Functional PCA for Remotely Sensed Lake Surface Water Temperature Data

Functional principal component analysis is used to investigate a high-dimensional surface water temperature data set of Lake Victoria, which has been produced in the ARC-Lake project. Two different perspectives are adopted in the analysis: modelling temperature curves (univariate functions) and temperature surfaces (bivariate functions). The latter proves to be a better approach in the sense of both dimension reduction and pattern detection. Computational details and some results from an application to Lake Victoria data are presented

mGlu5 Inhibition in the Basolateral Amygdala Prevents Estrous Cycle-Dependent Changes in Cue-Induced Cocaine Seeking

Drug associated cues are a common relapse trigger for individuals recovering from cocaine use disorder. Sex and ovarian hormones influence patterns of cocaine use and relapse vulnerability, with studies indicating that females show increased cue-induced craving and relapse vulnerability compared to males. In a rodent model of cocaine craving and relapse vulnerability, cue-induced cocaine seeking behavior following weeks of withdrawal from extended-access cocaine self-administration is higher in females in the estrus stage of the reproductive (estrous) cycle (Estrus Females) compared to both Males and females in all other stages (Non-Estrus Females). However, the neuronal substrates and cellular mechanisms underlying these sex differences is not fully understood. One region that contributes to both sex differences in behavioral responding and cue-induced cocaine seeking is the basolateral amygdala (BLA), while one receptor known to play a critical role in mediating cocaine seeking behavior is metabotropic glutamate receptor 5 (mGlu5). Here we assessed the effects of BLA mGlu5 inhibition following prolonged withdrawal from cocaine self-administration on observed estrous cycle-dependent changes in cue-induced cocaine seeking behavior. We found that BLA microinjections of the mGlu5 antagonist MTEP selectively reduced the enhanced cue-induced cocaine seeking normally observed in Estrus Females while having no effect on cocaine seeking in Males and Non-Estrus Females. These findings identify a unique interaction between cocaine-exposure, estrous cycle fluctuations and BLA mGlu5-dependent transmission on cue-induced cocaine seeking behavior

How do naloxone-based interventions work to reduce overdose deaths: a realist review

BACKGROUND: Naloxone-based interventions as part of health systems can reverse an opioid overdose. Previous systematic reviews have identified the effectiveness of naloxone; however, the role of context and mechanisms for its use has not been explored. This realist systematic review aims to identify a theory of how naloxone works based on the contexts and mechanisms that contribute to the success of the intervention for improved outcomes. METHODS: Pre-registered at PROSPERO, this realist review followed RAMESES standards of reporting. Keywords included 'naloxone' and ' opioid overdose'. All study designs were included. Data extraction using 55 relevant outputs based on realist logic produced evidence of two middle-range theories: Naloxone Bystander Intervention Theory and Skills Transfer Theory. RESULTS: Harm reduction and/or low threshold contexts provide a non-judgemental approach which support in-group norms of helping and empower the social identity of the trained and untrained bystander. This context also creates the conditions necessary for skills transfer and diffusion of the intervention into social networks. Stigma and negative attitudes held by first responders and stakeholders involved in the implementation process, such as police or GPs, can prohibit the bystander response by inducing fear in responding. This interferes with skills transfer, naloxone use and carriage of naloxone kits. CONCLUSIONS: The findings provide theoretically informed guidance regarding the harm reduction contexts that are essential for the successful implementation of naloxone-based interventions. Peer-to-peer models of training are helpful as it reinforces social identity and successful skills transfer between bystanders. Health systems may want to assess the prevalence of, and take steps to reduce opioid-related stigma with key stakeholders in contexts using a low threshold training approach to build an environment  to support positive naloxone outcomes. TRIAL REGISTRATION: PROSPERO 2019 CRD42019141003. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12954-022-00599-4

Fracture Blisters

Fracture blisters are a relatively uncommon complication of fractures in locations of the body, such as the ankle, wrist elbow and foot, where skin adheres tightly to bone with little subcutaneous fat cushioning. The blister that results resembles that of a second degree burn

Distribution, hosts and long-term decline in abundance of the Patagonian lamprey inferred from diet assessment of albatrosses

Knowledge of lampreys during their marine phase is limited, and for the southern hemisphere species was gleaned from their predators (albatrosses) in the 1970s. Taking advantage of new methodologies and long-term data on predator diet and distributions, we infer diverse aspects of lamprey distribution and ecology. DNA analyses indicated that albatrosses at South Georgia prey on Patagonian lamprey Geotria macrostoma, originating from Argentina. Their core pelagic distribution when free swimming appears to be the Antarctic Polar Frontal zone (APFZ), and not South Georgia waters as assumed previously. If so, the APFZ would be the first known hotspot in abundance of an anadromous lamprey in oceanic waters. We could not identify a teleost fish that would be a likely host. Instead, we infer that the lamprey may prey on baleen whales, based on comparison of stable isotope ratios in lamprey with candidate host species, timing of appearance in albatross diets coincident with whale migrations, and circumstantial evidence (unexplained scarring recorded during the whaling era). We suggest that the lamprey do not tolerate cold Antarctic waters, and detach from southerly-migrating whales at the thermal boundary of the APFZ, where they become accessible to albatrosses in surface waters. Given strong evidence that relative importance of prey in seabird diets reflects availability in foraging areas, the steep decrease in the annual consumption of lamprey by albatrosses at South Georgia from > 550 tonnes in 1975–1976 and 1986, to very low levels in most years since 2012, is likely to indicate a major population decrease. Despite our unconventional means of assessing the population trend, there is a compelling case for listing of Patagonian lamprey at least as Near threatened by the International Union for the Conservation of Nature, and an urgent need to better understand anthropogenic threats in Argentina

Nonparametric statistical downscaling for the fusion of data of different spatiotemporal support

Statistical downscaling has been developed for the fusion of data of different spatial support. However, environmental data often have different temporal support, which must also be accounted for. This paper presents a novel method of nonparametric statistical downscaling, which enables the fusion of data of different spatiotemporal support through treating the data at each location as observations of smooth functions over time. This is incorporated within a Bayesian hierarchical model with smoothly spatially varying coefficients, which provides predictions at any location or time, with associated estimates of uncertainty. The method is motivated by an application for the fusion of in situ and satellite remote sensing log(chlorophyll-a) data from Lake Balaton, in order to improve the understanding of water quality patterns over space and time

Practice guidelines for clinical microbiology laboratories: Mycobacteria

Mycobacteria are the causative organisms for diseases such as tuberculosis (TB), leprosy, Buruli ulcer, and pulmonary nontuberculous mycobacterial disease, to name the most important ones. In 2015, globally, almost 10 million people developed TB, and almost half a million patients suffered from its multidrug-resistant form. In 2016, a total of 9,287 new TB cases were reported in the United States. In 2015, there were 174,608 new case of leprosy worldwide. India, Brazil, and Indonesia reported the most leprosy cases. In 2015, the World Health Organization reported 2,037 new cases of Buruli ulcer, with most cases being reported in Africa. Pulmonary nontuberculous mycobacterial disease is an emerging public health challenge. The U.S. National Institutes of Health reported an increase from 20 to 47 cases/100,000 persons (or 8.2% per year) of pulmonary nontuberculous mycobacterial disease among adults aged 65 years or older throughout the United States, with 181,037 national annual cases estimated in 2014. This review describes contemporary methods for the laboratory diagnosis of mycobacterial diseases. Furthermore, the review considers the ever-changing health care delivery system and stresses the laboratory’s need to adjust and embrace molecular technologies to provide shorter turnaround times and a higher quality of care for the patients who we serve

Exploring the Anti-Hypoxaemia Effect of Hydromethylthionine : A Prospective Study of Phase 3 Clinical Trial Participants

Funding Information: This work was funded by TauRx Therapeutics Ltd., Singapore.Peer reviewedPublisher PD

Brain temperature and its fundamental properties: a review for clinical neuroscientists

Brain temperature, as an independent therapeutic target variable, has received increasingly intense clinical attention. To date, brain hypothermia represents the most potent neuroprotectant in laboratory studies. Although the impact of brain temperature is prevalent in a number of common human diseases including: head trauma, stroke, multiple sclerosis, epilepsy, mood disorders, headaches, and neurodegenerative disorders, it is evident and well recognized that the therapeutic application of induced hypothermia is limited to a few highly selected clinical conditions such as cardiac arrest and hypoxic ischemic neonatal encephalopathy. Efforts to understand the fundamental aspects of brain temperature regulation are therefore critical for the development of safe, effective, and pragmatic clinical treatments for patients with brain injuries. Although centrally-mediated mechanisms to maintain a stable body temperature are relatively well established, very little is clinically known about brain temperature's spatial and temporal distribution, its physiological and pathological fluctuations, and the mechanism underlying brain thermal homeostasis. The human brain, a metabolically “expensive” organ with intense heat production, is sensitive to fluctuations in temperature with regards to its functional activity and energy efficiency. In this review, we discuss several critical aspects concerning the fundamental properties of brain temperature from a clinical perspective

Cation Ordering and Exsolution in Copper-Containing Forms of the Flexible Zeolite Rho (Cu,M-Rho; M=H, Na) and Their Consequences for CO₂ Adsorption

Funding: UK Engineering and Physical Sciences Research Council. Grant Numbers: EP/N024613/1, EP/N032942/1, EP/L017008/1.The flexibility of the zeolite Rho framework offers great potential for tunable molecular sieving. The fully copper-exchanged form of Rho and mixed Cu,H- and Cu,Na-forms have been prepared. EPR spectroscopy reveals that Cu2+ ions are present in the dehydrated forms and Rietveld refinement shows these prefer S6R sites, away from the d8r windows that control diffusion. Fully exchanged Cu-Rho remains in an open form upon dehydration, the d8r windows remain nearly circular and the occupancy of window sites is low, so that it adsorbs CO2 rapidly at room temperature. Breakthrough tests with 10 % CO2/40 % CH4 mixtures show that Cu4.9-Rho is able to produce pure methane, albeit with a relatively low capacity at this pCO2 due to the weak interaction of CO2 with Cu cations. This is in strong contrast to Na-Rho, where cations in narrow elliptical window sites enable CO2 to be adsorbed with high selectivity and uptake but too slowly to enable the production of pure methane in similar breakthrough experiments. A series of Cu,Na-Rho materials was prepared to improve uptake and selectivity compared to Cu-Rho, and kinetics compared to Na-Rho. Remarkably, Cu,Na-Rho with >2 Cu cations per unit cell exhibited exsolution, due to the preference of Na cations for narrow S8R sites in distorted Rho and of Cu cations for S6R sites in the centric, open form of Rho. The exsolved Cu,Na-Rho showed improved performance in CO2/CH4 breakthrough tests, producing pure CH4 with improved uptake and CO2/CH4 selectivity compared to that of Cu4.9-Rho.Publisher PDFPeer reviewe