COVID-19 Vaccine Refusal and Fair Allocation of Scarce Medical Resources

When hospitals face surges of patients with COVID-19, fair allocation of scarce medical resources remains a challenge. Scarcity has at times encompassed not only hospital and intensive care unit beds—often reflecting staffing shortages—but also therapies and intensive treatments. Safe, highly effective COVID-19 vaccines have been free and widely available since mid-2021, yet many Americans remain unvaccinated by choice. Should their decision to forgo vaccination be considered when allocating scarce resources? Some have suggested it should,while others disagree. We offer a framework for evaluating when it is ethical and briefly discuss its legality in American law

Frequency of Toxoplasmosis in Water Buffalo (Bubalus bubalis) in Trinidad

Toxoplasmosis has been reported to occur in several animals and humans causing different clinical manifestations. The study was conducted to determine the frequency of Toxoplasma gondii antibodies (IgG) in water buffalo (Bubalus bubalis) across farms in Trinidad using a latex agglutination test. Of a total of 333 water buffalo tested, 26 (7.8%) were seropositive for T. gondii antibodies. Seropositivity for toxoplasmosis was statistically significantly (P < 0.05; χ2) higher in adult water buffalo, 12.4% (14 of 113) compared with young water buffalo, 4.2% (6 of 143). Seropositivity for toxoplasmosis across the seven farms ranged from 0.0% (0 of 20) in Farm G compared with 20.0% (10 of 50) detected in Farm B. The differences in seropositivity by management system, free-ranging 6.7% (14 of 213) and semi-intensive 10.0% (12 of 120) and by sex, in male 6.7% (7 of 104) and female 8.3% (19 of 229) water buffalo, were not statistically significant (P > 0.05; χ2). This is the first documentation of toxoplasmosis in water buffalo in Trinidad

Reproductive Behavior of the Emu

Members of a flock of male and female emus were observed in an ethological experiment designed to investigate trends in reproductive behavior exhibited during the North American mating season, which lasts from October to mid-March. Observations were made at dawn, noon, and dusk from December 1999 to mid-March 2000, and the only behaviors that were consistently expressed during these times were pecking, strutting, exclusive, and male and female sexual activities (defined in text). Though statistical significance was found between male strutting behavior and female sexual activity in the December observation period, no overall significance or significance at other observation periods was found between these two behaviors. No statistical significance was found between male pecking and female sexual behavior—overall or at separate observation periods. The emus also showed more incidences of mating activity at dawn and under cool temperature conditions. Exclusive behavior, however, was more prominent during the dusk observation period

Nanotechnology and the Developing World

How nanotechnology can be harnessed to address some of the world's most critical development problem

Hyperglycaemia-induced resistance to Docetaxel is negated by metformin:a role for IGFBP-2

The incidence of many common cancers varies between different populations and appears to be affected by a Western lifestyle. Highly proliferative malignant cells require sufficient levels of nutrients for their anabolic activity. Therefore, targeting genes and pathways involved in metabolic pathways could yield future therapeutics. A common pathway implicated in energetic and nutritional requirements of a cell is the LKB1/AMPK pathway. Metformin is a widely studied anti-diabetic drug, which improves glycaemia in patients with type 2 diabetes by targeting this pathway. We investigated the effect of metformin on prostate cancer cell lines and evaluated its mechanism of action using DU145, LNCaP, PC3 and VCaP prostate cancer cell lines. Trypan blue dye-exclusion assay was used to assess levels of cell death. Western immunoblotting was used to determine the abundance of proteins. Insulin-like growth factor-binding protein-2 (IGFBP-2) andAMPKgenes were silenced using siRNA. Effects on cell morphology were visualised using microscopy.IGFBP-2gene expression was assessed using real-time RT-PCR. With DU145 and LNCaP cells metformin alone induced cell death, but this was reduced in hyperglycaemic conditions. Hyperglycaemia also reduced the sensitivity to Docetaxel, but this was countered by co-treatment with metformin. LKB1 was required for the activation of AMPK but was not essential to mediate the induction of cell death. An alternative pathway by which metformin exerted its action was through downregulation of IGFBP-2 in DU145 and LNCaP cells, independently of AMPK. This finding could have important implications in relation to therapeutic strategies in prostate cancer patients presenting with diabetes.</jats:p

COVID-19 Vaccine Refusal and Fair Allocation of Scarce Medical Resources

When hospitals face surges of patients with COVID-19, fair allocation of scarce medical resources remains a challenge. Scarcity has at times encompassed not only hospital and intensive care unit beds—often reflecting staffing shortages—but also therapies and intensive treatments. Safe, highly effective COVID-19 vaccines have been free and widely available since mid-2021, yet many Americans remain unvaccinated by choice. Should their decision to forgo vaccination be considered when allocating scarce resources? Some have suggested it should, while others disagree. We offer a framework for evaluating when it is ethical and briefly discuss its legality in American law

Predictors of improved biochemical progression free survival for salvage prostate bed radiotherapy after radical prostatectomy

Predictors of improved biochemical progression free survival for salvage prostate bed radiotherapy after radical prostatectom