Effectiveness of long-acting buprenorphine - A systematic review.

Objective: To analyse the evidence of the effectiveness of long-acting injection buprenorphine (LAI-B) in the management of opioid use disorder (OUD).

Method: Databases were searched for studies reporting on the effectiveness of LAI-B for the treatment of OUD. Risk of bias was assessed, and a narrative synthesis of data was presented.

Performance Evaluation of 2 FDA-Approved Fentanyl Immunoassays against LC-MS/MS Reference.

Background: Fentanyl, a synthetic opioid, has caused many recent overdose deaths. Diagnosis of fentanyl abuse is not served by traditional opiate assays due to differences in chemical structure between synthetics and natural opioids. To our knowledge, this is the first study that uses liquid chromatography-tandem mass spectrometry (LC-MS/MS) as the reference method to evaluate and compare the ARK Fentanyl II Assay (ARK II) and the Fentanyl II Enzyme Immunoassay by Roche (FEN2).

Mechanistic investigations of the Fe(ii) mediated synthesis of squaraines.

The scission and homologation of CO is a fundamental process in the Fischer-Tropsch reaction. However, given the heterogeneous nature of the catalyst and forcing reaction conditions, it is difficult to determine the intermediates of this reaction. Here we report detailed mechanistic insight into the scission/homologation of CO by two-coordinate iron terphenyl complexes.

Demands on perceptual and mnemonic fidelity are a key determinant of age-related cognitive decline throughout the lifespan.

Aging results in less detailed memories, reflecting reduced fidelity of remembered compared to real-world representations. We tested whether poorer representational fidelity across perception, short-term memory (STM), and long-term memory (LTM) are among the earliest signs of cognitive aging. Our paradigm probed target-lure object mnemonic discrimination and precision of object-location binding.

The clinical utility of PET/CT scan and tissue biopsy in the management and follow-up of paediatric Hodgkin lymphoma in South Africa.

Background: In low- to middle-income countries (LMICs) like South Africa, there is a need to understand the clinical practices surrounding diagnosis and surveillance of paediatric Hodgkin lymphoma (HL) to reduce the burden on health systems. Understanding the clinical utility of PET/CT scans may decrease repeated tissue biopsies during disease surveillance.

Methods: This is a retrospective cohort study of patients aged less than 18 years treated for HL at Chris Hani Baragwanath Academic Hospital from 1 January 2009 to 31 December 2018.

Analytical Concordance of Total Vitamin D on a Fully Automated Random-Access LC-MS/MS Platform.

Background: The adoption of LC-MS/MS laboratory developed tests in the clinical laboratory is limited by many factors including the lack of automation. Recently, the Cascadion™ clinical analyzer was introduced as a fully automated random-access LC-MS/MS platform. Here, the analytical concordance between the platform and a Roche immunoassay analyzer was investigated for vitamin D analysis in human serum, including samples selected for high triglyceride levels.

Subthalamic Nucleus Activity during Cognitive Load and Gait Dysfunction in Parkinson's Disease.

Background: Gait freezing is a common, disabling symptom of Parkinson's disease characterized by sudden motor arrest during walking. Adaptive deep brain stimulation devices that detect freezing and deliver real-time, symptom-specific stimulation are a potential treatment strategy. Real-time alterations in subthalamic nucleus firing patterns have been demonstrated with lower limb freezing, however, whether similar abnormal signatures occur with freezing provoked by cognitive load, is unknown.

Development and Validation of a Patient-Reported Experience Measure for Gastrointestinal Endoscopy: The Comprehensive Endoscopy Satisfaction Tool (CEST).

Goals: We aimed to develop and validate a patient-reported experience measure for gastrointestinal (GI) endoscopy, the Comprehensive Endoscopy Satisfaction Tool that captures relevant domains that influence the patient's experience and identify factors that shape satisfaction.

Background: Patient-reported experience measures are used to capture specific quality aspects of health care services. GI endoscopic services are high-volume services, and there is a lack of specific, validated instruments to capture various domains that shape the patients' experience with routine clinical endoscopic services.

Orthoplastic Treatment of Open Lower-Limb Fractures Improves Outcomes: A 12-Year Review.

Background: The British Orthopaedic Association Standards for Orthopaedics and Trauma 4 (BOAST 4) inform the management of open lower-limb fractures. The authors conducted repeated reviews of performance against these standards over a 12-year period. This latest iteration has shown further improvements in outcomes concomitant with changes in service delivery.

Slow magnetic relaxation in Fe(II) -terphenyl complexes.

Two-coordinate transition metal complexes are exciting candidates for single-molecule magnets (SMMs) because their highly axial coordination environments lead to sizeable magnetic anisotropy. We report a series of five structurally related two-coordinate Fe(II) -terphenyl complexes (4-R-2,6-XylCH)Fe [R = Bu (1), SiMe (2), H (3), Cl (4), CF (5)] where, by changing the functionalisation of the -substituent (R), we alter their magnetic function. All five complexes are field-induced single-molecule magnets, with relaxation rates that are well-described by a combination of direct and Raman mechanisms.

Swap errors in visual working memory are fully explained by cue-feature variability.

In cue-based recall from working memory, incorrectly reporting features of an uncued item may be referred to as a "swap" error. One account of these errors ascribes them to variability in memory for the cue features leading to erroneous selection of a non-target item, especially if it is similar to the target in the cue-feature dimension. However, alternative accounts of swap errors include cue-independent misbinding, and strategic guessing when the cued item is not in memory.

Role of time in binding features in visual working memory.

Previous research on feature binding in visual working memory has supported a privileged role for location in binding an object's nonspatial features. However, humans are able to correctly recall feature conjunctions of objects that occupy the same location at different times. In a series of behavioral experiments, we investigated binding errors under these conditions, and specifically tested whether ordinal position can take the role of location in mediating feature binding.

Mapping blood biochemistry by Raman spectroscopy at the cellular level.

We report how Raman difference imaging provides insight on cellular biochemistry as a function of sub-cellular dimensions and the cellular environment. We show that this approach offers a sensitive diagnostic to address blood biochemistry at the cellular level. We examine Raman microscopic images of the distribution of the different hemoglobins in both healthy (discocyte) and unhealthy (echinocyte) blood cells and interpret these images using pre-calculated, accurate pre-resonant Raman tensors for scattering intensities specific to hemoglobins.

Transsaccadic integration operates independently in different feature dimensions.

Our knowledge about objects in our environment reflects an integration of current visual input with information from preceding gaze fixations. Such a mechanism may reduce uncertainty but requires the visual system to determine which information obtained in different fixations should be combined or kept separate. To investigate the basis of this decision, we conducted three experiments.

Group 11 -Terphenyl Complexes Featuring Metallophilic Interactions.

A series of group 11 -terphenyl complexes have been synthesized via a metathesis reaction from the iron(II) complexes (2,6-MesCH)Fe and (2,6-XylCH)Fe (Mes = 2,4,6-MeCH; Xyl = 2,6-MeCH). [2,6-MesCHM] (, M = Cu; , M = Ag; , M = Au) and [2,6-XylCHM] (, M = Cu; , M = Ag) are dimeric in the solid state, although different geometries are observed depending on the ligand. These complexes feature short metal-metal distances in the expected range for metallophilic interactions.

Limited memory for ensemble statistics in visual change detection.

Accounts of working memory based on independent item representations may overlook a possible contribution of ensemble statistics, higher-order regularities of a scene such as the mean or variance of a visual attribute. Here we used change detection tasks to investigate the hypothesis that observers store ensemble statistics in working memory and use them to detect changes in the visual environment. We controlled changes to the ensemble mean or variance between memory and test displays across six experiments.

Pelvic and acetabular fracture care in England: current workload and future directions.

Introduction: Fractures of the pelvis and acetabulum (PAFs) are challenging injuries, requiring specialist surgical input. Since implementation of the major trauma network in England in 2012, little has been published regarding the available services, workforce organisation and burden of PAF workload. The aim of this study was to assess the recent trends in volume of PAF workload, evaluate the provision of specialist care, and identify variation in available resources, staffing and training opportunity.

Conducting research on diet-microbiome interactions: A review of current challenges, essential methodological principles, and recommendations for best practice in study design.

Diet is one of the strongest modulators of the gut microbiome. However, the complexity of the interactions between diet and the microbial community emphasises the need for a robust study design and continued methodological development. This review aims to summarise considerations for conducting high-quality diet-microbiome research, outline key challenges unique to the field, and provide advice for addressing these in a practical manner useful to dietitians, microbiologists, gastroenterologists and other diet-microbiome researchers.

Indoor Air Quality at Home-An Economic Analysis.

Background People with respiratory conditions are susceptible to health problems caused by exposure to indoor air pollutants. An economic framework was developed to inform a guideline developed by National Institute for Health and Care Excellence (NICE) to estimate the required level of efficacy necessary for an intervention to be cost-saving in dwellings across England. Methods: An economic modelling framework was built to estimate the incremental costs pre- and post-implementation of interventions designed to reduce exposure to indoor air pollution within dwellings of varying building-related risk factors and profiles.

Structured oropharynx, hypopharynx and larynx assessment during routine esophagogastroduodenoscopy improves detection of pre- and early cancerous lesions: a multicenter, comparative study.

A structured assessment of the oropharynx, hypopharynx and larynx (OHL) may improve the diagnostic yield for the detection of precancerous and early cancerous lesions (PECLs) during routine esophagogastroduodenoscopy (EGD). Thus, we aimed to compare routine EGDs ± structured OHL assessment (SOHLA), including photo documentation with regard to the detection of PECLs. Consecutive patients with elective EGD were arbitrarily allocated to endoscopy lists with or without SOHLA.

Structural and electronic studies of substituted m-terphenyl lithium complexes.

The effect of para-substitution upon the structural and electronic properties of a series of m-terphenyl lithium complexes [R-Ar-Li] (R = t-Bu 1, SiMe2, H 3, Cl 4, CF5; where R-Ar = 2,6-{2,6-Xyl}-4-R-CH and 2,6-Xyl = 2,6-MeCH) has been investigated. X-ray crystallography reveals the complexes to be structurally similar, with little variation in C-M-C bond lengths and angles across the series. However, in-depth NMR spectroscopic studies reveal notable electronic differences, showing a linear correlation between the Li{H} NMR chemical shifts of the para-substituted complexes and their Hammett constants.

A transition metal-gallium cluster formed via insertion of "GaI".

The reaction between a two-coordinate Co(ii) diaryl complex and "GaI" affords 2,6-Pmp2C6H3CoGa3I5, in a new geometry for a heavier group 13-transition metal cluster. Experimental and computational investigations show that this compound is best described as a nido metalla-group 13 cluster.

Carbene-Induced Rescue of Catalytic Activity in Deactivated Nitrite Reductase Mutant.

The role of His145 in the T1 copper center of nitrite reductase (NiR) is pivotal for the activity of the enzyme. Mutation to a glycine at this position enables the reconstitution of the T1 center by the addition of imidazole as exogenous ligands, however the catalytic activity is only marginally rescued. Here, we demonstrate that the uptake of 1,3-dimethylimidazolylidene as N-heterocyclic carbene (NHC) by the H145G NiR mutant instead of imidazole yields a significantly more active catalyst, suggesting a beneficial role of such C-bonding.