Review: Quality of Life in Lower Limb Peripheral Vascular Surgery

PURPOSE: Vascular intervention studies generally consider patency and limb salvage as primary outcomes. However, quality of life is increasingly considered an important patient-oriented outcome measurement of vascular interventions. Existing literature was analyzed to determine the effect of different treatments on quality of life for patients suffering from either claudication or critical limb ischemia. BASIC METHODS: A review of the literature was undertaken in the Medline library. A search was performed on quality of life in peripheral arterial disease. Results were stratified according to treatment groups. PRINCIPAL FINDINGS: Twenty-one articles described quality of life in approximately 4600 patients suffering from peripheral arterial disease. Invasive treatment generally results in better quality of life scores (at a maximum of 2 years of follow-up), compared with non-invasive treatment. In patients with critical limb ischemia, successful revascularization improves quality of life scores. Only one study reported long-term results. CONCLUSIONS: Increase in quality of life scores can be found for any intervention performed for peripheral arterial disease. However, there is scarce information on long-term quality of life after vascular intervention.info:eu-repo/semantics/publishedVersio

Fishers' behaviour in response to the implementation of a marine protected area

Marine Protected Areas (MPAs) have been widely proposed as a fisheries management tool in addition to their conservation purposes. Despite this, few studies have satisfactorily assessed the dynamics of fishers' adaptations to the loss of fishing grounds. Here we used data from before, during and after the implementation of the management plan of a temperate Atlantic multiple-use MPA to examine the factors affecting the spatial and temporal distribution of different gears used by the artisanal fishing fleet. The position of vessels and gear types were obtained by visual surveys and related to spatial features of the marine park. A hotspot analysis was conducted to identify heavily utilized patches for each fishing gear and time period. The contribution of individual vessels to each significant cluster was assessed to better understand fishers' choices. Different fisheries responded differently to the implementation of protection measures, with preferred habitats of target species driving much of the fishers' choices. Within each fishery, individual fishers showed distinct strategies with some operating in a broader area whereas others kept preferred territories. Our findings are based on reliable methods that can easily be applied in coastal multipurpose MPAs to monitor and assess fisheries and fishers responses to different management rules and protection levels. This paper is the first in-depth empirical study where fishers' choices from artisanal fisheries were analysed before, during and after the implementation of a MPA, thereby allowing a clearer understanding of the dynamics of local fisheries and providing significant lessons for marine conservation and management of coastal systems

Linkage mapping of the Phg-1 and Co-14 genes for resistance to angular leaf spot and anthracnose in the common bean cultivar AND 277

The Andean common bean AND 277 has the Co-14 and the Phg-1 alleles that confer resistance to 21 and eight races, respectively, of the anthracnose (ANT) and angular leaf spot (ALS) pathogens. Because of its broad resistance spectrum, Co-14 is one of the main genes used in ANT resistance breeding. Additionally, Phg-1 is used for resistance to ALS. In this study, we elucidate the inheritance of the resistance of AND 277 to both pathogens using F2 populations from the AND 277 × Rudá and AND 277 × Ouro Negro crosses and F2:3 families from the AND 277 × Ouro Negro cross. Rudá and Ouro Negro are susceptible to all of the above races of both pathogens. Co-segregation analysis revealed that a single dominant gene in AND 277 confers resistance to races 65, 73, and 2047 of the ANT and to race 63-23 of the ALS pathogens. Co-14 and Phg-1 are tightly linked (0.0 cM) on linkage group Pv01. Through synteny mapping between common bean and soybean we also identified two new molecular markers, CV542014450 and TGA1.1570, tagging the Co-14 and Phg-1 loci. These markers are linked at 0.7 and 1.3 cM, respectively, from the Co-14/Phg-1 locus in coupling phase. The analysis of allele segregation in the BAT 93/Jalo EEP558 and California Dark Red Kidney/Yolano recombinant populations revealed that CV542014450 and TGA1.1570 segregated in the expected 1:1 ratio. Due to the physical linkage in cis configuration, Co-14 and Phg-1 are inherited together and can be monitored indirectly with the CV542014450 and TGA1.1570 markers. These results illustrate the rapid discovery of new markers through synteny mapping. These markers will reduce the time and costs associated with the pyramiding of these two disease resistance genes

Chiral structures of electric polarization vectors quantified by X-ray resonant scattering

Resonant elastic X-ray scattering (REXS) offers a unique tool to investigate solid-state systems providing spatial knowledge from diffraction combined with electronic information through the enhanced absorption process, allowing the probing of magnetic, charge, spin, and orbital degrees of spatial order together with electronic structure. A new promising application of REXS is to elucidate the chiral structure of electrical polarization emergent in a ferroelectric oxide superlattice in which the polarization vectors in the REXS amplitude are implicitly described through an anisotropic tensor corresponding to the quadrupole moment. Here, we present a detailed theoretical framework and analysis to quantitatively analyze the experimental results of Ti L-edge REXS of a polar vortex array formed in a PbTiO3/SrTiO3 superlattice. Based on this theoretical framework, REXS for polar chiral structures can become a useful tool similar to x-ray resonant magnetic scattering (XRMS), enabling a comprehensive study of both electric and magnetic REXS on the chiral structures.K.T.K., S.Y.P., and D.R.L acknowledge financial support by National Research Foundation of Korea (Grant No. NRF-2020R1A2C1009597, NRF-2019K1A3A7A09033387, and NRF-2021R1C1C1009494). M.M. and R.R. were supported by the Quantum Materials program from the Office of Basic Energy Sciences, US Department of Energy (DE-AC02-05CH11231). V.A.S., J.W.F., and L.W.M. acknowledge the U.S. Department of Energy, Office of Science, Office of Basic Energy Sciences, under Award Number DE-SC-0012375 for support to study complex-oxide heterostructure with X-ray scattering. L.W.M. and R.R. acknowledge partial support from the Army Research Office under the ETHOS MURI via cooperative agreement W911NF-21-2-0162. J.Í. acknowledges financial support from the Luxembourg National Research Fund through project FNR/C18/MS/12705883/REFOX. M.A.P.G. was supported by the Czech Science Foundation (project no. 19-28594X). Diamond Light Source, UK, is acknowledged for beamtime on beamline I10 under proposal NT24797. Use of the Advanced Light Source, Lawrence Berkeley National Laboratory, was supported by the U.S. Department of Energy (DOE) under contract no. DE-AC02-05CH11231, and use of the Advanced Photon Source was supported by DOE’s Office of Science under contract DE-AC02-06CH11357

Alcohol-related blackouts among college students: impact of low level of response to alcohol, ethnicity, sex, and environmental characteristics

Objective: To explore how a genetically-influenced characteristic (the level of response to alcohol [LR]), ethnicity, and sex relate to environmental and attitudinal characteristics (peer drinking [PEER], drinking to cope [COPE], and alcohol expectancies [EXPECT]) regarding future alcohol-related blackouts (ARBs). Methods: Structural equation models (SEMs) were used to evaluate how baseline variables related to ARB patterns in 462 college students over 55 weeks. Data were extracted from a longitudinal study of heavy drinking and its consequences at a U.S. university. Results: In the SEM analysis, female sex and Asian ethnicity directly predicted future ARBs (beta weights 0.10 and -0.11, respectively), while all other variables had indirect impacts on ARBs through alcohol quantities (beta weights ~ 0.23 for European American ethnicity and low LR, 0.21 for cannabis use and COPE, and 0.44 for PEER). Alcohol quantities then related to ARBs with beta = 0.44. The SEM explained 23% of the variance. Conclusion: These data may be useful in identifying college students who are more likely to experience future ARBs over a 1-year period. They enhance our understanding of whether the relationships of predictors to ARBs are direct or mediated through baseline drinking patterns, information that may be useful in prevention strategies for ARBs

Structural chirality of polar skyrmions probed by resonant elastic x-ray scattering

An escalating challenge in condensed-matter research is the characterization of emergent order-parameter nanostructures such as ferroelectric and ferromagnetic skyrmions. Their small length scales coupled with complex, three-dimensional polarization or spin structures makes them demanding to trace out fully. Resonant elastic x-ray scattering (REXS) has emerged as a technique to study chirality in spin textures such as skyrmions and domain walls. It has, however, been used to a considerably lesser extent to study analogous features in ferroelectrics. Here, we present a framework for modeling REXS from an arbitrary arrangement of charge quadrupole moments, which can be applied to nanostructures in materials such as ferroelectrics. With this, we demonstrate how extended reciprocal space scans using REXS with circularly polarized x rays can probe the three-dimensional structure and chirality of polar skyrmions. Measurements, bolstered by quantitative scattering calculations, show that polar skyrmions of mixed chirality coexist, and that REXS allows valuation of relative fractions of right- and left-handed skyrmions. Our quantitative analysis of the structure and chirality of polar skyrmions highlights the capability of REXS for establishing complex topological structures toward future application exploits.M. R. M. and R. R. were supported by the Quantum Materials program from the Office of Basic Energy Sciences, U.S. Department of Energy (DE-AC02-05CH11231). V. A. S., J. W. F., and L. W. M. acknowledge the U.S. Department of Energy, Office of Science, Office of Basic Energy Sciences, under Award No. DE-SC-0012375 for support to study complex-oxide heterostructure with x-ray scattering. L. W. M. and R. R. acknowledge partial support from the Army Research Office under the ETHOS MURI via cooperative agreement W911NF-21-2-0162. J. Í. acknowledge financial support from the Luxembourg National Research Fund through project FNR/C18/MS/12705883/REFOX. Diamond Light Source, UK, is acknowledged for beam time on beam line I10 under proposal NT24797. K. T. K., S. Y. P., and D. R. L. acknowledge support from the National Research Foundation of Korea, under Grant No. NRF-2020R1A2C1009597, NRF-2019K1A3A7A09033387, and NRF-2021R1C1C1009494. M. A. P. G. acknowledges support by the Czech Science Foundation (Project No. 19-28594X). This research used resources of the Advanced Light Source, a U.S. DOE Office of Science User Facility under Contract No. DE-AC02-05CH11231. This research used resources of the Advanced Photon Source, a U.S. Department of Energy (DOE) Office of Science User Facility at Argonne National Laboratory and is based on research supported by the U.S. DOE Office of Science-Basic Energy Sciences, under Contract No. DE-AC02-06CH11357. S. D. gratefully acknowledges a start-up grant from Indian Institute of Science, Bangalore, India. F. G.-O., P. G.-F., and J. J. acknowledge financial support from Grant No. PGC2018-096955-B-C41 funded by MCIN/AEI/10.13039/501100011033 and by ERDF “A way of making Europe,” by the European Union. F. G.-O. acknowledges financial support from Grant No. FPU18/04661 funded by MCIN/AEI/10.13039/50110001103

β-globin haplotypes in normal and hemoglobinopathic individuals from Reconcavo Baiano, State of Bahia, Brazil

Five restriction site polymorphisms in the β-globin gene cluster (HincII-5‘ ε, HindIII-G γ, HindIII-A γ, HincII- ψβ1 and HincII-3‘ ψβ1) were analyzed in three populations (n = 114) from Reconcavo Baiano, State of Bahia, Brazil. The groups included two urban populations from the towns of Cachoeira and Maragojipe and one rural Afro-descendant population, known as the “quilombo community”, from Cachoeira municipality. The number of haplotypes found in the populations ranged from 10 to 13, which indicated higher diversity than in the parental populations. The haplotypes 2 (+ - - - -), 3 (- - - - +), 4 (- + - - +) and 6 (- + + - +) on the βA chromosomes were the most common, and two haplotypes, 9 (- + + + +) and 14 (+ + - - +), were found exclusively in the Maragojipe population. The other haplotypes (1, 5, 9, 11, 12, 13, 14 and 16) had lower frequencies. Restriction site analysis and the derived haplotypes indicated homogeneity among the populations. Thirty-two individuals with hemoglobinopathies (17 sickle cell disease, 12 HbSC disease and 3 HbCC disease) were also analyzed. The haplotype frequencies of these patients differed significantly from those of the general population. In the sickle cell disease subgroup, the predominant haplotypes were BEN (Benin) and CAR (Central African Republic), with frequencies of 52.9% and 32.4%, respectively. The high frequency of the BEN haplotype agreed with the historical origin of the afro-descendant population in the state of Bahia. However, this frequency differed from that of Salvador, the state capital, where the CAR and BEN haplotypes have similar frequencies, probably as a consequence of domestic slave trade and subsequent internal migrations to other regions of Brazil

Mobilidade funcional em crianças asmáticas de 1 a 4 anos

The study aimed at evaluating the prevalence of delay in functional mobility among 1 to 4 year-old children with asthma, also describing socialdemographic factors associated to such prevalence. This cross-sectional study included 62 children with asthma who attended the program Criança que Chia at health centres in the city of Belo Horizonte, MG. Functional mobility was evaluated using the functional skills mobility scale from the Paediatric Evaluation of Disability Inventory. Fisher Exact test was used to assess the association between mobility delay and the variables sex and family's socioeconomic status; the T-test compared children mean ages with and without delay. A prevalence of 12.9 was found of delay in functional mobility among children with asthma (p=0,0001). No significant association was found between mobility delay and social-demographic variables (t=1,73; p=0,088). Results broaden information about the impact of asthma on child development, pointing that delay in mobility is an important factor to be considered in the care of children with asthma. It is suggested that motor assessment, aimed at early identification of delay, should be incorporated into the clinical repertoire of professionals who deal with these clients.O estudo visou estimar a prevalência de atraso na mobilidade funcional em crianças de idades entre 1 e 4 anos com asma e descrever fatoressociodemográficos associados a sua ocorrência. O estudo, de corte transversal, incluiu 62 crianças asmáticas que freqüentam o programa Criança que Chia, da Prefeitura Municipal de Belo Horizonte, MG. A mobilidade funcional foi avaliada pela escala de mobilidade em habilidades funcionais, do teste Pediatric Evaluation of Disability Inventory. O teste exato de Fisher foi usado para avaliar associação entre atraso na mobilidade e as variáveis sexo e nível socioeconômico das famílias; o teste T comparou média de idade de crianças com e sem atraso. Foi encontrada prevalência de 12,9% de atraso na mobilidadefuncional em crianças asmáticas participantes do estudo (p=0,0001). Não foi observada associação significativa entre atraso em mobilidade e as variáveis sociodemográficas (t=1,73; p=0,088). Os resultados ampliam informações sobre o impacto da asma no desenvolvimento infantil, indicando que o atraso na mobilidade é um fator importante a ser considerado na atenção à criança asmática. A avaliação motora dessas crianças, visando a identificação precoce do atraso, deve ser incorporada ao repertório clínico dos profissionais que lidam com essa clientela, norteando suas ações clínicas