Evaluating the association between lifetime physical activity and oral squamous cell carcinoma: A case-control study.

Abstract:
Purpose
Oral cancers are the 6th most common malignancy worldwide and oral squamous cell carcinoma, comprises over 90% of oral cancers. This study investigates the relationship between physical activity level during the lifetime and oral squamous cell carcinoma risk.
Methods
100 oral squamous cell carcinoma patients and 200 healthy individuals participated in this case-control study. Physical activity level was evaluated via the Lifetime Physical Activity Questionnaire. The occupational, household, and sports domains of lifetime physical activity were determined. Case and control groups' participants were matched in terms of sex, age, smoking, and alcohol consumption by the Frequency Matching Method. Mann-Whitney U Test was applied to compare physical activity levels between groups.
Results
The Body Mass Index was higher among cases compared with controls. The average amounts of lifetime physical activity among cases and controls were approximately identical. However, only a statistically significant difference between time spent on total lifetime physical activities and the oral squamous cell carcinoma risk was discovered. Moreover, there were no statistically significant odds ratios in examining the risk associated with each domain of activities.
Conclusions
The total time spent on lifetime physical activity may decrease the risk of oral squamous cell carcinoma; However, the total level and intensity of lifetime physical activity are not significantly associated with the oral squamous cell carcinoma risk. Further studies are required in this field.

Seyyed Abolfazl Tabatabaie-Zadeh
Nazanin Mahdavi
Behnaz Mahdaviani
Maryam Selk-Ghaffari


Linkage disequilibrium in wild mice.

Abstract: Crosses between laboratory strains of mice provide a powerful way of detecting quantitative trait loci for complex traits related to human disease. Hundreds of these loci have been detected, but only a small number of the underlying causative genes have been identified. The main difficulty is the extensive linkage disequilibrium (LD) in intercross progeny and the slow process of fine-scale mapping by traditional methods. Recently, new approaches have been introduced, such as association studies with inbred lines and multigenerational crosses. These approaches are very useful for interval reduction, but generally do not provide single-gene resolution because of strong LD extending over one to several megabases. Here, we investigate the genetic structure of a natural population of mice in Arizona to determine its suitability for fine-scale LD mapping and association studies. There are three main findings: (1) Arizona mice have a high level of genetic variation, which includes a large fraction of the sequence variation present in classical strains of laboratory mice; (2) they show clear evidence of local inbreeding but appear to lack stable population structure across the study area; and (3) LD decays with distance at a rate similar to human populations, which is considerably more rapid than in laboratory populations of mice. Strong associations in Arizona mice are limited primarily to markers less than 100 kb apart, which provides the possibility of fine-scale association mapping at the level of one or a few genes. Although other considerations, such as sample size requirements and marker discovery, are serious issues in the implementation of association studies, the genetic variation and LD results indicate that wild mice could provide a useful tool for identifying genes that cause variation in complex traits.

Cathy C Laurie
Deborah A Nickerson
Amy D Anderson
Bruce S Weir
Robert J Livingston
Matthew D Dean
Kimberly L Smith
Eric E Schadt
Michael W Nachman


Retraction: Analysis of China's carbon market price fluctuation and international carbon credit financing mechanism using random forest model.


Association between tetrodotoxin resistant channels and lipid rafts regulates sensory neuron excitability.

Abstract: Voltage-gated sodium channels (VGSCs) play a key role in the initiation and propagation of action potentials in neurons. Na(V)1.8 is a tetrodotoxin (TTX) resistant VGSC expressed in nociceptors, peripheral small-diameter neurons able to detect noxious stimuli. Na(V)1.8 underlies the vast majority of sodium currents during action potentials. Many studies have highlighted a key role for Na(V)1.8 in inflammatory and chronic pain models. Lipid rafts are microdomains of the plasma membrane highly enriched in cholesterol and sphingolipids. Lipid rafts tune the spatial and temporal organisation of proteins and lipids on the plasma membrane. They are thought to act as platforms on the membrane where proteins and lipids can be trafficked, compartmentalised and functionally clustered. In the present study we investigated Na(V)1.8 sub-cellular localisation and explored the idea that it is associated with lipid rafts in nociceptors. We found that Na(V)1.8 is distributed in clusters along the axons of DRG neurons in vitro and ex vivo. We also demonstrated, by biochemical and imaging studies, that Na(V)1.8 is associated with lipid rafts along the sciatic nerve ex vivo and in DRG neurons in vitro. Moreover, treatments with methyl-β-cyclodextrin (MβCD) and 7-ketocholesterol (7KC) led to the dissociation between rafts and Na(V)1.8. By calcium imaging we demonstrated that the lack of association between rafts and Na(V)1.8 correlated with impaired neuronal excitability, highlighted by a reduction in the number of neurons able to conduct mechanically- and chemically-evoked depolarisations. These findings reveal the sub-cellular localisation of Na(V)1.8 in nociceptors and highlight the importance of the association between Na(V)1.8 and lipid rafts in the control of nociceptor excitability.

Alessandro Pristerà
Mark D Baker
Kenji Okuse


Language-based EMA assessments help understand problematic alcohol consumption

August Håkan Nilsson
Hansen Andrew Schwartz
Richard N. Rosenthal
James R. McKay
Huy Vu
Young-Min Cho
Syeda Mahwish
Adithya V. Ganesan
Lyle Ungar


Utilization of mobile health applications and determinant factors among health science students at Debre Markos University, northwest Ethiopia in 2022.

Abstract:
Background
High penetration of smartphones and ownership among the young generation increased the utilization of mobile health applications for health management among university students more than ever. Compared to other health service provision mechanisms mobile health service has higher advantages in promoting a healthy lifestyle since it is not limited to time and space. Even though there are numerous studies conducted in the area of mobile health utilization, this phenomenon is not well studied among university students in Ethiopia, Hence this study aims to determine the level of mobile health applications utilization among health science students.
Method
A cross-sectional study was carried out at Debre Markos University from April 05 to June 25, 2022 among health science students. For this study, 423 students were recruited from health Science College using a systematic sampling method. The data was gathered using a self-administered questionnaire. Using SPSS version 26 software descriptive analysis, bivariate and multivariable logistic regressions were performed. A P-value of .05 at a 95% confidence interval was considered statistically significant. The questionnaire's validity was determined by expert opinion, and by calculating its reliability using cronbach alpha (α = .78).
Result
This study revealed that more than half 59% (144/244) of the study participants have installed and utilized 1-3 health-related apps. Among the students who have mobile health applications 38.6% utilize mobile health application several times a day while only 2.1% utilized rarely. Usage history shows that 40% of the study participants utilized the applications for a year, while 15.4% of the students utilized them for more than 2 years. Easiness of applications (AOR = 4.8, 95%CI: [2.1-11.2]), skill AOR = 4.2, 95%CI: [3.8-12]) and trust (AOR = 2.8, 95%CI: [1.6-4.8]) were among the factors that were associated with mobile health applications utilization. Students were asked about the barriers that limit the use mobile health applications and self-reported barriers includes Lack of knowledge and awareness of application benefits, and Lack of adequate time to use applications.
Conclusion
The study shows that mobile health applications utilization is moderate relative to previous studies. Mobile health application developers for the young generation should consider healthy lifestyle related applications like fitness and weight loss apps.

Gizaw Hailiye Teferi
Maru Meseret Tadele
Getaye Tizazu
Zegeye Regasa Hordofa
Aynadis Worku Shimie
Bayou Tilahun Assaye
Andualem Fentahun Senishaw
Sefefe Birhanu Tizie


The SKP1-like gene family of Arabidopsis exhibits a high degree of differential gene expression and gene product interaction during development.

Abstract: The Arabidopsis thaliana genome encodes several families of polypeptides that are known or predicted to participate in the formation of the SCF-class of E3-ubiquitin ligase complexes. One such gene family encodes the Skp1-like class of polypeptide subunits, where 21 genes have been identified and are known to be expressed in Arabidopsis. Phylogenetic analysis based on deduced polypeptide sequence organizes the family of ASK proteins into 7 clades. The complexity of the ASK gene family, together with the close structural similarity among its members raises the prospect of significant functional redundancy among select paralogs. We have assessed the potential for functional redundancy within the ASK gene family by analyzing an expanded set of criteria that define redundancy with higher resolution. The criteria used include quantitative expression of locus-specific transcripts using qRT-PCR, assessment of the sub-cellular localization of individual ASK:YFP auto-fluorescent fusion proteins expressed in vivo as well as the in planta assessment of individual ASK-F-Box protein interactions using bimolecular fluorescent complementation techniques in combination with confocal imagery in live cells. The results indicate significant functional divergence of steady state transcript abundance and protein-protein interaction specificity involving ASK proteins in a pattern that is poorly predicted by sequence-based phylogeny. The information emerging from this and related studies will prove important for defining the functional intersection of expression, localization and gene product interaction that better predicts the formation of discrete SCF complexes, as a prelude to investigating their molecular mode of action.

Mohammad H Dezfulian
Danielle M Soulliere
Rajdeep K Dhaliwal
Madhulika Sareen
William L Crosby


Seasonal forcing and waning immunity drive the sub-annual periodicity of the COVID-19 epidemic.

Abstract: Seasonal trends in infectious diseases are shaped by climatic and social factors, with many respiratory viruses peaking in winter. However, the seasonality of COVID-19 remains in dispute, with significant waves of cases across the United States occurring in both winter and summer. Using wavelet analysis of COVID-19 cases during the pandemic period, we find that the periodicity of epidemic COVID-19 varies markedly across the U.S. and correlates with winter temperatures, indicating seasonal forcing. However, seasonal forcing alone cannot explain the pattern of multiple waves per year that has been so characteristic of COVID-19. Using a modified SIRS model that allows specification of the tempo of waning immunity, we show that specific forms of non-durable immunity can sufficiently explain the sub-annual waves characteristic of the COVID-19 epidemic.

Ilan N Rubin
Mary Bushman
Marc Lipsitch
William P Hanage

Immunologic diseases. Allergy
Biology (General)


Structure and function of ABCG2-rich extracellular vesicles mediating multidrug resistance.

Abstract: Multidrug resistance (MDR) is a major impediment to curative cancer chemotherapy. The ATP-Binding Cassette transporters ABCG2, ABCB1 and ABCC2 form a unique defense network against multiple structurally and functionally distinct chemotherapeutics, thereby resulting in MDR. Thus, deciphering novel mechanisms of MDR and their overcoming is a major goal of cancer research. Recently we have shown that overexpression of ABCG2 in the membrane of novel extracellular vesicles (EVs) in breast cancer cells results in mitoxantrone resistance due to its dramatic sequestration in EVs. However, nothing is known about EVs structure, biogenesis and their ability to concentrate multiple antitumor agents. To this end, we here found that EVs are structural and functional homologues of bile canaliculi, are apically localized, sealed structures reinforced by an actin-based cytoskeleton and secluded from the extracellular milieu by the tight junction proteins occludin and ZO-1. Apart from ABCG2, ABCB1 and ABCC2 were also selectively targeted to the membrane of EVs. Moreover, Ezrin-Radixin-Moesin protein complex selectively localized to the border of the EVs membrane, suggesting a key role for the tethering of MDR pumps to the actin cytoskeleton. The ability of EVs to concentrate and sequester different antitumor drugs was also explored. Taking advantage of the endogenous fluorescence of anticancer drugs, we found that EVs-forming breast cancer cells display high level resistance to topotecan, imidazoacridinones and methotrexate via efficient intravesicular drug concentration hence sequestering them away from their cellular targets. Thus, we identified a new modality of anticancer drug compartmentalization and resistance in which multiple chemotherapeutics are actively pumped from the cytoplasm and highly concentrated within the lumen of EVs via a network of MDR transporters differentially targeted to the EVs membrane. We propose a composite model for the structure and function of MDR pump-rich EVs in cancer cells and their ability to confer multiple anticancer drug resistance.


Health-related quality of life and associated factors among patients with stroke at tertiary level hospitals in Ethiopia.

Abstract:
Introduction
Evidence on a patient-centered assessment of outcome among patients with stroke is limited in Ethiopia. Therefore, this study aimed to assess the level of health-related quality of life (HRQOL) and associated factors in Ethiopia's tertiary level hospitals.
Methods
A cross-sectional study was conducted at three tertiary level hospitals (Felege Hiwot comprehensive specialized hospital, University of Gondar comprehensive specialized hospital, and Dessie referral hospital) from April 1 to May 31, 2019. A total of 180 patients with stroke were included, and a consecutive sampling method was employed to recruit the participants. RAND 36-Item Health Survey was used to measure the HRQOL. A generalized linear model with a gamma distribution and log-link function was used to investigate potential predictors, and variables with a P value of <0.05 were considered statistically significant.
Results
Out of the participants, 50.56% were female. The average age and average duration of illness were 59.04 (12.71) and 1.5 (1.46) years, correspondingly. The physical health domain score was higher than the mental health domain score. Education (P = 0.041), social support (P = 0.050), disability (P <0.001), co-morbidity (P = 0.011), depression (P = 0.015) and income (<1000 ETB P = 0.002; 1000-4000 ETB P = 0.009) were associated with physical health domain. Whereas, ischemic stroke (P = 0.014), education (P = 0.020), disability (P <0.001), and depression (P <0.001) were associated with the mental health domain.
Conclusion
The HRQOL of the patients was low. Social support and lower disability status were associated with higher HRQOL, whereas disability and depression were associated with higher HRQOL. Therefore, attention should be given to strengthening social support; health professionals should focus on reducing disability/physical dependency and depression, as these are vital factors for improving HRQOL.

Ashenafi Zemed
Kalkidan Nigussie Chala
Getachew Azeze Eriku
Andualem Yalew Aschalew


Identification of protective pneumococcal T(H)17 antigens from the soluble fraction of a killed whole cell vaccine.

Abstract: Mucosal or parenteral immunization with a killed unencapsulated pneumococcal whole cell antigen (WCA) with an adjuvant protects mice from colonization by a T(H)17 CD4+ cell-mediated mechanism. Using preparative SDS gels, we separated the soluble proteins that compose the WCA in order to identify fractions that were immunogenic and protective. We screened these fractions for their ability to stimulate IL-17A secretion from splenocytes obtained from mice immunized with WCA and adjuvant. We identified 12 proteins within the stimulatory fractions by mass spectrometry; these proteins were then cloned, recombinantly expressed and purified using an Escherichia coli expression system. The ability of these proteins to induce IL-17A secretion was then evaluated by stimulation of mouse splenocytes. Of the four most stimulatory proteins, three were protective in a mouse pneumococcal serotype 6B colonization model. This work thus describes a method for identifying immunogenic proteins from the soluble fraction of pneumococcus and shows that several of the proteins identified protect mice from colonization when used as mucosal vaccines. We propose that, by providing protection against pneumococcal colonization, one or more of these proteins may serve as components of a multivalent pneumococcal vaccine.

Kristin L Moffitt
Richard Malley
Ying-Jie Lu


Collagen can selectively trigger a platelet secretory phenotype via glycoprotein VI.

Abstract: Platelets are not only central actors of hemostasis and thrombosis but also of other processes including inflammation, angiogenesis, and tissue regeneration. Accumulating evidence indicates that these "non classical" functions of platelets do not necessarily rely on their well-known ability to form thrombi upon activation. This suggests the existence of non-thrombotic alternative states of platelets activation. We investigated this possibility through dose-response analysis of thrombin- and collagen-induced changes in platelet phenotype, with regards to morphological and functional markers of platelet activation including shape change, aggregation, P-selectin and phosphatidylserine surface expression, integrin activation, and release of soluble factors. We show that collagen at low dose (0.25 µg/mL) selectively triggers a platelet secretory phenotype characterized by the release of dense- and alpha granule-derived soluble factors without causing any of the other major platelet changes that usually accompany thrombus formation. Using a blocking antibody to glycoprotein VI (GPVI), we further show that this response is mediated by GPVI. Taken together, our results show that platelet activation goes beyond the mechanisms leading to platelet aggregation and also includes alternative platelet phenotypes that might contribute to their thrombus-independent functions.

Véronique Ollivier
Varouna Syvannarath
Angèle Gros
Amena Butt
Stéphane Loyau
Martine Jandrot-Perrus
Benoît Ho-Tin-Noé


The prevalence and trends of waterpipe tobacco smoking: A systematic review.

Abstract:
Introduction
Waterpipe tobacco smoking is harmful to health however its prevalence estimates remain uncertain. We aimed to systematically review the medical literature on waterpipe tobacco prevalence and trends.
Methods
We searched Medline, Embase and ISI Web of Science for 'waterpipe' and its synonyms, without using language or date restrictions. We included any measure of waterpipe tobacco smoking prevalence in jurisdictionally representative populations. We stratified findings by prevalence measure (past 30 day, ever, regular or occasional, daily, other or unspecified) and age (adults or youth).
Results
We included 129 studies reporting 355 estimates for 68 countries. In general, prevalence estimates among adults were highest in the Eastern Mediterranean, and among youth were about equal between Eastern Mediterranean and European regions. Past 30 day use was highest among Lebanese youth (37.2% in 2008), ever use was highest among Lebanese youth in 2002 and Lebanese university students in 2005 (both 65.3%), regular or occasional use was highest in among Iranian university students (16.3% in 2005), and daily use was highest among Egyptian youth (10.4% in 2005). Trend data were limited but most studies reported increased use over time, ranging from 0.3-1.0% per year among youth in the US to 2.9% per year among youth in Jordan (both for past 30 day use). Results were similar for ever use trends. Turkey (2.3% in 2008 to 0.8% in 2010) and Iraq (6.3% in 2008 and 4.8% in 2012) both witnessed decreased waterpipe use.
Conclusion
Waterpipe tobacco smoking is most prevalent in Eastern Mediterranean and European countries, and appears higher among youth than adults. Continued surveillance will be important to assess and inform policy measures to control waterpipe tobacco use.

Mohammed Jawad
Rana Charide
Reem Waziry
Andrea Darzi
Rami A Ballout
Elie A Akl


Stock market forecasting research based on GA-WOA-LSTM.

Abstract: With the increasing complexity and prosperity of global financial markets, stock market forecasting plays a critical role in investment decision-making, market regulation, and economic planning. This study proposes a hybrid prediction model that integrates Genetic Algorithm (GA), Whale Optimization Algorithm (WOA), and Long Short-Term Memory (LSTM) neural networks, referred to as the GA-WOA-LSTM model. In this framework, GA is employed to generate the initial population and perform global search for LSTM hyperparameter optimization, while WOA is applied to conduct local refinement of the search space. The LSTM model, known for its superior ability to capture nonlinear dependencies and long-term patterns in time series, is used to model and forecast future stock closing prices. The performance of the proposed model is evaluated on both training and test datasets using key metrics including Mean Absolute Error (MAE), Mean Absolute Percentage Error (MAPE), Root Mean Squared Error (RMSE), and the coefficient of determination (R2). Experimental results demonstrate that the GA-WOA-LSTM model significantly outperforms traditional baseline models in terms of predictive accuracy and generalization capability. This research offers a robust and effective modeling strategy for financial time series forecasting and provides valuable insights for real-world financial applications.


Combinatorial actions of IL-22 and IL-17 drive optimal immunity to oral candidiasis through SPRRs.

Abstract: Oropharyngeal candidiasis (OPC) is the most common human fungal infection, arising typically from T cell immune impairments. IL-17 and IL-22 contribute individually to OPC responses, but here we demonstrate that the combined actions of both cytokines are essential for resistance to OPC. Mice lacking IL-17RA and IL-22RA1 exhibited high fungal loads in esophagus- and intestinal tract, severe weight loss, and symptoms of colitis. Ultimately, mice succumbed to infection. Dual loss of IL-17RA and IL-22RA impaired expression of small proline rich proteins (SPRRs), a class of antimicrobial effectors not previously linked to fungal immunity. Sprr2a1 exhibited direct candidacidal activity in vitro, and Sprr1-3a-/- mice were susceptible to OPC. Thus, cooperative actions of Type 17 cytokines mediate oral mucosal anti-Candida defenses and reveal a role for SPRRs.

Felix E Y Aggor
Martinna Bertolini
Bianca M Coleman
Tiffany C Taylor
Nicole O Ponde
Sarah L Gaffen


Laboratory-based evaluation of the 4th-generation AlereTM HIV Combo rapid point-of-care test.

Abstract:
Background
Mozambique is a high-prevalence country for HIV and early detection of new HIV infections is crucial for control of the epidemic. We aimed to evaluate the accuracy of the 4th-generation rapid diagnostic test (RDT) AlereTM HIV Combo in detecting acute and seroconverted HIV-infection, among sexually-active women attending three clinical health centers in Maputo, Mozambique.
Methods
Women aged 14-55 years (n = 920) seeking care at the Mavalane Health Area, Maputo (February 2018-January 2019) were included, and blood specimens sampled. Sociodemographic and sexual behavior data were collected. Point-of-care HIV testing was performed using Alere DetermineTM HIV-1/2 and Uni-GoldTM HIV-1/2. All samples were also tested using Enzygnost® HIV Integral 4 and Innotest® HIV Antigen mAb in laboratory. The 4th-generation RDT AlereTM HIV Combo was evaluated on serum samples in the laboratory. Finally, Innotest® HIV Antigen mAb, Enzygnost® HIV Integral 4 (Ag/Ab), and HIV RNA quantification acted as gold standard assays in the evaluation of AlereTM HIV Combo test for HIV antigen detection (in clinical samples and in three HIV-1 seroconversion panels).
Results
The antibody component of the 4th generation AlereTM HIV Combo RDT demonstrated a sensitivity and specificity of 100% examining clinical samples. However, the test did not detect HIV p24 antigen in any clinical samples, while Innotest® HIV Antigen mAb, verified by Enzygnost® HIV Integral 4 (Ag/Ab) and/or HIV RNA quantification, detected HIV antigen in six clinical samples. Furthermore, the AlereTM HIV Combo RDT had a low sensitivity in the detection of HIV p24 antigen in seroconversion panels. The HIV prevalence among the examined women was 17.8%.
Conclusions
The 4th-generation RDT AlereTM HIV Combo showed similar sensitivity to the 3rd-generation RDTs to detect seroconverted HIV-infections. However, the sensitivity for detection of HIV p24 antigen and diagnosing acute HIV infections, before seroconversion, was low. There is an urgent need to develop and evaluate simple and affordable POC tests with high sensitivity and specificity for diagnosing individuals with acute HIV infection in resource-limited settings with high HIV prevalence.

Alice Manjate
Charlotta Nilsson
Maria Axelsson
Sarah Lindroth
Desiree Sirbu
Jahit Sacarlal
Sören Andersson
Magnus Unemo


Effects of chewing on postural learning: An experimental pre-post intervention study.

Abstract: In 16 healthy volunteers (age 42-69 years, 8 females) we investigated chewing effects on postural learning. Initially, the Centre of Pressure (CoP) position in bipedal stance was recorded (1 minute) in 4 conditions: Hard support (HS)-Open Eyes (OE), HS-Closed Eyes (CE), Soft Support (SS)-OE, SS-CE. Following 2 minutes of Chewing (C, n = 8 subjects, 4 females) or rhythmic Hand Grip (HG, n = 8 subjects, 4 females), 10 unipedal stance test (1 minute) were performed for 30 minutes in both groups in HS-OE, with a progressive decrease in CoP Velocity and Path Length. Since the 95% Area of body sway decreased only in the HG group, the Length in Function of Surface (LFS, indicative of balance energy expenditure), increased in the HG and remained constant in the C group. Soon after and 5 hours post-training, bipedal stance tests were performed for 8 minutes, in the same order as before. In both groups, the changes in unipedal stance parameters were found persistent 5 hours post-training. In SS-OE condition of bipedal stance, CoP Velocity was reduced and 95% Area increased by postural training, in the HG and C group, respectively. These modifications were significantly correlated to the corresponding changes in unipedal stance and led to a LSF decrease in the C group. In conclusion, the CoP Velocity during unipedal training was not affected by the previous motor activities. Chewing allowed for a larger compliance concerning the extent of CoP oscillation. Postural training in unipedal stance seem to favour the development of modifications in bipedal stance, according to the conditioning activity. Chewing before a postural training promotes a postural strategy characterized by a constant and a lower energy cost in unipedal and bipedal stance, respectively. Further experiments are necessary to verify whether such a change may promote a more secure balance in trained people.

Cristina Dolciotti
Paolo Andre
Maria Paola Tramonti Fantozzi
Francesco Lazzerini
Vincenzo De Cicco
Massimo Barresi
Claudia Grasso
Luca Bruschini
Davide De Cicco
Paolo Orsini
Francesco Montanari
Ugo Faraguna
Diego Manzoni


Cryptosporidiosis outbreaks linked to the public water supply in a military camp, France.

Abstract:
Introduction
Contaminated drinking and recreational waters account for most of the reported Cryptosporidium spp. exposures in high-income countries. In June 2017, two successive cryptosporidiosis outbreaks occurred among service members in a military training camp located in Southwest France. Several other gastroenteritis outbreaks were previously reported in this camp, all among trainees in the days following their arrival, without any causative pathogen identification. Epidemiological, microbiological and environmental investigations were carried out to explain theses outbreaks.
Material and methods
Syndromic diagnosis using multiplex PCR was used for stool testing. Water samples (100 L) were collected at 10 points of the drinking water installations and enumeration of Cryptosporidium oocysts performed. The identification of Cryptosporidium species was performed using real-time 18S SSU rRNA PCR and confirmed by GP60 sequencing.
Results
A total of 100 human cases were reported with a global attack rate of 27.8%. Cryptosporidium spp. was identified in 93% of stool samples with syndromic multiplex PCR. The entire drinking water network was contaminated with Cryptosporidium spp. The highest level of contamination was found in groundwater and in the water leaving the treatment plant, with >1,000 oocysts per 100 L. The same Cryptosporidium hominis isolate subtype IbA10G2 was identified in patients' stool and water samples. Several polluting activities were identified within the protection perimeters of the water resource. An additional ultrafiltration module was installed at the outlet of the water treatment plant. After several weeks, no Cryptosporidium oocysts were found in the public water supply.
Conclusions
After successive and unexplained gastroenteritis outbreaks, this investigation confirmed a waterborne outbreak due to Cryptosporidium hominis subtype IbA10G2. Our study demonstrates the value of syndromic diagnosis for gastroenteritis outbreak investigation. Our results also highlight the importance of better assessing the microbiological risk associated with raw water and the need for sensitive and easy-to-implement tools for parasite detection.

Stéphanie Watier-Grillot
Damien Costa
Cédric Petit
Romy Razakandrainibe
Sébastien Larréché
Christelle Tong
Gwenaëlle Demont
David Billetorte
Damien Mouly
Didier Fontan
Guillaume Velut
Alexandra Le Corre
Jean-Christophe Beauvir
Audrey Mérens
Loïc Favennec
Vincent Pommier de Santi

Arctic medicine. Tropical medicine
Public aspects of medicine


Drinking patterns and alcohol use disorders in São Paulo, Brazil: the role of neighborhood social deprivation and socioeconomic status.

Abstract: Research conducted in high-income countries has investigated influences of socioeconomic inequalities on drinking outcomes such as alcohol use disorders (AUD), however, associations between area-level neighborhood social deprivation (NSD) and individual socioeconomic status with these outcomes have not been explored in Brazil. Thus, we investigated the role of these factors on drink-related outcomes in a Brazilian population, attending to male-female variations.A multi-stage area probability sample of adult household residents in the São Paulo Metropolitan Area was assessed using the WHO Composite International Diagnostic Interview (WMH-CIDI) (n = 5,037). Estimation focused on prevalence and correlates of past-year alcohol disturbances [heavy drinking of lower frequency (HDLF), heavy drinking of higher frequency (HDHF), abuse, dependence, and DMS-5 AUD] among regular users (RU); odds ratio (OR) were obtained.Higher NSD, measured as an area-level variable with individual level variables held constant, showed an excess odds for most alcohol disturbances analyzed. Prevalence estimates for HDLF and HDHF among RU were 9% and 20%, respectively, with excess odds in higher NSD areas; schooling (inverse association) and low income were associated with male HDLF. The only individual-level association with female HDLF involved employment status. Prevalence estimates for abuse, dependence, and DSM-5 AUD among RU were 8%, 4%, and 8%, respectively, with excess odds of: dependence in higher NSD areas for males; abuse and AUD for females. Among RU, AUD was associated with unemployment, and low education with dependence and AUD.Regular alcohol users with alcohol-related disturbances are more likely to be found where area-level neighborhood characteristics reflect social disadvantage. Although we cannot draw inferences about causal influence, the associations are strong enough to warrant future longitudinal alcohol studies to explore causal mechanisms related to the heterogeneous patterns of association and male-female variations observed herein. Hopefully, these findings may help guide future directions for public health.

Camila Magalhães Silveira
Erica Rosanna Siu
James C Anthony
Luis Paulo Saito
Arthur Guerra de Andrade
Andressa Kutschenko
Maria Carmen Viana
Yuan-Pang Wang
Silvia S Martins
Laura Helena Andrade


1H High Resolution Magic-Angle Coil Spinning (HR-MACS) µNMR Metabolic Profiling of whole Saccharomyces cervisiae cells: A Demonstrative Study

Abstract: The low sensitivity of Nuclear Magnetic Resonance (NMR) is its prime shortcoming compared to other analytical methods for metabolomic studies. It relies on large sample volume (30–50 µl for HR-MAS) for rich metabolic profiling, hindering high-throughput screening especially when the sample requires a labor-intensive preparation or is a sacred specimen. This is indeed the case for some living organisms. This study evaluates a 1H HR-MAS approach for metabolic profiling of small volume (250 nl) whole bacterial cells, Saccharomyces cervisiae, using an emerging micro-NMR technology: high-resolution magic-angle coil spinning (HR-MACS). As a demonstrative study for whole cells, we perform two independent metabolomics studies identifying the significant metabolites associated with osmotic stress and aging.

Alan eWong
Celine eBoutin
Pedro M Aguiar


Atrial fibrillation signals associated with overactive bladder drugs across JADER and FAERS: disproportionality and time-to-onset analyses

Abstract: IntroductionOveractive bladder (OAB) drugs are widely prescribed, yet the occurrence of atrial fibrillation (AF) after treatment initiation remains poorly characterized.MethodsWe evaluated reports of AF associated with OAB medications using two spontaneous reporting systems (SRSs): the Japanese Adverse Drug Event Report (JADER) database and the U.S. FDA Adverse Event Reporting System (FAERS). We screened eight agents and assessed signals using three disproportionality metrics: the reporting odds ratio (ROR), proportional reporting ratio (PRR), and Bayesian confidence propagation neural network (BCPNN). For drugs showing signals in both databases, we conducted stratified analyses by sex, age, and number of concomitant medications, and evaluated time-to-onset (TTO) using Weibull modeling.ResultsConsistent AF signals were identified for solifenacin succinate and mirabegron, whereas other agents did not meet the prespecified criteria. Solifenacin met the criteria in women and older adults in both JADER and FAERS. Mirabegron met the criteria across multiple strata in both datasets, indicating cross-stratum reproducibility. TTO was right‐skewed, with most reports occurring within one year of initiation. Exploratory Weibull modeling, based on limited numbers of date‐complete reports, suggested a wear-out pattern for solifenacin in JADER and an early pattern in FAERS, while mirabegron showed a random pattern in JADER and an early pattern in FAERS. These failure‐type patterns should therefore be interpreted cautiously.DiscussionThese findings are hypothesis-generating, given the limitations of SRSs, such as underreporting, missing dates, and unknown exposure—and they reflect reporting patterns rather than causal risk. They outline strata and early treatment periods that may warrant clinical attention and help prioritize pharmacovigilance and targeted hypothesis‐driven evaluation in routine OAB care.

Kyosuke Nagura
Satoko Watanabe
Taro Watanabe
Taro Watanabe
Hidenori Sagara
Hidenori Sagara


The relationship between perceived stress and depression in colorectal cancer patients: the mediating role of illness perception and the moderating role of self-efficacy

Abstract: BackgroundNumerous studies have demonstrated a close association between perceived stress and depression in colorectal cancer patients; however, the underlying mechanisms remain incompletely understood. This study aims to investigate the impact of perceived stress on depression in this population, as well as the mediating role of illness perception and the moderating role of self-efficacy.MethodA cross-sectional design was employed. From May to November 2024, a questionnaire survey was conducted among 290 colorectal cancer patients at two Grade A tertiary hospitals in Shenyang and Jinzhou, Liaoning Province, China. The questionnaire comprised sections on general demographics, perceived stress, illness perception, self-efficacy, and depression. Descriptive statistics and correlation analyses were performed using SPSS 25.0 and the PROCESS 3.5 macro. Mediation and moderation effects were tested using bootstrap resampling.ResultsA significant positive correlation was found between perceived stress and depression (β = 0.483, P < 0.001) and this relationship was partially mediated by illness perception (β = 0.083). Self-efficacy moderated the association between perceived stress and illness perception (β = 0.024, P < 0.001), with higher levels of self-efficacy strengthening the relationship between perceived stress and illness perception.ConclusionThis study identifies illness perception as a mediating pathway in the association between perceived stress and depression, while self-efficacy moderates the relationship between perceived stress and illness perception. Accordingly, a multidimensional clinical approach may be considered for addressing depressive symptoms in colorectal cancer patients. Such an approach could concurrently target perceived stress reduction, modification of illness perception, and enhancing self-efficacy.

Fuzhuo Wang
Jiashuang Xu
Hong Sun
Xiuli Wang
Zhongguang Che
Ye Huang

Neoplasms. Tumors. Oncology. Including cancer and carcinogens


Techno-economic feasibility analyses of grid- connected solar photovoltaic power plants for small scale industries of Punjab, Pakistan

Abstract: The globally soaring energy prices and electricity shortfall are major hurdles in the economic development of Pakistan. To cope with periodic power outages, small and medium enterprise (SME) business owners have to fall back on alternate power sources such as backup generators and uninterruptible power supplies (UPS), which further increase the per kWh cost of electricity, power quality issues, and greenhouse gas (GHG) emissions. On the contrary, grid-tied solar photovoltaic (PV) systems are not only economical and sustainable but support the national power grid to mitigate environmental emissions. This study aims to investigate and compare the techno-economic viability of grid-connected solar photovoltaic power plants for the manufacturing SME sector in four different districts of Punjab, Pakistan. Based on the technical, financial, and environmental indicators, a detailed techno-economic, sensitivity, and GHG emission analysis is conducted using RETScreen Expert software. The research findings clearly show that the proposed solar PV projects for all four locations are technically, financially, and environmentally viable, however, Sargodha as compared to other sites is the most feasible location with the highest capacity factor of 17.8 %, highest internal rate of return 14.9 %, lowest payback period 7.7 years, and least levelized cost of electricity 8.5 ¢/kWh. For validation, the simulation results are compared with performance metrics from PV plants erected in various parts of the world. Applying the same research approach to the whole industrial sector of Punjab recommends adding 13,469 MW of PV capacity to satisfy the industry’s 20446.21 GWh annual energy consumption and to cut emissions by 90,17,581 t CO2 per year. This research work presents guidelines for researchers to evaluate the feasibility of suitable PV technologies for the SME sector thereby helping investors to have a holistic view of potential investment zones.

Monib Ahmad
Abraiz Khattak
Abdul Kashif Janjua
Ahmad Aziz Alahmadi
Muhammad Salman Khan
Nasim Ullah


Root exudates and rhizosphere soil bacterial relationships of Nitraria tangutorum are linked to k-strategists bacterial community under salt stress

Abstract: When plants are subjected to various biotic and abiotic stresses, the root system responds actively by secreting different types and amounts of bioactive compounds, while affects the structure of rhizosphere soil bacterial community. Therefore, understanding plant–soil-microbial interactions, especially the strength of microbial interactions, mediated by root exudates is essential. A short-term experiment was conducted under drought and salt stress to investigate the interaction between root exudates and Nitraria tangutorum rhizosphere bacterial communities. We found that drought and salt stress increased rhizosphere soil pH (9.32 and 20.6%) and electrical conductivity (1.38 and 11 times), respectively, while decreased organic matter (27.48 and 31.38%), total carbon (34.55 and 29.95%), and total phosphorus (20 and 28.57%) content of N. tangutorum rhizosphere soil. Organic acids, growth hormones, and sugars were the main differential metabolites of N. tangutorum under drought and salt stress. Salt stress further changed the N. tangutorum rhizosphere soil bacterial community structure, markedly decreasing the relative abundance of Bacteroidota as r-strategist while increasing that of Alphaproteobacteria as k-strategists. The co-occurrence network analysis showed that drought and salt stress reduced the connectivity and complexity of the rhizosphere bacterial network. Soil physicochemical properties and root exudates in combination with salt stress affect bacterial strategies and interactions. Our study revealed the mechanism of plant–soil-microbial interactions under the influence of root exudates and provided new insights into the responses of bacterial communities to stressful environments.

Yaqing Pan
Peng Kang
Min Tan
Jinpeng Hu
Yaqi Zhang
Jinlin Zhang
Naiping Song
Xinrong Li


Impact of early vs. late tracheostomy on clinical outcomes in mechanically ventilated patients with intracerebral hemorrhage extending into the ventricles: a retrospective cohort study based on quantitative assessment of parenchymal and intraventricular hematoma volumes

Abstract: BackgroundThe optimal timing for tracheostomy in patients with intracerebral hemorrhage extending into the ventricles who require mechanical ventilation remains controversial, and there is a paucity of evidence to guide clinical practice. This study aimed to elucidate the impact of early vs. late tracheostomy on clinical outcomes and complications in this population, utilizing multivariable models to identify risk factors and define the potential beneficiary population.MethodsThis single-center retrospective cohort study consecutively enrolled 157 patients with severe spontaneous intracerebral hemorrhage extending into the ventricles requiring mechanical ventilation (GCS score ≤8) between January 2020 and December 2023. Based on the timing of tracheostomy, patients were classified into an early group (ET, ≤7 days after mechanical ventilation, n = 81) and a late group (LT, >7 days after mechanical ventilation, n = 76). Baseline characteristics, treatment measures, and outcome data were collected. Hematoma volumes in both the brain parenchyma and ventricles on admission CT scans were precisely quantified using 3D Slicer software. The primary outcome was the 6-month modified Rankin Scale (mRS) score. Secondary outcomes included the duration of mechanical ventilation, ICU length of stay (LOS), and the incidence of short-term complications [ventilator-associated pneumonia (VAP), new-onset arrhythmia, shock, and acute kidney injury (AKI)]. Multivariable logistic regression analysis was employed to identify independent risk factors for complications and to assess the protective effect of early tracheostomy.ResultsIn this cohort of 157 mechanically ventilated patients with severe intraventricular hemorrhage, baseline characteristics were well-balanced between Early (ET, n = 81) and Late Tracheostomy (LT, n = 76) groups. While 6-month functional outcomes (mRS) showed no significant difference (P = 0.360), the ET group demonstrated substantially shorter duration of mechanical ventilation (13 vs. 19 days, P < 0.001) and ICU stay (17 vs. 25 days, P < 0.001). ET was associated with significantly lower incidence of ventilator-associated pneumonia (28.40 vs. 48.68%, P = 0.009), new-onset arrhythmia (18.52 vs. 32.89%, P = 0.039), and shock requiring vasopressors (24.7 vs. 40.79%, P = 0.031). Multivariable analysis identified GCS score <6 (OR 3.588, P = 0.008) and Graeb score ≥8 (OR 8.735, P = 0.037) as independent risk factors for complications, while confirming early tracheostomy as an independent protective factor (aOR 0.306, P = 0.019) after adjustment for confounders.ConclusionIn this single-center retrospective cohort study, early tracheostomy was associated with shorter durations of mechanical ventilation and ICU stay, as well as a lower incidence of major complications, and demonstrates a favorable safety profile. Although it does not improve long-term neurological function, early tracheostomy serves as an independent protective factor. When combined with the identification of risk factors such as GCS <6 and Graeb score ≥8, it provides a basis for individualized treatment. These findings suggest an association that warrants further investigation in prospective studies.

Neurology. Diseases of the nervous system


Causal analysis between altered levels of interleukins and obstructive sleep apnea

Abstract: BackgroundInflammation proteins including interleukins (ILs) have been reported to be related to obstructive sleep apnea (OSA). The aims of this study were to estimate the levels for several key interleukins in OSA and the causal effects between them.MethodWeighted mean difference (WMD) was used to compare the expression differences of interleukins between OSA and control, and the changed levels during OSA treatments in the meta-analysis section. A two-sample Mendelian randomization (MR) was used to estimate the causal directions and effect sizes between OSA risks and interleukins. The inverse-variance weighting (IVW) was used as the primary method followed by several other MR methods including MR Egger, Weighted median, and MR-Robust Adjusted Profile Score as sensitivity analysis.ResultsNine different interleukins—IL-1β, IL-2, IL-4, IL-6, IL-8, IL-12, IL-17, IL-18, and IL-23—were elevated in OSA compared with control to varying degrees, ranging from 0.82 to 100.14 pg/ml, and one interleukin, IL-10, was decreased by 0.77 pg/ml. Increased IL-1β, IL-6, and IL-8 rather than IL-10 can be reduced in OSA by effective treatments. Further, the MR analysis of the IVW method showed that there was no significant evidence to support the causal relationships between OSA and the nine interleukins—IL-1β, IL-2, IL-4, IL-5, IL-6, IL-8, IL-10, IL-17, and IL-18. Among them, the causal effect of OSA on IL-5 was almost significant [estimate: 0.267 (−0.030, 0.564), p = 0.078]. These results were consistent in the sensitivity analysis.ConclusionsAlthough IL-1β, IL-2, IL-4, IL-6, IL-8, IL-12, IL-17, IL-18, and IL-23 were increasing and IL-10 was reducing in OSA, no significant causal relationships were observed between them by MR analysis. Further research is needed to test the causality of OSA risk on elevated IL-5 level.

Minhan Yi
Minhan Yi
Minhan Yi
Wangcheng Zhao
Wangcheng Zhao
Wangcheng Zhao
Quanming Fei
Quanming Fei
Quanming Fei
Yun Tan
Yun Tan
Yun Tan
Kun Liu
Ziliang Chen
Yuan Zhang
Yuan Zhang


Neudesin is involved in anxiety behavior: structural and neurochemical correlates

Abstract: Neudesin (also known as neuron derived neurotrophic factor, Nenf) is a scarcely studied putative non-canonical neurotrophic factor. In order to understand its function in the brain, we performed an extensive behavioral characterization (motor, emotional and cognitive dimensions) of neudesin-null mice. The absence of neudesin leads to an anxious-like behavior as assessed in the elevated plus maze, light/dark box and novelty suppressed feeding tests, but not in the acoustic startle test. This anxious phenotype is associated with reduced dopaminergic input and impoverished dendritic arborizations in the dentate gyrus granule neurons of the ventral hippocampus. Interestingly, shorter dendrites are also observed in the bed nucleus of the stria terminalis (BNST) of neudesin-null mice. These findings lead us to suggest that neudesin is a novel relevant player in the maintenance of the anxiety circuitry.

Ashley eNovais
Ashley eNovais
Ana Catarina Ferreira
Ana Catarina Ferreira
Fernanda eMarques
Fernanda eMarques
José M Pêgo
José M Pêgo
João J Cerqueira
João J Cerqueira
Ana eDavid-Pereira
Ana eDavid-Pereira
Filipa L Campos
Filipa L Campos
Christina eDalla
Nikolaos eKokras
Nuno eSousa
Nuno eSousa
Joana A Palha
Joana A Palha
Joao C Sousa
Joao C Sousa

Neurosciences. Biological psychiatry. Neuropsychiatry


Influence of animal age and breeding activity on carcass traits, meat quality, and sensory attributes of bison bulls

Abstract: In the bison industry, both heifers and bulls are marketed and harvested at various ages, generally ranging from 20 to 30 months. Bulls represent the greatest proportion of the slaughter mix, as the bison industry does not routinely castrate, leaving males intact throughout the growing and finishing phase. This practice makes bulls available for use during the breeding season prior to the finishing phase. Therefore, the objective of this study was to evaluate the influence of bull age and use in the breeding herd on carcass characteristics, meat quality, and sensory characteristics of bison bulls. Grass-finished bison bulls were assigned to one of two finishing treatments: 1) Young bulls (n = 98) finished on fall pasture and harvested at 30 months of age with no exposure to the breeding herd, or 2) Mature bulls (n = 24) finished on early summer pasture and harvested at 36 months of age following use in the breeding herd. Bison were harvested, carcass data were recorded, and striploins were collected for the analysis of meat quality attributes. Mature bulls had greater hot carcass weight, ribeye area, kidney fat percentage, and marbling score compared to Young bulls. Objective tenderness was affected by the interaction of postmortem aging and finishing treatment. Steaks from Young bison bulls were more tender at all aging time points compared to steaks from Mature bison bulls. Variation in tenderness between treatment groups was likely not due to differences in collagen, as total collagen was greater in steaks from Young bulls. Consumer panelists rated steaks from Mature bulls higher for toughness intensity and flavor liking and lower for off-flavor intensity. Trained panelists rated steaks from Young bulls higher for flavor intensity, while ratings for toughness and juiciness were increased for Mature bulls. Collectively, results from this study indicate that bulls used in the breeding herd and marketed at 36 months of age produced heavier carcasses. However, Mature bulls were tougher at all postmortem aging days and required 21 days of aging to reach an acceptable level of tenderness, which was detected by both trained and consumer panelists.

Lydia M. O’Sullivan
Clay J. Newton
Keith R. Underwood
Judson K. Grubbs
Christina E. Bakker
Kristi M. Cammack
Thu Dinh
Carter Kruse
Amanda D. Blair


Leaching and recycling of NdFeB permanent magnets using ionic non-toxic hydrotropes instead of extractants

Abstract: We show hereby that recycling of NdFeB permanent magnets by selective leaching and precipitation is possible, using an electrolyte as hydrotrope, thus avoiding the need of any specific extractant molecules. We analyse the yield of the extractant-free process and show that the non toxic formulation of Sodium Salicylate and ethylacetate used as diluent and choosing the optimal tie-line in a ternary phase diagram allows extraction using any type of acid in the aqueous phase. Iron is well separated from rare earths and the product can be recovered directly form the fluid used in separation by oxalic acid precipitation.

Asmae El Maangar
Clément Fleury
Stéphane Pellet-Rostaing
Thomas Zemb


Applications and insights from continuous dengue virus infection in a stable cell line

Abstract: Dengue is caused by the four serotypes of dengue virus (DENV-1-4) and poses a significant global public health challenge, with an estimated 100–400 million infections annually. Severe dengue manifestations, such as Dengue Hemorrhagic Fever (DHF) and Dengue Shock Syndrome (DSS), are influenced by immune responses, particularly during secondary infections with different serotypes. Antibody-dependent enhancement (ADE) of DENV infection is a critical mechanism in dengue immunopathogenesis, underscoring the need for comprehensive evaluation of antibody responses. Traditional cell lines used for DENV propagation exhibit variability and present logistical challenges for assessing non-neutralizing antibody functions. Here, we report the establishment of a stable CEM-NKR cell line expressing DC-SIGN, designated CEM2001, capable of supporting continuous infection with all four DENV serotypes. These cell lines allow for continuous DENV infection, enabling detailed immunoassays to evaluate serotype-specific and cross-reactive non-neutralizing antibody responses. Our approach offers a significant advancement in dengue research, providing a consistent and reliable system to study DENV immune responses and supporting future efforts to develop and evaluate dengue therapeutics and vaccines.

M. Jane Morwitzer
Ying Yi Zheng
Heather Friberg
Jeffrey R. Currier


Effects of Interval Training Under Hypoxia on Hematological Parameters, Hemodynamic Function, and Endurance Exercise Performance in Amateur Female Runners in Korea

Abstract: Interval training under hypoxia (IHT) is commonly used to enhance endurance exercise performance. However, previous studies examining hematologic changes related to the immune system that affect health and conditioning are lacking. This study aimed to evaluate the effects of IHT for 6-weeks on hematological parameters, hemodynamic function, and endurance exercise performance in amateur Korean female runners. Twenty healthy amateur Korean female runners (age: 24.85 ± 3.84 years) were equally assigned to normoxic training group (NTG) for interval training under normoxia (760 mmHg) and hypoxic training group (HTG) for interval training under hypobaric hypoxia (526 mmHg, 3000 m simulated altitude) according to their body composition and endurance exercise performance. All participants performed 120-min of training sessions, consisting of 20-min of warm-up, 60-min of interval training, and 20-min of cool-down. The training program was performed 3-days per week for 6-weeks. Warm-up and cool-down were performed for 20-min at 60% maximal heart rate (HRmax). The interval training sessions comprised 10 repetitions of interval exercise (5-min of exercise corresponding to 90–95% HRmax and 1-min of rest) on a treadmill. All participants underwent measurements of hematological parameters, hemodynamic function, and endurance exercise performance before and after training. Both groups showed a significant increase in erythropoietin (EPO) level and a decrease in monocyte abundance, with EPO showing a greater increase in the HTG than in the NTG. B cell abundance significantly increased in the NTG; hematocrit and neutrophil counts significantly increased, and lymphocyte counts significantly decreased in the HTG. The HTG showed a significant improvement in oxygen uptake, stroke volume index, and end-diastolic volume index compared to the NTG. In addition, both groups showed significant improvements in heart rate, end-systolic volume index, and cardiac output index. The maximal oxygen uptake and 3000 m time trial record were significantly improved in both groups, and the HTG showed a tendency to improve more than the NTG. In conclusion, the IHT was effective in enhancing endurance exercise performance through improved hemodynamic function. Furthermore, hematological parameters of immune system showed a normal range before and after training and were not negatively affected.

Hun-Young Park
Hun-Young Park
Won-Sang Jung
Won-Sang Jung
Sung-Woo Kim
Sung-Woo Kim
Jisu Kim
Jisu Kim
Kiwon Lim
Kiwon Lim
Kiwon Lim


Evolution of the tripartite symbiosis between earthworms, Verminephrobacter and Flexibacter-like bacteria

Abstract: Nephridial (excretory organ) symbionts are widespread in lumbricid earthworms and the complexity of the nephridial symbiont communities varies greatly between earthworm species. The two most common symbionts are the well-described Verminephrobacter and less well-known Flexibacter-like bacteria. Verminephrobacter are present in almost all lumbricid earthworms, they are species-specific, vertically transmitted, and have presumably been associated with their hosts since the origin of lumbricids. Flexibacter-like symbionts have been reported from about half the investigated earthworms; they are also vertically transmitted. To investigate the evolution of this tri-partite symbiosis, phylogenies for 18 lumbricid earthworm species were constructed based on two mitochondrial genes, NADH dehydrogenase subunit 2 (ND2) and cytochrome c oxidase subunit I (COI), and compared to their symbiont phylogenies based on RNA polymerase subunit B (rpoB) and 16S rRNA genes.The two nephridial symbionts showed markedly different evolutionary histories with their hosts. For Verminephrobacter, clear signs of long-term host-symbiont co-evolution with rare host switching events confirmed its ancient association with lumbricid earthworms, likely dating back to their last common ancestor about 100 million years (MY) ago. In contrast, phylogenies for the Flexibacter-like symbionts suggested an ability to switch to new hosts, to which they adapted and subsequently became species-specific. Putative co-speciation events were only observed with closely related host species; on that basis, this secondary symbiosis was estimated to be minimum 45 MY old. Based on the monophyletic clustering of the Flexibacter-like symbionts, the low 16S rRNA gene sequence similarity to the nearest described species (<92%) and environmental sequences (<94.2 %), and the specific habitat in the earthworm nephridia, we propose a new candidate genus for this group, Candidatus Nephrothrix.

Peter eMøller
Marie Braad Lund
Andreas eSchramm


Assessing the impact of forest structure disturbances on the arboreal movement and energetics of orangutans—An agent-based modeling approach

Abstract: Agent-based models have been developed and widely employed to assess the impact of disturbances or conservation management on animal habitat use, population development, and viability. However, the direct impacts of canopy disturbance on the arboreal movement of individual primates have been less studied. Such impacts could shed light on the cascading effects of disturbances on animal health and fitness. Orangutans are an arboreal primate that commonly encounters habitat quality deterioration due to land-use changes and related disturbances such as forest fires. Forest disturbance may, therefore, create a complex stress scenario threatening orangutan populations. Due to forest disturbances, orangutans may adapt to employ more terrestrial, as opposed to arboreal, movements potentially prolonging the search for fruiting and nesting trees. In turn, this may lead to changes in daily activity patterns (i.e., time spent traveling, feeding, and resting) and available energy budget, potentially decreasing the orangutan's fitness. We developed the agent-based simulation model BORNEO (arBOReal aNimal movEment mOdel), which explicitly describes both orangutans' arboreal and terrestrial movement in a forest habitat, depending on distances between trees and canopy structures. Orangutans in the model perform activities with a motivation to balance energy intake and expenditure through locomotion. We tested the model using forest inventory data obtained in Sebangau National Park, Central Kalimantan, Indonesia. This allowed us to construct virtual forests with real characteristics including tree connectivity, thus creating the potential to expand the environmental settings for simulation experiments. In order to parameterize the energy related processes of the orangutans described in the model, we applied a computationally intensive evolutionary algorithm and evaluated the simulation results against observed behavioral patterns of orangutans. Both the simulated variability and proportion of activity budgets including feeding, resting, and traveling time for female and male orangutans confirmed the suitability of the model for its purpose. We used the calibrated model to compare the activity patterns and energy budgets of orangutans in both natural and disturbed forests . The results confirm field observations that orangutans in the disturbed forest are more likely to experience deficit energy balance due to traveling to the detriment of feeding time. Such imbalance is more pronounced in males than in females. The finding of a threshold of forest disturbances that affects a significant change in activity and energy budgets suggests potential threats to the orangutan population. Our study introduces the first agent-based model describing the arboreal movement of primates that can serve as a tool to investigate the direct impact of forest changes and disturbances on the behavior of species such as orangutans. Moreover, it demonstrates the suitability of high-performance computing to optimize the calibration of complex agent-based models describing animal behavior at a fine spatio-temporal scale (1-m and 1-s granularity).

Kirana Widyastuti
Kirana Widyastuti
Romain Reuillon
Romain Reuillon
Paul Chapron
Wildan Abdussalam
Darmae Nasir
Mark E. Harrison
Mark E. Harrison
Helen Morrogh-Bernard
Muhammad Ali Imron
Uta Berger


Visual attention and phonological processing in children with developmental language disorder

Abstract: IntroductionDevelopmental Language Disorder (DLD) is a neurobiological condition characterized by insufficient language and communication development, with no underlying physical, sensory, or cognitive explanations. A prominent feature among children with DLD is their struggle with phonological processing, a pivotal skill for later reading proficiency. Recent research suggests that children with DLD may also exhibit impairments in various non-linguistic cognitive abilities, including memory, attention, and perception. Of particular importance is visual attention, which plays a critical role in integrating visual perceptual information with diverse cognitive and linguistic processes.ObjectiveTo characterize visual attention during phonological processing tasks in Colombian children with DLD.MethodologyThis study employed a cross-sectional descriptive experimental design involving 20 children diagnosed with Developmental Language Disorder (DLD) and 20 children without language difficulties. All participants underwent language, vocabulary, and phonological awareness tests. Additionally, an experimental task utilizing the eye-tracking method was designed and administered to measure phonological processing with phonological and lexical distractors.ResultsChildren with DLD exhibited diminished performance on phonological awareness tasks, as evidenced by their lower scores. This was further supported by the experimental phonological processing task, where an interference effect was observed in the presence of lexical distractors for word recognition, but not with phonological distractors.ConclusionChildren with DLD demonstrated deficiencies in both phonological awareness and visual attention skills during linguistic and phonological processing tasks. They also exhibit reduced sensitivity in identifying phonological relations such as rhyme. The study discusses these findings along with their clinical implications, emphasizing the importance of assessing online processing abilities in children with DLD and considering the influence of other cognitive abilities on their linguistic performance.

María Fernanda Lara-Díaz
Judy Costanza Beltrán Rojas
Yennifer Aponte Rippe


Case report: Rapid development of amyloid A amyloidosis in temporal arteritis with SAA1.3 allele; An unusual case of intestinal amyloidosis secondary to temporal arteritis

Abstract: Temporal arteritis (TA) is a large-vessel vasculitis mostly seen in older patients. Amyloid A (AA) amyloidosis secondary to a chronic inflammation induces multiple organ dysfunctions, including a dysfunction of the gastrointestinal tract. Herein, we present a case of TA complicated by AA amyloidosis that was resistant to oral and intravenous steroids. An 80-year-old man with a history of new-onset headache, jaw claudication, and distended temporal arteries was referred to our department. On admission, the patient presented with tenderness and a subcutaneous temporal nodule in both temple arteries. Ultrasonography of the nodule revealed an anechoic perivascular halo surrounding the right temporal artery. Following the diagnosis of TA, high-dose prednisolone therapy was initiated. However, the patient presented with recurrent abdominal pain and refractory diarrhea. Due to the unclear origin of refractory diarrhea, an extensive workup, including biopsy of the duodenal mucosa, was performed. Endoscopy revealed chronic inflammation in the duodenum. Immunohistochemical analysis of duodenal mucosal biopsy samples revealed AA amyloid deposition resulting in the diagnosis of AA amyloidosis. After tocilizumab (TCZ) administration, refractory diarrhea reduced; however, the patient died of intestinal perforation 1 month after the start of TCZ administration. Gastrointestinal involvement was the main clinical manifestation of AA amyloidosis in the present case. This case highlights the importance of bowel biopsy screening for amyloid deposition in patients with unexplained gastrointestinal tract symptoms, even in a recent onset of large-vessel vasculitis. In the present case, the carriage of the SAA1.3 allele likely contributed to the rare association of AA amyloidosis with TA.

Shuhei Yoshida
Haruki Matsumoto
Jumpei Temmoku
Norshalena Shakespear
Yuichiro Kiko
Kentaro Kikuchi
Yuya Sumichika
Kenji Saito
Yuya Fujita
Naoki Matsuoka
Tomoyuki Asano
Shuzo Sato
Eiji Suzuki
Hiroshi Watanabe
Hiromasa Ohira
Kiyoshi Migita


JOG volume 67 issue 266 Cover and Back matter

Environmental sciences
Meteorology. Climatology


Incidence of suicidality in people with depression over a 10-year period treated by a large UK mental health service provider

Abstract: We describe the incidence of suicidality (2007–2017) in people with depression treated by secondary mental healthcare services at South London and Maudsley NHS Trust (n = 26 412). We estimated yearly incidence of ‘suicidal ideation’ and ‘high risk of suicide’ from structured and free-text fields of the Clinical Record Interactive Search system. The incidence of suicidal ideation increased from 0.6 (2007) to 1 cases (2017) per 1000 population. The incidence of high risk of suicide, based on risk forms, varied between 0.06 and 0.50 cases per 1000 adult population (2008–2017). Electronic health records provide the opportunity to examine suicidality on a large scale, but the impact of service-related changes in the use of structured risk assessment should be considered.

Emma R. Francis
Daniela Fonseca de Freitas
Craig Colling
Megan Pritchard
Giouliana Kadra-Scalzo
Natalia Viani
Jaya Chaturvedi
Tom R. Denee
Cicely Kerr
Mitesh Desai
Gemma Scott
Hitesh Shetty
Mathew Broadbent
David Chandran
Johnny Downs
Sumithra Velupillai
Mizanur Khondoker
Robert Stewart
Rina Dutta
Richard D. Hayes


Factors associated with minimum dietary diversity failure among Indian children

Abstract: Recognising the importance of infant and young child feeding practices during the first 2 years of life, the World Health Organization's Global Nutrition Monitoring Framework developed a minimum dietary diversity (MDD) indicator for feeding children aged 6–23 months. MDD is defined as the consumption of food items from five or more groups out of a total of eight food groups. Food intake from less than five food groups is considered minimum dietary diversity failure (MDDF). Using the nationally representative National Family Health Survey (NFHS) dataset, the present study assessed the trend in MDDF between 2005–6 and 2015–16 and the factors associated with MDDF among children aged 6–23 months during 2015–16. The NFHS conducted in 2005–6 and 2015–16 covered a sample of 14 419 and 74 078 children aged 6–23 months, respectively. Overall, the MDDF reduced from 87⋅4  % (95  % confidence interval (95  % CI) 86⋅8  %, 87⋅9  %) in 2005–6 to 80⋅6  % (95  % CI 80⋅1  %, 81⋅0  %) in 2015–16. Multivariable logistic regression analysis revealed that increased child's age, second and third birth order children, higher maternal age and education, mass media exposure of mothers and more than four antenatal care visits had a negative association with the MDDF. Children living in rural areas and residing in high-focus states of India were observed with higher odds of experiencing MDDF. Exposure to community healthcare services was negatively associated with MDDF, and anaemic children were more likely to have MDDF. Socioeconomic status of mothers and children and encouragement of maternal and child healthcare use could be helpful in devising context-specific intervention to mitigate MDDF.

Rajesh Kumar Rai
Sandhya S. Kumar
Chandan Kumar

Nutrition. Foods and food supply
Medicine


Toward an integrated approach for mental health and psychosocial support and peacebuilding in North-East Nigeria: programme description and preliminary outcomes from ‘Counselling on Wheels’

Abstract:
Background
Despite theoretical support for including mental health and psychosocial support (MHPSS) with peacebuilding, few programmes in conflict-affected regions fully integrate these approaches.

Aims
To describe and assess preliminary outcomes of the Counselling on Wheels programme delivered by the NEEM Foundation in the Borno State of North-East Nigeria.

Method
We first describe the components of the Counselling on Wheels programme, including education and advocacy for peace and social cohesion through community peacebuilding partnerships and activities, and an MHPSS intervention open to all adults, delivered in groups of eight to ten people. We then conducted secondary analysis of data from 1550 adults who took part in the MHPSS intervention, who provided data at baseline and 1–2 weeks after the final group session. Vulnerability to violent extremism was assessed with a locally developed 80-item scale. Symptoms of common mental disorders were assessed with the Depression, Anxiety and Stress Scale (DASS-21) and Post-Traumatic Stress Disorder Scale (PTSD-8). Data were analysed through a mixed-effect linear regression model, accounting for clustering by community and adjusted for age and gender.

Results
After taking part in group MHPSS, scores fell for depression (−5.8, 95% CI −6.7 to −5.0), stress (−5.5, 95% CI −6.3 to −4.6), post-traumatic stress disorder (−2.9, 95% CI −3.4 to −2.4) and vulnerability to violent extremism (−44.6, 95% CI −50.6 to −38.6).

Conclusions
The Counselling on Wheels programme shows promise as a model for integrating MHPSS with community peacebuilding activities in this conflict-affected region of Africa.

Sharli Paphitis
Fatima Akilu
Natasha Chilambo
Abiye Iruayenama
Xena Samaroo
Asma'u Mustapha
Kimberley Goldsmith
Olawale Ismail
Petr Slovak
Eka Ikpe
Patrick Smith
Preeti Patel
Richard Sullivan
Melanie Abas
Funmi Olonisakin


First seroprevalence survey of bovine anaplasmosis: an emerging tick-borne disease in commercial livestock and dairy farms in Bangladesh

Abstract: Bovine anaplasmosis is an infectious, tick-borne disease caused by Anaplasma species, which is accountable for huge economic loss in dairy industry. This study was aimed to determine the seroprevalence of bovine anaplasmosis on randomly selected 61 commercial dairy farms in 3 intensive regions of Bangladesh. A total of 1472 sera were analysed using VMRD Anaplasma Antibody Test Kit cELISA v2 for the presence of Anaplasma-specific antibodies. The highest regional seroprevalence of Anaplasma was 45.93% in individual level and 74.4% in herd level recorded in the southeast region, whereas it was 48.8% in individual level and 83.3% in herd level in Khagrachari and Sherpur districts, indicating an emerging state of the disease. The herd size and type in herd level and regions, districts, sex, age and breed in individual level were significantly (P ≤ 0.05) associated with anaplasmosis. Multivariate logistic regression analysis showed that cattle aged >1 year had 1.86 times higher odds compared to cattle younger than 1 year. Dairy cows had the highest odds (2.25) of anaplasmosis, followed by dairy heifers (1.68), compared to bulls. Compared to herd sizes of <4, the odds of Anaplasma infection were 11.3 and 7.45 times greater in herd sizes of >28 and 4–28. Crossbred cattle had 2.4 times higher odds of anaplasmosis compared to indigenous cattle. This first seroprevalence study signifies the widespread presence and underscores the importance of monitoring and managing anaplasmosis to safeguard cattle health in Bangladesh. Study on the molecular epidemiology and genetic diversity of Anaplasma among cattle populations should be prioritized.

Md. Makshuder Rahman Zim
Nurnabi Ahmed
Mostak Ahmed
Md. Abu Haris Miah
Md. Mahfuzur Rahman Sajib
Md. Rajiur Rahaman Rabbi
Md. Khalilur Rahman
Babul Chandra Roy
Md. Hasanuzzaman Talukder
Ala Tabor

Biochemistry
Infectious and parasitic diseases
Microbiology


Associations of subclinical autistic-like traits with brain structural variation using diffusion tensor imaging and voxel-based morphometry

Abstract:
Abstract

Background
Previous case–control studies of autistic spectrum disorder (ASD) have identified altered brain structure such as altered frontal and temporal cortex volumes, or decreased fractional anisotropy (FA) within the inferior fronto-occipital fasciculus in patients. It remains unclear whether subclinical autistic-like traits might also be related to variation in these brain structures.

Methods
In this study, we analyzed magnetic resonance imaging (MRI) data of 250 psychiatrically healthy subjects phenotyped for subclinical autistic-like traits using the Autism Spectrum Quotient (AQ). For data analysis, we used voxel-based morphometry of T1-MRIs (Computational Anatomy Toolbox) and tract-based spatial statistics for diffusion tensor imaging data.

Results

AQ attention switching subscale correlated negatively with FA values in the bilateral uncinate fasciculus as well as the bilateral inferior fronto-occipital fasciculus. Higher AQ attention switching subscale scores were associated with increased mean diffusivity and radial diffusivity values in the uncinate fasciculus, while axial diffusivity values within this tract show a negative correlation. AQ attention to detail subscale correlated positively with gray matter volume in the right pre- and postcentral gyrus.

Conclusions
We demonstrate that individuals with higher levels of autism-spectrum-like features show decreased white matter integrity in tracts associated with higher-level visual processing and increased cortical volume in areas linked to movement sequencing and working memory. Our results resemble regional brain structure alterations found in individuals with ASD. This offers opportunities to further understand the etiology and pathogenesis of the disorder and shows a subclinical continuum perspective.

Yvonne Schröder
Daniela Michelle Hohmann
Tina Meller
Ulrika Evermann
Julia-Katharina Pfarr
Andreas Jansen
Inge Kamp-Becker
Sarah Grezellschak
Igor Nenadić


Environmental toxicology of marine microplastic pollution

Abstract: Over the past decade, there have been increasing recognition and concern of the toxicological impacts of microplastics (MPs) in the environment, which have been widely found in various marine environments from estuary to deep oceans. Numerous toxicological studies have been conducted on the impacts of MPs on various marine organisms, especially phytoplankton, zooplankton, bivalves, and fish of different trophic levels. These studies mainly focused on the measurements of MPs bioaccumulation and their resulting biological impacts at molecular, metabolic, biochemical, physiological, and organismic levels. This review examines the various studies conducted over the recent years on the toxicology of MPs in different marine organisms, particularly on the bioaccumulation and toxicity of MPs. The impacts of MPs on marine organisms are diverse, and the complexity of organism physiology as well as MPs physical and chemical properties need to be considered. Future studies should consider the environmental relevance of toxicological research and the development of quantitative tools to model the transport, bioaccumulation, and toxicity of MPs. These are important for the real environmental risk assessments of MPs in the marine environments.

Environmental technology. Sanitary engineering


325 Predictors of Substance Use Initiation by Late Childhood: Findings from the Adolescent Brain Cognitive Development (ABCD) Study

Abstract: OBJECTIVES/GOALS: Adolescence represents a critical period for substance use initiation. Various factors may contribute to trying a sip or single puff of a substance, that could lead to more frequent use. However, less is known about how predictors from multiple domains converge to impact risk for general substance use initiation. METHODS/STUDY POPULATION: The Adolescent Brain Cognitive Development (ABCD) study is a multi-site longitudinal study following youth into early adulthood. The present study included 7,644 ABCD children who reported no lifetime substance use (including any experimentation) at baseline (ages 9–10). Our primary aim was to use a random forest classification model to predict binary substance use initiation, defined as trying any non-prescribed substance (e.g., alcohol, tobacco, cannabis, non-prescribed medications), during a 2-year follow-up after baseline. A total of 402 variables from the following categories were examined as predictors: demographics, peer substance use and availability, mental and physical health, culture and environment, biospecimens, neurocognitive functioning, and structural neuroimaging variables. RESULTS/ANTICIPATED RESULTS: Over a two-year follow-up, 751 (9.8%) of substance-naÃ¯ve children reported trying a substance by age 11. The most common substance was alcohol, followed by cannabis and tobacco. Mean Decrease Accuracy (MDA) values were used to assess the relative importance of each predictor. The overall accuracy of the model in accurately predicting group membership (no substance use initiation vs. substance use initiation) was 57.66%. Of the top 5 predictors, the most important predictor was intent to use alcohol (MDA = .002). The following top predictors were structural neuroimaging variables: volume and surface area of right lateral occipital lobe (MDA = .0009 and .0008, respectively), surface area of right inferior temporal lobe (MDA = .0007), and surface area of left superior frontal lobe (MDA = .0007). DISCUSSION/SIGNIFICANCE: A combination of intent to use alcohol and structural neuroimaging indices were among the top predictors of substance use initiation. Understanding predictors of early substance use experimentation is important for identifying at-risk youth that may require targeted intervention approaches.

ReJoyce Green
Anna E. Kirkland
Brittney D. Browning
Brittany E. Bryant
Alexis M. Garcia
Rachel L. Tomko
Kevin M. Gray
Louise Mewton
Bethany J. Wolf
Pamela L. Ferguson
Lindsay M. Squeglia

Journal of Clinical and Translational Science


Improving the Sexual Wellbeing of Patients with Psychotic Illness

Abstract:
Introduction

Sexual dysfunction (SD) is common in psychotic illness including schizophrenia, occurring in 30-82% of patients. It negatively impacts wellbeing and antipsychotic compliance, resulting in higher risk of relapse and hospitalisation. Due to over-reliance on spontaneous reports from patients, SD is typically under-identified which prevents investigation and treatment.

Objectives
To establish whether SD is under-identified in patients with psychosis in a general adult community mental health team; to elicit whether the Arizona Sexual Experience Scale (ASEX) improves identification; to investigate and manage identified cases of SD; to make recommendations about identification and monitoring of SD in this patient population.

Methods
A 12-month retrospective audit of patients with psychosis prescribed a long-acting injectable (LAI) antipsychotic (n=36) to identify sexual symptoms was completed. The ASEX was subsequently issued to screen for SD.

Results
Audit: 3/36 (8%) patients had documented sexual symptoms. Of the 18/36 patients that completed the ASEX: 10 (56%) exhibited SD. 4 consented to further investigation. 5 patients experienced significant difficulties with the language used in the ASEX. At the end of the project we revised the ASEX with simpler, colloquial language.

Conclusions
Implementation of the ASEX results in clear improvements in identification and monitoring of SD. Maudsley Practice Guidelines can inform investigation and management of SD. We suggest a review of NICE guidance to incorporate the above into clinical practice. Further work is needed to establish whether the revised ASEX can be developed and validated.

Disclosure of Interest
None Declared


424 Considerations Mid-Translation of a Novel Extracellular Vesicle Product in Myocarditis

Abstract: OBJECTIVES/GOALS: Myocarditis is an inflammatory cardiomyopathy commonly caused by viral infections. The residual burden of this disease after guideline-based therapies is substantial, as there are no pathway-specific therapies. Our long-term goal is to find and translate treatments that reduce acute myocarditis severity and prevent progression of disease. METHODS/STUDY POPULATION: Of available therapies, extracellular vesicles (EVs) are ideally suited to the task of simultaneous, specific reprogramming of multiple pathogenesis mechanisms necessary in diseases like myocarditis, without similar immunosuppressive risks as their pharmacologic counterparts. We obtained plasma from healthy men and women and isolated nanoparticles, which were analyzed for physiochemical markers of human EVs. After confirming presence of EVs, we injected these plasma-derived extracellular vesicles (PEV) into male BALB/c mice vs. PBS control intraperitoneally on days -1, 0, 1 of viral infection (day 0) in a highly translational, mouse model of myocarditis. Hearts were examined at day 10 at the peak of acute myocarditis, using standard histological and cell composition analyses. RESULTS/ANTICIPATED RESULTS: Mice treated with PEV had significantly less myocardial inflammation both histologically and by gene expression of immune markers in the heart. The immunoregulation by PEV treatment decreased many key components of innate immune response networks that are known to be upregulated during acute myocarditis: TLR4+ mast cells and macrophages and complement. These pathways drive the profibrotic gene and protein changes that lead to remodeling, fibrosis, and disease progression observed in patients. We anticipate that when we analyze later timepoints in this model (day 35 post infection) which are normally associated with development of chronic myocarditis, dilated cardiomyopathy, we will see reduction of this fibrosis and of damage-associated changes. DISCUSSION/SIGNIFICANCE: These data suggest that EVs from plasma may be a novel treatment for viral myocarditis, but translation of EVs is hindered by their heterogeneity. We demonstrate characterization both physiochemically and functionally in a well-defined model. Such practices are necessary as these contemporary products challenge current regulation standards.

Danielle Beetler
Katelyn A. Bruno
Atta Behfar
Leslie T. Cooper
DeLisa Fairweather


Psychometric Properties of the Arabic Big Five Inventory-2 Short Form among Undergraduates in Kuwait

Abstract:
Introduction
The BFI-2-S assesses the domain level of the Big Five with three prototypical facets of each domain capturing approximately 91% of the total variance in the full BFI-2 domain scales and approximately 89% of the predictive power of the BFI-2 facets in German adaptations and their original American versions.

Objectives
The study aims to investigate the psychometric properties of the Arabic adaptation of the BFI-2 short form.

Methods
The Arabic version of the BFI-2-S a 30-item with 15 and NEO Five-Factor Inventory (NEO–PI-R) were administered to 1560 (576 males, 984 females) Kuwait University undergraduates with a mean age = 22.75 ± 3.81. The internal consistency reliability, factor structure, and convergent validity of the BFI-2-S with NEO–PI-R were assessed.

Results
Cronbach’s alpha was satisfactory for N (0.79), E (0.73), O (0.73), A (0.76) and C (0.77). Results revealed significant gender differences in O, C & E with a favor for males and in N a favor with females. PCA showed that BFI-2-S five factors explains 64.38% of the total variance. However, the high mean correlations between the BFI-2-S and NEO–PI-R scales, with coefficients of (0.67) for the N, (0.66) for the E, (0.56) for the C, (0.61) for the A, and (0.58) for the C. The convergence between each BFI-2-S domain correlated substantially with the relevant NEO-PI-R domain scales, with the average correlation being .62.

Conclusions
The findings support the psychometric properties of the Arabic adaptations of the BFI-2-S as useful instruments for assessing the Big Five.

Disclosure
No significant relationships.


Attitudes towards suicidal behavior in medical students of Lahore, Pakistan

Abstract:
Introduction
The increasing global suicide rates pose a considerable strain on healthcare professionals. Subsequently, their attitudes toward suicide prevention may influence suicide risk and management, affecting the quality of care.
Objectives
To investigate the attitudes of Pakistani medical students toward suicide and its comparison with different sociodemographic factors.
Methods
A total of 1392 undergraduate medical students belonging to all five years took part in the cross-sectional study conducted in September 2022. In addition to socio-demographic factors, participants were asked about their attitudes toward suicide on a 5-point Likert scale using the ATTS (Attitudes towards suicide) questionnaire. Questions explored competence, religion, experience, and views on suicidal behavior and its treatment. Data were analyzed by using SPSS 26.
Results
The majority of respondents had no prior experience of looking after patients with suicide attempts (88.9%), the experience of having known someone who died by suicide (67.1%), or participation in suicide workshops (94.3%). Statistically significant items showed that males believed more strongly that suicide could be used to end suffering and would consider the possibility of doing it, revenge is the major driving factor, talking about suicide lessens its incidence, and people should have the right to take their own lives. Females more strongly believed that loneliness is the major driving factor, and that suicide is preventable. Preclinical students more strongly believed thought suicide was less justified, especially among young people, not a solution to end incurable illnesses, and that people should not have the right to take their own lives. 996 (71.6%) of respondents expressed their willingness to participate in workshops regarding suicide.
Conclusions
Our study suggests that medical students have little experience in handling suicidal patients and vastly differ in their attitudes. There is a need for suicide management training and further study data to support these findings.
Disclosure of Interest
None Declared

S. Azeem
N. Imran
N. Afzal
Z. Jamil
I. I. Haider


Success-slope effects on the illusion of control and on remembered success-frequency

Abstract: The illusion of control refers to the inference of action-outcome contingency in situations where outcomes are in fact random. The strength of this illusion has been found to be affected by whether the frequency of successes increases or decreases over repeated trials, in what can be termed a ``success-slope'' effect. Previous studies have generated inconsistent findings regarding the nature of this effect. In this paper we present an experiment (N = 334) that overcomes several methodological limitations within this literature, employing a wider range of dependent measures (measures of two different types of illusory control, primary (by self) and secondary (by luck), as well as measures of remembered success-frequency). Results indicate that different dependent measures lead to different effects. On measures of (primary, but not secondary) control over the task, scores were highest when the rate of success increased over time. Meanwhile, estimates of success-frequency in the task did not vary across conditions and showed trends consistent with the broader literature on human memory.

Anastasia Ejova
Daniel J. Navarro
Paul H. Delfabbro


Ultrahigh-peak-power laser pulse compression by a double-smoothing grating compressor

Abstract: Spatial intensity modulation in amplified laser beams, particularly hot spots, critically constrains attainable pulse peak power due to the damage threshold limitations of four-grating compressors. This study demonstrates that the double-smoothing grating compressor (DSGC) configuration effectively suppresses modulation through directional beam smoothing. Our systematic investigation validated the double-smoothing effect through numerical simulations and experimental measurements, with comprehensive spatiotemporal analysis revealing excellent agreement between numerical and practical pulse characteristics. Crucially, the DSGC enables a 1.74 times energy output boost compared to conventional compressors. These findings establish the DSGC as a pivotal advancement for next-generation ultrahigh-power laser systems, providing a viable pathway toward hundreds of PW output through optimized spatial energy redistribution.

Renjing Chen
Wenhai Liang
Yilin Xu
Shuman Du
Xiong Shen
Peng Wang
Jun Liu
Zhaoyang Li
Ruxin Li
Efim Khazanov

High Power Laser Science and Engineering


Widespread and accelerating glacier retreat on the Lyngen Peninsula, northern Norway, since their ‘Little Ice Age’ maximum

Abstract: The recession of mountain glaciers worldwide is increasing global sea level and, in many regions, human activities will have to adapt to changes in surface hydrology. Thus, it is important to provide up-to-date analyses of glacier change and the factors modulating their response to climate warming. Here we report changes in the extent of >120 glaciers on the Lyngen Peninsula, northern Norway, where glacier runoff is utilised for hydropower and where glacial lake outburst floods have occurred. Glaciers covered at least 114 km2 in 1953 and we compare this inventory with those from 1988, 2001 and a new one from 2014, and previously-dated Little Ice Age (LIA) limits. Results show a steady reduction in area (~0.3% a−1) between their LIA maximum (~1915) and 1988, consistent with increasing summer air temperatures, but recession paused between 1988 and 2001, coinciding with increased winter precipitation. Air temperatures increased 0.5°C per decade from the 1990s and the rate of recession accelerated to ~1% a−1 between 2001 and 2014 when glacier area totalled ~95.7 km2. Small glaciers (<0.05 km2) with low maximum elevations (<1400 m) experienced the largest percentage losses and, if warming continues, several glaciers may disappear within the next two decades.

CHRIS R. STOKES
LISS M. ANDREASSEN
MATTHEW R. CHAMPION
GEOFFREY D. CORNER


Use of botulinum toxin type a in psychiatry - new perspectives and future potential

Abstract:
Introduction
For almost three decades, botulinum toxin type A (BT-A) has been used for medical purposes. Evidence of the potential use of BT-A is emerging for psychiatric disorders, like unipolar and bipolar depression, borderline personality disorder (BPD), late dyskinesia, amongst others. This may represent a new role of BT-A treatment and could expand the therapeutic arsenal in psychiatry.

Objectives
The goal is to review current evidence regarding BT-A and psychiatry disorders.

Methods
Literature review of BT-A use in psychiatric conditions using Medline database.

Results
There’s evidence supporting the use of BT-A in resistant unipolar depression, with studies showing an 8 and 4 times higher response and remission rates comparing with placebo. Beneficial effects were also found in bipolar depression. Preliminary data suggest that BT-A therapy may also be effective in the treatment of mental disorders characterized by an excess of negative emotions, such as BPD. The underlying mechanism might be the “facial feedback hypothesis”. Hyperhidrosis is a common comorbidity in social anxiety disorder and may itself give rise to depressive or anxiety symptoms. BT-A has proved to be a safe and effective treatment for hyperhidrosis. BT-A can also be safely used for dystonia secondary to the use of psychiatric medication, when there’s an inadequate response to anticholinergic medication. Also, BT-A injections in the salivary glands have been investigated for treating clozapine-induced sialorrhea and studies reported successful reduction in hypersalivation.

Conclusions
Although more studies are needed to evaluate the potential of BT-A in psychiatry, there is growing evidence of its potential use for some psychiatric conditions.

F. Gonçalves Viegas
I. Figueiredo
F. Ferreira
A. Lourenço


Exploring the Experiences of the NCL CAMHS Co-Production Experts by Experience in Barnet, Enfield and Haringey Mental Health Trust: A Thematic Analysis

Abstract:
Aims
This study focuses on the North Central London Child and Adolescent Mental Health Services (NCL CAMHS) Co-production workstream, initiated to establish co-production as a foundational method for service planning and delivery in the NCL region.
To understand what the CAMHS experts by experience members found useful and did not find useful in co-production projects within Barnet Enfield and Haringey Mental Health NHS Trust and NCL wide co-production.

Methods
Semi-structured interviews conducted with experts by experience within the Barnet Enfield and Haringey (BEH) NHS Trust aimed to explore their co-production experiences, identifying facilitators and barriers. The study employed an inductive thematic analysis, grounded in a constructionist epistemological position, to analyse qualitative responses from semi-structured interviews. Braun and Clarke's (2006) methodology guided the analysis, consisting of six phases. The researchers emphasized reflexivity, reflection, and maintaining coherence, consistency, and flexibility throughout the recursive process. The voices of the lived experience co-production members played a central role in the research, influencing the entire report.
Two members of the NCL CAMHS lived experience group served as “Lived Experience Researchers” and received training on coding reliability based on Braun and Clarke's (2006) guidance.

Results
Thematic analysis revealed several key findings. Recognition of co-production values within the group highlighted the importance of giving voice to service users, valuing their individual experiences, and promoting power-sharing. Facilitators included good team working, valuing diversity, accessible online sessions, and promoting equality through interactions. Conversely, barriers included inconsistent meeting timings, power imbalances, and a consultation-style dominance. Participants expressed the need for more involved projects and recommended a transformation of BEH's co-production strategy.

Conclusion
Recommendations for BEH include a comprehensive evaluation of their co-production projects on the ladder of participation, emphasizing the importance of higher-level collaborations. Training for staff on co-production principles is crucial for fostering a mindset shift, and the establishment of a dedicated co-production team, including a co-production lead, is advised by service-users who co-produce. These roles can drive co-production projects, provide organizational structure, and facilitate stakeholder engagement.