Prospectus, February 23, 2000

https://spark.parkland.edu/prospectus_2000/1006/thumbnail.jp

Group hypnosis for stress reduction and improved stress coping: a multicenter randomized controlled trial

Background: The aim of the trial was to investigate the effect of a hypnotherapeutic group program in healthy persons with increased levels of perceived stress. Methods: In a randomized controlled multicenter trial participants with a self-assessed subjective stress level ≥ 40 mm on a visual analogue scale (0–100 mm; VAS) for the previous week and a stable state of health were randomized to either 5 weekly sessions of 120-min duration of a hypnotherapeutic group program for stress reduction and improved stress coping plus 5 hypnosis audiorecords for individual practice at home plus an educational booklet for stress coping (hypnosis group) versus an educational booklet only (control group). The primary outcome parameter was the VAS stress level for the previous week after 5 weeks. Secondary outcome parameters included the VAS stress level after 12 weeks, perceived stress (CPSS), depression (ADS-K), self efficacy (SWE) and quality of life (SF 36) after 5 weeks and 12 weeks. Analysis of covariance with a significance level of 5% using the full analysis set was used for analysis; the model included treatment (fixed effect), VAS baseline value (fixed covariate), and center (random effect). Results: A total of 95 participants were randomized; 47 (40 female, 45 ± 13.4 years of age) were allocated to the hypnosis group, and 48 (41 female, 46.9 ± 14.3 years) were allocated to the control group. Regarding VAS stress level after 5 weeks, the adjusted VAS mean in the hypnosis group was 41.8 mm [95% confidence interval (CI): 35.2; 48.4] compared to 62.9 mm [56.2; 69.7] in the control group, and the group difference was − 21.2 mm [− 30.1; − 12.2] (P < 0.001). After 12 weeks, the stress intensity on the VAS showed a between-group difference of − 14.7 mm [− 25.1; − 4.4] (P = 0.006), and the adjusted means were 41.1 mm [33.4; 48.8] in the hypnosis group and 55.9 mm [48.4; 63.5] in the control group. Improvements were also reported for CPSS, SF-36, SWE and ADS-K after 5 and 12 weeks. Conclusion: Compared to the control group, the hypnosis group showed reduced perceived stress after 5 and 12 weeks. Trial registration: ClinicalTrials.gov NCT03525093; date of registration: May 15, 2018

Comparison of S-adsorption on (111) and (100) facets of Cu nanoclusters

In order to gain insight into the nature of chemical bonding of sulfur atoms on coinage metal surfaces, we compare the adsorption energy and structural parameters for sulfur at four-fold hollow (4fh) sites on (100) facets and at three-fold hollow (3fh) sites on (111) facets of Cu nanoclusters. Consistent results are obtained from localized atomic orbital and plane-wave based density functional theory using the same functionals. PBE and its hybrid counterpart (PBE0 or HSE06) also give similar results. 4fh sites are preferred over 3fh sites with stronger bonding by ∼0.6 eV for nanocluster sizes above ∼280 atoms. However, for smaller sizes there are strong variations in the binding strength and the extent of the binding site preference. We show that suitable averaging over clusters of different sizes, or smearing the occupancy of orbitals, provide useful strategies to aid assessment of the behavior in extended surface systems. From site-projected density of states analysis using the smearing technique, we show that S adsorbed on a 4fh site has similar bonding interactions with the substrate as that on a 3fh site, but with much weaker antibonding interactions

Mucosal associated invariant T cells are differentially impaired in tolerant and immunosuppressed liver transplant recipients

Mucosal associated invariant T (MAIT-) cells represent a semi-invariant T cell population responsive to microbial vitamin B metabolite and innate cytokine stimulation, executing border tissue protection and particularly contributing to human liver immunity. The impact of immunosuppressants on MAIT cell biology alone and in context with solid organ transplantation has not been thoroughly examined. Here, we demonstrate that in vitro cytokine activation of peripheral MAIT cells from healthy individuals was impaired by glucocorticoids, whereas antigen-specific stimulation was additionally sensitive to calcineurin inhibitors. In liver transplant (LTx) recipients, significant depletion of peripheral MAIT cells was observed that was largely independent of the type and dosage of immunosuppression, equally applied to tolerant patients, and was reproducible in kidney transplant recipients. However, MAIT cells from tolerant LTx patients exhibited a markedly diminished ex vivo activation signature, associated with individual regain of functional competence toward antigenic and cytokine stimulation. Still, MAIT cells from tolerant and treated liver recipients exhibited high levels of PD1, accompanied by functional impairment particularly toward bacterial stimulation that also affected polyfunctionality. Our data suggest interlinked effects of primary liver pathology and immunosuppressive treatment on overall MAIT cell fitness after transplantation and propose their monitoring in context with tolerance induction protocols

Coinage Metal–Sulfur Complexes: Stability on Metal(111) Surfaces and in the Gas Phase

We provide a comprehensive theoretical assessment at the level of density functional theory (DFT) of the stability of various coinage metal–sulfur complexes, both in the gas phase and also for the complexes adsorbed on the (111) surface of the same coinage metal. Our primary interest lies in the latter where earlier scanning tunneling microscopy (STM) experiments were interpreted to suggest the existence of adsorbed S-decorated metal trimers, sometimes as a component of more complex adlayer structures. Recent STM studies at 5 K directly observed other isolated adsorbed metal–sulfur complexes. For these adsorbed species, we calculate various aspects of their energetics including a natural measure of stability corresponding to their formation energy from sulfur adsorbed on terraces and from metal atoms that are in thermal equilibrium with the substrate. From this perspective, our DFT analysis shows that all of Ag2S3, Ag3S3, and many larger complexes on Ag(111) are strongly stable, Cu2S3 is stable, and some larger complexes are marginally stable on Cu(111), but only Au4S4 on Au(111) is stable. Results are consistent with STM observations for Cu(111) and Ag(111) surfaces but appear to deviate slightly for Au(111). A systematic analysis relating stability in the gas phase with that of adsorbed species is achieved within the framework of Hess’s law. This analysis also unambiguously elucidates various energetic contributions to stability

Live attenuated virus vaccine protects against SARS-CoV-2 variants of concern B.1.1.7 (Alpha) and B.1.351 (Beta).

[Figure: see text]

Sulfur adsorption on coinage metal (100) surfaces: Propensity for metal-sulfur complex formation relative to (111) surfaces

Experimental data from low-temperature Scanning Tunneling Microscopy (LTSTM) studies on coinage metal surfaces with very low coverages of S is providing new insights into metal–S interactions. A previous LTSTM study for Cu(100), and a new analysis reported here for Ag(100), both indicate no metal–sulfur complex formation, but an Au4S5 complex was observed previously on Au(100). In marked contrast, various complexes have been proposed and/or observed on Ag(111) and Cu(111), but not on Au(111). Also, exposure to trace amounts of S appears to enhance mass transport far more dramatically on (111) than on (100) surfaces for Cu and Ag, a feature tied to the propensity for complex formation. Motivated by these observations, we present a comprehensive assessment at the level of DFT to assess the existence and stability of complexes on (100) surfaces, and compare results with previous analyses for (111) surfaces. Consistent with experiment, our DFT analysis finds no stable complexes on Ag(100) and Cu(100), but several exist for Au(100). In addition, we systematically relate stability for adsorbed and gas-phase species within the framework of Hess\u27s law. We thereby provide key insight into the various energetic contributions to stability which in turn elucidates the difference in behavior between (100) and (111) surfaces

Theoretical Framework for Integrated Neigbourhood Development to Ensure Ecological, Social and Climatic Performance

Urban development is traditionally a planning task in which many individual aspects, strategies and measures have to be considered and coordinated. Socio-economic, socio-demographic and socio-cultural change, fast growing cities, densification, supply of green infrastructure, resource management to name a few, are all urgent issues of our time that require an intensive examination of the challenges for urban development, as well as the development of coping strategies. Last but not least, the needs of climate protection, the consequences of climate change and the global loss of biodiversity are (emerging) pressing challenges for urban planning which have to be considered within all processes. At the same time, more and more data and tools are available, which - properly processed, used, examined and evaluated - support the cities in the design and implementation of their urban planning and urban development strategies. These tools are also increasingly used to automate and simplify these processes and analyses. Due to the complexity of challenges the common approach in urban planning is a sectoral approach (Ovink & Boeijenga 2018, Juschten et al. 2021) where individual experts analyse their field of action and based on these develop sectoral solutions and measures. There are numerous sectoral strategies in and for cities, some of which contain contradictory planning requirements with respect to other sectors and therefore depict the need of intersectoral and comprehensive planning strategies. The second approach necessary for integrated neighbourhood development is to consider the different planning and policy levels. Planning decisions at higher levels influence local decision-making possibilities and vice versa. The aim of this contribution is to present the development of a theoretical and methodical concept for integrated and participatory neighbourhood development processes. The article is based on a research project in the market town of Lustenau with around 25,000 inhabitants in the Austrian state of Vorarlberg. The market town of Lustenau is taking a large-volume educational building project in the quarter Rotkreuz to address integrated, inter- and transdisciplinary development of an existing neighbourhood. The research question is: “How can integrated neighbourhood development be implemented taking into account climate protection, climate change adaptation, ecosystem services of urban nature, biodiversity and social concerns?”. This contribution describes how these fields can be characterised, analysed and incorporated in master planning processes and how digital tools support the analysis and balancing of these different requirements

JAK inhibitors differentially modulate B cell activation, maturation and function: A comparative analysis of five JAK inhibitors in an in-vitro B cell differentiation model and in patients with rheumatoid arthritis

BackgroundJanus kinase (JAK) inhibitors have been approved for the treatment of several immune-mediated diseases (IMIDs) including rheumatoid arthritis (RA) and psoriatic arthritis and are in clinical trials for numerous other IMIDs. However, detailed studies investigating the effects of different JAK inhibitors on B cells are missing. Within this study, we therefore aimed to characterize the effect of JAK inhibition on the B cell compartment.MethodsTo this end, we investigated the B cell compartment under JAK inhibition and compared the specific effects of the different JAK inhibitors tofacitinib (pan-JAK), baricitinib (JAK1/2), ruxolitinib (JAK1/2), upadacitinib (JAK1/2) as well as filgotinib (selective JAK1) on in-vitro B cell activation, proliferation, and class switch recombination and involved pathways.ResultsWhile B cell phenotyping of RA patients showed an increase in marginal zone (MZ) B cells under JAK inhibition, comparison with healthy donors revealed that the relative frequency of MZ B cells was still lower compared to healthy controls. In an in-vitro model of T-cell-independent B cell activation we observed that JAK1/2 and selective JAK1 inhibitor treatment led to a dose-dependent decrease of total B cell numbers. We detected an altered B cell differentiation with a significant increase in MZ-like B cells and an increase in plasmablast differentiation in the first days of culture, most pronounced with the pan-JAK inhibitor tofacitinib, although there was no increase in immunoglobulin secretion in-vitro. Notably, we further observed a profound reduction of switched memory B cell formation, especially with JAK1/2 inhibition. JAK inhibitor treatment led to a dose-dependent reduction of STAT3 expression and phosphorylation as well as STAT3 target gene expression and modulated the secretion of pro- and anti-inflammatory cytokines by B cells.ConclusionJAK inhibition has a major effect on B cell activation and differentiation, with differential outcomes between JAK inhibitors hinting towards distinct and unique effects on B cell homeostasis