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In the present study, we show that SARS-CoV-2 can infect palatine tonsils and adenoids in children without symptoms of COVID-19, with no history of recent upper airway infection. We studied 48 children undergoing tonsillectomy due to snoring/OSA or recurrent tonsillitis between October 2020 and September 2021. Briefly, nasal cytobrush (NC), nasal wash (NW) and tonsillar tissue fragments obtained at surgery were tested by RT-PCR, immunohistochemistry (IHC), flow cytometry and neutralization assay. We detected the presence of SARS-CoV-2 in at least one specimen tested in 25% of patients (20% in palatine tonsils and 16.27% in adenoids, 10.41% of NC and 6.25% of NW). Importantly, in 2 of the children there was evidence of laboratory-confirmed acute infection 2 and 5 months before surgery. IHC revealed the presence of SARS-CoV-2 nucleoprotein in epithelial surface and in lymphoid cells in both extrafollicular and follicular regions, in adenoids and palatine tonsils. Flow cytometry showed that CD20+B lymphocytes were the most infected phenotypes by SARS-CoV-2 NP, followed by CD4+ and CD8+ T lymphocytes, and CD14+ macrophages and dendritic cells. Additionally, IF indicated that SARS-CoV-2-infected tonsillar tissues had increased expression of ACE2 and TMPRSS2. NGS sequencing demonstrated the presence of different SARS CoV-2 variants in tonsils from different tissues. SARS-CoV-2 antigen detection was not restricted to tonsils, but was also detected in nasal cells from the olfactory region. In conclusion, palatine tonsils and adenoids are sites of prolonged infection by SARS-CoV-2 in children, even without COVID-19 symptoms.

Elective genetic testing (EGT) to identify disease risk in individuals who may or may not meet clinical criteria for testing is increasingly being offered in clinical practice. However, little is known about how EGT is currently implemented and how genetics professionals perceive this type of testing. We conducted a mixed-methods survey study to evaluate genetics professionals' perspectives and attitudes about EGT and describe the current landscape of EGT practices in the United States (U.S.) and Canada. Six clinical geneticists and 131 genetic counselors responded to the online survey, among whom 44% reported offering EGT in their practice. Over 84% of survey respondents agreed that EGT may improve health outcomes and understanding of genotype-phenotype correlations, and 85% agreed that potential risks include result misinterpretation and contribution to economic health disparities. Though most respondents felt comfortable providing pretest (77%) and post-test (86%) counseling for EGT, lack of provider resources (such as time and personnel) and prioritization of diagnostic testing were cited most frequently in free-text responses as reasons for not offering EGT. Of those offering EGT, 88% reported positive overall experiences. Qualitative analysis of open-ended questions identified benefits of EGT as expanding access to genetic testing, providing potential health benefits, and providing psychological benefits for patients. Disadvantages included prohibitive costs, limited clinical utility, and strain on resources. Overall, we found that genetics providers perceive both potential benefits and harms of EGT and that those offering this testing had generally positive experiences, although ethical reservations and practical limitations exist.

Objectives The aim of this AFIRE (Atrial Fibrillation and Ischemic Events With Rivaroxaban in Patients With Stable Coronary Artery Disease) trial subgroup analysis was to examine rivaroxaban monotherapy benefits and their relation to the time between stenting and enrollment among patients after coronary stenting. Background Of 2,215 patients with atrial fibrillation and stable coronary artery disease in the AFIRE trial, rivaroxaban monotherapy was noninferior to rivaroxaban plus antiplatelet therapy (combination therapy) in terms of efficacy and superior for safety endpoints. However, thrombotic risk after antiplatelet therapy cessation remained a concern among 1,444 patients who had undergone coronary stenting >1 year before enrollment. Methods The benefits of rivaroxaban monotherapy in coronary stenting subgroups were assessed for efficacy (a composite of stroke, systemic embolism, myocardial infarction, unstable angina requiring revascularization, or death of any cause), safety (major bleeding defined according to International Society on Thrombosis and Haemostasis criteria), ischemic endpoints, net adverse clinical event, and time between stenting and enrollment. Results Efficacy and safety endpoints for monotherapy were superior to combination therapy, with HRs of 0.70 for efficacy (95% CI: 0.50-0.98; P = 0.036) and 0.55 for safety (95% CI: 0.33-0.92; P = 0.019). For ischemic endpoints, the HR was 0.82 (95% CI: 0.58-1.15; P = 0.240). The HR became smaller with longer time between stenting and enrollment (efficacy, P for interaction = 0.158; safety, P = 0.097). Conclusions In patients with atrial fibrillation after coronary stenting, the benefits of rivaroxaban monotherapy for efficacy and safety endpoints were consistent with those in the whole AFIRE trial population. The benefits became apparent with longer time between stenting and enrollment. (Atrial Fibrillation and Ischemic Events With Rivaroxaban in Patients With Stable Coronary Artery Disease Study [AFIRE]; UMIN000016612 , NCT02642419 )

Fully superconducting rotating machines employing REBa2Cu3O y (REBCO, RE = rare earth elements or Y) superconducting armature and field coils, are particularly interesting for aircraft applications, owing to their high output power density (kW kg−1). To achieve high current capability in superconducting coils, we have proposed a cabling design for transposed multi-strand parallel conductors. In the parallel conductor design, the REBCO strands are insulated from each other, except for both terminal ends, and transposed during the winding process to achieve uniform current distribution by cancellation of interlinkage magnetic flux between the strands. In this study, a simplified analytical method considering inductances was developed based on Laplace’s equation in cylindrical coordinates to roughly calculate the current distributions of multi-strands under armature coil conditions. The validity of the analytical method was investigated through current distribution measurements of the sample coils wound with two-strand parallel conductors. Consequently, the analytical method was validated with approximately 10% deviation under the experimental coil conditions. To establish a more accurate analysis method, certain improvements are needed.

This paper proposes an efficient method, based on reinforcement learning, to be used as ship controller in fast-time simulators within restricted channels. The controller must operate the rudder in a realistic manner in both time and angle variation so as to approximate human piloting. The method is well suited to scenarios where no previous navigation data is available; it takes into account, during training, both the effect of environmental conditions and also curves in channels. We resort to an asynchronous distributed version of the reinforcement learning algorithm Deep Q Network (DQN), handling channel segments as separate episodes and including curvature information as context variables (thus moving away from most work in the literature). We tested our proposal in the channel of Porto Sudeste, in the southern Brazilian coast, with realistic environment scenarios where wind and current incidence varies along the channel. The method keeps a simple representation and can be applied to any port channel configuration that respects local technical regulations.

Cs-Bi and Cs-Sb absorbed graphite samples (Cs-Bi/graphite and Cs-Sb/graphite) were synthesized and their high temperature chemical stabilities were tested up to 1500 °C by TG and analyzed by TEM-EDS for the development of Cs trap material in high temperature gas-cooled reactor (HTGR) fuel particles. It was observed that Cs was stabilized by Sb but not by Bi in the specimens after the TG test. A rapid weight loss from 800 to 1000 °C may be caused by evaporation of Cs (boiling point: 671 °C) was seen in the TG result of both specimens. Precipitated Cs-Sb substance in the graphite matrix were not resolved even after the 1500 °C heating. The chemical composition of the Cs-Sb was specified as Cs3Sb. The experimental results suggest that Sb have potential to be a Cs getter material in graphite matrix. Long term heating test should be performed to confirm adaptability of Sb for Cs trap material in HTGR fuel particles.

In this paper, a simple method to improve sampling efficiency of the generalized hybrid Monte Carlo (GHMC) method is presented. Compared to the standard GHMC method, our method is found to allow us to safely increase the time increment for solving an equation-of-motion in the GHMC calculations by a factor of 4. We have demonstrated various algorithmic parameter dependence on the sampling efficiency of a hydrated alanine dipeptide.

Systemic sclerosis (SSc) is an autoimmune disorder characterized by excessive extracellular matrix deposition. Although SSc-associated interstitial lung disease (ILD) is one of the most important complications as a cause of death in SSc, prediction factors of treatment reactivity in SSc-ILD are still unclear. To assess relationships between interleukin (IL)-6 and reactivity to treatment, we measured serum IL-6 levels in 23 of active SSc-ILD patients under i.v. cyclophosphamide (IVCY) therapy and 20 of stabilized SSc-ILD, using the high-sensitivity enzyme-linked immunoassay system. Serum IL-6 levels in active SSc-ILD patients were significantly higher than those in stabilized SSc-ILD patients. Among active SSc-ILD patients, baseline serum IL-6 levels were not significantly different between IVCY responders and non-responders. Meanwhile, serum IL-6 levels after three IVCY doses out of a total of six were decreased in responders but not in non-responders. Regarding changes of parameters by the three doses of a total of six of IVCY, change in serum IL-6 levels correlated inversely with that in values of pulmonary function test. Thus, the rapid decrease in serum IL-6 levels during a couple of doses may predict the efficacy of IVCY therapy against SSc-ILD.

We report the development of a millimeter-wave electron-spin-resonance (ESR) measurement system at the University of Fukui using a 3He/4He dilution refrigerator to reach temperatures below 1 K. The system operates in the frequency range of 125–130 GHz, with a homodyne detection. A nuclear-magnetic-resonance (NMR) measurement system was also developed in this system as the extension for millimeter-wave ESR/NMR double magnetic-resonance (DoMR) experiments. Several types of Fabry–Perot-type resonators (FPR) have been developed: A piezo actuator attached to an FPR enables an electric tuning of cavity frequency. A flat mirror of an FPR has been fabricated using a gold thin film aiming for DoMR. ESR signal was measured down to 0.09 K. Results of ESR measurements of an organic radical crystal and phosphorous-doped silicon are presented. The NMR signal from 1H contained in the resonator is also detected successfully as a test for DoMR.

We have developed a millimeter-wave electron-spin-resonance (ESR) measurement system using a 3He-4He dilution refrigerator for the ultralow-temperature range below 1 K. The currently available frequency range is 125–130 GHz. This system is based on a Fabry-Perot-type resonator (FPR) that is composed of two mirrors. The frequency can be changed by adjusting the distance between the mirrors using a piezoelectric actuator installed at the bottom of the resonator. A homodyne detection system with an InSb detector is built into the low-temperature section of the 3He-4He dilution refrigerator; this system provides high sensitivity. Using this system, we performed ESR measurements on a Heisenberg quantum-spin chain—copper pyrazine dinitrate, Cu(C4H4N2)(NO3)2—over the temperature range from 6.6 down to 0.25 K. The ESR lines change continuously with decreasing temperature. Our results suggest that the ESR spectrum of copper pyrazine dinitrate may be useful as a temperature sensor for the very low-temperature range.

Polyphenylene-based hydrophilic–hydrophobic diblock copolymers were developed and used as ionomers in the catalyst layers (CLs) of polymer electrolyte membrane fuel cells. The introduction of aliphatic side chains into the polymer backbone provided high oxygen transport properties in the CLs and high overall performance of the fuel cells.

Deficiency in the deubiquitinating enzyme A20 causes severe inflammation in mice, and impaired A20 function is associated with human inflammatory diseases. A20 has been implicated in negatively regulating NF-κB signalling, cell death and inflammasome activation; however, the mechanisms by which A20 inhibits inflammation in vivo remain poorly understood. Genetic studies in mice revealed that its deubiquitinase activity is not essential for A20 anti-inflammatory function. Here we show that A20 prevents inflammasome-dependent arthritis by inhibiting macrophage necroptosis and that this function depends on its zinc finger 7 (ZnF7). We provide genetic evidence that RIPK1 kinase-dependent, RIPK3–MLKL-mediated necroptosis drives inflammasome activation in A20-deficient macrophages and causes inflammatory arthritis in mice. Single-cell imaging revealed that RIPK3-dependent death caused inflammasome-dependent IL-1β release from lipopolysaccharide-stimulated A20-deficient macrophages. Importantly, mutation of the A20 ZnF7 ubiquitin binding domain caused arthritis in mice, arguing that ZnF7-dependent inhibition of necroptosis is critical for A20 anti-inflammatory function in vivo. © 2019, The Author(s), under exclusive licence to Springer Nature Limited.