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Christine K Kim,1,2 Steven Carter,2,3 Cinthia Kim,2 Tara Shooshani,1,2 Urmi Mehta,2,4 Kailey Marshall,2 Ryan G Smith,1,2,5 Alexander Knezevic,2,6– 8 Kavita Rao,1,2 Olivia L Lee,2 Marjan Farid2 1Department of Ophthalmology, University of California, Irvine, School of Medicine, 1001 Health Sciences Rd, Irvine, CA, 92617, USA; 2Gavin Herbert Eye Institute at University of California, Irvine School of Medicine, 850 Health Sciences Rd, Irvine, CA, 92617, USA; 3Miramar Eye Specialists Medical Group, Ventura, CA, 93003, USA; 4St John’s Episcopal Hospital, Far Rockaway, NY, 11691, USA; 5Pacific Eye Institute, Upland, CA 91786, USA; 6Macy Eye Center, Los Angeles, CA, 90048, USA; 7Cedars-Sinai Medical Center, Los Angeles, CA, 90048, USA; 8Jules Stein Eye Institute at University of California, Los Angeles, CA, 90095, USACorrespondence: Christine K Kim, Gavin Herbert Eye Institute at University of California, Irvine School of Medicine, 850 Health Sciences Road, Irvine, CA, 92617, USA, Tel +1 818 279 5029, Email chriskk4@hs.uci.eduPurpose: To elucidate risk factors for meibomian gland disease (MGD) and understand associated changes in meibography and in relation to ocular surface disease.Patients and Methods: As part of the standard workup for ocular surface disease at a tertiary academic center, 203 patients received an ocular history and lifestyle questionnaire. The questionnaire included detailed inquiries about ocular health and lifestyle, including makeup use, cosmetic eyelid procedures, screen time, and contact lens habits. Subjects also took the standardized patient evaluation of eye dryness (SPEED) II questionnaire. Meibomian gland (MG) dropout and structural changes were evaluated on meibography and scored by three independent graders using meiboscores. Statistical analysis was conducted to identify significant risk factors associated with MG loss.Results: This retrospective, cross-sectional study included 189 patients (378 eyes) with high-quality images for grading, and the average age was 67 years (77% female). Patients older than 45 years had significantly more dropout than younger patients (p < 0.01). Self-reported eye makeup use did not significantly impact MG loss. Patients with a history of blepharoplasty trended toward higher meiboscores, but the difference was not statistically significant. Self-reported screen time did not affect meiboscores. Contact lens use over 20 years was associated with significant MG loss (p < 0.05). SPEED II scores had no relationship to meiboscores (p = 0.75).Conclusion: Older age is a significant risk factor for MG loss. Any contact lens use over 20 years also impacted MG dropout. Highlighting the incongruence of symptoms to signs, SPEED II scores showed no relationship to the structural integrity of MGs.Keywords: dry eye, meibomian gland dropout, meiboscore, ocular surface disease

Abstract Background Anthropogenic pressures and climate change threaten the capacity of ecosystems to deliver a variety of services, including protecting coastal communities from hazards like flooding and erosion. Human interventions aim to buffer against or overcome these threats by providing physical protection for existing coastal infrastructure and communities, along with added ecological, social, or economic co-benefits. These interventions are a type of nature-based solution (NBS), broadly defined as actions working with nature to address societal challenges while also providing benefits for human well-being, biodiversity, and resilience. Despite the increasing popularity of NBS for coastal protection, sometimes in lieu of traditional hardened shorelines (e.g., oyster reefs instead of bulkheads), gaps remain in our understanding of whether common NBS interventions for coastal protection perform as intended. To help fill these knowledge gaps, we aim to identify, collate, and map the evidence base surrounding the performance of active NBS interventions related to coastal protection across a suite of ecological, physical, social, and economic outcomes in salt marsh, seagrass, kelp, mangrove, shellfish reef, and coral reef systems. The resulting evidence base will highlight the current knowledge on NBS performance and inform future uses of NBS meant for coastal protection. Methods Searches for primary literature on performance of NBS for coastal protection in shallow, biogenic ecosystems will be conducted using a predefined list of indexing platforms, bibliographic databases, open discovery citation indexes, and organizational databases and websites, as well as an online search engine and novel literature discovery tool. All searches will be conducted in English and will be restricted to literature published from 1980 to present. Resulting literature will be screened against set inclusion criteria (i.e., population, intervention, outcome, study type) at the level of title and abstract followed by full text. Screening will be facilitated by a web-based active learning tool that incorporates user feedback via machine learning to prioritize articles for review. Metadata will be extracted from articles that meet inclusion criteria and summarized in a narrative report detailing the distribution and abundance of evidence surrounding NBS performance, including evidence clusters, evidence gaps, and the precision and sensitivity of the search strategy.

Spinal cord herniation (SCH) is a rare cause of myelopathy. When reported, SCH has most commonly been described as occurring spontaneously in the thoracic spine, and being idiopathic in nature (anterior thoracic spinal cord herniation, ATSCH) [1-3]. Several theories have been proposed to explain its occurrence, including congenital, inflammatory, and traumatic etiologies alike [1-4]. Even more rarely, SCH has been described to occur in the cervical spine in association with brachial plexus avulsion injuries (BPAI-SCH). In our accompanying article, "Late Cervical Spinal Cord Herniation Resulting from Post-Traumatic Brachial Plexus Avulsion Injury," two cases of BPAI-SCH are presented and discussed in the context of the reviewed literature [5]. Here, pertinent accompanying follow-up data was collected and is presented for the cases, including postoperative radiographic outcome imaging. Furthermore, a table is presented comparing and contrasting ATSCH to BPAI-SCH. Although the two phenomena have been previously grouped together, this table highlights ATSCH and BPAI-SCH as distinct entities; more specifically, BPAI-SCH is a separate, long-term complicating feature of BPAI. This supplementary data helps treating physicians by increasing awareness and knowledge of BPAI-SCH as a distinct entity from ATSCH and cause of delayed neurological deterioration.

Inorganic semiconductor nanocrystals interfaced with spin-triplet exciton-accepting organic molecules have emerged as promising materials for converting incoherent long-wavelength light into the visible range. However, these materials to date have made exclusive use of nanocrystals containing toxic elements, precluding their use in biological or environmentally sensitive applications. Here, we address this challenge by chemically functionalizing non-toxic silicon nanocrystals with triplet-accepting anthracene ligands. Photoexciting these structures drives spin-triplet exciton transfer from silicon to anthracene through a single 15 ns Dexter energy transfer step with a nearly 50% yield. When paired with 9,10-diphenylanthracene emitters, these particles readily upconvert 488-640 nm photons to 425 nm violet light with efficiencies as high as 7 ± 0.9% and can be readily incorporated into aqueous micelles for biological use. Our demonstration of spin-triplet exciton transfer from silicon to molecular triplet acceptors can critically enable new technologies for solar energy conversion, quantum information and near-infrared driven photocatalysis.

Bulk metallic glasses can exhibit novel material properties for engineering scale components, but the experimental discovery of new alloy compositions is time intensive and thwarts the rate of discovery. This study presents an experimental, high-throughput methodology to increase the speed of discovery for potential bulk metallic glass alloys. A well-documented system, Mg-Cu-Y, was used as a model system. A laser additive manufacturing technique, directed energy deposition, was used for the in situ alloying of elemental powders to synthesize discrete compositions in the ternary system. The laser processing technique can supply the necessary cooling rates of 103–104 Ks−1 for bulk metallic glass formation. The in situ alloying enables the rapid synthesis of compositional libraries with larger sample sizes and discrete compositions than are provided by combinatorial thin films. Approximately 1000 discrete compositions can be synthesized in a day. Surface smoothness, as discerned by optical reflectivity, can suggest glass-forming alloys. X-ray diffraction coupled with energy dispersive X-ray spectroscopy can further refine amorphous alloy signatures and compositions. Transmission electron microscopy confirms amorphous samples. The tiered rate of amorphous alloy synthesis and characterization can survey a large compositional space and permits a glass-forming range to be identified within one week, making the process at least three orders of magnitude faster than other discrete composition techniques such as arc-melting or melt-spinning.

A-level specifications include references to Lenz's Law, giving the opportunity for high impact demonstrations of associated effects. The authors present demonstrations suitable for all classrooms and show how they can be extended to include the use of superconductors, culminating in a novel take on the classic magnet in pipe demonstration which can be used to extend the appreciation of physics in a range of audiences. The research was conducted with help from students in Year 11 and 12.