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Summary: Background: Monitoring hepatitis B virus (HBV) and hepatitis C virus (HCV) liver-related morbidity and mortality is key to evaluate progress towards elimination targets. Methods: HBV and HCV notifications in NSW, Australia (1995–2022) were linked to hospital and mortality records. Temporal trends in decompensated cirrhosis (DC), hepatocellular carcinoma (HCC), and mortality were evaluated among people notified for HBV and HCV. Segmented Poisson regression models were used to assess the impact of the viral hepatitis elimination era (1 January 2015–31 December 2022) on advanced liver disease and mortality. Findings: During 1995–2022, there were 64,865 people with an HBV notification and 112,277 people with an HCV notification in NSW. Between 2002 and 2022, there were significant reductions in age-adjusted HBV- and HCV-related DC, HCC, and liver-related mortality. Among those with HBV, age-standardised incidence per 1000 person-years (py) in 2002, 2015, and 2022 was 3.08, 1.47, and 1.16 for DC (p

Background: Considering the importance of primiparous women’s condition in the postpartum period and the need to recognize various physical, psychological, cognitive and social factors in order to address their health status, the present study was designed to determine the relationship of sense of coherence and quality of sleep with symptoms of postpartum depression and mother-infant attachment in primiparous women referring to Lamerd maternity wards in 2021. Materials and Methods: This descriptive-analytical cross-sectional study was conducted on 156 primiparous women selected by consensus sampling. Data were collected using a demographic information form, Antonovsky’s sense of coherence scale, Pittsburgh sleep quality index, Edinburgh postnatal depression scale, and the mother-infant attachment scale. The collected data were entered into SPSS, version 24, and analyzed using descriptive statistics, Pearson’s correlation coefficient and linear regression tests at the significance level of P

The COVID-19 pandemic has shown to be a global challenge that, in addition to other effects, has influenced travel behavior. This study examines factors affecting academic travelers’ mode choice before and during the pandemic and factors contributing to sustainable transportation on campus. By examining their travel patterns and behaviors, we contribute to understanding transportation preferences and identifying opportunities for sustainable transportation on university campuses. Studying academic travelers is crucial as they are significant daily travelers with a substantial impact on transportation systems and the environment. Understanding their mode choices helps transportation planners and policymakers promote sustainable transportation options. The literature has identified influential factors in making trips to university campuses, including age, gender, accommodation, cost, and travel time. However, cross-sectional studies involving comprehensive variables are lacking and the influence of the COVID-19 pandemic on transportation has not been thoroughly evaluated. To address this gap, the current study aims to evaluate novel variables, including intra-transport modes, entry permits, accessibility, parking availability, occupations, level of study, travel purpose, and visit frequency. The University of Isfahan, accessible by all modes of transport, was selected as the study area. After analyzing the questionnaire and variables using SPSS software (IBM SPSS Statistics for Windows, Version 22.0 Released 2013), travel behavior was studied by discrete choice models and the models’ coefficients were estimated using NLOGIT. The finding demonstrated that using private modes (taxi, private vehicle, and active modes) increased in response to the pandemic, while using public modes (bus or subway) represented a decline. Before and during the pandemic, most people who had the same trip purpose shifted from taking the bus to using private vehicles and active transportation. Generally, people became more inclined to walk on campus during the pandemic. This study aimed to examine the travel behavior of academic travelers, who possess diverse travel choices compared with typical commuters, thus providing valuable insights into how the broader population might respond to different transportation options. The findings offer a novel perspective for university and city planners, enabling more informed decisions regarding sustainable development in campus areas.

Accurate prediction of flowering times is essential for efficient orchard management for kiwifruit, facilitating timely pest and disease control and pollination interventions. In this study, we developed a predictive model for flowering time using weather data and observations of budbreak dynamics for the ‘Hayward’ and ‘Zesy002’ kiwifruit. We used historic data of untreated plants collected from 32 previous studies conducted between 2007 and 2022 and analyzed budbreak and flowering timing alongside cumulative heat sum (growing degree days, GDDs), chilling unit (CU) accumulation, and other environmental variables using weather data from the weather stations nearest to the study orchards. We trained/parameterized the model with data from 2007 to 2019, and then evaluated the model’s efficacy using testing data from 2020 to 2022. Regression models identified a hierarchical structure with the accumulation of GDDs at the start of budbreak, one of the key predictors of flowering time. The findings suggest that integrating climatic data with phenological events such as budbreak can enhance the predictability of flowering in kiwifruit vines, offering a valuable tool for kiwifruit orchard management.

For patients with a small aorta, surgeons may use techniques such as the Manouguian method in addition to aortic valve replacement (AVR) to prevent patient prosthetic mismatch. These methods have been shown to have good outcomes and few complications. However, in this case presentation, a rare complication occurred in a 47-year-old woman who underwent AVR plus Manouguian surgery. After the surgery, her echocardiography revealed iatrogenic supra-aortic stenosis. The diagnosis was confirmed with computed tomography angiography, and the patient underwent surgery again at the site of the stenosis. Fortunately, the surgery was successful, and the stenosis was completely resolved.

Background & Aims: Population-level trends and factors associated with HBV-related decompensated cirrhosis (DC), hepatocellular carcinoma (HCC), and liver-related mortality are crucial to evaluate the impacts of therapeutic interventions. Methods: Trends in HBV-DC and -HCC diagnoses and liver-related mortality in New South Wales, Australia, were determined through linkage of HBV notifications (1993-2017) to hospital admissions (2001-2018), mortality (1993-2018), and cancer registry (1994-2014) databases. Late HBV notification was defined as notification at or within 2 years of a DC or HCC diagnosis. Cox proportional-hazards regression and multivariable logistic regression analyses were performed to evaluate associated factors. Results: Among 60,660 people with a HBV notification, 1,276 (2.0%) DC and 1,087 (1.8%) HCC diagnoses, and 1,219 (2.0%) liver-related deaths were documented. Since the early 2000s, the number of DC and HCC diagnoses increased; however, age-standardised incidence decreased from 2.64 and 1.95 in 2003 to 1.14 and 1.09 per 1,000 person-years in 2017, respectively. Similarly, age-standardised liver mortality decreased from 2.60 in 2003 to 1.14 per 1,000 person-years in 2017. Among people with DC and HCC diagnoses, late HBV notification declined from 41% and 40% between 2001-2009 to 29% and 25% in 2010-2018, respectively. Predictors of DC diagnosis included older age (birth

Algorithmic governmentality is a new form of political governance interconnected with technology and computation. By coining the term “algorithmic governmentality,” Antoinette Rouvroy argues that this mode of governance reduces everything to data, and people are no longer individuals but dividuals (able to be divided) or readable data profiles. Implementing the concept of algorithmic governmentality, the current study analyses Project Itoh’s award-winning novel Harmony in terms of such relevant concepts as “subjectivity,” “infra-individuality” and “control,” as suggested by Rouvroy and colleagues. The analysis further draws on Foucault’s ideas of “governmentality” and “neoliberalism” and Deleuze’s concepts of “dividuality” and “society of control.” In Itoh’s fictional world, the entire society is subject to the new medical government, which replaced the chaotic world with a perfect but harrowing benevolent society, eradicating disease, suicide and crime. As elucidated in this paper, despite the dominant controlling government, there is a hope for humans to regain and reestablish their subjectivity and give meaning to their own personality by defying the nihilistic computational system.

Abstract Background Hepatitis C virus (HCV) is among the highest priority diseases in custodial settings; however, the diagnosis remains suboptimal among people in custody. This study aimed to validate a short survey for identifying people with HCV infection in a provincial prison in Iran. Methods Between July and December 2018, residents and newly admitted inmates of Gorgan central prison completed a questionnaire, including data on the history of HCV testing, drug use, injecting drug use, sharing injecting equipment, and imprisonment. Participants received rapid HCV antibody testing, followed by venipuncture for RNA testing (antibody-positive only). Each enrollment question (yes/no) was compared with the testing results (positive/negative). Results Overall, 1892 people completed the questionnaire, including 621 (34%) who were currently on opioid agonist therapy (OAT); 30% of participants had been tested for HCV previously. About 71% had a history of drug use, of whom 13% had ever injected drugs; 52% had ever shared injecting equipment. The prevalence of HCV antibody and RNA was 6.9% (n = 130) and 4.8% (n = 90), respectively. The antibody prevalence was higher among people on OAT compared to those with no history of OAT (11.4% vs. 4.0%). History of drug use was the most accurate predictor of having a positive HCV antibody (sensitivity: 95.2%, negative predictive value: 98.9%) and RNA testing (sensitivity: 96.7%, negative predictive value: 99.5%). The sensitivity of the drug use question was lowest among people with no OAT history and new inmates (87% and 89%, respectively). Among all participants, sensitivity and negative predictive value of the other questions were low and ranged from 34 to 54% and 94 to 97%, respectively. Conclusions In resource-limited settings, HCV screening based on having a history of drug use could replace universal screening in prisons to reduce costs. Developing tailored screening strategies together with further cost studies are crucial to address the current HCV epidemic in low- to middle-income countries.

Acibenzolar-S-methyl (ASM), the active ingredient in Actigard® (Syngenta), is a plant defence elicitor used for the management of bacterial canker caused by Pseudomonas syringae pv. actinidiae (Psa) in kiwifruit. We examined changes in gene expression and phytohormone content in two kiwifruit cultivars, ‘Hayward’ (Actinidia chinensis var. deliciosa) and ‘Zesy002’ (A. chinensis var. chinensis), following ASM application. In glasshouse studies, ASM-induced resistance to stem inoculation with Psa was accompanied by upregulation of salicylic acid (SA) defence pathway genes (PR1, PR2, and PR5) in stems and leaves. The expression of PR1 in ASM-treated plants increased by c. 5-fold in ‘Hayward’ and by over 15-fold in ‘Zesy002,’ relative to the untreated controls, whereas PR2 and PR5 increased by up to 4-fold in both cultivars. Orchard studies over three seasons confirmed the utility of PR1, PR2, and PR5 for monitoring ASM-induced responses in mature vines. PR1 and PR5 were more strongly induced by ASM than PR2 and gene upregulation in ‘Hayward,’ was accompanied by a reduction in Psa leaf spotting; no such relationship was measurable for ‘Zesy002’ because leaf spot symptoms are rarely expressed. In the third season, six additional gene candidates, BAD, Gluc2, Class IV Chit, EDS1A, NPR3, and NIMIN2, were responsive to ASM in ‘Hayward’ and ‘Zesy002.’ Gene upregulation was transient, with expression levels increasing by 1 d after ASM application and declining to control levels between 7 and 14 days. Moreover, the amplitude of gene upregulation depended on leaf developmental stage and was greater in the first true leaf and the youngest mature leaves than in immature leaves along the same shoot. Phytohormone content did not show a repeatable response pattern to ASM in potted plants or in vines possibly as a consequence of their wider role in regulating plant growth and mediating environmental responses. In conclusion, this study demonstrates that defence gene expression can be used to monitor responsiveness to ASM in two genetically distinct mature kiwifruit cultivars (‘Hayward’ and ‘Zesy002’) under orchard conditions. The use of defence marker genes could be of broader utility across kiwifruit species and could be used to guide ASM application schedules in the orchard.

Background. Fluoride-releasing capacity has been added to fissure sealants to benefit from the positive anticariogenic effects of both sealants and fluoride. This comparative research investigated the inhibitory effects of conventional and fluoridereleasing fissure sealants on initial lesions with or without exposure to fluoride toothpaste. Methods. Cavities were prepared on buccal surfaces of 24 premolar teeth which were randomly divided into three groups. In the cavities of the first group, a fluoride-releasing fissure sealant and in the second group, a conventional fissure sealant were placed; the third group was left intact. Incipient lesions were produced around the cavities. Each group was divided into two subgroups, which were exposed to fluoride-containing toothpaste or artificial saliva. Lesion depths were measured under a polarized light microscope before and after treatment. Changes in lesion depths in the samples were analyzed by SPSS 17. Results. Initial and final caries depths were significantly lower in the fluoride-releasing fissure sealant group compared to the other groups (P

This study aimed to identify the factors associated with timely (within four weeks) HCV RNA testing and timely (within six months) DAA initiation following HCV notification in the DAA era. We conducted a cohort study of people with an HCV notification in NSW, Australia. Notifications of positive HCV serology were linked to administrative datasets. Weights were applied to account for spontaneous clearance. Logistic regression analyses were performed. Among 5582 people with an HCV notification during 2016–2017, 3867 (69%) were tested for HCV RNA, including 2770 (50%) who received timely testing. Among an estimated 3925 people with chronic HCV infection, 2372 (60%) initiated DAA therapy, including 1370 (35%) who received timely treatment. Factors associated with timely HCV RNA testing included age (≥30 years), female sex, non-Aboriginal ethnicity, country of birth being Australia, and no history of drug dependence. Factors associated with timely treatment were age (≥30 years), male sex, non-Aboriginal ethnicity, country of birth being Australia, no history of drug dependence, and HCV/HIV co-infection. In the DAA era, 50% of people with an HCV notification did not receive timely HCV RNA testing. Most people with an HCV infection received therapy; however, DAA initiation was delayed among many.

This study evaluated HCV treatment initiation among people who inject drugs (PWID) following an intervention of campaign days involving peer connection, point-of-care HCV RNA testing, and linkage to nursing support. ETHOS Engage is an observational cohort study of PWID attending 25 drug treatment clinics and needle and syringe programs in Australia (May 2018–September 2019). Point-of-care results were provided to the nurse, facilitating confirmatory testing and treatment. The study aimed to evaluate treatment uptake and factors associated with treatment at 24 months post-enrolment. There were 317 people with current HCV infection and eligible for treatment (median age 43, 65% male, 15% homeless, 69% receiving opioid agonist treatment, 70% injected in last month). Overall, 15% (47/317), 27% (85/317), 38% (120/317), and 49% (155/317) of people with current HCV infection had initiated treatment at 3-, 6-, 12-, and 24-months following testing, respectively. Homelessness (adjusted hazard ratio (aHR): 0.40; 95% confidence interval: 0.23, 0.71) and incarceration in the past 12 months (vs. never, aHR:0.46; 0.28, 0.76) were associated with decreased treatment initiation in the 24 months post-enrolment. This testing campaign intervention facilitated HCV treatment uptake among PWID. Further interventions are needed to achieve HCV elimination among people experiencing homelessness or incarceration.

Australia was one of the first countries to introduce government-funded unrestricted access to direct-acting antiviral (DAA) therapy, with 88,790 treated since March 2016. However, treatment uptake is declining which could potentially undermine Australia's progress towards the WHO HCV elimination targets. Using mathematical modelling, we updated estimates for those living with chronic HCV in Australia, new cases of decompensated cirrhosis (DC), hepatocellular carcinoma (HCC), and liver-related mortality among the HCV-cured and viraemic populations from 2015 to 2030. We considered various DAA treatment scenarios incorporating annual treatment numbers to 2020, and subsequent uptake per year of 6,790 (pessimistic), 8,100 (intermediate), and 11,310 (optimistic). We incorporated the effects of excess alcohol consumption and reduction in progression to DC and HCC among cirrhosis-cured versus viraemic individuals. At the end of 2020, we estimated 117,810 Australians were living with chronic HCV. New cases per year of DC, HCC, and liver-related mortality among the HCV viraemic population decreased rapidly from 2015 (almost eliminated by 2030). In contrast, the growing population size of those cured with advanced liver disease meant DC, HCC, and liver-related mortality declined slowly. The estimated reduction in liver-related mortality from 2015 to 2030 in the combined HCV viraemic and cured population is 25% in the intermediate scenario. With declining HCV treatment uptake and ongoing individual-level risk of advanced liver disease complications, including among cirrhosis-cured individuals, Australia is unlikely to achieve all WHO HCV elimination targets by 2030.

Introduction In Australia, the notification rate for hepatitis C is 5 times greater among Aboriginal and Torres Strait Islander peoples than non‑Indigenous populations (164 vs. 35 per 100,000). Infection with Hepatitis C virus is associated with increased morbidity, mortality and health-related costs. Recently, the use of simple, tolerable and short-duration HCV therapies with extremely high efficacy (cure rates >90%) became available through the Pharmaceutical Benefits Scheme (PBS) on 1 March 2016. Objectives and Approach Overall, this project aims to identify inequities in hepatitis C healthcare for Aboriginal and Torres Strait Islander peoples across SA and NT. By using 19 routinely collected health administration datasets, we will evaluate hepatitis C diagnoses, treatment uptake, and treatment outcomes, with focus on identifying patterns in healthcare access among Aboriginal and Torres Strait Islander people. The study links state-based and federal datasets, including Medicare, Pharmaceutical Benefits Scheme, and National Mortality Database, to hepatitis C notifications reported in SA since 1992 or in NT since 1999 using probabilistic data linkage methodology in a secured online environment. Results The study population includes all hepatitis C notifications recorded in SA and NT, totalling more than 25,000 cases. Preliminary findings will be reported including incidence of hospitalisation, mortality, and morbidity by Aboriginal and Torres Strait Islander status. Conclusion / Implications This project is of national importance to address hepatitis C related morbidity and mortality in Australia, particularly among Aboriginal and Torres Strait Islander peoples. Now that highly effective direct acting anti-viral treatments are available, it is crucial to ensure key affected populations, including Aboriginal and Torres Strait Islander people, have access to these novel biomedical approaches. Findings will underpin future policy to reduce the burden of hepatitis C across SA and NT populations.

Abstract Background This study evaluated cause-specific mortality trends including liver-related mortality among people with a hepatitis B virus (HBV) and hepatitis C virus (HCV) notification in New South Wales, Australia. Methods Notifications 1993-2012 were linked to cause-specific mortality records 1993-2013. Results Among 57,929 and 92,474 people with a HBV and HCV notification, 4.8% and 10.0% died since 1997. In early 2010s, 28% and 33% of HBV and HCV deaths were liver-related, 28% and 17% were cancer-related (excluding liver cancer), and 5% and 15% were drug-related, respectively. During 2002-2012, annual HBV-related liver death numbers were relatively stable (53 to 68), while HCV-related liver death numbers increased considerably (111 to 284). Age-standardised HBV-related liver mortality rates declined from 0.2 to 0.1 per 100 person-years (PY) (P

This study determined the optimum model using linear programming model (single objective) and planning Lexico and CGP (multi-objective) and discussed the optimum model by using the method of choice in normal use genetic algorithms. Information required through a questionnaire which were completed by 270 (down villages provinces) farmers in the Torbat-e Heydarieh Township. A two-stage cluster sampling was executed. The results of comparing changes in the land acreage of farmers, agricultural cooperatives can be inferred members and non-member farmers' cooperatives in agriculture, generally lower than cropping pattern changes are sustainable, Therefore, it can be concluded that membership in agricultural cooperatives due to the cropping pattern with the objective of sustainable agriculture cropping pattern and water efficiency is appropriate in order to extend and expand the facility to recruit farmers to non-agricultural cooperatives was recommended.

We assessed trends in HCC survival in patients with hepatitis B virus (HBV) or hepatitis C virus (HCV) infection in New South Wales, Australia. Data on HBV (n = 54,399) and HCV (n = 96,908) notifications (1993‐2012) were linked to a hospitalization database (July 2000‐June 2014), the New South Wales Cancer Registry, and the New South Wales Death Registry. A total of 725 (1.3%) first HBV‐hepatocellular carcinoma (HCC) and 1,309 (1.4%) first HCV‐HCC hospitalizations were included. Death occurred in 60.4% of HBV‐HCC and 69.6% of HCV‐HCC patients. Median survival following first HBV‐HCC hospitalization improved from 0.6 years (95% confidence interval [CI] 0.39‐1.28) in 2000‐2004 to 2.8 years (1.54‐5.54) in 2010‐2014. Median survival following first HCV‐HCC hospitalization was 0.8 years (0.45‐1.33) in 2000‐2004 and 0.9 (0.67‐1.18) in 2010‐2014. One‐year HBV‐HCC survival in 2010‐2014 compared to 2000‐2004 improved for those with (94% versus 81%) and without (42% versus 33%) potentially curative procedures (liver resection, liver transplantation, and radiofrequency ablation). Factors associated with improved survival following HBV‐HCC were later study period (hazard ratio [HR] = 0.74; 95% CI, 0.57‐0.97) and potentially curative procedures (liver resection, liver transplantation, and radiofrequency ablation) (HR = 0.23; 95% CI, 0.17‐0.29), while male gender (HR = 1.37; 95% CI, 1.03‐1.82), human immunodeficiency virus coinfection (HR = 3.06; 95% CI, 1.36‐6.88), and Charlson Comorbidity Index ≥3 (HR = 1.81; 95% CI, 1.35‐2.40) were associated with reduced survival. Factors associated with improved survival following HCC‐HCV were Asia‐Pacific country of birth (HR = 0.68; 95% CI, 0.55‐0.84) and potentially curative procedures (HR = 0.21; 95% CI, 0.17‐0.25), while age (HR = 1.01; 95% CI, 1.01‐1.02), rural place of residence (HR = 1.46; 95% CI, 1.22‐1.74), and human immunodeficiency virus coinfection (HR = 2.71; 95% CI, 1.19‐6.15) were associated with reduced survival. Conclusion: All‐cause survival following HBV‐HCC has improved considerably, suggesting an impact of more effective antiviral therapy and earlier HCC diagnosis; in contrast, all‐cause survival for HCV‐HCC is unchanged. (Hepatology Communications 2017;1:736–747)

To develop effective and targeted biocontrol tactics for the brown marmorated stink bug, Halyomorpha halys, in crop habitats, a good understanding is essential of the abundance and diversity of its parasitoids in different crop habitats in its native range. To obtain information on the egg parasitoid communities of H. halys in kiwifruit, surveys using sentinel egg masses were conducted in 2018 and 2019. These assessed the species composition of egg parasitoids of H. halys in green-fleshed ‘Hayward’ kiwifruit orchards, and quantified their season-long abundances in orchards under two different management systems. Parasitism was observed from June to August 2018 (mean parasitism: 48%) and from May to August 2019 (mean parasitism: 29%) across the experimental orchards. In total, five different parasitoid species were found across the two surveys seasons in the kiwifruit orchards, Trissolcus japonicus, T. cultratus, T. plautiae, Anastatus japonicus, and Acroclisoides sp., where T. japonicus and T. cultratus were the predominant species. Monthly T. japonicus abundance data had a unimodal distribution in 2018, peaking in July. There were two peaks (May–June and August) in the 2019 season. Overall, T. japonicus was significantly more abundant in the organic orchard than the conventionally managed orchard only in 2018, and its monthly abundance differed significantly in the two orchards in the two survey seasons. Results and their implications for future classical biological control for H. halys in kiwifruit are discussed.

Giving the importance to management of agricultural units, politics decision based on cultivation method containing the goals priority of agricultural units will get important and selecting a method which can include variety of managers goals and guide them to optimum goals is so important and serious.Therefore, in this study to determine the optimum model using linear programming method (single goal) and planning CGP (Multi choice goal) have placed. Information required through completing 188 questionnaires from farmers functions two-stage cluster sampling Torbat-of-classified to 1394, respectively. The results showed that the cultivation of wheat to the primary level increased and decreased alfalfa product. Barley in small and medium-scale crop farms and large farms without change to the primary level has increased and sugar beet in small-scale farms and in the fields of medium and large scale increase is unchanged means pattern is removed. The cotton crop in small farms and farms of medium and large scale unchanged compared to the initial level decreased

An isolate of Aureobasidium pullulans (strain = CG163) and the plant defence elicitor acibenzolar-S-methyl (ASM) were investigated for their ability to control leaf spot in kiwifruit caused by Pseudomonas syringae pv. actinidiae biovar 3 (Psa). Clonal Actinidia chinensis var. deliciosa plantlets (‘Hayward’) were treated with ASM, CG163 or ASM + CG163 at seven and one day before inoculation with Psa. ASM (0.2 g/L) was applied either as a root or foliar treatments and CG163 was applied as a foliar spray containing 2 × 107 CFU/mL. Leaf spot incidence was significantly reduced by all treatments compared with the control. The combination of ASM + CG163 had greater efficacy (75%) than either ASM (55%) or CG163 (40%) alone. Moreover, treatment efficacy correlated positively with the expression of defence-related genes: pathogenesis-related protein 1 (PR1), β-1,3-glucosidase, Glucan endo 1,3-β-glucosidase (Gluc_PrimerH) and Class IV chitinase (ClassIV_Chit), with greater gene upregulation in plants treated with ASM + CG163 than by the individual treatments. Pathogen population studies indicated that CG163 had significant suppressive activity against epiphytic populations of Psa. Endophytic populations were reduced by ASM + CG163 but not by the individual treatments, and by 96−144 h after inoculation were significantly lower than the control. Together these data suggest that ASM + CG163 have complementary modes of action that contribute to greater control of leaf spotting than either treatment alone.

The Slit protein is a major midline repellent for central nervous system (CNS) axons. In vivo, Slit is proteolytically cleaved into N- and C-terminal fragments, but the biological significance of this is unknown. Analysis in the Drosophila ventral nerve cord of a slit allele (slit-UC) that cannot be cleaved revealed that midline repulsion is still present but longitudinal axon guidance is disrupted, particularly across segment boundaries. Double mutants for the Slit receptors Dscam1 and robo1 strongly resemble the slit-UC phenotype, suggesting they cooperate in longitudinal axon guidance, and through biochemical approaches, we found that Dscam1 and Robo1 form a complex dependent on Slit-N. In contrast, Robo1 binding alone shows a preference for full-length Slit, whereas Dscam1 only binds Slit-N. Using a variety of transgenes, we demonstrated that Dscam1 appears to modify the output of Robo/Slit complexes so that signaling is no longer repulsive. Our data suggest that the complex is promoting longitudinal axon growth across the segment boundary. The ability of Dscam1 to modify the output of other receptors in a ligand-dependent fashion may be a general principle for Dscam proteins.

Despite effective treatment for recent hepatitis C (HCV) infection, side-effects and adherence concerns limit its use among people who inject drugs (PWID). This study evaluated health-related quality of life (HRQoL) and social functioning following infection and during recent HCV treatment.The Australian Trial of Acute Hepatitis C studied the natural history and treatment of recent HCV infection. HRQoL (SF-12v2) and social functioning (Opiate Treatment Index score) were measured over 48 weeks and their impact on treatment uptake, adherence and virological response were assessed.Of 163 participants, 111 received treatment (HCV n = 74, SVR 55%; HCV/HIV n = 37, SVR 74%). 116 (71%) were male, 124 (76%) ever injected drugs, with 55 (36%) injecting recently and 28/55 (51%) reported needle/syringe sharing. At baseline, median physical and mental HRQoL was 54 units (IQR 46-58) and 46 (35-54) (reference median: 50), respectively, and median social functioning score was 11 units (7-17). Higher social function (

Background: Polyarteritis nodosa (PAN) is a vasculitis that affects medium-sized arteries. PAN is a rare disease and requires a high clinical suspicion for diagnosis. PAN and HSP (newly named Immunoglobulin A-associated vasculitis) have narrowing differential diagnosis. Here, we reported a case of PAN. Case presentation: Our patient was a 65-year-old woman that came to hospital due to abdominal pain and skin lesion on the right upper and right lower extremities. All rheumatologic tests were negative. A biopsy of the skin lesion was reported as mild hyperkeratosis, slight spongiosis with intact basal layer. The dermis showed moderate to severe perivascular PMN infiltration with vessel wall degeneration and extravasation of RBCs. A colonoscopy reported diffuse mucosal erythema and erosions were seen in the rectum until 6cm of anal verge. An electromyogram test and nerve conduction velocity study of the upper extremities reported bilateral mild carpal tunnel syndrome, and in the right lower extremities mononeuritis multiplex could not be ruled out. Abdominopelvic CT scan reported diffuse wall thickening of terminal ileum associated with mesenteric fat and narrow enhancement of inferior Mesenteric artery with patchy filling defect. After evaluation, the patient received corticosteroid pulses plus cyclophosphamide. Conclusion: Diagnosis and treatment of PAN are important and PAN should be considered in a patient with skin lesions and neurological impairment.

Background: Polyarteritis nodosa (PAN) is a vasculitis that affects medium sized arteries. PAN is a rare disease and requires a high vilgilance for diagnosis. For instance, PAN and Henoch-Schonlein purpura (HSP) have narrowing differential diagnosis. Here, we report a case of PAN. Case presentation : Our patient was a 65 year old woman that came to hospital due to abdominal pain and skin lesion on the right upper and right lower extremities. All rheumatologic tests were negative. A biopsy of the skin lesion was reported as mild hyperkeratosis, slight spongiosis with intact basal layer. The dermis showed moderate to severe perivascular PMN infiltration with vessel wall degeneration and extravasation of RBCs. A colonoscopy reported diffuse mucosal erythema and erosions were seen in the rectum until 6cm of anal verge. An electromyogram test and nerve conduction velocity study of the upper extremities reported bilateral mild carpal tunnel syndrome, and in the right lower extremities mononeuritis multiplex could not be ruled out. Abdominopelvic CT scan reported diffuse wall thickening of terminal ileum associated with mesenteric fat and narrow enhancement of inferior Mesenteric artery with patchy filling defect. After evaluation, the patient received corticosteroid pulses plus cyclophosphamide. Conclusion: Diagnosis and treatment of PAN is important and PAN should be considered in a patient with skin lesions and neurological impairment.