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IntroductionThe prevalence of peanut allergies is increasing, emphasizing the need for an animal model to enhance our understanding of peanut allergy pathogenesis and to advance diagnostic tools and therapeutic interventions. While mice are frequently used as model organisms, their allergic responses do not fully mirror those observed in humans, warranting the exploration of a higher animal model. The porcine gastrointestinal system closely resembles that of humans, and exhibits allergy symptoms akin to human responses, making pigs a promising model for peanut allergy research.MethodsIn this study we compared two allergen sensitization protocols involving either topical allergen application after repeated tape stripping (TS) or intraperitoneal (IP) injections to induce peanut-specific allergy and anaphylaxis reactions in mini pigs. Mini pigs sensitized with a combination of peanut protein extract (PE) and cholera toxin (CT) through either the IP or the TS route.ResultsSensitized pigs via both methods developed systemic PE-specific IgG and IgE responses. Following peanut challenge via the IP route, both TS- and IP-sensitized pigs displayed allergy symptoms, including lethargy, skin rashes, vomiting, and a drop in body temperature. However, respiratory distress was observed exclusively in pigs sensitized through the TS route and not in those sensitized through the IP route. However, it is noteworthy that both groups of sensitized pigs maintained peanut hypersensitivity for up to two months post-sensitization, albeit with a reduction in the severity of allergy symptoms. Importantly, both groups exhibited sustained levels of PE-specific IgG, IgE, and elevated concentrations of mast cell protease in their blood following the IP challenges.DiscussionOverall, this study reports TS and IP as two different modes of sensitization leading to onset of peanut specific allergic reactions in mini pigs, but only the TS-sensitization led to systemic anaphylaxis (simultaneous presence of symptoms: breathing difficulty, intense skin rash, and impaired mobility). A distinctive feature of these sensitization protocols is the 100% success rate (N = 4 pigs per group) in sensitizing the subjects.

Nowadays, it is relevant to consider changes in the structure of the fuel and energy balance of industrial regions and the availability of imported fuel and energy resources, especially in the areas that lack energy sources. The ongoing structural shifts in energy consumption systems and the growing uncertainty in energy markets encourage the development of tools for improving the sustainable development of regional energy systems. To refine the theoretical and methodological basis of the study, we defined its conceptual framework, described the difference s betwee n sustainabl e functionin g an d developmen t o f th e energy sector and determined the factors of its regional differentiation and manifestations of the energy crisis. Further, we identified the shortcomings of the existing methods for forecasting the demand for electricity. We paid special attention to quality factors of strategic planning in the region, in particular, the used statistics and documents. Based on the analysis of integrated resource planning (IRP) methodology, our experience in forecasting fuel and energy balances, assessment of sectoral indicators of energy efficiency and energy demand in the region, we proposed a model for predictive and analytical justification of regional programmes for energy development. Such a model significantly increases the information reliability of these programmes’ implementation. Considering organisational tools to support sustainable development, we developed a regional energy management scheme and a mechanism stimulating local energy companies to improve energy efficiency in the consumption sector, enhance regional competition and attract investments in the renewal of fixed assets. The study has practical significance due to recommendations and tools for adjusting regional energy policy based on the coordination of the predicted parameters for various participants in the energy supply process.

Stephen D Persell, 1, 2 Kunal N Karmali, 3 Ji Young Lee, 1 Danielle Lazar, 4 Tiffany Brown, 1 Elisha M Friesema, 1, 2, 5 Michael S Wolf 1 1Division of General Internal Medicine and Geriatrics, Department of Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA; 2Center for Primary Care Innovation, Institute for Public Health and Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA; 3Division of Cardiology, Department of Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA; 4Access Community Health Network and the ACCESS Center for Discovery and Learning, Chicago, IL, USA; 5Carlson School of Management, University of Minnesota, Minneapolis, MN, USACorrespondence: Stephen D PersellDivision of General Internal Medicine and Geriatrics, Department of Medicine Feinberg School of Medicine, Northwestern University, 750 North Lake Shore Drive, 10th Floor, Chicago, IL 60611, USATel +1 312 503 6464Fax +1 312 503 2755Email spersell@nm.orgPurpose: Examine associations between health literacy and several medication self-management constructs among a population of adults with uncontrolled hypertension.Patients and Methods: Cross-sectional study of health center patients from the Chicago area with uncontrolled hypertension enrolled between April 2012 and February 2015. Medication self-management constructs—applied to hypertension medications, chronic condition medications and all medications—included: 1) medication reconciliation, 2) knowledge of drug indications, 3) understanding instructions and dosing, and 4) self-reported adherence over 4 days (no missed doses). We determined associations between health literacy and self-management outcomes using multivariable generalized linear regression.Results: There were 1460 patients who completed screening interviews; 62.9% enrolled and had complete baseline data collected, and were included in the analysis. Of 919 participants, 47.4% had likely limited (low), 33.2% possibly limited, and 19.4% likely adequate health literacy. Compared to participants with likely adequate health literacy, participants with low health literacy were less likely to have chronic medications reconciled (18.0% versus 29.6%, p=0.007), know indications for chronic medications (64.1% versus 83.1%, p< 0.001), and demonstrate understanding of instructions and dosing (68.1% versus 82.9%, p=0.001). Self-reported adherence to hypertension medications was higher among the low health literacy group (65.6% versus 56.0%, p=0.010). In multivariable models, health literacy was strongly associated with knowledge of drug indications, and understanding of instructions and dosing.Conclusion: Low health literacy was associated with worse medication self-management in several domains. However, non-adherence was greatest in the most health literate in unadjusted analysis. Among a population of patients with uncontrolled hypertension, the drivers of poor control may vary by health literacy.Keywords: health literacy, hypertension, medication reconciliation, community health centers

Background/Aim. Despite technological advances in diagnosis and treatment, in-hospital mortality with acute aortic dissection type B is still about 11%. The purpose of this study was to assess the risk factors for early and long-term adverse outcomes in patients with acute aortic dissection type B treated medically or with conventional open surgery. Methods. The present study included 104 consecutive patients with acute aortic dissection type B treated in our Center from January 1st, 1998 to January 1st, 2007. Patient demographic and clinical characteristics as well as in-hospital complications were reviewed. Univariate and multivariate testing was performed to identify the predictors of in-hospital (30-day) and late (within 9 years) mortality. Results. 92 (88.5%) patients were treated medically, while 12 (11.5%) patients with complicated acute aortic dissection type B were treated by open surgical repair. In-hospital complications occurred in 35.7% patients, the most often being acute renal failure (28%), hypotension/shock (24%), mesenteric ischemia (12%), and limb ischemia (8%). The in-hospital mortality rate was 15.7% and the 9-year mortality rate was 51.9%. Independent predictors of early mortality in patients with acute aortic dissection type B were uncontrolled hypertension (HR-20.69) and a dissecting aorta diameter >4.75 cm (HR-6.30). Independent predictors of late mortality were relapsing pain (HR-7.93), uncontrolled hypertension (HR-7.25), and a pathologic difference in arterial blood pressure (>20 mmHg) (HR-5.33). Conclusion. Knowledge of key risk factors may help with a better choice of treatment and mortality reduction in acute aortic dissection type B patients.

This study investigates the micromorphology and morphometrics of aggregate fruit (ripe hypanthium and achene) of eight wild Rosa species collected throughout Serbia. Field research was conducted to find roses at different habitats, collecting 1,836 aggregate fruits with 25,999 achenes from 137 shrubs. Multicellular glandular trichomes are found on the hypanthium surface, while long and short stalk capitate glandular trichomes were observed on the fruits of R. gallica, R. pendulina, R. tomentosa and R. villosa. Numerous unicellular non-glandular trichomes were found inside the urceolate hypanthium and on the surface of most studied achenes, except for R. spinosissima species. Micromorphological analysis revealed three types of exocarp ornamentation: scalariform (R. dumetorum, R. tomentosa and R. micrantha), reticulate (R. gallica, R. arvensis, R. spinosissima and R. villosa) and reticulate-smooth (R. pendulina). Morphometric analysis indicated significant differences among the 14 morphological characters. Achene length was the most significant morphometric feature for identifying Rosa species (P˂0.05). The results contribute to our poor knowledge of rose fruit morphology and provide some well-defined microcharacters that could be used as additional features for species delimitation. [ABSTRACT FROM AUTHOR]