Recent Increase Research Articles

Molecular Pathway, Epidemiological Data and Treatment Strategies of Fungal Infection (Mycoses): A Comprehensive Review.

The recent increase in fungal infections is a health crisis. This surge is directly tied to the increase in immunocompromised people caused by changes in medical practice, such as the use of harsh chemotherapy and immunosuppressive medicines. Immunosuppressive disorders such as HIV have exacerbated the situation dramatically. Subcutaneous or superficial fungal infections can harm the skin, keratinous tissues, and mucous membranes. This category includes some of the most common skin disorders that impact millions of people worldwide. Despite the fact that they are seldom fatal, they can have a catastrophic impact on a person's quality of life and, in rare situations, spread to other people or become obtrusive. The majority of fungal infections under the skin and on the surface are simply and quickly cured. An opportunistic organism that preys on a weak host or a natural intruder can both result in systemic fungal infections. Furthermore, it might be exceedingly lethal and dangerous to one's life. Dimorphic fungi may pose a hazard to healthy populations that are not exposed to endemic fungi. Increased surveillance, the availability of quick, noninvasive diagnostic tests, monitoring the emergence of antifungal medication resistance, and research on the pathophysiology, prevention, and management of fungal infections are just a few potential solutions to these new health problems. The goal of this review is to summarize the data available for fungal infections and the different therapies which are involved in their treatment. Additionally, it also summarizes the molecular and scientific data of the plants which contain anti-fungal activity. Data are acquired using Google, PubMed, Scholar, and other online sources.

Scratching beneath the surface: An evaluation of the management of scabies 2017-2023.

Possible resistance to recommended treatments for scabies has emerged recently. In response to anecdotal reports of a recent increase in treatment failure with permethrin, the British Association for Sexual Health and HIV (BASHH) released a statement alerting members to this. To examine attendances and the treatment pathways for scabies cases seen at local sexual health clinics. A case note review of scabies attendances between January 2017 and December 2023 was conducted. Data collected included patient demographics, clinical information, and scabies treatment histories. Statistical analysis was performed. 143 patients attended with scabies. The number of scabies cases did not appear to increase significantly from 2017 to 2023 (p = .09). There was significant increase in median number of treatments per case per year over time (p = .013). The number of individuals needing second-line treatments increased significantly over time (p-trend < 0.001). Individuals with scabies are requiring more treatments to clear infection. Use of ivermectin has risen in the last year suggesting that second-line treatment is increasingly needed for eradication. Whilst treatment failure may be due to non-compliance with treatment and decontamination efforts for both index and contacts, the more recent change in findings could be attributed to a fall in permethrin efficacy.

Wearable and ingestible technology to evaluate and prevent exertional heat illness: A narrative review.

Exertional heat illness remains a constant threat to the athlete, military service member, and laborer. Recent increases in the number and intensity of environmental heat waves places these populations at an ever increasing risk and can be deadly if not recognized and treated rapidly. For this reason, it is extremely important for medical providers to guide athletes, service members, and laborers in the implementation of awareness, education, and measures to reduce or mitigate the risk of exertional heat illness. Within the past 2 decades, a variety of wearable technology options have become commercially available to track an estimation of core temperature, yet questions continue to emerge as to its use, effectiveness, and practicality in athletics, the military, and the workforce. There is a paucity of data on the accuracy of many of these newer devices in the setting of true heat stroke physiology, and it is important to avoid overreliance on new wearable technology. Further research and improvement of this technology are critical to identify accuracy in the diagnosis and prevention of EHI.

Environmental impacts of valorisation of crude glycerol from biodiesel production – A life cycle perspective

Biodiesel production produces significant quantities of impure crude glycerol as a by-product. Recent increases in the global biodiesel production have led to a surplus of crude glycerol, rendering it a waste. As a result, different methods for its valorisation are currently being investigated. This paper assesses the life cycle environmental impacts of an emerging technology for purification of crude glycerol – a multi-step physico-chemical treatment – in comparison to incineration with energy recovery commonly used for its disposal. For the former, three different acids (H3PO4, H2SO4 and HCl) are considered for the acidification step in the purification process. The results suggest that the H2SO4-based treatment is the best option with 17 net-negative impacts out of the 18 categories considered; this is due to system credits for the production of purified glycerol, heat and potassium salts. In comparison to incineration with energy recovery, the H2SO4-based process has lower savings for the climate change impact (−311 versus −504 kg CO2 eq./t crude glycerol) but it performs better in ten other categories. Sensitivity analyses suggest that that the impacts of the physico-chemical treatment are highly dependent on crude glycerol composition, allocation of burdens to crude glycerol and credits for glycerol production. For example, treating crude glycerol with lower glycerol content would increase all impacts except climate change and fossil depletion due to the higher consumption of chemicals and lower production of purified glycerol. Considering crude glycerol as a useful product rather than waste and allocating to it burdens from biodiesel production would increase most impacts significantly, including climate change (22–40 %), while fossil depletion, freshwater and marine eutrophication would become net-positive. The findings of this research will be of interest to the biodiesel industry and other industrial sectors that generate crude glycerol as a by-product.

The Natural Rate of Interest in the Euro Area: Evidence from Inflation-Indexed Bonds

The so-called equilibrium or natural rate of interest, widely known as r*t, is a key variable used to judge the stance of monetary policy. We offer a novel euro-area estimate based on a dynamic term structure model estimated directly on the prices of bonds with cash flows indexed to the euro-area harmonized index of consumer prices with adjustments for bond-specific risk and real term premia. Despite a recent increase, our estimate indicates that the natural rate in the euro area has fallen about 2 percentage points on net since 2002 and remains negative at the end of our sample. We also devise a related measure of the stance of monetary policy, which suggests that monetary policy in the euro area was not accommodative at the height of the COVID-19 pandemic.

Acute opioid overdose in pediatric patients.

Recent increases in pediatric and adolescent opioid fatalities mandate an urgent need for early consideration of possible opioid exposure and specific diagnostic and management strategies and interventions tailored to these unique populations. In contrast to adults, pediatric methods of exposure include accidental ingestions, prescription misuse, and household exposure. Early recognition, appropriate diagnostic evaluation, along with specialized treatment for opioid toxicity in this demographic are discussed. A key focus is on Naloxone, an essential medication for opioid intoxication, addressing its unique challenges in pediatric use. Unique pediatric considerations include recognition of accidental ingestions in our youngest population, critical social aspects including home safety and intentional exposure, and harm reduction strategies, mainly through Naloxone distribution and education on safe medication practices. It calls for a multifaceted approach, including creating pediatric-specific guidelines, to combat the opioid crisis among children and to work to lower morbidity and mortality from opioid overdoses.

Determinants of obesity in Latin America.

Obesity rates are increasing almost everywhere in the world, although the pace and timing for this increase differ when populations from developed and developing countries are compared. The sharp and more recent increase in obesity rates in many Latin American countries is an example of that and results from regional characteristics that emerge from interactions between multiple factors. Aware of the complexity of enumerating these factors, we highlight eight main determinants (the physical environment, food exposure, economic and political interest, social inequity, limited access to scientific knowledge, culture, contextual behaviour and genetics) and discuss how they impact obesity rates in Latin American countries. We propose that initiatives aimed at understanding obesity and hampering obesity growth in Latin America should involve multidisciplinary, global approaches that consider these determinants to build more effective public policy and strategies, accounting for regional differences and disease complexity at the individual and systemic levels.

Impact of industrial versus biomass burning aerosols on the Atlantic Meridional Overturning Circulation

The ocean’s major circulation system, the Atlantic Meridional Overturning Circulation (AMOC), is slowing down. Such weakening is consistent with warming associated with increasing greenhouse gases, as well as with recent decreases in industrial aerosol pollution. The impact of biomass burning aerosols on the AMOC, however, remains unexplored. Here, we use the Community Earth System Model version 1 Large Ensemble to quantify the impact of both aerosol types on the AMOC. Despite relatively small changes in North Atlantic biomass burning aerosols, significant AMOC evolution occurs, including weakening from 1920 to ~1970 followed by AMOC strengthening. These changes are largely out of phase relative to the corresponding AMOC evolution under industrial aerosols. AMOC responses are initiated by thermal changes in sea surface density flux due to altered shortwave radiation. An additional dynamical mechanism involving the North Atlantic sea-level pressure gradient is important under biomass-burning aerosols. AMOC-induced ocean salinity flux convergence acts as a positive feedback. Our results show that biomass-burning aerosols reinforce early 20th-century AMOC weakening associated with greenhouse gases and also partially mute industrial aerosol impacts on the AMOC. Recent increases in wildfires suggest biomass-burning aerosols may be an important driver of future AMOC variability.

Reducing maternal mortality in low- and middle-income countries: the Nepalese approach of helicopter retrieval

Ninety-four percent of global maternal deaths occur in low- and middle-income countries (LMICs). The UN has a goal of reducing maternal deaths to <70 per 100,000 live births by 2030, but progress is minimal. Maternal deaths in LMICs are associated with 3 delays in the care of women with obstetrical emergencies: 1) in the family of the woman realizing that her life is at risk, 2) in the transport of the woman to a hospital, and 3) in providing care after arrival at the hospital. These 3 delays function like links in a chain, and failure of any link leads to maternal death. LMICs have characteristics that make it likely that the chain will break. Women in LMICs frequently have low standing, and cultural beliefs often lead to delay in the recognition of obstetrical emergencies. LMICs are characterized by poor roads and long distances to hospitals leading to transport delays. Cultural and other factors also lead to treatment delays when a woman reaches a suitably-equipped and staffed hospital. Nepal has addressed these delays and reduced maternal mortality. Firstly, we have reported in the Journal the use of culturally acceptable approaches to improving the knowledge about antenatal care in remote villages. In the case of Nepal, singing songs related to maternal care proved to be a highly effective strategy. We now report that the government of Nepal has repurposed military helicopters to overcome the tyranny of poor roads to allow rapid transport of women with obstetrical emergencies to a small number of fully-equipped and staffed hospitals. As of June 2023, this service has successfully retrieved 625 women in four and half years. The Nepalese government has included questions on maternal mortality in the 2021 national census, followed by a verbal autopsy. These data indicate a fall in the maternal mortality ratio from 239 in 2016 to 151 in 2021. The efficiency of the triage service continues to improve, suggesting that maternal mortality will continue to fall. This may provide a model that can be implemented in other LMICs and highlights factors that may be responsible for recent increases in the US maternal mortality ratio.

Effects of human disturbance on detectability of non-breeding birds in urban green areas

Animals adapted to disturbed habitats have evolved multiple behavioural strategies, spanning from hiding to displacing to less disturbed microhabitats. Urban areas pose new evolutionary challenges since animals often need to deal with novel environmental conditions. In this context, urban parks may constitute biodiversity hotspots within the concrete jungle. Nonetheless, the recent increase in recreational activities in urban parks potentially puzzles the ability of urban-dwelling animals to exploit these environments. In this study, we evaluated the effect of human disturbance and other contextual variables on the activity patterns of four bird species commonly found in European urban parks, covering a wide range of ecological characteristics: the blackbird (Turdus merula), the hooded crow (Corvus cornix), the Eurasian robin (Erithacus rubecula), and the wood pigeon (Columba palumbus). We performed repeated counts of these bird species in six urban parks in northern Italy and we fitted Bayesian N-mixture models to estimate the relationship between detection probability and human disturbance (number of people present in the park), phenology (date and time of the day), and weather conditions (temperature and precipitation). For all the species but the blackbird, we found a negative relationship between the number of people present in the park and the detection probability of the focal species. We also found species-specific effects of both phenology and weather conditions on the detection probability. Our results suggest that urban dwelling species can finely modulate their activity patterns in response to the level of human disturbance, suggesting a possible key role of behavioural phenotypic plasticity. Furthermore, uncovering patterns of detectability of urban fauna can help in planning biodiversity monitoring and conservation, as it provides useful information to carry out surveys when the probability of detecting individuals is highest, optimising resource investments and reliability of biodiversity estimates.

Downstream Nutrient Concentrations Depend on Watershed Inputs More Than Reservoir Releases in a Highly Engineered Watershed

AbstractIn this study, we characterized the impact of regulatory water releases relative to watershed inputs on the quality of receiving waters to identify if and how managed releases could be scheduled to mitigate nutrient export and downstream water quality impairment. We specifically investigated freshwater flow partitioning to the Caloosahatchee River and Estuary (CRE) from a large managed lake, Lake Okeechobee, and the CRE's upstream watershed, the C‐43 basin, in southwest Florida (USA). A water balance was developed to identify dominant freshwater inflow sources (i.e., Lake Okeechobee vs. watershed inputs) over time. From the water balance, analyses of historical trends were performed to detect changes in freshwater inflow contributions to the CRE. Further, seasonal and annual concentration variations and long‐term concentration‐discharge (C‐Q) relationships were analyzed to better understand biogeochemical and hydrological processes in the system in relation to freshwater source. Since 1966, we found the duration and magnitude of flows from the C‐43 basin were higher than those from Lake Okeechobee releases. However, recent increases in the annual water volume and proportion of inflow coming from Lake Okeechobee to the CRE were observed. The C‐Q analysis revealed that nitrate and ammonium concentrations in the CRE were responsive to changes in discharge, while total phosphorus and orthophosphate concentrations were chemostatic. While modifications to the Lake Okeechobee operation schedule could potentially mitigate downstream inorganic nitrogen loading, this potential is limited by complex, seasonal C‐Q relationships and confounding effects from surrounding watersheds.

The top 100 most cited articles on intramedullary nail fixation from 2018-2022: a bibliometric and visualized analysis.

Intramedullary nails are commonly used for the purposes of internal fixation in the repair of tubular bone fractures, allowing for optimal fixation while minimizing intraoperative bleeding, surgical incision size, and associated stress. These nails are thus often utilized to repair hip and peripheral fractures, femur fractures, tibial fractures, humerus fractures, and clavicle fractures. Recent life expectancy increases, rising economic standards, and technological innovations have led to the application of a wider range of materials and techniques in the context of orthopedic device production, further expanding the clinical indications for intramedullary nailing. Despite the growing importance of this technique, there is currently a lack of any bibliometric or visual analyses that provide a robust overview of recent progress in the intramedullary nailing research space. Accordingly, this study was developed to succinctly and comprehensively summarize the current research status and major hotspots in this field through a bibliometric review of major relevant scientific articles focused on intramedullary nailing published in recent years. For this analysis, the top 100 most-cited articles focused on intramedullary nails published between 2018 and 2022 were identified through a search of the Web of Science Core Collection database. Countries, institutions, journals, and other specific parameters associated with these articles were then analyzed using tools including CiteSpace, VOS-viewer, Origin, and SCImago Graphica in an effort to more clearly define the latest trends in the intramedullary nail-related research space. The top 3 most-cited articles related to intramedullary nailing over the past five years were "Antibacterial and immunogenic behavior of silver coatings on additively manufactured porous titanium", "Diaphyseal long bone nonunions - types, etiology, economics, and treatment recommendations", and "Epidemiology, treatment, and mortality of trochanteric and subtrochanteric hip fractures: data from the Swedish fracture register", all of which were published in 2018, respectively exhibiting 93, 83, and 81 citations. Of the 100 most-cited intramedullary nailing-related articles, 38, 20, and 12 were respectively published by researchers from the USA, China, and the UK, while research groups from Italy and Spain each published 7 articles. Four of this field's most highly cited articles were published by individuals affiliated with the US-based University of California System and the University System of Ohio. Of the 15 journals that published the largest number of these top 100 articles, the "Injury International Journal of The Care of The Injured" and the "Journal of Orthopaedic Trauma" published 9 manuscripts each, which was more than any other journal, while the "Journal of Orthopaedic Surgery" and the "Journal of Pediatric Orthopaedics" published 7 each. In total, 73 highly cited articles focused on utilizing intramedullary nailing in orthopedic applications. Rozbruch SR from the USA published 3 high-quality articles in this research space, while the Chinese researchers Chang Shi Min, Du Shou Chao, Hou Zhi Yong, and Hu Sun Jun exhibited a total linkage strength of 21 in global interaction analyses. The most common keywords associated with intramedullary nail-related research identified in these analyses included "Hip fracture", "Nonunion", "Limb lengthening", "Proximal humeral fractures", "Additive manufacturing", "Induced membrane", and "Endoprosthetic replacement". Promising areas of potential future research focus may include "Limb reconstruction", "Pediatric deformity", and "Congenital femoral deficiency". This analysis revealed that the highest volume of high-impact research output focused on intramedullary nailing over the past 5 years has been produced by the USA, followed by China and the UK. The most influential journals in this research space were Injury International Journal of The Care of The Injured and the Journal of Orthopaedic Trauma, while the institutions associated with the most highly cited articles were the University of California System and the University System of Ohio. Intramedullary nailing is commonly utilized to treat intertrochanteric fractures and other tubular bone fractures. In the future, the application of augmented and virtual reality technologies may help shorten the learning curve for orthopedic surgeons and trauma surgeons who are learning intramedullary nailing-related techniques, and the combination of intramedullary nailing with antibacterial drugs, metal alloys, 3D navigation, and sensor devices may help improve patient outcomes.

The Potential of Natural Products in the Management of Cardiovascular Disease.

Cardiovascular Disease (CVD) is one of the most prevalent diseases in the world, comprising a variety of disorders such as hypertension, heart attacks, Peripheral Vascular Disease (PVD), dyslipidemias, strokes, coronary heart disease, and cardiomyopathies. The World Health Organization (WHO) predicts that 22.2 million people will die from CVD in 2030. Conventional treatments for CVDs are often quite expensive and also have several side effects. This potentiates the use of medicinal plants, which are still a viable alternative therapy for a number of diseases, including CVD. Natural products' cardio-protective effects result from their anti-oxidative, anti-hypercholesterolemia, anti-ischemic, and platelet aggregation-inhibiting properties. The conventional therapies used to treat CVD have the potential to be explored in light of the recent increase in the popularity of natural goods and alternative medicine. Some natural products with potential in the management of cardiovascular diseases such as Allium sativum L., Ginkgo biloba, Cinchona ledgeriana, Ginseng, Commiphora mukul, Digitalis lanata, Digitalis purpurea L., Murrayakoenigii, Glycyrrhiza glabra, Polygonum cuspidatum, Fenugreek, Capsicum annuum, etc. are discussed in this article.

Senility deaths in aged societies: The case of Japan.

Senility is now the third largest cause of death in Japan, comprising 11.4% of the total number of deaths in 2022. Although senility deaths were common in the period before the Second World War, they declined sharply from 1950 to 2000 and then increased up to the present. The recent increase is more than what we could expect from an increasing number of very old persons or the increasing number of deaths at facilities. The senility death description in the death certificate is becoming poorer, with 93.8% of them only with a single entry of "senility". If other diseases are mentioned, those are again vague diseases or conditions. Senility, dementia and Alzheimer's disease, sequelae of cerebrovascular disease, and heart failure are the largest causes of death in which senility is mentioned in the death certificate. The period from senility onset to death is often described within a few months, but it varies. In some cases, the deceased's age was written out of a conviction that the ageing process starts from birth. As senility is perceived differently among the certifying doctors, a standardised protocol to certify the senility death is needed. On the other hand, senility death is the preferred cause of death and many people do not wish to receive invasive medical examinations before dying peacefully. Together with other causes of death related to frailty, there would be a need to capture senility as a proper cause of death, not just as a garbage code, in the aged, low-mortality population.

Mysteriously rapid rise in Legionnaires' disease incidence correlates with declining atmospheric sulfur dioxide.

Legionnaires' disease (LD) is a severe form of pneumonia (∼10-25% fatality rate) caused by inhalation of aerosols containing Legionella, a pathogenic gram-negative bacteria. These bacteria can grow, spread, and aerosolize through building water systems. A recent dramatic increase in LD incidence has been observed globally, with a 9-fold increase in the United States from 2000 to 2018, and with disproportionately higher burden for socioeconomically vulnerable subgroups. Despite the focus of decades of research since the infamous 1976 outbreak, substantial knowledge gaps remain with regard to source of exposure and the reason(s) for the dramatic increase in LD incidence. Here, we rule out factors indicated in literature to contribute to its long-term increases and identify a hitherto unexplored explanatory factor. We also provide an epidemiological demonstration that the occurrence of LD is linked with exposure to cooling towers (CTs). Our results suggest that declining sulfur dioxide air pollution, which has many well-established health benefits, results in reduced acidity of aerosols emitted from CTs, which may prolong the survival duration of Legionella in contaminated CT droplets and contribute to the increase in LD incidence. Mechanistically associating decreasing aerosol acidity with this respiratory disease has implications for better understanding its transmission, predicting future risks, and informed design of preventive and interventional strategies that consider the complex impacts of continued sulfur dioxide changes.

Risk-based safety scoping of adversary-centric security testing on Operational Technology

Due to the recent increase in cyber attacks targeting Critical National Infrastructure, governments and organisations alike have invested considerably into improving the security of their underlying infrastructure, commonly known as Operational Technology (OT). The use of adversary-centric security tests such as vulnerability assessments, penetration tests and red team engagements has gained significant traction due to these engagements’ goal to emulate threat actors in preparation for genuine cyber attacks. Challenges arise, however, when performing security tests on these as the nature of OT requires additional safety and operation risks to be considered. This paper proposes a framework for incorporating the assessment of safety and operational risks within an overall scoping methodology for adversary-centric security testing in OT environments. Within this framework, we also propose a hybrid testing model derived from the Purdue Enterprise Reference Architecture and the Defense in Depth model to identify and quantify safety and operational risk at a per-layer level, separating high and low-risk layers and being subsequently used for defining the rules of engagement. As a result, this framework can aid vendors and clients in appropriately scoping adversary-centric security tests so that depth-of-testing is maximised while minimising the risk to safety and to the operational process. The framework is then evaluated through a qualitative study involving industry experts, confirming the framework’s validity for implementation in practice.

Trends in Harm Perceptions of E-Cigarettes vs Cigarettes Among Adults Who Smoke in England, 2014-2023

Electronic cigarettes (e-cigarettes) are less harmful to users than combustible cigarettes. However, public health and media reporting have often overstated the potential risks of e-cigarettes, and inaccurate perceptions of the harms of vaping relative to smoking are pervasive. To examine time trends in harm perceptions of e-cigarettes compared with combustible cigarettes among adults who smoke. This nationally representative monthly cross-sectional survey study was conducted from November 2014 to June 2023 in England. Participants were adults who currently smoke. Participants were asked whether they thought e-cigarettes were less harmful, equally harmful, or more harmful than cigarettes, or did not know, with the proportion responding less harmful (vs all other responses) as the primary outcome. Logistic regression was used to test associations between survey wave and participants' perceptions of the harms of e-cigarettes. Data were collected from 28 393 adults who smoke (mean [SD] age, 43.5 [17.3] years; 13 253 [46.7%] women). In November 2014, 44.4% (95% CI, 42.0%-46.8%) thought e-cigarettes were less harmful than cigarettes, 30.3% (95% CI, 28.2%-32.6%) thought e-cigarettes were equally harmful, 10.8% (95% CI, 9.4%-12.3%) thought they were more harmful, and 14.5% (95% CI, 12.9%-16.4%) did not know. However, by June 2023, the proportion who thought e-cigarettes were less harmful had decreased by 40% (prevalence ratio, 0.60; 95% CI, 0.55-0.66), and the proportion who thought e-cigarettes were more harmful had more than doubled (prevalence ratio, 2.16; 95% CI, 1.84-2.54). Changes over time were nonlinear: late 2019 saw a sharp decline in the proportion who thought e-cigarettes were less harmful and increases in the proportions who thought they were equally or more harmful. These changes were short-lived, returning to pre-2019 levels by the end of 2020. However, perceptions worsened again from 2021 up to the end of the study period: the proportion who thought e-cigarettes were more harmful increased to a new high, and the proportion who thought e-cigarettes were less harmful decreased to levels comparable to those in late 2019. As a result, in June 2023, the perception that e-cigarettes were equally as harmful as cigarettes was the most commonly held view among adults who smoke (33.7%; 95% CI, 31.4%-36.1%), with roughly similar proportions perceiving e-cigarettes to be less (26.7%; 95% CI, 24.6%-28.9%) and more (23.3%; 95% CI, 21.1%-25.7%) harmful. This survey study of adults who smoke in England found that harm perceptions of e-cigarettes have worsened substantially over the last decade, such that most adults who smoked in 2023 believed e-cigarettes to be at least as harmful as cigarettes. The timing of the 2 most notable changes in harm perceptions coincided with the e-cigarette, or vaping product, use-associated lung injury outbreak in 2019 and the recent increase in youth vaping in England since 2021.

Environmental drivers of odontocete occurrence in a nearshore temperate habitat

Nearshore coastal waters off Northumberland, UK, are important habitats for marine megafauna including marine mammals and seabirds. The area also features extensive anthropogenic activities including shipping, marine renewables development, fisheries, and tourism. Meanwhile there is lack of baseline data on odontocete occurrence to allow assessment of the potential impact from human disturbance. A recent increase in the number of sightings of common bottlenose dolphins (Tursiops truncatus) in the area has provided impetus for new data to inform conservation managers and policy makers. To provide this information, acoustic data were collected using broadband passive acoustic recorders at three sites (Druridge Bay, Newbiggin-by-the-Sea, and St Mary's Island) off the Northumberland coast and analyzed to identify species-specific click trains of common bottlenose dolphin, white-beaked dolphin (Lagenorhynchus albirostris) and harbor porpoise (Phocoena phocoena). Detection data were modelled for each species as detection-positive hours (DPH) using Generalized Additive Models with Generalized Estimating Equations (GAM-GEE) to investigate the effects of environmental covariates, including day of year, diel phase, lunar phase, salinity, year, month and sea surface temperature, and their interaction with location. A total of 20,845 h were recorded during the study resulting in a total of 1660, 71, and 1111 DPH identified for bottlenose dolphin, white-beaked dolphin and porpoise, respectively. The final model for bottlenose dolphins retained all covariates except tidal index and an interaction between location and day of year after model selection and all covariates in the final model were significant. The final model for white-beaked dolphin retained month, year, location, diel index, temperature, lunar index and interactions between location and diel index and all covariates except lunar index were significant. The final model for porpoise retained all covariates and interactions between location and diel phase, day of year, lunar index, and salinity, however, salinity and the interaction between location and lunar index were not significant. Bottlenose dolphin clicks were detected in the area year-round but with two peak periods in occurrence coinciding with May and late September; white-beaked dolphin clicks were detected predominantly in July and August; and porpoise clicks were present year-round but with much greater probability of detection at the Druridge Bay site, where there were peaks in winter and in September. The results of this study provide important information for conservation and management actions that may be needed to reduce anthropogenic pressures on odontocetes in UK waters.

Irregular, Backward-Compatible PWR Assembles with More Pins to Facilitate Uprates

Increasing the number of pins within a pressurized water reactor (PWR) assembly reduces pin temperature for a given assembly power. In conjunction with a core retrofit, this presents a potential route to PWR uprate, which is of growing interest given recent increases in electricity prices. However, most PWRs utilize regular lattice designs with fixed guide tube positions, such as the very common 17 × 17 lattice design with 25 guide/instrumentation tubes. These tubes are aligned with penetrations in the reactor pressure vessel, which presents a prohibitive obstacle to retrofit, and more widely, may “lock” many PWRs to this particular fuel configuration. In this paper, an irregular PWR fuel assembly is proposed. It is shown that a backward-compatible lattice with 324 fuel pins per assembly (BL324), uniform enrichment, and the same hydrogen-to–heavy metal ratio as a reference 17 × 17 assembly with 264 fuel pins can achieve within-assembly power peaking within 2% of the reference assembly under equivalent conditions while fixing the guide tube positions. Power peaking can be further reduced to reach that of the existing fuel assembly by reducing the enrichment of 36 of the pins by 0.2 wt%. The fuel assembly could potentially either support a significant uprate of up to ~20% in conjunction with low-enriched uranium plus (LEU+) fuel or a more aggressive cycle design, and hence, improved discharge burnup at the same power and batch strategy. A subchannel analysis shows that the coolant heat-up distribution is comparable to the reference assembly. However, the pressure drop is estimated to be 4% higher, which would challenge the performance of transition cores containing both 17 × 17s and BL324s. Further incremental changes to BL324 may be attractive, either to improve manufacturability or to slightly improve performance through formal optimization.

Comprehensive RNA-sequencing analysis of colorectal cancer in a Korean cohort

Considering the recent increase in the number of colorectal cancer (CRC) cases in South Korea, we aimed to clarify the molecular characteristics of CRC unique to the Korean population. To gain insights into the complexities of CRC and promote the exchange of critical data, RNA-sequencing (RNA-Seq) analysis was performed to reveal the molecular mechanisms that drive the development and progression of CRC; this analysis is critical for developing effective treatment strategies. We performed RNA-Seq analysis of CRC and adjacent normal tissue samples from 214 Korean participants (comprising a total of 381 including 169 normal and 212 tumor samples) to investigate differential gene expression between the groups. We identified 19,575 genes expressed in CRC and normal tissues, with 3,830 differentially expressed genes (DEGs) between the groups. Functional annotation analysis revealed that the upregulated DEGs were significantly enriched in pathways related to the cell cycle, DNA replication, and IL-17, whereas the downregulated DEGs were enriched in metabolic pathways. We also analyzed the relationship between clinical information and subtypes using the Consensus Molecular Subtype (CMS) classification. Furthermore, we compared groups clustered within our dataset to CMS groups and performed additional analysis of the methylation data between DEGs and CMS groups to provide comprehensive biological insights from various perspectives. Our study provides valuable insights into the molecular mechanisms underlying CRC in Korean patients and serves as a platform for identifying potential target genes for this disease. The raw data and processed results have been deposited in a public repository for further analysis and exploration. Data availability statementThe RNA-Seq data have been deposited in the Korean Nucleotide Archive under the accession number KAP230608 (https://www.kobic.re.kr/kona/search_bioproject?bioproject_id=KAP230608#none). Clinical data, preprocessed gene quantification (RSEM), normalized gene expression data (log2CPM), and downstream analysis results have been deposited in Zenodo (https://doi.org/10.5281/zenodo.8333650). Further information and requests for experimental resources should be directed to and will be fulfilled by the corresponding authors, Kil-yong Lee (cyboryee@hanmail.net), Jin Ok Yang (joy@kribb.re.kr), and Young-Joon Kim (yjkim@yonsei.ac.kr).