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The SKIF Synchrotron and Terahertz Radiation Center provides users from various organizations with access to modern analytical techniques using synchrotron radiation beams for a wide range of research work. The general direction in developing the Center is now focused on generating new approaches to using synchrotron radiation. [ABSTRACT FROM AUTHOR]

Purpose: As drug‐related epidemics have expanded from cities to rural areas, syringe service programs (SSPs) and other harm reduction programs have been slow to follow. The recent implementation of SSPs in rural areas demands attention to program fidelity based on core components of SSP success. Methods: Semistructured interviews conducted with clients and staff at 5 SSPs in 5 counties within 2 Central Appalachian health districts. Interviews covered fidelity of SSP implementation to 6 core components: (1) meet needs for harm reduction supplies; (2) education and counseling for sexual, injection, and overdose risks; (3) cooperation between SSPs and local law enforcement; (4) provide other health and social services; (5) ensure low threshold access to services; and (6) promote dignity, the impact of poor fidelity on vulnerability to drug‐related harms, and the risk environment's influence on program fidelity. We applied thematic methods to analyze the data. Findings: Rural SSPs were mostly faithful to the 6 core components. Deviations from core components can be attributed to certain characteristics of the local rural risk environment outlined in the risk environment model, including geographic remoteness, lack of resources and underdeveloped infrastructure, and stigma against people who inject drugs (PWID) Conclusions: As drug‐related epidemics continue to expand outside cities, scaling up SSPs to serve rural PWID is essential. Future research should explore whether the risk environment features identified also influence SSP fidelity in other rural areas and develop and test strategies to strengthen core components in these vulnerable areas. [ABSTRACT FROM AUTHOR]

When post-traumatic stress disorder (PTSD) co-occurs with obsessive compulsive disorder (OCD), symptoms of the former can interfere with evidence-based treatment of the latter. As a result, exposure-based treatments are recommended for both OCD and PTSD, potentially facilitating a concurrent treatment approach. This case study describes the application of concurrent cognitive behaviour therapy (CBT including exposure and response prevention; ERP) for OCD and narrative exposure therapy to treat a patient whose PTSD symptoms of intrusive images of memories and hyperarousal were interfering with standard CBT (including ERP) treatment for OCD. Following this concurrent approach, the patient's symptoms of OCD reduced to non-clinical levels and showed reliable improvement in PTSD symptoms. Whilst further methodologically robust research is required, this case study highlights that this approach may be beneficial to the treatment of OCD where PTSD symptoms are impacting on treatment. Key learning aims: (1) To explore the literature considering explanations of the co-occurrence of OCD and PTSD symptomology. (2) To consider how symptoms of two mental health conditions can maintain one another and attenuate the effectiveness of evidence-based treatment for the other mental health condition. (3) Consider the use of concurrent therapeutic approaches to treat co-occurring mental health conditions. [ABSTRACT FROM AUTHOR]

Background: Partnering with a public transport (PT) provider, state government, and local government, the single-blinded randomised controlled trial, trips4health, investigated the impact of PT use incentives on transport-related physical activity (PA) in Tasmania, Australia. The intervention involved 16-weeks of incentives (bus trip credits) for achieving weekly PT use targets, supported by weekly text messages. This study objective was to conduct a process evaluation of the COVID-19 disrupted trips4health study. Methods: The Medical Research Council UK's framework for complex public health interventions guided the process evaluation. Participant reach, acceptability, fidelity and feasibility were evaluated. Administrative and post-intervention survey data were analysed descriptively. Semi-structured interviews with intervention participants (n = 7) and PT provider staff (n = 4) were analysed thematically. Results: Due to COVID-19, trips4health was placed on hold (March 2020) then stopped (May 2020) as social restrictions impacted PT use. At study cessation, 116 participants (approximately one third of target sample) had completed baseline measures, 110 were randomised, and 64 (n = 29 in the intervention group; n = 35 in the control group) completed post-intervention measures. Participants were 18 – 80 years (average 44.5 years) with females (69%) and those with tertiary education (55%) over-represented. The intervention was delivered with high fidelity with 96% of bus trip credits and 99% of behavioural text messages sent as intended. Interviewed PT staff said implementation was highly feasible. Intervention participant acceptability was high with 90% reporting bus trip incentives were helpful and 59% reporting the incentives motivated them to use PT more. From a total of 666 possible bus trip targets, 56% were met with 38% of intervention participants agreeing and 41% disagreeing that 'Meeting the bus trip targets was easy'. Interviews and open-ended survey responses from intervention participants revealed incentives motivated bus use but social (e.g., household member commitments) and systemic (e.g., bus availability) factors made meeting bus trip targets challenging. Conclusions: trips4health demonstrated good acceptability and strong fidelity and feasibility. Future intervention studies incentivising PT use will need to ensure a broader demographic is reached and include more supports to meet PT targets. Trial registration: ACTRN12619001136190. [ABSTRACT FROM AUTHOR]

Herpes simplex virus (HSV) infection of the neonatal brain causes severe encephalitis and permanent neurologic deficits. However, infants infected with HSV at the time of birth follow varied clinical courses, with approximately half of infants experiencing only external infection of the skin rather than invasive neurologic disease. Understanding the cause of these divergent outcomes is essential to developing neuroprotective strategies. To directly assess the contribution of viral variation to neurovirulence, independent of human host factors, we evaluated clinical HSV isolates from neonates with different neurologic outcomes in neurologically relevant in vitro and in vivo models. We found that isolates taken from neonates with encephalitis are more neurovirulent in human neuronal culture and mouse models of HSV encephalitis, as compared to isolates collected from neonates with skin-limited disease. These findings suggest that inherent characteristics of the infecting HSV strain contribute to disease outcome following neonatal infection. [ABSTRACT FROM AUTHOR]

Background: Physiotherapy is recommended for people with tennis elbow, but whilst a wide array of treatments is available, the optimal approach remains uncertain. We have therefore recently developed an optimised physiotherapy treatment package for tennis elbow based on a synthesis of the evidence, patient input and clinical consensus. It consists of detailed advice and education, a structured progressive exercise programme and provision of a counter-force elbow brace. Here, we report the protocol for our multicentre pilot and feasibility randomised controlled trial (RCT) designed to (a) examine the feasibility of our optimised physiotherapy treatment package and (b) to pilot trial processes for a future fully powered RCT to test clinical and cost-effectiveness compared with usual physiotherapy treatment. Methods: A multicentre pilot and feasibility RCT will be conducted across three sites in England, recruiting up to 50 patients (or for a maximum of 12 months). Participants with tennis elbow, identified from physiotherapy clinic waiting lists and general practice surgeries, will be randomly allocated to receive the optimised physiotherapy treatment package or usual physiotherapy care. Analysis will focus on feasibility measures including consent rate, intervention fidelity, follow-up rate and outcome completion rate. A nested qualitative study will explore the acceptability of the study processes and patient and physiotherapist experiences of the new optimised intervention. Discussion: This study will determine the feasibility of a new optimised physiotherapy treatment package for people with tennis elbow and pilot the processes for a future fully powered RCT. In the longer term, this treatment package may provide superior clinical outcomes for patients, in terms of pain and quality of life, and be more cost-effective for the health service. Trial registration: Registered with the ISRCTN database 19/7/2021, https://www.isrctn.com/ISRCTN64444585 [ABSTRACT FROM AUTHOR]

The purpose of this study was to explore whether a personalized self-talk intervention influenced mental toughness, rating of perceived exertion, sense of the urge to slow down, perceived performance and finish times in a series of 800-meter run time trials. While mental toughness has been associated with improved endurance performance, the effect of changing an individual's momentary self-talk on mental toughness and finish time has not yet been examined. This single-subject, multiple baseline design case study incorporated three participants who each ran a series of 11 − 13 maximum effort 800-meter time trials on the track, separated by a minimum of two days, across ten weeks. Following an initial series of four to six baseline sessions, they were each then provided a personalized self-talk intervention before running the seven additional sessions. Visual analysis (including review of non-overlapping data points between baseline, intervention, and follow-up sessions) demonstrated the personalized self-talk intervention positively influenced mental toughness and finish times across all three participants but did not consistently affect the rating of perceived exertion, urge to slow down or perceived performance. Additional insights were identified through the integration of social validation interviews informally after each run session and then formally after the intervention. These insights included identifying a new baseline of effort accompanied by different levels of mental toughness and an intrigue on the part of participants about the notable improvement in outcomes in spite of previously perceived "all-out" effort. Lay Summary: Mental toughness variability and 800 meter finish times were both positively influenced by a personalized self-talk intervention in runners. In addition, as mental toughness increased, 800 meter finish times improved. [ABSTRACT FROM AUTHOR]

The inability to over-express Aquaporin 6 (AQP6) in the plasma membrane of heterologous cells has hampered efforts to further characterize the function of this aquaglyceroporin membrane protein at atomic detail using crystallographic approaches. Using an Aquaporin 3-tGFP Reporter (AGR) system we have identified a region within loop C of AQP6 that is responsible for severely hampering plasma membrane expression. Serine substitution corroborated that amino acids present within AQP6194–213 of AQP6 loop C contribute to intracellular endoplasmic reticulum (ER) retention. This intracellular retention signal may preclude proper plasma membrane trafficking and severely curtail expression of AQP6 in heterologous expression systems. [ABSTRACT FROM AUTHOR]

Health-related fear is a normal and common response in the face of the global pandemic of COVID-19. Children and young people are frequently being exposed to messages about the threat to health, including from the media and authorities. Whilst for most, their anxiety will be proportionate to the threat, for some, existing pre-occupation with physical symptoms and illness will become more problematic. There is a growing body of evidence that health anxiety may occur in childhood, however much of the literature is taken from research using adult samples. This practitioner review aims to give an overview of the assessment and treatment of health-related worries in children and young people in the context of the COVID-19 pandemic. This review is based on the limited existing evidence in this population and the more substantial evidence base for treating health anxiety in adults. We consider the adaptations needed to ensure such interventions are developmentally appropriate. [ABSTRACT FROM AUTHOR]

Herpes simplex virus encephalitis (HSE) is the most common cause of sporadic viral encephalitis, and despite targeted antiviral therapy, outcomes remain poor. Although the innate immune system is critical for restricting herpes simplex virus type I (HSV-1) in the brain, there is evidence that prolonged neuroinflammation contributes to HSE pathogenesis. In this study, we investigated the contribution of inflammasomes to disease pathogenesis in a murine model of HSE. Inflammasomes are signaling platforms that activate the pro-inflammatory cytokines interleukin-1β (IL-1β) and IL-18. We found that mice deficient in the inflammasome adaptor protein, apoptosis-associated speck-like protein containing a caspase activation and recruitment domain (ASC), had significantly improved survival and lower levels of IL-1β and IL-18 in the brain. Importantly, this difference in survival was independent of viral replication in the central nervous system (CNS). We found that microglia, the resident macrophages of the CNS, are the primary mediators of the ASC-dependent inflammasome response during infection. Using in vitro glial infections and a murine HSE model, we demonstrate that inflammasome activation contributes to the expression of chemokine (C-C motif) ligand 6 (CCL6), a leukocyte chemoattractant. The lower concentration of CCL6 in the brains of ASC-/- mice correlated with lower numbers of infiltrating macrophages during infection. Together, these data suggest that inflammasomes contribute to pathogenic inflammation in HSE and provide a mechanistic link between glial inflammasome activation and leukocyte infiltration. The contribution of inflammasomes to survival was independent of viral replication in our study, suggesting a promising new target in combating harmful inflammation in HSE. Author summary: Although the immune system is critical for controlling herpes simplex virus (HSV) infection in the central nervous system (CNS), a prolonged or excessive immune response may be harmful. We studied the contribution of inflammasomes, innate immune proteins that initiate a pro-inflammatory response, to detrimental neuroinflammation in a murine model of herpes simplex encephalitis (HSE). We found that inflammasomes that rely on the adaptor protein ASC contribute to mortality and neuroinflammation independent of controlling viral replication. Additionally, we demonstrate that the inflammasome response to HSV is primarily mediated by microglia and leads to an influx of macrophages in the CNS. These results provide insights into the mechanisms that drive pathogenic inflammation in HSE and suggest a promising therapeutic target in treating HSE. [ABSTRACT FROM AUTHOR]

Purpose: Patients treated with cytotoxic chemotherapy are at risk of neutropenia, neutropenic fever and neutropenic sepsis. We hypothesised that pre-existing neutrophil function dysfunction may increase susceptibility to neutropenic fever in paediatric patients receiving cytotoxic chemotherapy. Methods: Prospective cohort study recruited patients at Alder Hey Children's NHS Foundation Trust, United Kingdom. We measured neutrophil phagocytic function using a validated flow cytometric whole blood phagocytosis assay in paediatric patients (n = 16) with oncological disease before and after chemotherapy in a prospective cohort study. We recruited healthy children as a control comparator (n = 10). Results: We found significantly decreased phagocytic function in oncology patients compared to healthy participants. In five patients who developed neutropenic fever, we observed increased pre-dose neutrophil respiratory burst. Conclusion: With further validation, measurement of neutrophil function could potentially be used to personalise appropriate prophylactic antimicrobial administration for patients receiving cytotoxic chemotherapy. [ABSTRACT FROM AUTHOR]

At the Institute of Nuclear Physics, a nine-pole hybrid wiggler is developed and successfully installed on the VEPP-4 accelerator complex. The nine poles of the wiggler are electromagnets with iron cores. To achieve the largest field, permanent magnets with a residual induction of 1.2 T are installed between the wiggler poles. Such a combination of electromagnets and permanent magnets made it possible to achieve a maximum magnetic induction of 1.9 T, with an interpolar gap of 30 mm. Currently, at the Siberian Center of Synchrotron and Terahertz Radiation, several research methods using the "hard" X-ray range (50–250 keV) based on radiation from a nine-pole wiggler are being certified. For example, using this radiation, the X‑ray imaging of fast processes, X-ray computed tomography, X-ray fluorescence analysis, and X-ray diffraction studies are carried out. A brief review of these studies is presented. [ABSTRACT FROM AUTHOR]

Mental toughness has garnered considerable attention over the past two decades because of the perception that this psychological construct influences an athlete's ability to strive, thrive, and survive in sport. However, few researchers have explored the lived experiences of mental toughness within endurance sport. Analysis of lived experiences could help reveal how an athlete demonstrates (or does not demonstrate) mental toughness in real-world settings and provide insights for researchers, coaches and athletes in the future. The current autoethnographic approach offers an alternative perspective to supplement the existing mental toughness literature, and provides the most appropriate format to analyze the within-person mental toughness element at the core of this research study. The study recounts and analyses the personal experience of mental toughness across a trilogy of cycling, triathlon, and running endurance events by a single athlete over a 5-month period. The main findings focus on the variability of perceived mental toughness at different stages of competition and training and identify potential factors driving the notable fluctuation in levels of mental toughness. Factors identified as increasing this within-person mental toughness included anger, love, competition, encouragement and the recognition of a last chance to achieve meaningful goals. These findings are expected to support future research into within-person mental toughness and the practical application across a broader spectrum of settings. [ABSTRACT FROM AUTHOR]

Single InAs quantum dots embedded in a planar cavity, formed by mismatched sets of GaAs/AlAs distributed Bragg reflectors, can be a useful source of triggered polarization-entangled photon pairs. We demonstrate this with a fidelity exceeding 70% for the expected entangled state. Quantum dot based devices may therefore be of great use in quantum communications and quantum information processing. [ABSTRACT FROM AUTHOR]

Extensive manufacturing and ubiquitous use in every sector of today's society has resulted in plastics being detected in all terrestrial and aquatic environments examined to date. However, the pervasiveness of small, potentially invisible, microplastics, their associated chemical additives, and organic compounds that absorb to plastic substrates are the topics of recent investigations. These micro- to nano- size plastic particles that are deliberately manufactured or were fragmented from larger plastic products are now ending up in food webs and worldwide environmental systems. Using a pyrolysis GC-MS method, plastic polymer composition was determined in samples obtained from freshwaters in urban New Jersey. Three polymers dominated the samples: polyethylene (43%), polypropylene (33%), and polystyrene (13%). The dominant polymers differed in each river. To identify Persistent Organic Pollutants sorbed to microplastic particles, headspace solid phase micro extraction coupled with gas chromatography/ion trap mass spectrometry was employed. In the majority of upriver sampling locations, Tentatively Identified Compounds were associated with both the microplastic and the water column fractions in roughly equal proportions. However, in the tidal portion of the Passaic River and in samples from Newark and Raritan Bays, the majority of organic compounds were associated with the microplastic fraction only. Based on a search of chemical databases, the possible source/use of 180 of the 223 compounds identified, whose total mass was 1 ng or more, was determined. Forty one percent of the identified compounds were natural substances, thirty five percent were identified as laboratory/research chemicals and seven percent were pharmaceutical or biomedical compounds. Twelve identified compounds are used for industrial purposes, including a plasticizer and an insecticide. Six compounds are used as cosmetic additives. The findings of this study illustrate the diversity of organic compounds associated with the presence of microplastics in aquatic media. [ABSTRACT FROM AUTHOR]

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Angiomatoid fibrous histiocytoma (AFH) is a rare soft tissue tumor that is most commonly reported to arise in the subcutaneous tissues of the upper extremities in adolescents and young adults. At present, the WHO classifies this neoplasm as a tumor of uncertain differentiation. AFH is most often clinically regarded as a tumor of intermediate risk due to low reported rates of recurrence and only rare occurrences of metastases. Its histomorphological hallmarks are a prominent lymphoid cuff surrounding a spindle cell neoplasm with syncytial-appearing cytoplasm. Several variant morphologies have been described. Genetically, the tumor is characterized by translocations involving the EWSR1 gene in over 90% of cases. A widening range of anatomical locations and morphological variants of AFH has been reported in the literature; however, neither anatomic location nor specific morphologic features have been shown to correlate with clinical/biological behavior. We report a unique case of AFH arising in the parenchyma of the breast. The neoplasm showed the typical histomorphology including a peripheral lymphoid cuff. The lesional cells in this case were found to be immunoreactive with desmin, and a positive EWSR1 result was confirmed by break-apart fluorescence in situ hybridization testing. To our knowledge, this is the first report of AFH arising in the breast parenchyma of a postmenopausal female. [ABSTRACT FROM AUTHOR]

The low temperature magnetic switching behavior of micron scale NiFe/Cu/Co circular ring elements has been investigated using micromagnetic simulations and magnetoresistance (MR) measurements. The rings were patterned, so that two different contact configurations could be used to measure MR simultaneously. By comparing these measurements with the simulation results, the rings’ magnetization states and switching routes were determined at both 1.7 and 300 K. It was found that at 1.7 K the rings exhibited multiple switching routes and also showed more metastable states and broader transitions between states than was observed at 300 K. The rings’ behavior at low temperature is explained as the result of an increase in the strength of magnetocrystalline and magnetoelastic anisotropies combined with an absence of thermal excitation which would usually aid the nucleation and depinning of domain walls. [ABSTRACT FROM AUTHOR]

Summary: Worldwide prevalence of adult overweight and obesity is a growing public health issue. Adults with overweight/obesity often have chronic musculoskeletal pain. Using a mixed‐methods review, we aimed to quantify the effectiveness and explore the appropriateness of weight loss interventions for this population. Electronic databases were searched for studies published between 01/01/90 and 01/07/16. The review included 14 randomized controlled trials that reported weight and pain outcomes and three qualitative studies that explored perceptions of adults with co‐existing overweight/obesity and chronic musculoskeletal pain. The random‐effects pooled mean weight loss was 4.9 kg (95%CI:2.9,6.8) greater for intervention vs control. The pooled mean reduction in pain was 7.3/100 units (95%CI:4.1,10.5) greater for intervention vs control. Study heterogeneity was substantial for weight loss (I2 = 95%, tau = ±3.5 kg) and pain change (I2 = 67%, tau = ±4.1%). Meta‐regression slopes for the predictors of study quality, mean age and baseline mean weight on mean study weight reduction were shallow and not statistically significant (P > 0.05). The meta‐regression slope between mean pain reduction and mean weight lost was shallow, and not statistically significant, −0.09 kg per unit pain score change (95%CI:−0.21,0.40, P = 0.54). Meta‐synthesis of qualitative findings resulted in two synthesized findings; the importance of healthcare professionals understanding the effects of pain on ability to control weight and developing management/education programmes that address comorbidity. [ABSTRACT FROM AUTHOR]

To understand increasing rates of hepatitis C virus (HCV) infection in Tennessee, we conducted testing, risk factor analysis and a nested case–control study among persons who use drugs. During June–October 2016, HCV testing with risk factor assessment was conducted in sexually transmitted disease clinics, family planning clinics and an addiction treatment facility in eastern Tennessee; data were analysed by using multivariable logistic regression. A nested case–control study was conducted to assess drug-using risks and behaviours among persons who reported intranasal or injection drug use (IDU). Of 4753 persons tested, 397 (8.4%) were HCV-antibody positive. HCV infection was significantly associated with a history of both intranasal and IDU (adjusted odds ratio (aOR) 35.4, 95% confidence interval (CI) 24.1–51.9), IDU alone (aOR 52.7, CI 25.3–109.9), intranasal drug use alone (aOR 2.6, CI 1.8–3.9) and incarceration (aOR 2.7, CI 2.0–3.8). By 4 October 2016, 574 persons with a reported history of drug use; 63 (11%) were interviewed further. Of 31 persons who used both intranasal and injection drugs, 26 (84%) reported previous intranasal drug use, occurring 1–18 years (median 5.5 years) before their first IDU. Our findings provide evidence that reported IDU, intranasal drug use and incarceration are independent indicators of risk for past or present HCV infection in the study population. [ABSTRACT FROM PUBLISHER]

An Erratum to this paper has been published: https://doi.org/10.3103/S106287382301001X [ABSTRACT FROM AUTHOR]

Objective: To evaluate the long-term risk of further gynaecological surgery and cancer in women with endometriosis.Design: Cohort study.Setting: Scotland.Participants: 281 937 women with nearly 5 million person years (4 923 628) of follow up from 1981 to 2010.Methods: In this national population-based study we compared 17 834 women with a new surgical diagnosis of endometriosis with 83 303 women with no evidence of endometriosis at laparoscopy, 162 966 women who underwent laparoscopic sterilisation, and 17 834 age-matched women from the general population. Cox proportional hazards regression was used to calculate crude and adjusted hazard ratios with 95% confidence intervals.Main Outcome Measures: Risk of further gynaecological surgery, number and type of repeat surgery and time to repeat surgery from the diagnosis of endometriosis. Cancer outcomes included subsequent risk of all cancer, gynaecological and non-gynaecological cancers.Results: Women with endometriosis had a significantly higher risk of further surgery when compared with women with no evidence of endometriosis at laparoscopy [hazard ratio (HR) 1.69, 95% (confidence interval) CI 1.65-1.73], women who had undergone laparoscopic sterilisation (HR 3.30, 95% CI 3.23-3.37) and age-matched women from the general population (HR 5.95, 95% CI 5.71-6.20). They also have an increased risk of ovarian cancer when compared with general population counterparts (HR 1.77, 95% CI 1.08-2.89) or those with laparoscopic sterilisation (HR 1.75, 95% CI 1.2-2.45).Conclusion: Women with surgically diagnosed endometriosis face an increased risk of multiple surgery. They have a higher chance of developing ovarian cancer in comparison with the general population and women with laparoscopic sterilisation.Tweetable Abstract: Women with endometriosis face an increased risk of recurrent surgery and developing ovarian cancer. [ABSTRACT FROM AUTHOR]

This proof of concept study was undertaken to test methodologies to characterize potential environmental risk associated with the presence of microplastics in surface waters. The goals of the study were to determine whether urban New Jersey freshwaters contained microplastic pollutants, and if so, to test analytic techniques that could potentially identify chemical compounds associated with this pollution. A third objective was to test whether identified associated compounds might have physiological effects on an aquatic organism. Using field collected microplastic samples obtained from the heavily urbanized Raritan and Passaic Rivers in New Jersey, microplastic densities, types, and sizes at 15 sampling locations were determined. Three types of plastic polymers were identified using pyrolysis coupled with gas chromatography (Pyr-GC/MS). Samples were further characterized using solid phase micro extraction coupled with headspace gas chromatography/ion trap mass spectrometry (HS-SPME-GC/ITMS) to identify organic compounds associated with the: (i) solid microplastic fraction, and (ii) site water fraction. Identical retention times for GC peaks found in both fractions indicated compounds can move between the two phases, potentially available for uptake by aquatic biota in the dissolved phase. Patterns of tentatively identified compounds were similar to patterns obtained in Pyr-GC/MS. Embryonic zebrafish exposed to PyCG/MS- identified pure polymers in the 1-10 ppm range exhibited altered growth and heart defects. Using two analytic methods (SPME GC/MS and Pyr-GC/MS) allows unambiguous identification of compounds associated with microplastic debris and characterization of the major plastic type(s). Specific 'fingerprint' patterns can categorize the class of plastics present in a waterbody and identify compounds associated with the particles. This technique can also be used to identify compounds detected in biota that may be the result of ingesting plastics or plastic-associated compounds. [ABSTRACT FROM AUTHOR]

Background Initial management of children diagnosed with type 1 diabetes ( T1D) varies worldwide with sparse high quality evidence regarding the impact of different models of care. Aim To compare the inpatient model of care with a hybrid home-based alternative, examining metabolic and psychosocial outcomes, diabetes knowledge, length of stay, and patient satisfaction. Subjects and Methods The study design was a randomized-controlled trial. Inclusion criteria were: newly diagnosed T1D, aged 3 to 16 years, living within approximately 1 hour of the hospital, English-speaking, access to transport, absence of significant medical or psychosocial comorbidity. Patients were randomized to standard care with a 5 to 6 day initial inpatient stay or discharge after 2 days for home-based management. All patients received practical skills training in the first 48 hours. The intervention group was visited twice/day by a nurse for 2 days to assist with injections, then a multi-disciplinary team made 3 home visits over 2 weeks to complete education. Patients were followed up for 12 months. Clinical outcomes included HbA1c, hypoglycemia, and diabetes-related readmissions. Surveys measured patient satisfaction, diabetes knowledge, family impact, and quality of life. Results Fifty patients were recruited, 25 to each group. There were no differences in medical or psychosocial outcomes or diabetes knowledge. Average length of admission was 1.9 days shorter for the intervention group. Families indicated that with hindsight, most would choose home- over hospital-based management. Conclusions With adequate support, children newly diagnosed with T1D can be safely managed at home following practical skills training. [ABSTRACT FROM AUTHOR]

The two most recent eruptions of Volcán Quizapu (southern Andes, Chile), only 85 years apart, were both triggered by magma recharge and extruded the same volume (about 5 km3) of the same volatile-rich dacitic magma, but showed a remarkable shift from effusive (1846-1847) to explosive (1932) behavior. We demonstrate, using a newly developed model, that the presence or absence of an exsolved volatile phase in the reservoir strongly influences its mechanical and thermal response to new inputs of magma. We propose that, prior to the 1846-1847 effusive eruption, gas bubbles damped the build-up of excess pressure and allowed recharge of a significant volume of magma before triggering the 1846-1847 eruption. The strong temperature increase that resulted enhanced syneruptive outgassing leading to an effusive eruption. In contrast, during the repose period between the 1847 and 1932 eruptions, new recharges found a much less compressible host reservoir as the exsolved gas phase was largely removed in response to the prior eruption, yielding rapid pressurization, minor reheating, and comparatively less syneruptive outgassing. The combination of these effects culminated in an explosive eruption. [ABSTRACT FROM AUTHOR]

Objective: A pilot single-blinded randomised controlled trial (RCT) was conducted to examine concordance with and acceptability of electric stimulation therapy (EST) in patients with venous leg ulcers (VLUs) who had not tolerated moderate to high compression. Method: Participants were randomised to the intervention group (n=15) or a placebo control group (n=8) in which EST was used four times daily for 20 minutes per session. Participants were monitored for eight weeks during which time concordance with the treatment and perceptions of the treatment were assessed. Results: Concordance with the total recommended treatment time was 71.4% for the intervention group and 82.9% for the control group; a difference that was not statistically significant. Participants rated EST as acceptable (84.6% intervention; 83.3% control), only two participants, both from the placebo control group, would not be willing to use EST again. The majority considered EST easier to use than compression (68.4%). Conclusion: EST was a practical and acceptable treatment among people who have been unable to tolerate moderate to high compression therapy. Declaration of interest: Funding was received from Bodyflow International Pty. Ltd. to conduct the pilot study. The study was investigator initiated and all intellectual property was held by La Trobe University. None of the investigators had a financial interest or received royalties relating to products used in the trial. [ABSTRACT FROM AUTHOR]

Objective: Compression therapy is a gold standard treatment to promote venous leg ulcer (VLU) healing. Concordance with compression therapy is, however, often sub-optimal. The aim of this study was to evaluate the effectiveness of electric stimulation therapy (EST) to facilitate healing of VLUs among people who do not use moderate-to-high levels of compression (>25mmHg). Method: A pilot multicentre, single-blinded randomised controlled trial was conducted. Participants were randomised (2:1) to the intervention group or a control group where EST or a sham device was used 4 times daily for 20 minutes per session. Participants were monitored fortnightly for eight weeks. The primary outcome measure was percentage of area (wound size) change. Results: In the 23 patients recruited, an average redution in wound size of 23.15% (standard deviation [SD]: 61.23) was observed for the control group compared with 32.67% (SD: 42.54) for the intervention. A moderate effect size favouring the intervention group was detected from univariate[F(1,18)=1.588, p=0.224, partial etasquared=0.081] and multivariate repeated measures [F(1,18)=2.053, p=0.169, partial eta squared=0.102] analyses. Conclusion: The pilot study was not powered to detect statistical significance, however, the difference in healing outcomes are encouraging. EST may be an effective adjunct treatment among patients who have experienced difficulty adhering to moderate-to-high levels of compression therapy. Declaration of interest: Funding was received from Bodyflow International Pty. Ltd. to conduct the pilot study, which was investigator initiated and all intellectual property is held by LaTrobe University. [ABSTRACT FROM AUTHOR]

Objective: To determine pregnancy outcomes in women with endometriosis.Design: A national population based cohort study using record linkage.Setting: Scotland.Participants: A cohort of 14 655 women followed up over a 30-year period (1981-2010).Methods: In a nationwide Scottish study, we compared pregnancy outcomes in 5375 women with surgically confirmed endometriosis with outcomes in 8710 women without endometriosis who were pregnant during the same time period. Data were analysed using univariable and multivariable logistic regression after adjusting for confounding factors.Main Outcome Measures: Outcome measures evaluated included miscarriage, ectopic pregnancy, stillbirths and other pregnancy complications such as hypertensive disorders of pregnancy, antepartum and postpartum haemorrhage, operative delivery and preterm births. The outcomes were presented as adjusted odds ratios (OR) with 95% confidence intervals (CI).Results: On multivariable analysis, after adjusting for age, parity, socio-economic status and year of delivery, women with endometriosis when compared to women without endometriosis, had a significantly higher risk of early pregnancy complications with adjusted OR (95% CI) of 1.76 (1.44, 2.15) and 2.70 (1.09, 6.72) for miscarriage and ectopic pregnancy, respectively. A previous diagnosis of endometriosis was associated with a significantly increased risk of [adjusted OR (95% CI)] placenta praevia [2.24 (1.52, 3.31)], unexplained antepartum haemorrhage [1.67 (1.39, 2.00)], postpartum haemorrhage [1.30 (1.61, 1.46)] and preterm births [1.26 (1.07, 1.49)] in pregnancies progressing beyond 24 weeks.Conclusion: Endometriosis predisposes women to an increased risk of early pregnancy loss and later pregnancy complications.Tweetable Abstract: Endometriosis predisposes women to an increased risk of early pregnancy loss and later pregnancy complications. [ABSTRACT FROM AUTHOR]

Conservation crop residue management increases soil organic carbon (SOC) storage, nutrient cycling and availability and improves soil quality. This study was conducted to evaluate the amount of residue biomass, residue carbon to nitrogen (C:N) ratio, residue carbon (C) and nitrogen (N), and residue N fertilizer deficit (supplemental N fertilizer requirement) from crop residue decomposition in long-term no-till production. Aboveground aged and fresh residues were collected in spring 2011 and fall 2012, respectively. Results showed slightly greater residue dry matter weight in aged residue than fresh residue. C:N ratios were wider in fresh residue than the aged residue. Both aged and fresh residue also showed wider C:N ratio in the corn (Zea mays L.)- soybean (Glycine max L.) rotation (66.6 and 64.4, respectively) and narrower C:N ratio in the spring wheat (Triticum aestivum L.)-winter wheat (Triticum aestivum L.)-alfalfa (Medicago sativa L.)-alfalfa-corn (Zea mays L.)-soybean (Glycine max L.) (45.6 and 35.7, respectively). Individual fresh crop residues showed narrower C:N ratios for legume and cover crops than non-legume crops. Analysis of potential supplemental N fertilizer requirements showed greater potential N requirement for the fresh residue than the aged residue. [ABSTRACT FROM AUTHOR]

Endometriosis is a potentially life-altering, estrogen-dependent condition which is associated with chronic pelvic pain. Three subtypes of endometriosis have been described: superficial peritoneal, ovarian (endometrioma or "chocolate cysts"), and deep.[1] Superficial peritoneal endometriosis (SPE) is the most common and accounts for ~80% of all endometriosis. In addition, despite pain being the cardinal symptom of endometriosis, the underlying biological mechanisms of endometriosis-associated pain are not known for any subtype. [Extracted from the article]

Background: Psoriasis is a chronic inflammatory disease of the skin and joints that may also have systemic inflammatory effects, including the development of cardiovascular disease (CVD). Multiple epidemiologic studies have demonstrated increased rates of CVD in psoriasis patients, although a causal link has not been established. A growing body of evidence suggests that sub-clinical systemic inflammation may develop in psoriasis patients, even from a young age. We aimed to evaluate the prevalence of atherosclerosis and identify specific clinical risk factors associated with early vascular inflammation.Methods: We conducted a cross-sectional study of a tertiary care cohort of psoriasis patients using coronary artery calcium (CAC) score and carotid intima-media thickness (CIMT) to detect atherosclerosis, along with high sensitivity C-reactive protein (hsCRP) to measure inflammation. Psoriasis patients and controls were recruited from our tertiary care dermatology clinic. Presence of atherosclerosis was defined using validated numeric values within CAC and CIMT imaging. Descriptive data comparing groups was analyzed using Welch's t test and Pearson Chi square tests. Logistic regression was used to analyze clinical factors associated with atherosclerosis, and linear regression to evaluate the relationship between psoriasis and hsCRP.Results: 296 patients were enrolled, with 283 (207 psoriatic and 76 controls) having all data for the hsCRP and atherosclerosis analysis. Atherosclerosis was found in 67.6 % of psoriasis subjects versus 52.6 % of controls; Psoriasis patients were found to have a 2.67-fold higher odds of having atherosclerosis compared to controls [95 % CI (1.2, 5.92); p = 0.016], after adjusting for age, gender, race, BMI, smoking, HDL and hsCRP. In addition, a non-significant trend was found between HsCRP and psoriasis severity, as measured by PASI, PGA, or BSA, again after adjusting for confounders.Conclusions: A tertiary care cohort of psoriasis patients have a high prevalence of early atherosclerosis, increased hsCRP, and psoriasis remains a risk factor for the presence of atherosclerosis even after adjustment of key confounding clinical factors. Psoriasis may contribute to an accelerated systemic inflammatory cascade resulting in increased risk of CVD and CV events. [ABSTRACT FROM AUTHOR]

Background:The mechanisms by which stress hormones impact triple-negative breast cancer (TNBC) etiology and treatment are unclear. We have previously shown that stress hormones, cortisol, and catecholamines induce rapid DNA damage and impact DNA repair in NIH 3T3 fibroblasts. This study investigates whether stress hormones increase DNA damage in breast cancer cells and if this impacts drug efficacy.Methods:We first screened a panel of 39 breast cancer cell lines for expression of adrenergic and glucocorticoid receptors and examined if stress hormones induce DNA damage and alter cell cycle regulation in vitro. A TNBC xenograft model was used to assess the impact of restraint stress on tumour growth and chemosensitivity to paclitaxel.Results:We found that stress hormones induced DNA damage, phosphorylation of ATR, which was accompanied by an up-regulation of the G1 cell kinase inhibitor p21 and a cell cycle halt of TNBCs in the G1 phase. p21 knockdown abrogated G1 arrest by stress hormones. We also demonstrated that stress significantly decreased efficacy of paclitaxel.Conclusion:We describe a novel mechanism through which stress hormones can induce drug resistance to paclitaxel, which may have profound implications for treating drug resistance in patients with TNBC. [ABSTRACT FROM AUTHOR]

The BEam COoler and LAser spectroscopy (BECOLA) facility at National Superconducting Cyclotron Laboratory at Michigan State University has been commissioned online to determine charge radii and electromagnetic moments of radioactive isotopes. A radioactive K beam was used for the commissioning tests and a 1.29 μs beam bunch-width from the buncher and a bunch repetition rate of 2.5 Hz led to a background suppression factor of 3.1 × 10 in resonant photon detection measurements. The hyperfine structure of K and its isotope shift relative to the stable K were determined. The obtained hyperfine coupling constants A( S) = 120.3 ± 1.4 MHz, A( P) = 15.2 ± 1.1 MHz, and A( P) = 1.4 ± 8 MHz, and the isotope shift δ ν = −264 ± 3 MHz are consistent with the previously determined values, where available. [ABSTRACT FROM AUTHOR]