A Case of Wernicke\u27s Encephalopathy in a Pregnant Woman With a History of Sleeve Gastrectomy.

Wernicke\u27s encephalopathy (WE) is a neurological complication of thiamine deficiency characterized by a triad of acute confusion, ataxia, and ophthalmoplegia. Even though it is most common in chronic alcoholism, an increase in prevalence has been reported recently due to the increased popularity of bariatric surgeries. WE is a known neurological complication after gastric bypass surgery but rarely reported after sleeve gastrectomy. We present a unique case of WE in pregnant women four months after sleeve gastrectomy

Roth Net-Assisted Endoscopic-Guided Manometry Catheter Placement.

High-resolution esophageal manometry (HRM) has become the gold standard to diagnose esophageal motility disorders. Usually, this procedure is performed by introducing the catheter, which has pressure sensors, into the esophagus and proximal stomach via the nares. Repeated coiling of the catheter and inability to pass through the gastroesophageal junction (GEJ) are common challenges encountered. Endoscopy-guided placement of the catheter can overcome these difficulties. However, sometimes even with the use of endoscopy, it is difficult to advance catheter due to anatomical variants. The extreme fragility of the catheter and sensors and the high cost of this reusable device precludes the use of biopsy forceps or snare to advance the catheter. There is no literature on using accessories during endoscopy in case of difficult placement under direct visualization. We report a unique case of using Roth Net via the suction channel to advance esophageal manometry catheter into the stomach by using endoscopy

Factors Impacting COVID-19 Vaccine Hesitancy and Resistance Among College Students in Northwest Ohio

Background: Vaccination is a critical strategy for controlling the transmission of COVID-19 and for returning to normalcy on college campuses; however, vaccine hesitancy and resistance persist as a significant barrier. This study utilized the integrated behavior model (IBM) and the precaution adoption process model (PAPM) to identify factors predictive of COVID-19 vaccine willingness (receptive, hesitant, and resistant) among college students. Methods: A sample of 1248 students at 2 universities in northwest Ohio were surveyed online in 2021. Stata/SE, version 17 (StataCorp) software was used to conduct stepwise logistic regression to investigate the association of theoretical constructs with vaccine willingness, after controlling for COVID-19 related factors and sociodemographic factors. Results: Most students (82.5%) were vaccine receptive, 6.9% were vaccine hesitant, and 10.6% were vaccine resistant. Vaccine hesitancy was higher among students aged 18 to 22 years (9.3%), undergraduates (16.5%), and students who identified as Black (13%) or Middle Eastern (14.3%). Lower vaccine hesitance was significantly predicted by IBM constructs of positive attitudes, high self-efficacy, and high salience. Not getting an influenza vaccine in the past 3 years and viewing vaccination as a personal choice were significantly associated with higher vaccine hesitancy. Lower odds of vaccine resistance were predicted by higher subjective norms. Descriptive norms, not getting an influenza vaccine in the past 3 years, agreeing with conspiracies, and viewing vaccination as a personal choice were strongly predictive of higher vaccine resistance. Conclusion: Identifying the factors that predict vaccine hesitancy and resistance among college students is critical for college administrators, and for those who are designing health communication campaigns, to increase vaccination among this priority population

Arginine Reverses Ethanol-Induced Inflammatory and Fibrotic changes in Liver despite continued Ethanol Administration

We investigated the potential of arginine to reverse pathological changes in alcohol-induced liver injury. Four groups (six rats/group) of male Wistar rats were fed a fish oil-ethanol diet for 6 (group 2) or 8 (group 1) weeks. Rats in group 3 were fed fish oil-ethanol for 6 weeks, after which they were administered arginine with fish oil-ethanol for an additional 2 weeks. Rats in group 4 were fed fish oil-dextrose for 8 weeks. Liver samples were analyzed for histopathology, lipid peroxidation, cytochrome P4502E1 activity, nuclear factor-κB, and levels of messenger RNA for tumor necrosis factor-α, cyclooxygenase-2, and inducible nitric oxide synthase. Concentrations of endotoxin were measured in plasma. The most severe inflammation and fibrosis was detected in groups 1 and 2, as were the highest levels of endotoxin, lipid peroxidation, cytochrome P450 2E1 activity, activation of nuclear factor-κB, and mRNA levels for tumor necrosis factor-α, cyclooxygenase-2, and inducible nitric oxide synthase. Plasma nitric oxide was also increased as was nitrotyrosine in liver. After arginine was administered, there was marked improvement in the pathological changes accompanied by decreased levels of endotoxin, lipid peroxidation, activation of nuclear factor-κB, tumor necrosis factor-α, cyclooxygenase-2, inducible nitric oxide, and nitrotyrosine staining. The therapeutic effects of arginine are probably secondary to increased levels of nitric oxide but other effects of arginine cannot be excluded

Application of time-dependent density functional theory to optical activity

As part of a general study of the time-dependent local density approximation (TDLDA), we here report calculations of optical activity of chiral molecules. The theory automatically satisfies sum rules and the Kramers-Kronig relation between circular dichroism and optical rotatory power. We find that the theory describes the measured circular dichroism of the lowest states in methyloxirane with an accuracy of about a factor of two. In the chiral fullerene C_76 the TDLDA provides a consistent description of the optical absorption spectrum, the circular dichroism spectrum, and the optical rotatory power, except for an overall shift of the theoretical spectrum.Comment: 17 pages and 13 PostScript figure

Calculation of Raman optical activity spectra for vibrational analysis

By looking back on the history of Raman Optical Activity (ROA), the present article shows that the success of this analytical technique was for a long time hindered, paradoxically, by the deep level of detail and wealth of structural information it can provide. Basic principles of the underlying theory are discussed, to illustrate the technique's sensitivity due to its physical origins in the delicate response of molecular vibrations to electromagnetic properties. Following a short review of significant advances in the application of ROA by UK researchers, we dedicate two extensive sections to the technical and theoretical difficulties that were overcome to eventually provide predictive power to computational simulations in terms of ROA spectral calculation. In the last sections, we focus on a new modelling strategy that has been successful in coping with the dramatic impact of solvent effects on ROA analyses. This work emphasises the role of complementarity between experiment and theory for analysing the conformations and dynamics of biomolecules, so providing new perspectives for methodological improvements and molecular modelling development. For the latter, an example of a next-generation force-field for more accurate simulations and analysis of molecular behaviour is presented. By improving the accuracy of computational modelling, the analytical capabilities of ROA spectroscopy will be further developed so generating new insights into the complex behaviour of molecules

Heterosis and combining ability for grain Fe and Zn concentration and agronomic traits in sorghum [Sorghum bicolor (L.) Moench]

Studies on genetics and trait relationships with grain yield and other agronomic traits are critical for improving the micronutrients content in the grain and it forms an effective strategy for breeding bio fortified sorghum. It greatly contributes to addressing micronutrient malnutrition in poor people who are dependent on sorghum as a staple food. Development of hybrids with high grain Fe and Zn and higher yield enables delivery of commercial products that address both food and nutrition while bringing profits to farmers. The present study was aimed at developing suitable breeding strategy and improving breeding products using gene action, heterosis and combining ability analysis for improving the grain Iron (Fe) and Zinc (Zn) concentration and grain yield in sorghum. This study was conducted in Line Tester mating design involving seven parents. A total of 12 new hybrids were developed by mating three lines with four testers. The combining ability of the crosses indicated predominance of dominance variance than additive variance for the agronomic traits such as days to 50% flowering, grain yield, grain Fe and Zn concentrations except for plant height and 100 seed weight. Higher magnitude of SCA than GCA variance for grain iron and zinc concentrations indicated the importance of non-additive gene action in the improvement of nutritional traits. Hybrids exhibited heterosis for agronomic traits and for grain Fe concentration and grain Zn. Most of the traits showed significant positive heterosis over mid parent value indicating the predominance of dominant gene action except the trait 100 seed weight. Significant positive mid-parent heterosis for grain iron indicated that there would be an opportunity to exploit heterosis in improving for grain Fe. But for Zn concentration, there is a limited possibility for exploitation of heterosis. This study suggested that simple selection will improve plant height and 100 seed weight in sorghum but heterosis breeding is more useful for improving grain yield. While both parents need to be improved for improving grain Zn concentration, there is good scope for exploiting heterosis for improving grain Fe concentration in sorghum

Optical orbital angular momentum: twisted light and chirality

The question of how the orbital angular momentum of structured light might engage with chiral matter is a topic of resurgent interest. By taking account of electric quadrupole transition moments, it is shown that the handedness of the beam can indeed be exhibited in local chiral effects, being dependent on the sign of the topological charge. In the specific case of absorption, a significant interplay of wavefront structure and polarization is resolved, and clear differences in behavior are identified for systems possessing a degree of orientational order and for those that are randomly oriented

Components of resistance to sorghum shoot fly, Atherigona soccata

Sorghum shoot fly, Atherigona soccata is one of the major constraints in sorghum production, and host plant resistance is one of the components to control sorghum shoot fly. Thirty sorghum genotypes were evaluated for different mechanisms of resistance and morphological and agronomic traits during the rainy and postrainy seasons. The sorghum genotypes, Maulee, Phule Anuradha, M 35-1, CSV 18R, IS 2312, Giddi Maldandi, and RVRT 3 suffered lower shoot fly damage, and also exhibited high grain yield potential during the postrainy season. ICSB 433, ICSV 700, ICSV 25019, ICSV 25022, ICSV 25026, ICSV 25039, PS 35805, Akola Kranti, and IS 18551 exhibited antixenosis for oviposition and antibiosis against sorghum shoot fly, A. soccata. Leaf glossiness, plant vigor, leafsheath pigmentation and trichomes were associated with resistance/susceptibility to shoot fly. Path coefficient analysis indicated that direct effects and correlation coefficients of leaf glossiness, plant vigor, plant height, plant color and trichomes were in the same direction, suggesting that these traits can be used to select sorghum genotypes for resistance to shoot fly. Principal co-ordinate analysis based on shoot fly resistance traits and morphological traits placed the test genotypes into different groups. The genotypes placed in different groups can be used to increase the levels and broaden the genetic base of resistance to shoot fly. The environmental coefficient of variation and phenotypic coefficient of variation for shoot fly resistance and morphological traits were quite high, indicating season specific expression of resistance to sorghum shoot fly. High broadsense heritability, genetic advance and genotypic coefficient of variation suggested the predominance of additive nature of genes controlling shoot fly resistance, suggesting that pedigree breeding can be used to transfer shoot fly resistance into high yielding cultivars. This information will be useful for developing shoot fly-resistant high yielding cultivars for sustainable crop production

A Chemical Genomics Approach to Drug Reprofiling in Oncology: Antipsychotic Drug Risperidone as a Potential Adenocarcinoma Treatment

Drug reprofiling is emerging as an effective paradigm for discovery of cancer treatments. Herein, an antipsychotic drug is immobilised using the Magic Tag® chemical genomics tool and screened against a T7 bacteriophage displayed library of polypeptides from Drosophila melanogaster, as a whole genome model, to uncover an interaction with a section of 17-β-HSD10, a proposed prostate cancer target. A computational study and enzyme inhibition assay with full length human 17-β-HSD10 identifies risperidone as a drug reprofiling candidate. When formulated with rumenic acid, risperidone slows proliferation of PC3 prostate cancer cells in vitro and retards PC3 prostate cancer tumour growth in vivo in xenografts in mice, presenting an opportunity to reprofile risperidone as a cancer treatment