Breast Implant Surgery: The Importance of Informed Health Care Decisions and Outcome Monitoring.

Breast implant surgery is a popular, globally performed, and frequently requested cosmetic and reconstructive surgical procedure. Breast implant surgery can cause implant-associated systemic symptoms and types of implant-associated cancers, so it is vital to monitor patient outcomes. Most patients who undergo breast implant surgery do not experience health problems.

Nonlinear coupling of closely spaced modes in atomically thin MoS nanoelectromechanical resonators.

Nanoelectromechanical systems (NEMS) incorporating atomic or molecular layer van der Waals materials can support multimode resonances and exotic nonlinear dynamics. Here we investigate nonlinear coupling of closely spaced modes in a bilayer (2L) molybdenum disulfide (MoS) nanoelectromechanical resonator. We model the response from a drumhead resonator using equations of two resonant modes with a dispersive coupling term to describe the vibration induced frequency shifts that result from the induced change in tension.

Molecular Evolution of the H5 and H7 Highly Pathogenic Avian Influenza Virus Haemagglutinin Cleavage Site Motif.

Avian influenza viruses are ubiquitous in the Anatinae subfamily of aquatic birds and occasionally spill over to poultry. Infection with low pathogenicity avian influenza viruses generally leads to subclinical or mild clinical disease. In contrast, highly pathogenic avian influenza viruses emerge from low pathogenic forms and can cause severe disease associated with extraordinarily high mortality rates.

Emergency department utilization patterns for pediatric urinary stone patients in the United States.

Background: The prevalence of pediatric urolithiasis has increased rapidly, leading to more emergency department (ED) visits across the United States.

Objective: The purpose of this study was to determine emergency care practices for children and adolescents with urinary stones and characteristics associated with management.

Methods: We performed a cross-sectional study of the 2021 Nationwide Emergency Department Sample to identify pediatric patients (≤21 years) presenting to an ED in the United States with a primary diagnosis of urinary stone disease.

Mentors without Borders: Bridging global gaps in medical and radiological education.

Pursuing medical careers like radiology is challenging even for those with high levels of commitment, discipline, and resilience. Many rely on the guidance and support from mentors whose experiences serve as the roadmap for new generations. Unfortunately, finding a mentor can be difficult in certain parts of the world or when physicians decide to live and practice medicine outside their country of origin.

Zoonotic Gastroenteric Diseases of Exotic Animals.

Exotic pet ownership has steadily increased over the last decade, and with increased numbers of these species in close contact with humans, the risk of gastrointestinal zoonoses has also increased. Non-typhoidal serovars of Salmonella enterica are one of the most prevalent and important zoonoses of exotic pets, and reptile and backyard poultry are common asymptomatic carriers of these bacteria. Outbreaks of reptile-associated salmonellosis have occurred yearly in the United States since 2019 but contact with backyard poultry has actually been associated with more Salmonella outbreaks in the United States than any other animal species to date.

Fish Gastroenterology.

Fish represent the most common companion exotic animal in the United States and Canada in number of individuals and hold the third place after dogs and cats in terms of the number of households. Beyond companion animals, fish gastrointestinal diseases are particularly relevant for the aquaculture industry as feeding represents about 50% to 70% of the costs associated with fish production. Thus, nutrient malabsorption may have dramatic consequences both for the fish health and body condition score, but also for farmers.

Histone Deacetylase 9 Deletion Inhibits Hepatic Steatosis and Adipose Tissue Inflammation in Male Diet-Induced Obese Mice.

Aim: The goal of this study was to determine the role of histone deacetylase 9 (HDAC9) in the development of diet-induced metabolic dysfunction-associated steatohepatitis (MASH) and white adipose tissue (WAT) dysfunctions.

Methods: We fed male and female mice with global Hdac9 knockout (KO) and their wild-type (WT) littermates an obesogenic high-fat/high-sucrose/high-cholesterol (35%/34%/2%, w/w) diet for 20 weeks.

Results: Hdac9 deletion markedly inhibited body weight gain and liver steatosis with lower liver weight and triglyceride content than WT in male mice but not females.

A Prodrug Nanodevice Co-delivering Docetaxel and ROR1 siRNA for Enhanced Triple Negative Breast Cancer Therapy.

Triple-negative breast cancer (TNBC) has been a clinical challenge due to its high recurrence and metastasis rates. Chemotherapy remains the primary treatment for TNBC after surgery ablation, but it lacks targeted specificity and causes side effects in normal tissues. Receptor tyrosine kinase-like orphan receptor 1 (ROR1) is significantly expressed in TNBC cells, and small interference RNA (siRNA) targeting ROR1 can effectively suppress ROR1 gene expression, thereby inhibiting proliferation and metastasis.

Secondary Transport Mechanisms in Amino Acid Fed Enhanced Biological Phosphorus Removal.

Enhanced biological phosphorus removal (EBPR) water resource recovery facilities (WRRFs) often fail to meet phosphorus discharge permit limits, indicating a need to improve EBPR to reduce environmental phosphorus discharges. EBPR designs are largely based on the Accumulibacter polyphosphate accumulating organism (PAO) metabolism, while understudied Tetrasphaera PAOs are equally important to EBPR in many facilities worldwide. Anaerobic organic carbon competition is believed to be a key driver of EBPR reliability.

Improving colonoscopy quality in the national VA healthcare system.

Background: Colorectal cancer (CRC) prevention is a Veterans Affairs (VA) priority. Colonoscopy quality, especially adenoma detection rate (ADR), is critical for effective screening. Our research indicates considerable variation in ADR among VA providers.

Text message-delivered cannabis use disorder treatment with young adults: A large randomized clinical trial.

Background: Two scientific and clinical challenges for treating cannabis use disorder (CUD) are developing efficacious treatments with high likelihood of uptake and scalability, and testing the clinical mechanisms by which treatments work. Because young adults experience more CUD than other age groups, a need exists to test the efficacy and hypothesized causal pathways of novel treatments for CUD. Text-delivered treatments have the potential to reach young adults by increasing access and perceived privacy.

Treatment and Survival Disparities in Asian Americans With Hepatocellular Carcinoma: The Need to Disaggregate a Diverse Cohort.

Background: Hepatocellular carcinoma (HCC) is one of the leading causes of cancer death in the United States and globally. The Asian American, Native Hawaiian, and Pacific Islander (AANHPI) population has often been studied as one homogenous cohort despite its heterogeneity. We aim to understand differences in treatment modality and mortality among AANHPI patients with early-stage HCC.

Triticum mosaic virus: An overview of biology, functional genomics, gene expression vector, and management strategies.

Triticum mosaic virus (TriMV; Poacevirus tritici) is the founding member of the genus Poacevirus within the family Potyviridae. TriMV is one of the components of the wheat streak mosaic disease (WSMD) complex, an economically significant wheat disease in the Great Plains region of the USA. TriMV contains a single-stranded positive-sense RNA genome of 10,266 nts with an unusually long 5'-nontranslated region of 739 nts.

Targeting CCR5: A central approach to HIV treatment and cure strategies.

CCR5, a co-receptor critical for R5-tropic HIV entry into host cells, remains a key target for therapeutic interventions. HIV utilizes CCR5, expressed on T cells and macrophages, to facilitate viral entry. Genetic variants, such as the CCR5Δ32 homozygous mutation that confers protection to HIV infection, have made CCR5 a main target for gene-editing technologies, small-molecule inhibitors, and monoclonal antibody-based therapies.

Estimating effective reproduction numbers using wastewater data from multiple sewersheds for SARS-CoV-2 in California counties.

The effective reproduction number serves as a metric of population-wide, time-varying disease spread. During the early years of the COVID-19 pandemic, this metric was primarily derived from case data, which has varied in quality and representativeness due to changes in testing volume, test-seeking behavior, and resource constraints. Deriving nowcasting estimates from alternative data sources such as wastewater provides complementary information that could inform future public health responses.

A highly prevalent and specific cryptic plasmid pBI143 for human fecal pollution tracking in a subtropical urban river.

Microbial source tracking (MST) is a critical tool for identifying sources of human and animal fecal pollution in aquatic environments. To enhance human fecal pollution tracking, this study evaluated the performance characteristics of pBI143, a cryptic plasmid recently identified for potential MST applications. Nucleic acid samples from ten animal species were screened for pBI143, revealing its presence in a small number of pigs, cows, dogs, cats, and flying fox fecal samples.

Novel ganglion cell marker B3GNT6: A step forward in Hirschsprung's disease diagnosis.

Hirschsprung's (HSCR) disease, also known as aganglionic megacolon, or congenital intestinal aganglionosis affects roughly 1 out of every 5000 newborns. It is a birth defect characterized by the partial or complete loss of ganglion cells in the myenteric and submucosal plexus of the distal intestine which leads to ineffective peristalsis, constipation, and obstruction. Clinical assessment and radiological observations might imply HSCR disease, but definitive diagnosis requires biopsy interpretation and confirmation of ganglion cell loss.

Calcium-organic matter fouling in nanofiltration: Synchrotron-based X-ray fluorescence and absorption near-edge structure spectroscopy for speciation.

Calcium (Ca)-enhanced organic matter (OM) fouling of nanofiltration (NF) membranes leads to reduced flux during desalination and requires frequent cleaning. Fouling mechanisms are not fully understood, which limits the development of targeted fouling control methods. This study employed synchrotron-based X-ray fluorescence (XRF) and X-ray absorption near-edge structure (XANES) spectroscopy to quantify the spatial distribution and mass of Ca deposition as well as changes in the Ca coordination environment characteristic of specific fouling mechanisms, respectively.

An integrated approach to coupled nutrient and microbial source tracking in an agricultural watershed.

Estuaries often experience multiple water quality impairments including nitrogen enrichment and elevated fecal pollution. These pollutant sources are often linked and difficult to characterize, especially in multiple use watersheds, hindering the identification of effective mitigation steps. Tillamook Bay (Oregon, USA) has a mixed-use watershed including many potential nutrient and fecal bacteria sources due to agricultural activities, human development, and local wildlife populations.

Solid phase extraction chromatography-based radiochemical isolation of cyclotron-produced Mn from enriched Fe targets.

We report DGA extraction chromatography isolation of Mn from isotopically enriched Fe. The method has been studied in semi-automated and automated realizations. The former achieves a decay corrected radiochemical yield of 78 ± 1 % (n = 3) and a separation factor of (1.

Proximity to traffic is associated with worse symptom severity in patients with chronic rhinosinusitis with nasal polyps.

Background: Environmental exposures may be associated with increased severity of chronic rhinosinusitis (CRS). However, research examining associations of traffic related air pollution with CRS is limited. The purpose of this study was to determine the association between residential traffic proximity and CRS with nasal polyposis (CRSwNP) severity in an existing database of adults in the United States.

Head & neck surgical oncology: Success in private practice.

Background: Due to its complexity and multimodality treatment needs, traditional delivery of head and neck cancer care often occurs in a multidisciplinary cancer center, frequently in a university-based program in an urban setting. Fellowship training opportunities for subspecialty-focused head and neck surgeons have increased over recent years. There is a persistent concern that the number of newly minted Head & Neck Surgeons graduating each year outpaces the number of university-based employment opportunities, and that the workforce does not match the job opportunities.