Miscarriage matters: the epidemiological, physical, psychological, and economic costs of early pregnancy loss

Miscarriage is generally defined as the loss of a pregnancy before viability. An estimated 23 million miscarriages occur every year worldwide, translating to 44 pregnancy losses each minute. The pooled risk of miscarriage is 15·3% (95% CI 12·5–18·7%) of all recognised pregnancies. The population prevalence of women who have had one miscarriage is 10·8% (10·3–11·4%), two miscarriages is 1·9% (1·8–2·1%), and three or more miscarriages is 0·7% (0·5–0·8%). Risk factors for miscarriage include very young or older female age (younger than 20 years and older than 35 years), older male age (older than 40 years), very low or very high body-mass index, Black ethnicity, previous miscarriages, smoking, alcohol, stress, working night shifts, air pollution, and exposure to pesticides. The consequences of miscarriage are both physical, such as bleeding or infection, and psychological. Psychological consequences include increases in the risk of anxiety, depression, post-traumatic stress disorder, and suicide. Miscarriage, and especially recurrent miscarriage, is also a sentinel risk marker for obstetric complications, including preterm birth, fetal growth restriction, placental abruption, and stillbirth in future pregnancies, and a predictor of longer-term health problems, such as cardiovascular disease and venous thromboembolism. The costs of miscarriage affect individuals, health-care systems, and society. The short-term national economic cost of miscarriage is estimated to be £471 million per year in the UK. As recurrent miscarriage is a sentinel marker for various obstetric risks in future pregnancies, women should receive care in preconception and obstetric clinics specialising in patients at high risk. As psychological morbidity is common after pregnancy loss, effective screening instruments and treatment options for mental health consequences of miscarriage need to be available. We recommend that miscarriage data are gathered and reported to facilitate comparison of rates among countries, to accelerate research, and to improve patient care and policy development

Kaposin-B Enhances the PROX1 mRNA Stability during Lymphatic Reprogramming of Vascular Endothelial Cells by Kaposi's Sarcoma Herpes Virus

Kaposi's sarcoma (KS) is the most common cancer among HIV-positive patients. Histogenetic origin of KS has long been elusive due to a mixed expression of both blood and lymphatic endothelial markers in KS tumor cells. However, we and others discovered that Kaposi's sarcoma herpes virus (KSHV) induces lymphatic reprogramming of blood vascular endothelial cells by upregulating PROX1, which functions as the master regulator for lymphatic endothelial differentiation. Here, we demonstrate that the KSHV latent gene kaposin-B enhances the PROX1 mRNA stability and plays an important role in KSHV-mediated PROX1 upregulation. We found that PROX1 mRNA contains a canonical AU-rich element (ARE) in its 3′-untranslated region that promotes PROX1 mRNA turnover and that kaposin-B stimulates cytoplasmic accumulation of the ARE-binding protein HuR through activation of the p38/MK2 pathway. Moreover, HuR binds to and stabilizes PROX1 mRNA through its ARE and is necessary for KSHV-mediated PROX1 mRNA stabilization. Together, our study demonstrates that kaposin-B plays a key role in PROX1 upregulation during lymphatic reprogramming of blood vascular endothelial cells by KSHV

The desmosome and pemphigus

Desmosomes are patch-like intercellular adhering junctions (“maculae adherentes”), which, in concert with the related adherens junctions, provide the mechanical strength to intercellular adhesion. Therefore, it is not surprising that desmosomes are abundant in tissues subjected to significant mechanical stress such as stratified epithelia and myocardium. Desmosomal adhesion is based on the Ca2+-dependent, homo- and heterophilic transinteraction of cadherin-type adhesion molecules. Desmosomal cadherins are anchored to the intermediate filament cytoskeleton by adaptor proteins of the armadillo and plakin families. Desmosomes are dynamic structures subjected to regulation and are therefore targets of signalling pathways, which control their molecular composition and adhesive properties. Moreover, evidence is emerging that desmosomal components themselves take part in outside-in signalling under physiologic and pathologic conditions. Disturbed desmosomal adhesion contributes to the pathogenesis of a number of diseases such as pemphigus, which is caused by autoantibodies against desmosomal cadherins. Beside pemphigus, desmosome-associated diseases are caused by other mechanisms such as genetic defects or bacterial toxins. Because most of these diseases affect the skin, desmosomes are interesting not only for cell biologists who are inspired by their complex structure and molecular composition, but also for clinical physicians who are confronted with patients suffering from severe blistering skin diseases such as pemphigus. To develop disease-specific therapeutic approaches, more insights into the molecular composition and regulation of desmosomes are required

Dental caries in primary and permanent teeth in children's worldwide, 1995 to 2019: a systematic review and meta-analysis

Background: Early childhood caries (ECC) is a type of dental caries in the teeth of infants and children that is represented as one of the most prevalent dental problems in this period. Various studies have reported different types of prevalence of dental caries in primary and permanent teeth in children worldwide. However, there has been no comprehensive study to summarize the results of these studies in general, so this study aimed to determine the prevalence of dental caries in primary and permanent teeth in children in different continents of the world during a systematic review and meta-analysis. Methods: In this review study, articles were extracted by searching in the national and international databases of SID, MagIran, IranMedex, IranDoc, Cochrane, Embase, ScienceDirect, Scopus, PubMed, and Web of Science (ISI) between 1995 and December 2019. Random effects model was used for analysis and heterogeneity of studies was evaluated by using the I2 index. Data were analyzed by using the Comprehensive Meta-Analysis (Version 2) software. Findings: In this study, a total of 164 articles (81 articles on the prevalence of dental caries in primary teeth and 83 articles on the prevalence of dental caries in permanent teeth) were entered the meta-analysis. The prevalence of dental caries in primary teeth in children in the world with a sample size of 80,405 was 46.2% (95% CI: 41.6–50.8%), and the prevalence of dental caries in permanent teeth in children in the world with a sample size of 1,454,871 was 53.8% (95% CI: 50–57.5%). Regarding the heterogeneity on the basis of meta-regression analysis, there was a significant difference in the prevalence of dental caries in primary and permanent teeth in children in different continents of the world. With increasing the sample size and the year of study, dental caries in primary teeth increased and in permanent teeth decreased. Conclusion: The results of this study showed that the prevalence of primary and permanent dental caries in children in the world was found to be high. Therefore, appropriate strategies should be implemented to improve the aforementioned situation and to troubleshoot and monitor at all levels by providing feedback to hospitals

Capacitive Performance of Cysteamine Functionalized Carbon Nanotubes

We report on the capacitive performance of redox active cysteamine-functionalized multi walled carbon nanotubes (MWCNTs-Cyst). The thiol functional groups are found to be oxidized into sulfinic acid groups during functionalization of MWCNTs-Cyst, rendering the functional groups act as the molecular spacer to prevent MWCNTs agglomeration and the redox active sulfinic acid groups provides pseudocapacitance effect. The specific capacitance attained on MWCNTs-Cyst is found to be approximately 4-times higher than the nonfunctionalized MWCNTs electrodes. The enhancement can be attributed to the surface area enhancement in MWCNTs-Cyst and the pseudocapacitance effect. Ex situ spectroscopy (XPS and FTIR) confirms pseudocapacitive behavior of sulfinic acid groups, which undergo redox reaction into sulfenic acid groups upon charging and discharging process. Impedance study reveals the charge transfer process is facilitated by the redox reaction of sulfinic acid groups, thus lowering the charge transfer resistance. Interestingly, the supercapacitor made from MWCNTs-Cyst remains highly stable (90% retention) even after long cycle of charge-discharge operation (11,000 cycles)

Efficient Removal of Toxic Bromothymol Blue and Methylene Blue from Wastewater by Polyvinyl Alcohol

Removal of bromothymol blue (BTB) and methylene blue (MB) from wastewater using polyvinyl alcohol (PVA) has been elucidated in the present work.PVA exhibited high adsorption capacity and more active sites for the highly efficient removal of these toxic dyes. The impact of several variables such as concentration, contact time, pH and temperature were studied. The optimum pH and contact time for the high efficient removal were found to be 6 and 10 min, respectively. The adsorption isotherms were well interpreted by Freundlich and Langmuir models. The maximum adsorption capacities obtained from Langmuir model were 276.2 and 123.3 mg g− 1 for BTB and MB, respectively. In addition, the removal efficiencies for both adsorbates respectively, were found to be 98.65 and 61.32%. Several adsorption kinetic models were used to fit the experimental data, such as simple-first-order, the pseudo-first-order, pseudo-second-order and intraparticle diffusion models. The adsorption process concurrently adapted to the pseudo-second-order kinetics and it was found to be the best fitting model with the obtained experimental data

Characterization of Long-period Ship Wave Loading and Vessel Speed for Risk Assessment for Rock Groyne Designs via Extreme Value Analysis

During the last two decades, increasing vessel size in major German estuaries has led to the significant change of the local loading regime i.e. increased importance of ship-induced waves and currents. As a consequence, the intensity of ship-induced loads has increased considerably, resulting in damage to rock structures such as revetments, training walls, and groynes. Research into the causes of rock structure deterioration by the Federal Waterways Engineering and Research Institute (BAW) has shown that for large ships in relatively narrow waterways, the long-period primary ship wave loading has become the most prescient factor for rock structure damage. Looking into the future, it can be expected that the increase in the vessel dimensions will lead to an increase in the ship-wave loading. For this reason, analysing long-term changing trends of long-period ship waves and vessel speed to understand the wave-structure interaction is of significant importance. In this study, the stochastic characterization of long-period primary wave height, drawdown, and speed of the vessel through the water at Juelssand in the Lower Elbe Estuary was analysed via extreme value analysis and copula modeling, and the bivariate return periods were calculated. The one-parameter bivariate copula was utilized to analyse the data. The dependence pattern between the variables was investigated using five parametric copula families: Gaussian, Gumbel, Clayton, Frank, and student's t.Accepted Author ManuscriptHydraulic Structures and Flood Ris