíngues pode reduzir os gastos gerais com a saúde. Para entender estas evidências em termos de políticas linguísticas, argumenta-se neste artigo que a tradução e interpretação não podem ser vistas como uma solução comunicacional isolada, mas devem ser analisadas junto a uma série de fatores situacionais: acesso relativo a estratégias alternativas de mediação, a construção da confiança no seu contexto, os riscos associados a cada interação e a duração planejada de estadia no país. O argumento é que, de forma geral, a tradução e a aprendizagem de línguas podem ocorrer lado-a-lado, considerando que ambas auxiliam a literacia.

Introduction: This study aimed to determine if adjusting the loads via velocity-based training (VBT) in each session is more efficient in monitoring the relative intensity than programming loads assessing 1RM pre-training.Methods: To achieve this, six national level sprinters were randomly divided into two groups, i.e., adjusting loads (AL, n = 3) and not adjusting loads (NAL, n = 3), during twelve sessions of a squat training (ST) program. During this training intervention, the AL group adjusted the intensity for each session in the squat exercise depending on the speed the load was lifted after warmup. The NAL group, instead, progressed in the squat exercise referring to the 1RM estimated at pre-test. In addition, Parallel Squat (PSQ), Countermovement Jump (CMJ), Squat Jump (SJ), 30 m sprint standing start (30S) and 30 m sprint flying start (30F) tests were carried out before and after conducting the ST program.Results: Interestingly, AL performed the ST near their estimated velocities at 70%—75% 1RM, however with a wider gap at 80%—85% 1RM. The NAL group, instead, did not presented such a detectable behaviour across the whole ST. Moreover, both groups demonstrated improved performances in PSQ, CMJ, and SJ, whereas there were little changes in 30S and 30F after ST. Additionally, AL obtained a greater effect size than NAL in PSQ (0.60 vs. 0.35) but lower effect size in CMJ, SJ, 30S, and 30F (0.41 vs. 0.63, 0.30 vs. 0.40, 0.04 vs. 0.28 and 0.22 vs. 0.24). However, percentage change was greater in AL in all tests.Discussion: Based on these findings, we can conclude that further investigation into the AL strategy in VBT is warranted for sprinter athletes’ daily strength practices. The AL technique shows promise as a valuable tool for accurately adjusting and monitoring medium-high training loads to ensure they align with the intended intensity.

Pyoderma gangrenosum (PG) is a debilitating skin condition often accompanied by inflammatory bowel disease (IBD). Strikingly, ~40% of patients that present with PG have underlying IBD, suggesting shared but unknown mechanisms of pathogenesis. Impeding the development of effective treatments for PG is the absence of an animal model that exhibits features of both skin and gut manifestations. This study describes the development of the first experimental drug-induced mouse model of PG with concomitant intestinal inflammation. Topical application of pyrimidine synthesis inhibitors on wounded mouse skin generates skin ulcers enriched in neutrophil extracellular traps (NETs) as well as pro-inflammatory cellular and soluble mediators mimicking human PG. The mice also develop spontaneous intestinal inflammation demonstrated by histologic damage. Further investigations revealed increased circulating low density IL-1β primed neutrophils that undergo enhanced NETosis at inflamed tissue sites supported by an increase in circulatory citrullinated histone 3, a marker of aberrant NET formation. Granulocyte depletion dampens the intestinal inflammation in this model, further supporting the notion that granulocytes contribute to the skin-gut crosstalk in PG mice. We anticipate that this novel murine PG model will enable researchers to probe common disease mechanisms and identify more effective targets for treatment for PG patients with IBD.

The initial and crucial stage in the spatial planning process involves identifying the function and role of a region or area. This step sets the course, establishes goals, and defines the parameters for the subsequent spatial arrangement planning. Currently, the expedited development of Detailed Spatial Planning in Indonesia is closely tied to the function and role of an area, which is influenced by numerous factors that require careful consideration. This study aims to compare population projections using conventional projection methods with projections that take into account the functions and roles of the region. This study uses population projection analysis, population development scenarios, and spatial availability analysis to assess the differences in spatial projections that can accommodate population growth. The calculations unveiled a significant disparity between population-based projections and projections that consider the functions and roles of a city/area. This input is crucial for assessing spatial needs and the necessary infrastructure and supporting facilities that will be incorporated in the formulation of the structure and spatial patterns of Detailed Spatial Planning. Hence, when estimating population projections, it is essential for planners to consider projections that incorporate the functions and roles carried out by the area.

Actinic keratoses (AKs) are premalignant intraepidermal neoplasms that occur as a result of cumulative sun damage. AKs commonly relapse, and up to 16% undergo malignant transformation into cutaneous squamous cell carcinoma. There is a need for novel therapies that reduce the quantity and surface area of AKs as well as prevent malignant transformation to cutaneous squamous cell carcinomas. We recently showed that GZ17-6.02, an anticancer agent composed of curcumin, haramine, and isovanillin, inhibited the growth of H297.T cells. This study evaluated the efficacy of a topical formulation of GZ17-6.02, known as GZ21T, in a murine model of AK generated by exposing SKH1 mice to UVR. Treatment of mice with topical GZ21T inhibited the growth of AKs by decreasing both lesion count (P = 0.012) and surface area occupied by tumor (P = 0.002). GZ21T also suppressed the progression of AKs to cutaneous squamous cell carcinoma by decreasing the count (P = 0.047) and surface area (P = 0.049) of lesions more likely to represent cutaneous squamous cell carcinoma. RNA sequencing and proteomic analyses revealed that GZ21T suppressed several pathways, including MAPK (P = 0.025), phosphoinositide 3-kinase–protein kinase B (P = 0.04), HIF-1α (P = 0.016), Wnt (P = 0.025), insulin (P = 0.018), and ERBB (P = 0.016) signaling. GZ21T also upregulated the autophagy-promoting protein AMPK while suppressing proteins such as PD-L1, glutaminase, pAkt1 S473, and eEF2K.

AbstractUnderstanding potential limiting factors affecting population growth of the endangered pallid sturgeon, Scaphirhynchus albus, is important in the upper (UMOR) and lower Missouri River (LMOR) basins. The UMOR is upstream of several reservoirs and generally has more natural habitat features, whereas the LMOR is downstream of these reservoirs and has been channelized to support navigation. In both sections, pallid sturgeon recruitment to age-1 is a concern, but hypothesized for different reasons. One hypothesis in the LMOR centers on food limitation for age-0 fish, which is not considered an issue in the UMOR, but evaluating this hypothesis is challenging given the rarity of age-0 pallid sturgeon. As a result, the related, more abundant shovelnose sturgeon (S. platorhynchus) has been considered as a potential surrogate to assess food-related hypotheses. Thus, the purpose of our study was to compare diets of age-0 sturgeon captured in 2016 from three reaches in the LMOR (Copeland, Langdon, and Lexington) with individuals captured from a reach in the UMOR (Williston) during the same year to provide additional context regarding potential food limitation in the LMOR. Consumption percentage (prey weight in the gut as a percentage of body weight) was similar among all reaches, but diet composition was different for the most downstream reach in the LMOR. Age-0 sturgeon in the UMOR reach as well as the two upstream LMOR reaches primarily consumed Diptera larvae along with Ephemeroptera nymphs. In contrast, age-0 sturgeon in the most downstream LMOR reach (Lexington) almost exclusively consumed Diptera larvae. These results may provide information on relative differences in prey availability between Lexington and the other upstream reaches but the similarity in consumption percentage values across all reaches provide further evidence that age-0 sturgeon are not food limited in the LMOR.

BackgroundMild traumatic brain injury (mTBI) affects ~18,000 military personnel each year, and although most will recover in 3–4 weeks, many experience persisting symptoms and impairment lasting months or longer. Current standard of care for U.S. military personnel with complex mTBI involves initial (