Short-term Response Research Articles

Peak VO2 is associated with cardiac functional response and long-term survival in patients with heart failure and atrial fibrillation undergoing catheter ablation

Abstract Background Contemporary guidelines recommend Catheter Ablation (CA) in patients with persistent Atrial Fibrillation (AF) with Heart Failure with reduced ejection fraction (HFrEF). It is challenging to prospectively predict who will respond. We have previously described the long-term survival outcomes of patients in this cohort.(1) However, the clinical characteristics associated with HF response and long-term clinical outcomes have not been reported. Objective To evaluate the association of HF parameters with cardiac functional response to CA and long-term survival after CA. Methods Post-hoc, long-term follow-up of mortality was undertaken in patients enrolled in the CAMTAF and ARC-HF RCTs. Both studies enrolled patients with persistent AF and HFrEF between 2005 and 2012 and randomised to first-time CA or medical therapy alone. Left ventricular ejection fraction (LVEF) and peak VO2 were measured in both studies at baseline and 12-month follow-up. The Universal Definition of HF response (LVEF improves by >10% points or to an LVEF >50%) was used.(2,3) Multi-variate logistic regression was used to determine features associated with HF response and Cox proportional hazards modelling for survival. Results 102 patients underwent randomisation with 52 assigned to CA. The mean age was 60.2 ±10.7 years with 93 (91.2%) male. The mean Baseline LVEF was 31 ±11% and peak VO2 was 1815 ±642mlmin-1. Baseline LVEF did not correlate significantly with Minnesota Living with Heart Failure (MLWHF) score (r=-0.11, p=0.29) whereas baseline peak VO2 did (r=-0.28, p<0.01). In patients randomised to CA, the median (IQR) improvement in LVEF was +8.4% (0, 15%). 22/52 (42.3%) patients were classified as Responders based on the Universal Criteria. Responders were younger (54.7 ±10.6 years vs 61.8 ±11.4, p=0.03) and had a higher mean HR on baseline Holter monitoring (89 ±14bpm vs 79 ±11bpm p<0.01) than non-responders. There was no significant difference in sex, baseline MLWHF scores, BNP levels or LVEF between groups (28±9% vs 31 ±9%, p=0.19). Responders had a significantly higher peak VO2 at baseline than Non-Responders (1972 ±668mlmin-1 vs 1556 ±580mlmin-1, p=0.03). On multivariate analysis, mean heart rate on Holter monitoring and peak VO2 were significantly associated with Responder status post-ablation. (Table 1a) During a median follow-up of 7.8 (3.9 –9.9) years, 34 (33.3%) patients died, including 17 (32.7%) patients in the CA arm. On univariate analysis, baseline peak VO2 was significantly greater of survivors at 5 years (1867 ±624 mlmin-1 vs 1259 ±497 mlmin-1, p<0.01). On multivariate Cox regression analysis, the peak VO2 at baseline was the only significant predictor of survival (Table 1b). Conclusion Peak VO2 at baseline was associated with baseline symptom status, the short-term LVEF response to CA and long-term survival and may be a useful stratification tool to aid patient selection for CA.1a. Regression for 6-month LVEF response1b. Regression for long-term mortality

Beta-Glucans Improve the Mammary Innate Immune Response to Endotoxin Challenge in Dairy Ewes.

This study evaluated short-term immune responses of dairy ewes supplemented with barley β-glucan (BG) following an intramammary Escherichia coli lipopolysaccharide (LPS) challenge. In the adaptation period, 36 ewes were fed an alfalfa hay diet ad libitum and barley grain cv. Hispanic (3.8% BG). Then, ewes were assigned into three experimental groups: (1) Control (CON), the same previous diet (13.3 g BG/d); (2) high β-glucans barley (HBG), new barley (cv. Annapurna) containing 10% BG (35 g BG/d); (3) intraperitoneally injected (INP) with a 1.4% BG solution dose (2 g BG/ewe). At d 9, all ewes were infused with an E. coli LPS or saline solution in each udder half. After the challenge, rectal temperature (RT), milk yield and composition, somatic cell count (SCC), and plasma interleukins (IL-1α and IL-1β) were monitored daily. The INP treatment revealed a transitory increase in RT and decreased milk yield by 38%. Milk fat, protein, and SCC increased in LPS-treated udders but not by BG treatment. The IL-1α plasma concentration was similar among groups but INP ewes showed a lower IL-1β concentration suggesting a lower inflammatory response. The BG administration appears more effective intraperitoneally than orally, which needs additional study.

Tenacibaculum maritimum can boost inflammation in Dicentrarchus labrax upon peritoneal injection but cannot trigger tenacibaculosis disease.

Despite being a bacterial pathogen with devastating consequences, Tenacibaculum maritimum's pathogenesis is not fully understood. The aim of the present study was to elucidate if different inoculation routes (intraperitoneal - i.p - injection and bath challenge - known to induce mortality) can induce tenacibaculosis (i.e., using the same T. maritimum inoculum), as well as evaluate the short-term immune response of European sea bass (D. labrax). Additionally, the host response against i.p. injection of extracellular products (ECPs) was also studied. Fish were i.p. challenged with 5.5 × 105 CFU mL-1 of T. maritimum cells with or without ECPs (BECPs and BWO, respectively), ECPs alone or marine broth (mock). Another group of fish was bath-challenged with 5.5 × 105 CFU mL-1 to confirm the virulence of the bacterial inoculum. Undisturbed specimens were used as controls. The severity of both challenges was determined by following percentage survival. Blood, liver and head-kidney samples were collected at 0, 3, 6, 24 and 48h post-challenge for assessing immune parameters, oxidative stress and gene expression. Total and differential peritoneal cell counts were performed. The presence of viable bacteria in the blood and peritoneal cavity was studied. Symptoms of tenacibaculosis, such as skin/fin abrasions, were only observed in the bath-challenged fish, where 0% survival was recorded, whereas 100% survival was observed after i.p. injection of the same bacterial inoculum. An increase in total leukocyte numbers in the peritoneal cavity was observed 3h post-injection of BECPs when compared to the other treatments. Blood total leukocytes, lymphocytes, and thrombocyte numbers dropped after the challenge, mainly in fish challenged with BECPs. At 48h post-challenge, bactericidal activity in the plasma increased in fish injected with bacteria (with and without ECPs). The same tendency was seen for some of the oxidative stress parameters. The increased expression of il1β, il6, il8, and hamp1 in fish challenged with ECPs and BECPs suggests a more exacerbated pro-inflammatory response in the head-kidney against these inocula. The infection trial and the observed immune responses showed that the infection route is a determinant factor regarding T. maritimum-induced pathogenesis in European sea bass.

Trade-Offs in COVID-19 Response: Examining Policy Mixes Across 30 Countries—Insights from a Natural Experiment

ABSTRACT During the COVID-19 pandemic, prisons worldwide have emerged as hotspots for viral transmission. This study adopts a natural experiment approach to examine short-term responses to COVID-19 in prisons. By employing fsQCA methods, it analyzes variations in COVID-19 response across different countries and regions. The findings indicate that restrictive policies and psychological compensation measures are essential, whereas material compensation measures and early release policies are deemed non-essential. Considering resource availability, prison occupancy rates, and punitive culture as differentiated boundary conditions, three policy combinations were identified for effective prison epidemic prevention: (1) restrictive policies + material compensation measures + psychological compensation measures; (2) restrictive policies + material compensation measures + psychological compensation measures + early release policies; (3) restrictive policies + psychological compensation measures + early release policies. When selecting prison epidemic prevention strategies, it is crucial to balance public health concerns with public safety considerations as well as protecting detainees’ rights. Finally, this study has identified systematic working methods, health support working methods, and strengthening psychiatric compensation as effective strategies for responding to COVID-19 in prisons.

The impact of intravenous versus submucosal dexamethasone on short-term patient response: A randomized controlled trial.

The purpose of this randomized, cross-over trial was to determine if a preoperative dose of dexamethasone administered submucosally is as effective as intravenous (IV) dexamethasone in reducing pain, swelling, and analgesic consumption after periodontal flap surgery. Thirty-nine patients planned for two similar flap surgeries under IV sedation were included. Before the first surgery, patients were randomized to receive 8mg of IV or submucosal dexamethasone. Via the alternate route, 0.9% sodium chloride (placebo) was administered. Dexamethasone was administered via the opposite route during the second surgery. A standardized regimen of 600mg ibuprofen and 325mg acetaminophen was used to manage postoperative pain. Patients recorded pain and swelling levels on a 21-point numerical rating scale (NRS-21) and a four-point visual rating scale (VRS-4), as well as analgesic usage via a phone application at 12, 24, 48, 72, and 168h postoperatively. While NRS-21 and VRS-4 data suggest a trend toward decreased pain and swelling with IV administration, there were no significant differences in analgesic usage or pain at any time and a significant difference in swelling only at 72 h in favor of IV administration (p=0.047). There was no significant difference in pain or analgesic usage following periodontal flap surgery comparing IV and submucosal dexamethasone. A statistically significant difference in swelling between groups at 72 h is likely of limited clinical relevance. Submucosal dexamethasone is an effective way to mitigate pain following periodontal surgery, particularly when IV access for sedation is not required.

Quantitative evaluation and optimization of synergistic regulation performance considering wear in short-term response of hybrid pumped storage systems

Amid the extensive integration of renewable energy sources and rapid development of variable-speed pumped storage systems (VPSSs), demanding regulation tasks introduce risks to hydraulic-mechanical systems, revealing a growing trade-off between wear and regulation. From the economic and safe operation perspective, this paper aims to accurately quantify and enhance comprehensive regulation performance of hybrid pumped hydro storage systems (HPHSSs) with VPSS. First, a generic framework is established to quantitatively evaluate synergistic regulation performance (SRP), combining regulation intensity and frequency suppression effect of each unit type. Next, a frequency-division coordinated control method is proposed based on the amplitude-frequency characteristics, designed to leverage the rapid response capabilities of VPSS, and the coupling mechanism between this method and the conventional speed limiter module in affecting system dynamics is elucidated. Finally, comprehensive evaluations of HPHSS under typical disturbance scenarios are conducted, with frequency-division parameter further optimized for different system configurations. The results indicate that HPHSS exhibits excellent global stability with the coordinated control, reducing magnitude of average frequency deviation from 10−3 to 10−4, greatly enhancing the SRP. Additionally, an optimal cut-off frequency is identified within 0.05–0.5 Hz, showing an increasing trend as VPSS proportion decreases. These findings provide a novel sight for the safe and optimized operation of HPHSS.

Monitoring the short-term biological response of environmental noise in real-life sleep conditions

A protocol is developed to measure the short-term biological response to environmental noise during sleep. It is designed as potential component in the Human Biomonitoring Program of the Flemish Government. The focus of the protocol is the user-friendliness and the use of non-invasive but accurate technology. The sensor boxes are deployed without third party support using a simple set of instructions. The setup includes simultaneous indoor and outdoor spectral noise monitoring to discriminate between indoor and outdoor disturbances. Actimetry and heart rate are monitored on-torso to detect potential arousals and awakenings. The data analysis is performed in a 10 second resolution and is based on the heart rate variability (HRV) of nine teenage subjects. The bedroom insulation is included using the difference between outdoor and indoor noise. The relevant biomarker is the HF/LF ratio, a HRV parameter related to the activation of the autonomous nervous system, shows significant correlation with the environmental noise. Peak emergence and augmented background noise also result in enhanced activation of the autonomous nervous system. This novel approach delivers an objective measure of the short-term biological effect of noise during sleep in real-life conditions. The affordability and low-invasive design allow large-scale deployment in future health studies.

The impact of confounding factors on moderating short-term responses to noise: A follow-up study conducted at a hospital near Tan Son Nhat Airport

This study explores the intriguing phenomenon of positive participant responses amidst sustained high noise levels in a follow-up survey conducted in the previous year (2023) at Military Hospital 175. Building upon the initial 2022 survey, our investigation reveals a noteworthy continuity of positive responses from participants, despite the persistent influence of high noise levels on both staff and patients. This study, expanding its focus to include road traffic noise surrounding the hospital, highlights the resilience demonstrated by individuals within the hospital environment. The results suggest a complex interplay between perception and adaptation to noise, emphasizing the need for a nuanced understanding of the psychological and physiological responses to sustained high noise levels. This study contributes valuable insights for future interventions and strategies aimed at promoting well-being in healthcare settings with persistent noise challenges.

Long- and short-term responses to climate change in body and appendage size of diverse Australian birds.

Changes to body size and shape have been identified as potential adaptive responses to climate change, but the pervasiveness of these responses has been questioned. To address this, we measured body and appendage size from 5013 museum bird skins of 78 ecologically and evolutionary diverse Australian species. We found that morphological change is a shared response to climate change across birds. Birds increased relative bill surface area, tarsus length, and relative wing length through time, consistent with expectations of increasing appendage size as climates warm. Furthermore, birds decreased in absolute wing length, consistent with the expectation of decreasing body size in warmer climates. Interestingly, these trends were generally consistent across different diets and migratory and thermoregulatory behaviors. Shorter term responses to higher temperatures were contrary to long-term effects for appendages, wherein relative appendage size decreased after hotter years, indicating the complex selective pressures acting on birds as temperatures rise with climate change. Overall, our findings support the notion that morphological adaptation is a widespread response to climate change in birds that is independent of other ecological traits.

Association of Self-Reported Improvement After 4 Weeks and Outcomes After 52 Weeks Among Adolescents With Patellofemoral Pain and Osgood-Schlatter Disease.

Short-term, self-reported changes in symptom severity for musculoskeletal pain disorders may be more strongly associated with long-term prognoses than baseline patient characteristics, because such changes describe a trajectory and not a state. To investigate whether short-term improvement in self-reported symptom severity is associated with long-term recovery among adolescents with nontraumatic knee pain (patellofemoral pain [PFP] or Osgood-Schlatter disease [OSD]). Cohort study; Level of evidence, 3. The authors evaluated data from 2 prospective clinical trials that included adolescents aged 10 to 14 years with either PFP (n = 151) or OSD (n = 51). Both groups underwent a self-management rehabilitation program including activity modification, education, and exercise. The primary outcome was a 7-point global rating of change (GROC) scale (from "much improved" to "much worse"); participants were considered to have improved symptoms if they reported being "much improved" or "improved." Outcomes were collected after 4 and 52 weeks. To investigate whether participants who improved according to GROC scores after 4 weeks were more likely to improve after 52 weeks compared with those who had not improved after 4 weeks, the authors calculated the relative risk (RR) of being improved. Among participants with PFP, reporting an improvement after 4 weeks increased the likelihood of an improvement after 52 weeks (RR = 1.26; 95% CI, 1.06-1.50; P = .008); among those with OSD, reporting an improvement after 4 weeks did not increase the likelihood of an improvement after 52 weeks (RR = 1.06; 95% CI, 0.88-1.28; P = .545). Among participants with PFP who did not improve after 4 weeks, 73% reported improvement after 52 weeks, whereas among participants with OSD who did not improve after 4 weeks, 89% reported improvement after 52 weeks. Self-reported improvement after 4 weeks of treatment was associated with better outcomes after 52 weeks among adolescents with PFP. This association was present only among adolescents with PFP, as almost all adolescents with OSD improved after 52 weeks, regardless of short-term results. Importantly, even among adolescents reporting no improvement after 4 weeks, a large proportion reported improvement after 52 weeks. This highlights the importance of following the rehabilitation program regardless of the short-term response.

Patient-Determined Important Change for the Neck Disability Index With Application of Credibility Analysis: An Exploratory Study

ObjectiveThe purposes of this study were to preliminarily report patient-identified change for the neck disability index (NDI) as either important or not important with time between follow-up of approximately 7 to 10 days and assess the credibility of the preliminary results with the use of a recently established credibility instrument. MethodsThis study was a secondary analysis from a primary randomized clinical trial assessing short-term physical therapist care for individuals with mechanical neck pain. Neck disability index scores and participant-reported importance of global rating of change scores from 42 participants were analyzed from a randomized clinical trial assessing short-term responses to thoracic manipulation and dry needling for neck pain. Patient-important change was computed using receiver operating characteristic curves, and statistical error of the measurement was calculated using (SD × [1 − r]1/2) × 1.96 to assess measurement error at the 95% CI. ResultsThirty-six participants rated global rating of change as important, and 6 rated it as not important. Patient-important change was calculated at 3.5 NDI points on a 0 to 50 NDI scoring scale. This value exceeded the statistical error, which was calculated at 2.16 NDI points. The credibility analysis revealed that 4 of 5 criteria showed strong credibility for the patient-important change estimate. ConclusionUsing patient-determined importance to dichotomize improvement may yield a lower threshold than current researcher-defined methods. Clinically, these results may be more responsive to patient-centric change than using previously reported minimal clinically important difference data.

Study on the Two-Way Promotion Path of Green Financing for SMEs and Green Transformation of Urban Housing Projects in Guangdong Province in the Era of Digital Economy

Green transformation is a necessary path on the road of green development of small and medium-sized enterprises (SMEs), and it is also a top priority for implementing the concept of sustainable development. The article innovatively proposes a green transformation evaluation method for urban housing projects based on the ecological footprint theory, which clarifies the resource use of urban housing projects during the construction process through the ecological footprint calculation, clarifies their ecological deficits, and solves the reduction of their ecological footprints through the green transformation. A double-difference model is introduced to analyze the impact of SMEs’ green financing and issuance of green bonds on the green transformation of urban housing projects. The short-term market response of green bonds issued by SMEs with green financing and the environmental benefits of urban housing projects are also verified. Between 2012 and 2021, the ecological footprint of urban housing projects in Guangdong Province increased by 36,273,366 nha, an increase of 137.04%, and the reduction of ecological footprint in the planning and construction phase of urban housing projects in Guangdong Province after the implementation of the green transformation strategy totaled 10,377.85 nha. Whenever the level of SMEs’ green financing and issuance of green bonds is increased by 1%, the reduction of ecological footprint of the green transformation of urban housing projects will be increased by 1%. Transformation of the ecological footprint reduction will be enhanced by 4.059. Relying on the green financing behavior of SMEs can promote the enhancement of the short-term market effect of the enterprise, and can also effectively enhance the utilization rate of green building materials in urban housing projects, and help the green transformation of urban housing projects.

Small-Scale Biophysical Interactions and Dinophysis Blooms: Case Study in a Strongly Stratified Chilean Fjord

Diarrhetic shellfish poisoning (DSP) toxins and pectenotoxins (PTXs) produced by endemic species of Dinophysis, mainly D. acuta and D. acuminata, threaten public health and negatively impact the shellfish industry worldwide. Despite their socioeconomic impact, research on the environmental drivers of DSP outbreaks in the Chilean fjords is scanty. From 22 to 24 March 2017, high spatial–temporal resolution measurements taken in Puyuhuapi Fjord (Northern Patagonia) illustrated the short-term (hours, days) response of the main phytoplankton functional groups (diatoms and dinoflagellates including toxic Dinophysis species) to changes in water column structure. Results presented here highlight the almost instantaneous coupling between time–depth variation in density gradients, vertical shifts of the subsurface chlorophyll maximum, and its evolution to a buoyancy-driven thin layer (TL) of diatoms just below the pycnocline the first day. A second shallower TL of dinoflagellates, including Dinophysis acuta, was formed on the second day in a low-turbulence lens in the upper part of the pycnocline, co-occurring with the TL of diatoms. Estimates of in situ division rates of Dinophysis showed a moderate growth maximum, which did not coincide with the cell density max. This suggests that increased cell numbers resulted from cell entrainment of off-fjord populations combined with in situ growth. Toxin profiles of the net tow analyses mirrored the dominance of D. acuminata/D. acuta at the beginning/end of the sampling period. This paper provides information about biophysical interactions of phytoplankton, with a focus on Dinophysis species in a strongly stratified Patagonian fjord. Understanding these interactions is crucial to improv predictive models and early warning systems for toxic HABs in stratified systems.

Nomogram for predicting short-term response to anti-vascular endothelial growth factor treatment in neovascular age-related macular degeneration: An observational study.

Anti-vascular endothelial growth factor (anti-VEGF) therapy is critical for managing neovascular age-related macular degeneration (nAMD), but understanding factors influencing treatment efficacy is essential for optimizing patient outcomes. To identify the risk factors affecting anti-VEGF treatment efficacy in nAMD and develop a predictive model for short-term response. In this study, 65 eyes of exudative AMD patients after anti-VEGF treatment for ≥ 1 mo were observed using optical coherence tomography angiography. Patients were classified into non-responders (n = 22) and responders (n = 43). Logistic regression was used to determine independent risk factors for treatment response. A predictive model was created using the Akaike Information Criterion, and its performance was assessed with the area under the receiver operating characteristic curve, calibration curves, and decision curve analysis (DCA) with 500 bootstrap re-samples. Multivariable logistic regression analysis identified the number of junction voxels [odds ratio = 0.997, 95% confidence interval (CI): 0.993-0.999, P = 0.010] as an independent predictor of positive anti-VEGF treatment outcomes. The predictive model incorporating the fractal dimension, number of junction voxels, and longest shortest path, achieved an area under the curve of 0.753 (95%CI: 0.622-0.873). Calibration curves confirmed a high agreement between predicted and actual outcomes, and DCA validated the model's clinical utility. The predictive model effectively forecasts 1-mo therapeutic outcomes for nAMD patients undergoing anti-VEGF therapy, enhancing personalized treatment planning.

How brand CSR responses to the pandemic impact brand value, growth, and rank

The top 100 brands globally in 2020 have responded to the coronavirus pandemic by donating cash, donating in kind, providing special services to their customers, and supporting their employees. The research investigates if their actions reflected on the brand value, brand growth, or brand rank change and which of the four actions, if any, significantly impacted brand performance indicators. The research showed that donations in kind and customer service responses affected brand growth. Both brand value and rank are more long-term and cannot be changed significantly by short-term responses in one year. The authors conclude with a discussion of the insights, research limitations, theoretical and managerial implications, and directions for future research.

Dynamics of Treatment Response to Faricimab for Diabetic Macular Edema.

This study analyzes the dynamics of short-term treatment response to the first intravitreal faricimab injection in eyes with diabetic macular edema (DME). This retrospective, single-center, clinical trial was conducted at the Department of Ophthalmology, University Hospital Zurich. Patients with treatment-naïve and pretreated DME were included. Patient chart data and imaging were analyzed. Safety and efficacy (corrected visual acuity (CVA), central subfield thickness (CST), and signs of intraocular inflammation (IOI)) of the first faricimab intravitreal therapy (IVT) were evaluated weekly until 4 weeks after injection. Forty-three eyes (81% pretreated) of 31 patients were included. Four weeks after the first faricimab IVT, CVA remained stable and median CST (µm) decreased significantly (p < 0.001) from 325.0 (293.5-399.0) at baseline to 304.0 (286.5-358.0). CVA at week 4 was only associated with baseline CVA (p < 0.001). CST was the only predictive variable (p = 0.002) between baseline and week 4 CST. Weekly safety assessments did not show any sign of clinically significant IOI. This study suggests faricimab is an effective treatment for (pretreated) DME, showing structural benefit 1 month following the first injection without short-term safety signals.

Gene expression plasticity in response to rapid and extreme elevation changes in Perdix hodgsoniae (Tibetan Partridge)

Abstract Phenotypic plasticity is a vital biological process facilitating the persistence of organisms amid rapid environmental changes. Investigating the genetic basis of plastic traits necessitates transplantation experiments, but much of the existing research has focused on laboratory model systems. Transplant experiments in the wild may provide better understanding of how plasticity operates in the context of real-world challenges. However, performing transplantation experiments in non-model systems, such as birds, could be challenging. In this study, we aim to develop Perdix hodgsoniae (Tibetan Partridge) inhabiting the highlands of the Tibetan Plateau as a suitable system to study genetic basis underlying short-term plastic response to rapid changes in elevation. We did a first attempt of field-based transplantation experiment by exposing P. hodgsoniae individuals to extreme change in elevation from their native elevation (3,623 m) to a low elevation outside their natural distribution range (500 m). We compared changes in gene expression in these birds at different time points, pre-transplant (Day 0), and post-transplant (Day 3 and Day 22). The birds successfully survived transplantation and exhibited well-being after 22 days. We identified a total of 715 differentially expressed genes (DEGs) across these 3 time points. Our analysis revealed a genome-wide decrease in expression following the transplantation, indicating that the birds possibly exhibited stress-induced transcriptional attenuation (SITA) because of the extreme change in elevation, suggesting a broader response at the transcriptional level, possibly as a mechanism to cope with extreme changes in the environment. Our analysis further suggested that heat stress posed an immediate challenge for the birds following the transplant, as we identified changes in expression in many genes associated with heat stress response. Our findings affirm the viability of conducting transplant experiments in the P. hodgsoniae and provides initial insights into gene expression changes associated with the plastic response to rapid changes in elevation in these birds.

Spatio-Temporal Dynamics of Soil Penetration Resistance Depending on Different Conservation Tillage Systems

As conservation tillage becomes one of the foundations of sustainable crop production, important questions arise about its value, which needs to be defined and evaluated. One of the most important indicators of soil compaction is penetration resistance (PR), which comes as a short-term response to the state of soil physics. The objective of this work is to compare different tillage treatments (TT) on soil compaction on silty clay loam Stagnosol and silt Gleysol in the continental part of Croatia. The research included three tillage treatments: ST—conventional tillage, CTD—deep conservation tillage, and CTS—shallow conservation tillage. PR was determined on each soil depth of 5 cm up to 80 cm, and measuring was provided on two measuring dates. The obtained results showed a higher influence of the year factor than TT. In the upper layers (up to 35 cm), PR values between TT were with significant differences, but in most cases below root-limiting critical values, while in deeper soil layers (35–80 cm), we found that penetration values on each tillage treatment begin to stabilize and smooth out in most cases, with similar dynamics on both soil types and measurement dates. In most of the cases, the highest PR was measured for conservation treatments in wetter soil conditions.

Short-term health system responses to epidemics across hard to reach areas in sub-Saharan Africa: A scoping review protocol.

Epidemics and Pandemics (disease outbreaks) are the occurrence of cases of disease in excess of what would be normally expected. Epidemic-prone diseases, including emerging and re-emerging diseases, constitute the greatest threat to public health security and disruption of social and economic development. When outbreaks are diagnosed in specific areas, an outbreak response is triggered to stop the spread rapidly. In the past 20 years, the sub-Saharan region has witnessed a marked increase in the number of outbreaks in pandemics, such as cholera, dengue, A/H5N 1 influenza among others. While efforts toward containment have been individually studied, we have no recent studies that examine them collectively in order to draw appropriate comparisons, no recent studies that have especially focused on hard-to-reach areas, and none that have applied a health systems lens. This study thus details a scoping review of short-term health system responses to epidemics across hard-to-reach areas in sub-Saharan Africa. The scoping review will be undertaken following PRISMA guidelines. A modified Donabedian framework will be used to understand the different approaches used while responding to epidemics. The review will focus on published and unpublished studies that report short-term health systems responses to epidemics in hard to reach areas. These will be gleaned from PubMed, google scholar and Cochrane, supplemented by a Google advanced search. In addition, manual searches will be carried out through related articles and websites. Data will be charted, coded, and narratively synthesized. our exclusion criteria will include; protocols, book chapters and countries not identified as hard to reach areas in SSA. We anticipate developing a document that will show the different approaches health systems in different countries used when responding to epidemics. The information generated will contribute to strengthening future epidemic responses by identifying best practices and innovative ideas as well as highlighting knowledge gaps.

Incremental predictive value of genetic risk and functional brain connectivity in determining antipsychotic response in schizophrenia

We aimed to assess the incremental value of schizophrenia polygenic risk score (PgRS) and resting-state functional brain connectivity (rsFC) when added to clinical data in predicting the six-week response to oral risperidone (Risperdal) in schizophrenia. Fifty-seven, 54, and 43 individuals in a group of never-before-treated first-episode schizophrenia had good quality whole-genome sequencing (10x), rsFC, and both genomic and rsFC data, respectively, at baseline. Symptom severity ratings were obtained at baseline and six-weeks of oral risperidone (Risperdal) treatment. The primary outcome was the percentage change in the Positive and Negative Syndrome Scale Total scores after risperidone (Risperdal) treatment. Clinical, PgRS, and rsFC determinants of treatment response were first evaluated independently. Subsequently, three blocks of hierarchical multiple regression analyses with leave-one-out cross-validation (n = 43), were implemented to study clinical, clinical + PgRS and clinical + PgRS + rsFC determinants of treatment response. While the combined clinical variables did not show a statistically significant prediction of treatment response, adding PgRS (9 % R2 change) and rsFC (26 % R2 change) in hierarchical steps, significantly improved the overall proportion of variance explained in treatment response. This proof-of-concept investigation underscores the incremental benefits offered by genetic and neuroimaging metrics over clinical measures in determining prospectively-ascertained short-term treatment response in first-episode schizophrenia.