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We present a technique for measuring the interactions between pairs of colloidal particles in two optical traps. This method is particularly suitable for measuring strongly attractive potentials, an otherwise challenging task. The interaction energy is calculated from the distribution of inter-particle separations by accounting for the contribution from the optical traps with arbitrary trap profiles. The method is simple to implement and applicable to different types of pair potentials and optical trapping geometries. We apply the method to measure dipolar pair interactions in experiments with paramagnetic colloids in external magnetic fields. We obtain consistent and accurate results in all regimes, from strongly attractive to repulsive potentials. By means of computer simulations, we demonstrate that the proposed method can be successfully applied to systems with complex pair interactions characterized by multiple attractive and repulsive regimes, which are ubiquitous in soft and biological matter. [ABSTRACT FROM AUTHOR]

AbstractObjectivesMethodResultsConclusionLittle is known about the attitudes toward female genitals of men who are attracted to women. This is an important omission because these attitudes may influence men’s own sexual experiences; they may also influence the genital self-image of their female partners if these views are knowingly or unknowingly communicated. Therefore, we examined men’s views of women’s genitals both globally and with respect to specific aspects.Participants were 212 self-identified men who completed an online survey that included scales assessing the men’s views of female genitals, perceptions of women’s satisfaction with their own genitals, sexual experience, and genital feedback provided to female partners. All were attracted to and had sexual experience with women.On average the men’s attitudes toward female genitals were moderately positive, although they ranged from negative to very positive. The men did not rate any of 24 listed specific female genital aspects as extremely important to them. The men believed that the majority of women feel positively about their own genitals. However, a comparison with published data collected from women revealed that men’s estimates of the percentage of women who are satisfied with their genitals were lower than the percentage of women who actually report that they are satisfied with their genitals. This discrepancy was particularly large with respect to genital appearance. A path analysis revealed that men with more positive attitudes toward female genitals reported having more lifetime sexual partners and providing more frequent positive genital feedback and less frequent negative genital feedback to partners.These results suggest that although men generally have moderately positive attitudes toward female genitals, there is considerable variability among men ranging from negative to very positive. The study also provided some evidence that men’s views of female genitals may adversely affect both the men themselves and their female partners. [ABSTRACT FROM AUTHOR]

Hypertrophic cardiomyopathy (HCM) is characterized by thickening of the left ventricular wall, diastolic dysfunction, and fibrosis, and is associated with mutations in genes encoding sarcomere proteins. While in vitro studies have used human induced pluripotent stem cell-derived cardiomyocytes (hiPSC-CMs) to study HCM, these models have not examined the multicellular interactions involved in fibrosis. Using engineered cardiac microtissues (CMTs) composed of HCM-causing MYH7-variant hiPSC-CMs and wild-type fibroblasts, we observed cell-cell cross-talk leading to increased collagen deposition, tissue stiffening, and decreased contractility dependent on fibroblast proliferation. hiPSC-CM conditioned media and single-nucleus RNA sequencing data suggested that fibroblast proliferation is mediated by paracrine signals from MYH7-variant cardiomyocytes. Furthermore, inhibiting epidermal growth factor receptor tyrosine kinase with erlotinib hydrochloride attenuated stromal activation. Last, HCM-causing MYBPC3-variant CMTs also demonstrated increased stromal activation and reduced contractility, but with distinct characteristics. Together, these findings establish a paracrine-mediated cross-talk potentially responsible for fibrotic changes observed in HCM. [ABSTRACT FROM AUTHOR]

Behavior is tightly synchronized with bodily physiology. Internal needs from the body drive behavior selection, while optimal behavior performance requires a coordinated physiological response. Internal state is dynamically represented by the nervous system to influence mood and emotion, and body-brain signals also direct responses to external sensory cues, enabling the organism to adapt and pursue its goals within an ever-changing environment. In this review, we examine the anatomy and function of the brain-body connection, manifested across local, reflex, and central regulation levels. We explore these hierarchical loops in the context of the immune system, specifically through the lens of immunoception, and discuss the impact of its dysregulation on human health. Emerging evidence on the communication between the nervous system and the rest of the body is reigniting our understanding of organism physiology. This review describes the anatomy and function of brain-body communication at different levels and discusses its impact on health and disease. [ABSTRACT FROM AUTHOR]

To evaluate the effect of glyphosate, 2,4-D, and their combination on daily dissolved oxygen saturation percentage (DO%) in freshwater, two separate outdoor mesocosm experiments were performed. The experiments were conducted under contrasting conditions: one in clear mesotrophic status lasting 23 days, and the other in organic turbid eutrophic conditions lasting 21 days. Single concentrations were applied as commercial formulations at two levels. Samples of phytoplankton (micro + nano, picoeukaryotes, picocyanobacteria), mixotrophic algae, and heterotrophic bacteria were analyzed at four sampling dates. Increases in DO levels were consistently observed in both clear and turbid systems treated with glyphosate, either alone or in combination with 2,4-D, suggesting that DO is a sensitive indicator. DO increased in all glyphosate treatments. DO increases reflected different changes in phytoplankton communities, increasing with micro + nano phytoplankton abundance in the clear experiment but with increased picocyanobacteria in the turbid. In contrast, 2,4-D reduced DO levels, but only in the turbid system, where micro + nano phytoplankton abundance decreased. The clear system showed greater resilience by restoring DO levels before the turbid one. Mainly additive effects of the herbicide mixture were observed on dissolved oxygen levels (DO%), but a distinct synergistic decrease was detected within turbid systems, underscoring the importance of considering turbidity as a contributing factor in the freshwater impacts of herbicides. [ABSTRACT FROM AUTHOR]

Background and Objectives The Individualized Positive Psychosocial Interaction (IPPI) program is an adaptable, evidence-based intervention. IPPI trains nursing home care partners to engage residents living with moderate to severe dementia in preference-based, one-to-one interactions using emotion-focused communication. We sought to understand provider-driven adaptations made to the IPPI program and whether the adaptations made were fidelity-consistent. Research Design and Methods Data were collected from n = 78 interviews with n = 23 nursing home provider champions who led a quality improvement project to implement the IPPI program with 3–5 residents per care community. Using content analysis, we report quantitative data on the adaptation characteristics according to the Framework for Reporting Adaptations and Modifications-Expanded core modules and participant quotes to illustrate adaptations. Results Champions reported 34 adaptations, with an average of 2.6 adaptations per nursing home. The majority of IPPI adaptations pertained to implementation (65%; n = 22), whereas 17% (n = 6) were content and 17% (n = 6) were context. Some adaptations were motivated by the organization (e.g. time constraints), while others were motivated by the recipient (e.g. cognitive capacity). Most adaptations made to the IPPI protocol by care partners were fidelity-consistent (92%; n = 33). Discussion and Implications Care partners' adaptations to the IPPI made the intervention more resident-centric. Future healthcare intervention providers must consider the user perspective and encourage adaptations that further tailor to the user, as long as the adaptations are fidelity-consistent. [ABSTRACT FROM AUTHOR]

Anthropogenic development throughout African savannahs results in changes to landscapes and wildlife habitat. Linear features (e.g. roads and powerlines) have become more prevalent and can reshape how many mammal species navigate the landscape. This study assesses how mammals use anthropogenic linear features and game trails in a woody savannah via camera traps. We found that a greater number of species, especially carnivores, used linear features rather than game trails. Additionally, 15 mammal taxa were associated with anthropogenic linear features, whereas only four taxa were associated with game trails, suggesting that anthropogenic development throughout the African savannah may alter wildlife landscape use. [ABSTRACT FROM AUTHOR]

This study aimed to analyze the risk factors associated with diabetes mellitus (DM) among Brazilian adults. Cross-sectional study. Data of 75,860 Brazilian adults (≥18 years) were collected using the Surveillance System for Risk and Protective Factors for Chronic Diseases by Telephone Survey (Vigitel) (2020–2023). Variables assessed included self-reported medical diagnosis of DM, sociodemographic factors (sex, age, schooling, marital status) and DM risk factors (regular consumption of sweetened beverages (≥5 times/week), infrequent consumption of fruits and vegetables, and beans (<5 times/week), insufficient physical activity, prolonged screen time on cell phones, computers, tablets (CCT), and television (TV), smoking, heavy episodic drinking, excess weight, and obesity). Logistic regression models estimated crude and adjusted odds ratio (aOR) (adjusted for sociodemographic characteristics) for the association between the risk factors and the presence of DM. The overall prevalence of self-reported DM in the population was 9.2%. There was a lower chance of regular consumption of sweetened beverages (aOR 0.79; 95% CI: 0.65–0.97) and heavy episodic drinking (aOR 0.77; 95% CI: 0.65–0.93) and a greater chance of insufficient physical activity (aOR 1.40; 95% CI: 1.25–1.55), prolonged TV screen time (aOR 1.22; 95% CI: 1.09–1.36), excess weight (aOR 1.62; 95% CI: 1.44–1.82) and obesity (aOR 1.87; 95% CI: 1.67–2.10) among individuals with DM. There was a lower chance of regular consumption of sweetened beverages and heavy episodic drinking among individuals with DM and a greater chance of insufficient physical activity, prolonged TV screen time, excess weight, and obesity, among that. [ABSTRACT FROM AUTHOR]

Champions are a highly influential, yet understudied, aspect of evidence-based implementation in the nursing home setting. This study explored the role of nursing home champions implementing Preferences for Activity and Leisure (PAL) Cards in their community as a quality improvement project. PAL Cards are a communication tool designed to alert team members to important individual preferences. Participants included n = 35 nursing homes who identified champions to create PAL Cards for 15–20 older adults living in their community. A total of 88 monthly qualitative interviews with champions were coded using the domain "Characteristics of the Individual" from the Consolidated Framework for Implementation Research (CFIR). Champions who were able to articulate the anticipated benefits of PAL Cards for their community and recruited a supportive team exhibited high implementation success. [ABSTRACT FROM AUTHOR]

The road network in Colombia, as reported by the National Roads Institute of Colombia (INVIAS), comprises a total of 206,708 kilometers, with 142,284 kilometers falling under the rural roads with low traffic volume network category. Sadly, an estimated of 96% of these roads are in poor condition. The primary reason behind this issue is the presence of subgrades that exhibit inadequate mechanical performance, largely due to the lack of proper stabilization methods. Moreover, these roads often serve as the sole access and exit routes for rural communities, significantly impacting their connectivity with nearby urban centers. Recognizing this critical issue, this article proposes the use of coal ash for subgrade stabilization during the construction of low-traffic-volume roads. The study conducted demonstrates that coal ash can enhance the mechanical properties of subgrades, leading to an increase in strength and load-bearing capacity. The improved mechanical properties are attributed to the binding and reactive characteristics displayed by the coal ashes, which greatly contribute to soil stabilization. To verify these claims, a series of physical, mechanical, and strength characterization tests were conducted on both natural and treated clayey sand samples obtained from a rural population in Colombia. The detailed analysis of the results shows an improvement in the mechanical properties of the soil due to the use of coal ash as a stabilizing agent. [ABSTRACT FROM AUTHOR]

By studying the properties of q-series Z ^ -invariants, we develop a dictionary between 3-manifolds and vertex algebras. In particular, we generalize previously known entries in this dictionary to Lie groups of higher rank, to 3-manifolds with toral boundaries, and to BPS partition functions with line operators. This provides a new physical realization of logarithmic vertex algebras in the framework of the 3d-3d correspondence and opens new avenues for their future study. For example, we illustrate how invoking a knot-quiver correspondence for Z ^ -invariants leads to many infinite families of new fermionic formulae for VOA characters. [ABSTRACT FROM AUTHOR]

Purpose. Quantitative in vivo [18F]-(2S,4R)4-fluoroglutamine ([18F]4-FGln or more simply [18F]FGln) metabolic kinetic parameters are compared with activity levels of glutamine metabolism in different types of hepatocellular carcinoma (HCC). Methods. For this study, we used two transgenic mouse models of HCC induced by protooncogenes, MYC, and MET. Biochemical data have shown that tumors induced by MYC have increased levels of glutamine metabolism compared to those induced by MET. One-hour dynamic [18F]FGln PET data were acquired and reconstructed for fasted MYC mice (n = 11 tumors from 7 animals), fasted MET mice (n = 8 tumors from 6 animals), fasted FVBN controls (n = 8 normal liver regions from 6 animals), nonfasted MYC mice (n = 16 tumors from 6 animals), and nonfasted FVBN controls (n = 8 normal liver regions from 3 animals). The influx rate constants ( K 1 ) using the one-tissue compartment model were derived for each tumor with the left ventricular blood pool input function. Results. Influx rate constants were significantly higher for MYC tumors ( K 1 = 0.374 ± 0.133) than for MET tumors ( K 1 = 0.141 ± 0.058) under fasting conditions (P = 0.0002). Rate constants were also significantly lower for MET tumors ( K 1 = 0.141 ± 0.135) than normal livers ( K 1 = 0.332 ± 0.179) under fasting conditions (P = 0.0123). Fasting conditions tested for MYC tumors and normal livers did not result in any significant difference with P values > 0.005. Conclusion. Higher influx rate constants corresponded to elevated levels of glutamine metabolism as determined by biochemical assays. The data showed that there is a distinctive difference in glutamine metabolism between MYC and MET tumors. Our study has demonstrated the potential of [18F]FGln PET imaging as a tool to assess glutamine metabolism in HCC tumors in vivo with a caution that it may not be able to clearly distinguish HCC tumors from normal liver tissue. [ABSTRACT FROM AUTHOR]

Nursing homes receive complaints when actual care provided to residents misaligns with desired care, suggesting that person-centered care (PCC) and honoring resident preferences in care delivery may help prevent complaints from arising. We explore whether nursing home implementation of a PCC tool, the Preferences for Everyday Living Inventory (PELI), is related to measures of complaints. Publicly available data on Ohio nursing homes was used to examine 1,339 nursing home-year observations. Regression techniques were used to evaluate the relationship between the extent of PELI implementation and four complaint outcomes: any complaint, number of complaints, any substantiated complaint, and number of substantiated complaints. Nursing homes with complete PELI implementation were less likely to have any complaints by 4.7% points (P <.05) and any substantiated complaints by 11.5% points (P <.001) as compared to partial PELI implementers. When complete PELI implementers did have complaints, they were fewer than partial PELI implementers. Complete PELI implementers were not immune from receiving complaints; however, the complaints they did receive were fewer in number and less likely to be substantiated as compared to communities who only partially implemented a PCC tool. [ABSTRACT FROM AUTHOR]

Background and Objectives Despite federal legislation requiring nursing home (NH) staff members to be vaccinated against coronavirus disease 2019 (COVID-19), unvaccinated staff pose an ongoing public health risk. The research question guiding this study is as follows: What is the relationship between strategies to address vaccine hesitancy and vaccination rates among staff? We used the diffusion of innovation (DOI) theory as a theoretical framework. Research Design and Methods The sample (N  = 627) included Ohio-based NHs. Using national and state NH data, multivariable linear regression techniques demonstrated the relationship between strategies to address vaccine hesitancy and vaccination rates among NH staff. Results Peer counseling and providing sick time or time off for vaccine symptoms were both statistically significant strategies. Compared to facilities that did not engage in peer counseling, those that did saw an average increase of 3.2% of their staff vaccinated. Those that provided sick time or time off saw an average increase of 3.9% of their staff vaccinated. There was no statistically significant relationship between hiring full- or part-time facility infection preventionists and vaccination rates. Discussion and Implications In order to foster vaccine confidence among long-term services staff, peer counseling, and providing sick time or time off are examples of strategies that can affect vaccination rates among staff. According to DOI, these strategies target the communication channels and social systems of an organization. While this study focuses on NHs, results remain critically important to the remainder of the long-term services system, which does not have vaccine requirements similar to the NH industry. [ABSTRACT FROM AUTHOR]

Simple Summary: Vitamin D biology in equids is unique and poorly understood. Naturally managed (grazing) horses rely on dietary vitamin D2 (ergocalciferol) to provide adequate vitamin D, because endogenous ultraviolet radiation-mediated synthesis of vitamin D3 (cholecalciferol) is ineffective in this species. To test the hypothesis that the management of stabled, non-grazing racehorses is a risk factor for low vitamin D status, the vitamin D status of non-grazing Thoroughbred racehorses in Hong Kong (HK) and grazing Thoroughbred racehorses in the United Kingdom (UK) was compared. The HK horses had lower serum concentrations of 25-hydroxyvitamin D2 (25OHD2) and total 25-hydroxyvitamin D (total 25OHD: the index of vitamin D status), reflecting reduced dietary vitamin D2 intake. These data indicate that HK racehorses required dietary vitamin D3 supplementation to maintain adequate vitamin D status. The inverse relationship between the serum concentrations of 25OHD2 and 25OHD3, previously identified in humans, was observed for the first time in horses, indicating that further study is needed to determine the optimal form of dietary vitamin D supplementation for Thoroughbred racehorses. There is a paucity of data relating to the vitamin D status of racehorses. We hypothesised that the management of racehorses in Hong Kong (HK) predisposes to low vitamin D status unless they receive dietary supplementation. Serum concentrations of 25-hydroxyvitamin D2 (25OHD2), 25-hydroxyvitamin D3 (25OHD3) and total 25-hydroxyvitamin D (total 25OHD) for 79 non-grazing HK racehorses were compared with those for 22 racehorses training in the United Kingdom (UK) that grazed for ≥1 h/d, and for which published data exists. A nested group of 41 HK horses was sampled twice to determine the effect of the duration in HK on vitamin D status. The HK horses had significantly lower serum concentrations of total 25OHD and 25OHD2 than the UK horses; 25OHD2 was undetectable in 15/79 HK sera and serum concentrations of 25OHD2 declined with the duration in HK. The main determinants of vitamin D status were assessed using linear regression; the retained variables were the 25OHD3 concentration and the duration in HK. The inverse relationship between the serum concentrations of 25OHD2 and 25OHD3, previously identified in humans, was observed for the first time in horses. In conclusion, HK racehorses have low serum 25OHD2 and total 25OHD concentrations and rely on D3 supplementation to maintain adequate vitamin D status. Further study is required to determine the optimal form of dietary vitamin D supplementation for Thoroughbred racehorses. [ABSTRACT FROM AUTHOR]

Here, we initiate a program to study relationships between finite groups and arithmetic–geometric invariants in a systematic way. To do this, we first introduce a notion of optimal module for a finite group in the setting of holomorphic mock Jacobi forms. Then, we classify optimal modules for the cyclic groups of prime order, in the special case of weight 2 and index 1, where class numbers of imaginary quadratic fields play an important role. Finally, we exhibit a connection between the classification we establish and the arithmetic geometry of imaginary quadratic twists of modular curves of prime level. [ABSTRACT FROM AUTHOR]

Background: Despite increased awareness of diet and nutrition being integral to the management of patients with inflammatory bowel disease (IBD), there are gaps in the knowledge of IBD healthcare providers regarding nutrition. Furthermore, high quality evidence on nutritional assessment and dietary management of IBD is limited. A Delphi consensus from a panel of experts allows for best‐practice guidelines to be developed, especially where high quality evidence is limited. The aim was to develop guidelines for the nutritional assessment and dietary management of IBD using an eDelphi online consensus agreement platform. Methods: Seventeen research topics related to IBD and nutrition were systematically reviewed. Searches in Cochrane, Embase®, Medline® and Scopus® electronic databases were performed. GRADE was used to develop recommendations. Experts from the IBD community (healthcare professionals and patients with IBD) were invited to vote anonymously on the recommendations in a custom‐built online platform. Three rounds of voting were carried out with updated iterations of the recommendations and evaluative text based on feedback from the previous round. Results: From 23,824 non‐duplicated papers, 167 were critically appraised. Fifty‐five participants completed three rounds of voting and 14 GRADE statements and 42 practice statements achieved 80% consensus. Comprehensive guidance related to nutrition assessment, nutrition screening and dietary management is provided. Conclusions: Guidelines on the nutritional assessment and dietary management of IBD have been developed using evidence‐based consensus to improve equality of care. The statements and practice statements developed demonstrate the level of agreement and the quality and strength of the guidelines. Key points: Comprehensive guidelines related to nutrition assessment, nutrition screening and dietary management of inflammatory bowel disease have been developed.Fourteen GRADE statements and 42 practice statements achieved 80% consensus agreementFifty‐five participants comprising experts from the inflammatory bowel disease (IBD) community (healthcare professionals and patients with IBD) took part in the online consensus voting [ABSTRACT FROM AUTHOR]

The purpose of this study is to expand on previous work testing the relationship between person-centered care (PCC) and quality outcomes in the nursing home (NH) setting. We explore if the Preferences for Everyday Living Inventory (PELI) implementation is a predictor of NH quality, as defined by deficiencies. Secondary data analysis of repeated cross-sections. Data from 6 sources on Ohio NHs were merged to examine 1300 NH-year observations. Logistic regression techniques were used to evaluate the relationship between PELI implementation and 3 survey deficiency outcomes: whether the NH had a 4- or 5- deficiency star rating, deficiency score, and whether the NH had a deficiency score of 0. NHs with complete PELI implementation increased the probability of having a 4- or 5- deficiency star rating by 6 percentage points (P =.039). Results also show complete PELI implementation is related to lower deficiency scores and an increased probability of having a deficiency score of 0, but only a 0 deficiency score was marginally significant. The findings indicate PCC stands to improve quality outcomes; however, benefits take time to show. Future research should seek to help improve NHs level of commitment to PCC and buy-in from policymakers. [ABSTRACT FROM AUTHOR]

Purpose: We aimed to examine how supply source affects satisfaction with continence products and care among individuals with urinary incontinence (UI). Supply source was compared among pharmacies, national suppliers, and shops. The secondary aim was to compare participant characteristics between the three groups. Patients and Methods: A survey questionnaire was distributed via social media between April and June 2020. This included the international consultation on incontinence questionnaire (ICIQ) UI short form (ICIQ-UI-SF), the ICIQ-PadPROM, and the ICIQ-LUTSqol, together with questions about respondent characteristics and satisfaction with continence products. Results: Of the 1045 respondents, 706 fully completed and 339 partially completed the survey. Among these, 322 (45.6%), 199 (28.1%), and 185 (26.2%) made purchases from shops, national suppliers, and pharmacies, respectively. The mean ICIQ-UI-SF sum scores were comparable for the pharmacy (13.3 ± 3.7) and national supplier (13.8 ± 3.5) groups, but were significantly lower for the shop group (12.0 ± 3.3). Mean sum scores for satisfaction with continence products and satisfaction with continence care were also significantly lower in the shop group (7.9 ± 2.6 and 6.4 ± 2.7, respectively) compared with the pharmacy (9.1 ± 2.7 and 7.9 ± 2.6, respectively) and national supplier (9.3 ± 2.6 and 8.1 ± 3.0, respectively) groups. There were no statistically significant differences in the ICIQ-PadPROM and ICIQ-LUTSqol scores. Respondents' characteristics were similar, apart from the significantly lower number of males in the shop group. Conclusion: Satisfaction with continence products and continence care is lower for people with UI who purchase materials from a shop than from a pharmacy or national supplier. [ABSTRACT FROM AUTHOR]

Purpose. Quantitative in vivo [18F]-(2S,4R)4-fluoroglutamine ([18F]4-FGln or more simply [18F]FGln) metabolic kinetic parameters are compared with activity levels of glutamine metabolism in different types of hepatocellular carcinoma (HCC). Methods. For this study, we used two transgenic mouse models of HCC induced by protooncogenes, MYC, and MET. Biochemical data have shown that tumors induced by MYC have increased levels of glutamine metabolism compared to those induced by MET. One-hour dynamic [18F]FGln PET data were acquired and reconstructed for fasted MYC mice (n = 11 tumors from 7 animals), fasted MET mice (n = 8 tumors from 6 animals), fasted FVBN controls (n = 8 normal liver regions from 6 animals), nonfasted MYC mice (n = 16 tumors from 6 animals), and nonfasted FVBN controls (n = 8 normal liver regions from 3 animals). The influx rate constants ( K 1 ) using the one-tissue compartment model were derived for each tumor with the left ventricular blood pool input function. Results. Influx rate constants were significantly higher for MYC tumors ( K 1 = 0.374 ± 0.133) than for MET tumors ( K 1 = 0.141 ± 0.058) under fasting conditions (P = 0.0002). Rate constants were also significantly lower for MET tumors ( K 1 = 0.141 ± 0.135) than normal livers ( K 1 = 0.332 ± 0.179) under fasting conditions (P = 0.0123). Fasting conditions tested for MYC tumors and normal livers did not result in any significant difference with P values > 0.005. Conclusion. Higher influx rate constants corresponded to elevated levels of glutamine metabolism as determined by biochemical assays. The data showed that there is a distinctive difference in glutamine metabolism between MYC and MET tumors. Our study has demonstrated the potential of [18F]FGln PET imaging as a tool to assess glutamine metabolism in HCC tumors in vivo with a caution that it may not be able to clearly distinguish HCC tumors from normal liver tissue. [ABSTRACT FROM AUTHOR]

This study examined nine pristine samples representing seven lithologies of the ungrouped C2 carbonaceous chondrite Tagish Lake from the University of Alberta Meteorite Collection using scanning electron microscope and electron probe microanalyzer analyses to characterize the sulfide mineralogy, textures, and compositions present. Four distinct sulfide morphologies were identified including pyrrhotite containing exsolved pentlandite, unexsolved pyrrhotite, and unexsolved pentlandite, and a unique "bull's‐eye" sulfide morphology. The at% Fe/Ni of the pyrrhotite grains within these samples decreases with increasing degree of alteration and roughly places them in the alteration order of TL11v chip1 < TL4 < TL11v chip2 < TL5b ≤ TL10a < TL 11h < TL1 < TL11i. The at% Fe/Ni of low Ni (<1 wt% Ni) pyrrhotite indicates that the overall degree of alteration of Tagish Lake lies between that of CM1/2 and CI chondrites. Comparison of the composition of the sulfides to established Fe‐Ni‐S phase diagrams at different temperatures indicates two separate generations of sulfide formation. They are (1) high‐temperature formation of exsolved pyrrhotite–pentlandite and much of the unexsolved pentlandite at ~500–600 °C, likely by cooling of a monosulfide solid solution melt during chondrule formation; and (2) low‐temperature formation of unexsolved pyrrhotite, some unexsolved pentlandite, pyrrhotite containing flame‐like pentlandite bodies, and bull's‐eye sulfides at ~25–100 °C, likely formed during aqueous alteration events on the Tagish Lake parent body. [ABSTRACT FROM AUTHOR]

Most children with hemiplegic cerebral palsy (HCP), one of the most prevalent subtypes of cerebral palsy, struggle with grasping and manipulating objects. This impairment may arise from a diminished capacity to properly direct forces created with the finger pad due to aberrant force application. Children with HCP were asked to create maximal force with the index finger pad in the palmar (normal) direction with both the paretic and non-paretic hands. The resulting forces and finger postures were then applied to a computational musculoskeletal model of the hand to estimate the corresponding muscle activation patterns. Subjects tended to create greater shear force relative to normal force with the paretic hand (p < 0.05). The resultant force was directed 33.6°±10.8° away from the instructed palmar direction in the paretic hand, but only 8.0°±7.3° in the non-paretic hand. Additionally, participants created greater palmar force with the non-paretic hand than with the paretic hand (p < 0.05). These differences in force production are likely due to differences in muscle activation pattern, as our computational models showed differences in which muscles are active and their relative activations when recreating the measured force vectors for the two hands (p < 0.01). The models predicted reduced activation in the extrinsic and greater reductions in activation in the intrinsic finger muscles, potentially due to reduced voluntary activation or muscle atrophy. As the large shear forces could lead to objects slipping from grasp, muscle activation patterns may provide an important target for therapeutic treatment in children with HCP. [ABSTRACT FROM AUTHOR]

To investigate how GPs manage women with urinary incontinence (UI) in the Netherlands and to assess whether this is in line with the relevant Dutch GP guideline. Because UI has been an underreported and undertreated problem for decades despite appropriate guidelines being created for general practitioners (GPs). Retrospective cohort study. Routine primary care data for 2017 in the Netherlands. We included the primary care records of women aged 18–75 years with at least one contact registered for UI, and then extracted information about baseline characteristics, diagnosis, treatment, and referral to pelvic physiotherapy or secondary care. In total, 374 records were included for women aged 50.3 ± 15.1 years. GPs diagnosed 31.0%, 15.2%, and 15.0% women with stress, urgency, or mixed UI, respectively; no diagnosis of type was recorded in 40.4% of women. Urinalysis was the most frequently used diagnostic test (42.5%). Education was the most common treatment, offered by 17.9% of GPs; however, no treatment or referral was reported in 15.8% of cases. As many as 28.7% and 21.7% of women were referred to pelvic physiotherapy and secondary care, respectively. Female UI is most probably not managed in line with the relevant Dutch GP guideline. It is also notable that Dutch GPs often fail to report the type of UI, to use available diagnostic approaches, and to provide appropriate education. Moreover, GPs referred to specialists too often, especially for the management of urgency UI. Urinary incontinence (UI) has been an underreported and undertreated problem for decades. Despite various guidelines, UI often lies outside the GPs comfort zone. •According to this study: general practitioners do not treat urinary incontinence according to guidelines. •The type of incontinence is frequently not reported and diagnostic approaches are not fully used. •We believe that increased awareness will help improve treatment and avoidable suffering. [ABSTRACT FROM AUTHOR]

PURPOSE: Hemiplegic cerebral palsy (hCP) typically impacts sensorimotor control of the hand, but comprehensive assessments of the hands of children with hCP are relatively rare. This scoping review summarizes the development of hand function for children with hCP. METHODS: This scoping review focused on the development of hand function in children with hCP. Electronic databases (PubMed, PEDro, Web of Science, CINAHL, and SpringerLink) were searched to identify studies assessing hand function in children with hCP. The search was performed using keywords (e.g., "hemiplegia"). An iterative approach verified by two authors was used to select the studies. Articles which reported quantitative data for children with hCP on any items of a specified set of hand evaluations were included. Measures were sorted into three categories: quantitative neuromechanics, clinical assessments, and clinical functional evaluations. RESULTS: Initial searches returned 1536 articles, 131 of which were included in the final review. Trends between assessment scores and age were examined for both hands. CONCLUSION: While several studies have evaluated hand function in children with hCP, the majority relied on clinical scales, assessments, or qualitative descriptions. Further assessments of kinematics, kinetics, and muscle activation patterns are needed to identify the underlying impairment mechanisms that should be targeted for treatment. [ABSTRACT FROM AUTHOR]

This article presents three interlocking moments. In the first moment, we will analyze the different existing definitions of social intervention in their convergence with crime. Different groupings of definitions presented by different authors will be seen after their systematization on this subject. In a second moment, we will elaborate a single definition of social intervention that interweaves or integrates, as far as possible, the existing definitions, systematizing the different aspects or properties of this phenomenon. In a third moment, we will establish the relationship of these aspects of social intervention as a tool for change, with crime as a reality to be transformed. [ABSTRACT FROM AUTHOR]

Previous studies have shown that electrophysiological measures of error processing are affected in patients at risk or diagnosed with internalizing disorders, hence, suggesting that error processing could be a suitable biomarker for internalizing disorders. In this narrative review, we will evaluate studies that address the role of event-related potential (ERP) measures of error-processing in externalizing disorders and discuss to what extend these can be considered a biomarker for externalizing disorders. Currently, there is evidence for the notion that electrophysiological indices of error processing such as the error-related negativity (ERN) and error positivity (Pe) are reduced in individuals with substance use disorders, attention-deficit/hyperactivity disorder, and in forensic populations. However, it remains unclear whether this is also the case for other understudied disorders such as behavioral addiction. Furthermore, to fully understand how these deficits affect day to day behavior, we encourage research to focus on testing current theories and hypotheses of ERN and Pe. In addition, we argue that within an externalizing disorder, individual differences in error processing deficits may be related to prognosis and gender of the patient, methodological issues and presence of comorbidity. Next, we review studies that have related treatment trajectories with ERP measures of error processing, and we discuss the prospect of improving error processing as a treatment option. We conclude that ERP measures of error processing are candidate biomarkers for externalizing disorders, albeit we strongly urge researchers to continue looking into the predictive value of these measures in the etiology and treatment outcome through multi-method and longitudinal designs. • Error processing as a candidate biomarker for externalizing disorders • Variation in error processing could be related to patient and experimental characteristics. • Error processing could be indicative of treatment trajectories. • Promising indications of improving error processing as a treatment option [ABSTRACT FROM AUTHOR]

Summary: Colwellia psychrerythraea is a marine psychrophilic bacterium known for its remarkable ability to maintain activity during long‐term exposure to extreme subzero temperatures and correspondingly high salinities in sea ice. These microorganisms must have adaptations to both high salinity and low temperature to survive, be metabolically active, or grow in the ice. Here, we report on an experimental design that allowed us to monitor culturability, cell abundance, activity and proteomic signatures of C. psychrerythraea strain 34H (Cp34H) in subzero brines and supercooled sea water through long‐term incubations under eight conditions with varying subzero temperatures, salinities and nutrient additions. Shotgun proteomics found novel metabolic strategies used to maintain culturability in response to each independent experimental variable, particularly in pathways regulating carbon, nitrogen and fatty acid metabolism. Statistical analysis of abundances of proteins uniquely identified in isolated conditions provide metabolism‐specific protein biosignatures indicative of growth or survival in either increased salinity, decreased temperature, or nutrient limitation. Additionally, to aid in the search for extant life on other icy worlds, analysis of detected short peptides in −10°C incubations after 4 months identified over 500 potential biosignatures that could indicate the presence of terrestrial‐like cold‐active or halophilic metabolisms on other icy worlds. [ABSTRACT FROM AUTHOR]

• Sensitivity heterogeneity of severe acute respiratory syndrome coronavirus-2 serological tests. • Maximum sensitivity achieved 21 days from symptoms onset. • COVID-19 clinical outcome is associated with different immunoglobulins levels. Commercial availability of serological tests to evaluate immunoglobulins (Ig) targeting severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) has grown exponentially since the start of the coronavirus disease 2019 (COVID-19) outbreak. Thorough validation of these tests is important before use as epidemiological tools to infer seroprevalence in specific populations and as diagnostic tools to complement molecular approaches (e.g., quantitative reverse transcription-polymerase chain reaction). Commercial serological tests from 11 suppliers were assayed side-by-side using 126 samples from SARS-CoV-2-infected inpatients and 36 from healthy and HIV-infected individuals. The majority of the tests assayed have >95% specificity. For the sensitivity calculation, samples were stratified by days since symptoms onset; sensitivity peaks at 16–21 days for IgM and IgA (maximum 91.2%, Euroimmun) and, dependant on the test, at 16–21 or >21 days for IgG (maximum 94.1%, Snibe). Data from semiquantitative tests show that patients with a severe clinical presentation have lower levels of Ig targeting SARS-CoV-2 at <10 days since symptoms onset and higher levels at >21 days, compared to patients with a non-severe presentation. This study highlights the heterogeneity of sensitivity and generally high specificity of the serological tests and establishes a basis for their usefulness to complement diagnostic techniques and population seroprevalence studies. [ABSTRACT FROM AUTHOR]

Spasticity is a common movement disorder that arises from trauma or disease affecting the central nervous system. Untreated spasticity can result in limitations in completing activities of daily living, painful limb contractures, and other conditions associated with loss of mobility. In the long-term care setting, this treatable condition is prevalent, yet often unrecognized likely because of a lack of spasticity-trained practitioners. A recently published spasticity referral tool holds promise for addressing the underdiagnosis of spasticity in the long-term care population. The Minimum Data Set (MDS) would be an ideal mechanism for increasing the diagnosis and treatment of spasticity because it is a government-directed comprehensive screening tool that informs care plans for all residents residing in federally funded long-term care facilities. The MDS could easily integrate the published referral assessment to record the presence of spastic postures and muscle rigidity. We propose expanding the MDS to include 3 questions related to spasticity to improve the recognition and treatment of this prevalent and treatable condition. [ABSTRACT FROM AUTHOR]

Negative genital self-perceptions or female genital self-image (FGSI) is a prevalent concern for women. This is a significant problem in and of itself but also because it is associated with a variety of negative outcomes including less frequent sexual behavior, more negative cognitive-affective sexual responses, and poorer decision-making about genital health. This study examined the extent to which various psychosocial factors are associated with more negative FGSI. Two hundred cisgender women with diverse ages and relationship statuses completed an online survey that included measures of sexual health education (quality of school-based sexual health education (SHE), female genital knowledge), pornography use, sexual experiences (positive and negative partner genital feedback, frequency of sexual activity), and cognitive-affect appraisals (body image, sexual comfort). Social desirability, cognitive-affective appraisals, sexual experiences, and SHE were associated with FGSI at the bivariate level. The results of a multiple regression analysis indicated that only sexual comfort, body image, and positive genital feedback contributed uniquely to the prediction of FGSI. The results are interpreted in terms of the importance of the psychosocial context for understanding women's genital self-perceptions as well as their implications for prevention and intervention strategies aimed at addressing the problem. [ABSTRACT FROM AUTHOR]

In the present study, we used latent variable structural equation modeling to investigate relations between oral language, decoding, and two components of executive function (cognitive flexibility and working memory) and reading comprehension in a sample of 271 native English-speaking 9.00- to 14.83-year-olds. Results of the mediation analyses indicated that both oral language and decoding fully mediated the relations between working memory and cognitive flexibility and reading comprehension. These findings suggest that executive function is likely associated with reading comprehension through its relation with decoding and oral language and provide additional support for the role of executive function in reading comprehension as a potentially crucial precursor to skilled reading. [ABSTRACT FROM AUTHOR]

Mock modular forms have found applications in numerous branches of mathematical sciences since they were first introduced by Ramanujan nearly a century ago. In this proceeding, we highlight a new area where mock modular forms start to play an important role, namely the study of threemanifold invariants. For a certain class of Seifert three-manifolds, we describe a conjecture on the mock modular properties of a recently proposed quantum invariant. As an illustration, we include concrete computations for a specific three-manifold, the Brieskorn sphere Σ(2, 3, 7). [ABSTRACT FROM AUTHOR]

Sticky Brownian motion is the simplest example of a diffusion process that can spend finite time both in the interior of a domain and on its boundary. It arises in various applications in fields such as biology, materials science, and finance. This article spotlights the unusual behavior of sticky Brownian motions from the perspective of applied mathematics, and provides tools to efficiently simulate them. We show that a sticky Brownian motion arises naturally for a particle diffusing on R+ with a strong, short-ranged potential energy near the origin. This is a limit that accurately models mesoscale particles, those with diameters = 100nm-10-m, which form the building blocks for many common materials. We introduce a simple and intuitive sticky random walk to simulate sticky Brownian motion, which also gives insight into its unusual properties. In parameter regimes of practical interest, we show that this sticky random walk is two to five orders of magnitude faster than alternative methods to simulate a sticky Brownian motion. We outline possible steps to extend this method toward simulating multidimensional sticky diffusions. [ABSTRACT FROM AUTHOR]

Background: Brexanolone injection, the first therapy approved by the US FDA for the treatment of postpartum depression (PPD) in adults, has been shown to produce a significantly greater decrease in the Hamilton Rating Scale for Depression (HAM-D) total score than placebo in randomised controlled trials (RCTs) of women with PPD.Objectives: Given the rapid effect of brexanolone injection (within 60 h) sustained throughout the length of the trials (30 days), we sought to compare its efficacy data against selective serotonin reuptake inhibitors (SSRIs), the class of antidepressants most commonly prescribed for PPD, using HAM-D and Edinburgh Postnatal Depression Scale (EPDS) outcomes from currently available RCTs.Methods: We extracted data from 26 studies identified in a systematic literature review of pharmacological and pharmacological/nonpharmacological combination therapies in PPD. Six studies were suitable to form evidence networks through which to perform indirect treatment comparisons (ITCs) of HAM-D and EPDS outcomes between brexanolone and SSRIs. Having assessed the comparability and suitability of the available evidence for analysis, we discovered significant heterogeneity in the study designs, most notably in the placebo arms of the trials. We therefore conducted matching-adjusted indirect comparisons (MAICs) between brexanolone and the placebo arms of comparator studies, subsequently using the MAIC results of brexanolone versus placebo, and results for SSRIs versus placebo, to form ITCs of brexanolone versus SSRIs at three separate time points-day 3, week 4 and last observation. ITCs were calculated as the differences in change from baseline (CFB) in HAM-D and, separately, CFB in EPDS, between treatments, and reported with 95% confidence intervals (CIs).Results: For all time points, MAICs showed larger differences in CFB for brexanolone compared with SSRIs. Differences (95% CIs) between brexanolone and SSRIs were 12.79 (8.04-17.53) [day 3], 5.87 (- 1.62 to 13.37) [week 4] and 0.97 (- 6.35 to 8.30) [last observation] for the HAM-D. For the EPDS, the differences in CFB were 7.98 (5.32-10.64) [day 3], 6.35 (3.13-9.57) [week 4] and 4.05 (0.79-7.31) [last observation]. Other analytical approaches are also presented to demonstrate the similarity of results, using a network meta-analysis approach, and the importance of using the MAIC method to control for the important heterogeneity between placebo arms.Conclusions: Acknowledging the limitations of ITCs and this evidence base, when compared with SSRIs, these analyses suggest that brexanolone demonstrated larger differences in CFB for both patient- and clinician-reported PPD outcomes and at all investigated time points after adjusting for differences between placebos in the included studies. [ABSTRACT FROM AUTHOR]

In this work we consider an association of meromorphic Jacobi forms of half-integral index to the pure D-type cases of umbral moonshine, and solve the module problem for four of these cases by constructing vertex operator superalgebras that realise the corresponding meromorphic Jacobi forms as graded traces. We also present a general discussion of meromorphic Jacobi forms with half-integral index and their relationship to mock modular forms. [ABSTRACT FROM AUTHOR]

• A collaborative approach was used to compare water potential measurement methods. • Time of the day (predawn, mid-morning and noon) and mode (stem vs. leaf) were compared. • Discrimination Ratio (DR) was used to determine the discrimination ability of each. • Leaf water potential was less discriminant than predawn or stem water potential at any time. Water potential is considered to be the "gold-standard" measure for plant water status determination. However, there are some discrepancies on how and at what time of the day water potential measurements should be performed in order to obtain meaningful information. The aim of this work is to evaluate the discrimination ability of water potential measurements in grapevines depending on the time of the day and of the measurement procedure (leaf vs. stem). To do so, a meta-analysis was performed using >78,000 measurements of water potential data obtained in field irrigation experiments, provided by 13 research teams working in this subject in Spain. For each measurement day and experiment, Discrimination Ratio (DR) was calculated and used to determine the discrimination ability of each method, and then pooled for comparison. The measurement procedure with the greatest DR can be hypothesised to be the most suitable under the average working conditions. Leaf water potential showed lower DR mean values than predawn or stem water potential. The climatic conditions and the cultivar may affect to the discrimination ability, although the abovementioned trend was always maintained. Leaf water potential in vineyards should therefore be replaced, as a general rule, by either stem or predawn water potential readings, without a clear pre-eminence of the performance of predawn and stem water potential measurements. Building a common dataset and its subsequent meta-analysis has been proved to be an efficient and robust tool to compare plant measurements, and should be implemented for other species and/or measurement procedures. [ABSTRACT FROM AUTHOR]

Among all tumor types, skin cancers are profoundly sensitive to immunotherapy. Indeed, the recently reported response rates for anti-PD-1 (anti-programmed-death 1) therapy for cutaneous malignant melanomas (MM), Merkel cell carcinomas, basal cell carcinomas, cutaneous squamous cell carcinomas and Kaposi sarcomas are all above 40%. This unique immunogenicity renders skin cancers as a paradigm for tumor–immune interactions and is driven by high mutational burdens, over-expressed tumor antigens and/or viral antigens. However, despite the clear demonstration of immunologic cure of skin cancer in some patients, most tumors develop either early (primary) or late (adaptive) resistance to immunotherapy. Resistance mechanisms are complex, and include contributions of tumor cell-intrinsic, T cell and microenvironment factors that have been recently further elucidated with the advent of single-cell technologies. This review will focus on the exciting progress with immunotherapy for skin cancers to date, and also our current understanding of the mechanisms of resistance to immunotherapy. [ABSTRACT FROM AUTHOR]

Objective: Adolescents and young adults (AYAs) with cancer are at high risk of negative psychosocial outcomes. Promoting Resilience in Stress Management (PRISM), a novel, brief, skill-based intervention, has demonstrated efficacy in improving psychosocial well-being for AYAs. We utilized data from a recent randomized trial of PRISM versus usual care (UC) to categorize and explore group differences in change trajectories of patient reported outcomes (PROs) over time.Methods: One hundred English-speaking AYAs (aged 12-25 years old) with cancer were randomized to PRISM versus UC. At enrollment and 6 months later, AYAs completed validated PROs measuring resilience (Connor-Davidson Resilience Scale [CDRISC-10]), hope (Hope Scale), benefit finding (Benefit and Burden Scale for Children), cancer-specific quality of life (Pediatric Quality of Life [PedsQL] Cancer Module), and distress (Kessler-6). Patient response trajectories were categorized as "improved," "consistently well," "consistently at risk," or "deteriorated" using minimal clinically important differences (MCIDs) or established measure cutoffs for all PROs. Positive response trajectories consisted of the first two categories ("improved" and "consistently well"), and negative response trajectories consisted of the latter two categories ("consistently at risk" and "deteriorated").Results: Across all PROs, more patients in the PRISM arm "improved" in psychosocial well-being over time, and fewer PRISM recipients "deteriorated" over time. Across all PROs, a greater proportion of PRISM participants (vs UC) experienced positive response trajectories. Across all PROs, a greater proportion of UC participants experienced negative response trajectories.Conclusions: PRISM shows evidence of both a prevention effect and an intervention effect. Thus, PRISM may serve as a viable prevention and early intervention model for psychosocial care. [ABSTRACT FROM AUTHOR]

Lucerne (Medicago sativa L.) requires four or more cuttings at early bud stage per growing season to optimize the amount of crude protein and digestible fibre for feeding high‐producing dairy cows. However, there is potential to generate a nutrient‐dense feed from lucerne regardless of developmental stage by harvesting its protein‐rich leaves separate from its fibrous stems. In order to determine whether fractionated lucerne can be effectively ensiled under high‐moisture conditions and be nutritionally competitive with wilted whole‐plant silage, leaf and stem fractions, harvested at three developmental stages (early bud, 10%–20% bloom and >50% bloom), were directly ensiled in mini‐silos. At day 0, 1, 3, 21 and 140 of ensiling, silages were analysed for protein and non‐protein nitrogen fractions as well as their fermentation products and carbohydrate composition. Silages from unwilted leaves and stems were more heterofermentative than wilted whole‐plant silages; their fermentation shifted from primarily lactic acid to acetic acid production after 21 days. In leaf silages, the high degree of protein degradation into non‐protein nitrogen (~55%) was most likely due to fermentation quality. Nevertheless, at 140 days of ensiling, leaf silages had 21%–25% higher (p < 0.01) available protein (peptide amino acids, soluble and insoluble protein) content than wilted whole‐plant silages, regardless of developmental stage. Achievement of a more rapid pH decline and improved fractionation may further increase the nutritional value of leaf silages. [ABSTRACT FROM AUTHOR]

Umbral moonshine connects the symmetry groups of the 23 Niemeier lattices with 23 sets of distinguished mock modular forms. The 23 cases of umbral moonshine have a uniform relation to symmetries of K3 string theories. Moreover, a supersymmetric vertex operator algebra with Conway sporadic symmetry also enjoys a close relation to the K3 elliptic genus. Inspired by the above two relations between moonshine and K3 string theory, we construct a chiral CFT by orbifolding the free theory of 24 chiral fermions and two pairs of fermionic and bosonic ghosts. In this paper we mainly focus on the case of umbral moonshine corresponding to the Niemeier lattice with root system given by 6 copies of D4 root system. This CFT then leads to the construction of an infinite-dimensional graded module for the umbral group GD4⊕6 whose graded characters coincide with the umbral moonshine functions. We also comment on how one can recover all umbral moonshine functions corresponding to the Niemeier root systems A5⊕4D4, A7⊕2D5⊕2, A11D7E6, A17E7, and D10E7⊕2. [ABSTRACT FROM AUTHOR]

Background: Clinician empathy positively impacts patient outcomes. Few studies have assessed the effects of different types of empathic expression. Objective: To describe how families respond when clinicians express empathy in different ways. Design: Prospective, mixed-methods cohort. Setting/Subjects: English and interpreted pediatric inpatient care conferences at a U.S. quaternary hospital between January 1, 2018 and January 1, 2021. Measurements: Directed content analysis of clinician empathic statements and family responses. Results: Of 29 patient-family dyads, 11 (39%) used language interpretation. In response to 80 clinician empathic statements, families expressed agreement or shared more 84% (67/80) of the time. Families shared more about their perspective in response to explore statements 71.4% (10/14) of the time, in response to validate statements 61% (17/28) of the time, and in response to respect/support statements 39% (11/28) of the time. Conclusion: Certain types of empathic statements may be more effective at prompting families to share more about their perspective, a key element of shared decision-making. [ABSTRACT FROM AUTHOR]

Risk of impact of marine fishes to fishing and climate change (including ocean acidification) depend on the species' ecological and biological characteristics, as well as their exposure to over‐exploitation and climate hazards. These human‐induced hazards should be considered concurrently in conservation risk assessment. In this study, we aim to examine the combined contributions of climate change and fishing to the risk of impacts of exploited fishes, and the scope for climate‐risk reduction from fisheries management. We combine fuzzy logic expert system with species distribution modeling to assess the extinction risks of climate and fishing impacts of 825 exploited marine fish species across the global ocean. We compare our calculated risk index with extinction risk of marine species assessed by the International Union for Conservation of Nature (IUCN). Our results show that 60% (499 species) of the assessed species are projected to experience very high risk from both overfishing and climate change under a "business‐as‐usual" scenario (RCP 8.5 with current status of fisheries) by 2050. The risk index is significantly and positively related to level of IUCN extinction risk (ordinal logistic regression, p < 0.0001). Furthermore, the regression model predicts species with very high risk index would have at least one in five (>20%) chance of having high extinction risk in the next few decades (equivalent to the IUCN categories of vulnerable, endangered or critically endangered). Areas with more at‐risk species to climate change are in tropical and subtropical oceans, while those that are at risk to fishing are distributed more broadly, with higher concentration of at‐risk species in North Atlantic and South Pacific Ocean. The number of species with high extinction risk would decrease by 63% under the sustainable fisheries‐low emission scenario relative to the "business‐as‐usual" scenario. This study highlights the substantial opportunities for climate‐risk reduction through effective fisheries management. This study examines the combined contributions of climate change and fishing to the risk of impacts of 825 species of exploited fishes, and the scope for climate‐risk reduction from fisheries management. We show that areas with more at‐risk species to climate change are in tropical and subtropical oceans, while those that are at risk to fishing are distributed more broadly, with higher concentration of at‐risk species in North Atlantic and South Pacific Ocean. This study highlights the substantial opportunities for climate‐risk reduction through effective fisheries management. [ABSTRACT FROM AUTHOR]

Background: Adolescents and young adults (AYAs) with cancer are at risk for poor psychosocial outcomes. This study aimed to determine whether a novel intervention targeting resilience resources would improve patient-reported resilience, quality of life, and psychological distress.Methods: In this parallel, phase 2 randomized controlled trial, English-speaking AYAs (12-25 years old) with cancer were randomized to the Promoting Resilience in Stress Management (PRISM) intervention or usual care (UC). PRISM is a brief, skills-based intervention targeting stress management, goal setting, cognitive reframing, and meaning making. Participants completed surveys at enrollment and 6 months. Mixed effects regression models evaluated associations between PRISM and the primary outcome (10-item Connor-Davidson Resilience Scale scores) and secondary outcomes (generic and cancer-related quality of life [Pediatric Quality of Life modules], psychological distress [Kessler-6], and anxiety/depression [Hospital Anxiety and Depression]) at 6 months.Results: Ninety-two AYAs were enrolled, were randomized, and completed baseline surveys (48 in the PRISM group and 44 in the UC group); 73% were 12 to 17 years old, and 62% had leukemia or lymphoma. Attrition was primarily due to medical complications and/or death; 36 PRISM participants and 38 UC participants completed 6-month surveys. PRISM was associated with improved resilience (+3.0 points; 95% confidence interval [CI], 0.5-5.4; P = .02) and cancer-specific quality of life (+9.6; 95% CI, 2.6-16.7; P = .01) and reduced psychological distress (-2.1; 95% CI, -4.1 to -0.2; P = .03) but not generic quality of life (+7.2; 95% CI, -0.8 to 15.2; P = .08). Although anxiety was similar between the groups, 2 PRISM participants (6%) and 8 UC participants (21%) met the criteria for depression at 6 months (odds ratio, 0.09; 95% CI, 0.01-1.09; P = .06).Conclusions: PRISM was associated with improved psychosocial outcomes in comparison with UC, suggesting that brief, skills-based interventions for AYAs may provide a benefit. [ABSTRACT FROM AUTHOR]

Objective: Juvenile idiopathic arthritis (JIA) comprises 7 heterogeneous categories of chronic childhood arthritides. Approximately 5% of children with JIA have rheumatoid factor (RF)–positive arthritis, which phenotypically resembles adult rheumatoid arthritis (RA). Our objective was to compare and contrast the genetics of RF‐positive polyarticular JIA with those of RA and selected other JIA categories, to more fully understand the pathophysiologic relationships of inflammatory arthropathies. Methods: Patients with RF‐positive polyarticular JIA (n = 340) and controls (n = 14,412) were genotyped using the Immunochip array. Single‐nucleotide polymorphisms were tested for association using a logistic regression model adjusting for admixture proportions. We calculated weighted genetic risk scores (wGRS) of reported RA and JIA risk loci, and we compared the ability of these wGRS to predict RF‐positive polyarticular JIA. Results: As expected, the HLA region was strongly associated with RF‐positive polyarticular JIA (P = 5.51 × 10−31). Nineteen of 44 RA risk loci and 6 of 27 oligoarticular/RF‐negative polyarticular JIA risk loci were associated with RF‐positive polyarticular JIA (P < 0.05). The RA wGRS predicted RF‐positive polyarticular JIA (area under the curve [AUC] 0.71) better than did the oligoarticular/RF‐negative polyarticular JIA wGRS (AUC 0.59). The genetic profile of patients with RF‐positive polyarticular JIA was more similar to that of RA patients with age at onset 16–29 years than to that of RA patients with age at onset ≥70 years. Conclusion: RF‐positive polyarticular JIA is genetically more similar to adult RA than to the most common JIA categories and thus appears to be a childhood‐onset presentation of autoantibody‐positive RA. These findings suggest common disease mechanisms, which could lead to novel therapeutic targets and shared treatment strategies. [ABSTRACT FROM AUTHOR]

We aimed to explore the predictive value of screening for distress alone, hope alone, or a combination of both. In a multicenter prospective study, 37 English-speaking adolescents and young adults with cancer and 40 parents completed validated instruments at diagnosis (“baseline”) and 3–6 months later (“follow-up”). Correlated regression models described associations. Within each instrument, baseline and follow-up scores were associated. However, only a composite hope/distress score predicted all three patient-centered outcomes. Multidimensional screens incorporating positive and negative psychosocial constructs may predict patient-centered outcomes better than isolated, single-construct instruments. [ABSTRACT FROM PUBLISHER]

Abstract: Marine species are being impacted by climate change and ocean acidification, although their level of vulnerability varies due to differences in species' sensitivity, adaptive capacity and exposure to climate hazards. Due to limited data on the biological and ecological attributes of many marine species, as well as inherent uncertainties in the assessment process, climate change vulnerability assessments in the marine environment frequently focus on a limited number of taxa or geographic ranges. As climate change is already impacting marine biodiversity and fisheries, there is an urgent need to expand vulnerability assessment to cover a large number of species and areas. Here, we develop a modelling approach to synthesize data on species‐specific estimates of exposure, and ecological and biological traits to undertake an assessment of vulnerability (sensitivity and adaptive capacity) and risk of impacts (combining exposure to hazards and vulnerability) of climate change (including ocean acidification) for global marine fishes and invertebrates. We use a fuzzy logic approach to accommodate the variability in data availability and uncertainties associated with inferring vulnerability levels from climate projections and species' traits. Applying the approach to estimate the relative vulnerability and risk of impacts of climate change in 1074 exploited marine species globally, we estimated their index of vulnerability and risk of impacts to be on average 52 ± 19 SD and 66 ± 11 SD, scaling from 1 to 100, with 100 being the most vulnerable and highest risk, respectively, under the ‘business‐as‐usual' greenhouse gas emission scenario (Representative Concentration Pathway 8.5). We identified 157 species to be highly vulnerable while 294 species are identified as being at high risk of impacts. Species that are most vulnerable tend to be large‐bodied endemic species. This study suggests that the fuzzy logic framework can help estimate climate vulnerabilities and risks of exploited marine species using publicly and readily available information. [ABSTRACT FROM AUTHOR]