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Abstract Even during the third wave of the COVID-19 pandemic health professionals were facing mental health challenges. The aim of this study was to examine the mental health of doctors, nurses and other professional groups in Europe and to identify differences between the professional groups. We conducted a cross-sectional online survey in 8 European countries. We asked for demographic data, whether the participants were exposed to COVID-19 at work, for main information sources about the pandemic, the Depression Anxiety Stress Scales (DASS-21), and major stressors. A MANCOVA was carried out to find predictors of mental health among health care professionals. The sample (N = 1398) consisted of 237 physicians, 459 nurses, and 351 other healthcare professionals and 351 non-medical professionals with no direct involvement in patient care. The mean mental health of all groups was affected to a mild degree. Major predictors for depression and anxiety were the profession group with higher scores especially in the group of the nurses and working directly with COVID-patients. In the third wave of the COVID-19 pandemic, the psychological burden on health professionals has remained high, with being nurse and working directly with COVID19 patients being particular risk factors for mental distress. We found as a main result that nurses scored significantly higher on depression and anxiety than practitioners.

Abstract On behalf of the journal, AGU, and the scientific community, the editors of Geophysical Research Letters would like to sincerely thank those who reviewed manuscripts for us in 2023. The hours reading and commenting on manuscripts not only improve the manuscripts, but also increase the scientific rigor of future research in the field. With the advent of AGU's data policy, many reviewers have also helped immensely to evaluate the accessibility and availability of data, and many have provided insightful comments that helped to improve the data presentation and quality. We greatly appreciate the assistance of the reviewers in advancing open science, which is a key objective of AGU's data policy. We particularly appreciate the timely reviews in light of the demands imposed by the rapid review process at Geophysical Research Letters. We received 4,512 submissions in 2023 and 5,112 reviewers contributed to their evaluation by providing 8,587 reviews in total. We deeply appreciate their contributions.

Abstract Key message The application of material selection principles uncovered eight possible alternative tree species (two deciduous and six coniferous species) to substitute Norway spruce (Picea abies (L.) H. Karst.) and potentially prevent economic loss in European forest. Context Climate change is a major challenge for the Central European forest and timber industry. Increasing biotic (e.g. beetle damage) and abiotic (e.g. drought) calamities have led to major losses in forest value, especially on Norway spruce (Picea abies (L.) H. Karst.) stands. Therefore, a transition to climate change adapted forest management is necessary. Concurrently, neophytes (e.g. tree of heaven (Ailanthus altissima (Mill.) Swingle), Douglas fir (Pseudotsuga menziesii (Mirbel) Franco), grand fir (Abies grandis (Douglas ex D. Don) Lindl.) and Paulownia (Paulownia tomentosa (Thunb.) Steud.)) are increasing their dominance in forest communities and causing additional adaption of the forest ecosystem. Both factors will lead to significant changes in wood species distributions in Central European forests, mainly at the expanse of Norway spruce, over the next decades. Aims Choosing the “right” tree species for afforestation will become ever more complex and will require a holistic approach that combines forestry and technological aspects alike. Therefore, this review presents a selection approach based on available wood material data from literature and the material selection principles proposed by M. Ashby with the aim to identify suitable alternatives for Norway spruce (Picea abies (L.) H. Karst.) and further concisely assess their silvicultural relevance. Methods For this wood species comparison and selection process, dry and raw density, bending strength and modulus of elasticity were chosen as key properties. Beam- and plate-like components subjected to a bending load were chosen as representative use cases. Results European birch (Betula spp.), grand fir (Abies grandis (Douglas ex D. Don) Lindl.) and silver fir (Abies alba Mill.) were identified as suitable alternatives for Norway spruce (Picea abies (L.) H. Karst.) from a technological as well as silvicultural point of view. In addition, Paulownia (Paulownia tomentosa (Thunb.) Steud.), Sitka spruce (Picea sitchensis (Bong.) Carrière), yellow pine (Pinus strobus L.), western red cedar (Thuja plicata Donn ex D. Don in Lambert) and loblolly pine (Pinus taeda L.) offer a technological advantage but currently lack relevance in the forest sector. Conclusion The proposed selection process offers an evaluation of technical performance, and in combination with an assessment of the silvicultural relevance, it will be possible to optimize the wood-supply chain and prevent future economic loss of Central European forests.

Abstract Magmatic volatiles drive pressure, temperature, and compositional changes in upper crustal magma chambers and alter the physical properties of stored magmas. Previous studies suggest that magmatic H2O content influences the growth and longevity of silicic chambers through regulating the size and frequency of eruptions and impacting the crystallinity‐temperature curve. However, there has been comparatively little exploration of how CO2 impacts the evolution of magma chambers despite the strong influence of CO2 on H2O solubility and the high concentrations of CO2 often present in mafic systems. In this study, we integrate the thermodynamic effects of dissolved and exsolved H2O and CO2 with the mechanics of open‐system magma chambers that interact thermally and mechanically with the crust. We applied this model to investigate how intrinsic variations in magmatic H2O‐CO2 content influence the growth and longevity of silicic and mafic magma chambers. Our findings indicate that even with a tenfold increase in CO2 content (up to 10,000 ppm), CO2 plays a minimal role in long‐term chamber growth and longevity. While CO2 content affects the magma compressibility, the resulting changes in eruption mass are balanced out by a commensurate change in eruption frequency so that the time‐averaged eruptive flux and long‐term chamber behavior remain similar. In contrast, H2O content strongly influences chamber growth and longevity. In silicic systems, high H2O contents hinder magma chamber growth by increasing the total eruptive flux and steepening the slope of the crystallinity‐temperature curve. In mafic systems, high H2O contents promote magma chamber growth by flattening the slope of the crystallinity‐temperature curve.

IntroductionBeing socially accepted by peers is a fundamental psychological need, and the consequences of social rejection are manifold. Investigating the causes of social rejection, a large body of studies have already established the relationship between social acceptance and individual characteristics (e.g., academic performance). However, the overall contributions of those individual characteristics are rather small, and the cause-and-effect relationship is still unclear. In addition, following social referencing theory, studies suggest that the feedback teachers give to students might also influence their social acceptance.MethodsThis experimental study, therefore, examined the influence academic performance, as well as teacher feedback, have on social acceptance. Teacher feedback was operationalized along the following two dimensions: feedback valence (positive/negative) and feedback focus (personal/task). A total of 737 third and fourth-grade primary school students (51% girls) from North Rhine-Westphalia (Germany) rated a fictional student's social acceptance on a scale of three sociometric items before and after watching an experimental video that showed a school day of the fictional student. Participants were randomly assigned to one level of academic performance (high/average/low) and one of four feedback conditions, with each being a combination of the two factors, feedback valence and feedback focus. Data were analyzed using linear mixed models.ResultsThe results indicated that both academic performance and the valence of teacher feedback influenced participants' social acceptance of the student in the video. For instance, a high academic performance had a positive effect and a low academic performance had a negative effect on social acceptance. Further, positive teacher feedback influenced social acceptance positively, while negative teacher feedback influenced social acceptance negatively. However, this effect was moderated by the focus of the teacher's feedback. Feedback with a focus on the person had a more substantial effect on social acceptance for both positive and negative feedback than feedback with a focus on the task.DiscussionThese findings illustrate the importance teachers and their feedbacks have on students' peer relationships. They further suggest that it not only matters if teachers give positive or negative feedback but also how they do it.

Summary: Background: The association between cannabis use and positive symptoms in schizophrenia spectrum disorders is well documented, especially via meta-analyses. Yet, findings are inconsistent regarding negative symptoms, while other dimensions such as disorganization, depression, and excitement, have not been investigated. In addition, meta-analyses use aggregated data discarding important confounding variables which is a source of bias. Methods: PubMed, ScienceDirect and PsycINFO were used to search for publications from inception to September 27, 2022. We contacted the authors of relevant studies to extract raw datasets and perform an Individual Participant Data meta-analysis (IPDMA). Inclusion criteria were: psychopathology of individuals with schizophrenia spectrum disorders assessed by the Positive and Negative Syndrome Scale (PANSS); cannabis-users had to either have a diagnosis of cannabis use disorder or use cannabis at least twice a week. The main outcomes were the PANSS subscores extracted via the 3-factor (positive, negative and general) and 5-factor (positive, negative, disorganization, depression, excitement) structures. Preregistration is accessible via Prospero: ID CRD42022329172. Findings: Among the 1149 identified studies, 65 were eligible and 21 datasets were shared, totaling 3677 IPD and 3053 complete cases. The adjusted multivariate analysis revealed that relative to non-use, cannabis use was associated with higher severity of positive dimension (3-factor: Adjusted Mean Difference, aMD = 0.34, 95% Confidence Interval, CI = [0.03; 0.66]; 5-factor: aMD = 0.38, 95% CI = [0.08; 0.63]), lower severity of negative dimension (3-factor: aMD = −0.49, 95% CI [−0.90; −0.09]; 5-factor: aMD = −0.50, 95% CI = [−0.91; −0.08]), higher severity of excitement dimension (aMD = 0.16, 95% CI = [0.03; 0.28]). No association was found between cannabis use and disorganization (aMD = −0.13, 95% CI = [−0.42; 0.17]) or depression (aMD = −0.14, 95% CI = [−0.34; 0.06]). Interpretation: No causal relationship can be inferred from the current results. The findings could be in favor of both a detrimental and beneficial effect of cannabis on positive and negative symptoms, respectively. Longitudinal designs are needed to understand the role of cannabis is this association. The reported effect sizes are small and CIs are wide, the interpretation of findings should be taken with caution. Funding: This research did not receive any specific grant or funding. Primary financial support for authors was provided by Le Vinatier Psychiatric Hospital.

IntroductionChronic post-viral syndromes, including Long-COVID, are characterized by a range of persistent symptoms that occur following a viral infection. Psychological symptoms are prevalent in Long-COVID patients and can have a significant impact on their quality of life. However, the specific patterns of psychological symptoms, their associations with physical symptoms, and the factors predicting their severity remain poorly understood.AimsThis study aims to explore and systematically assess psychological symptoms in Long-COVID, to identify syndrome clusters based on these symptoms, to examine their relationship with physical symptoms, and to investigate the influence of pandemic-related variables.MethodsDescriptive, cross-sectional study with data collected through an online questionnaire across several EU countries, from February 2020 to December 2022. Participants were recruited using public relations, the social media and information campaigns directed at the public and health professionals using snowball sampling.ResultsThe findings will allow to phenotype Long-COVID related psychological symptom clusters based on self-reports. facilitating improved assessment and treatment approaches.ConclusionsThe results will provide important knowledge for the public health management of the public healh management of Long COVID. The findings will contribute to a better understanding of the psychological symptoms associated with Long-COVID and the development of specific treatment guidelines for psychological burden associated with Long-COVID, thereby supporting management strategies to combat the after-effects of the COVID-19 pandemic, enhancing their overall well-being and quality of life.

PurposePolymorphisms in complement genes are risk-associated for age-related macular degeneration (AMD). Functional analysis revealed a common deficiency to control the alternative complement pathway by risk-associated gene polymorphisms. Thus, we investigated the levels of terminal complement complex (TCC) in the plasma of wet AMD patients with defined genotypes and the impact of the complement activation of their plasma on second-messenger signaling, gene expression, and cytokine/chemokine secretion in retinal pigment epithelium (RPE) cells.DesignCollection of plasma from patients with wet AMD (n = 87: 62% female and 38% male; median age 77 years) and controls (n = 86: 39% female and 61% male; median age 58 years), grouped for risk factor smoking and genetic risk alleles CFH 402HH and ARMS2 rs3750846, determination of TCC levels in the plasma, in vitro analysis on RPE function during exposure to patients’ or control plasma as a complement source.MethodsGenotyping, measurement of TCC concentrations, ARPE-19 cell culture, Ca2+ imaging, gene expression by qPCR, secretion by multiplex bead analysis of cell culture supernatants.Main outcome measuresTCC concentration in plasma, intracellular free Ca2+, relative mRNA levels, cytokine secretion.ResultsTCC levels in the plasma of AMD patients were five times higher than in non-AMD controls but did not differ in plasma from carriers of the two risk alleles. Complement-evoked Ca2+ elevations in RPE cells differed between patients and controls with a significant correlation between TCC levels and peak amplitudes. Comparing the Ca2+ signals, only between the plasma of smokers and non-smokers, as well as heterozygous (CFH 402YH) and CFH 402HH patients, revealed differences in the late phase. Pre-stimulation with complement patients’ plasma led to sensitization for complement reactions by RPE cells. Gene expression for surface molecules protective against TCC and pro-inflammatory cytokines increased after exposure to patients’ plasma. Patients’ plasma stimulated the secretion of pro-inflammatory cytokines in the RPE.ConclusionTCC levels were higher in AMD patients but did not depend on genetic risk factors. The Ca2+ responses to patients’ plasma as second-messenger represent a shift of RPE cells to a pro-inflammatory phenotype and protection against TCC. We conclude a substantial role of high TCC plasma levels in AMD pathology.

From heavily cratered Umbriel to extensively tectonized Miranda, Titania is an intermediary of the Uranian system: heavily cratered, yet tectonically modified. An outstanding mystery in Titania's crater population is its apparent relative lack of large (>30 km) craters. However, progress has been limited by the coverage and quality of images available. Here, we present a new map of Titania enabled by reprocessing Voyager images to reduce the effects of motion blur. Of note, we identify a network of fractures, a set of lineaments that may represent a large multi-ring impact structure, and newly identified catenae. These findings suggest Titania's crater population is missing large craters due to viscous relaxation, tectonic resurfacing, and/or planetocentric debris, and does not necessarily require cryovolcanic resurfacing. In preparation for future missions to the Uranian system, this work presents foundations for identifying imaging targets that can contribute to furthering our understanding of the history and evolution of the Uranian system in a broader context of icy satellite evolution.

Abstract On behalf of the journal, AGU, and the scientific community, the editors of Geophysical Research Letters would like to sincerely thank those who reviewed manuscripts for us in 2022. The hours reading and commenting on manuscripts not only improve the manuscripts, but also increase the scientific rigor of future research in the field. With the advent of AGU's data policy, many reviewers have also helped immensely to evaluate the accessibility and availability of data, and many have provided insightful comments that helped to improve the data presentation and quality. We greatly appreciate the assistance of the reviewers in advancing open science, which is a key objective of AGU's data policy. We particularly appreciate the timely reviews in light of the demands imposed by the rapid review process at Geophysical Research Letters. We received 6,687 submissions in 2022 and 5,247 reviewers contributed to their evaluation by providing 8,720 reviews in total. We deeply appreciate their contributions in these challenging times.

Abstract Magnetotelluric (MT) data image the bulk resistivity of the subsurface which can be used to infer magma reservoir conditions beneath volcanoes. The bulk resistivity of magma depends primarily on the melt volume fraction, temperature, and water content. These variables are coupled thermodynamically, yet mixing relations for bulk resistivity implicitly treat them as independent. Here, we use a parameterization of the rhyolite‐MELTS thermodynamic model to constrain relationships between melt fraction, temperature, dissolved water content and bulk resistivity for rhyolitic magmas. This method results in MT interpretations which are (a) thermodynamically consistent at near‐equilibrium conditions, (b) independent of temperature and water content estimates derived from erupted products, and (c) able to consider saturated melts containing a volatile (i.e., aqueous fluid) phase. The utility of the method is demonstrated with three case studies of silicic systems: Mono Basin, Newberry volcano and the Laguna del Maule Volcanic Field (LdMVF). The moderately conductive feature at Mono Basin can be explained by under‐saturated partial melt (6–15 vol%) at

ON-state conductance properties of vertical GaN n-channel trench MISFETs manufactured on different GaN substrates and having different gate trench orientations are studied up to 200 °C ambient temperature. The best performing devices, with a maximum output current above 4 kA/cm2 and an area specific ON-state resistance of 1.1 mΩ·cm2, are manufactured on ammonothermal GaN substrate with the gate channel parallel to the a-plane of the GaN crystal. The scalability of the devices up to 40 mm gate periphery is investigated and demonstrated. It is found that, in addition to oxide interface traps, the semiconductor border traps in the p-GaN layer limit the available mobile channel electrons and that the channel surface roughness scattering limits the channel mobility. Both strongly depend on the gate trench orientation and on the GaN substrate defect density.

Background: Psychotic disorders are associated with high rates of comorbid substance use disorders. Use of cannabis rich in tetrahydrocannabinol (THC) is linked to an increased risk of psychosis, worsening of psychotic symptoms, and an adverse course of psychotic disorders. Previous studies suggest oral cannabidiol (CBD) as possible novel antipsychotic agent; however, no studies evaluated the effects of smoked CBD.Objective: The main aim of the study was to clarify the antipsychotic potential of CBD used as adjunctive therapy simulating a naturalistic setting. Our trial is the first study evaluating the effects of smoked CBD-cigarettes as adjunctive therapy for psychotic symptoms.Methods: A randomized, placebo-controlled open-label trial of cigarettes containing CBD-rich cannabis (THC < 1%) as adjunctive therapy to standard psychiatric treatment was conducted (ClinicalTrials.gov identifier NCT04700930). Primary outcomes were mean scores of Positive and Negative Syndrome Scale (PANSS), Brøset Violence Checklist, the Beck's Depression Inventory (BDI), the Subjective Well-Being Under Neuroleptics Scale short form (SWN-K), and antipsychotic medication equivalent doses. Outcomes were assessed after 4 weeks of acute treatment and long-term follow-up after discontinuation of CBD-cigarettes after 25 weeks. Participants were 31 acutely psychotic patients with tobacco use disorder and a mean age of 35.1 ± 10.58 years (71% male). Comorbid cannabis use was diagnosed in 51.6%.Results: A discontinuous multilevel model revealed no significant group differences for primary outcomes. After 4 weeks of acute treatment, mean PANSS and BDI decreased in both groups, while an increase of antipsychotic medication equivalent was observed in the placebo group.Conclusions: The presented findings might suggest an antipsychotic medication sparing effect of CBD-cigarettes as adjunctive treatment of acute psychosis. However, the low number of participants did not allow for further statistical analysis. Hence, a larger study sample and a more rigorous study design (blinding of the interventional product, fixed dosing regimen) may reveal different results.Clinical Trial Registration:ClinicalTrials.gov, identifier: NCT04700930

Schüler*innen mit externalisierenden Verhaltensproblemen im inklusiven Unterricht stellen ihre Lehrkräfte und Mitschüler*innen vor große Herausforderungen. Damit Lehrkräfte diesen Herausforderungen adaptiv begegnen können, benötigen sie umfassendes und spezifisches pädagogisches Wissen. Bislang existiert jedoch kein spezifisches Testinstrument zur standardisierten Erfassung. Im Beitrag präsentieren wir daher die Konstruktion und psychometrische Güte eines Tests zur Erfassung des pädagogischen Wissens zu inklusivem Unterricht mit Fokus auf emotionale und soziale Entwicklung (General Pedagogical Knowledge for Inclusive Teaching focusing Social and Emotional Learning, GPK-IT-SEL). Auf Basis einer Stichprobe von n = 355 Lehrkräften aus Grundschulen analysieren wir die Reliabilität und Kriteriumsvalidität des Instruments. Die Ergebnisse zeigen, dass der Test eine reliable Messung erlaubt. Erwartungsgemäß verfügen Förderschullehrkräfte über umfangreicheres Wissen als Regelschullehrkräfte, was auf die Kriteriumsvalidität des Instruments hinweist.

Purpose: To present the case of a 9-year-old child with bilateral posterior subcapsular cataract developed through steroid treatment for acute lymphoblastic leukemia. Cataract surgery with trifocal intraocular lens implantation was performed in both eyes. Observations: Uncorrected distance visual acuity increased from +0.3 and + 0.4 logMAR preoperatively to 0.00 and + 0.04 logMAR after surgery. Binocular uncorrected values for intermediate and near visual acuity were −0.04 logMAR and 0.02 logMAR after surgery, respectively. The patient did not report side effects like halos or glare and was able to participate in his daily activities (school and sports) without spectacles. Conclusions and Importance: This report represents the first description of a bilateral implantation of trifocal intraocular lenses in a pediatric cataract case with restoration of visual function in far, intermediate and near distance. Trifocal intraocular lenses to compensate for the loss of accommodation can be an option in selected cases of children with cataract. Keywords: Pediatric cataract surgery, Trifocal IOL, Leukemia, Steroid-induced cataract

Ischemic stroke is a leading cause of death and disability worldwide, but there are no effective, widely applicable stroke therapies. Systemic hypothermia is an international mainstay of postcardiac arrest care, and the neuroprotective benefits of systemic hypothermia following cerebral ischemia have been proven in clinical trials, but logistical issues hinder clinical acceptance. As a novel solution to these logistical issues, the application of local endovascular infusion of cold saline directly to the infarct site using a microcatheter has been put forth. In small animal models, the procedure has shown incredible neuroprotective promise on the biochemical, structural, and functional levels, and preliminary trials in large animals and humans have been similarly encouraging. In addition, the procedure would be relatively cost-effective and widely applicable. The administration of local endovascular hypothermia in humans is relatively simple, as this is a normal part of endovascular intervention for neuroendovascular surgeons. Therefore, it is expected that this new therapy could easily be added to an angiography suite. However, the neuroprotective efficacy in humans has yet to be determined, which is an end goal of researchers in the field. Given the potentially massive benefits, ease of induction, and cost-effective nature, it is likely that local endovascular hypothermia will become an integral part of endovascular treatment following ischemic stroke. This review outlines relevant research, discusses neuroprotective mechanisms, and discusses possibilities for future directions.

Stroke is the second leading cause of death globally and the third leading cause disability. Acute ischemic stroke (AIS), resulting from occlusion of major vessels in the brain, accounts for approximately 87% of strokes. Despite this large majority, current treatment options for AIS are severely limited and available to only a small percentage of patients. Therapeutic hypothermia (TH) has been widely used for neuroprotection in the setting of global ischemia postcardiac arrest, and recent evidence suggests that hypothermia may be the neuroprotective agent that stroke patients desperately need. Several clinical trials using systemic or selective cooling for TH have been published, reporting the safety and feasibility of these methods. Here, we summarize the major clinical trials of TH for AIS and provide recommendations for future studies.

Research suggests that a jumping-to-conclusions (JTC) bias, excessive intuition, and reduced analysis in information processing may favor suboptimal decision-making, both in non-clinical and mentally disordered individuals. The temporal relationship between processing modes and JTC bias, however, remains unexplored. Therefore, using an experience sampling methodology (ESM) approach, this study examines the temporal associations between intuitive/analytical information processing, JTC bias, and delusions in non-clinical individuals and patients with schizophrenia. Specifically, we examine whether a high use of intuitive and/or a low use of analytical processing predicts subsequent JTC bias and paranoid conviction. In a smartphone-based ESM study, participants will be prompted four times per day over three consecutive days to answer questionnaires designed to measure JTC bias, paranoid conviction, and preceding everyday-life intuition/analysis. Our hierarchical data will be analyzed using multilevel modelling for hypothesis testing. Results will further elucidate the role of aberrant human reasoning, particularly intuition, in (non-)clinical delusions and delusion-like experiences, and also inform general information processing models.

The knife-edge method is an established technique for profiling of even tightly focused light beams. However, the straightforward implementation of this method fails if the materials and geometry of the knife-edges are not chosen carefully or, in particular, if knife-edges are used that are made of pure materials. Artifacts are introduced in these cases in the shape and position of the reconstructed beam profile due to the interaction of the light beam under study with the knife. Hence, corrections to the standard knife-edge evaluation method are required. Here we investigate the knife-edge method for highly focused radially and azimuthally polarized beams and their linearly polarized constituents. We introduce relative shifts for those constituents and report on the consistency with the case of a linearly polarized fundamental Gaussian beam. An adapted knife-edge reconstruction technique is presented and proof-of-concept tests are shown, demonstrating the reconstruction of beam profiles.

Although physical exercise has been demonstrated to augment recovery of the post-stroke brain, the question of what level of exercise intensity optimizes neurological outcomes of post-stroke rehabilitation remains unsettled. In this study, we aim to clarify the mechanisms underlying the intensity-dependent effect of exercise on neurologic function, and thereby to help direct the clinical application of exercise-based neurorehabilitation. To do this, we used a well-established rat model of ischemic stroke consisting of cerebral ischemia induction through middle cerebral artery occlusion (MCAO). Ischemic rats were subsequently assigned either to a control group entailing post-stroke rest or to one of two exercise groups distinguished by the intensity of their accompanying treadmill regimens. After 24 h of reperfusion, exercise was initiated. Infarct volume, apoptotic cell death, and neurological defects were quantified in all groups at 3 days, and motor and cognitive functions were tracked up to day-28. Additionally, Western blotting was used to assess the influence of our interventions on several proteins related to synaptogenesis and neuroplasticity (growth-associated protein 43, a microtubule-associated protein, postsynaptic density-95, synapsin I, hypoxia-inducible factor-1α, brain-derived neurotrophic factor, nerve growth factor, tyrosine kinase B, and cAMP response element-binding protein). Our results were in equal parts encouraging and surprising. Both mild and intense exercise significantly decreased infarct volume, cell death, and neurological deficits. Motor and cognitive function, as determined using an array of tests such as beam balance, forelimb placing, and the Morris water maze, were also significantly improved by both exercise protocols. Interestingly, while an obvious enhancement of neuroplasticity proteins was shown in both exercise groups, mild exercise rats demonstrated a stronger effect on the expressions of Tau (p < 0.01), brain-derived neurotrophic factor (p < 0.01), and tyrosine kinase B (p < 0.05). These findings contribute to the growing body of literature regarding the positive effects of both mild and intense long-term treadmill exercise on brain injury, functional outcome, and neuroplasticity. Additionally, the results may provide a base for our future study regarding the regulation of HIF-1α on the BDNF/TrkB/CREB pathway in the biochemical processes underlying post-stroke synaptic plasticity.

Abstract A long-standing question in Earth Science is the extent to which seismic and volcanic activity can be regulated by tidal stresses, a repeatable and predictable external excitation induced by the Moon-Sun gravitational force. Fortnightly tides, a ~14-day amplitude modulation of the daily tidal stresses that is associated to lunar cycles, have been suggested to affect volcano dynamics. However, previous studies found contradictory results and remain mostly inconclusive. Here we study how fortnightly tides have affected Ruapehu volcano (New Zealand) from 2004 to 2016 by analysing the rolling correlation between lunar cycles and seismic amplitude recorded close to the crater. The long-term (~1-year) correlation is found to increase significantly (up to confidence level of 5-sigma) during the ~3 months preceding the 2007 phreatic eruption of Ruapehu, thus revealing that the volcano is sensitive to fortnightly tides when it is prone to explode. We show through a mechanistic model that the real-time monitoring of seismic sensitivity to lunar cycles may help to detect the clogging of active volcanic vents, and thus to better forecast phreatic volcanic eruptions.

Transport processes in porous media have been traditionally studied through the parameterization of macroscale properties, by means of volume-averaging or upscaling methods over a representative elementary volume. The possibility of upscaling results from pore-scale simulations, to obtain volume-averaging properties useful for practical purpose, can enhance the understanding of transport effects that manifest at larger scales. Several studies have been carried out to investigate the impact of the geometric properties of porous media on transport processes for solute species. However, the range of pore-scale geometric properties, which can be investigated, is usually limited to the number of samples acquired from microcomputed tomography images of real porous media. The present study takes advantage of synthetic porous medium generation to propose a systematic analysis of the relationships between geometric features of the porous media and transport processes through direct simulations of fluid flow and advection-diffusion of a non-reactive solute. Numerical simulations are performed with the lattice Boltzmann method on synthetic media generated with a geostatistically based approach. Our findings suggest that the advective transport is primarily affected by the specific surface area and the mean curvature of the porous medium, while the effective diffusion coefficient scales as the inverse of the tortuosity squared. Finally, the possibility of estimating the hydrodynamic dispersion coefficient knowing only the geometric properties of porous media and the applied pressure gradient has been tested, within the range of tested porous media, against advection-diffusion simulations at low Reynolds (

In mechanized timber harvesting, it is common practice to build brush mats from logging residues on skid trails. Protective effects of brush mats against soil compaction are documented by several studies. On the other hand, a large quantity of nutrients is concentrated on the skid trail. Fully mechanized harvesting has been criticized frequently for this reallocation of nutrients. Is there really a risk of nutrient leaching below skid trails or imbalances? Are the nutrients redistributed through nutrient uptake by roots of adjacent trees? Effects of fully mechanized thinning on soil, water and nutrient balance were examined in a seventy years old spruce stand on a nutrient poor site in Bavaria. Sections of the trails were covered with brush mats, while other sections remained uncovered. For five replications, soil physical properties, soil chemistry, matter and water balances and the density of fine roots were measured in the middle of the trail, under the tire tracks, at the transition of trail and stand and inside the stand over a period of two years. Logging operation caused soil compaction. The macropore volume decreased and both hydraulic conductivity and air permeability were severely reduced. The nutrients were largely kept in the forest ecosystem. Results of the soil moisture monitoring indicate that, within the sections covered by a brush mat, tree roots extracted water from the soil between the tracks. Without cover, the trees scarcely extracted water from this area. Hence, building a brush mat can facilitate water availability and thus enable redistribution of nutrients.

Within this work a passive and wireless magnetic sensor, to monitor linear displacements, is proposed. We exploit recent advances in 3D printing and fabricate a polymer bonded magnet with a spatially linear magnetic field component corresponding to the length of the magnet. Regulating the magnetic compound fraction during printing allows specific shaping of the magnetic field distribution. A giant magnetoresistance magnetic field sensor is combined with a radio-frequency identification tag in order to passively monitor the exerted magnetic field of the printed magnet. Due to the tailored magnetic field, a displacement of the magnet with respect to the sensor can be detected within the sub-mm regime. The sensor design provides good flexibility by controlling the 3D printing process according to application needs. Absolute displacement detection using low cost components and providing passive operation, long term stability, and longevity renders the proposed sensor system ideal for structural health monitoring applications.

PurposeThe retinal pigment epithelium (RPE) is a main target for complement activation in age-related macular degeneration (AMD). The anaphylatoxins C3a and C5a have been thought to mostly play a role as chemoattractants for macrophages and immune cells; here, we explore whether they trigger RPE alterations. Specifically, we investigated the RPE as a potential immunoregulatory gate, allowing for active changes in the RPE microenvironment in response to complement.DesignIn vitro and in vivo analysis of signaling pathways.MethodsIndividual activities of and interaction between the two anaphylatoxin receptors were tested in cultured RPE cells by fluorescence microscopy, western blot, and immunohistochemistry.Main outcome measuresIntracellular free calcium, protein phosphorylation, immunostaining of tissues/cells, and multiplex secretion assay.ResultsSimilar to immune cells, anaphylatoxin exposure resulted in increases in free cytosolic Ca2+, PI3-kinase/Akt activation, FoxP3 and FOXO1 phosphorylation, and cytokine/chemokine secretion. Differential responses were elicited depending on whether C3a and C5a were co-administered or applied consecutively, and response amplitudes in co-administration experiments ranged from additive to driven by C5a (C3a + C5a = C5a) or being smaller than those elicited by C3a alone (C3a + C5a

The cutting of trees influences element turnover in the forest ecosystem. The reduction of plant uptake, as well as an increased mineralization and nitrification due to higher soil temperature and soil moisture, can lead to considerable losses of nutrients from the main rooting zone. This may result in a reduced soil fertility and a decrease in drinking water quality due to high nitrate concentrations in the seepage water. In Bavaria (Germany) selective cutting is preferred to clear cutting when initiating the regeneration of Norway spruce stands with European beech. This paper summarizes the early effects of both forest management practices on soil fertility and seepage water quality for three different sites. Shown are the concentrations of nitrogen and base cations in the seepage water as well as the water and ion fluxes during the first year after tree cut. Nutrient inputs decreased on thinned plots and even more at clear-cuts. Nitrate concentrations in the seepage water are hardly affected by moderate thinning; however, on clear-cuts, the nitrate concentration increases significantly, and base cations are lost from the upper mineral soil. This effect is less obvious at sites where a dense ground vegetation, which is able to take up excess nitrogen, exists.

The prognostic significance of the right ventricle (RV) has recently been recognised in several conditions, primarily those involving the left ventricle, the lungs and their vascular bed, or the right-sided chambers. Recent advances in imaging techniques have created new opportunities to study RV anatomy, physiology and pathophysiology, and contemporary research efforts have opened the doors to new treatment possibilities. Nevertheless, the treatment of RV failure remains challenging. Optimal management should consider the anatomical and physiological particularities of the RV and include appropriate imaging techniques to understand the underlying pathophysiological mechanisms. Treatment should include rapid optimisation of volume status, restoration of perfusion pressure and improvement of myocardial contractility and rhythm, and, in case of refractory RV failure, mechanical circulatory support.

Acute heart failure and acute pulmonary embolism share many features, including epidemiological aspects, clinical presentation, risk factors and pathobiological mechanisms. As such, it is not surprising that diagnosis and management of these common conditions might be challenging for the treating physician, in particular when both are concomitantly present. While helpful guidelines have been elaborated for both acute heart failure and pulmonary embolism, not many studies have been published on the coexistence of these diseases. With a special focus on diagnostic tools and therapeutic options, the authors review the available literature and, when evidence is lacking, present their own approach to the management of dyspnoeic patients with acute heart failure and pulmonary embolism.

Prognostic models to predict the deterioration and mortality risk in COVID-19 patients are utterly needed to assist in informed decision making. Most of these models, however, are at high risk of bias, model overfitting, and unclear reporting. Here, we aimed to externally validate the modified (urea was omitted) 4C Deterioration Model and 4C Mortality Score in a cohort of Swiss COVID-19 patients and, second, to evaluate whether the inclusion of the neutrophil-to-lymphocyte ratio (NLR) improves the predictive performance of the models. We conducted a retrospective single-centre study with adult patients hospitalized with COVID-19. Both prediction models were updated by including the NLR. Model performance was assessed via the models’ discriminatory performance (area under the curve, AUC), calibration (intercept and slope), and their performance overall (Brier score). For the validation of the 4C Deterioration Model and Mortality Score, 546 and 527 patients were included, respectively. In total, 133 (24.4%) patients met the definition of in-hospital deterioration. Discrimination of the 4C Deterioration Model was AUC = 0.78 (95% CI 0.73–0.82). A total of 55 (10.44%) patients died in hospital. Discrimination of the 4C Mortality Score was AUC = 0.85 (95% CI 0.79–0.89). There was no evidence for an incremental value of the NLR. Our data confirm the role of the modified 4C Deterioration Model and Mortality Score as reliable prediction tools for the risk of deterioration and mortality. There was no evidence that the inclusion of NLR improved model performance.