Managing Hypertension, Diabetes, and Cardiovascular Disease Risk via Short-Term Medical Trips: A Retrospective Longitudinal Study in Santo Domingo

Background: Short-term medical trips (STMTs) from high-resource countries frequently provide care in low and middle-income countries. Little existing literature objectively tracks the long-term outcomes of these interventions on the receiving populations over time to assess potential benefits and to ensure no harm is being done. Objectives: The purpose of this study was to objectively analyze the outcomes of a biannual STMT to Santo Domingo, Dominican Republic on hypertension (HTN), diabetes mellitus type 2 (DM2), and cardiovascular disease (CVD) risk over a five-year period (2015-2019). Methods: Data from 1655 patients was extracted from the electronic medical record. In patients who received treatment and had more than one visit, a linear mixed model was used to analyze effects on systolic blood pressure (SBP) and hemoglobin A1C (HbA1C) values over time. In patients with high CVD risk based on a non-laboratory-based assessment, provider compliance with prescribing an aspirin and statin was calculated and tracked over time. Results: In patients with HTN who received treatment, average SBP was 148.83 mmHg (SD = 23.96) at initial visit and demonstrated no change over time (Estimate: 0.68 mmHg/year increase, p = 0.46). HbA1C data was insufficient for analysis. Treatment for patients with high CVD risk with an aspirin and statin improved from 41.46% in 2015 to 70.51% in 2019. Conclusion: SBP in patients with HTN treated by this STMT demonstrated no significant change over time. Possible contributing factors included patient education, access and adherence to medications, and documentation of data. Provider compliance with appropriate prescribing was high for patients with HTN and DM2 and improved over time for patients with high CVD risk, serving as an indirect measure for potential long-term benefits on these populations. All STMTs should objectively track outcomes of their interventions to assess risks and benefits to the communities being served

Evidence for a mid-Pleistocene change of ice-drift pattern in the Nordic seas

Sediment proxy records from a continuous, 1.5 million year long deep-sea sediment core from a site in the western Norwegian Sea were used to obtain new insights into the nature of palaeoceanographic change in the northern North Atlantic (Nordic seas) during the climatic shift of the Mid-Pleistocene Revolution (MPR). Red-green sediment colour and magnetic susceptibility records both reveal significant differences in their mean values when comparing the intervals older than 700 000 yr (700 ka) with those from the past 500 kyr. The timing and duration of these changes indicates that the MPR in the Nordic seas is characterised by a gradual transition lasting about 200 kyr. Together with further sedimentological evidence this suggests that the mid-Pleistocene climate shift was accompanied by a general change in ice-drift pattern. It is further proposed that prior to the onset of the major late Pleistocene glaciations in the Northern Hemisphere a significant proportion of the ice in the eastern Nordic seas originated from a southern provenance, whereas later it dominantly came from the surrounding landmasses

Acetylcholine content and viability of cholinergic neurons are influenced by the activity of protein histidine phosphatase

Background: The first mammalian protein histidine phosphatase (PHP) was discovered in the late 90s of the last century. One of the known substrates of PHP is ATP-citrate lyase (ACL), which is responsible - amongst other functions - for providing acetyl-CoA for acetylcholine synthesis in neuronal tissues. It has been shown in previous studies that PHP downregulates the activity of ACL by dephosphorylation. According to this our present work focused on the influence of PHP activity on the acetylcholine level in cholinergic neurons. Results: The amount of PHP in SN56 cholinergic neuroblastoma cells was increased after overexpression of PHP by using pIRES2-AcGFP1-PHP as a vector. We demonstrated that PHP overexpression reduced the acetylcholine level and induced cell death. The acetylcholine content of SN56 cells was measured by fast liquid chromatographytandem mass spectrometry method. Overexpression of the inactive H53A-PHP mutant also induced cell damage, but in a significantly reduced manner. However, this overexpression of the inactive PHP mutant did not change the acetylcholine content of SN56 cells significantly. In contrast, PHP downregulation, performed by RNAitechnique, did not induce cell death, but significantly increased the acetylcholine content in SN56 cells. Conclusions: We could show for the first time that PHP downregulation increased the acetylcholine level in SN56 cells. This might be a potential therapeutic strategy for diseases involving cholinergic deficits like Alzheimer’s disease

Virtual versus Real Nuclear Compton Scattering in the Delta(1232) Region

In this paper we calculate the cross section for Virtual Compton Scattering off nuclei in the delta resonance region. We also calculate the background for the process from Coherent Bremsstrahlung in nuclei and explore the regions where the Virtual Compton Scattering cross section dominates. The study also shows that it is possible to extract the cross section for Real Compton Scattering from the Virtual Compton one in a wide range of scattering angles.Comment: latex , 11 pages, ps.gz file, 16 figure

Biological processes and links to the physics

Analysis of the temporal and spatial variability of biological processes and identification of the main variables that drive the dynamic regime of marine ecosystems is complex. Correlation between physical variables and long-term changes in ecosystems has routinely been identified, but the specific mechanisms involved remain often unclear. Reasons for this could be various: the ecosystem can be very sensitive to the seasonal timing of the anomalous physical forcing; the ecosystem can be contemporaneously influenced by many physical variables and the ecosystem can generate intrinsic variability on climate time scales. Marine ecosystems are influenced by a variety of physical factors, e.g., light, temperature, transport, turbulence. Temperature has a fundamental forcing function in biology, with direct influences on rate processes of organisms and on the distribution of mobile species that have preferred temperature ranges. Light and transport also affect the physiology and distribution of marine organisms. Small-scale turbulence determines encounter between larval fish and their prey and additionally influences the probability of successful pursuit and ingestion. The impact of physical forcing variations on biological processes is studied through long-term observations, process studies, laboratory experiments, retrospective analysis of existing data sets and modelling. This manuscript reviews the diversity of physical influences on biological processes, marine organisms and ecosystems and their variety of responses to physical forcing with special emphasis on the dynamics of zooplankton and fish stocks

‘Looking after country two-ways’: Insights into Indigenous community-based conservation from the Southern Tanami

This paper offers insights and practical lessons for a ‘two-way’ approach to combining Indigenous and non-Indigenous ecological knowledge in environmental planning and management. It is based on the experience of developing an Indigenous Protected Area to conserve 10 million hectares of biologically and culturally significant land in the Southern Tanami region of Central Australi

Xyloglucan endotransglucosylase and cell wall extensibility

Transgenic tomato hypocotyls with altered levels of an XTH gene were used to study how XET activity could affect the hypocotyl growth and cell wall extensibility. Transgenic hypocotyls showed significant over-expression (line 13) or co-suppression (line 33) of the SlXTH1 in comparison with the wild type, with these results being correlated with the results on specific soluble XET activity, suggesting that SlXTH1 translates mainly for a soluble XET isoenzyme. A relationship between XET activity and cell wall extensibility was found, and the highest total extensibility was located in the apical hypocotyl segment of the over-expressing SlXTH1 line, where the XET-specific activity and hypocotyl growth were also highest compared with the wild line

Recent advances in solid-state organic lasers

Organic solid-state lasers are reviewed, with a special emphasis on works published during the last decade. Referring originally to dyes in solid-state polymeric matrices, organic lasers also include the rich family of organic semiconductors, paced by the rapid development of organic light emitting diodes. Organic lasers are broadly tunable coherent sources are potentially compact, convenient and manufactured at low-costs. In this review, we describe the basic photophysics of the materials used as gain media in organic lasers with a specific look at the distinctive feature of dyes and semiconductors. We also outline the laser architectures used in state-of-the-art organic lasers and the performances of these devices with regard to output power, lifetime, and beam quality. A survey of the recent trends in the field is given, highlighting the latest developments in terms of wavelength coverage, wavelength agility, efficiency and compactness, or towards integrated low-cost sources, with a special focus on the great challenges remaining for achieving direct electrical pumping. Finally, we discuss the very recent demonstration of new kinds of organic lasers based on polaritons or surface plasmons, which open new and very promising routes in the field of organic nanophotonics

Compton Scattering by Nuclei

The concept of Compton scattering by even-even nuclei from giant-resonance to nucleon-resonance energies and the status of experimental and theoretical researches in this field are outlined. Nuclear Compton scattering in the giant-resonance energy-region provides information on the dynamical properties of the in-medium mass of the nucleon. The electromagnetic polarizabilities of the nucleon in the nuclear medium can be extracted from nuclear Compton scattering data obtained in the quasi-deuteron energy-region. Recent results are presented for two-body effects due to the mesonic seagull amplitude and due to the excitation of nucleon internal degrees of freedom accompanied by meson exchanges. Due to these studies the in-medium electromagnetic polarizabilities are by now well understood, whereas the understanding of nuclear Compton scattering in the Delta-resonance range is only at the beginning. Phenomenological methods how to include retardation effects in the scattering amplitude are discussed and compared with model predictions.Comment: 146 pages, 37 figures, submitted to Phys. Report