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Many animals possess high-contrast body patterns. When moving, these patterns may create confusing or conflicting visual cues that affect a predator’s ability to visually target or capture them, a phenomenon called motion dazzle. The dazzle patterns may generate different forms of optical illusion that can mislead observers about the shape, speed, trajectory and range of the animal. Moreover, it is possible that the disruptive visual effects of the high contrast body patterns can be enhanced when moving against a high contrast background. In this study, we used the humbug damselfish (Dascyllus aruanus) to model the apparent motion cues of its high contrast body stripes against high contrast background gratings of different widths and orientations, from the perspective of a predator. We found with higher frequency gratings, when the background is indiscriminable to a viewer, that the humbugs may rely on the confusing motion cues created by internal stripes. With lower frequency gratings, where the background is likely perceivable by a viewer, the humbugs can rely more on confusing motion cues induced by disruption of edges from both the background and body patterning. We also assessed whether humbugs altered their behaviour in response to different backgrounds. Humbugs remained closer and moved less overall in response to backgrounds with a spatial structure similar to their own striped body pattern, possibly to stay camouflaged against the background and thus avoid revealing themselves to potential predators. At backgrounds with higher frequency gratings, humbugs moved more which may represent a greater reliance on the internal contrast of the fish’s striped body pattern to generate motion dazzle. It is possible that the humbug stripes provide multiple protective strategies depending on the context and that the fish may alter their behaviour depending on the background to maximise their protection.

Plasma-derived von Willebrand factor-containing factor VIII concentrates (pd-VWF/FVIII-C) are the mainstay of treatment in von Willebrand disease (VWD). Real-world data on efficacy and safety of these pd-VWF/FVIII-C are required. To retrospectively evaluate the efficacy and safety of pd-VWF/FVIII-C (Fanhdi® and Alphanate®, Grifols) in clinical practice in Italy. A multicentric, observational, retrospective study at 10 Italian centers was conducted. Eligible patients diagnosed with inherited VWD (ISTH criteria) were treated with either Fanhdi® or Alphanate® for bleeding episodes, prevention of surgical bleeding and secondary long-term prophylaxis (SLTP) according to clinical practice with medical records collected from January 2007 to December 2019. Efficacy/safety of pd-VWF/FVIII-C was assessed according to FDA-agreed objective criteria following regulatory procedures. Fifty-seven patients (M/F: 21/36) were enrolled in the study with the following VWD types: VWD1 (n = 29, 52%), VWD2A (n = 10, 18%), VWD2B (n = 7, 12%), VWD2M (n = 2, 4%), VWD2N (n = 1, 2%), VWD2 unclassified (n = 1, 2%), and VWD3 (n = 7, 12%). These pd-VWF/FVIII-C were used to manage 58 bleeding episodes (n = 24 patients), 100 surgeries (n = 47 patients), and 7 SLTP (n = 6 patients). Global clinical efficacy with these pd-VWF/FVIII-C was reported to be excellent/good in 85% of bleeding episodes, 98% of surgeries, and 100% of SLTP. As far as safety, no adverse-drug-related episodes, immunogenic or thrombotic events were reported. This study confirmed that Fanhdi® and Alphanate® were effective and safe in the management of bleeding episodes, the prevention of bleeding during surgeries and for SLTP in Italian patients with inherited VWD.

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Although the use of prophylaxis regimens with prolonged half-life factors is now widespread in the world of hemophilia A, there is a lack of real-life evidence on the impact of these products on joint health, adherence, and quality of life of patients. Turoctocog alfa pegol is a glycoPEGylated recombinant factor VIII (FVIII) with an extended half-life (EHL), developed for prophylaxis, treatment of bleeds, and perioperative management in patients with hemophilia A. We report here on three cases of three patients affected by severe hemophilia A, with variable bleeding phenotype and lifestyle, to describe our clinical practice on prophylaxis with turoctocog alfa pegol. As confirmed in our cases, FVIII trough levels remained coherent with those experienced in the registration trial after the switch to the commercial EHL drug. Moreover, the cases highlight how the current clinical management of hemophilia can personalize treatment in several specific conditions.

Bluelined goatfish (Upeneichthys lineatus) rapidly change their body colour from a white horizontally banded pattern to a seemingly more conspicuous vertically banded red pattern, often when foraging. Given the apparent conspicuousness of the pattern to a range of observers, it seems unlikely that this colour change is used for camouflage and instead may be used for communication/signalling. Goatfish often drive multispecies associations, and it is possible that goatfish use this colour change as a foraging success signal to facilitate cooperation, increase food acquisition, and reduce predation risk through a ‘safety in numbers’ strategy. Using a novel approach, we deployed 3D model goatfish in different colour morphs—white without bands, white with black vertical bands, and white with red vertical bands—to determine whether the red colouration is an important component of the signal or if it is only the vertical banding pattern, regardless of colour, that fish respond to as an indicator of foraging success. Use of remote underwater video allowed us to obtain information without the influence of human observers on the communities and behaviours of other fish in response to these different colours exhibited by goatfish. We found that conspecifics were more abundant around the black- and red-banded model fish when compared with the white models. Conspecifics were also more likely to forage around the models than to pass or show attraction, but this was unaffected by model colour. No difference in the abundance and behaviour of associated heterospecifics around the different models was observed, perhaps due to the static nature of the models. Some species did, however, spend more time around the red- and black-banded fish, which suggests the change in colour may indicate benefits in addition to food resources. Overall, the results suggest that the body colour/pattern of U. lineatus is likely a signalling tool but further work is required to explore the benefits to both conspecifics and heterospecifics and to further determine the behavioural functions of rapid colour change in U. lineatus.

Animals possess a range of sensory systems that are shaped by phylogeny and adapted to their unique life history. The field of sensory ecology studies how animals use these sensory capabilities to acquire and process salient information that enhances survival. Navigation, prey capture, predator avoidance, and communication are behaviours that rely on sensory inputs and are critical to understanding how an animal interacts with the physical environment and the other organisms that share its habitat. Because sensory biology is so critical to the behaviour of an animal, a detailed understanding of a species' sensory capabilities may also reveal novel and potentially more effective ways of manipulating its behaviour for management or conservation purposes. Here we highlight several instances where the application of a sensory ecology approach has been used to tackle challenging conservation problems, with a view to encouraging such an approach in Australian ecosystems. We describe how it is possible to exploit animal sensory systems to control invasive species using sensory traps and reduce negative interactions between humans and animals. We emphasise the importance of understanding and mitigating anthropogenic stressors from the perspective of the animals affected, in both wild animals affected by urban development and captive animals. It is evident that a sensory ecology approach has much to offer in terms of improving animal welfare and the conservation of biodiversity, including through the development of novel technological solutions that augment the current conservation management toolbox. [ABSTRACT FROM AUTHOR]

The recruitment of marine species in isolated oceanic island systems can be challenged by prevailing currents, as exemplified by the Tropical Southwestern Atlantic. In this region, the Fernando de Noronha ridge hosts several seamounts, the Rocas Atoll and the Fernando de Noronha Archipelago, which are home to great marine biodiversity. However, along the ridge, the central branch of the South Equatorial Current (cSEC), flowing westward, poses a challenge to the recruitment of organisms toward Fernando de Noronha. To unveil critical insights into the intricate processes shaping biodiversity in these insular ecosystems, we use a dispersal Lagrangian tool to explore the role of diel vertical migration (DVM) to depth strata influenced by the South Equatorial Undercurrent (SEUC), which flows eastward bellow the cSEC, in shaping species dispersal and metacommunity dynamics. Our results show that while not a direct journey, the DVM into SEUC‐influenced strata increases the possibility that the seamounts and the Rocas Atoll act as stepping stones between the continental shelf and Fernando de Noronha. Propagules of organisms originating primarily from the continental shelf are transported to the western seamounts of the ridge. Upon reaching the western seamounts, organisms can find suitable habitats to recruit. The progeny of these communities that migrate to SEUC‐influenced strata have the opportunity to reach suitable habitats at the Rocas Atoll and the Eastern seamounts, ultimately connecting to the Fernando de Noronha archipelago. These results provide scientific fundaments for the development of a functional network of marine protected areas in the Tropical Southwestern Atlantic. [ABSTRACT FROM AUTHOR]

Many animals possess high-contrast body patterns. When moving, these patterns may create confusing or conflicting visual cues that affect a predator's ability to visually target or capture them, a phenomenon called motion dazzle. The dazzle patterns may generate different forms of optical illusion that can mislead observers about the shape, speed, trajectory and range of the animal. Moreover, it is possible that the disruptive visual effects of the high contrast body patterns can be enhanced when moving against a high contrast background. In this study, we used the humbug damselfish (Dascyllus aruanus) to model the apparent motion cues of its high contrast body stripes against high contrast background gratings of different widths and orientations, from the perspective of a predator. We found with higher frequency gratings, when the background is indiscriminable to a viewer, that the humbugs may rely on the confusing motion cues created by internal stripes. With lower frequency gratings, where the background is likely perceivable by a viewer, the humbugs can rely more on confusing motion cues induced by disruption of edges from both the background and body patterning. We also assessed whether humbugs altered their behaviour in response to different backgrounds. Humbugs remained closer and moved less overall in response to backgrounds with a spatial structure similar to their own striped body pattern, possibly to stay camouflaged against the background and thus avoid revealing themselves to potential predators. At backgrounds with higher frequency gratings, humbugs moved more which may represent a greater reliance on the internal contrast of the fish's striped body pattern to generate motion dazzle. It is possible that the humbug stripes provide multiple protective strategies depending on the context and that the fish may alter their behaviour depending on the background to maximise their protection. [ABSTRACT FROM AUTHOR]

The article discusses a study conducted in Italy that evaluated the use of recombinant factor IX-albumin fusion protein (rIX-FP) as a treatment for adult patients with hemophilia B. The study found that rIX-FP prophylaxis was effective in reducing bleeding episodes and required fewer infusions compared to previous treatments. The most common dosing regimen was every 14-15 days, with one patient using a 21-day regimen. The study concluded that rIX-FP is a flexible and effective treatment option for adult patients with hemophilia B, but further research is needed to assess long-term outcomes. It is important to consider physical activity levels and lifestyle when personalizing prophylaxis regimens. [Extracted from the article]

Purpose: We studied the relationship between job engagement and systematic problem solving (SPS) among shop-floor employees and how lean production (LP) and Internet of Things (IoT) systems moderate this relationship. Design/methodology/approach: We collected data from a sample of 440 shop floor workers in 101 manufacturing work units across 33 plants. Because our data is nested, we employed a series of multilevel regression models to test the hypotheses. The application of IoT systems within work units was evaluated by our research team through direct observations from on-site visits. Findings: Our findings indicate a positive association between job engagement and SPS. Additionally, we found that the adoption of lean bundles positively moderates this relationship, while, surprisingly, the adoption of IoT systems negatively moderates this relationship. Interestingly, we found that, when the adoption of IoT systems is complemented by a lean management system, workers tend to experience a higher effect on the SPS of their engagement. Research limitations/implications: One limitation of this research is the reliance on the self-reported data collected from both workers (job engagement, SPS and control variables) and supervisors (lean bundles). Furthermore, our study was conducted in a specific country, Italy, which might have limitations on the generalizability of the results since cross-cultural differences in job engagement and SPS have been documented. Practical implications: Our findings highlight that employees' strong engagement in SPS behaviors is shaped by the managerial and technological systems implemented on the shop floor. Specifically, we point out that implementing IoT systems without the appropriate managerial practices can pose challenges to fostering employee engagement and SPS. Originality/value: This paper provides new insights on how lean and new technologies contribute to the development of learning-to-learn capabilities at the individual level by empirically analyzing the moderating effects of IoT systems and LP on the relationship between job engagement and SPS. [ABSTRACT FROM AUTHOR]

A 4-month-old male Himalayan cat presented with clinical signs of acute lethargy and motor incoordination after being treated with amitraz for parasite control. On clinical examination, the patient was lethargic and ataxic with severe pulicosis, hypothermia, pale mucous membranes, bradycardia, weak femoral pulses, hyperglycemia, and bilateral mydriasis. Blood tests revealed non-regenerative hypochromic microcytic anemia. Serum alanine levels were elevated tenfold. The patient received supportive treatment with atipamezole (an α2-adrenergic antagonist) at a dose of 0.1 mg/kg intramuscularly. After 24 h of hospitalization and constant monitoring, the patient recovered and was discharged. The published literature showed that the active ingredient amitraz is effective in the treatment of some parasitic diseases in cats, such as scabies and demodicosis; therefore, it is still used for this purpose. Given the small therapeutic margin of this insecticide, veterinarians should caution owners about its potential toxicity. This report emphasized the significance of amitraz intoxication in feline species and the success of the treatment, which should be initiated in the first hour after intoxication. [ABSTRACT FROM AUTHOR]

Although the use of prophylaxis regimens with prolonged half-life factors is now widespread in the world of hemophilia A, there is a lack of real-life evidence on the impact of these products on joint health, adherence, and quality of life of patients. Turoctocog alfa pegol is a glycoPEGylated recombinant factor VIII (FVIII) with an extended half-life (EHL), developed for prophylaxis, treatment of bleeds, and perioperative management in patients with hemophilia A. We report here on three cases of three patients affected by severe hemophilia A, with variable bleeding phenotype and lifestyle, to describe our clinical practice on prophylaxis with turoctocog alfa pegol. As confirmed in our cases, FVIII trough levels remained coherent with those experienced in the registration trial after the switch to the commercial EHL drug. Moreover, the cases highlight how the current clinical management of hemophilia can personalize treatment in several specific conditions. [ABSTRACT FROM AUTHOR]

AbstractPurposeMethodsResultsConclusion\nIMPLICATIONS FOR REHABILITATIONMovement restrictions and assistive devices have traditionally been recommended to prevent hip dislocation after total hip arthroplasty (THA). Considering the advancements in THA surgery, a review of treatment recommendations is worthwhile. The aim of this study was to investigate whether unrestricted protocol (without movement restrictions and assistive devices) should be recommended for THA patients.A multiprofessional panel used the GRADE-Adolopment to develop the present recommendations, following the GIN-McMaster-Guideline-Development-Tool. We selected guideline topic and target audience, formulated clinical questions and prioritised outcomes. For the first question, a source guideline was identified and adoloped, whereas the second question required a de-novo recommendation. Therefore, the GRADE-Evidence-Profile and the Evidence-to-Decision framework were completed. Finally, the panel discussed and formulated the final recommendations.Hip dislocation was defined as critical outcome. No between-groups differences in the early dislocation rates were found: without movement restrictions, 1623 patients, RR 0.44 (CI95 0.16–1.20); without assistive devices, 4426 patients, RR 0.75 (CI95 0.52–1.08). Finally, considering small desirable health effects and trivial undesirable health effects of the intervention, we integrated two “conditional-recommendations” in favour of an unrestricted protocol.Through GRADE-adolopment approach new recommendations to provide an evidence-based guidance after THA have been formulated.For patients undergoing total hip arthroplasty (THA), unless otherwise indicated by the surgeon, the removal of movement restrictions and assistive devices early after THA does not affect hip dislocation rate, regardless of surgical approach.On the other hand, unrestricted protocols may enhance a more rapid recovery process, shorter length of stay and less caregiver assistance.A more liberal lifestyle early after THA surgery (e.g., no mandatory sleeping posture) is associated with higher patient’s satisfaction.The non-routine adoption of movement restriction and assistive devices allows a costs reduction for both patients and the healthcare system after THA. [ABSTRACT FROM AUTHOR]

Background: Frailty influences the effectiveness and safety of anticoagulant therapy in patients with atrial fibrillation (AF). The age-weighted Charlson comorbidity index may offer a valuable tool to assess the risk of adverse events in AF patients treated with direct oral anticoagulants (DOACs). This sub-analysis of MAS trial data aimed to assess whether using the Charlson index, instead of the standard criteria, would have led to different dosing and improved adverse event occurrence during treatment., Methods: The MAS study looked for a relationship between DOAC levels assessed at baseline and adverse events during follow-up. The study is described in detail elsewhere., Results: Among the 1,657 patients studied, 832 (50.2 %) had a relatively low Charlson index (up to 6, general median class), of whom 132 (15.9 %) were treated with reduced doses. Conversely, among the 825 patients with a high Charlson index (≥7), 257 (31.1 %) received standard doses. A weak but statistically significant positive correlation (r = 0.1413, p < 0.0001 by ANOVA) was observed between increasing Charlson classes and DOAC levels standardized to allow comparability among drug results. However, no significant differences were found in the incidence or number of adverse events during follow-up, or in other parameters, between patients with low and high Charlson's scores., Conclusions: Utilizing the Charlson index would have led to notable differences in DOAC dosing compared to standard criteria. However, we found no evidence that its use would have improved the prediction of adverse events in AF patients enrolled in the MAS study., Competing Interests: Declaration of competing interest The authors declare the following financial interests/personal relationships which may be considered as potential competing interests: PALARETI GUALTIERO reports financial support was provided by Fondazione Cassa di Risparmio di Bologna. If there are other authors, they declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2024 Elsevier Inc. All rights reserved.)

Introduction: Mechanical heart valve (MHV) replacement requires long-life anticoagulation due to the risk of Prosthetic Valve Dysfunction (PVD) and cardioembolism., Methods: We report data from a prospective observational study conducted on MHV patients in the Khartoum Salam Centre for Cardiac Surgery built by 'Emergency,' an Italian Non-Governmental Organization, to evaluate the occurrence of PVD and associated risk factors., Results: We prospectively followed 3647 patients, and 38 patients (rate 1.04 × 100 pt-years) had PVD during follow-up. The time in therapeutic range (TTR) among patients without PVD was 53 % (IQR 37-67), and it was 43 % (IQR 19-58) among patients with PVD (p = 0.04). Twenty-three over 38 patients (60.5 %) were symptomatic, 18 (47.4 %) had obstructive valvular stenosis, 24 patients (63.2 %) had INR <2.0 at diagnosis, and 21 patients (55.3 %) had been off warfarin for a long time: 3 patients for 1 week, 1 patient for 2 weeks, and 17 patients for >4 weeks (6 patients were off warfarin from 3 to 12 months). Ten were uncompliant to treatment, and 8 were pregnant women. Ten patients (26.3 %) with PVD had had a previous episode of PVD, and 14 patients (36.8 %) had 2 or more associated risk factors. Only in 6 cases were no associate risk factors found., Conclusions: Among MHV patients on warfarin treatment with a sub-optimal quality of anticoagulation, the rate of PVD is 1.04 % pt-years, and the most frequent associated risk factor for PVD occurrence is warfarin withdrawal lasting more than one week., Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2024. Published by Elsevier Ltd.)

Plasma-derived von Willebrand factor-containing factor VIII concentrates (pd-VWF/FVIII-C) are the mainstay of treatment in von Willebrand disease (VWD). Real-world data on efficacy and safety of these pd-VWF/FVIII-C are required. To retrospectively evaluate the efficacy and safety of pd-VWF/FVIII-C (Fanhdi® and Alphanate®, Grifols) in clinical practice in Italy. A multicentric, observational, retrospective study at 10 Italian centers was conducted. Eligible patients diagnosed with inherited VWD (ISTH criteria) were treated with either Fanhdi® or Alphanate® for bleeding episodes, prevention of surgical bleeding and secondary long-term prophylaxis (SLTP) according to clinical practice with medical records collected from January 2007 to December 2019. Efficacy/safety of pd-VWF/FVIII-C was assessed according to FDA-agreed objective criteria following regulatory procedures. Fifty-seven patients (M/F: 21/36) were enrolled in the study with the following VWD types: VWD1 (n = 29, 52%), VWD2A (n = 10, 18%), VWD2B (n = 7, 12%), VWD2M (n = 2, 4%), VWD2N (n = 1, 2%), VWD2 unclassified (n = 1, 2%), and VWD3 (n = 7, 12%). These pd-VWF/FVIII-C were used to manage 58 bleeding episodes (n = 24 patients), 100 surgeries (n = 47 patients), and 7 SLTP (n = 6 patients). Global clinical efficacy with these pd-VWF/FVIII-C was reported to be excellent/good in 85% of bleeding episodes, 98% of surgeries, and 100% of SLTP. As far as safety, no adverse-drug-related episodes, immunogenic or thrombotic events were reported. This study confirmed that Fanhdi® and Alphanate® were effective and safe in the management of bleeding episodes, the prevention of bleeding during surgeries and for SLTP in Italian patients with inherited VWD., Competing Interests: Declaration of Conflicting InterestsR. Mir is full-time employee of Grifols. E. Mairal is a former full-time employee of Grifols. A.B. Federici has been involved in advisory boards of Baxalta/Shire/Takeda, CSL Behring, Grifols, Kedrion, LFB and Octapharma with honoraria related to VWD. The remaining authors declare that there is no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.