Management of Acid Soils

Resource /Energy Economics and Policy,

Reflections and Experiences of a Co-Researcher involved in a Renal Research Study

Background Patient and Public Involvement (PPI) is seen as a prerequisite for health research. However, current Patient and public involvement literature has noted a paucity of recording of patient and public involvement within research studies. There have been calls for more recordings and reflections, specifically on impact. Renal medicine has also had similar criticisms and any reflections on patient and public involvement has usually been from the viewpoint of the researcher. Roles of patient and public involvement can vary greatly from sitting on an Advisory Group to analysing data. Different PPI roles have been described within studies; one being a co-researcher. However, the role of the co-researcher is largely undefined and appears to vary from study to study. Methods The aims of this paper are to share one first time co-researcher's reflections on the impact of PPI within a mixed methods (non-clinical trial) renal research study. A retrospective, reflective approach was taken using data available to the co-researcher as part of the day-to-day research activity. Electronic correspondence and documents such as meeting notes, minutes, interview thematic analysis and comments on documents were re-examined. The co-researcher led on writing this paper. Results This paper offers a broad definition of the role of the co-researcher. The co-researcher reflects on undertaking and leading on the thematic analysis of interview transcripts, something she had not previously done before. The co-researcher identified a number of key themes; the differences in time and responsibility between being a coresearcher and an Advisory Group member; how the role evolved and involvement activities could match the co-researchers strengths (and the need for flexibility); the need for training and support and lastly, the time commitment. It was also noted that it is preferable that a co-researcher needs to be involved from the very beginning of the grant application. Conclusions The reflections, voices and views of those undertaking PPI has been largely underrepresented in the literature. The role of co-researcher was seen to be rewarding but demanding, requiring a large time commitment. It is hoped that the learning from sharing this experience will encourage others to undertake this role, and encourage researchers to reflect on the needs of those involved.Peer reviewedFinal Published versio

Impaired development of the cerebral cortex in infants with congenital heart disease is correlated to reduced cerebral oxygen delivery

Neurodevelopmental impairment is the most common comorbidity associated with complex congenital heart disease (CHD), while the underlying biological mechanism remains unclear. We hypothesised that impaired cerebral oxygen delivery in infants with CHD is a cause of impaired cortical development, and predicted that cardiac lesions most associated with reduced cerebral oxygen delivery would demonstrate the greatest impairment of cortical development. We compared 30 newborns with complex CHD prior to surgery and 30 age-matched healthy controls using brain MRI. The cortex was assessed using high resolution, motion-corrected T2-weighted images in natural sleep, analysed using an automated pipeline. Cerebral oxygen delivery was calculated using phase contrast angiography and pre-ductal pulse oximetry, while regional cerebral oxygen saturation was estimated using near-infrared spectroscopy. We found that impaired cortical grey matter volume and gyrification index in newborns with complex CHD was linearly related to reduced cerebral oxygen delivery, and that cardiac lesions associated with the lowest cerebral oxygen delivery were associated with the greatest impairment of cortical development. These findings suggest that strategies to improve cerebral oxygen delivery may help reduce brain dysmaturation in newborns with CHD, and may be most relevant for children with CHD whose cardiac defects remain unrepaired for prolonged periods after birth

A genome-wide meta-analysis of palmoplantar pustulosis implicates TH2 responses and cigarette smoking in disease pathogenesis

\ua9 2024 The AuthorsBackground: Palmoplantar pustulosis (PPP) is an inflammatory skin disorder that mostly affects smokers and manifests with painful pustular eruptions on the palms and soles. Although the disease can present with concurrent plaque psoriasis, TNF and IL-17/IL-23 inhibitors show limited efficacy. There is therefore a pressing need to uncover PPP disease drivers and therapeutic targets. Objectives: We sought to identify genetic determinants of PPP and investigate whether cigarette smoking contributes to disease pathogenesis. Methods: We performed a genome-wide association meta-analysis of 3 North-European cohorts (n = 1,456 PPP cases and 402,050 controls). We then used the scGWAS program to investigate the cell-type specificity of the association signals. We also undertook genetic correlation analyses to examine the similarities between PPP and other immune-mediated diseases. Finally, we applied Mendelian randomization to analyze the causal relationship between cigarette smoking and PPP. Results: We found that PPP is not associated with the main genetic determinants of plaque psoriasis. Conversely, we identified genome-wide significant associations with the FCGR3A/FCGR3B and CCHCR1 loci. We also observed 13 suggestive (P < 5 7 10−6) susceptibility regions, including the IL4/IL13 interval. Accordingly, we demonstrated a significant genetic correlation between PPP and TH2-mediated diseases such as atopic dermatitis and ulcerative colitis. We also found that genes mapping to PPP-associated intervals were preferentially expressed in dendritic cells and often implicated in T-cell activation pathways. Finally, we undertook a Mendelian randomization analysis, which supported a causal role of cigarette smoking in PPP. Conclusions: The first genome-wide association study of PPP points to a pathogenic role for deregulated TH2 responses and cigarette smoking

Deficiências de kacronutrientes e de boro em seringueira (Hevea brasiliensis L.)

In order to obtain: a) a clear picture of the deficiencies symptoms of N, P, K, Ca, Mg, S and B; b) the lack of the elements on the dry matter production; c) concentration of the macro and micronutrients on the leaves, stems and roots. Young rubber plants (Hevea brasiliensis L.), were cultivated in nutrients solutions, in which one the following elements were omitted at once: N, P, K, Ca, Mg, S and B. Clear out symptoms were obtained for all macronutrients and boron. The growth rate of the rubber plants were drastically affected by lack of N, K followed by other nutrients. The omission of P from the nutrient solution did not affected the growth of the plants. The levels detected by chemical analysis of the leaves from with symptoms of deficiency and without symptoms of deficiency plants were: N% = 1.94 and 3.40: P% =0.14 and 0.25; K% = 0.79 and 2.22; Ca% = 0.59 and 1.28; Mg% = 0.26 and 0.50; S% = 0.10 and 0.10; B ppm = 31-3 and 171.8.Plantas de seringueira (Hevea brasiliensis L.) foram cultivadas em casa de vegetação, em quartzo moído, irrigado com soluções nutritivas, e submetidas aos seguintes tratamentos: completo, omissão de N, omissão de P, omissão de Ca, omissão de Mg, omissão de S e omissão de B, com o objetivo de: (a) obter sintomas de deficiências de macronutrientes e de boro; (b) analisar o crescimento das plantas através da produção de matéria seca; (c) determinar a concentração de macro e micronutrientes nas folhas, caule e raízes das plantas cultivadas nos diversos tratamentos. Os sintomas visuais de deficiência foram identificados e descritos. As plantas foram coletadas e separadas em raiz, caule e folhas, e determinaram-se os teores de macro e micronutrientes . Os resultados mostraram: - foram identificados sintomas de deficiências para todos os tratamentos com omissão de nutrientes (N, P, K, Ca, Mg, S e B); - a omissão de N, K, Mg ou B da solução nutritiva diminuiu o crescimento das plantas; - as concentrações dos elementos nas folhas de plantas com sintomas e sem sintomas de deficiência foram, respectivamente: N% = 1,94 e 3,40; P% = 0,14 e 0,25; K% = 0,79 e 2,22; Ca% = 0,59e 1,28; Mg% = 0,26 e 0,50; S% = 0,10 e 0,10; Bppm = 31 ,3 e 171,8