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Thermal networks, part of heat-and-power multi-energy microgrids, may face capacity issues, generation and distribution ones, either due to the increase in the requested demand or capacity underused, which is sized for peak hours. Under-capacity issues may be addressed with generation and pipeline capacity expansion, resulting in considerable capital costs and extra maintenance costs. In the case of over-capacity, better usage of the existing assets may bring further revenues and increase the multi-energy microgrid’s overall energy efficiency. In the electricity sector, it is being considered the interconnection of microgrids via the distribution system network, since microgrids can operate in both islanded and network-connected modes. In this work, in a similar fashion, we propose the interconnection of adjacent thermal networks enabling direct heat trading among them to increase the micro-grids’ supply flexibility, help meeting demand peaks, and reduce operational costs. Examples of integrated heat-and-power microgrids that could benefit from thermal interconnections are industrial parks, university campuses, hospitals, and even residential complexes with a shared heat generator.This paper presents a market model for the optimal heat transfer between thermally interconnected heat-and-power microgrids. The resulting model is a convex quadratic programming model that enables the derivation of heat transfer prices that guarantee a competitive equilibrium. Furthermore, we performed numerical tests to explore the impact of connection topology, thermal power transfer capacity, and interconnection efficiency on transferred energy and prices.

Ultrafast magnetization switching through the single domain wall (DW) propagation has been reported in amorphous micrometric and submicrometric wires. However the performance of prospective devices utilizing DW propagation is determined by the degree to which DW propagation can be controlled. In this article, we propose a novel method for effectively controlling the single DW propagation in a specially designed array consisting of two magnetic microwires by the stray field from magnetically softer microwires. We have experimentally demonstrated that the DW velocity of magnetically harder Fe-rich microwire in such a linear array is affected by the stray field of magnetically softer Co-rich microwire. Additionally, the domain wall can be trapped in the Fe-rich microwire by the stray field produced by the Co-rich microwire in such a linear array. The observed effect of magnetostatic interaction depends on the position of the Co-rich microwire in such a linear array. Controllable domain wall propagation observed in such a linear array can be a useful tool for simple and more flexible ways of controllable trapping and braking of single DWs in Fe-rich microwires showing spontaneous magnetic bistability.

Background:. The prevalence of psoriasis is similar between men and women; however, evidence exists of sex- and gender-related differences in disease expression, impact, coping, and needs of patients with psoriasis. These differences are essential and should be considered in clinical practice and research. Objective:. To compile available evidence on sex- and gender-related differences in psoriasis, identify the most critical gaps in clinical practice and research, and use it to propose strategies for improved clinical practice. Methods:. Six European dermatologists selected the topics to consider according to their relevance in the dermatology setting with the support of methodologists. Evidence on sex- and gender-related differences was obtained by a scoping review based on search strategies in Medline and Cochrane Library from inception to October 2021 using the following terms: arthritis, psoriatic, psoriasis, gender, and sex. The panel discussed the results and proposed strategies by consensus. Results:. The scoping review identified broad themes: (1) clinical expression, (2) severity and patient-reported outcomes, (3) psychosocial impact, (4) access to treatments and propensity to treat, (5) comorbidities, and (6) treatment effect. The strategies are based on these broad themes. Limitations:. No risk of bias assessment was done due to the scoping nature of the review. Conclusion:. This review offers insights into gender differences in psoriasis, providing a foundation for improving clinical practice and patient outcomes.

Supercritical CO2 phase inversion is one of the most promising techniques to generate polymeric membranes. In recent years, it has been also tested to generate loaded membranes to be used in several applications such as controlled release, catalysis, tissue engineering, water purification, etc. In this work, membranes of cellulose acetate were generated, loaded with a highly hydrophobic drug with antifungal properties, i.e., quercetin. Different process parameters were tested to verify their effect on the final morphology of the membranes and on the drug distribution along the membranes. In particular, polymer concentration in the starting polymeric solution was varied from 5 to 15% w/w, operative pressure ranged between 100 and 200 bar, operative temperature from 45 to 55 °C. Different membranes structures were obtained: finger-like and cellular-like; the effect of these different morphologies on quercetin release was also analyzed, finding as finger-like structure promoted a faster drug release (i.e., less than 200 min) with respect to cellular structures (i.e., up to 1400 min). Results confirmed the capability of supercritical CO2 phase inversion process to generate loaded polymeric membranes and the high versatility of this process that allowed to generate different morphologies capable to control the drug release rate.

Objectives Pustular psoriasis (PP) is one of the most severe and chronic skin conditions. Its treatment is difficult, and measurements of its severity are highly dependent on clinicians’ experience. Pustules and brown spots are the main efflorescences of the disease and directly correlate with its activity. We propose an automated deep learning model (DLM) to quantify lesions in terms of count and surface percentage from patient photographs. Methods In this retrospective study, two dermatologists and a student labeled 151 photographs of PP patients for pustules and brown spots. The DLM was trained and validated with 121 photographs, keeping 30 photographs as a test set to assess the DLM performance on unseen data. We also evaluated our DLM on 213 unstandardized, out-of-distribution photographs of various pustular disorders (referred to as the pustular set), which were ranked from 0 (no disease) to 4 (very severe) by one dermatologist for disease severity. The agreement between the DLM predictions and experts’ labels was evaluated with the intraclass correlation coefficient (ICC) for the test set and Spearman correlation (SC) coefficient for the pustular set. Results On the test set, the DLM achieved an ICC of 0.97 (95% confidence interval [CI], 0.97–0.98) for count and 0.93 (95% CI, 0.92–0.94) for surface percentage. On the pustular set, the DLM reached a SC coefficient of 0.66 (95% CI, 0.60–0.74) for count and 0.80 (95% CI, 0.75–0.83) for surface percentage. Conclusions The proposed method quantifies efflorescences from PP photographs reliably and automatically, enabling a precise and objective evaluation of disease activity.

Patients with psoriasis have a higher prevalence of cardiovascular risk factors. This study evaluated cardiovascular screening practices and statin prescribing habits among dermatologists, rheumatologists and primary care physicians (PCPs) through an online questionnaire, which was distributed through the Spanish scientific societies of the above-mentioned specialties. A total of 299 physicians (103 dermatologists, 94 rheumatologists and 102 PCPs) responded to the questionnaire. Of these, 74.6% reported screening for smoking, 37.8% for hypertension, 80.3% for dyslipidaemia, and 79.6% for diabetes mellitus. Notably, only 28.4% performed global screening, defined as screening for smoking, hypertension, dyslipidaemia, and diabetes mellitus by the same physician, and 24.4% reported calculating 10-year cardiovascular disease (CVD) risk, probably reflecting a lack of comprehensive cardiovascular risk assessment in these patients. This study also identified unmet needs for awareness of cardiovascular comorbidities in psoriasis and corresponding screening and treatment recommendations among PCPs. Of PCPs, 61.2% reported not being aware of the association between psoriasis and CVD and/or not being aware of its screening recommendations, and 67.6% did not consider psoriasis as a risk-enhancing factor when deciding on statin prescription. Thirteen dermatologists (12.6%) and 35 rheumatologists (37.2%) reported prescribing statins. Among those who do not prescribe, 49.7% would be willing to start their prescription.

We studied the magnetostriction coefficients, λs, Curie temperature, Tc, and their dependence on annealing conditions in Fe47Ni27Si11B13C2 and Co67Fe3.9Ni1.5B11.5Si14.5Mo1.6 amorphous glass-coated microwires with rather different character of hysteresis loops. A positive λs ≈ 20 × 10−6 is observed in as-prepared Fe47Ni27Si11B13C2, while low and negative λs ≈ −0.3 × 10−6 is obtained for Co67Fe3.9Ni1.5B11.5Si14.5Mo1.6 microwire. Annealing affects the magnetostriction coefficients and Curie temperatures, Tc, of both Fe47Ni27Si11B13C2 and Co67Fe3.9Ni1.5B11.5Si14.5Mo1.6 glass-coated microwires in a similar way. Observed dependencies of hysteresis loops, λs and Tc on annealing conditions are discussed in terms of superposition of internal stresses relaxation and structural relaxation of studied microwires. We observed linear λs dependence on applied stress, σ, in both studied microwires. A decrease in the magnetostriction coefficient upon applied stress is observed for Co-rich microwires with low and negative magnetostriction coefficient. On the contrary, for Fe-Ni-rich microwires with a positive magnetostriction coefficient, an increase in the magnetostriction coefficient with applied stress is observed. The observed results are discussed considering the internal stresses relaxation and short range atomic rearrangements induced by annealing on hysteresis loops, magnetostriction coefficients and Curie temperatures of studied microwires.

Recommender Systems have become one of the most important tools for streaming and marketplace systems in recent years. Their increased use has revealed clear bias and unfairness against minorities and underrepresented groups. This paper seeks the origin of these biases and unfairness. To this end, it analyzes the demographic characteristics of a gold standard dataset and its prediction performance when used in a multitude of Recommender Systems. In addition, this paper proposes Soft Matrix Factorization (SoftMF), which tries to balance the predictions of different types of users to reduce the present inequality. The experimental results show that those biases and unfairness are not introduced by the different recommendation models and that they come from the socio-psychological and demographic characteristics of the used dataset.

Background and objectivePsoriasis is a systemic inflammatory condition with poor cholesterol transport measured by cholesterol efflux capacity (CEC) that is associated with a heightened risk of cardiovascular disease (CVD). In psoriasis patients, we sought to characterize the lipoprotein profile by size using a novel nuclear magnetic resonance algorithm in patients with low CEC compared to normal CEC.MethodsLipoprotein profile was assessed using the novel nuclear magnetic resonance LipoProfile-4 deconvolution algorithm. Aortic vascular inflammation (VI) and non-calcified burden (NCB) were characterized via positron emission tomography-computed tomography and coronary computed tomography angiography. To understand the relationship between lipoprotein size and markers of subclinical atherosclerosis, linear regression models controlling for confounders were constructed.ResultsPsoriasis patients with low CEC had higher more severe psoriasis (p = 0.04), VI (p = 0.04) and NCB (p = 0.001), concomitant with smaller high-density lipoprotein (HDL) (p < 0.001) and low-density lipoprotein (LDL) particles (p < 0.001). In adjusted models HDL size (β = −0.19; p = 0.02) and LDL size (β = −0.31; p < 0.001) associated with VI and NCB. Lastly, HDL size strongly associated with LDL size in fully adjusted models (β = −0.27; p < 0.001).ConclusionThese findings demonstrate that in psoriasis, low CEC associates with a lipoprotein profile comprised of smaller HDL and LDL particles which correlates with vascular health and may be driving early onset atherogenesis. Further, these results demonstrate a relationship between HDL and LDL size and provide novel insights into the complexities of HDL and LDL as biomarkers of vascular health.

The potato (Solanum tuberosum L) is one of the four most important crops worldwide in production and consumption. It originated from South America along the Andes, where six hotspots of diversity known as subcenters of origin are described from Venezuela to Chiloe Island in Chile, and where the greatest diversity of potatoes in the world is found. Today, the use of ancestral genetic resources has gained significant relevance, recovering and producing foods with a greater nutrient content and beneficial to human health. Therefore, native potatoes possess a set of characteristics with great potential for use in potato breeding guided primarily to produce better feed, especially potatoes of the Chilotanum Group that are easily crossed with conventional varieties. The primary objective of this study was to evaluate 290 accessions of S. tuberosum subsp tuberosum belonging to the Chilotanum Group using a set of molecular markers and correlate them to its phenotypic traits for future use in breeding programs. For this purpose, 290 accessions were analysed through 22 specific microsatellites described previously, correlating them with flesh and skin colour, total phenolic content, and anthocyanin content. A division into groups considering all the 290 accessions resulted in two clusters using STRUCTURE analysis and seven different genetic clusters using UPGMA. The latter exhibited common phenotypic characteristics as well as anthocyanin content, strongly supporting a correlation between phenotypic traits and the genetic fingerprint. These results will enable breeders to focus on the development of potatoes with high polyphenol and anthocyanin content.

Abstract Aim Due to improved therapy in childhood, many patients with congenital heart disease reach adulthood and are termed adults with congenital heart disease (ACHD). ACHD often develop heart failure (HF) as a consequence of initial palliative surgery or complex anatomy and subsequently require advanced HF therapy. ACHD are usually excluded from trials evaluating heart failure therapies, and in this context, more data about heart failure trajectories in ACHD are needed to guide the management of ACHD suffering from HF. Methods and results The pAtients pResenTing with cOngenital heaRt dIseAse Register (ARTORIA‐R) will collect data from ACHD evaluated or listed for heart or heart‐combined organ transplantation from 16 countries in Europe and the Asia/Pacific region. We plan retrospective collection of data from 1989–2020 and will include patients prospectively. Additional organizations and hospitals in charge of transplantation of ACHD will be asked in the future to contribute data to the register. The primary outcome is the combined endpoint of delisting due to clinical worsening or death on the waiting list. The secondary outcome is delisting due to clinical improvement while on the waiting list. All‐cause mortality following transplantation will also be assessed. The data will be entered into an electronic database with access to the investigators participating in the register. All variables of the register reflect key components important for listing of the patients or assessing current HF treatment. Conclusion The ARTORIA‐R will provide robust information on current management and outcomes of adults with congenital heart disease suffering from advanced heart failure.

BackgroundPatients with limited English proficiency frequently receive substandard health care. Asynchronous telepsychiatry (ATP) has been established as a clinically valid method for psychiatric assessments. The addition of automated speech recognition (ASR) and automated machine translation (AMT) technologies to asynchronous telepsychiatry may be a viable artificial intelligence (AI)–language interpretation option. ObjectiveThis project measures the frequency and accuracy of the translation of figurative language devices (FLDs) and patient word count per minute, in a subset of psychiatric interviews from a larger trial, as an approximation to patient speech complexity and quantity in clinical encounters that require interpretation. MethodsA total of 6 patients were selected from the original trial, where they had undergone 2 assessments, once by an English-speaking psychiatrist through a Spanish-speaking human interpreter and once in Spanish by a trained mental health interviewer-researcher with AI interpretation. 3 (50%) of the 6 selected patients were interviewed via videoconferencing because of the COVID-19 pandemic. Interview transcripts were created by automated speech recognition with manual corrections for transcriptional accuracy and assessment for translational accuracy of FLDs. ResultsAI-interpreted interviews were found to have a significant increase in the use of FLDs and patient word count per minute. Both human and AI-interpreted FLDs were frequently translated inaccurately, however FLD translation may be more accurate on videoconferencing. ConclusionsAI interpretation is currently not sufficiently accurate for use in clinical settings. However, this study suggests that alternatives to human interpretation are needed to circumvent modifications to patients’ speech. While AI interpretation technologies are being further developed, using videoconferencing for human interpreting may be more accurate than in-person interpreting. Trial RegistrationClinicalTrials.gov NCT03538860; https://clinicaltrials.gov/ct2/show/NCT03538860

Psoriasis is a chronic inflammatory disease with an established genetic background. The HLA-Cw*06 allele and different polymorphisms in genes involved in inflammatory responses and keratinocyte proliferation have been associated with the development of the disease. Despite the effectiveness and safety of psoriasis treatment, a significant percentage of patients still do not achieve adequate disease control. Pharmacogenetic and pharmacogenomic studies on how genetic variations affect drug efficacy and toxicity could provide important clues in this respect. This comprehensive review assessed the available evidence for the role that those different genetic variations may play in the response to psoriasis treatment. One hundred fourteen articles were included in this qualitative synthesis. VDR gene polymorphisms may influence the response to topical vitamin D analogs and phototherapy. Variations affecting the ABC transporter seem to play a role in methotrexate and cyclosporine outcomes. Several single-nucleotide polymorphisms affecting different genes are involved with anti-TNF-α response modulation (TNF-α, TNFRSF1A, TNFRSF1B, TNFAIP3, FCGR2A, FCGR3A, IL-17F, IL-17R, and IL-23R, among others) with conflicting results. HLA-Cw*06 has been the most extensively studied allele, although it has only been robustly related to the response to ustekinumab. However, further research is needed to firmly establish the usefulness of these genetic biomarkers in clinical practice.

Abstract Background Ministries of health in low- and middle-income countries often lack timely quality data for data-driven decision making in healthcare networks. We describe the design and implementation of decision-support electronic tools by the Ministry of Health of the State of Chiapas, in Mexico, as part of Salud Mesoamerica Initiative. Methods Three electronic decision-support tools were designed through an iterative process focused on streamlined implementation: 1) to collect and report health facility data at health facilities; 2) to compile and analyze data at health district and central level; and, 3) to support stratified sampling of health facilities. Data was collected for five composite indicators measuring availability of equipment, medicines, and supplies for maternal and child health. Quality Assurance Teams collected data, evaluated results and supported quality improvement. Data was also analyzed at the central level and health districts for decision-making. Results Data from 300 health facilities in four health districts was collected and analyzed (November 2014—June 2015). The first wave revealed gaps on availability of equipment and supplies in more than half of health facilities. Electronic tools provided the ministry of health officers new ways to visualize data, identify patterns and make hypothesis on root-causes. Between the first and second measurement, the number of missing items decreased, and actions performed by quality improvement teams became more proactive. In the final measurement, 89.7—100% of all health facilities achieved all the required items for each indicator. Conclusions Our experience could help guide others seeking to implement electronic decision-support tools in low- and middle-income countries. Electronic decision-support tools supported data-driven decision-making by identifying gaps on heatmaps and graphs at the health facility, subdistrict, district or state level. Through a rapid improvement process, the Ministry of Health met targets of externally verified indicators. Using available information technology resources facilitated prompt implementation and adoption of technology.

We previously used a pulse-based in vitro assay to unveil targetable signalling pathways associated with innate cisplatin resistance in lung adenocarcinoma (Hastings et al., 2020). Here, we advanced this model system and identified a non-genetic mechanism of resistance that drives recovery and regrowth in a subset of cells. Using RNAseq and a suite of biosensors to track single-cell fates both in vitro and in vivo, we identified that early S phase cells have a greater ability to maintain proliferative capacity, which correlated with reduced DNA damage over multiple generations. In contrast, cells in G1, late S or those treated with PARP/RAD51 inhibitors, maintained higher levels of DNA damage and underwent prolonged S/G2 phase arrest and senescence. Combined with our previous work, these data indicate that there is a non-genetic mechanism of resistance in human lung adenocarcinoma that is dependent on the cell cycle stage at the time of cisplatin exposure.

The paper presents a methodology to construct a Discrete Event Simulation model to assess the expansion of a container terminal. The methodology was applied to the Ensenada International Terminal located in Mexico. The simulation integrates all the operations of the container terminal including the arrival of vessels, trucks, and storage of containers. The expansion plan included the addition of anew berth, and additional storage yard space. The expansion model was evaluated under different demand increments. Recommendations were provided on the level of demand that the expansion may be able to serve. As a result, the additional berth will increase the capacity, but the projected storage space will support up to a 140% increase in demand with a 20% in reserve. The terminal must consider additional storage space either in the terminal or at an external facility for additional demand greater than 140%, or for having a larger storage reserve.

The identification of clinically viable strategies for overcoming resistance to platinum chemotherapy in lung adenocarcinoma has previously been hampered by inappropriately tailored in vitro assays of drug response. Therefore, using a pulse model that closely mimics the in vivo pharmacokinetics of platinum therapy, we profiled cisplatin-induced signalling, DNA-damage and apoptotic responses across a panel of human lung adenocarcinoma cell lines. By coupling this data to real-time, single-cell imaging of cell cycle and apoptosis we provide a fine-grained stratification of response, where a P70S6K-mediated signalling axis promotes resistance on a TP53 wildtype or null background, but not a mutant TP53 background. This finding highlights the value of in vitro models that match the physiological pharmacokinetics of drug exposure. Furthermore, it also demonstrates the importance of a mechanistic understanding of the interplay between somatic mutations and the signalling networks that govern drug response for the implementation of any consistently effective, patient-specific therapy.

A supercritical CO2 (SC-CO2) assisted phase inversion process was tested to load a fructose exopolysaccharide with amphiphilic properties (i.e., levan) in membranes of polyvinylidenefluoride-co-hexafluoropropylene (PVDF-HFP). The aim was to investigate the effect of levan on the morphological and biological properties of PVDF-HFP membranes. Different loadings of levan from 0 to 50% w/w were tested: PVDF-HFP + levan membranes characterized by a foam-like structure were generated, with an increase of overall porosity from 75 to 90%. The effect of levan addition on mechanical and biological characteristics of PVDF-HFP membranes was also studied: a decrease of the mechanical resistance from 12 to 1 MPa and an increase of cells (colon cancer cell line HTC-116) adhesion from 8% to 35% were measured. In conclusion, SC-CO2 assisted process was able to generate composite structures potentially useful for biological applications, characterized by a homogeneous distribution of levan and by improved biological properties.

ObjectivesHaemorrhage remains the leading cause of maternal mortality in Central America. The Salud Mesoamérica Initiative aims to reduce such mortality via performance indicators. Our objective was to assess the availability and administration of oxytocin, before and after applying Salud Mesoamérica Initiative interventions in the poorest health facilities across Central America.DesignPre-post study.Setting166 basic-level and comprehensive-level health facilities in Belize, Guatemala, Honduras, Mexico, Nicaragua and Panama.ParticipantsA random sample of medical records for uncomplicated full-term deliveries (n=2470) per International Classification of Diseases coding at baseline (July 2011 to August 2013) and at first-phase follow-up (January 2014 to October 2014).InterventionsA year of intervention implementation prior to first-phase follow-up data collection focused on improving access to oxytocin by strengthening supply chains, procurement, storage practices and pharmacy inventory monitoring, using a results-based financing model.Primary and secondary outcome measuresOxytocin availability (primary outcome) and administration (secondary outcome) for postpartum haemorrhage prevention.ResultsAvailability of oxytocin increased from 82.9% to 97.6%. Oxytocin administration increased from 83.6% to 88.4%. Significant improvements were seen for availability of oxytocin (adjusted OR (aOR)=8.41, 95% CI 1.50 to 47.30). Administration of oxytocin was found to be significantly higher in Honduras (aOR=2.96; 95% CI 1.00 to 8.76) in reference to Guatemala at follow-up.ConclusionAfter interventions to increase health facility supplies, the study showed a significant improvement in availability but not administration of oxytocin in poor communities within Mesoamerica. Efforts are needed to improve the use of oxytocin.

Amorphous magnetic microwires can be suitable for a variety of technological applications due to their excellent magnetic softness and giant magnetoimpedance (GMI) effect. Several approaches for optimization of soft magnetic properties and GMI effect of magnetic microwires covered with an insulating, flexible, and biocompatible glass coating with tunable magnetic properties are overviewed. The high GMI effect and soft magnetic properties, achieved even in as-prepared Co-rich microwires with a vanishing magnetostriction coefficient, can be further improved by appropriate heat treatment (including stress-annealing and Joule heating). Although as-prepared Fe-rich amorphous microwires exhibit low GMI ratio and rectangular hysteresis loops, stress-annealing, Joule heating, and combined stress-annealed followed by conventional furnace annealing can substantially improve the GMI effect (by more than an order of magnitude).

The influence of Joule heating on magnetic properties, giant magnetoimpedance (GMI) effect and domain wall (DW) dynamics of Fe75B9Si12C4 glass-coated microwires was studied. A remarkable (up to an order of magnitude) increase in GMI ratio is observed in Joule heated samples in the frequency range from 10 MHz to 1 GHz. In particular, an increase in GMI ratio, from 10% up to 140% at 200 MHz is observed in Joule heated samples. Hysteresis loops of annealed samples maintain a rectangular shape, while a slight decrease in coercivity from 93 A/m to 77 A/m, after treatment, is observed. On the other hand, a modification of MOKE hysteresis loops is observed upon Joule heating. Additionally, an improvement in DW dynamics after Joule heating is documented, achieving DW propagation velocities of up to 700 m/s. GMI ratio improvement along with the change in MOKE loops and DW dynamics improvement have been discussed considering magnetic anisotropy induced by Oersted magnetic fields in the surface layer during Joule heating and internal stress relaxation. A substantial GMI ratio improvement observed in Fe-rich Joule-heated microwires with a rectangular hysteresis loop and fast DW propagation, together with the fact that Fe is a more common and less expensive metal than Co, make them suitable for use in magnetic sensors.

Abstract Single nucleotide polymorphisms (SNPs) may modulate individual susceptibility to carcinogens. We designed a genome‐wide association study to characterize individuals presenting extreme phenotypes of high and low risk to develop tobacco‐induced non‐small cell lung cancer (NSCLC), and we validated our results. We hypothesized that this strategy would enrich the frequencies of the alleles that contribute to the observed traits. We genotyped 2.37 million SNPs in 95 extreme phenotype individuals, that is: heavy smokers that either developed NSCLC at an early age (extreme cases); or did not present NSCLC at an advanced age (extreme controls), selected from a discovery set (n = 3631). We validated significant SNPs in 133 additional subjects with extreme phenotypes selected from databases including >39,000 individuals. Two SNPs were validated: rs12660420 (pcombined = 5.66 × 10−5; ORcombined = 2.80), mapping to a noncoding transcript exon of PDE10A; and rs6835978 (pcombined = 1.02 × 10−4; ORcombined = 2.57), an intronic variant in ATP10D. We assessed the relevance of both proteins in early‐stage NSCLC. PDE10A and ATP10DmRNA expressions correlated with survival in 821 stage I–II NSCLC patients (p = 0.01 and p

In this paper, a gradual change in the hysteresis loop of Co-rich glass-coated microwire stress-annealed at variable temperature is observed. Such microwires annealed with a temperature gradient also present a variable squareness ratio and magnetic anisotropy field along the microwire’s length. The obtained graded anisotropy has been attributed to a gradual modification of the domain structure along the microwire originated by a counterbalance between shape, magnetoelastic, and induced magnetic anisotropies. Accordingly, we propose a rather simple route to design graded magnetic anisotropy in a magnetic microwire.

New strategies for the intensification of industrial electromembrane processes are needed, especially to reduce equipment size and operational costs. To intensify those processes and to decrease fouling and scale occurrence in such systems, we propose operation with very short asymmetric pulses (order of microseconds) of alternating polarity. Hence, a custom made Asymmetric Bipolar Switch was designed and built, operating with pulse widths in the 10-5-10-2 s range. Compared to traditional systems, we demonstrate the possibility of applying pulses with high intensities, up to three times higher than normal operation, using a frequency range between 0 (continuous operation) and 102 Hz. The proposed device was coupled to an electrodialysis cell for desalting a brine solution. When switching in desalination, a Back Electrochemical Force was identified, which could affect the integrity of the electronic systems due to spikes of reverse voltage. Hence, mitigation strategies were applied by changing the switching logic and incorporating new elements in the circuitry, similar to those in breaking methods in electrical motors. While desalting in electrodialysis, the experiments showed a limited power loss, up to 0.6% of the total power applied, attributed mainly to electrical disturbance (conduction and switching losses in the electronic components were minor at this scale). No significant variation in the desalination performance was observed at low current densities. The designed Asymmetric Bipolar Switch opens new possibilities for the operation with electromembranes and other electrochemical processes.

BACKGROUND:Psoriasis is associated with an increased risk of cardiovascular disease (CVD) at younger ages that is not identifiable by traditional risk factors. Screening for subclinical atherosclerosis with ultrasound has only been investigated in carotid arteries. Femoral artery ultrasound has never been considered for this purpose. The link between psoriasis and accelerated atherosclerosis has not yet been established. OBJECTIVE:To study the usefulness of femoral artery ultrasound for the detection of subclinical atherosclerosis in psoriasis. We also investigated its possible relationship with changes in insulin resistance. METHODS:We conducted a cross-sectional study in 140 participants, 70 patients with moderate-to-severe psoriasis and 70 healthy controls, matched 1:1 for age, sex, and BMI. Femoral and carotid atherosclerotic plaques were evaluated by ultrasonography. Insulin resistance was assessed by the homeostasis model assessment method (HOMA-IR). RESULTS:Femoral atherosclerotic plaque prevalence was significantly higher in patients with psoriasis (44.64%) than in controls (19.07%) (p

Secondary surgical procedures can improve the function of revascularised and replanted digits. We describe the case of a patient who underwent multidigit revascularisation and replantation following a saw injury at flexor tendon Zone II. To achieve maximal functional improvement after finger revascularisation, we performed secondary surgical procedures in an order that was determined by following a reconstructive decision procedure that covered late revascularisation, nerve reconstruction, pedicled vascularised joint transfer, staged flexor tendon reconstruction and skin revision. Performing the procedures in this manner ensured overall safety. The patient’s disabilities of the arm, hand and shoulder questionnaire score improved by 45 points, and the patient was able to return to work with an almost complete range of motion.

The development of innovative solutions that allow the aging population to remain healthier and independent longer is essential to alleviate the burden that this increasing segment of the population supposes for the long term sustainability of the public health systems. It has been claimed that promoting physical activity could prevent functional decline. However, given the vulnerability of this population, the activity prescription requires to be tailored to the individual’s physical condition. We propose mobile Senior Fitness Test (m-SFT), a novel m-health system, that allows the health practitioner to determine the elderly physical condition by implementing a smartphone-based version of the senior fitness test (SFT). The technical reliability of m-SFT has been tested by carrying out a comparative study in seven volunteers (53–61 years) between the original SFT and the proposed m-health system obtaining high agreement (intra-class correlation coefficient (ICC) between 0.93 and 0.99). The system usability has been evaluated by 34 independent health experts (mean = 36.64 years; standard deviation = 6.26 years) by means of the System Usability Scale (SUS) obtaining an average SUS score of 84.4 out of 100. Both results point out that m-SFT is a reliable and easy to use m-health system for the evaluation of the elderly physical condition, also useful in intervention programs to follow-up the patient’s evolution.

AIMS:Insulin resistance is the pathophysiological precursor of type 2 diabetes mellitus (DM-2), and its relationship with non-alcoholic fatty liver disease (NAFLD) has been widely studied in patients with obesity or metabolic syndrome using not only ultrasound but also liver biopsies or proton magnetic resonance spectroscopy (H1-MRS) to assess liver fat content. In contrast, there are no studies on insulin resistance and NAFLD in lean or overweight Caucasian individuals using H1-MRS or liver biopsies for the quantification of hepatic triglyceride content. Our objectives were to study the presence of insulin resistance in lean and overweight Caucasian adults and investigate its possible relationship with liver triglyceride content, waist circumference (as proxy of visceral adiposity), BMI, and cardiometabolic risk factors. METHODS:A cross-sectional study was conducted in 113 non-obese, non-diabetic individuals classified as overweight (BMI 25-29.9 kg/m2) or lean (BMI 19.5-24.9 kg/m2). Hepatic triglyceride content was quantified by 3T H1-MRS. NAFLD was defined as hepatic triglyceride content >5.56%. Insulin resistance (HOMA-IR), serum adiponectin, and tumor necrosis factor (TNF) were determined. RESULTS:HOMA-IR was significantly correlated with hepatic triglyceride content (r:0.76; p

OBJETIVOS: Desenvolver um modelo de predição para o tempo de permanência hospitalar (TPH) em lactentes de muito baixo peso ao nascer (MBPN) e comparar esse resultado entre 20 centros de uma rede neonatal, visto que o TPH é utilizado como uma medida da qualidade da assistência em lactentes de MBPN. MÉTODOS: Utilizamos dados coletados prospectivamente de 7.599 lactentes com peso ao nascer entre 500 e 1.500 g no período entre os anos de 2001 a 2008. O modelo de regressão de Cox foi empregado para desenvolver dois modelos de predição: um modelo prévio com dados do nascimento e outro posterior, que acrescenta morbidades relevantes dos primeiros 30 dias de vida. RESULTADOS: A mediana do TPH estimado e ajustado a partir do nascimento foi de 59 dias; 28 dias depois do tempo de sobrevida de 30 dias. Houve uma alta correlação entre os modelos (r = 0,92). O TPH esperado e o TPH observado variaram bastante entre os centros, mesmo depois de correção para as morbidades relevantes após 30 dias. O TPH mediano (variação: 45-70 dias) e a idade concepcional na alta hospitalar (variação: 36,4-39,9 semanas) refletem uma variabilidade alta entre centros. CONCLUSÃO: Um modelo simples, com fatores apresentados no nascimento, pode predizer o TPH de um lactente de MBPN em uma rede neonatal. Observou-se uma variabilidade nos TPHs considerável entre unidades de terapia intensiva neonatal. Especulamos que os resultados sejam provenientes das diferenças entre as práticas dos centros.

Este estudio examina el impacto de las estrategias institucionales de promoción de estudios universitarios por parte de los establecimientos secundarios sobre los resultados en la prueba de selección universitaria y el acceso de los alumnos a las universidades selectivas, en un contexto de masificación desigual de los estudios universitarios y donde las condiciones socioeconómicas y culturales de origen pesan fuertemente sobre el acceso a estas instituciones. Para este estudio se utilizó una encuesta aplicada a una muestra representativa de 817 alumnos de último año de enseñanza secundaria pertenecientes a establecimientos de modalidad científico-humanista de la provincia de Concepción, en Chile. Los resultados del estudio comprueban la influencia del capital cultural individual y de la composición social del colegio sobre los resultados de los alumnos en la prueba de selección universitaria y el acceso a las universidades selectivas, pero muestran también que las estrategias institucionales de los establecimientos secundarios pueden moderar esta influencia y que son especialmente provechosas para los alumnos que más las requieren.

The 24-h maximum rainfall (P24h-max) observations recorded at the synoptic weather station of Rafael Núñez airport (Cartagena de Indias, Colombia) were analyzed, and a linear increasing trend over time was identified. It was also noticed that the occurrence of the rainfall value (over the years of record) for a return period of 10 years under stationary conditions (148.1 mm) increased, which evidences a change in rainfall patterns. In these cases, the typical stationary frequency analysis is unable to capture such a change. So, in order to further evaluate rainfall observations, frequency analyses of P24h-max for stationary and non-stationary conditions were carried out (by using the generalized extreme value distribution). The goodness-of-fit test of Akaike Information Criterion (AIC), with values of 753.3721 and 747.5103 for stationary and non-stationary conditions respectively, showed that the latter best depicts the increasing rainfall pattern. Values of rainfall were later estimated for different return periods (2, 5, 10, 25, 50, and 100 years) to quantify the increase (non-stationary versus stationary condition), which ranged 6% to 12% for return periods from 5 years to 100 years, and 44% for a 2-year return period. The effect of these findings were tested in the Gordo creek watershed by first calculating the resulting direct surface runoff (DSR) for various return periods, and then modeling the hydraulic behavior of the downstream area (composed of a 178.5-m creek’s reach and an existing box-culvert located at the watershed outlet) that undergoes flooding events every year. The resulting DSR increase oscillated between 8% and 19% for return periods from 5 to 100 years, and 77% for a 2-year return period when the non-stationary and stationary scenarios were compared. The results of this study shed light upon to the precautions that designers should take when selecting a design, based upon rainfall observed, as it may result in an underestimation of both the direct surface runoff and the size of the hydraulic structures for runoff and flood management throughout the city.

Ba(Sr)(Me12+Me24+)xFe12-xO19 hexagonal ferrites preparation with substitution ratio of 0.0 x 0.6. The iron ionswere substituted by selected cation combinations (divalent Me12+= Ni, Zn, Sn, Co and tetravalent Me24+= Ti, Zr, Ru ions).The samples were synthesised by high energy milling and metallorganic precursor method. A special attention was focused toresults obtained for (ZnTi)x substitutions.. The changes of coercivity HC were chosen as a evaluation criterion of anisotropyvariation. Simultaneously with the magnetic properties, the dielectric parameters were also tested. Two dielectric relaxationprocesses were detected in Ba - Sr ferrite. Our results showed probably a ferroelectric behaviour of some ferrite samples.

To identify tissue microRNAs predictive of sunitinib activity in patients with metastatic renal-cell-carcinoma (MRCC) and to evaluate in vitro their mechanism of action in sunitinib resistance.We screened 673 microRNAs using TaqMan Low-density-Arrays (TLDAs) in tumors from MRCC patients with extreme phenotypes of marked efficacy and resistance to sunitinib, selected from an identification cohort (n = 41). The most relevant differentially expressed microRNAs were selected using bioinformatics-based target prediction analysis and quantified by qRT-PCR in tumors from patients presenting similar phenotypes selected from an independent cohort (n = 101). In vitro experiments were conducted to study the role of miR-942 in sunitinib resistance.TLDAs identified 64 microRNAs differentially expressed in the identification cohort. Seven candidates were quantified by qRT-PCR in the independent series. MiR-942 was the most accurate predictor of sunitinib efficacy (p = 0.0074). High expression of miR-942, miR-628-5p, miR-133a, and miR-484 was significantly associated with decreased time to progression and overall survival. These microRNAs were also overexpressed in the sunitinib resistant cell line Caki-2 in comparison with the sensitive cell line. MiR-942 overexpression in Caki-2 up-regulates MMP-9 and VEGF secretion which, in turn, promote HBMEC endothelial migration and sunitinib resistance.We identified differentially expressed microRNAs in MRCC patients presenting marked sensitivity or resistance to sunitinib. MiR-942 was the best predictor of efficacy. We describe a novel paracrine mechanism through which high miR-942 levels in MRCC cells up-regulates MMP-9 and VEGF secretion to enhance endothelial migration and sunitinib resistance. Our results support further validation of these miRNA in clinical confirmatory studies.

Pandemic (H1N1) 2009 virus was detected in breeding turkeys on 2 farms in Valparaiso, Chile. Infection was associated with measurable declines in egg production and shell quality. Although the source of infection is not yet known, the outbreak was controlled, and the virus was eliminated from the birds.

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The samples of barium hexaferrite BaFe12-2x(Me1Me2)xO19 with x from 0.0 to 0.6 were prepared by variousmethods. The cationic preference of mainly divalent Me1 = Zn, Co, Ni, Sn ions and tetravalent Me2 = Ti, Zr, Ir, Sn, Ru ionsand their combinations in substituted Ba ferrites was investigated. The substitutions were performed to reduce the grain sizeand high magnetic uniaxial anisotropy field of the M-type Ba ferrite without affecting the magnetic polarisation. The goal isto reach the properties of ferrite proper for high-density magnetic recording and microwave absorption devices. Magneticproperties were determined as a function of the substitution level x. The specific saturation magnetic polarisation Js–m andremanence Js–rincreased with small x due to the substitution of non-magnetic and less magnetic ions in 4f1 and 4f2 sites. Thesteep decrease of coercivity Hc with increasing x may be caused by the Co2+ preference of 4f2 site and Ti4+or Zr4+ions preference of 2b and slightly in 4f1 sites. The temperature coefficient of the coercivity TKHc was very low (0.01kA.m-1.°C-1)for the Co-Zr substitutions and positive for the rest of samples.

Dendritic cells (DC) are endowed with the ability to cross-present antigens from other cell types to cognate T cells. DC are poised to meet polymorphonuclear leukocytes (PMNs) as a result of being co-attracted by interleukin-8 (IL-8), for instance as produced by tumor cells or infected tissue. Human monocyte-derived and mouse bone marrow-derived DC can readily internalize viable or UV-irradiated PMNs. Such internalization was abrogated at 4°C and partly inhibited by anti-CD18 mAb. In mice, DC which had internalized PMNs containing electroporated ovalbumin (OVA) protein, were able to cross-present the antigen to CD8 (OT-1) and CD4 (OT-2) TCR-transgenic T cells. Moreover, in humans, tumor cell debris is internalized by PMNs and the tumor-cell material can be subsequently taken up from the immunomagnetically re-isolated PMNs by DC. Importantly, if human neutrophils had endocytosed bacteria, they were able to trigger the maturation program of the DC. Moreover, when mouse PMNs with E. coli in their interior are co-injected in the foot pad with DC, many DC loaded with fluorescent material from the PMNs reach draining lymph nodes. Using CT26 (H-2(d)) mouse tumor cells, it was observed that if tumor cells are intracellularly loaded with OVA protein and UV-irradiated, they become phagocytic prey of H-2(d) PMNs. If such PMNs, that cannot present antigens to OT-1 T cells, are immunomagnetically re-isolated and phagocytosed by H-2(b) DC, such DC productively cross-present OVA antigen determinants to OT-1 T cells. Cross-presentation to adoptively transferred OT-1 lymphocytes at draining lymph nodes also take place when OVA-loaded PMNs (H-2(d)) are coinjected in the footpad of mice with autologous DC (H-2(b)). In summary, our results indicate that antigens phagocytosed by short-lived PMNs can be in turn internalized and productively cross-presented by DC.

BACKGROUND: Interleukin-8 (IL-8, CXCL8) is readily produced by human malignant cells. Dendritic cells (DC) both produce IL-8 and express the IL-8 functional receptors CXCR1 and CXCR2. Most human colon carcinomas produce IL-8. IL-8 importance in malignancies has been ascribed to angiogenesis promotion. PRINCIPAL FINDINGS: IL-8 effects on human monocyte-derived DC biology were explored upon DC exposure to recombinant IL-8 and with the help of an IL-8 neutralizing mAb. In vivo experiments were performed in immunodeficient mice xenografted with IL-8-producing human colon carcinomas and comparatively with cell lines that do not produce IL-8. Allogenic T lymphocyte stimulation by DC was explored under the influence of IL-8. DC and neutrophil chemotaxis were measured by transwell-migration assays. Sera from tumor-xenografted mice contained increasing concentrations of IL-8 as the tumors progress. IL-8 production by carcinoma cells can be modulated by low doses of cyclophosphamide at the transcription level. If human DC are injected into HT29 or CaCo2 xenografted tumors, DC are retained intratumorally in an IL-8-dependent fashion. However, IL-8 did not modify the ability of DC to stimulate T cells. Interestingly, pre-exposure of DC to IL-8 desensitizes such cells for IL-8-mediated in vitro or in vivo chemoattraction. Thereby DC become disoriented to subsequently follow IL-8 chemotactic gradients towards malignant or inflamed tissue. CONCLUSIONS: IL-8 as produced by carcinoma cells changes DC migration cues, without directly interfering with DC-mediated T-cell stimulation.