The Intersection of Trauma and Immunity: Immune Dysfunction Following Hemorrhage.

Hemorrhagic shock is caused by rapid loss of a significant blood volume, which leads to insufficient blood flow and oxygen delivery to organs and tissues, resulting in severe physiological derangements, organ failure, and death. Physiologic derangements after hemorrhage are due in a large part to the body's strong inflammatory response, which leads to severe immune dysfunction, and secondary complications such as chronic immunosuppression, increased susceptibility to infection, coagulopathy, multiple organ failure, and unregulated inflammation. Immediate management of hemorrhagic shock includes timely control of the source of bleeding, restoring intravascular volume, preferably with whole blood, and prevention of ischemia and organ failure by optimizing tissue oxygenation.

Cannabis (THC) Aggravates the Deleterious Effects of Alcohol (EtOH) on Skeletal Muscles' Mitochondrial Respiration: Modulation by Age and Metabolic Phenotypes.

The anti-inflammatory and analgesic properties of cannabis might be useful to treat muscle diseases, including those linked or not to alcohol. Nevertheless, delta 9 tetrahydrocannabinol (THC) and ethanol (EtOH), often used concomitantly, can have deleterious effects on cardiac mitochondria. We therefore determined whether EtOH, alone and associated with THC, impairs skeletal muscle mitochondrial respiration.

Association Between Digital Front Doors and Social Care Use for Community-Dwelling Adults in England: Cross-Sectional Study.

Background: Requests for public social care support can be made through an online portal. These digital "front doors" can help people navigate complex social care systems and access services. These systems can be set up in different ways, but there is little evidence about the impact of alternative arrangements.

Characterization of a biocomposite film using coconut jelly powder to improve arrowroot starch and sodium alginate film forming properties.

Composite polymers are promising solution to structural setbacks of starch and alginate-based films due to their hydrophilic attributes. Hence, this study aimed to investigate young coconut jelly powder (CJP), an under-utilized by-waste, as a filler using the casting method to develop a novel biocomposite from increments of CJP (1-3 %) to a blended resin of arrowroot starch, sodium alginate, and glycerol. Moreover, the films were characterized by physicomechanical (visual aspect, thickness, color, moisture content, tensile strength, and elongation at break); surface microstructure; water barrier (water vapor permeability, water solubility, and water activities); thermal, crystallinity, and functional group properties; soil, river water, and seawater biodegradability; and coating application in cherry tomato.

COVID-19 highlights the need to improve resilience and equity in managing small-scale fisheries.

The COVID-19 pandemic exposed the fragility of global and domestic seafood markets. We examined the main impacts and responses of the small-scale fisheries (SSF) sector, and found that mitigation and preparedness strategies should be prioritised to boost resilience in SSF. We provide five policy options and considerations: (1) improving access to insurance and financial services; (2) strengthening local and regional markets and supporting infrastructure; (3) recognising fisheries as an essential service; (4) integrating disaster risk management into fisheries management systems; and (5) investing in Indigenous and locally-led fisheries management.