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Visual activity schedules (VASs) are an effective, efficient intervention designed to promote positive language and behavioral development for elementary students with and at risk for emotional and behavioral disorders (EBD). However, VAS design and implementation varies widely in the extant research, prohibiting the ease of implementation in classrooms. The purpose of this article is to provide systematic guidance for educators to design, plan, implement, and progress monitor VAS effectiveness for students with or at risk for EBD.

This study used data from 435 teacher-child dyads in early childhood classrooms to examine the extent to which teachers' use of behavior specific praise (BSP) with children screened for elevated rates of externalizing behaviors was influenced by the intensity of child challenging behavior and gender. Observational assessments indicated that teachers used BSP infrequently. A multiple regression model revealed a significant association between the interaction of child challenging behavior and gender and teachers' delivery of BSP. An examination of the simple slopes revealed a disordinal interaction where the relation between challenging behavior and teachers' delivery of BSP differed as a function of child gender. These findings point to an increased need for training to support teachers' use of BSP and understanding of the influence of child gender and behavior on the use of BSP.

Writing is an essential skill that people use throughout their lifetime. Although previous systematic reviews and meta-analyses had reviewed the effect of writing interventions on students with learning disabilities and English learners, we know little about the effective writing process-types interventions for English learners with or at risk for learning disabilities (ELs with LD). Therefore, this systematic review identified and synthesized seven writing intervention studies that include ELs with LD. We further analyzed participant characteristics, interventionist characteristics, instructional methods, and intervention outcomes across studies. The result showed the scarcity of quantitative intervention studies in the area. Some commonly implemented intervention elements are identified and discussed, as well as implications, limitations, and future directions.

Engagement behaviors are crucial for school success and are often targeted for improvement in school-based interventions. It may be helpful for both researchers and school-based practitioners to understand the likely impacts of interventions on engagement behaviors (e.g., to understand the extent to which engagement behaviors might change with treatment). For single-case studies designed to answer demonstration questions (i.e., including a baseline condition) and that were conducted in elementary classroom settings (N = 131), we calculated log response ratio and within-case standardized mean difference effect sizes for engagement dependent variables to establish benchmarks. We described differences based on study characteristics (functional relation determination, publication status, primacy of outcome), disability status of participants, and implementation characteristics (group size, implementer). Effect sizes (645 A-B comparisons) were heterogenous and varied based on functional relation determination, disability status, and implementation variables. More research is needed about additional variables that might explain heterogenous outcomes, especially for children with autism and behavioral disorders.

The purpose of this study was to examine the relation between teachers' reports of classroom adversity, a measure of classroom hardship, and student problem behavior in a sample of students with or at risk of emotional/behavioral disorders. We also examined the extent to which this relation varied as a function of multiple domains of classroom quality. A series of multiple regression models, adjusting for the nesting of students within classrooms, were conducted. Models revealed a significant effect of the interaction between classroom adversity and classroom emotional support on teachers' reports of student problem behaviors. This effect indicated that in low-adversity classrooms, teachers differed in their reports of students' problem behaviors depending on their level of emotional support. In high-adversity classrooms, however, teachers' reports of students' problem behaviors were relatively similar regardless of their level of emotional support. Findings suggest classroom adversity is likely an important contextual factor to consider when examining student outcomes and that teacher emotional support may mitigate the influence of classroom adversity. We conclude with a discussion of the implications of this work for research and practice.

Reading proficiency is important because it has life-long consequences and influences success in other academic areas. Many students with behavior problems are poor readers and many students with learning disabilities have more behavior problems than their typical peers. We conducted a correlational meta-analysis to examine the association between reading and externalizing behavior in students ages 5-12. We identified 33 studies that reported 88 effect sizes. Using a random-effects linear regression model with robust variance estimation, we found a significant, negative correlation (r= -0.1698, SE = 0.01, p < 0.0001) between reading and externalizing behavior. We tested several moderators related to measurement and sample characteristics. We found that rater type, behavior dimension (e.g., aggression), time between longitudinal measurement points, age of the sample, and percentage male of the sample moderated the relation between reading and behavior. Whether the reading assessment measured comprehension or word reading and socioeconomic status of the sample did not moderate the relation. Understanding the association between reading and externalizing behavior has implications for disability identification and intervention practices for children in elementary school. Future research should examine shared cognitive factors and environmental influences that explain the relation between the constructs.

The purpose of this article is to present a theory-driven blended intervention model that integrates evidence-based interventions to support language and social development of young children. We (1) provide an overview of practices that are designed to support language and social-emotional development, (2) present a theory of change model that outlines the theoretical basis for our proposed approach, and (3) provide an example of the conceptual model via the blending of Tier 1 interventions that provide class-wide language and behavioral support for young children. We conclude by arguing for the parsimony that a proactive synergy between social and language interventions blended into a single professional development approach will provide.

The purpose of this preliminary study was to examine the extent to which the relation between teacher reported (N = 26) teaching efficacy and observations of classroom quality varied as a function of a specific classroom characteristic, classroom adversity, a measure of classroom level hardship that includes factors such as student challenges with family-home life, inadequate nutrition, child health, and disruptive behavioral problems. Findings suggest classroom adversity is an important contextual factor to consider when examining teaching practices and classroom experiences and that the ecological load of the classroom may be an important characteristic related to a teacher's abilities to promote a high-quality classroom environment. Implications for research and practice are discussed.

The purpose of this study was to conduct a systematic meta-review with the goal of documenting the landscape of measures of classroom management in the school-based literature. Our systematic search for systematic reviews and extraction of primary studies in the classroom management research yielded 73 studies for inclusion that captured 76 different classroom management measures. We present an inclusive repository of measures from the field. Results revealed high levels of variability in aspects of both scales and observational measures across a range of domains assessed. We discuss our descriptive analysis of the landscape of classroom management measures and provide implications for future work.

22q11.2 deletion syndrome (22q11DS) is a recurrent genetic mutation that is highly penetrant for psychosis. Behavioral research suggests that 22q11DS patients exhibit a characteristic neurocognitive phenotype that includes differential impairment in spatial working memory (WM). Notably, spatial WM has also been proposed as an endophenotype for idiopathic psychotic disorder, yet little is known about the neurobiological substrates of WM in 22q11DS. In order to investigate the neural systems engaged during spatial WM in 22q11DS patients, we collected functional magnetic resonance imaging (fMRI) data while 41 participants (16 22q11DS patients, 25 demographically matched controls) performed a spatial capacity WM task that included manipulations of delay length and load level. Relative to controls, 22q11DS patients showed reduced neural activation during task performance in the intraparietal sulcus (IPS) and superior frontal sulcus (SFS). In addition, the typical increases in neural activity within spatial WM-relevant regions with greater memory load were not observed in 22q11DS. We further investigated whether neural dysfunction during WM was associated with behavioral WM performance, assessed via the University of Maryland letter–number sequencing (LNS) task, and positive psychotic symptoms, assessed via the Structured Interview for Prodromal Syndromes (SIPS), in 22q11DS patients. WM load activity within IPS and SFS was positively correlated with LNS task performance; moreover, WM load activity within IPS was inversely correlated with the severity of unusual thought content and delusional ideas, indicating that decreased recruitment of working memory-associated neural circuitry is associated with more severe positive symptoms. These results suggest that 22q11DS patients show reduced neural recruitment of brain regions critical for spatial WM function, which may be related to characteristic behavioral manifestations of the disorder.

Introduction Atrial fibrillation (AF)-induced cardiomyopathy (AIC) is retrospectively defined after normalisation of left ventricular ejection fraction (LVEF) in sinus rhythm. It is unclear why some patients develop AIC.Hypothesis Patients with AIC have a subtle cardiomyopathic process that precedes their AF-mediated LVEF reduction. Detailed assessment of cardiac function after successful catheter ablation will reveal this.Objective To evaluate the utility of measures to identify cardiomyopathic features that persist after LVEF normalisation in AIC.Methods Patients with rate-controlled persistent AF and LVEF

Open burning of household solid waste is a large source of air pollutants worldwide, especially in the Global South. However, waste burning emissions are either missing or have large uncertainties in local, regional, or global emission inventories due to limited emission factor (EF) and activity data. Detailed particulate matter (PM) chemical speciation data are even less available. This paper reports source profiles and EFs for PM2.5 species as well as acidic and alkali gases measured from laboratory combustion of 10 waste categories that represent open burning in South Africa. Carbonaceous materials contributed more than 70 % of PM2.5 mass. Elemental carbon (EC) was most abundant from flaming materials (e.g., plastic bags, textiles, and combined materials), and its climate forcing exceeded the corresponding CO2 emissions by a factor of 2–5. Chlorine had the highest EFs among elements measured by X-ray fluorescence (XRF) for all materials. Vegetation emissions showed high abundances of potassium, consistent with its use as a marker for biomass burning. Fresh PM2.5 emitted from waste burning appeared to be acidic. Moist vegetation and food discards had the highest hydrogen fluoride (HF) and PM fluoride EFs due to fluorine accumulation in plants, while burning rubber had the highest hydrogen chloride (HCl) and PM chloride EFs due to high chlorine content in the rubber. Plastic bottles, plastic bags, rubber, and food discards had the highest EFs for polycyclic aromatic hydrocarbons (PAHs) and nitro-PAHs as well as their associated toxicities. Distinct differences between odd and even carbon preferences were found for alkanes from biological and petroleum-based materials: dry vegetation, paper, textiles, and food discards show preference for the odd-numbered alkanes, while the opposite is true for plastic bottles, plastic bags, and rubber. As phthalates are used as plasticizers, their highest EFs were found for plastic bottles and bags, rubber, and combined materials. Data from this study will be useful for health and climate impact assessments, speciated emission inventories, source-oriented dispersion models, and receptor-based source apportionment.

The lithium-ion battery (LIB) thermal runaway (TR) emits a wide size range of particles with diverse chemical compositions. When inhaled, these particles can cause serious adverse health effects. This study measured the size distributions of particles with diameters less than 10 µm released throughout the TR-driven combustion of cylindrical lithium iron phosphate (LFP) and pouch-style lithium cobalt oxide (LCO) LIB cells. The chemical composition of fine particles (PM2.5) and some acidic gases were also characterized from filter samples. The emission factors of particle number and mass as well as chemical components were calculated. Particle number concentrations were dominated by those smaller than 500 nm with geometric number mean diameters below 130 nm. Mass concentrations were also dominated by smaller particles, with PM1 particles making up 81–95% of the measured PM10 mass. A significant amount of organic and elemental carbon, phosphate, and fluoride was released as PM2.5 constituents. The emission factor of gaseous hydrogen fluoride was 10–81 mg/Wh, posing the most immediate danger to human health. The tested LFP cells had higher emission factors of particles and HF than the LCO cells.

IntroductionAtopic dermatitis (AD) is a chronic inflammatory skin disorder characterised by itching, erythema, and epidermal barrier dysfunction. The pathogenesis of AD is complex and multifactorial; however,mast cell (MC) activation has been reported to be one of the crucial mechanisms in the pathogenesis of AD. The MC receptor Mas related G protein-coupled receptor-X2 (MRGPRX2) has been identified as a prominent alternative receptor to the IgE receptor in causing MC activation and the subsequent release of inflammatory mediators. The current study aimed to evaluate the therapeutic effect of a novel small molecule MRGPRX2 antagonist GE1111 in AD using in vitro and in vivo approaches. MethodsWe developed an in vitro cell culture disease model by using LAD-2 MC, HaCaT keratinocytes and RAW 264.7 macrophage cell lines. We challenged keratinocytes and macrophage cells with CST-14 treated MC supernatant in the presence and absence of GE1111 and measured the expression of tight junction protein claudin 1, inflammatory cytokines and macrophage phagocytosis activity through immunohistochemistry, western blotting, RT-qPCR and fluorescence imaging techniques. In addition to this, we developed a DFNB-induced AD model in mice and evaluated the protective effect and underlying mechanism of GE1111.Results and DiscussionOur in vitro findings demonstrated a potential therapeutic effect of GE1111, which inhibits the expression of TSLP, IL-13, MCP-1, TNF-a, and IL-1ß in MC and keratinocytes. In addition to this, GE1111 was able to preserve the expression of claudin 1 in keratinocytes and the phagocytotic activity of macrophage cells. The in vivo results demonstrated that GE1111 treatment significantly reduced phenotypic changes associated with AD (skin thickening, scaling, erythema and epidermal thickness). Furthermore, immunohistochemical analysis demonstrated that GE1111 treatment preserved the expression of the tight junction protein Involucrin and reduced the expression of the inflammatory mediator periostin in the mouse model of AD. These findings were supported by gene and protein expression analysis, where GE1111 treatment reduced the expression of TSLP, IL-13, and IL-1ß, as well as downstream signalling pathways of MRGPRX2 in AD skin lesions. In conclusion, our findings provide compelling in vitro and in vivo evidence supporting the contribution of MRGPRX2-MC interaction with keratinocytes and macrophages in the pathogenesis of AD.

BackgroundDeclining cognitive function (CF) and physical function (PF) relate to poorer health-related quality of life (HRQoL) in older adults. As health literacy (HL) facilitates health information utilization, it may mediate links between functionality and HRQoL appraisals. This study examined HL as an intermediary between joint CF and PF contributions and HRQoL in Hong Kong older adults.Methods490 older adults aged 50–80 years completed assessments from March to July 2021. Health Literacy Survey Questionnaire Short Form 12 questions (HLS-SF12), Montreal Cognitive Assessment (MoCA), Senior Fitness Test (SFT) and 12-Item Short-Form Health Survey version 2 (SF-12v2) were used to assess HL, CF, PF and HRQoL, respectively. Path analysis tested a model with HL mediating CF/PF predictors and HRQoL outcome.ResultsResults for direct effects indicated that CF significantly associated with PF (β = 0.115, SE = 0.012, p

Abstract While the protective role of neutrophil extracellular traps (NETs) in limiting human immunodeficiency virus (HIV) spread to susceptible cells has been documented, there is comparatively little insight into whether NET formation is harmful in people living with HIV (PLWH). To gain insight into neutrophil dysregulation and the pathological role of NETs in HIV, we examined expressions of NET-associated markers [cell-free DNA (cfDNA) and citrullinated histone H3 (CitH3)] in the plasmas from a cohort of the Hawaii Aging with HIV-cardiovascular and HIV-seronegative (HIV−) individuals. In a subset of participants, circulating low-density granulocyte (LDG) levels and their maturation and activation status were analyzed via flow cytometry. We demonstrated higher plasma levels of CitH3 in PLWH compared to HIV- individuals. LDGs from PLWH had heightened CD66b, but reduced CD16 expression. The percentages and counts of CD10+ LDGs were significantly decreased in PLWH. In addition, the CD16Lo LDG subsets were enriched in PLWH, compared to HIV− group, indicating that immature LDGs are increased in PLWH. Moreover, LDGs from PLWH exhibited significantly higher NET forming capacity. In summary, our study presents evidence that LDGs from PLWH on ART display an immature and altered phenotype with increased NET formation. Among PLWH, plasma NET levels as well as LDG parameters correlated with blood markers for inflammation and coagulation, suggesting that neutrophil activation and NETs may exert proinflammatory and coagulation effects. Our data provide insights into the pathologic role of LDGs at least in part mediated through NET formation in PLWH.

Lithium-ion batteries (LIB) pose a safety risk due to their high specific energy density and toxic ingredients. Fire caused by LIB thermal runaway (TR) can be catastrophic within enclosed spaces where emission ventilation or occupant evacuation is challenging or impossible. The fine smoke particles (PM2.5) produced during a fire can deposit in deep parts of the lung and trigger various adverse health effects. This study characterizes the chemical composition of PM2.5 released from TR-driven combustion of cylindrical lithium iron phosphate (LFP) and pouch-style lithium cobalt oxide (LCO) LIB cells. Emissions from cell venting and flaming combustion were measured in real time and captured by filter assemblies for subsequent analyses of organic and elemental carbon (OC and EC), elements, and water-soluble ions. The most abundant PM2.5 constituents were OC, EC, phosphate (PO43−), and fluoride (F−), contributing 7–91%, 0.2–40%, 1–44%, and 0.7–3% to the PM2.5 mass, respectively. While OC was more abundant during cell venting, EC and PO43− were more abundant when flaming combustion occurred. These freshly emitted particles were acidic. Overall, particles from LFP tests had higher OM but lower EC compared to LCO tests, consistent with the higher thermal stability of LFP cells.

BackgroundAlthough our understanding of the immunopathology and subsequent risk and severity of COVID-19 disease is evolving, a detailed account of immune responses that contribute to the long-term consequences of pulmonary complications in COVID-19 infection remains unclear. Few studies have detailed the immune and cytokine profiles associated with post-acute sequelae of SARS-CoV-2 infection (PASC) with persistent pulmonary symptoms. The dysregulation of the immune system that drives pulmonary sequelae in COVID-19 survivors and PASC sufferers remains largely unknown.ResultsTo characterize the immunological features of pulmonary PASC (PPASC), we performed droplet-based single-cell RNA sequencing (scRNA-seq) to study the transcriptomic profiles of peripheral blood mononuclear cells (PBMCs) from a participant naïve to SARS-CoV-2 (Control) (n=1) and infected with SARS-CoV-2 with chronic pulmonary symptoms (PPASC) (n=2). After integrating scRNA-seq data with a naïve participant from a published dataset, 11 distinct cell populations were identified based on the expression of canonical markers. The proportion of myeloid-lineage cells ([MLCs]; CD14+/CD16+monocytes, and dendritic cells) was increased in PPASC (n=2) compared to controls (n=2). MLCs from PPASC displayed up-regulation of genes associated with pulmonary symptoms/fibrosis, while glycolysis metabolism-related genes were downregulated. Similarly, pathway analysis showed that fibrosis-related (VEGF, WNT, and SMAD) and cell death pathways were up-regulated, but immune pathways were down-regulated in PPASC. Further comparison of PPASC with scRNA-seq data with Severe COVID-19 (n=4) data demonstrated enrichment of fibrotic transcriptional signatures. In PPASC, we observed interactive VEGF ligand-receptor pairs among MLCs, and network modules in CD14+ (cluster 4) and CD16+ (Cluster 5) monocytes displayed a significant enrichment for biological pathways linked to adverse COVID-19 outcomes, fibrosis, and angiogenesis. Further analysis revealed a distinct metabolic alteration in MLCs with a down-regulation of glycolysis/gluconeogenesis in PPASC compared to SARS-CoV-2 naïve samples.ConclusionAnalysis of a small scRNA-seq dataset demonstrated alterations in the immune response and cellular landscape in PPASC. The presence of elevated MLC levels and their corresponding gene signatures associated with fibrosis, immune response suppression, and altered metabolic states suggests a potential role in PPASC development.

BackgroundLearning to cycle can be challenging for adults who did not acquire the necessary skills during childhood. Balance bikes have been used to teach children how to cycle, but it was unclear whether this approach could also be effective for adults.PurposeTo address this, a multi-phase intervention study was conducted to investigate whether healthy adults could be taught to cycle independently through the use of a balance bike.MethodsIn Phase 1, a case-control observational study was conducted in which 13 cyclists and 8 non-cyclists completed balance bike tests. Based on the findings, an 8-session intervention pre- and post-test study was conducted in Phase 2, using an 8 × 20-minute balance bike training programme to improve cycling postural stability and control. Another 11 non-cyclists completed the novel programme. The time taken to complete the balance bike tests was compared before and after the program, while their cycling confidence was recorded in each session. To assess the effectiveness of the programme, participants were invited to cycle on a pedal bike to evaluate their ability to cycle independently.ResultsThe results in Phase 1 showed that cyclists performed better on the balance bike than non-cyclists, with Bayes factor analyses providing evidence of this difference, BF01 = 0.228 in the 15 m sprint test and BF01 = 0.138 in the two-turn curved sprint test. The novel training programme in Phase 2 demonstrated remarkable effectiveness in improving their balance bike riding performance, as evidenced by the Bayes factor for completion times in the repeated measures being BF01 < 0.001. All participants were able to cycle independently with confidence after the programme.ConclusionsThis study sheds light on the idea that it's never too late for adults to learn how to ride a bike. It provides evidence that healthy adults can learn to ride independently with the help of a balance bike, a tool that's commonly used for teaching children. The study identifies five key principles for effective balance bike training in adults, including focusing on riding speed, gliding to turn, building cycling confidence, engaging high motor skills, and using a dual-task approach. Our evidence-based training programme offers a safe, enjoyable, and effective way for adults to develop the skills and confidence they need to ride, even if they've never ridden before.

Background People living with HIV (PLWH) have higher rates of chronic kidney disease (CKD) compared with HIV-uninfected individuals. The pathogenesis of CKD in HIV remains poorly understood but is likely from a combination of various factors, such as traditional comorbidities, prolonged antiretroviral therapy, immune dysregulation, and direct HIV effect on the kidneys. We evaluated plasma galectin-3 (Gal-3), a circulating marker of fibrosis, and its association with renal function. Methods Estimated glomerular filtration rate (eGFR) was assessed by CKD-EPI. Plasma galectin-3 was obtained from banked specimens by ELISA. Factors associated with eGFR were analyzed using step-wise multiple linear regression. Results A total of 45 PLWH and 58 HIV-uninfected participants were included with similar demographic parameters. Among PLWH, majority had undetectable plasma HIV RNA (82.2%). Gal-3 was significantly higher in PLWH than in HIV-uninfected participants (6.4 [IQR 4.0, 8.5] ng/mL and 4.5 [IQR 2.3, 6.5] ng/mL, respectively; p = 0.020) while a trend towards lower eGFR was found in PLWH compared to the HIV-uninfected cohort (86.8 [IQR 71.3, 91.8] and 89.0 [IQR 78.6, 97.4] mL/min/1.73 m2, respectively; p = 0.071). In univariable analysis, HIV status was marginally associated with decreased eGFR (β coefficient= −0.035, p = 0.051). In the final multivariable regression model adjusted for traditional risk factors of CKD, Gal-3 independently predicted a decrease in eGFR (unstandardized B= −0.008, p

Abstract The carbon fractions of organic (OC1, OC2, OC3, OC4, OP) and elemental (EC1, EC2, and EC3) carbon obtained from IMPROVE (Interagency Monitoring of PROtected Visual Environments) thermal/optical carbon analysis of quartz-fiber filters have been implemented to help distinguish spark-ignition engine exhaust particulate matter (PM) contributions from those of heavy-duty diesel exhaust. The Positive Matrix Factorization (PMF) source factor containing the optical pyrolysis correction (OP) typically includes significant contributions to sulfate and/or nitrate. This factor is associated with aged secondary organic and inorganic species. The U.S. EPA changed the sampling and analytical protocols for its Chemical Speciation Network (CSN) in the 2007–2009 period to provide these well separated individual peaks in the thermogram for aerosol characterization, source apportionment, visibility, and health studies. However, after October 1, 2018, there was a change in the laboratory and instruments used to implement the IMPROVE_A protocol for CSN samples. Although this switch resulted in similar total organic and elemental carbon (OC and EC) values, the protocol changes resulted in large shifts in the OC4, OP, and EC2 fractions, resulting in a swap in the resolved contributions from gasoline and diesel engine exhaust apportionments of PM2.5 mass concentration. It also affected the OP factor contributions. As a result, using the most recent CSN carbon fractions for source apportionments to separate gasoline from diesel vehicles will not result in correct results. The only current recourse is to reanalyze remnants of those samples using the original and temporally consistent IMPROVE_A protocol.

Delivering bioactive proteins into cells without carriers presents significant challenges in biomedical applications due to limited cell membrane permeability and the need for targeted delivery. Here, we introduce a novel carrier-free method that addresses these challenges by chemically modifying proteins with an acid-responsive cell-penetrating peptide (CPP) for selective intracellular delivery within tumours. Cytochrome C, a protein known for inducing apoptosis, served as a model for intracellular delivery of therapeutic proteins for cancer treatment. The CPP was protected with 2,3-dimethyl maleic anhydride (DMA) and chemically conjugated onto the protein surface, creating an acid-responsive protein delivery system. In the acidic tumour microenvironment, DMA deprotects and exposes the positively charged CPP, enabling membrane penetration. Both in vitro and in vivo assays validated the pH-dependent shielding mechanism, demonstrating the modified cytochrome C could induce apoptosis in cancer cells in a pH-selective manner. These findings provide a promising new approach for carrier-free and tumour-targeted intracellular delivery of therapeutic proteins for a wide range of potential applications.

Abstract A total of 130 volatile organic compounds (VOCs) and 14 carbonyls were measured at the Jasso (JAS) and Tepeji (TEP) sites during the warm-dry season of 2006 in Tula, Hidalgo, Mexico, a highly industrialized area with more than 120 industries. These data were compared with those obtained in Mexico City during 2006 and 2012 at an urban center (Merced, MER) site and a southwest residential (Pedregal, PED) site. Average VOC concentrations in Tula were dominated by alkanes (40.8–42.2% of the total VOCs), followed by alkenes (10.3–11.9%), oxygenated compounds (10.0–11.5%), aromatics (7.3–12.5%), halogenated species (7.0–9.3%), and acetylene (1.6–2.4%), denotating a highly reactive atmosphere. High concentrations of propane and nButane are associated with leakage, handling, and distribution of liquified petroleum gas (LPG). The highest concentrations were found for formaldehyde at 87.2 µg m−3, followed by acetaldehyde (52.1 µg m−3) and acetone (49.7 µg m−3), accounting for 96% of the total carbonyls in Tula. VOC emission sources associated with industrial processes (such as oil refineries, power plants, plastic manufacturing, asphalt production, and solvent usage), vehicular exhaust, evaporated gasoline, LPG, food cooking, and biogenic emissions were identified using the Positive Matrix Factorization (PMF) solution to the chemical mass balance (CMB) model. A health risk assessment for toxic species such as benzene, toluene, ethyl benzene and xylenes (BTEX), found a decreasing trend from 2006 to 2012. Lifetime cancer risks (LCR) from benzene ranged from 1.5 × 10−5 to 6.1 × 10−5 in 2006 and from 8.8 × 10−6 to 2.2 × 10−5 in 2012 for the urban MER site. This database establishes baselines for evaluating the effectiveness of emission reduction strategies.

Platelets are anucleate cytoplasmic cell fragments that circulate in the blood, where they are involved in regulating hemostasis. Beyond their normal physiologic role, platelets have emerged as versatile effectors of immune response. During an infection, cell surface receptors enable platelets to recognize viruses, resulting in their activation. Activated platelets release biologically active molecules that further trigger host immune responses to protect the body against infection. Their impact on the immune response is also associated with the recruitment of circulating leukocytes to the site of infection. They can also aggregate with leukocytes, including lymphocytes, monocytes, and neutrophils, to immobilize pathogens and prevent viral dissemination. Despite their host protective role, platelets have also been shown to be associated with various pathophysiological processes. In this review, we will summarize platelet and HIV interactions during infection. We will also highlight and discuss platelet and platelet-derived mediators, how they interact with immune cells, and the multifaceted responsibilities of platelets in HIV infection. Furthermore, we will give an overview of non-AIDS comorbidities linked to platelet dysfunction and the impact of antiretroviral therapy on platelet function.

Abstract PM2.5 monitoring campaigns were conducted in 2006, 2010, and 2011 in Tula, Hidalgo, Mexico, a highly industrialized area which includes a refinery, a thermoelectric power plant, five cement plants, limestone mining, and industrial waste combustion. These data establish baselines and trends against which later concentrations can be compared as emission reduction plans are implemented. PM2.5 mass, chemical composition, and 15 particle-bound polycyclic aromatic hydrocarbons (PAHs) were measured at two sites. PM2.5 masses ranged from 26 to 31 µg m−3. Carbonaceous aerosols were the largest PM2.5 component, accounting for 47–57% of the mass. Approximately 40–51% of the carbonaceous aerosol was attributed to secondary organic carbon. Ionic species accounted for 40–44% of PM2.5, with sulfate being the dominant ion. The sum of particle-bound PAH concentrations ranged from 14–31 ng m−3. Six factors derived from Principal Component Analysis (PCA) explained ~85% of the PM2.5 variance. The derived factors were associated with sources based on marker species resulting in heavy-oil combustion (22% of variance), vehicle engine exhaust (13–19% of variance), fugitive dust (18% of variance), biomass burning (9–13% of variance), secondary aerosols (14% of variance), and industrial emissions (6–10% of variance). Combustion of solid waste (e.g., tires and industrial waste) of the recycling cement kilns and incinerators resulted in elevated toxic species such as, Cd, and Sb in the range of 0.02–0.3 µg m−3. A health risk assessment of carcinogenic trace elements was performed showing that the total cancer risk decreased for both children and adults in 2010/2011 (ranging from 3.5 × 10−6 to 6.0 × 10−5) as compared to 2006 (ranging from 8.6 × 10−7 to 5.7 × 10−6). The inhalation life-time cancer risk (ILCR) for particle-bound PAHs ranged from 8.6 × 10−5 to 1.2 × 10−4. Air quality can be improved by switching to cleaner fuels and benefit from the use of natural gas instead of fuel oil in the power plant.

Abstract Adsorption cooling and desalination (ACD) system powered by renewable energy has been considered as a promising solution to solve interconnected global problems such as freshwater scarcity, high-cost air conditioning, CO2 emission, and global warming. In this work, a new nanoporous silica was synthesized through a self-assembly process using a combination of ionic and non-ionic surfactants. The silica has shown unique pore structures, including high surface area and large pore volume, as well as ideal pore size distribution. The new silica was deposited (coated) over the ligaments of aluminum foam for use as a sorption bed. An uncoated aluminum foam packed with conventional silica RD (regular density) particles serves as a baseline sorption bed. The freshwater production rate and cooling power produced using the two sorbents were compared. Silica RD outperforms the new silica for cooling while the new silica is far better for desalination application. Insights for such results are provided.

Abstract Carbonaceous aerosols were characterized in 19 Chinese cities during winter and summer of 2013. Measurements of organic carbon (OC) and elemental carbon (EC) levels were compared with those from 14 corresponding cities sampled in 2003 to evaluate effects of emission changes over a decade. Average winter and summer OC and EC decreased by 32% and 17%, respectively, from 2003 to 2013, corresponding to nationwide emission control policies implemented since 2006. The extent of carbon reduction varied by season and by location. Larger reductions were found for secondary organic carbon (SOC, 49%) than primary organic carbon (POC, 25%). PM2.5 mass and total carbon concentrations were three to four times higher during winter than summer especially in the northern cities that use coal combustion for heating.

Palmitic acid (PA) is a saturated free fatty acid which, when being excessive, accounts for lipotoxicity. Using human lung A549 cells as a model for lung alveolar type 2 epithelial cells, we found that challenge of A549 cells with PA resulted in apoptotic cell death, as reflected by positive annexin V and PI staining, and also appearance of cleaved caspase-3. PA treatment also caused depletion of intracellular Ca2+ store, endoplasmic reticulum (ER) stress, and oxidative stress. Tannic acid (TA), a polyphenol present in wines and many beverages, alleviated PA-induced ER stress, oxidative stress and apoptotic death. Thus, our results suggest PA lipotoxicity in lung alveolar type 2 epithelial cells could be protected by TA.

Gamma-linolenic acid (GLA), a natural fatty acid obtained from oils of various vegetables and seeds, has been demonstrated as an anticancer agent. In this work, we investigated the anticancer effects of GLA on breast cancer BT-474 cells. GLA at 30 μM, a concentration reportedly within the range of circulating concentrations in clinical studies, caused apoptotic cell death. GLA caused an elevation in mitochondrial Ca2+ level and a decrease in mitochondrial membrane potential. GLA treatment depleted cyclopiazonic acid (CPA)-sensitive Ca2+ store and triggered substantial Ca2+ influx. Intracellular Ca2+ release triggered by GLA was suppressed by 3 μM xestospongin C (XeC, IP3 receptor-channel blocker) and 100 μM ryanodine (ryanodine receptor-channel blocker), suggesting that the Ca2+ release was via IP3 receptor-channel and ryanodine receptor-channel. Increased expressions of p-eIF2α and CHOP were observed in GLA-treated cells, suggesting GLA-treated cells had increased expressions of p-eIF2α and CHOP, which suggest endoplasmic reticulum (ER) stress. In addition, GLA elicited increased production of reactive oxygen species. Taken together, our results suggest a basal level of GLA induced apoptotic cell death by causing Ca2+ overload, mitochondrial dysfunction, Ca2+ store depletion, ER stress, and oxidative stress. This is the first report to show that GLA caused Ca2+ store depletion and ER stress. GLA-induced Ca2+ store depletion resulted from opening of IP3 receptor-channel and ryanodine receptor-channel.

Chronic HIV infection has long been associated with an increased risk for cardiovascular diseases. The metabolites of the renin–angiotensin system (RAS) such as angiotensin II (AngII) play an important role in regulating blood pressure and fluid dynamics. Cross-sectional analysis of HIV-positive individuals (n = 71, age > 40 years, stable ART > 3 months with HIV viral load < 50 copies/mL) were compared to a similar HIV seronegative group (n = 72). High-resolution B-mode ultrasound images of the right carotid bifurcation (RBIF) and right common carotid artery (RCCA) were conducted to measure the extent of carotid atherosclerotic vascular disease. Plasma RAS peptide levels were quantified using a liquid chromatography-mass spectrometry-based metabolomics assay. RAS peptide concentrations were compared between persons with HIV and persons without HIV, correlating their association with clinical and cardiac measures. Median precursor peptides (Ang(1-12) and AngI) were significantly higher in the HIV-positive group compared to the HIV-negative. Analyses of the patient subgroup not on antihypertensive medication revealed circulating levels of AngII to be four-fold higher in the HIV-positive subgroup. AngII and TNF-alpha levels were found to have a positive association with RCCA, and AngI/Ang(1-12) ratio and TNF-alpha levels were found to have a positive association with RBIF. In both predictive models, AngIII had a negative association with either RCCA or RBIF, which may be attributed to its ability to bind onto AT2R and thus oppose pro-inflammatory events. These results reveal systemic alterations in RAS as a result of chronic HIV infection, which may lead to the activation of inflammatory pathways associated with carotid thickening. RAS peptide levels and cytokine markers were associated with RCCA and RBIF measurements.

COVID-19 presentations range from mild to moderate through severe disease but also manifest with persistent illness or viral recrudescence. We hypothesized that the spectrum of COVID-19 disease manifestations was a consequence of SARS-CoV-2-mediated delay in the pathogen-associated molecular pattern (PAMP) response, including dampened type I interferon signaling, thereby shifting the balance of the immune response to be dominated by damage-associated molecular pattern (DAMP) signaling. To test the hypothesis, we constructed a parsimonious mechanistic mathematical model. After calibration of the model for initial viral load and then by varying a few key parameters, we show that the core model generates four distinct viral load, immune response and associated disease trajectories termed “patient archetypes”, whose temporal dynamics are reflected in clinical data from hospitalized COVID-19 patients. The model also accounts for responses to corticosteroid therapy and predicts that vaccine-induced neutralizing antibodies and cellular memory will be protective, including from severe COVID-19 disease. This generalizable modeling framework could be used to analyze protective and pathogenic immune responses to diverse viral infections.

Peat fuels representing four biomes of boreal (western Russia and Siberia), temperate (northern Alaska, USA), subtropical (northern and southern Florida, USA), and tropical (Borneo, Malaysia) regions were burned in a laboratory chamber to determine gas and particle emission factors (EFs). Tests with 25 % fuel moisture were conducted with predominant smoldering combustion conditions (average modified combustion efficiency (MCE) =0.82±0.08). Average fuel-based EFCO2 (carbon dioxide) are highest (1400 ± 38 g kg−1) and lowest (1073 ± 63 g kg−1) for the Alaskan and Russian peats, respectively. EFCO (carbon monoxide) and EFCH4 (methane) are ∼12 %–15 % and ∼0.3 %–0.9 % of EFCO2, in the range of 157–171 and 3–10 g kg−1, respectively. EFs for nitrogen species are at the same magnitude as EFCH4, with an average of 5.6 ± 4.8 and 4.7 ± 3.1 g kg−1 for EFNH3 (ammonia) and EFHCN (hydrogen cyanide); 1.9±1.1 g kg−1 for EFNOx (nitrogen oxides); and 2.4±1.4 and 2.0 ± 0.7 g kg−1 for EFNOy (total reactive nitrogen) and EFN2O (nitrous oxide). An oxidation flow reactor (OFR) was used to simulate atmospheric aging times of ∼2 and ∼7 d to compare fresh (upstream) and aged (downstream) emissions. Filter-based EFPM2.5 varied by > 4-fold (14–61 g kg−1) without appreciable changes between fresh and aged emissions. The majority of EFPM2.5 consists of EFOC (organic carbon), with EFOC ∕ EFPM2.5 ratios in the range of 52 %–98 % for fresh emissions and ∼14 %–23 % degradation after aging. Reductions of EFOC (∼7–9 g kg−1) after aging are most apparent for boreal peats, with the largest degradation in low-temperature OC1 that evolves at ∘C, indicating the loss of high-vapor-pressure semivolatile organic compounds upon aging. The highest EFLevoglucosan is found for Russian peat (∼16 g kg−1), with ∼35 %–50 % degradation after aging. EFs for water-soluble OC (EFWSOC) account for ∼20 %–62 % of fresh EFOC. The majority (> 95 %) of the total emitted carbon is in the gas phase, with 54 %–75 % CO2, followed by 8 %–30 % CO. Nitrogen in the measured species explains 24 %–52 % of the consumed fuel nitrogen, with an average of 35 ± 11 %, consistent with past studies that report ∼1/3 to 2∕3 of the fuel nitrogen measured in biomass smoke. The majority (> 99 %) of the total emitted nitrogen is in the gas phase, with an average of 16.7 % as NH3 and 9.5 % as HCN. N2O and NOy constituted 5.7 % and 2.9 % of consumed fuel nitrogen. EFs from this study can be used to refine current emission inventories.

Large structural variants (SV) are understudied in human genetics research because of the difficulty to detect them in the routinely generated short-read sequencing data. Here, the authors generate optical genome maps of 154 individuals from 26 populations that allow comprehensive examination of large SVs.

Abstract Background Viruses are important components of microbial communities modulating community structure and function; however, only a couple of tools are currently available for phage identification and analysis from metagenomic sequencing data. Here we employed the random forest algorithm to develop VirMiner, a web-based phage contig prediction tool especially sensitive for high-abundances phage contigs, trained and validated by paired metagenomic and phagenomic sequencing data from the human gut flora. Results VirMiner achieved 41.06% ± 17.51% sensitivity and 81.91% ± 4.04% specificity in the prediction of phage contigs. In particular, for the high-abundance phage contigs, VirMiner outperformed other tools (VirFinder and VirSorter) with much higher sensitivity (65.23% ± 16.94%) than VirFinder (34.63% ± 17.96%) and VirSorter (18.75% ± 15.23%) at almost the same specificity. Moreover, VirMiner provides the most comprehensive phage analysis pipeline which is comprised of metagenomic raw reads processing, functional annotation, phage contig identification, and phage-host relationship prediction (CRISPR-spacer recognition) and supports two-group comparison when the input (metagenomic sequence data) includes different conditions (e.g., case and control). Application of VirMiner to an independent cohort of human gut metagenomes obtained from individuals treated with antibiotics revealed that 122 KEGG orthology and 118 Pfam groups had significantly differential abundance in the pre-treatment samples compared to samples at the end of antibiotic administration, including clustered regularly interspaced short palindromic repeats (CRISPR), multidrug resistance, and protein transport. The VirMiner webserver is available at http://sbb.hku.hk/VirMiner/. Conclusions We developed a comprehensive tool for phage prediction and analysis for metagenomic samples. Compared to VirSorter and VirFinder—the most widely used tools—VirMiner is able to capture more high-abundance phage contigs which could play key roles in infecting bacteria and modulating microbial community dynamics. Trial registration The European Union Clinical Trials Register, EudraCT Number: 2013-003378-28. Registered on 9 April 2014

Macrophages play an important role in the host defense mechanism. In response to infection, macrophages activate a genetic program of pro-inflammatory response to kill any invading pathogen, and initiate an adaptive immune response. We have identified RUVBL2 - an ATP-binding protein belonging to the AAA+ (ATPase associated with diverse cellular activities) superfamily of ATPases - as a novel regulator in pro-inflammatory response of macrophages. Gene knockdown of Ruvbl2, or pharmacological inhibition of RUVBL1/2 activity, compromises type-2 nitric oxide synthase (Nos2) gene expression, nitric oxide production and anti-bacterial activity of mouse macrophages in response to lipopolysaccharides (LPS). RUVBL1/2 inhibitor similarly inhibits pro-inflammatory response in human monocytes, suggesting functional conservation of RUVBL1/2 in humans. Transcriptome analysis further revealed that major LPS-induced pro-inflammatory pathways in macrophages are regulated in a RUVBL1/2-dependent manner. Furthermore, RUVBL1/2 inhibition significantly reduced the level of histone H3K4me3 at the promoter region of Nos2 and Il6, two prototypical pro-inflammatory genes, and diminished the recruitment of NF-kappaB to the corresponding enhancers. Our study reveals RUVBL1/2 as an integral component of macrophage pro-inflammatory responses through epigenetic regulations, and the therapeutic potentials of RUVBL1/2 inhibitors in the treatment of diseases caused by aberrant activation of pro-inflammatory pathways.

Background: Long-term neurocognitive outcomes following first-line suppressive anti-retroviral therapy (ART) remain uncertain for individuals with HIV and hepatitis C (HCV) co-infection. The study examined neurocognitive performance before and after 72 weeks of ART using repeated multivariate analyses and latent trajectory models.Methods: One hundred and sixty adults with chronic, untreated HIV infection (n = 80 with HCV co-infection and n = 80 HIV mono-infected) and 80 demographically similar healthy controls were recruited from the Hospital for Tropical Diseases in Ho Chi Minh City and the surrounding community, respectively. Neurocognitive measures (adapted for use in Vietnam) and liver enzyme tests were compared across groups at baseline. Repeated multivariate and group-based trajectory analyses (GBTA) examined neurocognitive subgroup profiles of the co-infected individuals after 72 weeks of de novo efavirenz- (n = 41) or raltegravir-based (n = 39) ART.Results: Baseline analyses revealed worse motor function in HIV-HCV co-infected individuals compared to both comparison groups. Longitudinal analyses revealed improved neurocognitive performance by week 48 for most participants regardless of treatment arm. GBTA identified a subgroup (35% of HIV-HCV sample) with persistent motor impairment despite otherwise successful ART. Higher HIV viral load and lower CD4+ T cell count at baseline predicted persistent motor dysfunction. Liver indices and ART regimen did not predict neurocognitive outcomes in HIV-HCV co-infected individuals.Conclusions: Most HIV-HCV co-infected individuals achieve normative neurocognitive performance after 48 weeks of de novo suppressive ART. However, individuals with more severe HIV disease prior to ART exhibited motor impairment at baseline and 72 weeks after otherwise successful treatment. Interventions aimed at improving motor symptoms at the time of HIV treatment onset may improve long-term clinical outcomes in HIV-HCV co-infected adults.

Real-world emission factors for different vehicle types and their contributions to roadside air pollution are needed for air-quality management. Tunnel measurements have been used to estimate emission factors for several vehicle types using linear regression or receptor-based source apportionment. However, the accuracy and uncertainties of these methods have not been sufficiently discussed. This study applies four methods to derive emission factors for different vehicle types from tunnel measurements in Hong Kong, China: (1) simple linear regressions (SLR); (2) multiple linear regressions (MLR); (3) positive matrix factorization (PMF); and (4) EMission FACtors for Hong Kong (EMFAC-HK). Separable vehicle types include those fueled by liquefied petroleum gas (LPG), gasoline, and diesel. PMF was the most useful, as it simultaneously seeks source profiles and source contributions. Diesel-, gasoline-, and LPG-fueled vehicle emissions accounted for 52%, 10%, and 5% of PM2.5 mass, respectively, while ammonium sulfate (~20%), ammonium nitrate (6%), and road dust (7%) were also large contributors. MLR exhibited the highest relative uncertainties, typically over twice those determined by SLR. EMFAC-HK has the lowest relative uncertainties due to its assumption of a single average emission factor for each pollutant and each vehicle category under specific conditions. The relative uncertainties of SLR and PMF are comparable.

The dominant belief is that science progresses by testing theories and moving towards theoretical consensus. While it's implicitly assumed that psychology operates in this manner, critical discussions claim that the field suffers from a lack of cumulative theory. To examine this paradox, we analysed research published in Psychological Science from 2009-2019 (N = 2,225). We found mention of 359 theories in-text, most were referred to only once. Only 53.66% of all manuscripts included the word theory, and only 15.33% explicitly claimed to test predictions derived from theories. We interpret this to suggest that the majority of research published in this flagship journal is not driven by theory, nor can it be contributing to cumulative theory building. These data provide insight into the kinds of research psychologists are conducting and raises questions about the role of theory in the psychological sciences.