IgA Vasculitis (Henoch-Schönlein Purpura): An Update on Treatment.

IgA vasculitis (IgAV), previously named as Henoch-Schönlein purpura, is the most frequent systemic vasculitis in children. In adults, IgAV is less common although it is associated with more severe disease. In fact, the frequency of glomerulonephritis (referred to as IgAV nephritis) in adults is higher than in children and tends to present more severely, with around 10-30% of those affected eventually progressing to end-stage renal disease.

Liver Fibrosis Index-4 Does Not Correlate to Liver Elastography in Patients with Inflammatory Bowel Disease.

: Inflammatory bowel disease (IBD) is associated with an increased prevalence of metabolic dysfunction-associated steatotic liver disease (MASLD). The Fibrosis-4 (FIB-4) index is a non-invasive tool for assessing liver fibrosis that has been validated in various liver diseases. The main objective of this study was to study whether the FIB-4 index is a reliable predictor of liver fibrosis, as assessed through elastography, in patients with IBD.

Novel Applications in Controlled Drug Delivery Systems by Integrating Osmotic Pumps and Magnetic Nanoparticles.

The alarming rise in chronic diseases worldwide highlights the urgent need to overcome the limitations of conventional drug delivery systems. In this context, osmotic pumps are able to release drugs by differential osmotic pressure, achieving a controlled rate independent of physiological factors and reducing the dosing frequency. As osmotic pumps are based on the phenomenon of osmosis, the choice of high osmolality draw solutions (DSs) is a critical factor in the successful delivery of the target drug.

Notch Effect in Acrylonitrile Styrene Acrylate (ASA) Single-Edge-Notch Bending Specimens Manufactured by Fused Filament Fabrication.

This paper analyses the notch effect in the fracture behaviour of acrylonitrile-styrene-acrylate (ASA) material manufactured by fused filament fabrication (FFF). The research is performed on 72 single-edge-notch bending (SENB) specimens containing U-notches with nominal notch radii varying from 0 mm (crack-like defects) up to 2.0 mm, and fabricated with three different raster orientations (0/90, 45/-45, 30/-60).

Polarization-insensitive optical coherence tomography using pseudo-depolarized reference light for mitigating birefringence-related image artifacts.

Significance: Optical coherence tomography (OCT) images are prone to image artifacts due to the birefringence of the sample or the optical system when a polarized light source is used for imaging. These artifacts can lead to degraded image quality and diagnostic information.

Aim: We aim to mitigate these birefringence-related artifacts in OCT images by adding a depolarizer module in the reference arm of the interferometer.

QRISK3 and SCORE2 are equally reliable predictors of carotid plaques in patients with systemic lupus erythematosus.

Objectives: Cardiovascular (CV) disease is the leading cause of death among patients with systemic lupus erythematosus (SLE). This study aimed to compare the performance of QRESEARCH-risk estimator version 3 (QRISK3) and the Systematic Coronary Risk Evaluation-2 (SCORE2) scores to identify SLE patients at high risk of CV events, as indicated by the presence of carotid plaques.

Methods: Subclinical atherosclerosis was evaluated using carotid ultrasound in 365 SLE patients.

Relationship of Pain, Depression, Fatigue, and Sleep Problems with Functional Capacity, Balance, and Fear of Falling in Women with Fibromyalgia: Cross-Sectional Study.

(1) Background: Fibromyalgia (FM) is a syndrome marked by chronic widespread pain, fatigue, sleep issues, and other symptoms. Interventions like physical exercise can potentially enhance physical function in individuals with FM. This study aimed to assess physical function, perceived physical fitness, balance confidence, and fear of falling in women with FM based on their levels of pain, depression, fatigue, and sleep problems.

Pharmacotherapy for behavioural manifestations in frontotemporal dementia: An expert consensus from the European Reference Network for Rare Neurological Diseases (ERN-RND).

Background And Purpose: Frontotemporal dementia (FTD) is a neurodegenerative disorder characterized by pervasive personality and behavioural disturbances with severe impact on patients and caregivers. In current clinical practice, treatment is based on nonpharmacological and pharmacological approaches. Unfortunately, trial-based evidence supporting symptomatic pharmacological treatment for the behavioural disturbances in FTD is scarce despite the significant burden this poses on the patients and caregivers.

Cultural adaptation and preliminary validation of the Flexibility Scale for Spain.

Background: Individuals exhibit varying degrees of flexibility depending on different characteristics, conditions, and diagnoses. The Flexibility Scale is a comprehensive informant-report measure used to assess multiple aspects of flexibility in autistic and non-autistic children and youth, with an emphasis on cognitive aspects. This tool has not been adapted nor validated for use in Spain.

Life cycle assessment and yield to optimize extraction time and solvent: Comparing deep eutectic solvents vs conventional ones.

Deep eutectic solvents (DES) are gaining interest as eco-friendly alternatives for extracting bioactive compounds, but their environmental benefits remain unclear and need further evaluation. In this work, a case study of total polyphenols (TPC) extraction from spent coffee grounds (SCG) was environmentally evaluated using life cycle assessment (LCA). First, the most convenient extraction time (1, 10, 20, or 40 min) for water and acetone 20 % from an environmental perspective was identified.

Effect of body orientation and joint movement on local bioimpedance measurements.

The purpose of this pilot study was to determine if body orientation, skin treatment, joint angle, and shoulder arch movements affect localized bioimpedance spectroscopy (BIS) measurement. Nowadays, there are various wearable and portable impedance measurement tools in different shapes and sizes. Therefore, the body position and orientation of the subject during measurement may be of great importance for the comparability of the results.

Microscopical anatomy of the peripheral nervous system: An essential notion for understanding the pathophysiology of very early classic Guillain-Barré syndrome.

The aim of this paper is to analyze the pathophysiological mechanisms acting in very early classic Guillain-Barré syndrome (GBS) (≤4 days of symptomatic onset). In this inaugural period, both in GBS and its animal model, experimental autoimmune neuritis, the outstanding pathological feature is inflammatory edema predominating in proximal nerve trunks, particularly spinal nerves, and possibly in preterminal nerve segments. Nerve trunks external to the subarachnoid angle possess epi- perineurium that is relatively inelastic and of low compliance.

SETD8 inhibition targets cancer cells with increased rates of ribosome biogenesis.

SETD8 is a methyltransferase that is overexpressed in several cancers, which monomethylates H4K20 as well as other non-histone targets such as PCNA or p53. We here report novel SETD8 inhibitors, which were discovered while trying to identify chemicals that prevent 53BP1 foci formation, an event mediated by H4K20 methylation. Consistent with previous reports, SETD8 inhibitors induce p53 expression, although they are equally toxic for p53 proficient or deficient cells.

Life cycle assessment and energy return of investment of nutritionally-enhanced snacks supplemented with Spanish quinoa.

The trend in the consumption of unconventional, more nutritious foods is leading to the globalization and decentralization of their production, giving rise to the adaptation and innovation of traditional products to make them healthier and more sustainable. This article focuses on quinoa and aims to estimate the environmental impacts of its production adapted to the Spanish conditions and of potential derived snacks enriched with this pseudo cereal by applying conventional and nutritional life cycle assessment (LCA) methodologies. Besides, an exhaustive study of the energy flows by measuring the cumulative energy demand and the calculation of the energy return of investment (EROI) is carried out to assess the most impactful aspect of the processing industries.

Central Role of the Actomyosin Ring in Coordinating Cytokinesis Steps in Budding Yeast.

Eukaryotic cells must accurately transfer their genetic material and cellular components to their daughter cells. Initially, cells duplicate their chromosomes and subsequently segregate them toward the poles. The actomyosin ring, a crucial molecular machinery normally located in the middle of the cells and underneath the plasma membrane, then physically divides the cytoplasm and all components into two daughter cells, each ready to start a new cell cycle.