Recovery Phase Research Articles

A Synoptic‐Dynamic View of the Millennium Drought (2001–2009) in Southeastern Australia

AbstractAustralia has had several severe droughts in its recent history. Most studies have linked these droughts to large‐scale modes of variability, whereas few studies have investigated droughts from the perspective of weather systems. The current study examines a wide range of weather systems focusing especially on heavy rainfall events, which are important to meteorological drought. Two distinct phases (development and recovery) are identified for the Millennium Drought based on the cumulative standardized precipitation index. Differences in precipitation from heavy rainfall events between the two drought phases are most pronounced in autumn and summer. The pronounced reduction in precipitation from autumn heavy rainfall events during the development phase is due to fewer, less intense, faster‐moving warm conveyor belts. In contrast, increased precipitation from autumn heavy rainfall events in the recovery phase is explained by an interaction between warm conveyor belts and upper‐level anticyclonic potential vorticity with a persistent anticyclonic circulation over the Tasman Sea acting to slow the eastward propagation of rainfall‐producing weather systems. In summer, however, the difference in precipitation from heavy rainfall events in the two drought phases is due to changed moisture content within warm conveyor belts. In the recovery phase, the higher moisture content is associated with greater moisture transport over the Tasman Sea between Australia and New Zealand.

Assessing Project Resilience Through Reference Class Forecasting and Radial Basis Function Neural Network

A project needs to be able to anticipate potential threats, respond effectively to adverse events, and adapt to environmental changes. This overall capability is known as project resilience. In order to make efficient project decisions when the project is subjected to disruption, such as adjusting the project budget, reformulating the work plan, and rationalizing the allocation of resources, it is necessary to quantitatively understand the level of project resilience. Therefore, this paper develops a novel approach for forecasting project performance, illustrating the changes in performance levels during the disruption and recovery phases of a project and thus quantitatively assessing project resilience. While there are several methods for assessing project resilience in existing research, the majority of assessment approaches originate from within projects and are highly subjective, which makes it difficult to objectively reflect the level of project resilience. Moreover, the availability of project samples is limited, which makes it difficult to forecast the level of project performance. In view of the fact that the Reference Class Forecasting (RCF) technique avoids subjectivity and the Radial Basis Function (RBF) neural network is known to be better at forecasting small sample datasets, this paper therefore combines the RCF technique and the RBF neural network to construct a model that forecasts the project performance of the current project after experiencing a disruption, further assessing the level of the project resilience. Specifically, this paper first presents a conceptual model of project resilience assessment; subsequently, an RBF neural network model that takes into account project budget, duration, risk level of disruption, and performance before disruption based on the RCF technique is developed to forecast project performance after experiencing disruption; and finally, the level of project resilience is assessed through calculating the ratio of recovery to loss of project performance. The model is trained and validated using 64 completed construction projects with disruptions as the datasets. The results show that the average relative errors between the forecast results of schedule performance index (SPI) and the real values are less than 5%, and the R2 of the training set and the testing set is 0.991 and 0.964, respectively, and the discrepancy between the forecasted and real values of project resilience is less than 10%. These illustrate that the model performs well and is feasible for quantifying the level of project resilience, clarifying its impact on project disruption and recovery situations, and facilitating the decision-makers of the project to make reasonable decisions.

The Electroencephalogram (EEG) Study for Estimating Endurance Sports Performance Base on Eigenvalues Extraction Method

Objectives. Brain–behavior connections are a new means to evaluate sports performance. This electroencephalogram (EEG) study aims to estimate endurance exercise performance by investigating eigenvalue trends and comparing their sensitivity and linearity. Methods. Twenty-three cross-country skiers completed endurance cycling tasks. Twenty-four-channel full-brain EEG signals were recorded in the motor phase and recovery phase continuously. Eighteen EEG eigenvalues calculation methods were collected, commonly used in previous research. Time-frequency, band power, and nonlinear analyses were used to calculate the EEG eigenvalues. Their regression coefficients and correlation coefficients were calculated and compared, with the linear regression method. Results. The time-frequency eigenvalues shift slightly throughout the test. The power eigenvalues changed significantly before and after motor and recovery, but the linearity was not satisfactory. The sensitivity and linearity of the nonlinear eigenvalues were stronger than the other eigenvalues. Of all eigenvalues, Shannon entropy showed completely non-overlapping distribution intervals in the regression coefficients of the two phases, which were −0.1474 ± 0.0806 s−1 in the motor phase and 0.2560 ± 0.1365 s−1 in the recovery phase. Shannon entropy amplitude decreased more in the F region of the brain than in the other regions. Additionally, the higher the level of sport, the slower the decline in Shannon entropy of the athlete. Conclusions. The Shannon entropy method provided more accurate estimations for endurance exercise performance compared to other eigenvalues.

Abstract 4139170: Relationship between hemodynamics and oxygen consumption in hypertrophic cardiomyopathy during maximal stress testing

Background: Hypertrophic cardiomyopathy (HCM) is a global heart disease with great variability in disease severity, which can lead to significant impairment of exercise capacity. In healthy populations, oxygen consumption is related to cardiac output and arteriovenous oxygen difference. We sought to determine the relationship between hemodynamics (cardiac output and stroke volume) and oxygen consumption in HCM compared to healthy controls during maximal stress testing. Aims: To evaluate associations between the trajectories of hemodynamic function and oxygen consumption in HCM compared to healthy controls. Methods: Twenty individuals with HCM (51±15 years old, body mass index (BMI): 28±3 kg/m 2 , females, n=4) and 16 healthy controls (66±7 years old, 27±6 kg/m 2 , females, n=6) were included in the present study. Participants completed a maximal-graded stress test coupled with non-invasive hemodynamic bioreactance (cardiac output, stroke volume) and gas exchange (oxygen consumption, VO 2 ) measurements. Data were analyzed in quartiles (exercise only) and phases (rest, pre-pedalling, exercise and recovery) of the maximal-graded stress test. Results: In HCM, cardiac output declined in the fourth quartile of the exercise phase of the stress test (-0.39 L/min, p <0.001) whilst VO 2 increased (3.86 ml/kg/min, p <0.001). There was a significant difference in the gradient of cardiac output between HCM and controls in the final quartile of the test (-1.6 vs. 18.1 L/min, p<0.001). In coherence, stroke volume declined in the fourth quartile of the test (-18.4 ml, p <0.01) in response to increasing VO 2 in HCM. The rates of recovery were faster in HCM compared to the control group for VO 2 (-4.3 vs -2.6 mL/second, p<0.001), cardiac output (-0.03 vs -0.02 L/second, p<0.001), heart rate (-0.17 vs -0.10 beats/second, p<0.001), and stroke volume (-0.18 vs -0.07 L/second, p<0.001). Conclusions: In HCM, cardiac output declined during the later stages of maximal stress testing whereas in controls it continued to rise, indicating impaired maximal cardiac output responses to exercise. These findings have implications for exercise prescription and training regimens in HCM suggesting avoidance of maximal exercise levels.

An Improved Machine Learning Framework Considering Spatiotemporal Heterogeneity for Analyzing the Relationship Between Subway Station-Level Passenger Flow Resilience and Land Use-Related Built Environment

The COVID-19 pandemic and similar public health emergencies have significantly impacted global travel patterns. Analyzing the recovery characteristics of subway station-level passenger flow during the pandemic recovery phase can offer unique insights into public transportation operations and guide practical planning efforts. This pioneering study constructs a station-level passenger flow recovery resilience (PFRR) index during the rapid recovery phase using subway AFC system swipe data. Additionally, it develops an analytical framework based on a multiscale geographically weighted regression (MGWR) model, the improved gray wolf optimization with Levy flight (LGWO), and light gradient boosting machine (LightGBM) regression to analyze passenger flow resilience on weekdays and weekends in relation to land use-related built environment types. Finally, SHAP attribution analysis is used to study the nonlinear relationships between built environment variables and PFRR index. The results show significant spatial heterogeneity in the impact of commercial, recreational, and residential land, as well as POI (points of interest) of leisure and shopping on PFRR. On weekdays, the most relevant built environment variables for PFRR are POI of enterprises and shopping numbers. In contrast, the contribution of built environment variables affecting PFRR of weekend is more balanced, reflecting the recovery of non-essential travel on weekends. Most land use-related built environment variables exhibit nonlinear associations with PFRR values. The proposed analytical framework shows significant performance advantages over other baseline models. This study provides unique insights into subway passenger flow characteristics and surrounding land use-related development layouts under the impact of public health emergencies.

Integrating physiotherapists in disaster management: A key to comprehensive recovery

Abstract Disasters, both natural and man-made, pose significant challenges, causing substantial loss of life, property damage, and environmental degradation. Physiotherapists play a crucial role in disaster management, spanning prevention, preparedness, response, and recovery phases. They provide acute care, and long-term rehabilitation, addressing physical and psychosocial recovery aspects. Case studies from the Kashmir, Nepal, and Haiti earthquakes illustrate the vital role of physiotherapists in triage, wound care, mobilization, and community reintegration. Despite barriers such as resource limitations and professional challenges, physiotherapists enhance disaster response through specialized skills and multidisciplinary collaboration. To improve disaster management, recommendations include policy support, training, capacity building, and international cooperation. Investing in physiotherapy in disaster management is essential for building resilient, inclusive communities capable of facing future challenges.

Elevated plasma progranulin levels in the acute phase are correlated with recovery of left ventricular function in the chronic phase in patients with acute myocardial infarction.

Progranulin is a secreted glycoprotein that regulates inflammation and wound healing. However, plasma progranulin levels in the acute phase and their clinical significance in patients with acute myocardial infarction (AMI) remain to be elucidated. We aimed to investigate the relationship between the increase in plasma progranulin levels in the acute phase and the recovery of left ventricular function in the chronic phase in AMI patients. Eighteen AMI patients were followed up for 6 months. Blood samples were collected from the antecubital vein on day 0 (on admission) and day 7 in the acute phase. The control group consisted of patients without significant coronary artery stenosis, as assessed by cardiac catheterization (n = 16). Plasma progranulin levels were measured by enzyme-linked immunosorbent assay. Echocardiography was performed in the acute (within 7 days) and chronic (6 months) phases of AMI to evaluate left ventricular ejection fraction using the modified Simpson's method. Plasma progranulin levels in the AMI group on day 0 (69.5 ± 24.6 ng/mL) were similar to those in the control group (84.2 ± 47.1 ng/mL). There was a significant increase in progranulin levels in the AMI group on day 7 (104.2 ± 52.0 ng/mL) compared with day 0. The increase in plasma progranulin levels in the acute phase was positively correlated with the increase in left ventricular ejection fraction between the acute and chronic phases. Among various factors, only plasma progranulin levels were favorably correlated with left ventricular functional recovery in the chronic phase. The increase in plasma progranulin levels in the acute phase may serve as a predictive biomarker and a contributer for the recovery of left ventricular function in the chronic phase in patients with AMI.

Potential Role of Soundscape and Music Interventions in post-Intensive Care Rehabilitation

Background Post Intensive Care Unit (ICU) survivors face physical, psychological, and cognitive impairments during their recovery phase, adversely affecting their quality of life. Given the scarcity and barriers to access to post-ICU care worldwide, patient-centered adjuncts are worth exploring. Although music interventions have gained recognition as non-pharmacological approaches in the acute phase of critical illness; exploration of their potential benefits in the post-ICU is scarce. Objective This paper examines the potential of sound and music interventions as an adjunct therapeutic modality to improve the well-being of adults post-ICU patients, through a narrative overview of published research evidence regarding post-ICU recovery and other relevant post-acute conditions, such as post-traumatic disorder and anxiety. Results The effectiveness of sound/ music interventions on several key outcomes including reduced anxiety, stress, pain, and PTSD, improved sleep, and enhanced mood and emotional well-being have been studied. Research indicates that music-based approaches to physical and psychological well-being reduce emotional distress, foster connectedness, and improve overall well-being. The importance of tailoring sound and music interventions to the individual needs and preferences of post-ICU patients is emphasized. Conclusion The potential benefits of sound and music interventions, both in terms of physiological and psychological well-being, encourage further investigation into their potential application and implementation into post-ICU care and rehabilitation. Ultimately, this therapeutic approach could contribute to enhancing the overall quality of life and empowerment of post-ICU patients on their path to recovery.

Quantifying the recovery process of skeletal muscle on hematoxylin and eosin stained images via learning from label proportion

Visual observing muscle tissue regeneration is used to measure experimental effect size in biological research to discover the mechanism of muscle strength decline due to illness or aging. Quantitative computer imaging analysis for support evaluating the recovery phase has not been established because of the localized nature of recovery and the difficulty in selecting image features for cells in regeneration. We constructed MyoRegenTrack for segmenting cells and classifying their regeneration phase in hematoxylin–eosin (HE) stained images. A straightforward approach to classification is supervised learning. However, obtaining detailed annotations for each fiber in a whole slide image is impractical in terms of cost and accuracy. Thus, we propose to learn individual recovery phase classification utilizing the proportions of cell class depending on the days after muscle injection to induce regeneration. We extract implicit multidimensional features from the HE-stained tissue images and train a classifier using weakly supervised learning, guided by their class proportion for elapsed time on recovery. We confirmed the effectiveness of MyoRegenTrack by comparing its results with expert annotations. A comparative study of the recovery relation between two different muscle injections shows that the analysis result using MyoRegenTrack is consistent with findings from previous studies.

Enhanced Carrier Phase Recovery Using Dual Pilot Tones in Faster-than-Nyquist Optical Transmission Systems

Compared with high spectrum efficiency faster-than-Nyquist (FTN) backbone network, an enhanced carrier phase recovery based on dual pilot tones is more sensitive to capital cost in FTN metropolitan areas as well as inter-datacenter optical networks. The use of distributed feedback (DFB) lasers is a way to effectively reduce the cost. However, under high symbol rate FTN systems, equalization-enhanced phase noise (EEPN) induced by a DFB laser with large linewidth will significantly deteriorate the system performance. What is worse, in FTN systems, tight filtering introduces inter-symbol interference so severe that the carrier phase estimation (CPE) algorithm of the FTN systems is more sensitive to EEPN, thus it will lead to a more serious cycle slip problem. In this paper, an enhanced carrier phase recovery based on dual pilot tones is proposed to mitigate EEPN and suppress cycle slip, in which the chromatic dispersion (CD)-aware Tx and LO laser phase noise is estimated, respectively. Offline experiments results under 40 Gbaud polarization multiplexing (PM) 16-quadrature amplitude modulation (QAM) FTN wavelength division multiplexing (FTN-WDM) systems at 0.9 acceleration factor, 5 MHz laser linewidth, and 500 km transmission demonstrate that the proposed algorithm could bring about 0.65 dB improvement of the required SNR for the normalized generalized mutual information of 0.9 compared with the training sequence-based cycle slip suppression carrier phase estimation (TS-CSS) algorithm.

The Influence of Sex and Gender on the Level and Course of Subjective Cognitive Complaints After Percutaneous Coronary Intervention.

Cognitive complaints (e.g., health anxiety and illness disruption) are commonly experienced by patients with coronary heart disease (CHD). While it is known that sex and gender affect health, their influence on cognitive complaints remains unknown. The current study explored sex and gender differences in cognitive complaints during the first month (acute phase) and beyond, up to 2years (recovery phase) after percutaneous coronary intervention (PCI). A total of 514 (Mage = 64.2 ± 8.9, 84.2% male) completed the cognitive scale of the Health Complaints Scale (i.e., overall cognitive complaints, health worry, illness disruption) at baseline, 1, 12, and 24months post-PCI. Additional questionnaires to gauge gender identity, traits, and norms were administered in a follow-up study. General linear mixed model analyses were conducted to examine the influence of sex, gender, sex × gender, and covariates on cognitive complaints. Cognitive complaints only decreased in the first month post-PCI (all p < .01). There were no clear sex differences. However, gender generally predicted cognitive complaints in the first 2 years post-PCI: masculinity was related to less complaints, whereas feminine individuals reported higher absolute levels of complaints. The current findings reveal that gender is a valuable factor concerning health complaints and indicate the need to further elaborate on the discrepancies between sex and gender in health research.

Non-pharmacological interventions to support the cognitive rehabilitation of patients admitted to the intensive care unit: An umbrella review.

Critically ill patients experience cognitive impairment throughout their intensive care unit trajectory, in the acute phase and the long-term alike. Cognitive impairment may negatively impact patients' quality of life and rehabilitation outcomes. To provide an overall examination of literature concerning non-pharmacological interventions that can enhance cognitive functioning in critically ill patients or facilitate their rehabilitation pathway during and after their intensive care unit stay. This study was conducted as an umbrella review. A systematic search was conducted in CINAHL, Embase, PubMed and PsychINFO, including all types of peer-reviewed research syntheses published between 2008 and 2023. Eligible studies had to describe interventions capable of improving adult patients' cognitive functioning or supporting their cognitive rehabilitation process throughout the intensive care unit trajectory. All eligible research syntheses were screened systematically; those included were critically appraised. Based on 13 research syntheses, this review summarizes rehabilitative interventions that may be delivered during different phases of critical illness and recovery, in relation to content, delivery and timing. Interventions were: (1) cognitive activities and training, (2) mobilization and physical exercises, (3) emotional, psychological and social support and (4) information. Due to limited evidence, no definitive conclusion can be drawn about which type of intervention is most supportive or effective. Additionally, no recommendations can be made about the optimal timing for intervention delivery. Clinicians involved in developing and implementing cognitive rehabilitation measures should consider designing individualized, multicomponent interventions with a focus on content, delivery and timing.

Single-shot quantitative differential phase contrast microscope using a single calcite beam displacer

This paper presents the development of a single-shot, partially spatially coherent quantitative differential phase contrast microscopy (Q-DPCM) system. The optical scheme comprises a polarizer, lenses, calcite beam displacer, and analyzer, which can be seamlessly integrated to an existing bright-field microscopy system, transforming it into a Q-DPCM system. It utilizes a partially spatially coherent light source, enabling single-shot quantitative differential phase recovery of the specimens with high spatial phase sensitivity. It generates highly sensitive quantitative differential phase images of the specimens along one direction, like a gradient light interference microscopy (GLIM) system, using only a single interferogram. First, we validated the differential phase measurement capability of the system through experiments on polystyrene spheres (diameter 5.2 µm) and HeLa cells. Next, the system is utilized to generate quantitative phase maps of human red blood cells using two orthogonal differential interferograms recorded at two orientations of the calcite beam displacer. Further, the Q-DPCM system is implemented for 1-h time-lapse live cell monitoring, revealing the dynamics of intracellular granules such as nucleolus and lipids in U2OS cells.

Acute high-intensity muscle contraction moderates AChR gene expression independent of rapamycin-sensitive mTORC1 pathway in rat skeletal muscle.

The relationship between mechanistic target of rapamycin complex 1 (mTORC1) activation after resistance exercise and acetylcholine receptor (AChR) subunit gene expression remains largely unknown. Therefore, we aimed to investigate the effect of electrical stimulation-induced intense muscle contraction, which mimics acute resistance exercise, on the mRNA expression of AChR genes and the signalling pathways involved in neuromuscular junction (NMJ) maintenance, such as mTORC1 and muscle-specific kinase (MuSK). The gastrocnemius muscle of male adult Sprague-Dawley rats was isometrically exercised. Upon completion of muscle contraction, the rats were euthanized in the early (after 0, 1, 3, 6 or 24h) and late (after 48 or 72h) recovery phases and the gastrocnemius muscles were removed. Non-exercised control animals were euthanized in the basal state (control group). In the early recovery phase, Agrn gene expression increased whereas LRP4 decreased without any change in the protein and gene expression of AChR gene subunits. In the late recovery phase, Agrn, Musk, Chrnb1, Chrnd and Chrne gene expression were altered and agrin and MuSK protein expression increased. Moreover, mTORC1 and protein kinase B/Akt-histone deacetylase 4 (HDAC) were activated in the early phase but not in the late recovery phase. Furthermore, rapamycin, an inhibitor of mTORC1, did not disturb changes in AChR subunit gene expression after muscle contraction. However, rapamycin addition slightly increased AChR gene expression, while insulin did not impact it in rat L6 myotube. These results suggest that changes in the AChR subunits after muscle contraction are independent of the rapamycin-sensitive mTORC1 pathway.

Beyond Pharmacology: The Biological Mechanisms of Remote Ischemic Conditioning in Cerebrovascular Disease

Cerebrovascular diseases (CVDs), comprising predominantly ischemic stroke and chronic cerebral hypoperfusion (CCH), are a significant threat to global health, often leading to disability and mortality. Remote ischemic conditioning (RIC) has emerged as a promising, non-pharmacological strategy to combat CVDs by leveraging the body’s innate defense mechanisms. This review delves into the neuroprotective mechanisms of RIC, categorizing its effects during the acute and chronic phases of stroke recovery. It also explores the synergistic potential of RIC when combined with other therapeutic strategies, such as pharmacological treatments and physical exercise. Additionally, this review discusses the pathways through which peripheral transmission can confer central neuroprotection. This review concludes by addressing the challenges regarding and future directions for RIC, emphasizing the need for standardized protocols, biomarker identification, and expanded clinical trials to fully realize its therapeutic potential.

Hands Up Program: Results of a feasibility study of a randomized controlled trial of a bone health exercise and education program for adults aged 50-65 post distal radius fracture.

Distal radius fractures (DRF) that occur from a fall from level ground are considered fragility fractures and may be the first indication that someone has compromised bone mineral density and is at risk of having osteoporosis. Women at about 50 years of age experience a dramatic increase risk of these fractures. Rehabilitation after DRF focuses on restoring range of motion and strength in the wrist, but rarely address future bone health concerns. We developed a 6-week therapist-developed remote full body exercise and osteoporosis/bone-health education program (called The Hands Up Program). This study was designed to evaluate the feasibility of a larger trial examining the effects of a whole-body exercise and education program for people 50-65 after a DRF. Community dwelling individuals between the age of 50-65 with a radiographically confirmed DRF were recruited from the Roth| McFarlane Hand and Upper Limb Center in London, Ontario. Participants were randomized in a 1:1 ratio into either the Hands Up Program which was a twice weekly exercise and education program for 6 weeks, or the control group where they proceeded with usual care. The intervention was delivered online through a website where participants created a unique username and password to access. The primary feasibility outcomes of the study were recruitment rate (74 participants in 1 year), retention rate (75% completion), and intervention adherence rate (60% of completion of the exercise program). Secondary outcomes included strength, range of motion, self-reported outcomes, and bone density. Overall, 74 participants were recruited in 14 months. Retention did not meet the criteria for success, as only 53% of the participants attended their 12-month visit. Adherence was also not met albeit close with 55% completing the exercise program. Twelve participants withdrew from the study, five due to the time commitment, four without explanation, one due to group allocation, one due to COVID and one participant moved. One participant was deemed ineligible after consent. Four of the participants that withdrew were in the intervention group, and four in the control group, five participants withdrew before they were allocated to a group. Feedback from patients indicated potential improvements to the program: lower assessment burden, spacing out the intervention so that the education portion could be delivered during the immobilization phase of recovery, and creating a more individualized program. Adherence and retention were both a challenge, although adherence was close to target. While achieving adherence to exercise in bone health is a known challenge, given the importance of prevention in the at-risk DRF population and the challenges in co-design and delivery during the pandemic, we believe evaluation of a revitalized program is warranted.

Neurocognitive and Neuromuscular Rehabilitation Techniques after ACL Injury, Part 1: Optimizing Recovery in the Acute Post-Operative Phase- A Clinical Commentary.

Anterior cruciate ligament (ACL) injury rates are on the rise, despite improved surgical techniques and prevention programs. While traditional rehabilitation emphasizes the restoration of motion, strength, and physical performance, emerging research highlights the importance of addressing neurocognitive deficits that can persist after injury. These deficits, including altered proprioception, impaired motor control and muscle recruitment, as well as heightened reliance on visual feedback, can significantly increase the risk of re-injury and impede return to sport. The purpose of this clinical commentary is to outline a proposed comprehensive approach to rehabilitation that challenges the neurocognitive system to optimize rehabilitation outcomes and reduce reinjury risk. Thus, this clinical commentary discusses the rationale for integrating neurocognitive training into all phases of ACLR rehabilitation, from initial injury to eight weeks post-surgery. It details the neurophysiological changes caused by ACL injury and presents evidence supporting the use of exercises that challenge visual attention, decision-making, and motor planning. A comprehensive rehabilitation framework incorporating both physical and neurocognitive components is proposed, aiming to improve long-term outcomes and reduce re-injury risk. Level of Evidence: 5.

Dysregulation of Regulatory T Cells and Autoimmune Sequelae in DRESS: Insights From Flow Cytometry and NanoString Analysis.

Drug reactions with eosinophilia and systemic symptoms (DRESS) and Stevens-Johnson syndrome/toxic epidermal necrolysis (SJS/TEN) are severe cutaneous adverse hypersensitivity reactions with distinct clinical manifestations. Regulatory T (Treg) cells may behave differently in these syndromes, contributing to their diverse clinical features and outcomes. This study compared Treg dynamics between DRESS and SJS/TEN patients during the acute and recovery phases. Flow cytometry quantitatively analysed and defined the immunophenotype of CD4+CD25+CD127-FoxP3+ Tregs in blood from DRESS and SJS/TEN patients indicated that Treg percentages were lowest in DRESS patients during the acute phase compared to those in the recovery phase in DRESS patients and the acute phase in SJS/TEN patients. During the acute phase, CTLA-4 expression in Tregs in both DRESS patients with and without autoimmune sequelae was significantly increased, while only DRESS patients without autoimmune sequelae had elevated OX40 expression compared to the healthy controls. High IL-10 expression in Tregs during the acute phase in SJS/TEN patients was also observed. The suppressive function of Tregs was lower in DRESS compared to SJS/TEN, which was determined using a suppression assay by co-culturing autologous Treg and effector T cells. Furthermore, NanoString technology explored mRNA profiles in Tregs. Genes associated with the JAK/STAT pathway were found to be downregulated during the acute phase in DRESS patients who later developed autoimmune sequelae. Our findings evidenced impaired Treg function in DRESS compared to SJS/TEN. The early disturbance of the JAK/STAT pathway may serve as a prognostic marker for autoimmune development in DRESS patients.

Dose-specific Toxicity of Naphthalene (Polycyclic Aromatic Hydrocarbon) and Subsequent Recovery by Humic Feed-O-Fert on Anabas testudineus (Bloch): Blood Biochemical and Morphological Introspections

Polycyclic aromatic hydrocarbons (PAHs) are pervasive contaminants in aquatic ecosystems, yet their specific effects on blood pathophysiology, including alterations in blood biochemical and morphological introspections, remain largely unexplored. As consequence, the present study is aimed to record the toxicity of naphthalene exposure for 21-d under two selected doses 0.7075mg/L (T1) and 1.415mg/L (T2), i.e., 25 and 50% of LC50 value [2.83mg/L] respectively and subsequent recovery with one improved organic solid waste, feed-promoter Humic feed-o-fert (HF) of 0.5g/L for the same duration of 21-d. The results showed significant increment in values in blood biochemical parameters, viz., cholesterol (CHOLES), glucose (GLU), glutamine pyruvic transmission (GPT), calcium (Ca), alkaline phosphatase (ALP), high density lipoprotein (HDL) and low density lipoprotein (LDL), and some displayed decreasing trend like protein (PRO), albumin (ALB) and triglyceride (Trig) under this exposure. During recovery phase with HF, the nature of biochemical changes became reversed showing significant restoration and repairment in comparison to naphthalene treatment. Morphological alterations of blood cells revealed maximum changes and appearance, such as tear drop-like cells (Tr), sickle cells (Sk), swelled cells (Sc) and vacuolated cells (Va) under two doses of exposure in 21-d, but under recovery with HF the cells approached towards regaining the normal contour of leucocytes (L), erythrocytes (Er) and tear drop like cells (Tr). So, it can be inferred that Humic feed-o-fert (HF) here played an important role to resist the haematological impairments in fish against the naphthalene (PAH) exposure. Further, Humic feed-o-fert (HF) may contribute in aquatic ecosystem restoration against the environmental contaminants, especially PAHs in aquaculture.

Variation of the Altitude of Auroral Emission During a Substorm Cycle: Stereoscopic Optical Observations During the LAMP Rocket Experiment

AbstractWe estimated the altitude of aurora by combining data from all‐sky cameras at multiple places which were obtained during the LAMP sounding rocket experiment in Alaska on 5 March 2022. During the launch window of the rocket, three high‐speed all‐sky cameras were operative at three stations immediately below the trajectory of the rocket: Poker Flat, Venetie and Fort Yukon. The all‐sky cameras captured all‐sky images with a temporal resolution of 100 Hz (80 Hz for the Fort Yukon case). The method of altitude determination is based on analyses of time‐series of the optical intensity obtained from the all‐sky cameras in Venetie and Poker Flat covering the downrange area of the rocket trajectory. The estimated altitude of pulsating aurora during the rocket experiment was found to be consistent with that derived from the in‐situ observation of precipitating electrons with a model of optical emission, which confirms the feasibility of deriving the emission altitude through correlation analyses using time‐series. The estimated altitude of aurora decreased after the expansion onset of the substorm and stayed slightly below 100 km during the interval of pulsating aurora in the recovery phase. In particular, prompt and brief lowering of the auroral emission, well down to around 90 km, was detected during a transition of auroral form from discrete to diffuse which occurred ∼10 min after the onset. This result implies an existence of a process causing harder electron precipitation operative soon after the start of the expansion phase of auroral substorm.