Persistent Occurrence Research Articles

Snow information is required in subcontinental scale predictions of mountain plant distributions

AbstractAimTo examine how snow cover and permafrost affect plant species distributions at a subcontinental extent.LocationMountain realm of Fennoscandia, northern Europe.Time periodSpecies data from 1 January 1990–25 February 2019.Major taxa studiedArctic‐alpine and boreal vascular plants.MethodsWe examined the effect of snow persistence and permafrost occurrence on the distributions of arctic‐alpine and boreal plant species while controlling for climate, topography and geological factors. Data comprised 475,811 observations from 671 species in the Fennoscandian mountains. We investigated the relationships between species distributions and environmental variables using four modelling methods and ensemble modelling building on both non‐spatial and spatial models.ResultsSnow persistence was the most important driver of plant species distributions, with the greatest variable importance for both arctic‐alpine (38.2%) and boreal (49.9%) species. Permafrost had a consistent minor effect on the predicted distributions. Arctic‐alpine plants occur in areas with long snow persistence and permafrost, whereas boreal species showed the opposite habitat preferences.Main conclusionsOur results highlight the importance of snow persistence in driving the distribution of vascular plant species in cold environments at a subcontinental scale. The notable contribution of the cryosphere to plant species distribution models indicates that the inclusion of snow information in particular may improve our understanding and model predictions of biogeographical patterns in cold regions.

Persistent Occurrence of Strip‐Like Plasma Density Bulges at Conjugate Lower‐Mid Latitudes During the September 8–9, 2017 Geomagnetic Storm

AbstractDuring the geomagnetic storm on September 8–9, 2017, shoulder‐like structures were persistently captured in the lower‐mid latitudes at multiple local times, by Swarm and DMSP satellite observations. A more telling terminology of such shoulder‐like structure called strip‐like bulge is proposed in this study, due to its global presence that spanning over 150° in longitude but only over 1°–5° in latitude. The strip‐like bulges can be categorized into sharp and blunt types depending on the sharpness of the density peaks. The blunt type was short‐lived and appeared earlier than the sharp type in the afternoon‐sunset sector. The sharp type was long‐lived and appeared at all the observed local times. Both two types of strip‐like bulges were dominated by the ion composition of the H+/He+, rather than O+. This is the first evidence that the plasmaspheric particles are involved in forming the ionospheric structure at such low latitude. Moreover, the equatorward movement of the bulges shared the same trends with the earthward movement of the plasmapause. These two types of strip‐like bulges showed different longitudinal dependencies controlled by the magnetic declination. We suggest that the combined effects from the plasmaspheric downwelling and disturbance neutral wind were responsible for the appearance of the strip‐like bulges.

Insecticide fipronil and its transformation products in human blood and urine: Assessment of human exposure in general population of China

Fipronil (FP) is widely used as a highly effective insecticide worldwide, thereby raising concern about environmental contamination and risk for human health. However, data on the occurrence of FP and its transformation products (FPs) in human blood and urine are limited. In this study, 39 pairs of serum, plasma, blood cells (BCs), and urine samples were collected from adults in Wuhan, central China (2020), in order to characterize the concentration profiles of FPs in different matrices. FPs were also determined in serum samples (n = 226, including 57, 56, 56, and 57 samples for Wuhan, Huangshi, Nanjing, and Zhenjiang, respectively) collected from four cities of China (2015) to characterize the exposure levels of FPs among the general population and potential spatial variations. Fipronil sulfone (FP-SFO) was 100% detectable in blood samples, and it was the predominant metabolite (accounting for 86–95% of the cumulative concentrations of FPs [ΣFPs]), with the median concentrations (ng/mL) of 0.17, 0.16, and 0.03 in serum (range: 0.07–1.53), plasma (range: 0.06–1.41), and BCs (range: 0.01–0.24), respectively. The compositional profiles of FPs in serum, plasma, and BCs were similar; very strong positive correlations were observed between different blood matrices for FP-SFO (r = 0.94–0.97, p < 0.01) but not between blood and urine. The median ΣFPs (ng/mL) in the serum (0.20; range: 0.09–1.56) and the plasma samples (0.19; range: 0.09–1.43) was higher than that in BCs samples (0.04; range: 0.01–0.24). In the urine samples, only the major metabolite FP-SFO was detectable in approximately 10% of the samples. Additionally, the highest median ΣFPs (ng/mL) in the serum samples was found in Nanjing (0.56; range: 0.13–1.88), followed by Wuhan (0.34; range: 0.06–1.02), Huangshi (0.10; range: 0.03–0.60), and Zhenjiang (0.08; range: 0.02–0.42). The level of ΣFPs seemed to increase with city sizes and urbanization scale, though further studies are needed to confirm the variations with larger sample size. The estimated daily intake of ΣFPs based on the median concentration of samples from Nanjing (18.5 ng/kg-bw/d) was higher than that of Wuhan (11.3), Huangshi (3.40), and Zhenjiang (2.80). Dietary intake should be the major exposure route for the general population, while water or indoor dust accounted for <1% of the ΣFPs intake. This pilot study provided the first data on the profiles of FPs in paired human serum, plasma, BCs, and urine samples, and potential spatial variations of ΣFPs in China. FP-SFO and FP desulfinyl should be considered among priority substances worthy to be bio-monitored in China due to its moderated persistence and ubiquitous occurrence in human blood.

Integrated bio- and carbon isotope stratigraphy of the Campanian–Danian sedimentary succession in Lurestan (Zagros Basin, Iran): Implications for syntectonic facies distribution and basin evolution

In order to investigate the depositional history and facies architecture of the Campanian-Danian interval of the Zagros Basin, the succession of the Gurpi Formation (Fm.) was examined in the Gandab section, southwestern Lurestan Province, through an integrated study of calcareous nannofossils, planktic foraminifera, and bulk carbonate carbon isotopes. Despite the persistent occurrence of reworked fine fraction carbonates as attested by microfossils across the investigated interval, the carbon isotope stratigraphy of Lurestan shows a good correlation with those in the eastern and western Tethys from the Shahneshin section in central Zargos (Fars Province) and Gubbio of northern Apennines in Italy (Gubbio). The succession can be assigned an age range from late Campanian to early Danian based on the integrated stratigraphy. The results from the Gandab section, as well as field observations in more northeasterly areas of Lurestan, point to lateral facies variation of the Campanian–Danian interval associated with tectonic activity during the Late Cretaceous-Paleogene of the Zagros Basin. According to the known distribution of facies across the SW-NE transect of Lurestan and detailed ages delineated in the Gandab section, a schematic model of syntectonic sedimentation and facies distribution is drawn. Our model illustrates how the continental convergence and closure of Neo-Tethys resulted in uplifting/subsiding of the basin floor, shifting in depocenter, significant changes in sedimentary facies, and reworking phenomena in the Lurestan region.

Dynamic reprogramming and function of RNA N6-methyladenosine modification during porcine early embryonic development.

N6-Methyladenosine (m6A) regulates oocyte-to-embryo transition and the reprogramming of somatic cells into induced pluripotent stem cells. However, the role of m6A methylation in porcine early embryonic development and its reprogramming characteristics in somatic cell nuclear transfer (SCNT) embryos are yet to be known. Here, we showed that m6A methylation was essential for normal early embryonic development and its aberrant reprogramming in SCNT embryos. We identified a persistent occurrence of m6A methylation in embryos between 1-cell to blastocyst stages and m6A levels abruptly increased during the morula-to-blastocyst transition. Cycloleucine (methylation inhibitor, 20 mM) treatment efficiently reduced m6A levels, significantly decreased the rates of 4-cell embryos and blastocysts, and disrupted normal lineage allocation. Moreover, cycloleucine treatment also led to higher levels in both apoptosis and autophagy in blastocysts. Furthermore, m6A levels in SCNT embryos at the 4-cell and 8-cell stages were significantly lower than that in parthenogenetic activation (PA) embryos, suggesting an abnormal reprogramming of m6A methylation in SCNT embryos. Correspondingly, expression levels of m6A writers (METTL3 and METTL14) and eraser (FTO) were apparently higher in SCNT 8-cell embryos compared with their PA counterparts. Taken together, these results indicated that aberrant nuclear transfer-mediated reprogramming of m6A methylation was involved in regulating porcine early embryonic development.

The non-indigenous Oithona davisae in a Mediterranean transitional environment: coexistence patterns with competing species

The Venice lagoon (VL) has been recognized as a hot spot of introduction of non-indigenous species (NIS), due to several anthropogenic factors and environmental stressors that combined may facilitate NIS invasions. In the last decades an increasing number of zooplankton NIS have been observed in the VL. This work aims to provide a picture of the annual cycle and distribution of the recently recorded non-indigenous copepod Oithona davisae, considering the coexistence patterns with the congeneric resident Oithona nana. Therefore, zooplankton samplings were carried out monthly from August 2016 to July 2017 at five Long-Term Ecological Research LTER stations in the VL. Oithona davisae showed a persistent occurrence throughout the year with the highest abundances in the warm season and in the inner areas, while the congeneric O. nana, showing a different distribution pattern, resulted more abundant near the inlets of the Lagoon, where O. davisae reached the minimum density. Oithona davisae seems to find local conditions that promote its settlement and distribution, especially in the inner and more trophic lagoon sites. In other European coastal embayments or transitional waters, O. davisae occupied the niche left by the indigenous O. nana or can replace this congeneric species through competitive exclusion mechanisms. Our data indicate that, for now, such species replacement has not occurred in the VL. One of the causes is the extreme variety of habitats and niches offered by this environment allowing a balanced coexistence with O. nana and in general with the resident copepod community.

Regulation of the Mitochondrion-Fatty Acid Axis for the Metabolic Reprogramming of Chlamydia trachomatis during Treatment with β-Lactam Antimicrobials.

Infection with the obligate intracellular bacterium Chlamydia trachomatis is the most common bacterial sexually transmitted disease worldwide. Since no vaccine is available to date, antimicrobial therapy is the only alternative in C. trachomatis infection. However, changes in chlamydial replicative activity and the occurrence of chlamydial persistence caused by diverse stimuli have been proven to impair treatment effectiveness. Here, we report the mechanism for C. trachomatis regulating host signaling processes and mitochondrial function, which can be used for chlamydial metabolic reprogramming during treatment with β-lactam antimicrobials. Activation of signal transducer and activator of transcription 3 (STAT3) is a well-known host response in various bacterial and viral infections. In C. trachomatis infection, inactivation of STAT3 by host protein tyrosine phosphatases increased mitochondrial respiration in both the absence and presence of β-lactam antimicrobials. However, during treatment with β-lactam antimicrobials, C. trachomatis increased the production of citrate as well as the activity of host ATP-citrate lyase involved in fatty acid synthesis. Concomitantly, chlamydial metabolism switched from the tricarboxylic acid cycle to fatty acid synthesis. This metabolic switch was a unique response in treatment with β-lactam antimicrobials and was not observed in gamma interferon (IFN-γ)-induced persistent infection. Inhibition of fatty acid synthesis was able to attenuate β-lactam-induced chlamydial persistence. Our findings highlight the importance of the mitochondrion-fatty acid interplay for the metabolic reprogramming of C. trachomatis during treatment with β-lactam antimicrobials.IMPORTANCE The mitochondrion generates most of the ATP in eukaryotic cells, and its activity is used for controlling the intracellular growth of Chlamydia trachomatis Furthermore, mitochondrial activity is tightly connected to host fatty acid synthesis that is indispensable for chlamydial membrane biogenesis. Phospholipids, which are composed of fatty acids, are the central components of the bacterial membrane and play a crucial role in the protection against antimicrobials. Chlamydial persistence that is induced by various stimuli is clinically relevant. While one of the well-recognized inducers, β-lactam antimicrobials, has been used to characterize chlamydial persistence, little is known about the role of mitochondria in persistent infection. Here, we demonstrate how C. trachomatis undergoes metabolic reprogramming to switch from the tricarboxylic acid cycle to fatty acid synthesis with promoted host mitochondrial activity in response to treatment with β-lactam antimicrobials.

Exploring the Use of Cognitive Approach in Mitigating Unsafe Excreta Disposal in Turkana County, Kenya

We evaluated the influence of induced behavioural change on the community to adopt safe excreta disposal practices. This study was informed by unmerited programs which are majorly provided by most of the health organisations providing sanitary facilities rather than effective use which have failed to reduce the persistent occurrence of waterborne epidemics due to unsafe excreta disposal. Information sought in this survey was from two distinct populations of triggered and non-triggered villages of Turkana County, Kenya. Purposive sampling was used in identifying triggered and non-triggered villages, while systematic random sampling was used to administer structured questionnaires to respondents from identified sample units. From analysed data, the results showed latrine users from triggered villages were many compared with non-triggered villages. Again, the variable of education level, which showed to be critical, suggesting to influence latrine use among rural communities irrespective of the triggers. The parameter estimator of public health extension services and information sharing means from the neighbourhood showed to be statistically significant in influencing adoption and diffusion of health knowledge. In conclusion, involving health experts in knowledge diffusion and scaling up formal education among communities influences the adoption of safe excreta disposal practices. The significance of random factor in the OLS model, explains omitted and/or unobserved variables and existences of unclearly explained variables, informs the need for further investigation.

The Bifurcation Analysis and Persistence of the Food Chain Ecological Model with Toxicant

In this work, the occurrence conditions of both local Bifurcation and persistence were studied, Saddle-node bifurcation appears near fourth point, near the first point, the second point and the third point a transcritical bifurcation occurred but no pitchfork bifurcation happened near any of the four equilibrium points. In addition to study conditions for Hopf-bifurcation near positive stable point that is the fourth point. Besides discuss persistence occurrence as globally property of the food chain of three species include prey, first predator and top predator with impact of toxin in all species and harvesting effect on the predator’s only. Numerical results for the set of hypothetical of parameters come to confirm our analytical results about illustration the occurrence of local bifurcation and persistence of this model.

The tide turns: Episodic and localized cross-contamination of a California coastline with cyanotoxins

The contamination of coastal ecosystems from a variety of toxins of marine algal origin is a common and well-documented situation along the coasts of the United States and globally. The occurrence of toxins originating from cyanobacteria along marine coastlines is much less studied, and little information exists on whether toxins from marine and freshwater sources co-occur regularly. The current study focused on the discharge of cyanotoxins from a coastal lagoon (Santa Clara River Estuary) as a consequence of an extreme tide event (King Tides; December 3–5, 2017) resulting in a breach of the berm separating the lagoon from the ocean. Monthly monitoring in the lagoon throughout 2017 documented more than a dozen co-occurring cyanobacterial genera, as well as multiple algal and cyanobacterial toxins. Biotoxin monitoring before and following the King Tide event using Solid Phase Adsorption Toxin Tracking (SPATT) in the lagoon and along the coast revealed the co-occurrence of microcystins, anatoxin, domoic acid, and other toxins on multiple dates and locations. Domoic acid was ubiquitously present in SPATT deployed in the lagoon and along the coast. Microcystins were also commonly detected in both locations, although the beach berm retained the lagoonal water for much of the year. Mussels collected along the coast contained microcystins in approximately half the samples, particularly following the King Tide event. Anatoxin was observed in SPATT only in late December, following the breach of the berm. Our findings indicate both episodic and persistent occurrence of both cyanotoxins and marine toxins may commonly contaminate coastlines in proximity to cyanobacteria-laden creeks and lagoons.

Forkhead-box A3 (FOXA3) represses cancer stemness and partially potentiates chemosensitivity by targeting metastasis-associated in colon cancer 1 (MACC1) signaling pathway in colorectal cancer cells.

The major challenge to the treatment of advanced colorectal cancer (CRC) is persistent occurrence of chemoresistance. One of the established etiologies is the existence of cancerstem-like cells (CSCs) using which tumors resist to external therapeutic challenges. The forkhead-box A3 (FOXA3) is a potent transcription factor that potentiates the acquisition and maintenance of stemness fate in many physiological systems. However, its effect on cancer stemness, particularly treatment, has not been explored in CRC, forming the basis of the current study. FOXA3 expression in oxaliplatin-resistant CRC tissues and cells was evaluated using RT-qPCR. Effects of FOXA3 manipulation on sensitivity to oxaliplatin were assessed using WST-1, apoptotic ELISA, colony formation and xenograft model. Effects of FOXA3 alteration on CSCs were determined using tumor sphere assay and CD44 staining. Transcriptional regulation of MACC1 by FOXA3 was studied using ChIP, Co-IP and luciferase reporter assay. FOXA3 expression was significantly reduced in tumor samples from oxaliplatin-non-responsive patients compared with that in tumor samples from oxaliplatin-sensitive patients. This downregulation of FOXA3 expression predicted a poor post-chemotherapy overall- or disease-free survival in our 117-patient cohort. FOXA3 down-regulation significantly enhanced cell survival and stem-like properties, thus rendering the CRC cells unresponsiveness to oxaliplatin-induced cell death. Mechanistically, the anti-neoplasic effect of FOXA3 was mediated mainly through transcriptional repression of metastasis-associated in colon cancer 1 (MACC1) in oxaliplatin-resistant CRC cells. Our findings establish FOXA3 as a potent tumor suppressor in CRC, which may disrupt the maintenance of stemness and modulate sensitivity to oxaliplatin by inhibiting the transcription of MACC1 within CRC cells.

Occurrence of persistent atrial fibrillation during pacing for sinus node disease: The influence of His bundle pacing versus managed ventricular pacing.

In patients with sinus node disease (SND), the dual-chamber pacemaker (PM) is programmed in DDDR mode with an algorithm to avoid unnecessary right ventricular (RV) pacing. This pacing mode may prolong PR interval with consequently atrioventricular (AV) asynchrony which is associated with a higher risk of atrial fibrillation (AF). We evaluate whether preserving AV synchrony by setting a fixed AV delay during physiological RV pacing, that is,His bundle pacing (HBP), could reduce the risk of AF occurrence in comparison with a standard pacing mode with an algorithm to avoid unnecessary RV pacing (DDD-VPA). We collected retrospective data from 313 consecutive patients who had undergone PM for SND. The first occurrence of persistent AF (>7 consecutive days) as a function of the pacing mode was evaluated. HBP and DDD-VPA were implemented in 82 and 231 patients, respectively. Persistent AF occurred in 128 (40.9%) patients over a median follow-up of 70 months (67-105). The DDD-VPA pacing mode was significantly correlated with the occurrence of persistent AF only when the basal PR was long (>180 ms). The risk of persistent AF was significantly lower in patients on HBP than in those on DDD-VPA, adjusted HR = .57 (95% CI, .36- .89, p=.014). Other independent predictors of persistent AF occurrence were: A history of AF (HR = 3.91; 95% CI, 2.48-6.19, p = .001), age, and long PR interval (HR = 2.98; 95% CI, 2.00-4.43, p=.001). In SND patients and long basal PR interval, the HBP may reduce the risk of persistent AF in comparison with the DDD-VPA.

Toxoplasmosis in pregnancy: a clinical, diagnostic, and epidemiological study in a referral hospital in Rio de Janeiro, Brazil

Toxoplasmosis in pregnant women can cause significant morbidity and mortality in the fetus, which may be mitigated by early diagnosis and treatment. Social factors have also been related to the risk of developing the congenital form of toxoplasmosis, since some of these factors interfere directly in the quality of prenatal care. This study aimed to describe the clinical, laboratory, and epidemiological data of pregnant women diagnosed with toxoplasmosis and their newborns followed up at a referral hospital in Rio de Janeiro, Brazil. This was descriptive cohort study of 334 pregnant women with toxoplasmosis followed from May 2014 to December 2017. We conducted interviews to assess knowledge about the disease and its preventive measures, analyzed clinical and laboratory data during antenatal visits, and collected data from the newborns’ medical charts. ResultsThis was a predominantly low-income women cohort study, with little schooling, mainly referred from public health services late in pregnancy (178; 53.3%), in the second and third trimesters (286; 85.6%). Diagnosis of acute toxoplasmosis had not been confirmed in 171 cases (51.2%). Out of 183 (54.9%) women who had initiated treatment at the original health services, 45 (24.6%) received an incorrect prescription. Seventy-two amniocenteses were performed, with positive real-time polymerase chain reaction (qPCR) in the amniotic fluid in two cases (2.8%). Congenital toxoplasmosis at birth was identified in eight newborns (5.4%). ConclusionLate referral to specialized medical services, inadequate toxoplasmosis management at the original prenatal care services, and social vulnerabilities are contributing factors to the persistent occurrence of congenital toxoplasmosis cases.

Persistent Bacteriuria and Antibodies Recognizing Curli/eDNA Complexes From Escherichia coli Are Linked to Flares in Systemic Lupus Erythematosus.

Infections contribute to morbidity and mortality in systemic lupus erythematosus (SLE). Uropathogenic Escherichia coli (UPEC) are known to trigger urinary tract infections (UTIs) and form biofilms, which are multicellular communities of bacteria that are strengthened by amyloids such as curli. We previously reported that curli naturally form complexes with bacterial extracellular DNA (eDNA), and these curli/eDNA complexes induce hallmark features of lupus in mouse models. The present study was undertaken to investigate whether anti-curli/eDNA complex antibodies play a role in the pathogenesis of SLE or development of flares in SLE. In total, 96 SLE patients who met at least 4 Systemic Lupus International Collaborating Clinics disease criteria were investigated. Anti-curli/eDNA complex antibodies in the plasma were tested for both IgG and IgA subclasses. Results were compared to that in 54 age-, sex-, and race/ethnicity-matched healthy controls. Correlations of the levels of anti-curli/eDNA antibodies with clinical parameters, lupus disease status, and frequency of bacteriuria were assessed. Anti-curli/eDNA antibodies were detected in the plasma of SLE patients and healthy controls, and their levels correlated with the presence of asymptomatic persistent bacteriuria and occurrence of disease flares in lupus patients. Persistent bacteriuria contained curli-producing UPEC, and this was associated with an inflammatory phenotype. Finally, curli/eDNA complexes cross-reacted with lupus autoantigens, such as double-stranded DNA, in binding autoantibodies. These results suggest that UTIs and persistent bacteriuria are environmental triggers of lupus and its flares. Antibodies against curli/eDNA could serve as a sign of systemic exposure to bacterial products in SLE.

Pathophysiologic Origins of Brachial Plexus Injury.

To analyze the origins and consequences of cases of brachial plexus injuries and their relationship to shoulder dystocia. We conducted a retrospective cohort study and identified all neonates with brachial plexus injury delivered at our institution between March 2012 and July 2019. A review was performed of the maternal and neonatal records of each neonate to identify obstetric antecedents, including the occurrence of shoulder dystocia and persistence of the injury. Experience of the delivering clinician was also examined. Statistical analysis was performed with the Fisher exact test, χ test for trends, and two-tailed t tests. Thirty-three cases of brachial plexus injury were identified in 41,525 deliveries (0.08%). Fourteen (42%) of these cases were not associated with shoulder dystocia; three (9%) followed cesarean delivery. Brachial plexus injury without shoulder dystocia was related to the absence of maternal diabetes, lower birth weights, and a longer second stage of labor. Persistent brachial plexus injury at the time of discharge was seen with equal frequency among neonates with (17/19, 89%, 95% CI 0.52-100%) and without shoulder dystocia (10/14, 71%, 95% CI 34-100%), P=.36). Whether brachial plexus injury was transient or persistent after shoulder dystocia was unrelated to the years of experience of the delivering clinician. Despite ongoing training and simulation, the already low incidence of brachial plexus injury did not decrease over time at our institution. Brachial plexus injury and shoulder dystocia represent two complications of uterine forces driving a fetus through the maternal pelvis in the presence of disproportion between the passage and the shoulder girdle of the passenger. Either or both of these complications may occur, but often are not causally related.

HIV-associated neurocognitive disorder and HIV-associated myelopathy in a patient with a preserved CD4, but high viral load-a rarely reported phenomenon: a case report and literature review

BackgroundDespite widespread use of combination antiretroviral therapy (cART), HIV-associated neurocognitive disorder (HAND) and HIV-associated myelopathy (HAM) are not showing significant reduction in there occurrence. The HAM is a progressive myelopathy that often occur synchronously with severe form of the HAND in patients’ having advanced immunosuppression. However, co-existence of less severe form of the HAND and HAM in patient with relatively preserved CD4 cells is rarely reported clinical entity in post cART era.Case presentationWe report a 16-year old male, acquired HIV infection vertically, was on second line regimen because of virological failure since 3 years. His current CD4 lymphocyte count is 835 cells/uL with viral RNA level of 33,008 copies/mL. Currently presented with progressive forgetfulness, gait imbalance, and a frequent staring episodes without loss of postural tone. Neurological examination was pertinent for cognitive dysfunction with score of 6 on International HIV Dementia Scale (motor speed = 3, psychomotor speed = 2, and memory recall = 1). Lower limbs power is 4−/5, increased deep tendon reflexes, and unsteady gait. Brain MRI revealed diffuse both cortical and white matter T2 and FLAIR hyperintense lesions. Thoracic MRI showed abnormal T2 signal prolongation spanning from mid thoracic cord to conus. Electroencephalography study showed severe generalized slowing with evidence of focal dysrhythmia in bilateral frontotemporal regions. Unremarkable serum vitamin B 12 level (286 ng/mL). Virological failure with the HAND, HAM and seizure was considered. Dolutegravir +3TC + ATV/r regimen and valproate for seizure disorder was started. On 6 months follow up evaluation, he is clinically stable with significant improvement of his symptoms related to seizure disorders and modest improvement of his cognitive dysfunction, as he is now attending his school regularly. However, less improvement was observed reading his gait abnormality.ConclusionThis case supports the current understanding regarding the persistent occurrence of HIV-associated neurocognitive disorder and HIV-associated myelopathy even decades after introduction of cART. Therefore, it’s important to screen HIV+ patients for the HAND and HAM even if they have relatively preserved immunity. Because patient can be easily shifted to ART drugs with better CNS penetrating potential to achieve acceptable virological suppression level, to observe sound clinical improvement.

Persistent warm Mediterranean surface waters during the Roman period

Reconstruction of last millennia Sea Surface Temperature (SST) evolution is challenging due to the difficulty retrieving good resolution marine records and to the several uncertainties in the available proxy tools. In this regard, the Roman Period (1 CE to 500 CE) was particularly relevant in the socio-cultural development of the Mediterranean region while its climatic characteristics remain uncertain. Here we present a new SST reconstruction from the Sicily Channel based in Mg/Ca ratios measured on the planktonic foraminifer Globigerinoides ruber. This new record is framed in the context of other previously published Mediterranean SST records from the Alboran Sea, Minorca Basin and Aegean Sea and also compared to a north Hemisphere temperature reconstruction. The most solid image that emerges of this trans-Mediterranean comparison is the persistent regional occurrence of a distinct warm phase during the Roman Period. This record comparison consistently shows the Roman as the warmest period of the last 2 kyr, about 2 °C warmer than average values for the late centuries for the Sicily and Western Mediterranean regions. After the Roman Period a general cooling trend developed in the region with several minor oscillations. We hypothesis the potential link between this Roman Climatic Optimum and the expansion and subsequent decline of the Roman Empire.

How socialization tactics relate to role clarity, cohesion, and intentions to return in soccer teams

Socialization tactics for integrating newcomers into sport teams can be key to the evolution of relationships within the group and can lead to positive or negative consequences throughout the season. For this reason, across two studies with distinct contexts, we sought to unpack the mechanisms through which socialization tactics are related to group and individual outcomes. Study 1 examined the relation between socialization tactics and cohesion, and examined role clarity as a potential mediator of this relation with 170 national-level soccer players. We observed a strong positive association between socialization tactics and cohesion, with role clarity mediating the relation between socialization tactics and Group Integration – Task. Study 2 analyzed the relation between socialization tactics (measured at T1) and intentions to return (measured at T2), with cohesion perceptions (measured at T1) as a mediator of this relation. Results from the responses of 214 club-level soccer players indicated that that Individual Attractions to the Group–Task helped explain the socialization tactics-intentions to return relation. As the arrival of new team members is a persistent and consequential occurrence for team dynamics in sport, our results provide insight into how socialization tactics relate to a range of key individual athlete perceptions about their sport experiences.

The Health and Welfare of Pigs from the Perspective of Post Mortem Findings in Slaughterhouses.

Simple SummaryThe health and welfare of pigs was evaluated on the basis of the data on patho-anatomic findings obtained during the veterinary examination of pigs slaughtered in slaughterhouses in the Czech Republic in the period from 2010 to 2017. The highest numbers of lesions in organs were found in lungs (finisher pigs 41%, sows 24% and piglets 52%), kidneys (finisher pigs 14%, sows 32% and piglets 15%) and liver (finisher pigs 12%, sows 18% and piglets 19%). The character of most findings was chronic, however, acute findings were also detected. Parasitic lesions were found mainly in finisher pigs (finisher pigs 4%, sows 1% and piglets 1%). Incidence of traumatic lesions (finisher pigs 0.08%, sows 0.14% and piglets 0.15%) was far below the frequency of other findings. Overall, post mortem findings in the slaughterhouses varied among pig categories (p < 0.001). In order to decrease the number of lesions detected post mortem, it is essential to improve health and welfare of pigs on farms and in transit.The health and welfare of pigs was evaluated on the basis of the data on patho-anatomic findings obtained during the veterinary examination of pigs slaughtered in slaughterhouses in the Czech Republic in the period from 2010 to 2017. High numbers of lesions in organs found especially in lungs (finisher pigs 41%, sows 24% and piglets 52%), kidneys (finisher pigs 14%, sows 32% and piglets 15%) and liver (finisher pigs 12%, sows 18% and piglets 19 %) indicate impaired health and welfare of pigs transported for slaughter. The differences in the number of findings between finisher pigs, sows and piglets were statistically significant (p < 0.001). The character of most findings was chronic, which document health and welfare problems occurring on farms as a result of the current pig husbandry. However, acute findings were also detected and indicated processes occurring shortly before and during transport to the slaughterhouse. An important finding is the incidence of parasitic lesions in the liver in finisher pigs (finisher pigs 4%, sows 1% and piglets 1%) that documents persistent occurrence of parasitic invasions on pig farms. Findings of traumatic lesions on limbs in sows and piglets (finisher pigs 0.08%, sows 0.14% and piglets 0.15%) are far below the frequency of the findings in organs; however, their incidence should be further reduced by adjusting the technology of housing, transport and handling. In conclusion, the level of health and related welfare of pigs based on the assessment of post mortem findings in the slaughterhouses vary. Overall, the worst situation is in piglets, followed by sows and the best evaluated are finisher pigs. Post mortem inspection revealed significant numbers of patho-anatomic changes even in pigs considered fit to be transported to the slaughterhouse and slaughtered for human consumption. It is clear that there is still a considerable space for improving the level of health and welfare of the individual categories of pigs.

Best practices for infection prevention in penile prosthesis surgery.

In this review, we synthesize the most current data on strategies for the prevention and reduction of infections in men undergoing penile prosthesis surgery. We highlight important strategies for preventing infections along every step from patient selection, to the preoperative, intraoperative and postoperative states. Over the last decade, significant advances have been made to help minimize penile implant infections, with the most impactful likely being the introduction of antibiotic coated penile implants. Although this has led to infection rates lower than 0.5% being reported in some series, it appears that more virulent organisms are causing a larger share of infections. The change in the microbiology and persistent occurrence of penile implant infections challenges us to develop strategies to target these organisms by using novel antibiotic mixes for irrigation, dips and implant coatings. Equally important is the continual search to identify patient risk factors for the development of infections and the further optimization of the use of oral and intravenous antibiotics. It is likely we will find inspiration by looking at nonurological surgical specialties where implantation of permanent devices is routine.