Design, Development and Construct Validation of the Children’s Dietary Inflammatory Index

Objective: To design and validate a literature-derived, population-based Children’s Dietary Inflammatory Index (C-DII)TM. Design: The C-DII was developed based on a review of literature through 2010. Dietary data obtained from children in 16 different countries were used to create a reference database for computing C-DII scores based on consumption of macronutrients, vitamins, minerals, and whole foods. Construct validation was performed using quantile regression to assess the association between C-reactive protein (CRP) concentrations and C-DII scores. Data Sources: All data used for construct validation were obtained from children between six and 14 years of age (n = 3300) who participated in the U.S. National Health and Nutrition Examination Survey (NHANES) (2005–2010). Results: The C-DII was successfully validated with blood CRP concentrations in this heterogeneous sample of 3300 children from NHANES (52% male; 29% African American, 25% Mexican American; mean age 11 years). The final model was adjusted for sex, age, race, asthma, body mass index (BMI), and infections. Children in level 3 (i.e., quartiles 3 and 4 combined) of the C-DII (i.e., children with the most pro-inflammatory diets) had a CRP value 0.097 mg/dL higher than that in level 1 (i.e., quartile 1) for CRP values at the 75th percentile of CRP using quantile regression (p \u3c 0.05). Conclusion: The C-DII predicted blood CRP concentrations among children 6–14 years in the NHANES. Further construct validation with CRP and other inflammatory markers is required to deepen understanding of the relationship between the C-DII and markers of inflammation in children

Design, Development and Construct Validation of the Children’s

Objective: To design and validate a literature-derived, population-based Children’s Dietary Inflammatory Index (C-DII)TM. Design: The C-DII was developed based on a review of literature through 2010. Dietary data obtained from children in 16 different countries were used to create a reference database for computing C-DII scores based on consumption of macronutrients, vitamins, minerals, and whole foods. Construct validation was performed using quantile regression to assess the association between C-reactive protein (CRP) concentrations and C-DII scores. Data Sources: All data used for construct validation were obtained from children between six and 14 years of age (n = 3300) who participated in the U.S. National Health and Nutrition Examination Survey (NHANES) (2005–2010). Results: The C-DII was successfully validated with blood CRP concentrations in this heterogeneous sample of 3300 children from NHANES (52% male; 29% African American, 25% Mexican American; mean age 11 years). The final model was adjusted for sex, age, race, asthma, body mass index (BMI), and infections. Children in level 3 (i.e., quartiles 3 and 4 combined) of the C-DII (i.e., children with the most pro-inflammatory diets) had a CRP value 0.097 mg/dL higher than that in level 1 (i.e., quartile 1) for CRP values at the 75th percentile of CRP using quantile regression (p \u3c 0.05). Conclusion: The C-DII predicted blood CRP concentrations among children 6–14 years in the NHANES. Further construct validation with CRP and other inflammatory markers is required to deepen understanding of the relationship between the C-DII and markers of inflammation in childre

Factors associated with producing a scientific publication during medical training: evidence from a cross-sectional study of 40 medical schools in Latin America [version 2; peer review: 2 approved]

"Background: Scientific publication during medical training is key to promoting enduring cutting-edge knowledge. The promotion of science among medical students in Latin America is a multisectoral issue that is hampered by the lack of governmental knowledge to invest in national research, as well as by the lack of support from local universities. This study aims to determine the factors associated with the production of a scientific publication during medical training among Latin American medical students of local scientific societies. Methods: This is a secondary data analysis of a cross-sectional study conducted in 2016 that assessed the use of information and communication technologies (ICTs) among medical students from 40 local scientific societies of medical students affiliated with FELSOCEM. Teams from each local scientific society surveyed self-reported scientific publications and explored their association with socioeconomic, academic, and research training conditions. We applied nested models to identify the covariates associated with selfreported scientific publication, obtaining a parsimonious mixedeffects multilevel model grouped by medical scientific society. Results: Of 11,587 participants, the prevalence of scientific publications increased in 36% among medical students affiliated to a Scientific Society of Medical Students [parsimonious prevalence ratio (pPR)=1.36, 95%CI=1.16–1.59], 51% among medical students with advanced English proficiency [pPR=1.51, 95%CI=1.21 – 1.87], 85% among medical students who attended a scientific writing skills course [pPR=1.85, 95%CI=1.59–2.15], 81% among medical students who use Sci-Hub [pPR=1.81, 95%CI=1.50–2.20], and 108% among medical students who have access to a pirated academic account [pPR=2.08, 95%CI=1.83–2.36]. Conclusions: Producing a scientific publication among medical students is associated with being affiliated to a scientific society of medical students, English proficiency, training in scientific writing, use of Sci-Hub, and pirated academic accounts. The results will help clinical educators and medical programs improve resources for training students in high-quality research

Breast reconstruction: a review

Surgeons in the late 19th - 20th century performed radical mastectomies as the only possible treatment for breast cancers. Since then, the medical-surgical/scientific community has been constantly encouraged to develop and study different less invasive alternatives in breast reconstruction. Over time, locoregional perforator flap options have served as practical alternatives to implant-based reconstruction and abdominal flaps, especially in the setting of patients who have received radiation therapy or have a history of failed reconstruction, as they effectively fill the missing volume and respect the musculature of the donor site. Breast reconstruction using strategies with one of the different locoregional flaps can preserve the musculature and innervation of the post-mastectomy site, which manages to reduce possible adverse events. In addition to evaluating the anatomical characteristics of the defect and affected quadrant, it is essential to assess the patient's body constitution and the skills of the surgical team as well as microsurgery training when designing a reconstructive plan. Different research protocols should be developed in the study and development of new medical-surgical therapeutic alternatives; we suggest joint development with tissue engineering

African Mountain Thistles: Three New Genera in the Carduus-Cirsium Group

The floras on the highest mountains in tropical eastern Africa are among the most unique floras in the world. Despite the exceptionally high concentration of endemic species, these floras remain understudied from an evolutionary point of view. In this study, we focus on the Carduus-Cirsium group (subtribe Carduinae) to unravel the evolutionary relationships of the species endemic to the tropical Afromontane and Afroalpine floras, aiming to improve the systematics of the group. We applied the Hyb-Seq approach using the Compositae1061 probe set on 190 samples (159 species), encompassing representatives of all genera of Carduinae. We used two recently developed pipelines that enabled the processing of raw sequence reads, identification of paralogous sequences and segregation into orthologous alignments. After the implementation of a missing data filter, we retained sequences from 986 nuclear loci and 177 plastid regions. Phylogenomic analyses were conducted using both concatenated and summary-coalescence methods. The resulting phylogenies were highly resolved and revealed three distinct evolutionary lineages consisting of the African species traditionally referred to as Carduus and Cirsium. Consequently, we propose the three new genera Afrocarduus, Afrocirsium and Nuriaea; the latter did notably not belong to the Carduus-Cirsium group. We detected some incongruences between the phylogenies based on concatenation vs. coalescence and on nuclear vs. plastid datasets, likely attributable to incomplete lineage sorting and/or hybridization

Mejora en el nivel de conocimiento, después de una intervención educativa, en resucitación cardiopulmonar básica en estudiantes de medicina en Piura

Introducción: La resucitación cardiopulmonar es un conjunto de maniobras que deben realizarse en forma sistemática y simultánea, para salvar vidas. El que las realice, debe tener un sólido conocimiento teórico-práctico de la técnica a usar. Objetivo: Determinar la diferencia en el conocimiento teórico-práctico de Reanimación Cardio Pulmonar según el tipo de intervención educativa en estudiantes de medicina del Perú. Métodos: Estudio de intervención de tipo educativo, realizado en estudiantes de dos universidades peruanas. La variable principal fue medir el cambio del nivel de conocimiento teórico-práctico según el tipo de instrucción (Teórico, teórico – practico o Practico), medida con un cuestionario previamente validado1. Se utilizó las pruebas estadísticas de chi cuadrado para las variables categóricas y ANOVA para el análisis de variables numéricas versus las categóricas, ajustado por la prueba de Barlett. Resultados: Según el tipo de intervención recibida, la diferencia entre los promedios finales teóricos no fue significativa (p>0,05), pero los promedios finales prácticos sí mostraron diferencias entre los grupos (p<0,001). En el análisis multivariado se encontró diferencias en el conocimiento práctico del grupo de instrucción práctica (p=0,020) y teórico-práctica (p=0,001) respecto al grupo de instrucción teórica exclusiva. Conclusión: La instrucción tipo práctica y teórico-práctica genera un cambio significativo en el nivel de conocimientos. Esto debe tomarse en cuenta para la generación de programas de instrucción, ya que, muchas veces los conocimientos solo teóricos resultan insuficientes para este tipo de aprendizaj

The High-Energy Radiation Environment Around a 10 Gyr M Dwarf: Habitable at Last?

High levels of X-ray and UV activity on young M dwarfs may drive rapid atmospheric escape on temperate, terrestrial planets orbiting within the liquid water habitable zone. However, secondary atmospheres on planets orbiting older, less active M dwarfs may be stable and present more promising candidates for biomarker searches. We present new HST and Chandra observations of Barnard's Star (GJ 699), a 10 Gyr old M3.5 dwarf, acquired as part of the Mega-MUSCLES program. Despite the old age and long rotation period of Barnard's star, we observe two FUV ($\delta_{130}$ $\approx$ 5000s; $E_{130}$ $\approx$ 10$^{29.5}$ erg each) and one X-ray ($E_{X}$ $\approx$ 10$^{29.2}$ erg) flares, and estimate a high-energy flare duty cycle (defined here as the fraction of the time the star is in a flare state) of $\sim$ 25\%. A 5 A - 10 $\mu$m SED of GJ 699 is created and used to evaluate the atmospheric stability of a hypothetical, unmagnetized terrestrial planet in the habitable zone ($r_{HZ}$ $\sim$ 0.1 AU). Both thermal and non-thermal escape modeling indicate (1) the $quiescent$ stellar XUV flux does not lead to strong atmospheric escape: atmospheric heating rates are comparable to periods of high solar activity on modern Earth, and (2) the $flare$ environment could drive the atmosphere into a hydrodynamic loss regime at the observed flare duty cycle: sustained exposure to the flare environment of GJ 699 results in the loss of $\approx$ 87 Earth atmospheres Gyr$^{-1}$ through thermal processes and $\approx$ 3 Earth atmospheres Gyr$^{-1}$ through ion loss processes, respectively. These results suggest that if rocky planet atmospheres can survive the initial $\sim$ 5 Gyr of high stellar activity, or if a second generation atmosphere can be formed or acquired, the flare duty cycle may be the controlling stellar parameter for the stability of Earth-like atmospheres around old M stars.Comment: Accepted to A

X-ray Studies of Exoplanets: A 2020 Decadal Survey White Paper

Over the last two decades, the discovery of exoplanets has fundamentally changed our perception of the universe and humanity's place within it. Recent work indicates that a solar system's X-ray and high energy particle environment is of fundamental importance to the formation and development of the atmospheres of close-in planets such as hot Jupiters, and Earth-like planets around M stars. X-ray imaging and spectroscopy provide powerful and unique windows into the high energy flux that an exoplanet experiences, and X-ray photons also serve as proxies for potentially transfigurative coronal mass ejections. Finally, if the host star is a bright enough X-ray source, transit measurements akin to those in the optical and infrared are possible and allow for direct characterization of the upper atmospheres of exoplanets. In this brief white paper, we discuss contributions to the study of exoplanets and their environs which can be made by X-ray data of increasingly high quality that are achievable in the next 10--15 years

TOI-4201: An Early M-dwarf Hosting a Massive Transiting Jupiter Stretching Theories of Core-Accretion

We confirm TOI-4201 b as a transiting Jovian mass planet orbiting an early M dwarf discovered by the Transiting Exoplanet Survey Satellite. Using ground based photometry and precise radial velocities from NEID and the Planet Finder Spectrograph, we measure a planet mass of 2.59$^{+0.07}_{-0.06}$ M$_{J}$, making this one of the most massive planets transiting an M-dwarf. The planet is $\sim$0.4\% the mass of its 0.63 M$_{\odot}$ host and may have a heavy element mass comparable to the total dust mass contained in a typical Class II disk. TOI-4201 b stretches our understanding of core-accretion during the protoplanetary phase, and the disk mass budget, necessitating giant planet formation to either take place much earlier in the disk lifetime, or perhaps through alternative mechanisms like gravitational instability.Comment: To be submitted to AAS journals on 14th July 202

Native diversity buffers against severity of non-native tree invasions

Determining the drivers of non-native plant invasions is critical for managing native ecosystems and limiting the spread of invasive species$^{1,2}$. Tree invasions in particular have been relatively overlooked, even though they have the potential to transform ecosystems and economies$^{3,4}$. Here, leveraging global tree databases$^{5–7}$, we explore how the phylogenetic and functional diversity of native tree communities, human pressure and the environment influence the establishment of non-native tree species and the subsequent invasion severity. We find that anthropogenic factors are key to predicting whether a location is invaded, but that invasion severity is underpinned by native diversity, with higher diversity predicting lower invasion severity. Temperature and precipitation emerge as strong predictors of invasion strategy, with non-native species invading successfully when they are similar to the native community in cold or dry extremes. Yet, despite the influence of these ecological forces in determining invasion strategy, we find evidence that these patterns can be obscured by human activity, with lower ecological signal in areas with higher proximity to shipping ports. Our global perspective of non-native tree invasion highlights that human drivers influence non-native tree presence, and that native phylogenetic and functional diversity have a critical role in the establishment and spread of subsequent invasions