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AimTo explore the relationship between physical activity levels and wound healing and recurrence in people with venous leg ulcers.MethodsQuestionnaires and medical records were used to collect data, with responses used to group participants into different physical activity groups. The differences in healing and recurrence outcomes of ulcers among different physical activity groups were compared using Chi-square, Kaplan Meier survival analysis, Cox proportional hazards regression analysis, and Kruskal-Wallis test. To measure the strength of the association between physical activity levels and patient outcomes, Spearman’s Rho tests were used. We used descriptive analysis to examine how physical activity levels change over 24 weeks.ResultsParticipants were classified into four distinct groups based on physical activity levels reported at baseline and week 12. The survival analysis showed higher physical activity level was associated with a shorter time to healing (log-rank test = 14.78, df = 3; p = 0.002). The persistently moderate-to-vigorous group had a 7.3-fold increased likelihood of healing compared to the persistently sedentary group. High levels of physical activity were also associated with a better quality of life score at baseline (ρ = 0.41, p

Abstract The overuse of the herbicide nicosulfuron has become a global environmental concern. As a potential bioremediation technology, the microbial degradation of nicosulfuron shows much promise; however, the mechanism by which microorganisms respond to nicosulfuron exposure requires further study. An isolated soil-borne bacteria Pseudomonas nicosulfuronedens LAM1902 displaying nicosulfuron, chlorimuron-ethyl, and cinosulfuron degradabilities in the presence of glucose, was used to determine the transcriptional responses to nicosulfuron exposure. RNA-Seq results indicated that 1102 differentially expressed genes (DEGs) were up-regulated and 702 down-regulated under nicosulfuron stress. DEGs were significantly enriched in “ABC transporters”, “sulfur metabolism”, and “ribosome” pathways (p ≤ 0.05). Several pathways (glycolysis and pentose phosphate pathways, a two-component regulation system, as well as in bacterial chemotaxis metabolisms) were affected by nicosulfuron exposure. Surprisingly, nicosulfuron exposure showed positive effects on the production of oxalic acid that is synthesized by genes encoding glycolate oxidase through the glyoxylate cycle pathway. The results suggest that P. nicosulfuronedens LAM1902 adopt acid metabolites production strategies in response to nicosulfuron, with concomitant nicosulfuron degradation. Data indicates that glucose metabolism is required during the degradation and adaptation of strain LAM1902 to nicosulfuron stress. The present studies provide a glimpse at the molecular response of microorganisms to sulfonylurea pesticide toxicity and a potential framework for future mechanistic studies.

The clinical course of chronic lymphocytic leukaemia (CLL) is variable and difficult to predict. Here, the authors conduct a genome wide association study meta-analysis for time to first treatment in CLL patients and report two loci associating with progressive disease.

Wound management is a significant and growing issue worldwide. Knowledge of dressing products and clinical expertise in dressing selection are two major components in holistic wound management to ensure evidence-based wound care. With expanding global market of dressing products, there is need to update clinician knowledge of dressing properties in wound care. Optimal wound management depends on accurate patient assessment, wound diagnosis, clinicians’ knowledge of the wound healing process and properties of wound dressings. We conducted a comprehensive review of the physical properties of wound dressing products, including the advantages and disadvantages, indications and contraindications and effectiveness of first-line interactive/bioactive dressing groups commonly used in clinical practice. These include semipermeable films, foams, hydroactives, alginates, hydrofibers, hydrocolloids, and hydrogels. In making decisions regarding dressing product selection, clinicians need to ensure a holistic assessment of patient and wound etiology, and understand dressing properties when making clinical decisions using wound management guidelines to ensure optimal patient outcomes. This review has highlighted there is lack of high quality evidence and the need for future well designed trials.

Chronic lymphocytic leukaemia has a hereditary component, much of which remains to be identified. Here, the authors perform a genome-wide association study and find new risk loci for the disease, which are associated with genes involved in immune function.

ExxonMobil Corp Vice President Vijay Swarup’s criticisms of our 2017 study (2017 Environ. Res. Lett. 12 084019), which demonstrated that ExxonMobil misled the public about climate change, are misleading and incorrect. Thanks in part to his feedback, we can now conclude with even greater confidence that Exxon, Mobil, and ExxonMobil Corp have all, variously, misled the public. We introduce new evidence that by the early 1980s, more than a decade before Mobil launched a vast advertising campaign to attack climate science and its implications, they were already explicitly aware of the potential for their products to cause dangerous global warming. We also observe that part of the comment is based on material provided by a contributor recruited and paid by ExxonMobil Corp, in our opinion as part of a product defense strategy. The comment does not disclose that. This is a case in point of what we argue is misleading behavior documented in our original study.

In our 2017 study ‘Assessing ExxonMobil’s climate change communications (1977–2014)’, we concluded that ExxonMobil has in the past misled the public about climate change. We demonstrated that ExxonMobil ‘advertorials’—paid, editorial-style advertisements—in The New York Times spanning 1989–2004 overwhelmingly expressed doubt about climate change as real and human-caused, serious, and solvable, whereas peer-reviewed papers and internal reports authored by company employees by and large did not. Here, we present an expanded investigation of ExxonMobil’s strategies of denial and delay. Firstly, analyzing additional documents of which we were unaware when our original study was published, we show that our original conclusion is reinforced and statistically significant: between 1989–2004, ExxonMobil advertorials overwhelmingly communicated doubt. We further demonstrate that (i) Mobil, like Exxon, was engaged in mainstream climate science research prior to their 1999 merger, even as Mobil ran advertorials challenging that science; (ii) Exxon, as well as Mobil, communicated direct and indirect doubt about climate change and (iii) doubt-mongering did not end after the merger. We now conclude with even greater confidence that ExxonMobil misled the public, delineating three distinct ways in which they have done so.

This paper assesses whether ExxonMobil Corporation has in the past misled the general public about climate change. We present an empirical document-by-document textual content analysis and comparison of 187 climate change communications from ExxonMobil, including peer-reviewed and non-peer-reviewed publications, internal company documents, and paid, editorial-style advertisements (‘advertorials’) in The New York Times . We examine whether these communications sent consistent messages about the state of climate science and its implications—specifically, we compare their positions on climate change as real, human-caused, serious, and solvable. In all four cases, we find that as documents become more publicly accessible, they increasingly communicate doubt. This discrepancy is most pronounced between advertorials and all other documents. For example, accounting for expressions of reasonable doubt, 83% of peer-reviewed papers and 80% of internal documents acknowledge that climate change is real and human-caused, yet only 12% of advertorials do so, with 81% instead expressing doubt. We conclude that ExxonMobil contributed to advancing climate science—by way of its scientists’ academic publications—but promoted doubt about it in advertorials. Given this discrepancy, we conclude that ExxonMobil misled the public. Our content analysis also examines ExxonMobil’s discussion of the risks of stranded fossil fuel assets. We find the topic discussed and sometimes quantified in 24 documents of various types, but absent from advertorials. Finally, based on the available documents, we outline ExxonMobil’s strategic approach to climate change research and communication, which helps to contextualize our findings.