Should EOAD patients be included in clinical trials?

Alzheimer disease (AD) is a devastating neurodegenerative disease affecting 1 in 68 in the population. An arbitrary cutoff 65 years as the age of onset to distinguish between early- and late-onset AD has been proposed and has been used in the literature for decades. As the majority of patients develop AD after 65 years of age, most clinical trials address this population. While the early-onset cases represent only 1% to 6% of AD cases, this population is the active working subset and thus contributes to a higher public health burden per individual, and early-onset cases are the most devastating at the level of the individual and their families. In this review, we compare and contrast the clinical, neuropsychological, imaging, genetic, biomarker, and pathological features of these two arbitrary groups. Finally, we discuss the ethical dilemma of non-abandonment and justice as it pertains to exclusion of the early-onset AD patients from clinical trials

Fungal diseases of trees and shrubs growing in Siberian Square in Warsaw

A good condition of trees and shrubs growing in urban green areas is one of the key aspects of management. Plant monitoring, including recognition of symptoms of diseases caused by pathogenic fungi and prevention of their spread, is one of the ways of supporting the process of maintenance of green areas. The aim of the study was to conduct preliminary investigations of plants growing in Siberian Square in Warsaw infected by phytopathogenic fungi. The research carried out in 2017-2019 in Siberian Square in Warsaw revealed that the most common diseases observed on the trees and shrubs were caused by powdery mildew fungi infecting maples, poplars, apple trees, and barberry shrubs. Sawadaea tulasnei, Erysiphe adunca, Erysiphe berberidis, and Podosphaera leucotricha (Erysiphales) were identified as the causal agents of powdery mildew. Pathogens causing leaf spots and leaf lesions were identified as Venturia inaequalis on Malus x purpurea ’Ola’ and Rhytisma acerinum on Acer platanoides. Rust caused by Melampsora laricis-populina (Pucciniales) and basidiomata of Pleurotus ostreatus were detected on infected Populus nigra ‘Italica’ tree

The Population Level Impacts of Differential Fertility Behavior of Parents of Children with Autism

Drawing on population level data of exceptional quality (including detailed diagnostic information on the autism status of sibling pairs of over 3 million different mothers), this study confirms that stoppage is the average fertility response to a child born with autism, thereby reducing observed concordance in sibling pairs and leading to potentially biased estimation of genetic contributions to autism etiology. Using a counterfactual framework and applying matching techniques we show, however, that this average effect is composed of very different responses to suspicion of autism depending on birth cohort, the character of the disorder (severe versus less severe), the gender of the child, poverty status, and parental education. This study also sheds light on when parents suspect autism. We find that parents’ fertility behavior changes relative to matched controls very early after the birth of a child who will later be diagnosed with autism