Higher Probability Of Survival Research Articles

Survival analysis of African catfish and Nile tilapia briefly exposed to complex pesticide mixtures

BackgroundPulse exposures are the consequences of the intermittent release of pollutants in the environment. Brief exposure of aquatic organisms to high concentrations of pesticides simultaneously occurs, particularly in small watercourses during high flows. The effects of pulse exposure often include effects occurring during and after the exposure. Despite this, routine toxicity tests procedures often ignore brief exposure scenarios and the role of time in toxicity. We conducted a pulse toxicity test by briefly exposing African catfish and Nile tilapia fingerlings to pesticide mixtures of atrazine, mancozeb, chlorpyrifos, and lambda-cyhalothrin. The study aimed to estimate pesticide mixture interaction in pulse-exposed fish and elucidate the influence of species differences on the response of fish to the pesticide mixture.ResultsDespite the similarity in fingerlings weight, African catfish had a significantly higher survival probability than Nile tilapia after exposure to atrazine-mancozeb mixture. However, the survival probability of African catfish and Nile tilapia fingerlings were similar after exposure to atrazine-chlorpyrifos, atrazine-lambda cyhalothrin, mancozeb-chlorpyrifos, mancozeb-lambda cyhalothrin, chlorpyrifos-lambda cyhalothrin, and quaternary mixture (p > 0.05). The survival probability of exposed fingerlings was significantly lower for continuous than pulse exposure to the mixtures (p < 0.01). Nevertheless, the survival probability of 60 min of pulse exposure to 13.49 mg/L mancozeb-lambda cyhalothrin was similar to continuous exposure for 96 h. Atrazine-mancozeb, atrazine-chlorpyrifos, atrazine-lambda cyhalothrin, mancozeb-chlorpyrifos, mancozeb-lambda cyhalothrin, and the quaternary pesticide mixture were antagonists in African catfish but not in Nile tilapia. At the same time, chlorpyrifos-lambda-cyhalothrin was antagonistic in Nile tilapia but not African catfish.ConclusionsPesticide mixture interaction was antagonist but specie-dependent. Innate intrinsic and extrinsic deterministic factors and, to a limited extent, stochastic processes may have influenced the survival probability of African catfish, and Nile tilapia pulsed exposed to complex pesticide mixtures. Pulse toxicity assessment using survival analysis is relevant in ecotoxicology as it enables the study of factors that can influence pulse toxicity.

Leaf functional traits predict shade tolerant tree performance in cloud forest restoration plantings

Abstract Restoration of tropical montane cloud forest (TMCF) landscapes is urgently required. Assisting the regeneration of endangered and shade tolerant tree species is essential for both the recovery of this vulnerable group and of ecological processes. However, there is limited species‐specific information regarding tree performance under different disturbance conditions with which to implement effective interventions. We assessed the performance of shade tolerant tree seedlings in restoration plantings under different disturbance settings and determined whether leaf mass area (LMA) and leaf dry mass content (LDMC)—functional traits typically associated with resource capture or stress tolerance—could serve as predictors of survival and growth among species. Since conservative leaf morphological traits can maximize survival, we expected species with higher LMA and LDMC to present higher survival. For a set of eight native cloud forest species, a total of 2,202 seedlings were planted in four pastures, five secondary forests and three forests subjected to traditional selective logging, in TMCF landscapes in Eastern Mexico. Seedling survival was high after 3 years: 62% in pastures, 80% in secondary forests and 88% in logged forests. Growth rates were lowest in pastures, followed by secondary forests and highest in logged forests. LMA was a strong predictor of seedling survival in all of the environments; tree species with higher LMA presented greater survival. LDMC was related to seedling survival in the three environments, although to a lesser extent than LMA. In the pastures, higher LMA and LDMC were linked to lower growth. Synthesis and applications. This study supports the potential of shade tolerant tree species in restoration efforts to assist the recovery of this important functional group and to accelerate succession across altered environments. Our results support the notion that conservative leaf functional traits are linked to a higher probability of survival, not only in the shaded understorey, but also under high solar radiation in transformed habitats. Leaf mass area (LMA) in particular is a reliable predictor of seedling survival for shade tolerant species. Species selection based on LMA could thus improve restoration initiative outcomes: tree species with high LMA present higher survival probability and can be introduced into pastures, secondary forests and selectively logged forests.

M6A Regulator-Mediated Methylation Modification Patterns and Tumor Microenvironment Cell-Infiltration Characterization in Head and Neck Cancer.

Background: Recently, RNA modifications have emerged as essential epigenetic regulators of gene expression. However, the mechanism of how RNA N 6-methyladenosine (m6A) modification interacts with tumor microenvironment (TME) infiltration remains obscure. Methods: A total of 876 head and neck cancer samples considering 21 m6A regulators were included and analyzed to determine the m6A modification patterns. These modification patterns were then correlated with TME immune cell-infiltrating characteristics. A scoring system, the m6Ascore, was constructed using principal component analysis algorithms to quantify m6A modification of tumors. Results: Three m6A modification patterns were identified, with TME infiltrating characteristics highly consistent with tumors with three distinct immune phenotypes, including immune-inflamed, immune-exclude, and immune-desert phenotypes. It was demonstrated that the identification of the m6A modification patterns via m6Ascore could predict tumor progression, subtypes, TME stromal activity, variation of relevant genes, and patient prognosis. Low m6Ascore, identified to be an inflamed phenotype, is found to be associated with low stroma activity and tumor mutation burden, high survival probability, increased tumor neoantigen burden, and enhanced response to anti-PD-1/L1 immunotherapy. The therapeutic advantages and clinical benefits of patients with low m6Ascore were further verified in two immunotherapy cohorts. Conclusion: This study identified the significant role that the m6A modification played in the formation of TME characteristics. A more comprehensive understanding of the m6A modification patterns and their correlation with TME infiltration will contribute to the discovery of immunotherapy strategies with better efficacy.

The association between epicardial adipose tissue and prognosis in heart failure with preserved and reduced ejection fraction

Abstract Funding Acknowledgements Type of funding sources: None. Background. Recent evidence shows that increased epicardial adipose tissue (EAT) thickness is associated with metabolic syndrome, microvascular dysfunction and enhanced pericardial restraint. Purpose. We measured echocardiography-derived EAT thickness in a population of heart failure (HF) patients with reduced (HFrEF) and preserved (HFpEF) ejection fraction to examine the relationship between EAT and prognosis at clinical follow-up. Methods. We prospectively enrolled 393 consecutive HF outpatients (205 HFrEF, 188 HFpEF) who had been referred to our hospital due to dyspnoea and/or effort intolerance. We performed a resting clinical and biohumoral evaluation, followed by combined cardiopulmonary-echocardiography exercise stress. We considered a composite endpoint of cardiovascular death and HF-related hospitalization during follow-up. Results. Patients with HFpEF displayed greater EAT thickness (median 8 mm, interquartile range [IQR] 4–12 mm) than HFrEF (median 3 mm, IQR 2–6 mm; p &amp;lt; 0.0001). During a median follow-up of 20.9 months (IQR 15-25 months), 34 cardiovascular deaths and 146 HF hospitalizations were reported, with no significant differences between the two HF phenotypes. EAT was shown to predict adverse events independently from body mass index, waist circumference and other well-established prognostic markers in HF (such as NT-proBNP and peak oxygen consumption). The risk of adverse events increased with increasing EAT thickness in HFpEF and with EAT thinning in HFrEF. Kaplan-Meier analyses for the composite endpoint showed that in HFpEF, the survival probability was significantly lower in patients with thicker EAT than those with thinner EAT. In HFrEF, conversely, patients with increased EAT thickness had a higher survival probability than those with reduced EAT thickness (Figure 1). Conclusion. EAT accumulation is increased in HFpEF compared to HFrEF and carries different prognostic meanings in the two subsets. In HFpEF, EAT thickening portends adverse outcomes, which may be due to the secretion of pro-inflammatory and pro-atherogenic adipokines and increased mechanical restraint. In HFrEF, EAT thinning is associated with a worse prognosis, probably reflecting a more advanced catabolic state (e.g., cardiac cachexia). Larger studies are needed to determine whether or not EAT has a causal role in influencing progression and survival in the different HF phenotypes. Abstract Figure 1

Unique population dynamics of Japanese field vole: Winter breeding and summer population decline

AbstractIt is common knowledge that winter temperatures influence the life history of small mammals. Cold temperatures necessitate increased energy requirements for survival, and recent studies indicate that snow cover can have both negative and positive influences. With each new observation, we develop a more comprehensive understanding of the mechanisms that influence small mammal populations. Here we report on our recent study on Japanese field vole Microtus montebelli, which reaches its peak in population during the early spring and its low during the autumn. To understand the population dynamics of these voles, we conducted a capture‐mark‐recapture survey, then estimated the seasonal abundance, recruit, capture probabilities, and survival probabilities using the Bayesian hierarchical model. We also analyzed the impact of mammalian generalist predator visits on the survival probabilities. Our data indicates that the early spring peak in population is due to intensive winter breeding and the highest survival probabilities during the periods of deep snow cover. When snow cover reaches a certain depth, the circumstances can combine to raise survival probability and favor breeding. During the breeding season in May and June, on the contrary, the survival probability reached its lowest, resulting in a decrease in population despite breeding. The low survival probability between spring and autumn could be attributed to the impact of generalist predators, and low vegetation may have amplified the effect. In summary, the deep snow cover and generalist predators were considered to be the key factors shaping this unique population dynamics in this orchard area.

Structure Optimization of Carbon Nanotubes Based on Swarm Intelligence Algorithm and Evolutionary Computation

Swarm intelligence algorithm is an emerging evolutionary computing technology, which has become the focus of more and more researchers. It has a very special connection with artificial life, especially evolutionary strategies and genetic algorithms. The swarm intelligence algorithms you see include genetic algorithm, particle swarm optimization algorithm, and ant colony algorithm. This part of the content has been supplemented in the article. Evolutionary computing is a group‐oriented random search technology and method produced by simulating the evolutionary process of organisms in nature. Evolutionary computing is based on natural selection strategy: survival of the fittest, elimination of the unfit, and individuals with large fitness values have a higher survival probability than individuals with small fitness values. The purpose of this paper is to study the structure optimization of carbon nanotubes based on swarm intelligence algorithm and evolutionary computation. It is expected to optimize the structure of carbon nanotube materials with the help of intelligent evolution algorithm, so that it can be used in more fields. In this paper, the preparation process and principle of carbon nanotube‐based gas sensors are studied, and the preparation process of the side‐heated gas sensor is selected. This paper focuses on the strain sensing performance of carbon nanotubes, analyzes various parameters that characterize the sensing performance, and proposes feasible technical routes for improvement, optimization and improvement. The experimental results in this paper show that when different proportions of oxides are added, the tensile strength of carbon nanotube materials is increased by about 8%, and the elastic modulus is increased by up to 40%. After adding CNFs, the tensile strength increased by up to 18%, and the elastic modulus increased by up to 50%.

Ethical-professional decision-making in exceptional situations given the Covid-19 pandemic: a scoping review

Objective: to present an overview of the ethical-professional decision-making process in exceptional situations at the beginning of the COVID-19 pandemic. Method: this is a scoping review, including documents published between December&nbsp;2019 and July&nbsp;2020 in the following databases: Google Scholar, PubMed, Scopus, SciELO, CINAHL and BVS. The PRISMA-ScR Checklist was adopted to present the review. Results: a total of 28 documents were selected, organized into five categories: Technical-Medical-Scientific Requirement, Justice and Equality, Health History, Commission for Shared Decision-Making and Severe Respiratory Condition. Conclusion: the criteria indicated to prioritize the care process targeted at critically-ill patients with COVID-19 were as follows: technical-medical-scientific parameters; severity of the clinical condition; older age; being a health professional; presence of incurable underlying diseases; carrying out draws; and patients with a higher survival probability.&nbsp

Ethical-professional decision-making in exceptional situations given the Covid-19 pandemic: a scoping review

Objective: to present an overview of the ethical-professional decision-making process in exceptional situations at the beginning of the COVID-19 pandemic. Method: this is a scoping review, including documents published between December&nbsp;2019 and July&nbsp;2020 in the following databases: Google Scholar, PubMed, Scopus, SciELO, CINAHL and BVS. The PRISMA-ScR Checklist was adopted to present the review. Results: a total of 28 documents were selected, organized into five categories: Technical-Medical-Scientific Requirement, Justice and Equality, Health History, Commission for Shared Decision-Making and Severe Respiratory Condition. Conclusion: the criteria indicated to prioritize the care process targeted at critically-ill patients with COVID-19 were as follows: technical-medical-scientific parameters; severity of the clinical condition; older age; being a health professional; presence of incurable underlying diseases; carrying out draws; and patients with a higher survival probability.&nbsp;

Retracted] Robust Two‐Stage Location Allocation for Emergency Temporary Blood Supply in Postdisaster

Disaster medical rescue in China mainly adopts the “on‐site rescue” model. Whether the location of emergency temporary blood supply sites is reasonable or not directly affects the rescue efficiency. The paper studies the robust location‐allocation for emergency temporary blood supply after disaster. First, the factors of several candidate sites were quantified by the entropy‐based TOPSIS method, and 12 candidate blood supply sites with higher priority were selected according to the evaluation indicators. At the same time, the uncertainty of blood demand at each disaster site increased the difficulty of decision‐making, and then, a robust location model (MIRP) was constructed with minimum cost with time window constraints. It is also constrained by the uncertain demand for blood in three scenarios. Second, the survival probability function was introduced, and the time window limit was given at the minimum cost to maximize the survival probability of the suffered people. Finally, the numerical example experiments demonstrate that the increase in demand uncertainty and survival probability cause the MIRP model to generate more costs. Compared with the three MIRP models, the MIRP‐ellipsoid set model gained better robustness. Also, given the necessary restrictions on the time window, the cost can be reduced by about 13% with the highest survival probability. Decision‐makers can select different combinations of uncertainty levels and demand disturbance ratios and necessary time constraints to obtain the optimal location‐allocation solution according to risk preference and actual conditions.

Nutritional symbionts enhance structural defence against predation and fungal infection in a grain pest beetle.

ABSTRACTMany insects benefit from bacterial symbionts that provide essential nutrients and thereby extend the hosts’ adaptive potential and their ability to cope with challenging environments. However, the implications of nutritional symbioses for the hosts’ defence against natural enemies remain largely unstudied. Here, we investigated whether the cuticle-enhancing nutritional symbiosis of the saw-toothed grain beetle Oryzaephilus surinamensis confers protection against predation and fungal infection. We exposed age-defined symbiotic and symbiont-depleted (aposymbiotic) beetles to two antagonists that must actively penetrate the cuticle for a successful attack: wolf spiders (Lycosidae) and the fungal entomopathogen Beauveria bassiana. While young beetles suffered from high predation and fungal infection rates regardless of symbiont presence, symbiotic beetles were able to escape this period of vulnerability and reach high survival probabilities significantly faster than aposymbiotic beetles. To understand the mechanistic basis of these differences, we conducted a time-series analysis of cuticle development in symbiotic and aposymbiotic beetles by measuring cuticular melanisation and thickness. The results reveal that the symbionts accelerate their host's cuticle formation and thereby enable it to quickly reach a cuticle quality threshold that confers structural protection against predation and fungal infection. Considering the widespread occurrence of cuticle enhancement via symbiont-mediated tyrosine supplementation in beetles and other insects, our findings demonstrate how nutritional symbioses can have important ecological implications reaching beyond the immediate nutrient-provisioning benefits.

Increase in the Complement Activation Product C4d and the Terminal Complement Complex sC5b-9 Is Associated with Disease Severity and a Fatal Outcome in Necrotizing Soft-Tissue Infection

The hyperinflammatory burden is immense in necrotizing soft-tissue infection (NSTI). The complement system is a key during the innate immune response and may be a promising target to reduce the inflammatory response, potentially improving the clinical outcome. However, complement activation and its association to disease severity and survival remain unknown in NSTI. Therefore, we prospectively enrolled patients with NSTI and sampled blood at admission and once daily for the following 3 days. Plasma C4c, C4d, C3bc, and C3dg and the terminal complement complex (TCC) were evaluated using ELISA techniques. In total, 242 patients were included with a median age of 62 years, with a 60% male predominance. All-cause 30-day mortality was 17% (95% confidence interval [CI] 13–23) with a follow-up of >98%. C4c and C3dg were negatively correlated with Simplified Acute Physiology Score II (Rho −0.22, p < 0.001 and Rho −0.17, p = 0.01). Patients with septic shock (n = 114, 47%) had higher levels of baseline TCC than those in non-shock patients (18 vs. 14, p < 0.001). TCC correlated with the Sequential Organ Failure Assessment (SOFA) score (Rho 0.19, p = 0.004). In multivariate Cox regression analysis (adjusted for age, sex, comorbidity, and SOFA score), high baseline C4d (>20 ng/mL) and the combination of high C4d and TCC (>31 arbitrary units/mL) were associated with increased 30-day mortality (hazard ratio [HR] 3.26, 95% CI 1.56–6.81 and HR 5.12, 95% CI 2.15–12.23, respectively). High levels of both C4d and TCC demonstrated a negative predictive value of 0.87. In conclusion, we found that in patients with NSTI, complement activation correlated with the severity of the disease. High baseline C4d and combination of high C4d and TCC are associated with increased 30-day mortality. Low baseline C4d or TCC indicates a higher probability of survival.

Cardiac Transplantation in Danon Disease

Danon disease (DD) is a rare X-linked dominant cardioskeletal myopathy caused by mutations in the lysosome-associated membrane protein-2 (LAMP-2) gene that is usually lethal without cardiac transplantation. The purpose of this study was to characterize post-transplant outcomes in a large cohort of patients with DD who underwent cardiac transplantation. The clinical phenotype and outcome data of patients with DD who underwent cardiac transplantation (n = 38; 19 males and 19 females) were obtained from 8 centers. Study outcomes included graft survival, defined as death or retransplantation, and episodes of acute cellular and antibody-mediated rejection and cardiac allograft vasculopathy at 1 year. Median follow-up time after transplantation for the entire cohort was 4.4 years (IQR: 1.5-12.8 years). The median age at transplant for the cohort was 20.2 years (15.8-27.9 years), with no difference in age between sexes. Median pretransplant left-ventricular ejection fraction for the entire cohort was 30% (range 11%-84%). Males had higher pretransplant aspartate aminotransferase, alanine aminotransferase and creatine phosphokinase levels than females (P < 0.001). There were 2 deaths in the entire cohort and 2 retransplants. There was no difference in actuarial graft survival between males and females (P = 0.8965); the estimated graft survival was 87.1% (95%CI: 63.6%-95.9%) at 5 years. One episode (2.7%) of antibody-mediated rejection, grade 2, and 7 episodes (19%) of acute cellular rejection, grade 2 or 3, were reported in patients who survived to discharge (6 females and 1 male; P = 0.172). Heart transplantation outcomes are acceptable in DD with high probabilities of 5-year graft survival for males and females suggesting that cardiac transplantation is an effective treatment option for DD patients.

Angiogenic factors could help us to define patients obtaining complete response with undetectable minimal residual disease in untreated CLL patients treated by FCR: results from the CLL2010FMP, a FILO study

Angiogenesis is in a constant balance between pro and anti-angiogenic factors. Neoangiogenesis, implicated in metastatic spreading is characterized in solid cancers, but fairly new in chronic lymphocytic leukemia (CLL). We hypothesize that secretion of angiogenic factors could be correlated to the pathogenesis of CLL, and therefore predict the outcome of patients. We investigated concentrations of 22 cytokines and chemokines in 137 non-del 17p B-CLL patients, treated with a fludarabine-cyclophosphamide-rituximab (FCR)-based regimen. We constructed a biomarker index defining different risk groups based on lymphocyte count, the intensity of CD20 antigen on CD19+ cells, Ang-2, and PDGF-BB plasma concentrations at diagnosis. Four groups were defined, exhibiting specific molecular signatures and correlated with progression-free survival of patients. Our results suggest that we can determine at diagnosis of non-del 17p B-CLL patients, those with a very high probability of progression-free survival, independently of IGVH mutational status and residual disease at the end of treatment.

Kdr genotyping (V1016I, F1534C) of the Nav channel of Aedes aegypti (L.) mosquito populations in Harris County (Houston), Texas, USA, after Permanone 31-66 field tests and its influence on probability of survival.

Aedes aegypti (L.) is an important mosquito vector of emerging arboviruses such as Zika, dengue, yellow fever, and chikungunya. To quell potential disease outbreaks, its populations are controlled by applying pyrethroid insecticides, which selection pressure may lead to the development of insecticide resistance. Target site insensitivity to pyrethroids caused by non-synonymous knockdown resistance (kdr) mutations in the voltage-gated sodium (NaV) channel is a predominant mechanism of resistance in mosquitoes. To evaluate the potential impact of pyrethroid resistance on vector control, Ae. aegypti eggs were collected from eight mosquito control operational areas in Harris County, Texas, and emerged females were treated in field tests at four different distances from the pyrethroid Permanone 31–66 source. The females were genotyped by melting curve analyses to detect two kdr mutations (V1016I and F1534C) in the NaV channel. Harris County females had higher survivorship rates at each distance than the pyrethroid-susceptible Orlando strain females. Survivorship increased with distance from the pyrethroid source, with 39% of field-collected mosquitoes surviving at 7.62 m and 82.3% at 22.86 m from the treatment source. Both the V1016I and F1534C pyrethroid resistant genotypes were widely distributed and at high frequency, with 77% of the females being double homozygous resistant (II/CC), this being the first report of kdr mutations in Ae. aegypti in Harris County. Analysis of the probability of survival for each mutation site independently indicated that the CC genotype had similar probability of survival as the FC heterozygous, while the II genotype had higher survival than both the VI and VV, that did not differ. The double homozygous resistant genotype (II/CC) had the highest probability of survival. A linear model estimated probability of survival for areas and genotypes. The high frequency and widespread distribution of double-homozygote pyrethroid-resistant Ae. aegypti may jeopardize disease vector control efforts in Harris County.

CHARACTERISTICS AND OUTCOME OF T(8;21)-POSITIVE CHILDHOOD ACUTE MYELOID LEUKEMIA: A SINGLE INSTITUTION'S EXPERIENCE

Compared with other cytogenetic acute myeloid leukemia (AML) groups, patients with core-binding factor AML (CBF-AML) are considered as a favorable AML risk group based on their high remission rate and survival probabilities. However, up to 30-40% of these patients can still relapse after standard intensive induction and consolidation chemotherapy. From 2004 to 2020, 147 AML patients reviewed. Ten of 147 patients were followed up with t(8;21) chromosomal anomaly. The t(8;21)(q22;q22) was detected by reverse transcription polymerase chain reaction (RT-PCR) and/or floresan in situ hibridizasyon (FISH). We analyzed patients’ demographic data: sex, white blood cell count at diagnosis, central nervous system status, additional cytogenetic anomaly and recurrence rates, stem cell transplant status and survival rates. Two of 10 patients were female. The median age was 10 years (3-17 years). Median followup was 36 months (2-114 months). The mean white blood cell count of 10 patients was 21.5 (× 109/l) at diagnosis. One out of 10 patients had granulocytic sarcoma and 2 had central nervous system involvement. Additional cytogenetic anomalies were detected in 90% of the patients, of which 2 relapsed and 3 died. One patient received hematopoietic stem cell transplantation and died because of HSCT complications. Recent studies show that CBF-AML includes different groups with different clinical outcomes. We found that 50% of our patients achieved complete remission and 50% experienced relapsed disease or death. After we were able to monitor the t(8;21) level with RT-PCR, we diagnosed relapsed disease in 1 patient with additional cytogenetic anomaly. RT-PCR is essential for optimal handling of these patients to predict patients’ relapse risk and to detect minimal residual disease.

Study on the Impact of Antioxidant on the FLASH Effect With 6 MeV X-Ray

Purpose/Objective(s)Recent studies reported that the ultra-high dose rate (FLASH) irradiation induced less healthy tissue damages compared with conventional dose rate (CONV) irradiation, this phenomenon was referred to as the FLASH effect and the underlying mechanism remains elusive. This work aims to investigate the impact of antioxidants on the FLASH effect.Materials/MethodsBALB/c nude mice were treated with the antioxidant N-Acetylcysteine (NAC) and received whole abdominal 6 MeV X-ray FLASH (> 150 Gy/s) or CONV (0.2 Gy/s) irradiation. The prescribed doses were 16 Gy (lethal dose) and 10 Gy (non-lethal dose). EBT3 films were used to confirm the dose. Mice were sacrificed 24 h post-irradiation (pi) to study acute tissue responses or followed up to 6 weeks to look at late-stage responses and the survival probability. Whole blood count, cytokine expression, histologic analysis, and TUNEL assay of intestine were used performed.ResultsMice that received FLASH irradiation had a higher survival probability 6 weeks pi, and less acute and late-stage intestine damages compared to CONV irradiation. For mice that received FLASH irradiation, there are no statistically significant differences in whole blood count, survival probability and intestine damages between NAC treated group and the non-NAC treated group. However, for mice who received CONV irradiation, mice treated with NAC had significantly lower survival probability, more white blood cells, lymphocytes, and neutrophils compared to those not treated with NAC.Conclusion6 MeV X-ray FLASH irradiation can spare healthy tissues compared to CONV irradiation. Administration of antioxidant lead to more radiation induced damages under CONV irradiation but no statistic significant impact on the tissue response to FLASH irradiation. More (ongoing) experiments should be performed to study the role of antioxidants in the FLASH effect. Recent studies reported that the ultra-high dose rate (FLASH) irradiation induced less healthy tissue damages compared with conventional dose rate (CONV) irradiation, this phenomenon was referred to as the FLASH effect and the underlying mechanism remains elusive. This work aims to investigate the impact of antioxidants on the FLASH effect. BALB/c nude mice were treated with the antioxidant N-Acetylcysteine (NAC) and received whole abdominal 6 MeV X-ray FLASH (> 150 Gy/s) or CONV (0.2 Gy/s) irradiation. The prescribed doses were 16 Gy (lethal dose) and 10 Gy (non-lethal dose). EBT3 films were used to confirm the dose. Mice were sacrificed 24 h post-irradiation (pi) to study acute tissue responses or followed up to 6 weeks to look at late-stage responses and the survival probability. Whole blood count, cytokine expression, histologic analysis, and TUNEL assay of intestine were used performed. Mice that received FLASH irradiation had a higher survival probability 6 weeks pi, and less acute and late-stage intestine damages compared to CONV irradiation. For mice that received FLASH irradiation, there are no statistically significant differences in whole blood count, survival probability and intestine damages between NAC treated group and the non-NAC treated group. However, for mice who received CONV irradiation, mice treated with NAC had significantly lower survival probability, more white blood cells, lymphocytes, and neutrophils compared to those not treated with NAC. 6 MeV X-ray FLASH irradiation can spare healthy tissues compared to CONV irradiation. Administration of antioxidant lead to more radiation induced damages under CONV irradiation but no statistic significant impact on the tissue response to FLASH irradiation. More (ongoing) experiments should be performed to study the role of antioxidants in the FLASH effect.

The early maternal environment shapes the parental response to offspring UV ornamentation

Parents allocate resources to offspring to increase their survival and to maximize their own fitness, while this investment implies costs to their condition and future reproduction. Parents are hence expected to optimally allocate their resources. They should invest equally in all their offspring under good conditions, but when parental capacity is limited, parents should invest in the offspring with the highest probability of survival. Such parental favouritism is facilitated by the fact that offspring have evolved condition-dependent traits to signal their quality to parents. In this study we explore whether the parental response to an offspring quality signal depends on the intrinsic capacity of the parents, here the female. We first manipulated the intrinsic capacity of blue tit (Cyanistes caeruleus) females through lutein-supplementation during egg laying, and we subsequently blocked the UV/yellow reflectance of breast feathers on half of the nestlings in each brood. We did not find evidence that the female intrinsic capacity shaped parental feeding or sibling competition according to offspring UV/yellow colouration. However, nestling UV/yellow colour affected costly behavioural interactions in the form of prey-testings (when a parent places a prey item into a nestling’s gape but removes it again). In lutein-supplemented nests, fathers but not mothers favoured UV-blocked chicks by testing them less often, supporting previous results. Accordingly, in lutein-supplemented nests, UV-blocked nestlings gained more mass than their siblings, while in control nests we found the opposite effect and UV-blocked nestlings gained less. Our results emphasize that the prenatal environment shaped the role of offspring UV/yellow colour during certain family interactions and are indicative for sex-specific parental care strategies.

Mortality Reduction in ICU-Admitted COVID-19 Patients in Suriname after Treatment with Convalescent Plasma Acquired Via Gravity Filtration

Introduction: Although convalescent plasma (CP) treatment is a potential therapeutic option for patients with COVID-19, there is a paucity of data from intensive care unit (ICU) patients with COVID-19 in low-resource settings, such as Suriname. CP was produced by a novel gravity-based filtration method. Methods: In an open-label, multi-center, non-randomized prospective clinical trial, patients with severe or life- threatening COVID-19 symptoms (n=28) with CP treatment were compared with standard treatment alone (n=50). A pre-planned interim analysis is reported. The primary endpoint was a 28-day ICU mortality. Secondary endpoints were changes two days after treatment initiation in pulmonary oxygen exchange capacity (PF ratio) and chest x-ray (CXR) score. Results: Mortality occurred in 18% (CP: 5/28) vs. 36% (Control:18/50). CP treatment of severe COVID-19 resulted in a higher probability of survival, with a hazard ratio (HR) of 0.22 (95% CI, 0.074-0.067), correcting for age, the presence of diabetes and COVID-19 severity. In the severe group, CP resulted in an improved CXR score (P = 0.0013) and increase in PF ratio (P = 0.011) as compared to standard therapy. The gravity-based plasmapheresis method used for CP production was well-tolerated and no adverse events were observed in the donors. Discussion: CP therapy in combination with standard treatment resulted in 78% reduction of 28-day ICU mortality (HR = 0.22) compared to standard treatment alone. Both CXR-score and PF ratio changes represent effective indicators for the treatment effect of CP after two days. The novel CP production method was effective and represents a practical solution for Low- and middle-income countries to produce CP.

A complete check-up of European eel after eight years of restocking in an upland river: Trends in growth, lipid content, sex ratio and health status

By combining field research and careful laboratory analysis of samples over the course of an eight-year study, we met the challenge of assessing the life history traits and health status of eels restocked in freshwater ecosystems. We found that restocked eels exhibited good growth performance; moreover, the stocks were female-dominated, showed a good Fulton's condition factor (K) and lipid stores and had high survival probability estimated using the best model of Jolly-Seber stock assessment method for open populations. A necropsy revealed the absence of internal lesions. A swim bladder examination revealed the absence of the parasite Anguillicola crassus. Polymerase chain reaction (PCR) analyses revealed an increase of Anguillid herpesvirus-1 (AngHV-1) prevalence throughout the study. Most positive subjects expressed viral loads compatible with a latent infection and correlated positively with K. All restocked eels were contaminated by at least one of the organic pollutant congeners studied, but the pollution loads corresponded to the lowest range of pollutant concentrations reported in the available literature for European eels and did not exceed the maximum residue and contaminant limits in food and feed of several national and international regulations. Pollutant loads were negatively correlated with K, lipid content and eel density for polychlorinated biphenyls PCB 138, 153 and 180 and K for pesticides p.p’-DDE, p.p’-DDD, p.p’-DDT and PBDE47. This study highlights the potential role played by upland aquatic ecosystems in enhancing riverine silver eel production from the perspective of species conservation. To be successful, restocking must be accompanied by improved ecosystem quality and migration routes for eels in inland freshwaters. We also provide some recommendations for future research to improve the management of restocking programmes.

Prognostic significance of epicardial adipose tissue in heart failure with preserved and reduced ejection fraction

Abstract Background Increased epicardial adipose tissue (EAT) thickness correlates with metabolic syndrome, insulin resistance, microvascular dysfunction and enhanced pericardial restraint. Purpose We measured echocardiographic EAT thickness in heart failure (HF) patients with reduced (HFrEF) or preserved (HFpEF) ejection fraction to determine whether EAT could bear prognostic significance at clinical follow-up. Methods We prospectively enrolled 393 consecutive HF outpatients (205 HFrEF, 188 HFpEF) referred to our hospital due to dyspnoea and/or effort intolerance. We performed a resting clinical and biohumoral evaluation, followed by combined cardiopulmonary-echocardiography exercise stress. A composite of cardiovascular death and HF-related hospitalization was chosen as endpoint during follow-up. Results Patients with HFpEF displayed higher EAT thickness (median 8 mm, interquartile range [IQR] 4–12 mm) than HFrEF (median 3 mm, IQR 2–6 mm; p&amp;lt;0.0001). During a median follow-up of 20.9 months (IQR 15–25 months), we reported 34 cardiovascular deaths and 146 HF hospitalizations, with no significant differences between the two HF subsets. EAT predicted adverse events independently from body mass index and well-established markers of poor prognosis (e.g., NT-proBNP, peak oxygen consumption). The risk of adverse events increased with increasing EAT thickness in HFpEF and with EAT thinning in HFrEF. Kaplan-Meier analyses for the composite endpoint showed that in HFpEF, the survival probability was significantly lower in patients with thicker EAT than those with thinner EAT. In HFrEF, conversely, patients with thicker EAT had a higher survival probability than those with reduced EAT thickness (Figure 1). Conclusion EAT accumulation is more marked in HFpEF than HFrEF and carries different prognostic meanings in the two subsets. In HFpEF, EAT thickening portends adverse outcome, which may be due to increased mechanical restraint and secretion of pro-inflammatory and pro-atherogenic adipokines. In HFrEF, greater EAT thickness seems to have a protective role, while EAT thinning is associated with a worse prognosis, likely reflecting a catabolic state (i.e. cardiac cachexia). Larger studies will clarify whether EAT is a bystander or an active player in the different HF phenotypes. Funding Acknowledgement Type of funding sources: None. Figure 1