Baseline Conditions Research Articles

[Comparison of surgical outcomes between Kahook Dual Blade goniotomy and Trabectome surgery in patients with open-angle glaucoma].

Objective: To compare the medium-term therapeutic effects of Kahook Dual Blade (KDB) goniotomy and Trabectome surgery in the treatment of patients with primary open-angle glaucoma (POAG). Methods: This study was a non-randomized prospective interventional controlled clinical study. POAG patients who underwent KDB goniotomy or Trabectome surgery at Beijing Tongren Hospital from May 2017 to April 2022 were enrolled. The definition of successful surgery was postoperative average intraocular pressure (IOP)≤21 mmHg (1 mmHg=0.133 kPa) and IOP decrease≥20%. Follow-up visits were conducted on the 1st day, 1st week, 1st, 3rd and 6th month after surgery. The IOP value, the number of IOP-lowering medications, the proportion of surgical success (average IOP≤21 mmHg at 6 months), and complications were evaluated. Statistical methods included independent sample t-test, Mann-Whitney rank sum test, χ2 test, repeated measures two-factor analysis of variance, Bonferroni, Friedman M test, Wilcoxon, and Log-rank. The Kaplan-Meier method was used to calculate the cumulative success rate of each group. Results: Seventeen male patients (17 eyes) and 10 female patients (10 eyes) were included. The mean age was (39.9±17.7) years old. There were 11 patients in the KDB group and 16 patients in the Trabectome group. There was no significant difference in clinical baseline conditions between the two groups (P>0.05). The IOPs in the KDB and Trabectome groups at postoperative 1 week [(16.6±6.3) and (16.4±4.1) mmHg) and 6 months [(17.8±5.3) and (19.9±4.4) mmHg) were lower than those before surgery [(25.1±9.3) and (27.4±9.1) mmHg) (all P<0.05). There was no significant difference in the overall IOP between groups (P>0.05). The IOP reduction rates in the KDB and Trabectome groups were 23.4% and 19.0%, with no significant difference (P=0.674). The numbers of IOP-lowering medications used in the KDB and Trabectome groups at 3 months [2.0 (1.0, 4.0) and 2.0 (1.0, 2.3)] and 6 months [2.0 (0.0, 4.0) and 2.0 (1.0, 3.0)] after surgery were not significantly different from those before surgery [4.0 (2.0, 4.0) and 3.0 (2.0, 4.0)] (both P>0.05). There was no statistical significance in the overall number of IOP-lowering medications used between the two groups (P>0.05). There was also no statistically significant difference in the proportion of patients with an IOP decrease of≥20% and the proportion of patients whose mean postoperative IOP was≤21 mmHg (all P>0.05). The proportions of IOP≤21 mmHg in the KDB group and the Trabectome group at 6 months after surgery were 81.8% and 68.8% (P>0.05). Serious intraoperative or postoperative complications occurred in neither group. Conclusions: Both KDB trabeculotomy and Trabectome surgery can effectively reduce IOP and have a good safety profile in treating POAG, with the same number of IOP-lowering medications.

Impacts of locally managed periodic octopus fishery closures in Comoros and Madagascar: short-term benefits amidst long-term decline

Octopus fisheries face heightened demand driven by depleted fish stocks and escalating economic value, leading to overextraction of octopus populations and magnifying threats to coastal ecosystems and the livelihoods of fishers who depend on them. Implementation of management strategies such as periodic fishing closures can offer sanctuary for octopus, providing the necessary space and time for the growth and reproduction of this rapidly proliferating species. Despite evidence of positive management outcomes, the role of periodic closures in the long-term sustainability of octopus populations remains uncertain. Here, we examine trends in octopus landings over time and the effects of periodic closures along the Mozambique Channel from Comoros to Madagascar (12°-25°S). Long-term trends in octopus landings varied across three regions: generally stable over a 6-year period in Comoros, increasing over a 4-year period in the Barren Isles and declining over a 17-year period in Atsimo Andrefana, Madagascar. We observed a significant increase in mean catch per unit effort (CPUE, kilograms/fisher-day), and mean total catch (kilograms/day) following periodic closures across villages extracting octopus from closure areas. When evaluating each region independently, we observed this positive effect across Comoros and Atsimo Andrefana, Madagascar while trends in the Barren Isles showed no effect of octopus closures. We applied generalized linear mixed models to examine the influence of 10 covariates on mean daily total catch and CPUE within 7 days and 30 days post-closure. Baseline conditions (quantified by the pre-closure CPUE and daily total catch), closure duration and start month of closure had positive, statistically significant correlations with post-closure CPUE and daily total catch. Additionally, closure duration from 13 to 16 weeks and closure size of approximately 70 hectares were qualitatively associated with net gains in CPUE. Although periodic closures yield positive outcomes for octopus fisheries, the effects may be short-lived, as observed in Atsimo Andrefana, Madagascar, where catch declined over the long-term despite temporary improvements. Our findings underscore a need for a diverse portfolio of management strategies to restore and sustain populations over the long-term.

Total-body imaging of mu-opioid receptors with [11C]carfentanil in non-human primates.

Mu-opioid receptors (MORs) are widely expressed in the central nervous system (CNS), peripheral organs, and immune system. This study measured the whole body distribution of MORs in rhesus macaques using the MOR selective radioligand [11C]carfentanil ([11C]CFN) on the PennPET Explorer. Both baseline and blocking studies were conducted using either naloxone or GSK1521498 to measure the effect of the antagonists on MOR binding in both CNS and peripheral organs. The PennPET Explorer was used for MOR total-body PET imaging in four rhesus macaques using [11C]CFN under baseline, naloxone pretreatment, and naloxone or GSK1521498 displacement conditions. Logan distribution volume ratio (DVR) was calculated by using a reference model to quantitate brain regions, and the standard uptake value ratios (SUVRs) were calculated for peripheral organs. The percent receptor occupancy (%RO) was calculated to establish the blocking effect of 0.14mg/kg naloxone or GSK1521498. The %RO in MOR-abundant brain regions was 75-90% for naloxone and 72-84% for GSK1521498 in blocking studies. A higher than 90% of %RO were observed in cervical spinal cord for both naloxone and GSK1521498. It took approximately 4-6min for naloxone or GSK1521498 to distribute to CNS and displace [11C]CFN from the MOR. A smaller effect was observed in heart wall in the naloxone and GSK1521498 blocking studies. [11C]CFN total-body PET scans could be a useful approach for studying mechanism of action of MOR drugs used in the treatment of acute and chronic opioid use disorder and their effect on the biodistribution of synthetic opioids such as CFN. GSK1521498 could be a potential naloxone alternative to reverse opioid overdose.

Evaluation of Change in Body Composition, including Phase Angle, in Post-Myocardial Infarction Patients Rehabilitated under the KOS-Zawał (MC-AMI) Programme

Background: Ischaemic heart disease, including myocardial infarction, is one of the main causes leading to heart failure as a consequence of ischaemic myocardial damage. In recent years, survival in the acute phase of myocardial infarction has improved significantly, but the high mortality rate within 12 months of hospital discharge (reaching up to 9.8% in Poland) remains a challenge. Therefore, the KOS-Zawał (MC-AMI) comprehensive 12-month post-MI care programme was introduced in Poland in 2017. Aim: This study aimed to assess body composition (including, but not limited to, the phase angle, visceral fat, total body fat, redistribution between intracellular and extracellular fluid in the body, and metabolic age) using a bioelectrical impedance analysis (BIA) in post-MI patients before and after early post-MI rehabilitation who were participating in the KOS-Zawał (MC-AMI) programme. Methods: This study involved an examination (before rehabilitation) of 94 post-myocardial infarction patients who were referred to a cardiology appointment within 7–10 days of hospital discharge, during which a clinical assessment, electrocardiogram, and biochemical blood tests (complete blood count, CRP, and serum creatinine) were performed. For various reasons (death, qualification for device implantation, non-completion of rehabilitation, failure to attend a follow-up BIA), data from 55 patients who were examined twice (before and after rehabilitation) were used for the final analysis. Measurements were taken using a high-grade Tanita MC-780 BIA body composition analyser, which measured the resistance of tissues to a low-intensity electrical impulse (not perceptible to the subject). Results: Participation in rehabilitation as part of the KOS-Zawał (MC-AMI) programme was associated with a decrease in metabolic age in patients, with a reduction in visceral fat levels and levels of adipose tissue in the lower and upper limbs. Moreover, a clinically beneficial reduction in the ratio of extracellular water to total body water was also observed. These changes were statistically significant (p &lt; 0.005). In contrast, there were no statistically significant differences in the change in phase angle values in the subjects before and after the 5-week post-infarction rehabilitation. Conclusions: Participation in early post-myocardial infarction rehabilitation as part of the KOS-Zawał (MC-AMI) programme (25 training sessions) is associated with significant improvements in body composition parameters, such as visceral adipose tissue, limb fat, and water redistribution, and, consequently, a reduction in metabolic age, despite no significant increase in phase angle values. It was hypothesised that the good baseline condition of the subjects might explain the lack of significant change in the phase angle over the short observation period. For further analysis, it would be worthwhile to increase the number of patients with baseline reduced phase angle values and monitor changes in this parameter throughout rehabilitation and the entire MC-AMI programme, because changes in the phase angle may also be influenced by other programme components such as dietary or psychological education. It is worth considering implementing a regular BIA assessment in patients in the programme as a motivating stimulus for diligent exercise and extending rehabilitation to be followed by telerehabilitation or hybrid telerehabilitation.

Assessment of hydrological baseline condition and its alteration in Athabasca River Basin, Canada

Study regionAthabasca River Basin (ARB), Canada. Study focusThis study aimed to characterize the flow regime of the ARB, a basin with diverse hydroclimatic and geological characteristics. Forty-two different flow indicators from the Indicators of Hydrological Alteration (IHA) and Cold regions Hydrological Indicators of Change (CHIC) were employed. The natural range of these indicators was established for the baseline period (1961–1990), and subsequent alterations during the recent period (1991–2020) were systematically examined. Principal Component Analysis (PCA) was applied to identify pivotal indicators shaping the basin's flow regime. In addition, trends of key indicators were examined at eight distinct locations within the basin. New hydrological insights for the study regionThe findings indicate spatiotemporal variation between the basin's upper and lower parts. The upstream region exhibited an earlier peak flow (9 days), an earlier ice break-up (17 days), and a shorter ice cover duration (22 days) compared to the downstream region. Increased winter and spring flow have led to an augmentation of annual flow by 3.8 % in the upper region. In contrast, downstream flow experienced a decline throughout the year (11.38 %), which was found to be statistically significant at a rate of 3.24 m3/s/year. Alteration analysis revealed a shift toward the 'low category' (below their defined baseline range) for most indicators in the recent period, underscoring a transition towards a diminishing flow regime, with an overall alteration ranging at low to moderate levels (19–38 %). Late summer flow reduction (8–25 %) can have critical implications, given the rising water demand in the basin. The study identified eleven key indicators encapsulating the basin's flow regime variability range. It was found that ice cover, its break-up, and spring freshet significantly influence the flow regime of the basin. The findings from this study will assist decision-makers in making more informed decisions for the holistic management of water resources in the basin.

Analyzing Priority Management for Water Quality Improvement Strategies with Regional Characteristics

As the management areas for NPS pollution continue to increase, it is essential to conduct a situation analysis considering the regional characteristics and the scope of pollution reduction. In this study, the focus is on differentiating regional (urban, agricultural) characteristics to enhance water quality and reduce pollution loads in the increasing management areas for NPSs. Furthermore, priority management areas are identified based on urgency and vulnerability, and management strategies are proposed. The assessment involved evaluating both streamflow and water quality (T-P) using long-term monitoring data and watershed models (SWAT and HSPF) that take into account regional characteristics. The results indicated notable regional improvements, with T-P pollution reductions ranging from 20.7% to 26.8% and T-P concentration reductions ranging from 16.4% to 24.7% compared to baseline conditions in unmanaged areas. Based on these research findings, it is anticipated that the efficient and effective management of NPS pollution can be implemented on a regional basis. Moreover, the results of this study will not only contribute to the establishment of pollution standards, but also significantly impact the evaluation and proposal of management objectives, thereby making a substantial contribution to national water quality policies.

The Impact of Disease Duration on Microcirculatory Dysfunction in Young Patients with Uncomplicated Type 1 Diabetes

This study aimed to evaluate the earliest changes in the structure and function of the peripheral microcirculation using capillaroscopy and transcutaneous oxygen pressure measurement in children and adolescents with type 1 diabetes mellitus at baseline and during post-occlusive reactive hyperemia (PORH) in the function of diabetes duration. Sixty-seven patients with type 1 diabetes mellitus (T1D), aged 8 to 18 years, and twenty-eight age- and sex-matched healthy subjects were included in the analysis. Diabetic patients were divided into subgroups based on median disease duration. The subgroups differed in chronological age, lipid levels, and thyroid hormones. Capillaroscopy was performed twice: at baseline and then again after the PORH test. Transcutaneous oxygen pressure also was recorded under baseline conditions during and after the PORH test. Comparison of capillaroscopy and transcutaneous oxygen pressure parameters at rest and after the PORH showed no statistically significant difference between the subgroups. This remained true after adjusting for variables that differentiated the two subgroups. However, in the group of patients with long-standing diabetes, significant negative correlations were observed between the Coverage value after the PORH test and capillary reactivity with TcPO2_zero (biological zero). Significant positive correlations were also found between distance after the PORH test and TcPO2_zero. The results of our study indicate that in patients with a shorter duration of diabetes, the use of multiple tests provides a better characterization of the structure and function of microcirculation because the onset of dysfunction does not occur at the same time in all the tests.

Anterior cingulate cortex-related functional hyperconnectivity underlies sensory hypersensitivity in Grin2b-mutant mice.

Sensory abnormalities are observed in ~90% of individuals with autism spectrum disorders (ASD), but the underlying mechanisms are poorly understood. GluN2B, an NMDA receptor subunit that regulates long-term depression and circuit refinement during brain development, has been strongly implicated in ASD, but whether GRIN2B mutations lead to sensory abnormalities remains unclear. Here, we report that Grin2b-mutant mice show behavioral sensory hypersensitivity and brain hyperconnectivity associated with the anterior cingulate cortex (ACC). Grin2b-mutant mice with a patient-derived C456Y mutation (Grin2bC456Y/+) show sensory hypersensitivity to mechanical, thermal, and electrical stimuli through supraspinal mechanisms. c-fos and functional magnetic resonance imaging indicate that the ACC is hyperactive and hyperconnected with other brain regions under baseline and stimulation conditions. ACC pyramidal neurons show increased excitatory synaptic transmission. Chemogenetic inhibition of ACC pyramidal neurons normalizes ACC hyperconnectivity and sensory hypersensitivity. These results suggest that GluN2B critically regulates ASD-related cortical connectivity and sensory brain functions.

How does caregiver-child conversation during a scientific storybook reading impact children's mindset beliefs and persistence?

This study explores how caregiver-child scientific conversation during storybook reading focusing on the challenges or achievements of famous female scientists impacts preschoolers' mindset, beliefs about success, and persistence. Caregiver-child dyads (N = 202, 100 female, 35% non-White, aged 4-5, ƒ = .15) were assigned to one of three storybook conditions, highlighting the female scientist's achievements, effort, or, in a baseline condition, neither. Children were asked about their mindset, presented with a persistence task, and asked about their understanding of effort and success. Findings demonstrate that storybooks highlighting effort are associated with growth mindset, attribution of success to hard work, and increased persistence. Caregiver language echoed language from the assigned storybook, showing the importance of reading storybooks emphasizing hard work.

Treatment of oil sands process-affected water using a semi pilot-scale coalescing filter: Effect of fundamental conditions and water characteristics on filtration performance

The reuse of oil sands process-affected water (OSPW) generated during oil extraction is becoming essential due to oil extraction efficiency and stringent environmental regulations. This study investigates the efficacy of a coalescing filter (CF) in removing oil components from OSPW by exploiting coalescence, which involves merging small oil droplets into larger ones using fibers. Real-time, precise oil measurement systems were employed to evaluate the oil removal efficiency of the CF across synthetic OSPW samples with varying properties. Fundamental conditions and water quality components were systematically adjusted to elucidate the influencing factors on oil removal by the CF. Results showed that despite the diesel having significantly lower viscosity than the oil contents in OSPW, CF achieved a removal efficiency of over 60% within the first 10 min of operation time, regardless of oil concentration. Total suspended solids/turbidity exhibited a decreasing trend as it passed through the filter, indicating fouling occurring within the filter. On the other hands, its increase improved CF performance by 6% compared to baseline conditions, while an increase of alkalinity decreased performance by 10%. When each water quality component exists independently, they do not significantly impact the oil removal efficiency. However, when present together, there is a more decrease in removal efficiency due to the reduced interaction between oil and filter. CF was resistant to changes in water quality. Rather, changes in fundamental factors are more sensitive to CF performance. Filter characteristics and mechanisms make residence time the primary factor affecting oil removal by the CF, with variations exceeding 30% depending on conditions. Therefore, optimizing filter number and flow rate is essential to maximize the filtration performance.

Optimizing electrode arrangement in plasma actuators: a study on induced velocity and efficiency

This study investigates the performance of two types of multi-encapsulated electrode (MEE) plasma actuators, compared to typical dielectric barrier discharge (DBD) plasma actuators, in quiescent air. The objective is to determine whether the multiple encapsulated structure can enhance the performance of the plasma actuator. In the present paper, flow characteristics are investigated by using particle image velocimetry (PIV) and Schlieren visualisation. In addition, the distribution of body force over the gas volume based on the Navier–Stokes equations is calculated from velocity measurements. The obtained results demonstrate that the starting vortex behavior is influenced by electrode arrangement. Specifically, it can be observed that when the first encapsulated electrode is positioned closer to the exposed electrode, then a significantly higher induced velocity can be obtained compared to the baseline condition. In fact, the induced velocity can be increased by up to 1.5 times under this optimize configuration. These results highlight the importance of electrode arrangement in the plasma actuator design. Based on body force estimation, MEE plasma actuators exhibit a significantly higher momentum transfer, particularly in the wall normal direction. The investigation on the mechanical efficiency also reveals that the optimized configuration proposed in the present study can significantly enhance the efficiency. In fact, a four-fold increase in maximum efficiency compared to the typical configuration is observed. These results suggest that the proposed configuration could be considered a promising solution for improving the mechanical efficiency of plasma actuators.

Abstract PO4-13-09: Paclitaxel affects the efficacy of PD-1 blockade by interfering with lipid metabolism reprogramming in patients with breast cancer

Abstract Background: The question of how chemotherapeutic drugs affect the efficacy of PD-1/PD-L1 antibodies in patients with breast cancer is still pending. In a previously single-cell sequencing study, we have demonstrated that paclitaxel reduces the level of CXCL13+ T cells and other immune cells critical for atezolizumab to work, leading to inferior efficacy of atezolizumab in triple negative breast cancer (TNBC). How paclitaxel affects these important immune cells remains obscure. Recently, plasma metabolomic and proteomics analysis have shown that patients’ systemic metabolic signatures is correlated with the response of PD-1/PD-L1 antibody. As such, understanding the differential metabolic influences of the diverse chemotherapeutic drugs that comprise an immune response to TNBC offers an opportunity to appropriately select chemotherapeutic backbones for ICIs. Methods: We collected pre- and post-treatment plasma samples from breast cancer patients for metabolomic and proteomic analysis, including four patient cohorts: two independent cohorts (discovery cohort and validation cohort) in which patients were treated with ICIs, one cohort in which patients were treated with paclitaxel, and one cohort of patients treated with nab-paclitaxel. Patients were divided into responder group (R, tumor shrinkage) or non-responder group (NR, tumor increase) according to the change in tumor size after treatment relative to baseline. This was followed by integrating metabolomics and proteomics with single-cell transcriptome, along with in vitro experiments, to shed light on the mechanisms of action leading to ICIs resistance in breast cancer patients. Results: In the discovery cohort, the metabolites that mostly differed between the R and NR groups at baseline were lysoglycerophospholipids. These results were further validated in the validation cohort of patients. The dynamic changes of lysoglycerophospholipids were still significantly different between the R and the NR groups after ICIs treatment in the discovery cohort. It’s worth noting that the level of lysophosphatidylcholines (LPCs), the most prominent lysoglycerophospholipids, increased significantly in the R group, while no significant changes among LPCs were found in the NR group after ICIs treatment. In the validation cohort, the median PFS of LPClow patients was 1.8 months versus 6.8 months in the LPChigh group (P = 0.0068). After one cycle of paclitaxel treatment, the metabolic status of patients changed dramatically, especially the levels of lipids. It is notable that most LPCs were significantly downregulated after paclitaxel treatment. However, in patients who received nab-paclitaxel, few significantly changed lipids were detected after one cycle nab-paclitaxel treatment compared with their baseline conditions. Interestingly, the levels of LPCs were upregulated after one cycle nab-paclitaxel treatment, but decreased after paclitaxel treatment. Single-cell omics results showed that in patients' PBMCs, CXCR4+ NK cells were the most closely related to plasma LPC levels, while FGFBP2+ NK cells were in the tumor microenvironment. We isolated and expanded NK cells from PBMCs for in vitro experiments, and found that LPC stimulation can significantly upregulate the expression of CXCR4+ in NK cells, and further increase the chemotaxis and cytotoxicity of NK cells. Conclusions: In breast cancer patients receiving ICIs, the systemic lipid metabolism status, especially lysoglycerophospholipids, is closely related to the efficacy of immunotherapy. The key molecule LPC, the most prominent lysoglycerophospholipids, may promote the efficacy of immunotherapy by activating NK cells in breast cancer patients. Paclitaxel may impair the efficacy of immunotherapy by affecting the systemic lipid metabolism status, especially by reducing plasma LPC levels, so it is not a suitable partner for ICIs. Citation Format: Hongnan Mo, Jiashu Han, Jingtong Zhai, Xiaoying Sun, Xiuwen Guan, Haili Qian, Fei Ma. Paclitaxel affects the efficacy of PD-1 blockade by interfering with lipid metabolism reprogramming in patients with breast cancer [abstract]. In: Proceedings of the 2023 San Antonio Breast Cancer Symposium; 2023 Dec 5-9; San Antonio, TX. Philadelphia (PA): AACR; Cancer Res 2024;84(9 Suppl):Abstract nr PO4-13-09.

The natural history of CVB3 myocarditis in C57BL/6J mice: an extended in-depth characterization

Background and aimsViral infections are the leading cause of myocarditis. Besides acute cardiac complications, late-stage sequelae such as myocardial fibrosis may develop, importantly impacting the prognosis. Coxsackievirus B3 (CVB)-induced myocarditis in mice is the most commonly used translational model to study viral myocarditis and has provided the majority of our current understanding of the disease pathophysiology. Nevertheless, the late stages of disease, encompassing fibrogenesis and arrhythmogenesis, have been underappreciated in viral myocarditis research to date. The present study investigated the natural history of CVB-induced myocarditis in C57BL/6J mice, expanding the focus beyond the acute phase of disease. In addition, we studied the impact of sex and inoculation dose on the disease course. Methods and resultsC57BL/6J mice (12 weeks old; n=154) received a single intraperitoneal injection with CVB to induce viral myocarditis, or vehicle (PBS) as control. Male mice (n=92) were injected with 5 × 105 (regular dose)(RD) or 5 × 106 (high dose)(HD) plaque-forming units of CVB, whereas female mice received the RD only. Animals were sacrificed 1, 2, 4, 8 and 11 weeks after CVB or PBS injection. Virally inoculated mice developed viral disease with a temporary decline in general condition and weight loss, which was less pronounced in female animals (P<0.001). In male CVB mice, premature mortality occurred between days 8-23 after inoculation (RD: 21%, HD: 20%), whereas all female animals survived. Over the course of disease, cardiac inflammation progressively subsided, with faster resolution in female mice. There were no substantial group differences in the composition of the inflammatory cell infiltrates: predominance of cytotoxic T cells at day 7 and 14, and a switch from arginase1-reactive macrophages to iNOS-reactive macrophages from day 7 to 14 were the main findings. There was concomitant development and maturation of different patterns of myocardial fibrosis, with enhanced fibrogenesis in male mice. Virus was almost completely cleared from the heart by day 14. Serum biomarkers of cardiac damage and cardiac expression of remodeling genes were temporarily elevated during the acute phase of disease. Cardiac CTGF gene upregulation was less prolonged in female CVB animals. In vivo electrophysiology studies at weeks 8 and 11 demonstrated that under baseline conditions (i.e. in the absence of proarrhythmogenic drugs), ventricular arrhythmias could only be induced in CVB animals. The cumulative arrhythmia burden throughout the entire stimulation protocol was not significantly different between CVB and control groups. ConclusionCVB inoculation in C57BL/6J mice represents a model of acute self-limiting viral myocarditis, with progression to different patterns of myocardial fibrosis. Sex, but not inoculation dose, seems to modulate the course of disease.

Distraction Effects of Manual Texting and Voice Messaging When Approaching Pedestrian Crossings on Urban Roads: a Driving Simulator Study

The purpose of this study was to assess the impact of texting while driving on driver performance and road safety. In order to achieve this goal, 51 participants took part in a driving simulator study that replicated an urban environment. During the trials, text messages with questions of equal cognitive weight were sent to be answered via 1) a manual texting application or 2) a voice message application. A baseline condition with no secondary task was also tested. Along the simulated route, there were some events that could cause a crash, like pedestrians crossing on-and-off crosswalks. The overall findings indicate that both texting and voice messaging activities while driving have detrimental effects on driving performance and road safety, putting drivers at high risk. The practical applications of the findings of this study are primarily directed at policymakers and stakeholders for the development of effective and targeted campaigns.

Distraction Effects of Manual Texting and Voice Messaging When Approaching Pedestrian Crossings on Urban Roads: a Driving Simulator Study

The purpose of this study was to assess the impact of texting while driving on driver performance and road safety. In order to achieve this goal, 51 participants took part in a driving simulator study that replicated an urban environment. During the trials, text messages with questions of equal cognitive weight were sent to be answered via 1) a manual texting application or 2) a voice message application. A baseline condition with no secondary task was also tested. Along the simulated route, there were some events that could cause a crash, like pedestrians crossing on-and-off crosswalks. The overall findings indicate that both texting and voice messaging activities while driving have detrimental effects on driving performance and road safety, putting drivers at high risk. The practical applications of the findings of this study are primarily directed at policymakers and stakeholders for the development of effective and targeted campaigns.

Distraction Effects of Manual Texting and Voice Messaging When Approaching Pedestrian Crossings on Urban Roads: a Driving Simulator Study

The purpose of this study was to assess the impact of texting while driving on driver performance and road safety. In order to achieve this goal, 51 participants took part in a driving simulator study that replicated an urban environment. During the trials, text messages with questions of equal cognitive weight were sent to be answered via 1) a manual texting application or 2) a voice message application. A baseline condition with no secondary task was also tested. Along the simulated route, there were some events that could cause a crash, like pedestrians crossing on-and-off crosswalks. The overall findings indicate that both texting and voice messaging activities while driving have detrimental effects on driving performance and road safety, putting drivers at high risk. The practical applications of the findings of this study are primarily directed at policymakers and stakeholders for the development of effective and targeted campaigns.

Influence of climate and land use on watershed anthropogenic phosphorus inputs and riverine phosphorus export dynamics: A global analysis

Many studies have found predictive relationships between riverine phosphorus (P) export and net anthropogenic P inputs (NAPI) at the watershed scale, but the global or regional extent of these relationships has not been empirically quantified. Herein, we present a data-driven global assessment of the response of riverine total P (TP) fluxes to NAPI based on 358 watersheds. NAPI exhibited high spatial heterogeneity (2–12,085 kg P km−2 yr−1) and was well correlated with riverine TP fluxes. Riverine TP export fractions of NAPI were primarily regulated by NAPI components, hydroclimate factors, and land-use as determined through a random-forest meta-analysis. In watersheds dominated by disturbed land-use (e.g., agricultural and developed lands), runoff emerged as pivotal climate-related factors influencing riverine export fractions of NAPI. In watersheds dominated by natural land-use, runoff, precipitation and temperature were identified as the most critical factors. We developed a mixed-effects meta-regression model (R2 = 0.63–0.70, RMSE = 19–78 %, n = 87–202) to examine the quantitative relationship between riverine TP fluxes and NAPI, which avoids subjectivity in selecting influencing factors and regression forms. The model estimated that legacy P contributed 14–17 % of annual riverine TP fluxes in Chinese watersheds, 25 % in North American watersheds and 11–27 % in European watersheds. Annual NAPI contributions to annual riverine TP flux were 83–86 % in China, 75 % in North America and 73–89 % in Europe. The model forecasted 52–67 %, 69–71 % and 74–77 % reductions in riverine TP fluxes across Chinese, North American, and European watersheds by 2050 under five shared socio-economic pathway scenarios compared to 2010 baseline conditions, respectively. This study provides a straightforward and reliable method for quantifying anthropogenic P input and riverine P export dynamics within an acceptable error range. It provides guidance for developing phosphorus pollution control strategies to counter potential increases in phosphorus inputs due to expected changes in climate and land use.

Manual therapy and exercise effects on inflammatory cytokines: a narrative overview.

Matching disease and treatment mechanisms is a goal of the Precision Medicine Initiative. Pro- and anti-inflammatory cytokines (e.g., Tumor Necrosis Factor-alpha, Transforming Growth Factor-beta, and Interleukin-2, 10, and 12) have gained a significant amount of interest in their potential role in persistent pain for musculoskeletal (MSK) conditions. Manual therapy (MT) and exercise are two guideline-recommended approaches for treating MSK conditions. The objective of this narrative overview was to investigate of the effects of MT and exercise on pro- and anti-inflammatory cytokines and determine the factors that lead to variability in results. Two reviewers evaluated the direction and variabilities of MT and exercise literature. A red, yellow, and green light scoring system was used to define consistencies. Consistencies in responses were seen with acute and chronic exercise and both pro- and anti-inflammatory cytokines. Chronic exercise is associated with a consistent shift towards a more anti-inflammatory cytokine profile (Transforming Growth Factor-beta, and Interleukin-2 and 13, whereas acute bouts of intense exercise can transiently increase pro-inflammatory cytokine levels. The influence of MT on cytokines was less commonly studied and yielded more variable results. Variability in findings is likely related to the subject and their baseline condition or disease, when measurement occurs, and the exercise intensity, duration, and an individual's overall health and fitness.

Increasing tree cover and high-albedo surfaces reduces heat-related ER visits in Los Angeles, CA.

There is an urgent need for strategies to reduce the negative impacts of a warming climate on human health. Cooling urban neighborhoods by planting trees and vegetation and increasing albedo of roofs, pavements, and walls can mitigate urban heat. We used synoptic climatology to examine how different tree cover and albedo scenarios would affect heat-related morbidity in Los Angeles, CA, USA, as measured by emergency room (ER) visits. We classified daily meteorological data for historical summer heat events into discrete air mass types. We analyzed those classifications against historical ER visit data to determine both heat-related and excess morbidity. We used the Weather Research and Forecasting model to examine the impacts of varied tree cover and albedo scenarios on meteorological outcomes and used these results with standardized morbidity data algorithms to estimate potential reductions in ER visits. We tested three urban modification scenarios of low, medium, and high increases of tree cover and albedo and compared these against baseline conditions. We found that avoiding 25% to 50% of ER visits during heat events would be a common outcome if the urban environment had more tree cover and higher albedo, with the greatest benefits occurring under heat events that are moderate and those that are particularly hot and dry. We conducted these analyses at the county level and compared results to a heat-vulnerable, working-class Los Angeles community with a high concentration of people of color, and found that reductions in the rate of ER visits would be even greater at the community level compared to the county.

Evaluating voluntary abstinence from ethanol self-administration in rats using a concurrent-chains procedure

This pilot study aimed to examine voluntary abstinence from, and relapse of, ethanol seeking following removal of alternative nondrug reinforcement using a concurrent-chains arrangement. Rats first were trained to self-administer ethanol during a baseline condition. Next, they were presented with choices between responding for ethanol and sucrose during the initial link of a concurrent-chains schedule. Following their initial-link choice, they entered a terminal link in which they could respond exclusively for the reinforcer associated with their initial-link choice. To test for relapse, the same concurrent-chains procedure was arranged except that sucrose reinforcement was suspended from the sucrose-correlated terminal link. Overall, four out of the five rats showed a consistent preference for sucrose over ethanol during the voluntary-abstinence phase. When sucrose reinforcement was suspended during the relapse test, ethanol seeking increased for all rats.