Inconsistent Reports Research Articles

The value of Coronary Artery Disease - Reporting and Data System (CAD-RADS) in Outcome Prediction of CAD Patients; a Systematic Review and Meta-analysis.

Coronary computed tomographic angiography (CCTA) reporting has traditionally been operator-dependent, and no precise classification is broadly used for reporting Coronary Artery Disease (CAD) severity. The Coronary Artery Disease Reporting and Data Systems (CAD-RADS) was introduced to address the inconsistent CCTA reports. This systematic review with meta-analysis aimed to comprehensively appraise all available studies and draw conclusions on the prognostic value of the CAD-RADS classification system in CAD patients. Online databases of PubMed, Embase, Scopus, and Web of Science were searched until September 19th, 2022, for studies on the value of CAD-RADS categorization for outcome prediction of CAD patients. 16 articles were included in this systematic review, 14 of which had assessed the value of CAD-RADS in the prediction of major adverse cardiovascular events (MACE) and 3 articles investigated the outcome of all-cause mortality. Our analysis demonstrated that all original CAD-RADS categories can be a predictor of MACE [Hazard ratios (HR) ranged from 3.39 to 8.63] and all categories, except CAD-RADS 1, can be a predictor of all-cause mortality (HRs ranged from 1.50 to 3.09). Moreover, higher CAD-RADS categories were associated with an increased hazard ratio for unfavorable outcomes among CAD patients (p for MACE = 0.007 and p for all-cause mortality = 0.018). The evidence demonstrated that the CAD-RADS classification system can be used to predict incidence of MACE and all-cause mortality. This indicates that the implementation of CAD-RADS into clinical practice, besides enhancing the communication between physicians and improving patient care, can also guide physicians in risk assessment of the patients and predicting their prognosis.

Sex/Gender Differences in the Time-Course for the Development of Substance Use Disorder: A Focus on the Telescoping Effect.

Sex/gender effects have been demonstrated for multiple aspects of addiction, with one of the most commonly cited examples being the "telescoping effect" where women meet criteria and/or seek treatment of substance use disorder (SUD) after fewer years of drug use as compared with men. This phenomenon has been reported for multiple drug classes including opioids, psychostimulants, alcohol, and cannabis, as well as nonpharmacological addictions, such as gambling. However, there are some inconsistent reports that show either no difference between men and women or opposite effects and a faster course to addiction in men than women. Thus, the goals of this review are to evaluate evidence for and against the telescoping effect in women and to determine the conditions/populations for which the telescoping effect is most relevant. We also discuss evidence from preclinical studies, which strongly support the validity of the telescoping effect and show that female animals develop addiction-like features (e.g., compulsive drug use, an enhanced motivation for the drug, and enhanced drug-craving/vulnerability to relapse) more readily than male animals. We also discuss biologic factors that may contribute to the telescoping effect, such as ovarian hormones, and its neurobiological basis focusing on the mesolimbic dopamine reward pathway and the corticomesolimbic glutamatergic pathway considering the critical roles these pathways play in the rewarding/reinforcing effects of addictive drugs and SUD. We conclude with future research directions, including intervention strategies to prevent the development of SUD in women. SIGNIFICANCE STATEMENT: One of the most widely cited gender/sex differences in substance use disorder (SUD) is the "telescoping effect," which reflects an accelerated course in women versus men for the development and/or seeking treatment for SUD. This review evaluates evidence for and against a telescoping effect drawing upon data from both clinical and preclinical studies. We also discuss the contribution of biological factors and underlying neurobiological mechanisms and highlight potential targets to prevent the development of SUD in women.

Inconsistent Outcome Reporting in Heart Failure Randomized Controlled Trials

Randomized controlled trials (RCTs) may report outcomes different from those prespecified on trial-registration websites, protocols and statistical analysis plans (SAPs). This study sought to investigate the prevalence and characteristics of heart failure (HF) RCTs that report outcomes different from those prespecified. MEDLINE via PubMed was searched to include phase II-IV HF RCTs in 9 high-impact journals from 2010 to 2020. Outcomes reported in trial publications were compared with prespecified outcomes in protocols, registration websites and SAPs. We used the χ2 or Fisher exact test to analyze correlations between trial characteristics and inconsistencies. Among 216 trials, 32 inconsistencies were observed in 28 trials (13.0%). Among 32 inconsistencies, 2 (6.3%) pertained to omission of prespecified primary outcomes, 4 (12.5%) to omission of prespecified secondary outcomes, 2 (6.3%) to changing prespecified primary outcomes to secondary outcomes, and 2 (6.3%) to changing prespecified secondary outcomes to primary outcomes. Of the inconsistencies, 3 (9.4%) pertained to addition of new primary outcomes, 17 (53.1%) to addition of new secondary outcomes, and 2 (6.3%,) to changes in the timing of assessment of primary outcomes. The majority of the inconsistencies favored statistically significant findings; 78 (36.1%) were registered retrospectively. Single-center recruitment was associated with outcome inconsistencies (β = -0.14; 95% CI, -0.22 - -0.01; P = 0.035). More than 1 in 10 trials reported outcomes inconsistent with those specified in trial registration websites, SAPs and protocols. An action plan is warranted to minimize selective reporting and improve transparency.

Triglyceride and VLDL cholesterol are lower in cognitively healthy individuals with Amyloid pathologies than those without

AbstractBackgroundFramingham, or cardiovascular (CVD) risk score, as a composite score can accurately predict long‐term CVD risk in the general population. General lipid profiles contribute to CVD risk and Alzheimer’s disease (AD) with inconsistent reports: both high and low triglyceride or body mass index (BMI) have been linked with AD risk. However, the knowledge of their contribution to early AD is limited. To study the changes of CVD risk score and lipid in early AD, we explored the CVD risk score and lipid profile risk factors in our aging cohort.MethodWe compared estimated CVD risk score (Erisk) between cognitively healthy (CH, n=137) individuals, in participants with mild cognitive impairment (MCI, n=54), AD (n=42), and other dementia (OD) (n=23). We also compared lipid profile risk factors (BMI, triglyceride, cholesterol, high‐density lipoprotein (HDL) cholesterol, low‐density lipoprotein (LDL) cholesterol, and very low‐density lipoprotein (VLDL) cholesterol). Furthermore, we compared those risk factors in CH participants subgroups with different status of CSF amyloid (A), phospho‐tau (T), and total‐tau (N): between those with AD risk (A+T±N±: ChA+) and those without (ChA‐T‐N‐). Bonferroni correction was used for multiple comparisons.ResultErisk and lipid profiles were not different between CH, MCI, AD, or OD. We observed lower triglyceride and VLDL cholesterol, and marginally lower BMI, in ChA+ group than in ChA‐T‐N‐ group (p<0.008, Fig 1).ConclusionThese pilot results suggest that CH participants with amyloid pathology presented with lower triglyceride and VLDL cholesterol values, and marginally lower BMI. Although these data need to be confirmed in a larger population, our study supports the concept that lower levels of triglycerides, VLDL cholesterol, or BMI may be linked to amyloid pathology in the CH stage. Further studies examining related factors and pathways that contribute to amyloid pathology such as APOE genotype and VLDL‐receptor expression are needed to fully understand the implications of our findings.

Essential oil composition of Curcuma species and drugs from Asia analyzed by headspace solid-phase microextraction coupled with gas chromatography-mass spectrometry.

Essential oils (EOs) comprised of various bioactive compounds have been widely detected in the Curcuma species. Due to the widespread distribution and misidentification of Curcuma species and differences in processing methods, inconsistent reports on major compounds in rhizomes of the same species from different geographical regions are not uncommon. This inconsistency leads to confusion and inaccuracy in compound detection of each species and also hinders comparative study based on EO compositions. The present study aimed to characterize EO compositions of 12 Curcuma species, as well as to detect the compositional variation among different species, and between the plant specimens and their related genetically validated crude drug samples using headspace solid-phase microextraction coupled with gas chromatography-mass spectrometry. The plant specimens of the same species showed similar EO patterns, regardless of introducing from different geographical sources. Based on the similarity of EO compositions, all the specimens and samples were separated into eight main groups: C. longa; C. phaeocaulis, C. aeruginosa and C. zedoaria; C. zanthorrhiza; C. aromatica and C. wenyujin; C. kwangsiensis; C. amada and C. mangga; C. petiolata; C. comosa. From EOs of all the specimens and samples, 54 major compounds were identified, and the eight groups were chemically characterized. Most of the major compounds detected in plant specimens were also observed in crude drug samples, although a few compounds converted or degraded due to processing procedures or over time. Orthogonal partial least squares-discriminant analysis allowed the marker compounds to discriminate each group or each species to be identified.

Inconsistent Adverse Event Reporting: A Systematic Review of Phase 3 Lymphoma or Myeloma Trials Presented at ASH Annual Meetings between 2017-2021

Introduction In recent decades, many novel anticancer therapies have been developed resulting in improved patient outcomes across numerous tumor types - including lymphoid malignancies. However, new treatments and treatment combinations have also introduced new and sometimes serious toxicities. Transparent, objective, and complete toxicity reporting is critical to ensuring patient-centered, evidence-informed care. Unfortunately, subjective terms such as "tolerable” or "acceptable toxicity” are widely used and may normalize high rates of toxicity (Gyawali et al. BMJ 2018). The patterns of toxicity reporting and subjective terminology use in clinical trials presented at major conferences such as ASH, where practice changing data is often first shared, remains largely unknown. We conducted a systematic review of lymphoma and myeloma abstracts presented at ASH annual meetings from 2017-2021 to determine patterns of toxicity reporting and to measure the use of subjective, minimizing language in phase 3 clinical trials. Methods Following an initial pilot phase to characterize common subjective, minimizing language terms, we performed a systematic review of abstracts presented at ASH between 2017 - 2021. We included abstracts of adult or pediatric, phase 3, randomized control trials (RCTs) in lymphoma and multiple myeloma (MM). Abstracts reporting on subset analyses of a larger trial, long-term follow up, supportive care interventions, and non-pharmacological interventions were ineligible. Publication year, study population, treatment, AE/toxicity reporting, and minimizing language were extracted and analyzed. Subjective, minimizing language was defined as the use of: "acceptable", "tolerable", "manageable", "feasible", "favorable", "limited", and "safe". Results 902 abstracts were reviewed, of which 65 met criteria for inclusion (30 lymphoma and 35 myeloma). The characteristics of eligible studies are presented in Table 1. A majority of abstracts reported on systemic therapies, 3 reported on CAR-T (all in lymphoma), and 4 on autologous stem cell transplant, (all in MM). AE reporting was variable. Six abstracts did not provide any information on AE (2 lymphoma and 4 MM). Notably, only 15 (50%) of the lymphoma abstracts and 9 (26%) of the MM abstracts provided information on the occurrence or absence of fatal adverse events. Most abstracts included quantitative data on AE (83% of lymphoma abstracts and 74% of MM): however, the toxicity reporting was not uniform with some trials reporting cumulative and/or specific Common Terminology Criteria for Adverse Events (CTCAE)s, others citing only specific toxicities (e.g., cytopenia), and others reporting only "treatment related” and/or "treatment emergent” AE. Encouragingly, all 3 CAR-T trials presented standardized, quantitative data on cytokine release syndrome (CRS) and neurotoxicity AE. Subjective, minimizing language was used in 37% of abstracts (Table 2). Among those abstracts using subjective minimizing language, 33% provided information on fatal AE rates (Table 2). The rates of fatal AE in the experimental arms ranged from 0.6 - 10%. The rates of > grade 3/SAE experimental arm toxicities in abstracts that used subjective language ranged from 58.7 - 90%. Data on reporting of quality of life, patient reported outcomes, and treatment discontinuation will be presented. Discussion Our systematic review of phase 3, lymphoma and MM RCTs presented at recent ASH Annual Meetings suggests that the use of subjective, minimizing language to describe drug toxicity is common. Moreover, trials using subjective, minimizing language reported relatively high rates of serious, and even fatal, AE. In addition, reporting of AE outcomes was inconsistent and variable across both disease types. Patient-centered, evidence-informed care requires transparent, objective, and complete reporting of benefits and risks of new therapies- including in abstracts which can be practice changing. Implementation of policies to standardize AE reporting, and to discourage use of subjective, minimizing language in conference abstracts should be considered. ^ - co-first authors; # - co-senior authors Figure 1View largeDownload PPTFigure 1View largeDownload PPT Close modal

A systematic review and meta-analysis of the epidemiological characteristics of COVID-19 in children

BackgroundSeveral individual studies from specific countries have reported rising numbers of pediatric COVID-19 cases with inconsistent reports on the clinical symptoms including respiratory and gastrointestinal symptoms as well as diverse reports on the mean age and household exposure in children. The epidemiological characteristics of COVID-19 in children are not fully understood, hence, comprehensive meta-analyses are needed to provide a better understanding of these characteristics.MethodsThis review was conducted in Medline, Scopus, Cochrane library, Embase, Web of Science, and published reports on COVID-19 in children. Data were extracted by two independent researchers and a third researcher resolved disputes. STATA software and the random-effect model were used in the synthesis of our data. For each model, the heterogeneity between studies was estimated using the Q Cochrane test. Heterogeneity and publication bias were calculated using the I2 statistic and Egger’s/Begg’s tests.ResultsThe qualitative systematic review was performed on 32 articles. Furthermore, the meta-analysis estimated an overall rate of involvement at 12% (95% CI: 9–15%) among children, with an I2 of 98.36%. The proportion of household exposure was calculated to be 50.99% (95% CI: 20.80%–80.80%) and the proportion of admitted cases was calculated to be 45% (95% CI: 24%–67%). Additionally, the prevalence of cough, fatigue, fever and dyspnea was calculated to be 25% (95% CI: 0.16–0.36), 9% (95% CI: 0.03–0.18), 33% (95% CI: 0.21–0.47) and 9% (95% CI: 0.04–0.15), respectively. It is estimated that 4% (95% CI: 1–8%) of cases required intensive care unit admission.ConclusionsThe pediatric clinical picture of COVID-19 is not simply a classic respiratory infection, but unusual presentations have been reported. Given the high incidence of household transmission and atypical clinical presentation in children, we strongly recommend their inclusion in research and population-based preventive measures like vaccination as well as clinical trials to ensure efficacy, safety, and tolerability in this age group.

Liver stiffness not fatty liver disease is associated with atrial fibrillation: The Rotterdam study.

Fatty liver disease has become the most prevalent chronic liver disease globally and is linked to cardiovascular disease, including arrhythmias. However, there have been inconsistent reports on the association between fatty liver disease and atrial fibrillation, while the role of liver stiffness in this association remains unclear. Within the Rotterdam Study, a large prospective ongoing cohort, participants attending the abdominal ultrasound program between 2009-2014 were included. Exclusion criteria were no atrial fibrillation data or >20% missing data across analysis variables. Steatosis was assessed by ultrasound, liver stiffness by transient elastography and atrial fibrillation by 12-lead electrocardiograms. Incident atrial fibrillation was based on medical records and complete until 2014. Logistic and Cox-regression were used to quantify associations between fatty liver disease and atrial fibrillation. We included 5,825 participants (aged 69.5±9.1, 42.9% male), 35.7% had steatosis, liver stiffness measurement was available in 73.3%, and 7.0% had prevalent atrial fibrillation. Steatosis was not associated with prevalent atrial fibrillation in fully adjusted models (odds ratio [OR] 0.80; 95% CI 0.62-1.03), findings were consistent for non-alcoholic or metabolic dysfunction-associated fatty liver disease. Liver stiffness was significantly associated with prevalent atrial fibrillation (OR 1.09 per kPa, 95% CI 1.03-1.16); however, this was only persistent among those without steatosis (OR 1.18 per kPa, 95% CI 1.08-1.29). Lastly, no associations were found between steatosis (hazard ratio 0.88; 95% CI 0.59-1.33; follow-up 2.1 [1.1-3.2] years) and incident atrial fibrillation. Fatty liver disease was not associated with prevalent or incident atrial fibrillation, while liver stiffness was significantly associated with atrial fibrillation, especially among those without steatosis. This association might be driven by venous congestion instead of fibrogenesis, but this awaits further validation. We recommend assessing cardiovascular health in participants with high liver stiffness, especially in the absence of overt liver disease. NTR6831. There have been inconsistent reports about thepotential links between fatty liver disease and atrial fibrillation (an irregular and often very fast heart rhythm). Herein, we show that liver stiffness (which is a marker of liver fibrosis), but not fatty liver disease, was associated with a higher prevalence of atrial fibrillation. We hypothesis that atrial fibrillation, rather than fibrosis, may be the cause of increased liver stiffness in participants without overt liver disease.

Interpretation of Informant Discrepancy in School-Based Psychological Assessment of Internalizing and Externalizing Symptoms

Multi-informant reports of student emotional and behavioral problems determine eligibility for school-based services; however, multiple informants often yield inconsistent reports of child concerns. Informant discrepancies are thought to reflect either measurement error or meaningful differences (e.g., situational variation). It is important to understand the source of inconsistencies because informant discrepancy may influence treatment outcome. The current study assessed whether informant discrepancies of internalizing and externalizing symptoms reflect meaningful differences between informants. Parents, teachers, and children ( N = 169; M age = 10.32; 65.1% Black, 30.8% Latino/Hispanic; 66.9% Male) completed the Behavior Assessment System for Children, 2nd Edition (BASC-2). The Operations Triad Model (OTM) guided the data analysis plan to identify the source of informant discrepancy. We predicted that informant discrepancy would reflect meaningful differences, as opposed to measurement error. Parent–teacher reports of hyperactivity, aggression, and anxiety, as well as teacher–child reports of anxiety and hyperactivity, supported the idea that informant discrepancies of internalizing and externalizing symptoms reflected meaningful differences. Implications of these discrepancies for interpretation of results in school-based assessment of emotional and behavioral disorders are discussed.

Oxygen Vacancy Injection on (111) CeO2 Nanocrystal Facets for Efficient H2O2 Detection.

Facet and defect engineering have achieved great success in improving the catalytic performance of CeO2, but the inconsistent reports on the synergistic effect of facet and oxygen vacancy and the lack of investigation on the heavily doped oxygen vacancy keeps it an attractive subject. Inspired by this, CeO2 nanocrystals with selectively exposed crystalline facets (octahedron, cube, sphere, rod) and abundant oxygen vacancies have been synthesized to investigate the synergistic effect of facet and heavily doped oxygen vacancy. The contrasting electrochemical behavior displayed by diverse reduced CeO2 nanocrystals verifies that oxygen vacancy acts distinctly on different facets. The thermodynamically most stable CeO2 octahedron enclosed by heavily doped (111) facets surprisingly exhibited the optimum non-enzymatic H2O2 sensing performance, with a high sensitivity (128.83 µA mM−1 cm−2), a broad linear range (20 µM~13.61 mM), and a low detection limit (1.63 µM). Meanwhile, the sensor presented satisfying selectivity, repeatability, stability, as well as its feasibility in medical disinfectants. Furthermore, the synergistic effect of facet and oxygen vacancy was clarified by the inclined distribution states of oxygen vacancy and the electronic transmission property. This work enlightens prospective research on the synergistic effect of alternative crystal surface engineering strategies.

Rule-based natural language processing for automation of stroke data extraction: a validation study.

Data extraction from radiology free-text reports is time consuming when performed manually. Recently, more automated extraction methods using natural language processing (NLP) are proposed. A previously developed rule-based NLP algorithm showed promise in its ability to extract stroke-related data from radiology reports. We aimed to externally validate the accuracy of CHARTextract, a rule-based NLP algorithm, to extract stroke-related data from free-text radiology reports. Free-text reports of CT angiography (CTA) and perfusion (CTP) studies of consecutive patients with acute ischemic stroke admitted to a regional stroke center for endovascular thrombectomy were analyzed from January 2015 to 2021. Stroke-related variables were manually extracted as reference standard from clinical reports, including proximal and distal anterior circulation occlusion, posterior circulation occlusion, presence of ischemia or hemorrhage, Alberta stroke program early CT score (ASPECTS), and collateral status. These variables were simultaneously extracted using a rule-based NLP algorithm. The NLP algorithm's accuracy, specificity, sensitivity, positive predictive value (PPV), and negative predictive value (NPV) were assessed. The NLP algorithm's accuracy was > 90% for identifying distal anterior occlusion, posterior circulation occlusion, hemorrhage, and ASPECTS. Accuracy was 85%, 74%, and 79% for proximal anterior circulation occlusion, presence of ischemia, and collateral status respectively. The algorithm confirmed the absence of variables from radiology reports with an 87-100% accuracy. Rule-based NLP has a moderate to good performance for stroke-related data extraction from free-text imaging reports. The algorithm's accuracy was affected by inconsistent report styles and lexicon among reporting radiologists.

Determination of Average Coulombic Efficiency for Rechargeable Magnesium Metal Anodes in Prospective Electrolyte Solutions.

The design of electrolyte solutions that permit reversible and efficient Mg metal electrodeposition is one of the most important tasks in the development of rechargeable Mg batteries. Several types of electrolyte solutions for Mg metal anodes have been developed and explored over the last two decades. These investigations have contributed to a better understanding of the Mg deposition and stripping processes. However, the Coulombic efficiency (CE) for reversible electrodeposition reported for these various systems and their performance in comparison to one another remained unclear. We used rigorous electrochemical methods to accurately quantify the average CE of the major electrolyte solutions considered for secondary Mg metal batteries. We demonstrated how changes in the experiential protocols influence CE measurements, resulting in inconsistent reports. Even though exceptional efficiency has been reported for a variety of systems, we discovered that the only candidate that currently meets the 99% CE benchmark during a prolonged cycling procedure is the dichloro-complex, which is a first-generation Grignard-based electrolyte solution. Second- and third-generation Grignard-free and chloride-free solutions showed reasonable CE only when the deposition currents densities were lowered. This comprehensive and systematic investigation will help to create a more accurate treasure map for potential electrolyte solutions for rechargeable Mg metal anodes.

Inconsistent Reporting of Adverse Life Events Is Predicted by Current Internalizing Distress Among Military Service Members.

Accurate measurement of adverse life events is critical for understanding the effects of stressors on health outcomes. However, much of this research uses cross-sectional designs and self-report years after the events take place. The reliability of this retrospective reporting and the individual difference factors associated with inconsistent recall over time are not frequently addressed, especially among military service members. A longitudinal cohort of National Guard service members (n = 801) completed the Deployment Risk and Resilience Inventory-2 Prior Stressors scale and several measures of general well-being, including anxious depressive symptomatology, personal functioning, perceived social support, and overall health at two time points (before and after completion of basic combat training; median 11-month interval). Consistency in reporting the life event items ranged from 69.5% to 99.7%, with an overall Cohen's kappa coefficient of 0.215 for the scale, indicating minimal agreement. Lower well-being scores at Time 1 independently predicted yes-to-no changes in responding, whereas lower well-being scores at Time 2 independently predicted no-to-yes changes in responding. Follow-up mediations were conducted using study measures available only at Time 2. For all study measures, Time 2 well-being independently predicted changes from no-to-yes responding by way of indirect effects through self-reported non-specific internalizing distress and arousal. These findings highlight the confounding effects of fluctuations in current emotional distress on past stressor recall. There is a need for additional caution regarding the use of retrospective self-report of adverse life events in research and clinical practice and greater consideration of current psychological distress at the time of measurement completion.

Differential Inflammatory Responses in Cultured Endothelial Cells Exposed to Two Conjugated Linoleic Acids (CLAs) under a Pro-Inflammatory Condition.

Conjugated linoleic acid (CLA) isomers have been shown to possess anti-atherosclerotic properties, which may be related to the downregulation of inflammatory pathways in different cell types, including endothelial cells (ECs). However, whether different CLA isomers have different actions is not entirely clear, with inconsistent reports to date. Furthermore, in cell culture studies, CLAs have often been used at fairly high concentrations. Whether lower concentrations of CLAs are able to affect EC responses is not clear. The aim of this study was to evaluate the effects of two CLAs (cis-9, trans-11 (CLA9,11) and trans-10, cis-12 (CLA10,12)) on the inflammatory responses of ECs. ECs (EA.hy926 cells) were cultured under standard conditions and exposed to CLAs (1 to 50 μM) for 48 h. Then, the cells were cultured for a further 6 or 24 h with tumour necrosis factor alpha (TNF-α, 1 ng/mL) as an inflammatory stimulant. ECs remained viable after treatments with 1 and 10 μM of each CLA, but not after treatment with 50 μM of CLA10,12. CLAs were incorporated into ECs in a concentration-dependent manner. CLA10,12 increased the levels of ICAM-1, IL-6, and RANTES in the culture medium, while CLA9,11 had null effects. Both CLAs (1 μM) decreased the appearance of NFκB1 mRNA, but only CLA9,11 maintained this downregulation at 10 μM. CLA10,12 had no effect on THP-1 cell adhesion to ECs while significantly decreasing the percentage of ECs expressing ICAM-1 and also levels of ICAM-1 expression per cell when used at 10 µM. Although CLA9,11 did not have any effect on ICAM-1 cell surface expression, it reduced THP-1 cell adhesion to the EA.hy926 cell monolayer at both concentrations. In summary, CLA10,12 showed some pro-inflammatory effects, while CLA9,11 exhibited null or anti-inflammatory effects. The results suggest that each CLA has different effects in ECs under a pro-inflammatory condition, highlighting the need to evaluate the effects of CLA isomers independently.

International interlaboratory comparison of Raman spectroscopic analysis of CVD-grown graphene

There is a pressing need for reliable, reproducible and accurate measurements of graphene’s properties, through international standards, to facilitate industrial growth. However, trustworthy and verified standards require rigorous metrological studies, determining, quantifying and reducing the sources of measurement uncertainty. Towards this effort, we report the procedure and the results of an international interlaboratory comparison (ILC) study, conducted under Versailles Project on Advanced Materials and Standards. This ILC focusses on the comparability of Raman spectroscopy measurements of chemical vapour deposition (CVD) grown graphene using the same measurement protocol across different institutes and laboratories. With data gathered from 17 participants across academia, industry (including instrument manufacturers) and national metrology institutes, this study investigates the measurement uncertainty contributions from both Raman spectroscopy measurements and data analysis procedures, as well as provides solutions for improved accuracy and precision. While many of the reported Raman metrics were relatively consistent, significant and meaningful outliers occurred due to differences in the instruments and data analysis. These variations resulted in inconsistent reports of peak intensity ratios, peak widths and the coverage of graphene. Due to a lack of relative intensity calibration, the relative difference reported in the 2D- and G peak intensity ratios () was up to 200%. It was also shown that the standard deviation for values reported by different software packages, was 15× larger for Lorentzian fit functions than for pseudo-Voigt functions. This study has shown that by adopting a relative intensity calibration and consistent peak fitting and data analysis methodologies, these large, and previously unquantified, variations can be significantly reduced, allowing more reproducible and comparable measurements for the graphene community, supporting fundamental research through to the growing graphene industry worldwide. This project and its findings directly underpin the development of the ISO/IEC standard ‘DTS 21356-2—Nanotechnologies—Structural Characterisation of CVD-grown Graphene’.

“I Value Collaboration but Won’t Get Pushed Around”: Uncovering Tensions in Millennials’ Vocational Anticipatory Socialization

The present research aims to understand why there have been inconsistent reports about millennials’ workplace behaviors by exploring discourses rooted in their vocational anticipatory socialization (VAS). Drawing on focus group interviews with 74 matriculating millennials, four dialectical tensions emerged from their discussions around work: (1) prioritizing self- versus other-oriented values; (2) career progression as flexible versus rigid; (3) managing clear versus blurred relational boundaries; and (4) meaning of work based on self-sufficiency versus self-actualization. Authors discuss the implications of foregrounding tensions in theorizing VAS as processes of making sense of inconsistent messages about work and career, as well as practical considerations regarding millennials’ experience with VAS tensions.

Influences of extractives and thermal modification on the UV resistance of Albizia lebbeck wood

ABSTRACT Thermal modification is a chemical-free process for improving hydrophobicity, dimensional stability, and biological durability of wood. There are inconsistent reports on the UV resistance of thermally modified wood with the majority of studies indicating its vulnerability to UV degradation. This may be due to the natural variability of chemical constituents, particularly extractives, in different wood species. In this study, the UV resistance of sapwood and heartwood of Albizia lebbeck was evaluated to elucidate the role of extractives on photo-stabilisation. A comparison between the extractive rich untreated and heat-treated sapwood and heartwood was carried out. UV resistance was evaluated by exposing modified wood to UV light in an accelerated weathering tester. Untreated sapwood attained dark colour (photoyellowing) upon UV light exposure, whereas thermally modified sapwood showed contrasting behaviour (lightening). Untreated heartwood showed more resistance to photodegradation. Thermally modified heartwood retained its colour for a considerable extent and exhibited good UV resistance than the untreated samples. Results indicate that extractives present in the heartwood of A. lebbeck act as UV absorber to impart substantial UV stability to wood. Furthermore, the enhanced UV resistance of heat-treated heartwood could be due to the accumulation of photostable compounds evolved during the thermal modification of wood.

Transition to conservation agriculture: how tillage intensity and covering affect soil physical parameters

Abstract. Conservation agriculture (CA) relies on the following three key practices to improve agricultural sustainability: crop rotation, reduced tillage, and cover crop usage. Despite known soil physical benefits (reduced soil compaction and strength, enhanced soil porosity, and permeability), inconsistent reports on short-term CA results have limited its adoption in the European agroecosystems. To elucidate the short-term effects, a 3-year field experiment was undertaken in the low-lying Venetian plain (northern Italy). Bulk density (BD), penetration resistance (PR), soil hydraulic saturated conductivity, and sorptivity were used to evaluate soil quality obtained by combining three tillage intensities (conventional tillage – CT; minimum tillage – MT; no tillage – NT) with three winter soil coverings (bare soil – BS; tillage radish cover crop – TR; winter wheat cover crop – WW). Among the tillage methods, CT, on average, reduced BD by 4 % (from 1.48 to 1.42 g cm−3) and PR by 3.1 % (from 1.69 to 1.64 MPa) in the 0–30 cm tilled layer. Across the soil profile, reduced tillage coupled with WW improved soil physical properties even below the tilled layer, as evidenced by root-growth-limiting condition reductions (−11 % in BD values, with BD >1.55 g cm−3, and −7 % in PR values, with PR >2.5 MPa). Soil hydraulic measurements confirmed this positive behaviour; NT combined with either BS or WW produced a soil saturated conductivity of 2.12×10-4 m s−1 (4 times that of all other treatments). Likewise, sorptivity increased in NT combined with BS vs. other treatments (3.64×10-4 m s−1 vs. an all-treatment average of 7.98×10-5 m s−1). Our results suggest that, despite the increase in BD and PR due to reduced tillage, the strategy improved soil functioning and particularly soil hydraulic conductivity. In the short term, the WW cover crop moderately increased physical soil parameters, whereas TR had negligible effects. This study demonstrates that, to quantify CA, several soil physical parameters should be monitored.

Inconsistent Country-Wide Reporting of Adverse Drug Reactions to Antimicrobials in Sierra Leone (2017-2021): A Wake-Up Call to Improve Reporting.

Background: Monitoring of adverse drug reactions (ADRs) to antimicrobials is important, as they can cause life-threatening illness, permanent disabilities, and death. We assessed country-wide ADR reporting on antimicrobials and their outcomes. Methods: A cross-sectional study was conducted using individual case safety reports (ICSRs) entered into the national pharmacovigilance database (VigiFlow) during 2017–2021. Results: Of 566 ICSRs, inconsistent reporting was seen, with the highest reporting in 2017 and 2019 (mass drug campaigns for deworming), zero reporting in 2018 (reasons unknown), and only a handful in 2020 and 2021 (since COVID-19). Of 566 ICSRs, 90% were for antiparasitics (actively reported during mass campaigns), while the rest (passive reporting from health facilities) included 8% antibiotics, 7% antivirals, and 0.2% antifungals. In total, 90% of the reports took >30 days to be entered (median = 165; range 2–420 days), while 44% had <75% of all variables filled in (desired target = 100%). There were 10 serious ADRs, 18 drug withdrawals, and 60% of ADRs affected the gastrointestinal system. The patient outcomes (N-566) were: recovered (59.5%), recovering (35.5%), not recovered (1.4%), death (0.2%), and unknown (3.4%). There was no final ascertainment of ‘recovering’ outcomes. Conclusions: ADR reporting is inconsistent, with delays and incomplete data. This is a wake-up call for introducing active reporting and setting performance targets.

UME6 Is Involved in the Suppression of Basal Transcription of ABC Transporters and Drug Resistance in the ρ+ Cells of Saccharomyces cerevisiae.

In Saccharomyces cerevisiae, the Rpd3L complex contains a histone deacetylase, Rpd3, and the DNA binding proteins, Ume6 and Ash1, and acts as a transcriptional repressor or activator. We previously showed that RPD3 and UME6 are required for the activation of PDR5, which encodes a major efflux pump, and pleiotropic drug resistance (PDR) in ρ0/− cells, which lack mitochondrial DNA. However, there are inconsistent reports regarding whether RPD3 and UME6 are required for Pdr5-mediated PDR in ρ+ cells with mitochondrial DNA. Since PDR5 expression or PDR in the ρ+ cells of the rpd3Δ and ume6Δ mutants have primarily been examined using fermentable media, mixed cultures of ρ+ and ρ0/− cells could be used. Therefore, we examined whether RPD3 and UME6 are required for basal and drug-induced PDR5 transcription and PDR in ρ+ cells using fermentable and nonfermentable media. UME6 suppresses the basal transcription levels of the ABC transporters, including PDR5, and drug resistance in ρ+ cells independent of the carbon source used in the growth medium. In contrast, RPD3 is required for drug resistance but did not interfere with the basal PDR5 mRNA levels. UME6 is also required for the cycloheximide-induced transcription of PDR5 in nonfermentable media but not in fermentable media.