Look above the IRP: predicting abnormal confirmatory testing in patients with esophagogastric junction outflow obstruction.

Background: Esophagogastric junction outflow obstruction (EGJOO) is a manometric diagnosis based on Chicago Classification version 4.0 (CC4.0) that requires confirmatory testing for clinical relevancy.

Beyond awareness: the binding of reflexive mechanisms with the conscious mind: a perspective from default space theory.

How do reflexes operate so quickly with so much multimodal information on the environment? How might unconscious processes help reveal the nature of consciousness? The Default Space Theory of Consciousness (DST) offers a novel way to interpret these questions by describing how sensory inputs, cognitive functions, emotional states, and unconscious processes are integrated by a single unified internal representation. Recent developments in neuroimaging and electrophysiology, such as fMRI, EEG, and MEG, have improved our knowledge of the brain mechanisms that underpin the conscious mind and have highlighted the importance of neural oscillations and sensory integration in its formation. In this article, we put forth a perspective on an underresearched relationship of reflexes with the dynamic character of consciousness and suggest that future research should focus on the interplay of the unconscious processes of reflexes and correlates of the contents of consciousness to better understand its nature.

Predictors of persistent symptoms in eosinophilic esophagitis after remission: fibrostenosis, eosinophilia, anxiety, and depression.

Eosinophilic Esophagitis (EoE) is a chronic inflammatory esophageal disorder, often associated with dysphagia, chest discomfort, and heartburn. There is limited information on persistent esophageal symptoms despite histologic remission (HR). We aimed to assess the prevalence and predictors of persistent esophageal symptoms in adult patients with EoE in HR.

An aging-sensitive compensatory secretory phospholipase that confers neuroprotection and cognitive resilience.

Breakdown of lipid homeostasis is thought to contribute to pathological aging, the largest risk factor for neurodegenerative disorders such as Alzheimer's Disease (AD). Cognitive reserve theory posits a role for compensatory mechanisms in the aging brain in preserving neuronal circuit functions, staving off cognitive decline, and mitigating risk for AD. However, the identities of such mechanisms have remained elusive.

Strigolactone signalling inhibits trehalose 6-phosphate signalling independently of BRC1 to suppress shoot branching.

The phytohormone strigolactone (SL) inhibits shoot branching, whereas the signalling metabolite trehalose 6-phosphate (Tre6P) promotes branching. How Tre6P and SL signalling may interact and which molecular mechanisms might be involved remains largely unknown. Transcript profiling of Arabidopsis SL mutants revealed a cluster of differentially expressed genes highly enriched in the Tre6P pathway compared with wild-type (WT) plants or brc1 mutants.