Assessment and detection of pain in noncommunicative severely brain-injured patients.

peer reviewedDetecting pain in severely brain-injured patients recovering from coma represents a real challenge. Patients with disorders of consciousness are unable to consistently or reliably communicate their feelings and potential perception of pain. However, recent studies suggest that patients in a minimally conscious state can experience pain to some extent. Pain monitoring in these patients is hence of medical and ethical importance. In this article, we will focus on the possible use of behavioral scales for the assessment and detection of pain in noncommunicative patients

Dolls and puppet figures in narratives – themes and motifs in literature, art, theater, film, media, folklore and popular cultures

Die Onlineversion unterscheidet sich geringfügig gegenüber der Printausgabe. Auf Seite 88 wurde in der Printversion die falsche Übersetzung des Abstracts (Englisch) eingefügt. Dieser Fehler ist hier korrigiert. The online version differs slightly from the print edition. On page 88, the wrong translation of the abstract (English) was inserted in the print version. This error is corrected here.Dieses Themenheft behandelt die Vielfalt und das Potenzial von Puppennarrativen im weitesten Sinn und ihre universellen und/oder kulturspezifischen Formen, Spuren, Traditionen und Folkloren sowie das Spiel der jeweiligen Rezeptionsbezüge. Nachgespürt wird diesen Narrativen in einer Vielzahl von unterschiedlichen literarischen, künstlerischen, filmischen, (pop-)kulturellen und folkloristischen Bereichen sowie in pädagogisch relevanten Feldern. Eine eigens gestaltete kurze Graphic Novel hinterfragt darüber hinaus die Verknüpfung klassischer Puppentheater-Narrative mit zukunftsträchtigen KI-basierten Automatisierungsfantasien.This thematic issue deals with the diversity and potential of doll/puppet narratives in the broadest sense and with their universal and/or culture-specific forms, traces, traditions and folklore as well as with the interplay of the respective reception references. These narratives are traced in a variety of different literary, artistic, cinematic, (pop-)cultural and folkloristic genres as well as in pedagogically relevant fields. In addition, s specially designed short graphic novel questions the linking of classic puppet theater narratives with seminal AI-based automation fantasies

From Too Much to Too Little: How the central U.S. drought of 2012 evolved out of one of the most devastating floods on record in 2011

Table of Contents Section 1: Introduction....................................................................... 1 Section 2: Regional Drought Perspective................................. 2 Section 3: State Drought Perspectives........................................ 3 Section 3.1: Colorado........................................................................... 20 Section 3.2: Illinois.................................................................. 25 Section 3.3: Indiana................................................. 29 Section 3.4: Iowa...................... 36 Section 3.5: Kansas............................................................... 42 Section 3.6: Kentucky............................................................................ 46 Section 3.7: Michigan.............................. 52 Section 3.8: Minnesota............................................................ 58 Section 3.9: Missouri..................................................... 63 Section 3.10: Nebraska................................................. 67 Section 3.11: North Dakota............................................ 73 Section 3.12: Ohio................................................... 79 Section 3.13: South Dakota..................................... 85 Section 3.14: Wyoming........................................... 96 Section 4: Conclusions.............................................................. 9

The genetic prehistory of the Greater Caucasus

5月16日，厦门大学人类学系、德国马普所、德国考古所、俄罗斯文化遗产联合会、奥地利维也纳大学人类学系、爱尔兰都柏林大学学院考古系、罗蒙诺索夫莫斯科国立大学考古系和人类学博物馆、俄罗斯国立东方艺术博物馆、俄罗斯联邦达吉斯坦考古与民族志研究所历史系、美国韦尔斯利学院人类学系、瑞士巴塞尔大学史前与考古科学研究所、德国国家遗产博物馆等36家单位的46位共同作者组成的国际合作团队在BioRxiv上预发表论文《The genetic prehistory of the Greater Caucasus》，厦门大学人类学系王传超研究员为论文的第一作者和通讯作者，也是该国际团队中的唯一一位来自中国的合作者。【Abstract】Archaeogenetic studies have described the formation of Eurasian 'steppe ancestry' as a mixture of Eastern and Caucasus hunter-gatherers. However, it remains unclear when and where this ancestry arose and whether it was related to a horizon of cultural innovations in the 4th millennium BCE that subsequently facilitated the advance of pastoral societies likely linked to the dispersal of Indo-European languages. To address this, we generated genome-wide SNP data from 45 prehistoric individuals along a 3000-year temporal transect in the North Caucasus. We observe a genetic separation between the groups of the Caucasus and those of the adjacent steppe. The Caucasus groups are genetically similar to contemporaneous populations south of it, suggesting that - unlike today - the Caucasus acted as a bridge rather than an insurmountable barrier to human movement. The steppe groups from Yamnaya and subsequent pastoralist cultures show evidence for previously undetected Anatolian farmer-related ancestry from different contact zones, while Steppe Maykop individuals harbour additional Upper Palaeolithic Siberian and Native American related ancestry.This work was funded by the Max Planck Society and the German Archaeological Institute (DAI). C.C.W. was funded by Nanqiang Outstanding Young Talents Program of Xiamen University (X2123302) and the Fundamental Research Funds for the Central Universities. 该研究由德国马普学会、德国考古所、厦门大学南强青年拔尖人才支持计划资助

Heurísticas para balanceamento de carga de máquinas em infraestruturas de nuvem.

Em ambientes de Computação na Nuvem, principalmente os que utilizam o modelo de infraestrutura como um serviço, a característica de elasticidade no provisionamento de recursos traz consigo a necessidade de gerenciar os recursos físicos de forma apropriada para preservar a qualidade de serviço aos seus usuários, e o bom desempenho da infraestrutura. Este trabalho propõe heurísticas que são capazes de auxiliar no balanceamento de carga dos servidores em uma infraestrutura de nuvem, propondo migrações para diminuir a sobrecarga nos servidores que foram identificados como sobrecarregados,visto que, como passar do tempo há uma variação natural na quantidade de recursos em uso. Esta variação é uma consequência da remoção ou adição de aplicações, ou até mesmo de tentativas de melhoramento do desempenho das aplicações através do provisionamento vertical. Uma ferramenta foi implementada para fazer uso dos algoritmos das heurísticas e assim auxiliar nos experimentos para a validação das mesmas. As métricas utilizadas vem diretamente de servidores heterogêneos da nuvem OpenStack do Laboratório de Sistemas Distribuídos. Os resultados obtidos mostram que além da diminuição no consumo de CPU dos servidores dos quais que estavam sobrecarregados, também é possível melhorar o desempenho destes servidores em alguns casos.In CloudComputingenvironments,especiallythoseusingtheinfrastructureasaservice model, theelasticitycharacteristicinresourceprovisioningcomeswiththeneedtomanage resources sothequalityofservicecancontinuetobeguaranteedtousersandalsoto maintain agoodperformanceoftheinfrastructure.Thisworkproposesheuristicsthat are abletoassistintheloadbalancingoftheserversinaCloudinfrastructure,proposing migrations toreducetheoverheadintheserversthatwereidentifiedasoverloaded,since with thepassageoftimethereisanaturalvariationintheamountofresourcesinuse.This variationinaconsequenceofremovaloradditionofapplicationsandevenoftheusageof verticalscalingtoimproveapplication’sperformance.Atoolwasimplementedtomake use oftheheuristicalgorithmsandthustoaidintheexperimentsandtheirvalidation,the metrics usedcomedirectlyfromheterogeneousserversoftheOpenStackCloudofthe DistributedSystemsLaboratory.TheresultsshowthatinadditiontothedecreaseinCPU consumption ofserversthatwereoverloaded,itisalsopossibletoimprovetheperformance of theseserversinsomecases

Potential value of a rapid syndromic multiplex PCR for the diagnosis of native and prosthetic joint infections: a real-world evidence study.

Introduction: The BIOFIRE Joint Infection (JI) Panel is a diagnostic tool that uses multiplex-PCR testing to detect microorganisms in synovial fluid specimens from patients suspected of having septic arthritis (SA) on native joints or prosthetic joint infections (PJIs). Methods: A study was conducted across 34 clinical sites in 19 European and Middle Eastern countries from March 2021 to June 2022 to assess the effectiveness of the BIOFIRE JI Panel. Results: A total of 1527 samples were collected from patients suspected of SA or PJI, with an overall agreement of 88.4 % and 85 % respectively between the JI Panel and synovial fluid cultures (SFCs). The JI Panel detected more positive samples and microorganisms than SFC, with a notable difference on Staphylococcus aureus, Streptococcus species, Enterococcus faecalis, Kingella kingae, Neisseria gonorrhoeae, and anaerobic bacteria. The study found that the BIOFIRE JI Panel has a high utility in the real-world clinical setting for suspected SA and PJI, providing diagnostic results in approximately 1 h. The user experience was positive, implying a potential benefit of rapidity of results\u27 turnover in optimising patient management strategies. Conclusion: The study suggests that the BIOFIRE JI Panel could potentially optimise patient management and antimicrobial therapy, thus highlighting its importance in the clinical setting

Human and mouse essentiality screens as a resource for disease gene discovery

The identification of causal variants in sequencing studies remains a considerable challenge that can be partially addressed by new gene-specific knowledge. Here, we integrate measures of how essential a gene is to supporting life, as inferred from viability and phenotyping screens performed on knockout mice by the International Mouse Phenotyping Consortium and essentiality screens carried out on human cell lines. We propose a cross-species gene classification across the Full Spectrum of Intolerance to Loss-of-function (FUSIL) and demonstrate that genes in five mutually exclusive FUSIL categories have differing biological properties. Most notably, Mendelian disease genes, particularly those associated with developmental disorders, are highly overrepresented among genes non-essential for cell survival but required for organism development. After screening developmental disorder cases from three independent disease sequencing consortia, we identify potentially pathogenic variants in genes not previously associated with rare diseases. We therefore propose FUSIL as an efficient approach for disease gene discovery. Discovery of causal variants for monogenic disorders has been facilitated by whole exome and genome sequencing, but does not provide a diagnosis for all patients. Here, the authors propose a Full Spectrum of Intolerance to Loss-of-Function (FUSIL) categorization that integrates gene essentiality information to aid disease gene discovery

Worldwide trends in underweight and obesity from 1990 to 2022: a pooled analysis of 3663 population-representative studies with 222 million children, adolescents, and adults

Background Underweight and obesity are associated with adverse health outcomes throughout the life course. We estimated the individual and combined prevalence of underweight or thinness and obesity, and their changes, from 1990 to 2022 for adults and school-aged children and adolescents in 200 countries and territories. Methods We used data from 3663 population-based studies with 222 million participants that measured height and weight in representative samples of the general population. We used a Bayesian hierarchical model to estimate trends in the prevalence of different BMI categories, separately for adults (age ≥20 years) and school-aged children and adolescents (age 5–19 years), from 1990 to 2022 for 200 countries and territories. For adults, we report the individual and combined prevalence of underweight (BMI <18·5 kg/m2) and obesity (BMI ≥30 kg/m2). For schoolaged children and adolescents, we report thinness (BMI <2 SD below the median of the WHO growth reference) and obesity (BMI >2 SD above the median). Findings From 1990 to 2022, the combined prevalence of underweight and obesity in adults decreased in 11 countries (6%) for women and 17 (9%) for men with a posterior probability of at least 0·80 that the observed changes were true decreases. The combined prevalence increased in 162 countries (81%) for women and 140 countries (70%) for men with a posterior probability of at least 0·80. In 2022, the combined prevalence of underweight and obesity was highest in island nations in the Caribbean and Polynesia and Micronesia, and countries in the Middle East and north Africa. Obesity prevalence was higher than underweight with posterior probability of at least 0·80 in 177 countries (89%) for women and 145 (73%) for men in 2022, whereas the converse was true in 16 countries (8%) for women, and 39 (20%) for men. From 1990 to 2022, the combined prevalence of thinness and obesity decreased among girls in five countries (3%) and among boys in 15 countries (8%) with a posterior probability of at least 0·80, and increased among girls in 140 countries (70%) and boys in 137 countries (69%) with a posterior probability of at least 0·80. The countries with highest combined prevalence of thinness and obesity in school-aged children and adolescents in 2022 were in Polynesia and Micronesia and the Caribbean for both sexes, and Chile and Qatar for boys. Combined prevalence was also high in some countries in south Asia, such as India and Pakistan, where thinness remained prevalent despite having declined. In 2022, obesity in school-aged children and adolescents was more prevalent than thinness with a posterior probability of at least 0·80 among girls in 133 countries (67%) and boys in 125 countries (63%), whereas the converse was true in 35 countries (18%) and 42 countries (21%), respectively. In almost all countries for both adults and school-aged children and adolescents, the increases in double burden were driven by increases in obesity, and decreases in double burden by declining underweight or thinness. Interpretation The combined burden of underweight and obesity has increased in most countries, driven by an increase in obesity, while underweight and thinness remain prevalent in south Asia and parts of Africa. A healthy nutrition transition that enhances access to nutritious foods is needed to address the remaining burden of underweight while curbing and reversing the increase in obesit

Ancient human genome-wide data from a 3000-year interval in the Caucasus corresponds with eco-geographic regions

Archaeogenetic studies have described the formation of Eurasian 'steppe ancestry' as a mixture of Eastern and Caucasus hunter-gatherers. However, it remains unclear when and where this ancestry arose and whether it was related to a horizon of cultural innovations in the 4 th millennium BCE that subsequently facilitated the advance of pastoral societies in Eurasia. Here we generated genome-wide SNP data from 45 prehistoric individuals along a 3000-year temporal transect in the North Caucasus. We observe a genetic separation between the groups of the Caucasus and those of the adjacent steppe. The northern Caucasus groups are genetically similar to contemporaneous populations south of it, suggesting human movement across the mountain range during the Bronze Age. The steppe groups from Yamnaya and subsequent pastoralist cultures show evidence for previously undetected farmer-related ancestry from different contact zones, while Steppe Maykop individuals harbour additional Upper Palaeolithic Siberian and Native American related ancestry