Competitive Reporter Monitored Amplification (CMA) - Quantification of Molecular Targets by Real Time Monitoring of Competitive Reporter Hybridization

Background: State of the art molecular diagnostic tests are based on the sensitive detection and quantification of nucleic acids. However, currently established diagnostic tests are characterized by elaborate and expensive technical solutions hindering the development of simple, affordable and compact point-of-care molecular tests. Methodology and Principal Findings: The described competitive reporter monitored amplification allows the simultaneous amplification and quantification of multiple nucleic acid targets by polymerase chain reaction. Target quantification is accomplished by real-time detection of amplified nucleic acids utilizing a capture probe array and specific reporter probes. The reporter probes are fluorescently labeled oligonucleotides that are complementary to the respective capture probes on the array and to the respective sites of the target nucleic acids in solution. Capture probes and amplified target compete for reporter probes. Increasing amplicon concentration leads to decreased fluorescence signal at the respective capture probe position on the array which is measured after each cycle of amplification. In order to observe reporter probe hybridization in real-time without any additional washing steps, we have developed a mechanical fluorescence background displacement technique. Conclusions and Significance: The system presented in this paper enables simultaneous detection and quantification of multiple targets. Moreover, the presented fluorescence background displacement technique provides a generic solution fo

Reward-Related Dorsal Striatal Activity Differences between Former and Current Cocaine Dependent Individuals during an Interactive Competitive Game

Cocaine addiction is characterized by impulsivity, impaired social relationships, and abnormal mesocorticolimbic reward processing, but their interrelationships relative to stages of cocaine addiction are unclear. We assessed blood-oxygenation-level dependent (BOLD) signal in ventral and dorsal striatum during functional magnetic resonance imaging (fMRI) in current (CCD; n = 30) and former (FCD; n = 28) cocaine dependent subjects as well as healthy control (HC; n = 31) subjects while playing an interactive competitive Domino game involving risk-taking and reward/punishment processing. Out-of-scanner impulsivity-related measures were also collected. Although both FCD and CCD subjects scored significantly higher on impulsivity-related measures than did HC subjects, only FCD subjects had differences in striatal activation, specifically showing hypoactivation during their response to gains versus losses in right dorsal caudate, a brain region linked to habituation, cocaine craving and addiction maintenance. Right caudate activity in FCD subjects also correlated negatively with impulsivity-related measures of self-reported compulsivity and sensitivity to reward. These findings suggest that remitted cocaine dependence is associated with striatal dysfunction during social reward processing in a manner linked to compulsivity and reward sensitivity measures. Future research should investigate the extent to which such differences might reflect underlying vulnerabilities linked to cocaine-using propensities (e.g., relapses)

Contribution to the understanding of the Ionian Basin sedimentary evolution along the eastern edge of Apulia during the Late Cretaceous in Albania

Integrated in the peri-Adriatic domain, the Ionian Basin extended along a NW-SE direction during the Late Cretaceous, limited on its sides by the Apulian and the Kruja platforms. The basinal/slope succession was studied in seven outcrops exposed in the Albanian fold-and-thrust belt. Sedimentological investigations, supported by bio- and chronostratigraphy were performed on calcareous Upper Cretaceous hemipelagites, gravity-flow deposits and slumps. The western part of the basin was studied, revealing a strong influence of the Apulian margin, alternatively shedding sediment basinward, by means of a tectonically controlled edge. The Late Albian to Cenomanian period is characterized by the settling of muddy debrites along the margin. A deep basinal environment characterizes this period which prolongs until the Santonian, with no significant influx of the platform basinward. This sedimentary setting abruptly changed at the end of the Santonian, with an important influx derived from both platforms. Coarsening and thickening upward sequences show a progressive increase in sediment shedding during the Campanian. The Late Campanian-Early Maastrichtian period points out a major change on the resedimentation processes with the settling of several slumped units reworking thick sediment packages. The latter can be traced along the Apulian margin, testifying of instabilities along the edge of Apulia

Virtual Partnership Addressing Mental Health Crises: Mixed Methods Study of a Coresponder Program in Rural Law Enforcement (Preprint)

BACKGROUND A mental health crisis can create challenges for individuals, families, and communities. This multifaceted issue often involves different professionals from law enforcement and health care systems, which may lead to siloed and suboptimal care. The virtual crisis care (VCC) program was developed to provide rural law enforcement with access to behavioral health professionals and facilitated collaborative care via telehealth technology. OBJECTIVE This study was designed to evaluate the implementation and use of a VCC program from a telehealth hub for law enforcement in rural areas. METHODS This study used a mixed methods approach. The quantitative data came from the telehealth hub’s electronic record system. The qualitative data came from in-depth interviews with law enforcement in the 18 counties that adopted the VCC program. RESULTS Across the 181 VCC encounters, the telehealth hub's recommended disposition and the actual disposition were similar for remaining in place (n=141, 77.9%, and n=137, 75.7%, respectively), voluntary admission (n=9, 5.0%, and n=10, 5.5%, respectively), and involuntary committal (IVC; n=27, 14.9%, and n=19, 10.5%, respectively). Qualitative insights related to the VCC program's implementation, use, benefits, and challenges were identified, providing a comprehensive view of the virtual partnership between rural law enforcement and behavioral health professionals. CONCLUSIONS Use of a VCC program likely averts unnecessary IVCs. Law enforcement interviews affirmed the positive impact of VCC due to its ease of use and the benefits it provides to the individuals in need, the first responders involved, law enforcement resources, and the community. </sec

Contribution to the understanding of the Ionian Basin sedimentary evolution along the eastern edge of Apulia during the Late Cretaceous in Albania

Integrated in the peri-Adriatic domain, the Ionian Basin extended along a NW-SE direction during the Late Cretaceous, limited on its sides by the Apulian and the Kruja platforms. The basinal/slope succession was studied in seven outcrops exposed in the Albanian fold-and-thrust belt. Sedimentological investigations, supported by bio- and chronostratigraphy were performed on calcareous Upper Cretaceous hemipelagites, gravity-flow deposits and slumps. The western part of the basin was studied, revealing a strong influence of the Apulianmargin, alternatively shedding sediment basinward, by means of a tectonically controlled edge. The Late Albian to Cenomanian period is characterized by the settling of muddy debrites along themargin. A deep basinal environment characterizes this period which prolongs until the Santonian, with no significant influx of the platform basinward. This sedimentary setting abruptly changed at the end of the Santonian, with an important influx derived from both platforms. Coarsening and thickening upward sequences show a progressive increase in sediment shedding during the Campanian. The Late Campanian-Early Maastrichtian period points out a major change on the resedimentation processes with the settling of several slumped units reworking thick sediment packages. The latter can be traced along the Apulian margin, testifying of instabilities along the edge of Apulia.status: publishe