Individual recognition of opposite sex vocalizations in the zebra finch.
Individual vocal recognition plays an important role in the social lives of many vocally active species. In group-living songbirds the most common vocalizations during communal interactions are low-intensity, soft, unlearned calls. Being able to tell individuals apart solely from a short call would allow a sender to choose a specific group member to address, resulting in the possibility to form complex communication networks. However, little research has yet been carried out to discover whether soft calls contain individual identity. In this study, males and females of zebra finch pairs were tested with six vocalization types - four different soft calls, the distance call and the male song - to investigate whether they are able to distinguish individuals of the opposite sex. For both sexes, we provide the first evidence of individual vocal recognition for a zebra finch soft unlearned call. Moreover, while controlling for habituation and testing for repeatability of the findings, we quantify the effects of hitherto little studied variables such as partners' vocal exchange previous to the experiment, spectral content of playback calls and quality of the answers. We suggest that zebra finches can recognize individuals via soft vocalizations, therefore allowing complex directed communication within vocalizing flocks.


Development and validation of a physiology-based model for the prediction of pharmacokinetics/toxicokinetics in rabbits.
The environmental fates of pharmaceuticals and the effects of crop protection products on non-target species are subjects that are undergoing intense review. Since measuring the concentrations and effects of xenobiotics on all affected species under all conceivable scenarios is not feasible, standard laboratory animals such as rabbits are tested, and the observed adverse effects are translated to focal species for environmental risk assessments. In that respect, mathematical modelling is becoming increasingly important for evaluating the consequences of pesticides in untested scenarios. In particular, physiologically based pharmacokinetic/toxicokinetic (PBPK/TK) modelling is a well-established methodology used to predict tissue concentrations based on the absorption, distribution, metabolism and excretion of drugs and toxicants. In the present work, a rabbit PBPK/TK model is developed and evaluated with data available from the literature. The model predictions include scenarios of both intravenous (i.v.) and oral (p.o.) administration of small and large compounds. The presented rabbit PBPK/TK model predicts the pharmacokinetics (Cmax, AUC) of the tested compounds with an average 1.7-fold error. This result indicates a good predictive capacity of the model, which enables its use for risk assessment modelling and simulations.


A Randomized Clinical Trial of Clinician-Supported PTSD Coach in VA Primary Care Patients.
Posttraumatic stress disorder (PTSD) is common in primary care patients; however, evidence-based treatments are typically only available in specialty mental healthcare settings and often not accessed. To test the effectiveness of a brief primary care-based treatment, Clinician-Supported PTSD Coach (CS PTSD Coach) was compared with Primary Care Mental Health Integration-Treatment as Usual (PCMHI-TAU) in (1) reducing PTSD severity, (2) engaging veterans in specialty mental health care, and (3) patient satisfaction with care. Multi-site randomized pragmatic clinical trial. A total of 234 veterans with PTSD symptoms who were not currently accessing PTSD treatment. CS PTSD Coach was designed to be implemented in Veterans Affairs PCMHI and combines mental health clinician support with the "PTSD Coach" mobile app. Four 30-min sessions encourage daily use of symptom management strategies. PTSD severity was measured by clinician-rated interviews pre- and post-treatment (8 weeks). Self-report measures assessed PTSD, depression, and quality of life at pretreatment, posttreatment, and 16- and 24-week follow-ups, and patient satisfaction at post-treatment. Mental healthcare utilization was extracted from medical records. Clinician-rated PTSD severity did not differ by condition at post-treatment. CS PTSD Coach participants improved more on patient-reported PTSD severity at post-treatment than TAU participants (D = .28, p = .021). Coach participants who continued to have problematic PTSD symptoms at post-treatment were not more likely to engage in 2 sessions of specialty mental health treatment than TAU participants. Coach participants engaged in 74% more sessions in the intervention and reported higher treatment satisfaction than TAU participants (p < .001). A structured 4-session intervention designed to align with patient preferences for care resulted in more patient-reported PTSD symptom relief, greater utilization of mental health treatment, and overall treatment satisfaction than TAU, but not more clinician-rated PTSD symptom relief or engagement in specialty mental health.


Dietary NaCl influences the organization of chorda tympani neurons projecting to the nucleus of the solitary tract in rats.
Prior research has shown that maintained exposure to either a low or high NaCl diet from conception to adulthood is associated with changes in NaCl solution intake and neural responses of the chorda tympani (CT) nerve. The present study examined the influence of maintained exposure to a low or high NaCl diet on the central organization of CT neurons projecting to the nucleus of the solitary tract (NST). Three groups of rats were reared and maintained on regular chow containing either basal 0.1%, intermediate 1.0% or high 6% NaCl from conception to adulthood. The fluorescent marker Dil was applied to the CT for characterization of afferent terminations and efferent cell body labeling in the brainstem. The total NST area occupied by CT afferent fibers was the same for all three dietary groups. However, the pattern of CT innervation differed such that there was an enlarged dorsal terminal field in the high group. There were no group differences in body and brain weight, or in efferent labeled neurons. Thus, Dil has been demonstrated to be an effective transport marker of the gustatory system and the parameters of dietary NaCl exposure that influence the pattern of the CT fibers projecting to the NST have been further clarified.


Highly effective binding of methyl viologen dication and its radical cation by p-sulfonatocalix[4,5]arenes.
The binding behaviors and thermodynamic origins of p-sulfonatocalix[4]arene (C4AS) and p-sulfonatocalix[5]arene (C5AS) with methyl viologen (MV2+) have been investigated by the methods of isothermal titration calorimetry, NMR, and cyclic voltammetry, showing that the binding abilities of C4AS and C5AS and their host selectivity are dramatically pH-controlled, which is closely discussed from the viewpoint of thermodynamics. Moreover, the radical form of MV+* can also be effectively included by C4AS and C5AS.


An extrapedicular approach to the placement of screws in the thoracic spine: an anatomic and radiographic assessment.
A radiographic and anatomic study of an extrapedicular method of screw placement in cadaveric thoracic spines. To evaluate an alternative method of thoracic vertebral body screw fixation using an extrapedicular screw technique. To evaluate the anatomic safe zones and proper starting point for this alternative approach to the placement of screw fixation in the thoracic spine. Despite the clinical successes reported with thoracic pedicle screw-rod constructs, controversy exists about the safety of this technique in pedicles that are anatomically too small for transpedicular fixation. An alternative method of extrapedicular screw fixation was evaluated in this present study. Two fresh, unfixed, adult cadavers were obtained randomly; 6.0-mm AO Synthes pedicle screws were placed using an extrapedicular approach bilaterally from T3 to T10. The screws were placed according to one defined method described later. Computerized tomographic (CT) images were obtained. The position of each screw was analyzed. The cadavers were then dissected with the screw pathway exposed and the relation of the screw to surrounding anatomy documented. All screws did not penetrate the spinal canal. All screws were within the pedicle rib unit and did not penetrate the neural foramen or pleura. This study, although only introductory, indicates the potential for extrapedicular vertebral body fixation in the thoracic spine. Biomechanical evaluations are presently being conducted to evaluate the use of extrapedicular thoracic screw fixation.


Tolerance development to cadmium-induced alteration of drug action.
Cadmium administration potentiates the duration of hexobarbital-induced hypnosis and inhibits the rate of hepatic microsomal metabolism of this drug in the male rat. The threshold dose of cadmium required to produce these alterations in drug action is 0.84 mg Ck/kg. If subthreshold doses of cadmium (0.21 or 0.42 mg Cd/kg) are administered prior to the 0.84 mg Cd/kg dose, the cadmium-induced alterations in drug action are no longer observed.


Maximum likelihood positioning algorithm for high-resolution PET scanners.
In high-resolution positron emission tomography (PET), lightsharing elements are incorporated into typical detector stacks to read out scintillator arrays in which one scintillator element (crystal) is smaller than the size of the readout channel. In order to identify the hit crystal by means of the measured light distribution, a positioning algorithm is required. One commonly applied positioning algorithm uses the center of gravity (COG) of the measured light distribution. The COG algorithm is limited in spatial resolution by noise and intercrystal Compton scatter. The purpose of this work is to develop a positioning algorithm which overcomes this limitation. The authors present a maximum likelihood (ML) algorithm which compares a set of expected light distributions given by probability density functions (PDFs) with the measured light distribution. Instead of modeling the PDFs by using an analytical model, the PDFs of the proposed ML algorithm are generated assuming a single-gamma-interaction model from measured data. The algorithm was evaluated with a hot-rod phantom measurement acquired with the preclinical hyperion II (D) PET scanner. In order to assess the performance with respect to sensitivity, energy resolution, and image quality, the ML algorithm was compared to a COG algorithm which calculates the COG from a restricted set of channels. The authors studied the energy resolution of the ML and the COG algorithm regarding incomplete light distributions (missing channel information caused by detector dead time). Furthermore, the authors investigated the effects of using a filter based on the likelihood values on sensitivity, energy resolution, and image quality. A sensitivity gain of up to 19% was demonstrated in comparison to the COG algorithm for the selected operation parameters. Energy resolution and image quality were on a similar level for both algorithms. Additionally, the authors demonstrated that the performance of the ML algorithm is less prone to missing channel information. A likelihood filter visually improved the image quality, i.e., the peak-to-valley increased up to a factor of 3 for 2-mm-diameter phantom rods by rejecting 87% of the coincidences. A relative improvement of the energy resolution of up to 12.8% was also measured rejecting 91% of the coincidences. The developed ML algorithm increases the sensitivity by correctly handling missing channel information without influencing energy resolution or image quality. Furthermore, the authors showed that energy resolution and image quality can be improved substantially by rejecting events that do not comply well with the single-gamma-interaction model, such as Compton-scattered events.


Collision events between RNA polymerases in convergent transcription studied by atomic force microscopy.
Atomic force microscopy (AFM) has been used to image, at single molecule resolution, transcription events by Escherichia coli RNA polymerase (RNAP) on a linear DNA template with two convergently aligned lambda(pr) promoters. For the first time experimentally, the outcome of collision events during convergent transcription by two identical RNAP has been studied. Measurement of the positions of the RNAP on the DNA, allows distinction of open promoter complexes (OPCs) and elongating complexes (EC) and collided complexes (CC). This discontinuous time-course enables subsequent analysis of collision events where both RNAP remain bound on the DNA. After collision, the elongating RNAP has caused the other (usually stalled) RNAP to back-track along the template. The final positions of the two RNAP indicate that these are collisions between an EC and a stalled EC (SEC) or OPC (previously referred to as sitting-ducks). Interestingly, the distances between the two RNAP show that they are not always at closest approach after 'collision' has caused their arrest.


Goal-directed aimed movements with path obstructions.
Studies are reported in which participants moved from a starting position to a final target, but moved around obstacles that prevented a direct path being taken. Seven experiments are reported in which subjects made multiple-component movements, defined by changes in the direction of movement, but without intervening targets (or stopping points) between components. It was found that components of movement time did not interact, contrary to the results of Gan and Hoffmann (1988b) for cases where there was an intervening target, and that component times could be added. For ballistic components, the time for the movement was linearly related to the square root of the total amplitude of movement; for components that were visually controlled, the time was related to Fitts' Index of Difficulty based on the total amplitude of movement and the final target size. Results are compared to data for movements with intervening targets, where the movement integration hypothesis is valid. Many movements, particularly to inaccessible places, cannot be made directly, but must be made about obstacles in the path. This research shows how times for these movements can be quantified in terms of the direct path length and the size and location of the obstacles.


Prospective comparison of use of the laryngeal mask and endotracheal tube for ambulatory surgery.
We examined the response to the laryngeal mask (LM) compared to the endotracheal tube (ETT) in patients undergoing ambulatory anesthesia. The differences in management by the anesthesiologists for these two airways were also examined. Peripheral orthopedic procedures were studied in 44 outpatients randomized to receive a LM or ETT, and either spontaneous or controlled ventilation. Anesthesia was induced with propofol and succinylcholine intravenously (i.v.) and maintained with N2O and isoflurane. Anesthesiologists were allowed to determine ventilatory variables and anesthetic concentration. Hemodynamic and ventilatory measurements were made during the anesthesia. Barium sulfate was poured into the oropharynx after the airway was secure. Fiberoptic examination through the LM was performed at the beginning and at the end of the administration of each anesthetic. Radiographs were taken at the end of the anesthetic administration before LM or ETT removal to look for barium in the trachea. After airway removal, presence of blood on the airway, sore throat, coughing, nausea, vomiting, shivering, and amount of morphine demanded during recovery were noted. No barium in the trachea or bronchial tree was seen in any of the radiographs. The ETT was associated with greater hemodynamic response not only to airway placement (P < 0.05), but also to surgical incision (P < 0.05) and airway removal (P < 0.05). Spontaneous or controlled ventilation favored neither airway, although the ETT was associated with increased work of inspiration with controlled ventilation (P < 0.05). Anesthesiologists tended to elect smaller tidal volumes, faster ventilation rates, and lower anesthetic concentrations for patients with the LM (P < 0.05).(ABSTRACT TRUNCATED AT 250 WORDS)


Differential work assignments of social work practitioners in hospitals.
This article reports the results of a survey concerning the differential assignment of tasks to social workers with bachelor of social work (BSW) and master of social work (MSW) degrees by social work directors in Canadian hospitals. It also provides data relative to the variation in amount of supervision provided to workers in those settings where both BSW-level and MSW-level workers perform the same tasks. It is intended that this study will yield useful information to assist the profession in defining the appropriate assignment of tasks to hospital social workers.


[Doppler ultrasound studies before and following short-term maternal stress in late pregnancy].
Ten gravidae with normal course of pregnancy in the third trimester underwent a bicycle stress test (semi-supine, 75 W, 3 min). By means of pulsed Doppler sonography, a lowering of the resistance index (RI) in the maternal femoral artery from 93% to 69% was ascertained, though also a rise in maximum systolic velocity (VMAX (syst)) from 73 cm/sec to 194 cm/sec, in maximum diastolic velocity (VMAX diast)) from 5 cm/sec to 61 cm/sec, and in the time-averaged maximum velocity (TAVMAX) from 20 cm/sec to 101 cm/sec. These changes are statistically significant. In the maternal common carotid artery these parameters remained stable or changed little, for example VMAX (diast), which dropped from 24 cm/sec before to 19 cm/sec after exercise, and the RI, which rose from 77% to 84%. Neither in the uteroplacental vessels nor in the umbilical artery were any changes in the RI found (40% to 42% and 58% to 57%, respectively). The fetal cardiotachograms were normal in all cases, while not all cases manifested a rise in fetal heart rate following maternal stress. These results indicate that uteroplacental perfusion and the umbilical circulation remain constant. Doppler sonography thus demonstrates directly and noninvasively that provided placental function is normal the uteroplacental and fetoplacental circulation are not influenced by moderate physical exertion.


Class II-restricted T cell responses in Theiler's murine encephalomyelitis virus (TMEV)-induced demyelinating disease. III. Failure of neuroantigen-specific immune tolerance to affect the clinical course of demyelination.
Intracerebral inoculation of Theiler's murine encephalomyelitis virus (TMEV) into susceptible mouse strains produces a chronic demyelinating disease in which mononuclear cell-rich infiltrates in the central nervous system (CNS) are prominent. Current evidence strongly supports an immune-mediated basis for myelin breakdown, with an effector role proposed for TMEV-specific, major histocompatibility complex (MHC) class II-restricted delayed-type hypersensitivity (DTH) responses in which lymphokine-activated macrophages mediate bystander demyelination. The present study examined the possibility that concomitant or later-appearing neuroantigen-specific autoimmune T cell responses, such as those demonstrated in chronic-relapsing experimental allergic encephalomyelitis (R-EAE), may contribute to the demyelinating process following TMEV infection. T cell responses against intact, purified major myelin proteins (myelin basic protein (MBP) and proteolipid protein (PLP], and against altered myelin constituents were readily demonstrable in SJL/J mice with R-EAE, but were not detectable in SJL/J mice with TMEV-induced demyelinating disease. TMEV-infected mice also did not display T cell responses against the peptide fragments of MBP(91-104) and PLP(139-151) recently shown to be encephalitogenic in SJL/J mice. In addition, induction of neuroantigen-specific tolerance to a heterogeneous mixture of CNS antigens, via the i.v. injection of syngeneic SJL/J splenocytes covalently coupled with mouse spinal cord homogenate, resulted in significant suppression of clinical and histologic signs of R-EAE and the accompanying MBP- and PLP-specific DTH responses. In contrast, neuroantigen-specific tolerance failed to alter the development of clinical and histologic signs of TMEV-induced demyelinating disease or the accompanying virus-specific DTH and humoral immune responses. These findings demonstrate that TMEV-induced demyelinating disease can occur in the apparent absence of neuroantigen-specific autoimmune responses. The relationship of the present results to the immunopathology of multiple sclerosis is discussed.


VACTERL association - Ultrasound findings and autopsy correlation.
VACTERL (vertebral, anal, cardiac, tracheoesophagus, renal, and limbs) is an abbreviation for the congenital group of abnormalities, including vertebral or vascular anomalies, anal atresia, cardiac defects, tracheoesophageal - fistula/esophageal atresia, renal defects, and limbs defects. It is a rare association and not accidental event where several organs are affected by developmental defects during blastogenesis. The exact cause is unknown; however, several environmental and genetic factors are included in literature. Three components out of seven are used to label as VACTERL. The combination is necessary, but the patient may have other congenital malformations as well. We present here an antenatal scan with autopsy correlation of one of the forms of VACTERL association spectrum.


Formation of dynamic aggregates in water by cucurbit[5]uril capped with gold nanoparticles.
Supramolecular capping of cucurbit[5]uril (CB[5]) by gold nanoparticles has been achieved via a facile reduction of an aqueous solution of HAuCl(4) by NaBH(4) in the presence of various amounts of CB[5]. The resultant assemblies were very stable in solution, and were found to form dynamic aggregates consisting of a controllable ratio of singly and doubly capped CB[5].


Immunosuppressive macrophages induced by arthropathic peptidoglycan-polysaccharide polymers from bacterial cell walls.
Rats injected with peptidoglycan-polysaccharide polymers derived from group A streptococcal cell walls (PG-APS) develop a chronic, remittant, erosive synovitis. Spleen cells from injected rats failed to proliferate when stimulated in vitro by Con A or PHA, unless nylon wool adherent cells were first removed. The suppression could also be reversed by removing phagocytic cells which had ingested carbonyl iron. Cells from control rats were suppressed in vitro by co-culture with unfractionated or nylon wool-adherent cells from PG-APS injected rats, and the suppressor activity was still expressed after exposure of the suppressor cells to 3,000 rad of irradiation. Addition of catalase and indomethacin to cultures only partially reversed the suppression. T lymphocytes from rats given a single arthropathic dose of PG-APS remained suppressed for at least 86 days after injection. Cells from rats given a low, non-arthropathic dose of PG-APS did not become suppressed. Cells from the Buffalo rat, which is resistant to development of PG-APS-induced chronic arthritis, showed less suppression than cells from the susceptible Lewis and Sprague-Dawley rat strains.


Investigation of Effectiveness of Shuffled Frog-Leaping Optimizer in Training a Convolution Neural Network.
One of the leading algorithms and architectures in deep learning is Convolution Neural Network (CNN). It represents a unique method for image processing, object detection, and classification. CNN has shown to be an efficient approach in the machine learning and computer vision fields. CNN is composed of several filters accompanied by nonlinear functions and pooling layers. It enforces limitations on the weights and interconnections of the neural network to create a good structure for processing spatial and temporal distributed data. A CNN can restrain the numbering of free parameters of the network through its weight-sharing property. However, the training of CNNs is a challenging approach. Some optimization techniques have been recently employed to optimize CNN's weight and biases such as Ant Colony Optimization, Genetic, Harmony Search, and Simulated Annealing. This paper employs the well-known nature-inspired algorithm called Shuffled Frog-Leaping Algorithm (SFLA) for training a classical CNN structure (LeNet-5), which has not been experienced before. The training method is investigated by employing four different datasets. To verify the study, the results are compared with some of the most famous evolutionary trainers: Whale Optimization Algorithm (WO), Bacteria Swarm Foraging Optimization (BFSO), and Ant Colony Optimization (ACO). The outcomes demonstrate that the SFL technique considerably improves the performance of the original LeNet-5 although using this algorithm slightly increases the training computation time. The results also demonstrate that the suggested algorithm presents high accuracy in classification and approximation in its mechanism.


Peroxiredoxin 6 Modulates Insulin Secretion and Beta Cell Death via a Mitochondrial Dynamic Network.
In pancreatic beta cells, mitochondrial metabolism controls glucose-stimulated insulin secretion (GSIS) by ATP production, redox signaling, and calcium (Ca2+) handling. Previously, we demonstrated that knockout mice for peroxiredoxin 6 (Prdx6-/- ), an antioxidant enzyme with both peroxidase and phospholipase A2 activity, develop a mild form of diabetes mellitus with a reduction in GSIS and in peripheral insulin sensitivity. However, whether the defect of GSIS present in these mice is directly modulated by Prdx6 is unknown. Therefore, the main goal of the present study was to evaluate if depletion of Prdx6 affects directly GSIS and pancreatic beta β-cell function. Murine pancreatic β-cell line (βTC6) knockdown for Prdx6 (Prdx6KD) was employed, and insulin secretion, ATP, and intracellular Ca2+ content were assessed in response to glucose stimulation. Mitochondrial morphology and function were also evaluated through electron microscopy, and by testing mitochondrial membrane potential, oxygen consumption, and mitochondrial mass. Prdx6KD cells showed a significant reduction in GSIS as confirmed by decrease in both ATP release and Ca2+ influx. GSIS alteration was also demonstrated by a marked impairment of mitochondrial morphology and function. These latest are mainly linked to mitofusin downregulation, which are, in turn, strictly related to mitochondrial homeostasis (by regulating autophagy) and cell fate (by modulating apoptosis). Following a pro-inflammatory stimulus (typical of diabetic subjects), and in agreement with the deregulation of mitofusin steady-state levels, we also observed an enhancement in apoptotic death in Prdx6KD compared to control cells. We analyzed molecular mechanisms leading to apoptosis, and we further demonstrated that Prdx6 suppression activates both intrinsic and extrinsic apoptotic pathways, ultimately leading to caspase 3 and PARP-1 activation. In conclusion, Prdx6 is the first antioxidant enzyme, in pancreatic β-cells, that by controlling mitochondrial homeostasis plays a pivotal role in GSIS modulation.


Poly[[μ-aqua-bis-(μ-4,4'-bipyridine-κN:N')bis-(μ-3-hy-droxy-adamantane-1-carboxyl-ato-κO:O')bis-(3-hy-droxy-adamantane-1-carboxyl-ato-κO)dicobalt(II)] hepta-hydrate].
The title coordination compound, {[Co(C(11)H(15)O(3))(4)(C(10)H(8)N(2))(2)(H(2)O)]·7H(2)O}(n), consists of a pair of Co(II) atoms, four 3-hy-droxy-adamantane-1-carboxyl-ate anions (L), one water mol-ecule, two bridging 4,4'-bipyridine (4,4'-bpy) ligands and seven uncoordinated water mol-ecules. Both of the Co(II) ions are coordinated in a distorted octa-hedral geometry. Four L ligands bind to each pair of Co(II) atoms in a plane, two of which bridge the two Co(II) atoms as bidentate groups while the other two coordinate to a single Co(II) atom in a monodentate mode. Two half-mol-ecules of 4,4'-bipyridine coordinate the Co(II) atoms from the upside and underside. The packing features extensice O-H⋯O hydrogen bonding.


Feasibility of High-Fidelity Simulator Models for Minimally Invasive Spine Surgery in a Resource-Limited Setting: Experience From East Africa.
Spine surgery is a rapidly evolving specialty with a continuous need to learn new skills. In resource-limited settings such as Africa, the need for training is greater. The use of simulation-based training is important in different stages of skill acquisition, especially for high-stake procedures such as spine surgery. Among the available methods of simulation, the use of synthetic models has gained popularity among trainers. Twenty participants of a neurosurgery training course, most of whom (65%) were neurosurgery residents and fellows, were recruited. They had hands-on training sessions using a high-fidelity lumbar degenerative spine simulation model and hands-on theater experience. After this, they completed a survey to compare their experience and assess the effectiveness of the lumbar spine model in stimulating real patient and surgery experiences. The participants were from four African countries, and the majority were neurosurgery residents. There were varying levels of experience among the participants in minimally invasive spine surgery, with the majority either having no experience or having only observed the procedure. All the participants said that the high-fidelity lumbar spine model effectively simulated real minimally invasive spine setup and real bone haptics and was effective in learning new techniques. Most of the participants agreed that the model effectively simulated real dura and nerve roots (95%), real muscle (90%), real bleeding from bones and muscles (95%), and real cerbrospinal fluid in the subarachnoid space. Among them, 95% agreed that the model is effective in lumbar minimally invasive spine training in resource-limited settings. With the development of new and better surgical techniques, the use of high-fidelity models provides a good opportunity for learning and training, especially in resource-poor settings where there is a paucity of training facilities and personnel.


CFH, ELOVL4, PLEKHA1 and LOC387715 genes and susceptibility to age-related maculopathy: AREDS and CHS cohorts and meta-analyses.
Age-related maculopathy (ARM) is an important cause of visual impairment in the elderly population. It is of crucial importance to identify genetic factors and their interactions with environmental exposures for this disorder. This study was aimed at investigating the CFH, ELOVL4, PLEKHA1 and LOC387715 genes in independent cohorts collected using different ascertainment schemes. The study used a case-control design with subjects originally recruited through the Cardiovascular Health Study (CHS) and the Age-Related Eye Disease Study (AREDS). CFH was significantly associated with ARM in both cohorts (P</=0.00001). A meta-analysis confirmed that the risk allele in the heterozygous or homozygous state (OR, 2.4 and 6.2; 95% CI, 2.2-2.7 and 5.4-7.2, respectively) confers susceptibility. LOC387715 was also significantly associated with ARM in both cohorts (P</=0.00001) and a meta-analysis confirmed that the risk allele in the heterozygous and homozygous state (OR, 2.5 and 7.3; 95% CI, 2.2-2.9 and 5.7-9.4, respectively) confers susceptibility. Both CFH and LOC387715 showed an allele-dose effect on the ARM risk, individuals homozygous at either locus were at more than two-fold risk compared to those heterozygous. PLEKHA1, which is closely linked to LOC387715, was significantly associated with ARM status in the AREDS cohort, but not the CHS cohort and ELOVL4 was not significantly associated with ARM in either cohort. Joint action of CFH and LOC387715 was best described by independent multiplicative effect without significant interaction in both cohorts. Interaction of both genes with cigarette smoking was insignificant in both cohorts. This study provides additional support for the CFH and LOC387715 genes in ARM susceptibility via the evaluation of cohorts that had different ascertainment schemes regarding ARM status and through the meta-analyses.


Decreased dopamine activity predicts relapse in methamphetamine abusers.
Studies in methamphetamine (METH) abusers showed that the decreases in brain dopamine (DA) function might recover with protracted detoxification. However, the extent to which striatal DA function in METH predicts recovery has not been evaluated. Here we assessed whether striatal DA activity in METH abusers is associated with clinical outcomes. Brain DA D2 receptor (D2R) availability was measured with positron emission tomography and [(11)C]raclopride in 16 METH abusers, both after placebo and after challenge with 60 mg oral methylphenidate (MPH) (to measure DA release) to assess whether it predicted clinical outcomes. For this purpose, METH abusers were tested within 6 months of last METH use and then followed up for 9 months of abstinence. In parallel, 15 healthy controls were tested. METH abusers had lower D2R availability in caudate than in controls. Both METH abusers and controls showed decreased striatal D2R availability after MPH and these decreases were smaller in METH than in controls in left putamen. The six METH abusers who relapsed during the follow-up period had lower D2R availability in dorsal striatum than in controls, and had no D2R changes after MPH challenge. The 10 METH abusers who completed detoxification did not differ from controls neither in striatal D2R availability nor in MPH-induced striatal DA changes. These results provide preliminary evidence that low striatal DA function in METH abusers is associated with a greater likelihood of relapse during treatment. Detection of the extent of DA dysfunction may be helpful in predicting therapeutic outcomes.


[What do General Practitioners and Dentists Report about their Cooperation? A Qualitative Exploration].
Against the background of well-described associations between oral and general health, the cooperation between general practitioners (GPs) and dentists is crucial. Besides treatment, this includes prevention. Administrative referral between these two professions is not provided by statute. Thus, the study addresses the question: How do dentists and GPs integrate the associations between oral and systemic health in daily routine? A total of 28 semi-structured interviews were conducted with GPs and dentists from 3 structurally different regions in the Federal State of Baden-Wurttemberg. Participants were visited in their office. The interviews were recorded, transcribed and analysed by 2 dentists and sociologists using Mayrings' qualitative content analysis. Associations between general and oral health are partially known to both practitioners. However, contact between them is limited. GPs send patients directly to dentists, without contacting them - mainly due to a desolate dental status, rarely due to therapy-resistant headache or facial pain. Dentists contact GPs to clarify mainly medication or anticoagulation medications taken by patients prior to invasive procedures. Preventive aspects play a minor part. Consultation essentially depends on acquaintanceship. Separation by statute determines the cooperation. Oral cavity in daily care is demarcated. Holistic patient care is hindered by a lack of knowledge and daily routines.


Direct Detection and Identification of Bacterial Pathogens from Urine with Optimized Specimen Processing and Enhanced Testing Algorithm.
Rapid and accurate detection and identification of microbial pathogens causing urinary tract infections allow prompt and specific treatment. We optimized specimen processing to maximize the limit of detection (LOD) by matrix-assisted laser desorption ionization-time of flight mass spectrometry (MALDI-TOF MS) and evaluated the capacity of combination of MALDI-TOF MS and urine analysis (UA) for direct detection and identification of bacterial pathogens from urine samples. The optimal volumes of processed urine, formic acid/acetonitrile, and supernatant spotted onto the target plate were 15 ml, 3 μl, and 3 μl, respectively, yielding a LOD of 1.0 × 105 CFU/ml. Among a total of 1,167 urine specimens collected from three hospital centers, 612 (52.4%) and 351 (30.1%) were, respectively, positive by UA and urine culture. Compared with a reference method comprised of urine culture and 16S rRNA gene sequencing, the sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) of MALDI-TOF MS alone and MALDI-TOF MS coupled with UA were 86.6% versus 93.4% (χ2 = 8.93; P < 0.01), 91.5% versus 96.3% (χ2 = 7.06; P < 0.01), 81.5% versus 96.4% (χ2 = 37.32; P < 0.01), and 94.1% versus 93.1% (χ2 = 0.40; P > 0.05), respectively. No significant performance differences were revealed among the three sites, while specificity and NPV of MALDI-TOF MS for males were significantly higher than those for females (specificity, 94.3% versus 77.3%, χ2 = 44.90, P < 0.01; NPV, 95.5% versus 86.1%, χ2 = 18.85, P < 0.01). Our results indicated that the optimization of specimen processing significantly enhanced analytical sensitivity and that the combination of UA and MALDI-TOF MS provided an accurate and rapid detection and identification of bacterial pathogens directly from urine.


Immunosuppressive drugs in the treatment of inflammatory bowel disease.
Immunosuppressive (IS) drugs are an important option in the management of both forms of inflammatory bowel disease (IBD): Crohn's disease and ulcerative colitis. As the experience of using these agents in the treatment of IBD has increased and more data have become available on their efficacy, these drugs are being used more extensively. The principle drugs used in clinical practice at this time include: azathioprine (AZA) and its metabolite 6-mercaptopurine (6-MP), methotrexate, and cyclosporin A. AZA and 6-MP are generally considered the first line immunosuppressive agents. These drugs are effective and generally well tolerated by the majority of patients started on them, enabling many patients to avoid the predictable side effects of steroid therapy. Because of their extensive use, it is important that clinicians involved in the care of IBD patients are familiar with the IS drugs used to treat IBD, especially AZA and 6-MP.


[A case of advanced gastric cancer successfully treated with multimodal therapy].
In November 2010, a 76-year-old man was diagnosed as having advanced gastric cancer with paraaortic lymph node (PALN) metastasis. Systemic chemotherapy was initiated using S-1/docetaxel( DTX) regimen. Regression of the PALN swelling was confirmed after 2 courses. Total gastrectomy with D2 lymph node dissection was performed as a reduction surgery, although intraoperative histopathological examination revealed PALN metastasis. Two months postoperatively, S-1 chemotherapy was initiated for the treatment of residual PALN metastasis. About 8 months postoperatively, abdominal computed tomography( CT) examination indicated complete regression of the PALN enlargement. This patient has been doing well for 30 months since the reduction surgery, with no sign of recurrence. In summary, we successfully treated a case of PALN metastasis with multimodal therapy including systemic chemotherapy and reduction surgery.


Morphological Transformation and In Situ Polymerization of Caspase-3 Responsive Diacetylene-Containing Lipidated Peptide Amphiphile for Self-Amplified Cooperative Antitumor Therapy.
In order to artificially regulate cell behaviors, intracellular polymerization as an emerging chemical technique has attracted much attention. Yet, it is still a challenge to achieve effective intracellular polymerization to conquer tumors in the complex cellular environment. Herein, this work develops a tumor-targeting and caspase-3 responsive nanoparticle composed of a diacetylene-containing lipidated peptide amphiphile and mitochondria-targeting photosensitizer (C3), which undergoes nanoparticle-to-nanofiber transformation and efficient in situ polymerization triggered by photodynamic treatment and activation of caspase-3. The locational nanofibers on the mitochondria membranes lead to mitochondrial reactive oxygen species (mtROS) burst and self-amplified circulation, offering persistent high oxidative stress to induce cell apoptosis. This study provides a strategy for greatly enhanced antitumor therapeutic efficacy through mtROS burst and self-amplified circulation induced by intracellular transformation and in situ polymerization.


Tuning Cationic Block Copolymer Micelle Size by pH and Ionic Strength.
The formation, morphology, and pH and ionic strength responses of cationic block copolymer micelles in aqueous solutions have been examined in detail to provide insight into the future development of cationic micelles for complexation with polyanions such as DNA. Diblock polymers composed of a hydrophilic/cationic block of N,N-dimethylaminoethyl methacrylate (DMAEMA) and a hydrophobic/nonionic block of n-butyl methacrylate (BMA) were synthesized [denoted as DMAEMA-b-BMA (X-Y), where X = DMAEMA molecular weight and Y = molecular weight of BMA in kDa]. Four variants were created with block molecular weights of 14-13, 14-23, 27-14, 27-29 kDa and low dispersities less than 1.10. The amphiphilic polymers self-assembled in aqueous conditions into core-shell micelles that ranged in size from 25-80 nm. These cationic micelles were extensively characterized in terms of size and net charge in different buffers over a wide range of ionic strength (0.02-1 M) and pH (5-10) conditions. The micelle core is kinetically trapped, and the corona contracts with increasing pH and ionic strength, consistent with previous work on micelles with glassy polystyrene cores, indicating that the corona properties are independent of the dynamics of the micelle core. The contraction and extension of the corona scales with solution ionic strength and charge fraction of the amine groups. The aggregation numbers of the micelles were obtained by static light scattering, and the Rg/Rh ratios are close to that of a hard sphere. The zeta potentials of the micelles were positive up to two pH units above the corona pKa, suggesting that applications relying on micelle charge for stability should be viable over a wide range of solution conditions.


Amazoonops, a new genus of goblin spiders (Araneae: Oonopidae) from the Brazilian Amazon.
The new genus Amazoonops is proposed for a group of species from the Brazilian Amazon that belong to the Varioonops group, which is presently composed by Varioonops Bolzern & Platnick, Ponsoonops Bolzern and Bipoonops Bolzern. In these genera, female lacks the dorsal abdominal scutum, have a reduced abdominal post-epigastric scutum, and the male palp has unfused cymbium and tegulum. The incomplete abdominal epigastric scutum of females and the sternal surface covered with deep pits in both sexes are considered as putative synapomorphies of the new genus. Five new species are described, four from the state of Pará (Amazoonops almeirim sp. nov., A. cachimbo sp. nov., A. caxiuana sp. nov. and A. juruti sp. nov.) and one from the state of Amazonas (A. ducke sp. nov.). Females of A. almeirim sp. nov. and A. ducke sp. nov. are unknown.


Quantitative analysis of dental microwear in threespine stickleback: a new approach to analysis of trophic ecology in aquatic vertebrates.
1. The threespine stickleback Gasterosteus aculeatus is an important model organism in studies of genomic and phenotypic evolution, adaptation and speciation. Fossil Gasterosteus offer the potential to test models derived from studies of extant fishes over true evolutionary time-scales. Competition for food resources, for example, plays an important part in stickleback speciation, causing divergence in food gathering traits and ecological character displacement, but it is not possible to test this model in fossils because evidence of diet is almost never preserved. 2. We demonstrate here that quantitative analysis of dental microwear, a technique previously applied only to mammals, provides a reliable guide to the dietary preferences of stickleback. Teeth from stickleback raised under laboratory conditions exhibit microwear patterns that vary systematically according to substrate coarseness and whether fishes feed on Daphnia within the water column, or on chironomid larvae from the bottom. Furthermore, microwear data exhibit a progressive shift in their distribution that tracks differences in experimental feeding treatments. 3. Microwear in wild populations also exhibits a relationship with feeding. In blind assessments of trophic niche based on microwear patterns we were able to correctly assign all but one equivocal population to trophic group. Microwear data from wild stickleback exhibit a shift in distribution comparable with that observed across the range of treatments in the laboratory and these allow populations to be ranked according to the degree to which they approach fully benthic or fully limnetic feeding. 4. Our results demonstrate that microwear has the potential to be a powerful tool in the analysis of fish trophic ecology, particularly in the analysis of species pairs and niche differentiation. It has advantages over the trophic snapshot provided by analysis of stomach contents in that microwear reflects feeding and food preferences over a longer period of time, and can be applied where these data are unavailable. Furthermore, it is applicable to extinct organisms and fossils, allowing the role of trophic ecology, niche partitioning and competition over evolutionary time-scales to be investigated for the first time.


Phenotypic variations and new mutations in JAK2 V617F-negative polycythemia vera, erythrocytosis, and idiopathic myelofibrosis.
The chronic myeloproliferative disorders (MPD), polycythemia vera (PV), essential thrombocytosis, and idiopathic myelofibrosis (IMF), are characterized by a spectrum of clinical features and linked by common genetic lesions in JAK2 and MPL. However, the clinical phenotypes in genetically undefined MPD patients are similar to those patients with JAK2 and MPL lesions. We, therefore, sought to determine whether there were JAK2 or MPL lesions in a well-defined, JAK2 V617F-negative MPD cohort, and to determine if clinical associations could be identified based on variations identified in these genes. We examined the JAK2 and MPL genes in JAK2 V617F-negative PV, IMF, and idiopathic erythrocytosis patients for sequence variations. We identified two previously unrecognized JAK2 mutations and three previously unrecognized MPL mutations in JAK2 V617F-negative PV, erythrocytosis, and IMF patients. We identified JAK2 exon 12 lesions in 30% of JAK2 V617F-negative PV patients, and either JAK2 V617F or JAK2 exon 12 lesions in 9% of erythrocytosis patients. In IMF, in addition to the MPL gene mutation, W515K, we identified three additional mutations: 204P and two intervening sequence transitions, IVS 11/12 and 10/11. While the clinical phenotype of JAK2 exon 12 lesions in the MPD was predominantly erythroid, there was significant disease spectrum overlap between JAK2 V617F and JAK2 exon 12 mutations. By contrast, MPL gene mutations were not associated with erythrocytosis, but segregated primarily with the phenotypes of thrombocytosis, extramedullary disease, myelofibrosis, and osteosclerosis.


[Letters from Clara Happel, in New York, to her son: 1936-1945].
Many psychoanalysts of the second generation, among them Clara Happel (1889-1945) were forced to emigrate at the time of the National Socialist domination. The experience of a total upheaval in the history of the world during the emigration period shattered this second generation's feeling of being pioneers. On the intra-psychic plane this was the equivalent of a serious identity crisis. The psychic state among the emigrés is described, using the fate of Clara Happel as an example. She had to master and work through "doubts and losses of all kinds". She did not succeed in escaping the reality of the annihilation which threatened her. The experience of the Nazi domination, the ravages of the Second World War, the reality of a policy of the extermination of men by men and the rise of the danger of nuclear destruction sharpened the process of mourning for things lost. She plunged into a conflict of profound ambivalence. The materialization of the nuclear danger with the dropping of atomic bombs on Hiroshima and Nagasaki brought her face to face with her own frenzy for revenge. The shadow of objective reality fell across her ego in the form of melancholia. She lost the struggle with a reality which had become psychotic. The outside world replaced her inner life. She committed suicide on September 15, 1945. Her fate as a refugee shows that there are some situations where it is impossible to work through the conflict of ambivalence.


Immunochemical characterization of variable epitopes of outer membrane protein P2 of nontypeable Haemophilus influenzae.
Monoclonal antibodies (MAbs) were elicited to the nontypeable Haemophilus influenzae variants d1 to d4, which differ in the outer membrane protein P2 to analyze the immunological properties of the variable parts of this protein. Five MAbs reacted in a whole-cell enzyme-linked immunosorbent assay (ELISA) only with the homologous strain and in some cases with its variants, but not with 69 unrelated nonencapsulated H. influenzae isolates; nine MAbs also reacted with some other H. influenzae isolates, and four MAbs showed broad cross-reactivity. All of the MAbs reacted with purified protein P2 in ELISAs and immunoblotting. The five MAbs which reacted with the homologous strain d3 and not with the variants d1, d2, and d4 promoted complement-dependent bactericidal activity against strain d3. These and four other MAbs reacted with the intact bacteria of strain d3 in immunogold electron microscopy, indicating that they were directed against surface-exposed epitopes of outer membrane protein P2. A mutant of strain d3 was isolated as a survivor from bacterial killing by complement and MAb 30DA5. This mutant had an altered P2 protein on sodium dodecyl sulfate-polyacrylamide gels and had lost its reactivity with all of the five H. influenzae d3-specific MAbs but not with the other MAbs. From these results, we conclude that the variable parts of outer membrane protein P2 of nonencapsulated H. influenzae from the sputum of patients with chronic obstructive pulmonary disease are immunogenic and mostly surface exposed. Only strain-specific MAbs promoted complement-dependent killing of the bacteria, which was abolished in a spontaneous mutant with an altered P2 protein.


Independent component analysis-based source-level hyperlink analysis for two-person neuroscience studies.
Two-person neuroscience, a perspective in understanding human social cognition and interaction, involves designing immersive social interaction experiments as well as simultaneously recording brain activity of two or more subjects, a process termed "hyperscanning." Using newly developed imaging techniques, the interbrain connectivity or hyperlink of various types of social interaction has been revealed. Functional near-infrared spectroscopy (fNIRS)-hyperscanning provides a more naturalistic environment for experimental paradigms of social interaction and has recently drawn much attention. However, most fNIRS-hyperscanning studies have computed hyperlinks using sensor data directly while ignoring the fact that the sensor-level signals contain confounding noises, which may lead to a loss of sensitivity and specificity in hyperlink analysis. In this study, on the basis of independent component analysis (ICA), a source-level analysis framework is proposed to investigate the hyperlinks in a fNIRS two-person neuroscience study. The performance of five widely used ICA algorithms in extracting sources of interaction was compared in simulative datasets, and increased sensitivity and specificity of hyperlink analysis by our proposed method were demonstrated in both simulative and real two-person experiments.


Characterization of the molecular spectrum of Medium-Chain Acyl-CoA Dehydrogenase Deficiency in a Greek newborns cohort: identification of a novel variant.
The purpose of the current study was to screen newborns in Greece and to identify the responsible mutations for Medium-Chain Acyl-CoA Dehydrogenase Deficiency (MCADD). 47.812 neonates were screened for the potential presence of MCADD in Greece, via a LC-MS/MS protocol. The "suspected" samples were subjected to genetic testing via PCR-RFLP and sequencing of the coding region of the ACADM gene. Urine samples were collected and then analyzed with a GC/MS method. The MCADD prevalence is 1 in 15,937 births. The alleles c.985A>G and c.245insT were detected in the 29.2% and 20.8% of the "suspected" cohort, respectively. A novel variant with potential pathogenicity was identified. The c.245insT allele seems to prevail in the Greek cohort of "suspected" specimens. Therefore, this variant along with the c.985A>G allele could constitute a panel for both prenatal and neonatal MCADD screening in the Greek population.


Perioperative individualized hemodynamic optimization according to baseline mean arterial pressure in cardiac surgery patients: Rationale and design of the OPTIPAM randomized trial.
Postoperative morbidity and mortality after cardiac surgery with cardiopulmonary bypass (CPB) remain high despite recent advances in both anesthesia and perioperative management. Among modifiable risk factors for postoperative complications, optimal arterial pressure during and after surgery has been under debate for years. Recent data suggest that optimizing arterial pressure to the baseline of the patient may improve outcomes. We hypothesize that optimizing the mean arterial pressure (MAP) to the baseline MAP of the patient during cardiac surgery with CPB and during the first 24 hours postoperatively may improve outcomes. The OPTIPAM trial (NCT05403697) will be a multicenter, randomized, open-label controlled trial testing the superiority of optimized MAP management as compared with a MAP of 65 mm Hg or more during both the intraoperative and postoperative periods in 1,100 patients scheduled for cardiac surgery with CPB. The primary composite end point is the occurrence of acute kidney injury, neurological complications including stroke or postoperative delirium, and death. The secondary end points are hospital and intensive care unit lengths of stay, Day 7 and Day 90 mortality, postoperative cognitive dysfunction on Day 7 and Day 90, and quality of life at Day 7 and Day 90. Two interim analyses will assess the safety of the intervention. The OPTIPAM trial will assess the effectiveness of an individualized target of mean arterial pressure in cardiac surgery with CPB in reducing postoperative morbidity. NCT05403697.


[Basic research on ultrasound surgery. VI: Comparative histological liver findings following treatment of the wound with ultrasound welding and suturing].
Liver cuts were performed on 21 Mini- Lewe pigs and then closed with suture in one case, and by ultrasonic welding of Fimomed - Gelaspon conglomerate in the other. Macroscopic assessment in situ and the histological examination of cut out liver areas regularly showed perifocal inflammatory peritoneal reactions and abscess formation for the sutured regions. From a histological point of view the liver tissue in the regions subjected to ultrasonic treatment reacted more strongly than after suture, particularly in the form of lobule structure disturbances, focal hepatitis, hepatic duct proliferation and destruction, and cholangitis. All of these were limited to the immediate vicinity of the conglomerate with its fibrous demarcation, which remained identifiable until the end of the experiment after a year and a half. The experiments resulted in the sucessful closure of the liver wounds in all cases where ultrasonic welding of Fimomed - Gelaspon compound was used. Application to human medicine is, however, not yet justified.


Propranolol, Promising Chemosensitizer and Candidate for the Combined Therapy through Disruption of Tumor Microenvironment Homeostasis by Decreasing the Level of Carbonic Anhydrase IX.
Resistance to chemotherapy represents a persisting medical problem, ranking among main causes of chemotherapy failure and cancer mortality. There is a possibility to utilize and repurpose already existing therapeutics which were not primarily intended for oncological treatment. Overactivation of adrenergic receptors and signaling dysregulation promotes tumor progression, metastatic potential, immune system evasion, tumor angiogenesis and drug resistance. The non-selective beta-blocker propranolol, approved in infantile haemangioma treatment, has a high potential for use in cancer therapy. We analyzed the effects of propranolol and 5-fluorouracil combination on sensitive and resistant cells derived from colorectal carcinoma in monolayers, single-component and co-culture spheroids and in vivo mouse models. Our results revealed that propranolol is able to exert its effect not only in chemosensitive colorectal cells, but also in 5-fluorouracil resistant cells. Propranolol disrupts the hypoxic adaptation machinery by inhibiting HIF1α, carbonic anhydrase IX, and activates apoptosis, which may be important in the management of chemo-resistant patients. We showed that propranolol slows down the growth of xenografts formed from colorectal cancer cells, even from cells already adapted to the β-blocker. We provide clear evidence that blockade of β-adrenergic receptors affects essential signaling pathways modulating tumor microenvironment and thus the response to anticancer therapy. Our findings indicate that propranolol could be repurposed to serve as chemosensitizer in combined therapy aimed at disrupting homeostasis of tumor microenvironment.


Characterization and on-sky demonstration of an integrated photonic spectrograph for astronomy.
We present results from the first on-sky demonstration of a prototype astronomical integrated photonic spectrograph (IPS) using the Anglo-Australian Telescope near-infrared imaging spectrometer (IRIS2) at Siding Spring Observatory to observe atmospheric molecular OH emission lines. We have succeeded in detecting upwards of 27 lines, and demonstrated the practicality of the IPS device for astronomy. Furthermore, we present a laboratory characterization of the device, which is a modified version of a commercial arrayed-waveguide grating multiplexer. We measure the spectral resolution full-width-half-maximum to be 0.75 +/- 0.05 nm (giving R = lambda/deltalambda = 2100 +/- 150 at 1500 nm). We find the free spectral range to be 57.4 +/- 0.6 nm and the peak total efficiency to be approximately 65%. Finally, we briefly discuss the future steps required to realize an astronomical instrument based on this technology concept.


Social bonds, early trauma and smoking: evidence of the group specific relevance of control theory.
This study analyzes data from a national sample of 595 adults to simultaneously evaluate the potential effects of social bonds and childhood trauma on tobacco smoking. Although both control factors and childhood experiences were found to affect smoking, religious belief and belief in the importance of conforming to moral and social norms had more important and robust negative relationships to smoking than commitment, attachment, or involvement social bonds. But, whereas childhood trauma appeared to promote smoking among both college educated and less educated persons, control factors significantly inhibited smoking only among the less educated. Implications for future drug research as well as anti-smoking campaigns and other anti-drug programs are discussed.


The complementarity of object-relations and instinct theory.
Object-relations theory implicitly assumes primary drives to cope with the fact that some kinds of transaction with objects are not gratifying but are feared and avoided. Fairbairn's conception of motivation assumes that there is an independent primary drive which may be called 'need for love', independent of other gratifications. Such an instinctual-drive concept is defined solely by its direction towards a goal, and rests on an arbitrary intuition as to the 'real' goal of observed behaviour. As Freud pointed out, what is required for the objective identification of a drive is the discovery of its physiological source. Freud recognised that a drive can be gratified only by a 'specific action' performed upon a suitable object, and that object relations set up in very early life are especially long-lasting. The concept of fixation can bridge the gap between infantile instinctual reactions and adult object relations.


Effects of vasoactive intestinal polypeptide (VIP) on renal function and plasma renin activity in the conscious rabbit.
Conscious rabbits received either vasoactive intestinal polypeptide (VIP) at a dose of 1, 10 or 25 pmol kg-1 min-1 or vehicle alone (control) through an ear vein for 2 h. Experimental design followed a randomized Latin square arrangement. VIP led to a decrease in effective renal plasma flow and glomerular filtration rate (P less than 0.01) during infusion of the middle and high doses. Mean arterial blood pressure rose slightly (P less than 0.05) and filtration fraction increased (P less than 0.01) during infusion of the middle dose. The high dose produced a rise in heart rate, a fall in plasma sodium, potassium and phosphate concentrations and a rise in plasma solids (P less than 0.01). In spite of the renal haemodynamic effects and changes in plasma composition during infusion of the high dose, fractional excretion of sodium, potassium and chloride doubled (P less than 0.05), suggesting a direct action of VIP on renal tubular function. Plasma renin activity increased between 2- and 3-fold (P less than 0.01). The mechanism of the renin response is uncertain. These results, together with the reported presence of VIP-like material in the renal cortex, may indicate a role for VIP in the regulation of renal function, including renin release.


Safety in numbers: lack of evidence to indicate the number of physicians needed to provide safe acute medical care.
Patient safety in hospital is dependent on a multitude of factors. Recent reports into the failings of healthcare organisations in the UK have highlighted low staffing levels as a significant factor. There is research into the impact of nurse-to-patient ratios on patient safety, but our literature search found little published data that would allow healthcare providers to define a minimum number of physician staff and skills mix that would assure safety in the largest hospital specialty: unscheduled (acute) medicine. Future work should focus on the evaluation of existing data on hospital mortality rates and physician staffing levels as well as on empirical time and motion studies to ascertain the resources required to undertake safe medical care at times of peak demand.


[Meta-analysis on influence of psychological nursing on quality of life of AIDS patients].
Objective: To evaluate the effect of psychological nursing intervention on the quality of life of AIDS patients. Methods: The experimental studies about the influence of psychological nursing intervention on the quality of life of AIDS patients were systematically retrieved in the following databases: PubMed, Web of Science, Cochrane Library, Chinese biomedical literature database (CBM), China journal full text database (CNKI), Wanfang database and VIP Chinese science and technology periodical database (VIP). The SF-36 scale scores in 8 dimensions were combined with Review Manager 5.3, the weighted mean difference and 95% CI of the value of the combined effects were calculated. Results: In addition to the dimension of physiological function, the differences in weighted mean of the remaining seven dimensions of SF-36 scales were significant, among which the average score of physiological function increased to 6.48, but the average score of emotional function increased up to 19.90. It can be considered that in addition to the dimension of physiological function, the score of the other dimensions were improved after the psychological nursing intervention. The results of sensitivity analysis showed that the differences in weighted means of the eight dimensions of SF-36 scale were significant, indicating that the quality of life of the observation group was higher than that of the control group. Conclusion: Psychological nursing intervention can improve the quality of life of AIDS patients, and it is suggested to use it in clinical practice.


Evaluation of a rapid whole blood immunochromatographic assay for the diagnosis of Plasmodium falciparum and Plasmodium vivax malaria.
Microscopic examination of blood smears is the 'gold standard' for malaria diagnosis, but is labour intensive and requires skilled operators. Plasmodium vivax malaria accounts for up to 70% of infections in Sri Lanka. The objective of this study was to determine the effectiveness of an immunochromatographic test which can detect both the species of Plasmodium, P. vivax and P. falciparum, present in Sri Lanka. Prospective study from May 2001 to March 2002. All persons above 5 years of age who presented to the Malaria Research Station, Kataragama or the Anti-malaria Clinic, Kurunegala, with a history of fever were recruited to the study. Thick and thin blood smears were examined for malarial parasites. The rapid diagnostic test (RDT), ICT Malaria P.f/P.v (AMRAD ICT, Australia) was performed simultaneously by an independent investigator. The severity of clinical disease of all patients was evaluated. The study sample comprised 328 individuals of whom 126 (38%) were infected, 102 with P. vivax (31.1%) and 24 with P. falciparum (7.3%). The RDT was found to be highly sensitive (100%) and specific (100%) for the diagnosis of P. falciparum when compared with field microscopy. The sensitivity for the diagnosis of P. vivax malaria was only 70%. When P. vivax parasitaemia was greater than 5000 parasites/microL the RDT was 96.2% sensitive. A significant association was noted between the band intensity on the dipstick and both peripheral blood parasitaemia (p < 0.001) and clinical severity of disease with P. vivax (p = 0.011). The ICT Malaria P.f/P.v test can be used in Sri Lanka in the absence of microscopists.


Association of FXII 5'UTR 46C>T polymorphism with FXII activity and risk of thrombotic disease.
Thrombotic diseases are caused by genetic and environmental factors. There are a number of well-characterized genetic defects that lead to increased risk of thrombosis. Results from previous studies have indicated that FXII is involved in pathogenesis of thrombophilic diseases. However, the results in this regard are highly controversial. Plasma FXII activity levels are strongly determined by a 46CγT polymorphism in the FXII gene. In the present study, the risk of thrombophilic diseases related to this polymorphism was investigated in a case-control study. One hundred and sixty subjects were studied: 120 patients diagnosed with thrombophilia (96 venous thromboembolism, 24 arterial thrombosis), and 40 age-gender-matched controls. For each subject, FXII activity level was measured by a one-step clotting assay with FXII-deficient plasma, and 46CγT polymorphism was genotyped using a restriction fragment length polymorphism (RFLP) method. In this study, the previous observation that individuals with different genotypes for the 46 CγT polymorphism showed significant differences in Factor XII activity levels was confirmed. Most importantly, FXII activity ≤ 68% was associated with an increased risk of venous thrombosis with an adjusted OR of 4.7 (95%CI= 1.03-21.1, P=0.04). However, it was not a risk factor for arterial thrombosis with adjusted OR of 5 (95%CI= 0.91-27.1, P=0.09). In CT and TT genotype the adjusted ORs were respectively 2 (95%CI=0.9-4.4, P=0.11) and 2.3 (95%CI=0.45-11, P=0.48) for patients with venous thrombosis compared with the controls. Similarly, the adjusted ORs in arterial thrombosis were 1.2 (95%CI=0.4-3.6, P=0.76) for CT and 1.8 (95%CI=0.2-14.9, P=0.59) for TT genotype. Thus, we did not find any association of the mutated T allele in the heterozygous or homozygous state with an increased risk of both venous and arterial thrombosis. Lower FXII activity is not a risk factor; rather, it simply represents a risk marker for thrombosis.


Training professionals in a recovery-oriented methodology: a mixed method evaluation.
Several studies have reported difficulties concerning the implementation of recovery-oriented interventions. In this study, the effect of training in the Comprehensive Approach to Rehabilitation (CARe) on daily practice was evaluated. Additionally, we aimed to acquire insight into the experiences with the implementation process involving professionals, management and trainers. Fourteen teams for sheltered and supported housing in the Netherlands participated in this study. As part of a cluster-randomised controlled trial (RCT) design, eight teams received training in the CARe methodology. Model fidelity (using the CARe fidelity audit) and professionals' knowledge of recovery (using the Recovery Knowledge Inventory) were measured for all teams until 20 months after the start. Afterwards, an evaluation meeting with participating stakeholders was organised in which barriers and facilitators of the implementation of the CARe methodology were inventoried. Ten months after the training, the intervention teams scored higher than the control teams on the fidelity subscales: 'recovery', 'strengths orientation' and 'amount of training and coaching'. Twenty months after the training, only the effect of 'amount of coaching and training' remained. Additionally, 'methodological working' clearly differed between the groups after 20 months in favour of the intervention teams. In all teams, model fidelity was moderate at both measurements. The knowledge of recovery of the trained teams was slightly and significantly higher at 10 and 20 months after training. Although professionals were positive about recovery and strength-oriented working, they experienced several organisational and societal barriers. Training in the CARe methodology improved the fidelity and knowledge of recovery among professionals. However, the differences were small, and fidelity decreased over time. More in-depth knowledge is needed on which barriers professionals experience in practice so that tailored training and implementation strategies can be developed. Furthermore, more attention is needed for professional development and the translation of theory into practice.


Symmetry degeneration and room temperature ferroelectricity in ion-irradiated SrTiO3.
Polar phonon modes associated with room temperature ferroelectricity are observed in SrTiO3 single crystals irradiated with Ti ions. Quantitative strain analysis reveals that irradiation-induced out-of-plane strain drives the centrosymmetric cubic SrTiO3 to a tetragonal-like structure in the maximum damaged region. Energy transfer from ions to electrons during ion irradiation yields defects in SrTiO3 that also plays an important role for the room temperature ferroelectricity. Different from thin film techniques, the ferroelectricity in the ion irradiated SrTiO3 can occur for much larger thicknesses, depending on the energy and type of ion.


FISH detection of chromosome 1 aberration in human interphase and metaphase lymphocytes after exposure to benzene.
Benzene is a relatively common environmental and occupational contaminant with carcinogenic and clastogenic properties. Therefore, further understanding of the adverse effect of benzene is still a matter of interest. In the present study, induction of aberrations in the pericentromeric region of chromosome 1 (1q12) was examined by fluorescence in situ hybridisation (FISH) in both interphase and metaphase human lymphocytes after in vitro exposure to benzene at two concentrations (50 and 100 mumol/l). A weak but not significant increase of interphase cells micronuclei frequency was recorded at 100 micromol/l concentration in both donors examined (chi(2) test, p > 0.05). No fluorescent signal indicating the presence of chromosome 1 was observed in adjacent micronuclei. In metaphase cells, hypoploidy (monosomy) and polyploidy (tetraploidy) were the types of numerical aberrations most often exhibiting classical satellite probe signal. Chromosome breakage in the investigated pericentromeric region was assumed in lymphocyte metaphase cultures of donor 2 exposed to a dose of 100 micromol/l.


Sulfate assimilation regulates hydrogen sulfide production independent of lifespan and reactive oxygen species under methionine restriction condition in yeast.
Endogenously produced hydrogen sulfide was proposed to be an underlying mechanism of lifespan extension via methionine restriction. However, hydrogen sulfide regulation and its beneficial effects via methionine restriction remain elusive. Here, we identified the genes required to increase hydrogen sulfide production under methionine restriction condition using genome-wide high-throughput screening in yeast strains with single-gene deletions. Sulfate assimilation-related genes, such as MET1, MET3, MET5, and MET10, were found to be particularly crucial for hydrogen sulfide production. Interestingly, methionine restriction failed to increase hydrogen sulfide production in mutant strains; however, it successfully extended chronological lifespan and reduced reactive oxygen species levels. Altogether, our observations suggested that increased hydrogen sulfide production via methionine restriction is not the mechanism underlying extended yeast lifespan, even though increased hydrogen sulfide production occurred simultaneously with yeast lifespan extension under methionine restriction condition.


[Risk of infection in a hospital environment].
The infectivologic risk in hospital environment. After a brief introduction on the historical development of the question of infectivologic risk in health services in general, and, in particular, in hospitals, the principal epidemiologic characteristics of viral hepatitis B and C, of HIV/AIDS and of TBC are examined as well as the potential cancerogenic role of the viral hepatitis. Guide-lines on staff health observation are also presented along with work-fitness criteria.


Slipped upper femoral epiphysis with hemophilia A.
A 13-year-old boy who had hemophilia A was reported with pain in the left thigh and hip on walking. He had no history of trauma. Severe hemophilia A is diagnosed with a Factor VIII level of <1 iu/dl. The presumptive diagnosis was that of a spontaneous bleed into the hip joint. Factor VIII mutational analysis revealed a C to G substitution at nucleotide 6683 which results in a cystine change at codon 2194. However, the symptoms persisted and an X-ray demonstrated the presence of an acute on chronic slip of the upper femoral epiphysis. The patient was transferred to the center treating his hemophilia where the hip was pinned in situ under cover with Factor VIII. This case demonstrates the need to be aware of a possible traumatic diagnosis of hip pain in a hemophiliac child with a longstanding history of spontaneous bleeding into joints.


Stereotactic radiosurgery for the treatment of dural arteriovenous fistulas involving the transverse-sigmoid sinus.
The aim of this study was to assess the efficacy and safety of radiosurgery for the treatment of dural arteriovenous fistulas (DAVFs) located in the region of the transverse-sigmoid sinus. A series of 20 patients with DAVFs located in the transverse-sigmoid sinus, who were treated with gamma knife surgery between June 1995 and June 2000, was evaluated. According to the Cognard classification, the DAVF was Type I in four patients. Type IIa in seven, Type IIb in two, and combined Type IIa+b in seven. Nine patients had previously been treated with surgery and/or embolization, whereas 11 patients underwent radiosurgery alone. Radiosurgery was performed using multiple-isocenter irradiation of the delineated DAVF nidus. The target volume ranged from 1.7 to 40.7 cm3. The margin dose delivered to the nidus ranged from 16.5 to 19 Gy at a 50 to 70% isodose level. Nineteen patients were available for follow-up review, the duration of which ranged from 6 to 58 months (median 19 months). Of the 19 patients, 14 (74%) were cured of their symptoms. At follow up, magnetic resonance imaging and/or angiography demonstrated complete obliteration of the DAVF in 11 patients (58%), subtotal obliteration (95% reduction of the nidus) in three (16%), and partial obliteration in another five (26%). There was no neurological complication related to the treatment. One patient experienced a recurrence of the DAVF 18 months after angiographic confirmation of total obliteration, and underwent a second course of radiosurgery. Stereotactic radiosurgery provides a safe and effective option for the treatment of DAVFs involving the transverse and sigmoid sinuses. For some aggressive DAVFs with extensive retrograde cortical venous drainage, however, a combination of endovascular embolization and surgery may be necessary.


Methanofullerenes, C60(CH2)n (n = 1, 2, 3), as building blocks for high-performance acceptors used in organic solar cells.
Selective preparation of C60(CH2)n (n = 1, 2, 3) was realized via a "Bingel-decarboxylation" route. A 54π-electron derivative of C60(CH2)2, OQBMF, demonstrates an outstanding power conversion efficiency (PCE) of 6.43% (Voc = 0.95 V, Jsc = 9.67 mA cm(-2), FF = 70%) in fullerene:P3HT solar cells since the small CH2 addends lift up fullerene LUMO and increase Voc significantly without decreasing mobility significantly.


Brugada syndrome masked by complete left bundle branch block: A clinical and functional study of its association with the p.1449Y>H SCN5A variant.
SCN5A gene variants are associated with both Brugada syndrome and conduction disturbances, sometimes expressing an overlapping phenotype. Functional consequences of SCN5A variants assessed by patch-clamp electrophysiology are particularly beneficial for correct pathogenic classification and are related to disease penetrance and severity. Here, we identify a novel SCN5A loss of function variant, p.1449Y>H, which presented with high penetrance and complete left bundle branch block, totally masking the typical findings on the electrocardiogram. We highlight the possibility of this overlap combination that makes impossible an electrocardiographic diagnosis and, through a functional analysis, associate the p.1449Y>H variant to SCN5A pathogenicity.


Screening for autism in young children: The Modified Checklist for Autism in Toddlers (M-CHAT) and other measures.
The literature on the importance of early identification and early intervention for children with developmental disabilities such as autism continues to grow. The increased prevalence of autistic spectrum disorders has fostered research efforts on the development and validation of autism-specific screening instruments for use with young children. There are currently several such autism-specific screening tools meant to be used with young children in various stages of development. Data from a few of these screening instruments have been published, and they include the Checklist for Autism in Toddlers (CHAT), Pervasive Developmental Disorders Screening Test (PDDST), Screening Tool for Autism in Two year olds (STAT), Checklist for Autism in Toddlers-23 (CHAT-23), and the Modified Checklist for Autism in Toddlers (M-CHAT). In this review, these five tools designed for use with children under three years old will be highlighted. In particular, the Modified Checklist for Autism in Toddlers (M-CHAT) will be discussed.


[Multicenter transverse study of the neurological ambulatory care in the Spanish Health System in Aragon: overall results].
To evaluate clinical, diagnostic and therapeutic aspects and how the Neurology Outpatient Departments of Aragon work in practice. For three consecutive months all patients attending the Neurology Outpatient Departments of the Health Areas of the Health Service of Aragón for the first time were given a specially designed questionnaire. The majority of the patients were women (57%). The average age was 51.5 +/- 20.6 years. The family doctor referred 79.5% of the patients. The average waiting time for patients to be seen was 12.4 +/- 10.7 days. Further investigations were requested in 48.9% of the patients (cerebral CT in 18.1%, MR in 2.6%, EEG in 12% and ENG-EMG in 6.8%). The commonest diagnoses were headache (25.5%), cerebrovascular pathology (12.5%), extrapyramidal pathology (7.5%), syncope (6.5%), convulsions (6%), vertigo (5.9%), psychiatric disorders (5%), non-neurological disorders (4.4%). No treatment was given to 15.64% of the patients attending for the first time. The commonest drugs used were: calcium antagonists (32.5%), platelet antiaggregants (20.9%), antidepressives (17%), antiepileptic drugs (15.6%) and NSAIDS (5.3%). There is a considerable demand for neurological consultations and there are few neurologists in proportion to the population. Better selection of the patients sent for consultation and a better understanding by family doctors of the commoner neurological disorders would considerably reduce the number of patients sent to the Outpatient Department.


[Analysis and evaluation of the articles concerning animal experiments published in Chinese Journal of Burns during 2000 to 2004].
To investigate the current situation of animal experiments by analysis and evaluation of relevant articles published in the Chinese Journal of Burns during 2000 to 2004. All articles concerning the results of animal experiments related to the treatment and medical studies in the past 5 years were analysed according to the international standard , especially in serval aspects, such as sample size, randomization method, sample choice, comparison measure, baseline comparability, estimate index, statistics method, and so oN. During 2000 to 2004, totally 1 116 papers were published in the journal, among them 81 papers were (accounted for 7.3% ) of all articles were reports of treatment related experiments. Out of 81 papers, in 69 experiments ( accounted for 85. 2% ) there was randomized control group, and the main problems lay in calculation of the number of samples, the application of randomization method, and analysis of statistics. Application of the randomized control modality in animal experiment is popular in our country, but the design of some studies is not so rigorous. Therefore, we should improve the design of every research project before the experiment is carried out.


Alterations in Cortical-Subcortical Metabolism in Temporal Lobe Epilepsy With Impaired Awareness Seizures.
The features of cerebral metabolism associated with loss of consciousness in patients with temporal lobe epilepsy (TLE) have not been fully elucidated. We aim to investigate the alterations in cortical-subcortical metabolism in temporal lobe epilepsy with impaired awareness seizures (IAS). Regional cerebral metabolism was measured using fluorine-18-fluorodeoxyglucose positron emission tomography (18F-FDG PET) in patients with TLE-IAS and healthy controls. All patients had a comprehensive evaluation to confirm their seizure origin and lateralization. Videos of all seizures were viewed and rated by at least two epileptologists to identify the state of consciousness when a seizure occurred. By synthesizing the seizure history, semeiology, and video EEG of all patients, as long as the patients had one seizure with impaired awareness, she/he will be included. 76 patients with TLE-IAS and 60 age-matched healthy controls were enrolled in this study. Regional cerebral metabolic patterns were analyzed for TLE-IAS and healthy control groups using statistical parametric mapping. Besides, we compared the MRI-negative patients and MRI-positive patients with healthy controls, respectively. There were no significant differences in the age and sex of TLE-IAS patients and healthy control. TLE-IAS patients showed extensive bilateral hypermetabolism in the frontoparietal regions, cingulate gyrus, corpus callosum, occipital lobes, basal ganglia, thalamus, brainstem, and cerebellum. The region of metabolic change was more extensive in right TLE-IAS than that of the left, including extensive hypometabolism in the ipsilateral temporal, frontal, parietal, and insular lobes. And contralateral temporal lobe, bilateral frontoparietal regions, occipital lobes, the anterior and posterior regions of the cingulate gyrus, bilateral thalamus, bilateral basal ganglia, brainstem, and bilateral cerebellum showed hypermetabolism. The TLE patients with impaired awareness seizure showed hypermetabolism in the cortical-subcortical network including the arousal system. Additionally, 48 MRI-positive and 28 MRI-negative TLE-IAS patients were included in our study. TLE-IAS patients with MRI-negative and MRI-positive were both showed hypermetabolism in the cingulate gyrus. Hypometabolism in the bilateral temporal lobe was showed in the TLE-IAS with MRI-positive. These findings suggested that the repetitive consciousness impairing ictal events may have an accumulative effect on brain metabolism, resulting in abnormal interictal cortical-subcortical metabolic disturbance in TLE patients with impaired awareness seizure. Understanding these metabolic mechanisms may guide future clinical treatments to prevent seizure-related awareness deficits and improve quality of life in people with TLE.


Sperm morphology and testicular histology of the polyandric species Leptodactylus podicipinus (Anura: Leptodactylidae) from an urban environment.
Anurans have a high reproductive diversity, which is closely associated with testicular dynamics and sperm production. This variety in reproduction is modulated by the sexual characteristics of reproductive strategies, such as polyandry. Leptodactylus podicipinus has high reproductive plasticity, wide geographical distribution, and polyandric behavior. Although aspects of the testes and sperm of this species are known, knowledge about the relationship between these aspects and reproductive investment is scarce. The present study evaluated the morphological characteristics of the testes and sperm in an urban environment. We used 11 sexually mature males from the city of Campo Grande, Mato Grosso do Sul, Brazil. The specimens were obtained from night excursions between April and September, the months that constitute the post-rainy season. The biometric data (snout-vent length, testes, and body mass) were associated with sperm parameters (length of the spermatozoon head and tail). Stereological analyses of sperm morphology and the testes were performed. The results showed correlations between testis mass and spermatozoon length, which were positively related to head length and negatively related to tail length. The locular area and tail length were also negatively correlated. The percentage of normal spermatozoa was 97%; however, some sperm heads and tails exhibited different morphologies from the pattern described for the species. The germinative structure comprised more than 50% of the locular area composed of spermatozoa. The results of this study contribute to the knowledge of aspects related to the reproductive biology of L. podicipinus obtained from an urban environment.


[Study on genetic radioresistance of natural Drosophila Melanogaster population from radionuclide contaminated regions of Byelarus].
Over the period from 1998 to 2000 adaptation to unfavorable ecological factors was revealed to be formed in natural Drosophila melanogaster populations from various regions of Belarus with increased radiation background due to the Chernobyl accident. This adaptation was shown to be of non-specific character, since the populations from radiation regions were more resistant to the effect of not only factors of physical nature (irradiation), but also to that of chemical mutagen ethylmethanesulphonate. Assessment of population resistance was carried out by means of tests of dominant lethal mutations and recessive sex-linked lethal mutations.


Neural evidence that inhibition is linked to the affective devaluation of distractors that match the contents of working memory.
Stimuli appearing as visual distractors subsequently receive more negative affective evaluations than novel items or prior targets of attention. Leading accounts question whether this distractor devaluation effect occurs through evaluative codes that become associated with distractors as a mere artefact of attention-task instructions, or through affective consequences of attentional inhibition when applied to prevent distractor interference. Here we test opposing predictions arising from the evaluative-coding and devaluation-by-inhibition hypotheses using an electrophysiological marker of attentional inhibition in a task that requires participants to avoid interference from abstract-shape distractors presented while maintaining a uniquely-colored stimulus in memory. Consistent with prior research, distractors that matched the colour of the stimulus being held in memory elicited a Pd component of the event-related potential waveform, indicating that their processing was being actively suppressed. Subsequent affective evaluations revealed that memory-matching distractors also received more negative ratings than non-matching distractors or previously-unseen shapes. Moreover, Pd magnitude was greater on trials in which the memory-matching distractors were later rated negatively than on trials preceding positive ratings. These results support the devaluation-by-inhibition hypothesis and strongly suggest that fluctuations in stimulus inhibition are closely associated with subsequent affective evaluations. In contrast, none of the evaluative-coding based predictions were confirmed.


Effect of ketoprofen treatment on the uterine inflammatory response after AI of jennies with frozen semen.
Artificial insemination (AI) involving the placing of frozen-thawed semen directly into the jenny uterine body is associated with very low pregnancy rates. This might be because of an exacerbation of the acute response of the endometrium to sperm, as seen in mares with persistent induced mating endometritis. Pregnancy rates can be increased in such mares, however, by including anti-inflammatory treatments in the insemination protocol (Bucca S, Carli A, Buckley T, Dolci G, Fogarty U. The use of dexamethasone administered to mares at breeding time in the modulation of persistent mating induced endometritis. Theriogenology 2008;70:1093-100; Rojer H, Aurich C. Treatment of persistent mating-induced endometritis in mares with the non-steroid anti-inflammatory drug vedaprofen. Reprod Domest Anim 2010;45:e458-60). To investigate the endometritis caused by the use of frozen-thawed semen in jennies, and to assess the response to ketoprofen treatment, endometrial cytological samples and biopsies from six healthy jennies were examined in a crossover design experiment. Samples were taken from jennies in estrus (E; control) and at 6 hours after AI with or without ketoprofen (+K and -K, respectively). Ketoprofen was administered iv 24 hours before and for 4 days after insemination (total = 2.2 mg/kg/24 hours for 5 days). All animals showed a severe inflammatory response to semen deposition. Polymorphonuclear neutrophil numbers in the cytological smears and biopsies differed significantly between the +K and E animals. No significant differences were recorded, however, between the +K and -K treatments. Eosinophils were observed in all sample types from all groups; these cells appear to be a feature of the normal jenny endometrium. Slight fibrosis was observed in some biopsies, but no significant relationship with inflammation was found. Intense cyclooxygenase-2 (COX-2) immunohistochemical labeling was detected in the -K biopsies. Less intense labeling was seen in those of the +K animals, and mainly localized in the stratum compactum. No differences in COX-2 labeling were observed between the +K and E animals. Plasma concentrations of ketoprofen remained detectable until 2 hours after administration, after which the compound was rapidly eliminated. In summary, jennies are susceptible to endometritis after insemination with frozen-thawed semen. Ketoprofen reduces this inflammation by inhibiting COX-2; no reduction in the number of polymorphonuclear neutrophils occurs. The physiological and pharmacological characteristics of jennies should be taken into account when designing treatments for acute endometritis aimed at enhancing pregnancy rates after insemination with frozen-thawed sperm.


Evaluating spotted lanternfly (Hemiptera: Fulgoridae) infestation in the Northern Ohio Valley.
Lycorma delicatula White (spotted lanternfly; SLF) is an invasive pest insect threatening increased agricultural costs as it spreads rapidly westward across the United States. As such, surveying was conducted adjacent to the insect's westernmost quarantine area in 2021-2022 to support multi-state monitoring. Specifically, 2,077 visual and sticky-trap surveys were performed in 13 repeatedly surveyed plots strategically located near high-traffic roadways and rail-lines along the Ohio-West Virginia border. Sites were located in Jefferson (Ohio), Brooke (West Virginia), and Hancock (West Virginia) counties. Only one SLF was detected in 2021 (the third documented Ohio site containing SLF) in close proximity to a railway, consistent with rail-mediated dispersal trends recorded throughout the United States. Thirty-one SLF were captured in 2 Ohio sites in 2022, 30 of which were captured at the same railway site as in 2021. However, 1 of the 31 SLF was found in a plot on a university campus 1.25 km from the nearest railway, along with 10 additional specimens found in a follow-up visual survey of a neighboring woodlot. Failure to detect SLF at nearby survey plots nearer to the closest rail line and commuter parking lots suggests local unaided dispersal in a state with primarily train-mediated dispersal-mirroring trends in affected states with more established SLF populations. Data from this survey are valuable for establishing baselines and early-invasion patterns of SLF dispersal into Ohio, anticipating SLF expansion patterns in Ohio, and eventually contributing to improved SLF dispersal modeling in Ohio, the Midwest, and the United States.


Interaction of phenanthrene and its primary metabolite (1-hydroxy-2-naphthoic acid) with estuarine sediments and humic fractions.
Experiments were conducted to compare the sorption and desorption of phenanthrene and its primary degradation product, 1-hydroxy-2-naphthoic acid (HNA), in estuarine sediment, humic acid (HA) and humin. Ionic composition, ionic strength (0.4 M) and pH (7.6) were employed to mimic native estuarine pore water at the sediment-water interface. Sorption to whole sediment and organic matter (OM) fractions was significantly lower for HNA than for phenanthrene. Whereas HNA did not sorb to HA, uptake to sediment and humin was observed, suggesting that HNA does not bind directly to OM. Phenanthrene uptake was characterized by hysteretic behavior and exhibited slow desorption. In contrast, HNA initially was more readily desorbed from sediment and humic fractions, but a significant fraction was not recovered in repeated desorption runs. The lower sorption of HNA reflects its greater polarity and water solubility, but the consistent retention of a non-desorbing fraction suggests strong binding and/or chemical transformation reactions may be important. It was postulated that abiotic transformation of HNA may occur in estuarine sediments, in part due to the presence of redox active minerals (Fe(III) and Mn(IV) oxides). The presence of Fe and Mn solids in the estuarine sediment was verified by sequential extraction and studies were then conducted to investigate the transformation of HNA in the presence of synthetic goethite (alpha-FeOOH) and birnessite (delta-MnO2) as model solids. Reaction with birnessite led to transformation of all HNA in solution within 24 h and resulted in the formation of partial oxidation products (POPs). Following reaction with goethite, HNA was present in solution and POPs were observed in the weakly bound fraction. This study indicates that degradation products of polycyclic aromatic hydrocarbons (PAHs) may have distinctly different sorption affinities and reactivities toward environmental surfaces than their parent compounds.


Ocular and visual disorders in Parkinson's disease: Common but frequently overlooked.
Patients with Parkinson's disease (PD) often compensate for their motor deficits by guiding their movements visually. A wide range of ocular and visual disorders threatens the patients' ability to benefit optimally from visual feedback. These disorders are common in patients with PD, yet they have received little attention in both research and clinical practice, leading to unnecessary - but possibly treatable - disability. Based on a literature search covering 50 years, we review the range of ocular and visual disorders in patients with PD, and classify these according to anatomical structures of the visual pathway. We discuss six common disorders in more detail: dry eyes; diplopia; glaucoma and glaucoma-like visual problems; impaired contrast and colour vision; visuospatial and visuoperceptual impairments; and visual hallucinations. In addition, we review the effects of PD-related pharmacological and surgical treatments on visual function, and we offer practical recommendations for clinical management. Greater awareness and early recognition of ocular and visual problems in PD might enable timely instalment of tailored treatments, leading to improved patient safety, greater independence, and better quality of life.