Genomic analysis of surgical patients to identify patients at risk for postoperative sepsis and surgical site infection.

Background: Early and accurate diagnosis of sepsis and the ensuing organ dysfunction remain a challenge in the postoperative setting. Susceptibility to infections, as well as the subsequent immunological response, are driven to some extent by the genetic predisposition of the patient. The purpose of this study was to identify novel genetic variants associated with postoperative sepsis (POS) and surgical site infections (SSIs).

The Relationship of HbA1c Serum Levels with the Severity of Periodontal Disease in Patients with Type 1 Diabetes Mellitus: A Cross-Sectional Study.

Objective:  According to the evidence, the level of glycemic control is of key importance in determining the increased risk of periodontal disease (PD). The aim of the study was to evaluate the role of metabolic control as a key factor leading to the development and severity of periodontitis and compare the periodontal and oral hygiene status with the glycated hemoglobin levels.

Materials And Methods:  The evaluation was undertaken with diabetic patients (59 uncontrolled diabetics and 36 controlled diabetics) from a patient cohort of the Hospitalar Center of Tâmega e Sousa and subjects without diabetes ( = 95).

Co-evolution of risk and cooperation in climate policies under wealth inequality.

Worldwide cooperation is necessary to mitigate the effects of climate change. Many previous investigations employed the so-called collective risk dilemma, where the risk of losing everything whenever a target is not met was fixed from the outset, rendering predictions dependent on snapshot values assumed for this parameter, whose importance was found to be paramount. Here, we couple risk with the overall success of mitigation, investigating the co-evolution of risk and cooperation in a world where countries are partitioned in two different wealth classes, allowing us to further assess the impact of wealth inequality and homophily on the co-evolutionary dynamics.

Policing Black autistic children: A qualitative approach to understanding Black caregivers' concerns.

In the United States, Black autistic youth face elevated risk of negative outcomes during police interactions. Although the outcomes of these interactions are well-documented, less is known about Black autistic youths' experiences during police encounters, as the current literature has largely examined the experiences of autistic adults, mostly White American samples, and/or autistic youth abroad. This study utilizes qualitative methods to examine the perceptions and concerns of 43 Black caregivers (N = 43; 98% parents; 2% legal guardians; 93% mothers) of Black autistic children (mean age: 16.

Assessment of methodologies based on the formation of antiparallel triplex DNA structures and fluorescent silver nanoclusters for the detection of pyrimidine-rich sequences.

In this work, strategies for the detection of pyrimidine-rich DNA target sequences based on the formation of duplex and antiparallel triplex structures are studied. The presence of the target is detected from the changes in fluorescence of silver nanoclusters stabilized by the corresponding complementary DNA probes. In all cases, the formation of intermolecular structures has been assessed by means of melting experiments and multivariate analysis.

Interstitial lung disease: retrospective study of the prognostic impact of acute exacerbations.

Background: Interstitial lung diseases have high mortality associated with hospitalization for decompensation. There are doubts about the factors involved in the progression of fibrosis, for example the role played by acute exacerbations.  With this work, the authors intend to analyze whether there are predictive parameters of mortality related to exacerbations.

Hidden life cycle stages of the trypanosomatid Blastocrithidia triatomae Cerisola et al. 1971 (Protista: Excavata: Kinetoplastea) unveiled by a new cultivation method.

Blastocrithidia triatomae is a monoxenic trypanosomatid parasite of triatomines, sharing the same insect vectors with Trypanosoma cruzi Chagas, 1909 and T. rangeli Tejera, 1920. It is known to cause a complex syndrome in insects which induces severe metabolic disorders and increasing in mortality rates.

Despair and Voter Turnout in the United States.

Context: Deaths of despair, a term used to capture rising mortality rates among Americans who appear to be suffering from growing mental and physical distress, have received added attention from those seeking to understand this disturbing trend. Yet it is unclear how, if at all, despair influences the political behavior of the people and communities where it is most prominent. The authors contribute to the health and politics literature by examining whether personal and community-level despair shapes political participation.

A Highly Linear Ultra-Low-Area-and-Power CMOS Voltage-Controlled Oscillator for Autonomous Microsystems.

Voltage-controlled oscillators (VCOs) can be an excellent means of converting a magnitude into a readable value. However, their design becomes a real challenge for power-and-area-constrained applications, especially when a linear response is required. This paper presents a VCO for smart dust systems fabricated by 65 nm technology.

Combining Imaging and Electrophysiology to Visualize and Record Spreading Depolarizations in Mice.

Spreading Depolarizations (SDs) are massive events in the brain that often go undetected due to their slow propagation through gray matter. Because SD detection can be elusive, it is optimally confirmed using multiple methods. This protocol describes methods for combining imaging and electrophysiology to detect SDs in a manner that most laboratories can reliably and easily adopt.

Electrochemical molecularly imprinted polymer sensor for simple and fast analysis of tetrodotoxin in seafood.

Tetrodotoxin (TTX) is a marine biotoxin whose biosynthesis is associated with the pufferfish. Its distribution is primarily focused in Asian and tropical marine areas. Currently, this group of toxins is classified as emerging in Europe, and its presence could be related to climate change.

Light-Driven Site-Selective Glycosylation of Native Carbohydrates.

Carbohydrates constitute the largest source of biomass on Earth, but their synthetic modification is challenging due to their high content in oxygen functionalities. The site- and stereoselective modification of native sugars is a definite goal of glycochemistry research. Recent efforts to bypass the need for protecting groups, leveraging selective activation through photochemical mechanisms for site-selective C-C bond formation from native sugars, are likely to largely impact all glycochemistry-related areas.

Use of continuous positive airway pressure in drainage of pleural effusion: Educational intervention for evidence-based practice.

Objective: To create an educational intervention for health professionals and test its effectiveness in implementing the use of CPAP in hospitalized patients with pleural effusion undergoing thoracic drainage.

Methods: This implementation study was developed in 5 hospitals in Brazil and one in Belgium within four phases: (I) Situational diagnosis (professionals and patients' knowledge about CPAP usage for drained pleural effusion and checking medical records for the last 6 months); (II) Education and training of professionals; (III) New situational diagnosis (equal to phase I); (IV) Follow-up for two years.

Results: 65 professionals, 117 patients' medical records, and 64 patients were enrolled in this study.

Examination of Information Quality on Public Instagram Profiles Regarding Botulinum Toxin for Bruxism: A Study in São Paulo State, Brazil.

Background: Currently, social media emerges as a swift and efficient channel for disseminating knowledge in dentistry; however, it is imperative to assess whether this information aligns with scientific evidence. This study aims to evaluate the quality of information found on public Instagram profiles in São Paulo State, Brazil, regarding the utilization of botulinum toxin (BTx) for bruxism treatment.

Material And Methods: The data were categorized into three qualitative groups: information pertaining to bruxism diagnosis, treatment options for bruxism, and the application of BTx for bruxism.

Mechanical methods for materials concentration of lithium iron phosphate (LFP) cells and product potential evaluation for recycling.

The production and sales of lithium-ion batteries (LIB) are rapidly expanding nowadays, causing a significant impact on the consumption of critical raw materials, such as lithium. Thus, developing and improving methods for the separation and recovery of materials from LIBs is necessary to ensure the supply of critical raw materials, as well as to meet the recycling targets set by some countries. This study evaluated and compared two mechanical routes to concentrate materials of LiFePO (LPF) cells.

Randomized trial of anetumab ravtansine and pembrolizumab compared to pembrolizumab for mesothelioma.

Purpose: The mesothelin-targeting antibody-drug conjugate anetumab ravtansine was evaluated in combination with the programmed cell death-1 (PD-1) inhibitor pembrolizumab based on the common expression of mesothelin and reports of activity in mesothelioma.

Patients And Methods: A phase 1 safety run-in of the combination of anetumab ravtansine (6.5 mg/kg iv q3weeks) and pembrolizumab (200 mg, IV q3weeks) was conducted, followed by a phase 2 randomization to the combination or pembrolizumab alone at medical centers across the United States and Canada in the National Cancer Institute's Experimental Therapeutics Clinical Trials Network.