Greater Number Of Changes Research Articles

Characterization of the degradation products of biodegradable and traditional plastics on UV irradiation and mechanical abrasion

Biodegradable plastics are popular alternatives to traditional plastics in packaging, mulch sheets, and other applications. However, there are concerns regarding the potential for pollution as a result of their abiotic degradation. In this study, we investigated the degradation of biodegradable polybutylene adipate terephthalate/polylactic acid (PBAT/PLA) and traditional polyethylene (PE) plastic under two typical abiotic conditions: ultraviolet (UV) irradiation and mechanical abrasion (MA) for up to nine months. The physical and chemical properties of the two plastics during the degradation period were assessed. In addition, quantitative analysis of the degradation products was carried out using a new method called membrane filtration and total organic carbon determination (MF-TOCD). The results revealed that PBAT/PLA underwent a greater number of changes in surface morphology, thermal stability, and mass loss compared to PE when exposed to UV and MA during the test period. Further analysis of the released products revealed that PBAT/PLA released more products than PE. Overall, PE mainly produced microplastics (MPs) larger than 0.22 μm, whereas PBAT/PLA produced products <0.22 μm (nanoplastics and soluble molecules) on UV exposure. In contrast, when subjected to MA, PBAT/PLA produced MPs larger than 0.22 μm, and these accumulated gradually; this behavior is similar to that of PE. By combining the mass loss and the TOC data for the degradation products, we determined that long-term UV irradiation generated a large number of smaller particles from PBAT/PLA that could further degrade rather than accumulate in the environment. In summary, we established a new method to separate and characterize MPs as well as nanoplastics and soluble molecules, and provided new insights into the fate of PBAT/PLA during abiotic degradation.

Synergistic Effect of Treatment with Highly Pathogenic Porcine Reproductive and Respiratory Syndrome Virus and Lipopolysaccharide on the Inflammatory Response of Porcine Pulmonary Microvascular Endothelial Cells.

The highly pathogenic porcine reproductive and respiratory syndrome virus (HP-PRRSV) often causes secondary bacterial infection in piglets, resulting in inflammatory lung injury and leading to high mortality rates and significant economic losses in the pig industry. Microvascular endothelial cells (MVECs) play a crucial role in the inflammatory response. Previous studies have shown that HP-PRRSV can infect porcine pulmonary MVECs and damage the endothelial glycocalyx. To further understand the role of pulmonary MVECs in the pathogenesis of HP-PRRSV and its secondary bacterial infection, in this study, cultured porcine pulmonary MVECs were stimulated with a HP-PRRSV HN strain and lipopolysaccharide (LPS). The changes in gene expression profiles were analyzed through transcriptome sequencing, and the differentially expressed genes were verified using qRT-PCR, Western blot, and ELISA. Furthermore, the effects on endothelial barrier function and regulation of neutrophil trans-endothelial migration were detected using the Transwell model. HP-PRRSV primarily induced differential expression of numerous genes associated with immune response, including IFIT2, IFIT3, VCAM1, ITGB4, and CCL5, whereas LPS triggered an inflammatory response involving IL6, IL16, CXCL8, CXCL14, and ITGA7. Compared to the individual effect of LPS, when given after HN-induced stimulation, it caused a greater number of changes in inflammatory molecules, such as VCAM1, IL1A, IL6, IL16, IL17D, CCL5, ITGAV, IGTB8, and TNFAIP3A, a more significant reduction in transendothelial electrical resistance, and higher increase in neutrophil transendothelial migration. In summary, these results suggest a synergistic effect of HP-PRRSV and LPS on the inflammatory response of porcine pulmonary MVECs. This study provides insights into the mechanism of severe lung injury caused by secondary bacterial infection following HP-PRRSV infection from the perspective of MVECs, emphasizing the vital role of pulmonary MVECs in HP-PRRSV infection.

Monoaminergic effects of the unilateral blockade of orexin receptors (OX1R) in the enlarged amygdala under psychostimulant action

BACKGROUND: The search for new drugs potentially effective in stopping the development of pathological addictions is an urgent task of experimental psychopharmacology.&#x0D; AIM: To examine the participation of brain monoaminergic systems in the mechanisms of the blocking effect of SB-408124 on the self-stimulation of the lateral hypothalamus activated with the psychostimulant -phenylisopropylamine (PIPA) treatment.&#x0D; MATERIALS AND METHODS: Male Wistar rats pre-administered with psychostimulant (PIPA, 1 mg/kg intraperitoneally) were unilaterally injected with an orexin antagonist SB-408124 (1 g in 1 L) into the central nucleus of the amygdala or the bed nucleus of the stria terminalis (BNST). High-performance liquid chromatography with electrochemical detection was used to determine the levels of monoamines and their metabolites: norepinephrine (NA), dopamine (DA), serotonin (5-HT), dioxyphenylacetic (DOPAC), homovaniline (HVA), and 5-hydroxyindolacetic (5-HIAA) acids on the left and right sides of the prefrontal cortex, hippocampus, striatum, and olfactory tubercle.&#x0D; RESULTS: Under the action of PIPA, microinjections of SB-408124 into the right central nucleus of the amygdala induced the following effects: prefrontal cortex, an increase in the levels of HVA and 5-HT on the right side and 5-HIAA on the left; hippocampus, bilateral increase in the levels of NA and HVA and 5-HT on the right; striatum, bilateral increase in the level of DA and the left-sided increase in HVA, 5-HT, and 5-HIAA. Microinjections into the left central nucleus of the amygdala caused a right-sided decrease in NA levels, an increase in 5-HT levels, and a left-sided decrease in DA and DOPAC levels in the striatum and a left-sided increase in HVA level in the olfactory tubercle. Microinjections into the right BNST caused a left-sided decrease in the levels of NA and DA in the prefrontal cortex, bilateral decrease in DOPAC levels, a right-sided increase in 5-HT levels, and a left-sided increase in 5-HIAA levels in the striatum; and a left-sided increase in HVA levels in the olfactory tubercle. Microinjections into the left BNST caused increased 5-HT levels in the left striatum and decreased DOPAC and 5-HIAA levels in the left olfactory tubercle.&#x0D; CONCLUSIONS: Right-sided microinjections cause a greater number of changes in monoamine metabolism than left-sided ones. The introduction of SB-408124 into the right structures of the enlarged amygdala increases 5-HIAA levels in the left striatum, whereas microinjections in BNST lead to increased 5-HT levels in the ipsilateral striatum and in the contralateral in the central nucleus of the amygdala

Maternal use of methamphetamine induces sex-dependent changes in myocardial gene expression in adult offspring.

Methamphetamine is a commonly abused illicit stimulant that has prevalent use among women of child-bearing age. While there are extensive studies on the neurological effects of prenatal methamphetamine exposure, relatively little is known about the effect of prenatal methamphetamine on the adult cardiovascular system. Earlier work demonstrated that prenatal methamphetamine exposure sex dependently (females only) sensitizes the adult heart to ischemic injury. These data suggest that prenatal exposure to methamphetamine may induce sex-dependent changes in cardiac gene expression that persist in adult offspring. The goal of this study was to test the hypothesis that prenatal methamphetamine exposure induces changes in cardiac gene expression that persist in the adult heart. Hearts of prenatally exposed female offspring exhibited a greater number of changes in gene expression compared to male offspring (184 changes compared with 74 in male offspring and 89 changes common between both sexes). Dimethylarginine dimethylaminohydrolase 2 and 3-hydroxybutyrate dehydrogenase 1 (genes implicated in heart failure) were shown by Western Blot to be under expressed in adult females that were prenatally exposed to methamphetamine, while males were deficient in 3-Hydroxybutyrate Dehydrogenase 1 only. These data indicate that prenatal methamphetamine exposure induces changes in gene expression that persist into adulthood. This is consistent with previous findings that prenatal methamphetamine sex dependently sensitizes the adult heart to ischemic injury and may increase the risk of developing cardiac disorders during adulthood.

The Effect of Soccer and Lacrosse Participation and Video Verified Head Impact Biomechanics on Clinical Concussion Measures

Neurocognitive changes have been found in participants of contact sports without documented concussions, raising concerns regarding the long-term consequences of subconcussive head impacts in sport. However, sex comparisons of neurocognitive change without reported concussions have not been completed for soccer or lacrosse athletes. Our purpose was to determine changes in clinical measures of cognitive function in uninjured collegiate lacrosse and soccer players. Men’s soccer (N=23), women’s soccer (N=36), men’s lacrosse (N=28) and women’s lacrosse (N=31) players wore xPatch head impact monitoring sensors for all practices and games. Sensors measured peak linear accelerations and peak rotational accelerations, allowing for daily density calculations. Participants completed the Sport Concussion Assessment Tool 3 and Immediate Post-Concussion and Cognitive Testing at the beginning and end of the season. For women, multiple statistically significant relationships were identified [decreased reaction time with increased cumulative peak linear acceleration (rs=-0.30, P=0.03), peak linear acceleration daily density (rs=-0.31, P=0.04), and peak rotational acceleration daily density (rs=-0.31, P=0.03) and also Immediate Post-Concussion and Cognitive Testing symptom change increased with increased cumulative peak linear acceleration (rs=-0.38, P=0.008) and cumulative peak rotational acceleration (rs=-0.37, P=0.009)]. For men, cognitive change scores, specifically concentration, had the only statistically significant relationship with cumulative peak rotational acceleration (rs=0.32, P=0.02). Men had a greater number of changes over the course of the season compared to women; however, the changes did not appear related to head impact biomechanics. Women had many statistically significant correlations between head impacts and deterioration in some constructs, especially symptoms.

Emergence of Genotype I of Dengue Virus Serotype 3 during a Severe Dengue Epidemic in Sri Lanka in 2017.

During the 2017 outbreak of severe dengue in Sri Lanka, dengue virus (DENV) serotypes 2, 3, and 4 were found to be co-circulating. Our previous study of 295 patients from the National Hospital Kandy in Sri Lanka between March 2017 and January 2018 determined that the dominant infecting serotype was DENV-2. In this study, we aimed to characterize the DENV-3 strains from non-severe and severe dengue patients from our previous study population. Patients' clinical records and previous laboratory tests, including dengue-specific nonstructural protein 1 antigen rapid test and IgM-capture and IgG enzyme-linked immunosorbent assays, were analyzed together with the present results of real-time reverse transcription polymerase chain reaction and next-generation sequencing of DENV-3. Complete genome analysis determined that DENV-3 isolates belonged to 2 different clades of genotype I and were genetically close to strains from Indonesia, China, Singapore, Malaysia, and Australia. There were 16 amino acid changes among DENV-3 isolates, and a greater number of changes were found in nonstructural proteins than in structural proteins. The emergence of DENV-3 genotype I was noted for the first time in Sri Lanka. Continuous monitoring of this newly emerged genotype and other DENV serotypes and genotypes is needed to determine their effects on future outbreaks and understand the molecular epidemiology of dengue.

Neurokinin-1 receptor signaling induces a pro-inflammatory transcriptomic profile in CD16+ monocytes

Neurokinin-1 receptor (NK1R) signaling can be immunomodulatory and it can lead to preferential transmigration of CD14+CD16+ monocytes across the blood brain barrier, potentially promoting the development of inflammatory neurological diseases, such as neuroHIV. To evaluate how NK1R signaling alters monocyte biology, RNA sequencing was used to define NK1R-mediated transcriptional changes in different monocyte subsets. The data show that NK1R activation induces a greater number of changes in CD14+CD16+ monocytes (152 differentially expressed genes), than in CD14+CD16− monocytes (36 genes), including increases in the expression of NF-κB and components of the NLRP3 inflammasome pathway. These results suggest that NK1R may alter the inflammatory state of CD14+CD16+ monocytes, influencing the development of neuroinflammation.

First-Person Accounts of Change Among Young Adults Enrolled in Coordinated Specialty Care for First-Episode Psychosis.

This study investigated how clients of a coordinated specialty care (CSC) program for first-episode psychosis perceived how they changed while attending the program, what the most important changes were, and what mechanisms they believed helped bring about these changes. Study participants were 121 individuals (71 men and 50 women) from 35 CSC programs across 22 U.S. states. Responses to the primary questions of interest were procured through a semistructured interview. Data on the length of time in the CSC program were also obtained. The authors used systematic content analyses to analyze these qualitative data. Participants reported a greater number of changes the longer they had received CSC services. Half of the participants reported improved psychiatric symptoms, and this change was the most important for almost one-third (31%; N=32) of the sample. In addition, 39% (N=45) of participants also reported improved social and interpersonal skills, changes in their attitude to and perspective on life, and more treatment engagement. Participants most frequently endorsed therapy as the mechanism underlying their improvement. Standardized outcome measures allow systematic assessment of clinical and functional status, but they do not provide a nuanced understanding of the underlying mechanisms or the areas of improvement most important to individual clients. The findings reinforce the value of mixed methods in both research and quality improvement efforts as well as for greater integration of patient-selected outcome measures.

Motor improvement requires an increase in presynaptic protein expression and depends on exercise type and age.

The aging process is associated with structural and functional changes in the nervous system. Considering that exercise can improve the quality of life of the elderly, the aim of this study was to evaluate the effects of exercise protocols with different motor demands on synaptic protein expression (i.e., synapsin-I and synaptophysin). Cognitive and motor brain areas and the motor performance of adult and aged animals were analyzed. Adult (7 months old) and aged (18 months old) male Wistar rats were used. Animals were divided into the following groups: treadmill exercise (TE, rhythmic motor activity), acrobatic exercise (AE, complex motor activity) and sedentary (SED, control). The animals were exposed to exercise 3 times per week for 8 weeks. The brains were collected for immunohistochemistry and immunoblotting assays. Our results showed that both types of exercise induced changes in motor performance and synaptic protein expression in adult and aged animals. However, acrobatic exercise promoted a greater number of changes, mainly in the aged animals. In addition, protein expression changes occurred in a greater number of brain areas in the aged animals than in adult animals. There were clear increases in synapsin-I expression in all areas analyzed of aged animals only after acrobatic exercises. On the other hand, synaptophysin increased in the same areas but with both types of exercise. Thus, in general, our data suggest that even at advanced ages, when the aging process is already in progress, initiating physical training may be beneficial to generate neuroplasticity that can improve motor performance.

Calcitriol Supplementation Causes Decreases in Tumorigenic Proteins and Different Proteomic and Metabolomic Signatures in Right versus Left-Sided Colon Cancer.

Vitamin D deficiency is a common problem worldwide. In particular, it is an issue in the Northern Hemisphere where UVB radiation does not penetrate the atmosphere as readily. There is a correlation between vitamin D deficiency and colorectal cancer incidence and mortality. Furthermore, there is strong evidence that cancer of the ascending (right side) colon is different from cancer of the descending (left side) colon in terms of prognosis, tumor differentiation, and polyp type, as well as at the molecular level. Right-side tumors have elevated Wnt signaling and are more likely to relapse, whereas left-side tumors have reduced expression of tumor suppressor genes. This study seeks to understand both the proteomic and metabolomic changes resulting from treatment of the active metabolite of vitamin D, calcitriol, in right-sided and left-sided colon cancer. Our results show that left-sided colon cancer treated with calcitriol has a substantially greater number of changes in both the proteome and the metabolome than right-sided colon cancer. We found that calcitriol treatment in both right-sided and left-sided colon cancer causes a downregulation of ribosomal protein L37 and protein S100A10. Both of these proteins are heavily involved in tumorigenesis, suggesting a possible mechanism for the correlation between low vitamin D levels and colon cancer.

New York State’s Path to Behavioral Health Integration

New York State’s Path to Behavioral Health Integration

Which factors are associated with global cognitive impairment in Wilson's disease?

BackgroundPatients with Wilson's disease (WD) present cognitive impairment, especially in executive functions. Which other factors might be associated with global cognitive decline in these patients remains unclear.ObjectiveTo assess which factors are associated with worse performance on a global cognitive test in patients with WD.MethodsTwenty patients with WD underwent cognitive assessment with the following tests: the Mini-Mental State Examination (MMSE), Dementia Rating Scale (DRS), verbal fluency test, brief cognitive battery, clock drawing test, Frontal Assessment Battery, Stroop test, Wisconsin card sorting test, Hopper test, cubes (WAIS) and the Pfeffer questionnaire. MRI changes were quantified. Patients with poor performance on the DRS were compared to patients with normal performance.ResultsNine patients had a poor performance on the DRS. This group had lower educational level (9.11±3.58× 12.82±3.06) and a greater number of changes on MRI (9.44±2.74× 6.27±2.45). The presence of hyperintensity in the globus pallidus on MRI was more frequent in this group (66.6% vs 9.0%), with OR=5.38 (95% CI 0.85-33.86).ConclusionGlobal cognitive impairment was prevalent in this sample of patients with WD and was associated with low educational level, number of changes on MRI and MRI hyperintensity in the globus pallidus.

Hematological toxicity of carboplatin for gynecological cancer according to body mass index.

The aim of the present study was to analyze how patient weight affects the hematological toxicity of carboplatin and whether this toxicity is more prevalent in overweight patients. We performed a retrospective 2-year study of patients diagnosed with a gynecological cancer and whose treatment regimen contained carboplatin (AUC dose=5 or 6) and paclitaxel (dose=175mg/m(2)) every 3weeks (CP scheme). We recorded all severe hematological events (thrombocytopenia, neutropenia, and/or anemia grade III/IV) according to the CTCAE v4.03, as well as treatment modifications and the need for granulocyte colony-stimulating factors (G-CSF) and/or erythropoietin (EPO) or packed red blood cells (PRBC). Patients with a body mass index (BMI) ≥27kg/m(2) were considered as overweight (OW) and those with a BMI <27kg/m(2) were considered as normal weight (NW). Fifty-two patients met the inclusion criteria (21 patients in the OW group, 31 patients in the NW group). The OW group showed a higher incidence of thrombocytopenia (95% confidence intervals (CI) 1.51-27.72; p<0.02) and anemia (95% CI 1.06-33.63; p<0.05). Moreover, this was reflected in a greater number of changes in the usual CP regimen (95% CI 2.19-44.32; p<0.01). The need for G-CSF and/or EPO/PRBC was also significantly higher in the OW group (95% CI 1.08-12.16; p<0.04). Carboplatin dosing based on real weight in obese patients resulted in increased hematologic toxicity, mainly thrombocytopenia. Dose adjustment based on other descriptors of weight, such as adjusted weight, may be better tolerated by patients. However, future studies are needed to demonstrate not only better safety of carboplatin but also improved survival rates.

Teste melódico de processamento temporal: análise de diferentes formas de respostas

RESUMO Objetivo Avaliar os resultados nas diferentes formas de respostas no teste melódico de ordenação temporal para frequência e duração. Métodos A amostra foi composta por 33 sujeitos, por conveniência, com idade entre 17 e 27 anos, normo-ouvintes, sem queixas de processamento auditivo e de histórico de risco para alterações auditivas, ausência de síndromes ou malformações craniofaciais, deficiência física (manual), bem como de alterações neurológicas e de linguagem e com escolaridade superior a nove anos de estudo. Os sujeitos foram submetidos ao teste de ordenação temporal com tom musical, a saber: Teste de Padrão de Duração (TPD) e Teste de Padrão de Frequência (TPF), aplicados sob três condições de respostas (verbal, humming e motor,) e realizados na mesma data. Para isso, os sujeitos foram solicitados, primeiramente, a reconhecer os estímulos verbalmente, em seguida a caracterizar os estímulos em um padrão imitativo e, por fim, a identificar os estímulos com respostas manuais. Resultados Não houve diferenças significativas entre as três formas de resposta para o TPD e TPF. No entanto, observou-se que, para o TPF, houve maior número de alterações que o TPD, independente da forma de resposta. Ainda, as formas motor e verbal tiveram mais alterações que o humming, no TPF. Conclusão As diferentes formas de respostas (verbal, humming e motor) para os testes TPD e TPF melódicos não alteram o seu resultado.

Effects of Lifestyle Modification on Telomerase Gene Expression in Hypertensive Patients: A Pilot Trial of Stress Reduction and Health Education Programs in African Americans.

BackgroundAfrican Americans suffer from disproportionately high rates of hypertension and cardiovascular disease. Psychosocial stress, lifestyle and telomere dysfunction contribute to the pathogenesis of hypertension and cardiovascular disease. This study evaluated effects of stress reduction and lifestyle modification on blood pressure, telomerase gene expression and lifestyle factors in African Americans.MethodsForty-eight African American men and women with stage I hypertension who participated in a larger randomized controlled trial volunteered for this substudy. These subjects participated in either stress reduction with the Transcendental Meditation technique and a basic health education course (SR) or an extensive health education program (EHE) for 16 weeks. Primary outcomes were telomerase gene expression (hTERT and hTR) and clinic blood pressure. Secondary outcomes included lifestyle-related factors. Data were analyzed for within-group and between-group changes.ResultsBoth groups showed increases in the two measures of telomerase gene expression, hTR mRNA levels (SR: p< 0.001; EHE: p< 0.001) and hTERT mRNA levels (SR: p = 0.055; EHE: p< 0.002). However, no statistically significant between-group changes were observed. Both groups showed reductions in systolic BP. Adjusted changes were SR = -5.7 mm Hg, p< 0.01; EHE = -9.0 mm Hg, p < 0.001 with no statistically significant difference between group difference. There was a significant reduction in diastolic BP in the EHE group (-5.3 mm Hg, p< 0.001) but not in SR (-1.2 mm Hg, p = 0.42); the between-group difference was significant (p = 0.04). The EHE group showed a greater number of changes in lifestyle behaviors.ConclusionIn this pilot trial, both stress reduction (Transcendental Meditation technique plus health education) and extensive health education groups demonstrated increased telomerase gene expression and reduced BP. The association between increased telomerase gene expression and reduced BP observed in this high-risk population suggest hypotheses that telomerase gene expression may either be a biomarker for reduced BP or a mechanism by which stress reduction and lifestyle modification reduces BP.Trial RegistrationClinicalTrials.gov NCT00681200

Proteomic analyses reveal differences in cold acclimation mechanisms in freezing-tolerant and freezing-sensitive cultivars of alfalfa.

Cold acclimation in alfalfa (Medicago sativa L.) plays a crucial role in cold tolerance to harsh winters. To examine the cold acclimation mechanisms in freezing-tolerant alfalfa (ZD) and freezing-sensitive alfalfa (W5), holoproteins, and low-abundance proteins (after the removal of RuBisCO) from leaves were extracted to analyze differences at the protein level. A total of 84 spots were selected, and 67 spots were identified. Of these, the abundance of 49 spots and 24 spots in ZD and W5, respectively, were altered during adaptation to chilling stress. Proteomic results revealed that proteins involved in photosynthesis, protein metabolism, energy metabolism, stress and redox and other proteins were mobilized in adaptation to chilling stress. In ZD, a greater number of changes were observed in proteins, and autologous metabolism and biosynthesis were slowed in response to chilling stress, thereby reducing consumption, allowing for homeostasis. The capability for protein folding and protein biosynthesis in W5 was enhanced, which allows protection against chilling stress. The ability to perceive low temperatures was more sensitive in freezing-tolerant alfalfa compared to freezing-sensitive alfalfa. This proteomics study provides new insights into the cold acclimation mechanism in alfalfa.

Clinical signs of dysphagia in infants with acute viral bronchiolitis

ObjectiveTo determine the occurrence of clinical signs of dysphagia in infants with acute viral bronchiolitis, to compare the respiratory parameters during deglutition, and to ensure the intra- and inter- examiners agreement, as well as to accomplish intra and interexaminators concordance of the clinical evaluation of the deglutition. MethodsThis was a cross-sectional study of 42 infants aged 0-12 months. The clinical evaluation was accompanied by measurements of respiratory rate and pulse oximetry. A score of swallowing disorders was designed to establish associations with other studied variables and to ensure the intra- and interrater agreement of clinical feeding assessments. Caregivers also completed a questionnaire about feeding difficulties. Significance was set at p<0.05. ResultsChanges in the oral phase (prolonged pauses) and pharyngeal phase (wheezing, coughing and gagging) of swallowing were found. A significant increase in respiratory rate between pre- and post-feeding times was found, and it was determined that almost half of the infants had tachypnea. An association was observed between the swallowing disorder scores and a decrease in oxygen saturation. Infants whose caregivers reported feeding difficulties during hospitalization stated a significantly greater number of changes in the swallowing evaluation. The intra-rater agreement was considered to be very good. ConclusionsInfants with acute viral bronchiolitis displayed swallowing disorders in addition to changes in respiratory rate and measures of oxygen saturation. It is suggested, therefore, that infants displaying these risk factors have a higher probability of dysphagia.

Sinais clínicos de disfagia em lactentes com bronquiolite viral aguda

ObjectiveTo determine the occurrence of clinical signs of dysphagia in infants with acute viral bronchiolitis, to compare the respiratory parameters during deglutition, and to ensure the intra- and inter- examiners agreement, as well as to accomplish intra and interexaminators concordance of the clinical evaluation of the deglutition. MethodsThis was a cross-sectional study of 42 infants aged 0-12 months. The clinical evaluation was accompanied by measurements of respiratory rate and pulse oximetry. A score of swallowing disorders was designed to establish associations with other studied variables and to ensure the intra- and interrater agreement of clinical feeding assessments. Caregivers also completed a questionnaire about feeding difficulties. Significance was set at p<0.05. ResultsChanges in the oral phase (prolonged pauses) and pharyngeal phase (wheezing, coughing and gagging) of swallowing were found. A significant increase in respiratory rate between pre- and post-feeding times was found, and it was determined that almost half of the infants had tachypnea. An association was observed between the swallowing disorder scores and a decrease in oxygen saturation. Infants whose caregivers reported feeding difficulties during hospitalization stated a significantly greater number of changes in the swallowing evaluation. The intra-rater agreement was considered to be very good. ConclusionsInfants with acute viral bronchiolitis displayed swallowing disorders in addition to changes in respiratory rate and measures of oxygen saturation. It is suggested, therefore, that infants displaying these risk factors have a higher probability of dysphagia.

Dental School: Balancing Education and Training

Dental students graduating in 2014 will likely be in active practice until 2054. In those forty years, the dental profession will have seen an even greater number of changes than have occurred since 1974. Thus, a dental curriculum needs to prepare graduates to continually reflect on their practice

Time-dilation and time-contraction in an anisochronous and anisometric visual scenery

Several studies show that visual stimuli traveling at higher velocities are overestimated with respect to slower, or stationary, stimuli of equivalent physical duration. This effect-time dilation-relates more in general to several accounts highlighting a quantitative relationship between the amount of changes a stimulus is subject to and the perceived duration: faster stimuli, subject to a greater number of changes in space, lead to overestimated durations of displacement. In the present paper we provide evidence of a new illusory effect, in which the apparent duration of a sensory event is affected by the way a constant number of changes are delivered in time, or in time and space. Participants judged accelerating and decelerating sequences of stationary flickering stimuli (Experiments 1 and 3) and accelerating and decelerating horizontally drifting visual stimuli (Experiment 2) on the fronto-parallel plane. Acceleration and deceleration were achieved by irregular sequencing of events in time (anisochronous flicker rate) or irregular sequencing of events in time and space (anisochronous and/or anisometric drift). Despite being characterized by the same amounts of visual changes, accelerating and decelerating sequences lead to opposite duration biases (underestimation and overestimation errors, respectively). We refer to this effect in terms of ATI: Aniso-Time-Illusion. This bias was observed in both subsecond (760 ms) and suprasecond ranges (1900 ms). These data highlight how the spatio-temporal evolution of dynamic visual events, asides the overall quantity of changes they are subject to, affect the perceived amount of time they require to unfold.