Inflammatory pathways and anti-inflammatory therapies in sickle cell disease.

Sickle cell disease (SCD) is a monogenic disease, resulting from a single-point mutation, that presents a complex pathophysiology and high clinical heterogeneity. Inflammation stands as a prominent characteristic of SCD. Over the past few decades, the role of different cells and molecules in the regulation of the inflammatory process has been elucidated.

The role of pain expectancy and its confidence in placebo hypoalgesia and nocebo hyperalgesia.

Placebo hypoalgesia and nocebo hyperalgesia, which exemplify the impact of expectations on pain, have recently been conceptualised as Bayesian inferential processes, yet empirical evidence remains limited. Here, we explore whether these phenomena can be unified within the same Bayesian framework by testing the predictive role of expectations and their level of precision (ie, expectation confidence) on pain, with both predictors measured at the metacognitive level. Sixty healthy volunteers underwent a pain test (ie, 8 noxious electrical stimuli) before (Baseline) and after (T0, T1, T2) receiving a sham treatment associated with hypoalgesic (placebo), hyperalgesic (nocebo), or neutral (control) verbal suggestions, depending on group allocation.

Complex Crater Collapse: A Comparison of the Block and Melosh Acoustic Fluidization Models of Transient Target Weakening.

The collapse of large impact craters requires a temporary reduction in the resistance to shear deformation of the target rocks. One explanation for such weakening is acoustic fluidization, where impact-generated pressure fluctuations temporarily and locally relieve overburden pressure facilitating slip. A model of acoustic fluidization widely used in numerical impact simulations is the Block model.

Assessment of fine-tuned large language models for real-world chemistry and material science applications.

The current generation of large language models (LLMs) has limited chemical knowledge. Recently, it has been shown that these LLMs can learn and predict chemical properties through fine-tuning. Using natural language to train machine learning models opens doors to a wider chemical audience, as field-specific featurization techniques can be omitted.

Digging for Literature on Tailoring Cultural Offers With and for Older People From Ethnic Minority Groups: A Scoping Review.

Introduction: Social prescribing addresses non-medical issues (e.g., loneliness, financial worries, housing problems) affecting physical and/or mental health.

Evaluating Disparities in COVID-19 Clinical Outcomes Among Patients With Cirrhosis in North America and Europe-An International Registry Study.

Background: Patients with decompensated cirrhosis have a higher risk of hospitalization, ICU admission, and death from COVID-19. The impact of demographics on these outcomes remains uncertain.

Methods: The SECURE-Liver and COVID-Hep databases were utilized to evaluate disparities in COVID-19 outcomes.

Avoiding "a piece of paper on the wall that everyone ignores": A qualitative study on the barriers for implementing open fracture guidelines.

Background: Ortho-plastic evidence-based clinical guidelines for open fractures have demonstrated to standardise care and improve outcomes for patients admitted following lower extremity trauma. Despite its benefits, very few countries have introduced such guidance. The aim of this study was to explore the attitudes, barriers and limitations to the development and implementation of guidelines for lower limb open fractures METHODS: Twelve renowned orthopaedic and plastic surgeons, based in countries with no guidelines at present, underwent semi-structured interviews.

Impact of water solvation on the charge carrier dynamics of organic heterojunction photocatalyst nanoparticle dispersions.

Organic heterojunction nanoparticles (NP) have recently gained significant interest as photocatalysts for visible light-driven hydrogen production. Whilst promising photocatalytic efficiencies have been reported for aqueous NP dispersions, the underlying dynamics of photogenerated charges in such organic heterojunction photocatalysts and how these might differ from more widely studied dry heterojunction films remain relatively unexplored. In this study, we combine transient optical spectroscopies over twelve orders of magnitude in time, using pulsed and continuous light illumination, to elucidate the differences in the charge carrier dynamics of heterojunction NP dispersions, dried NP films, and bulk heterojunction films prepared by spin coating.

Antecedent Effect Models as an Exploratory Tool to Link Climate Drivers to Herbaceous Perennial Population Dynamics Data.

Understanding mechanisms and predicting natural population responses to climate is a key goal of Ecology. However, studies explicitly linking climate to population dynamics remain limited. Antecedent effect models are a set of statistical tools that capitalize on the evidence provided by climate and population data to select time windows correlated with a response (e.

Apathy and effort-based decision-making in Alzheimer's disease and subjective cognitive impairment.

Introduction: Apathy is a significant feature in Alzheimer's disease (AD) and subjective cognitive impairment (SCI), though its mechanisms are not well established.

Methods: An effort-based decision-making (EBDM) framework was applied to investigate apathy in 30 AD patients, 41 SCI participants, and 55 healthy controls (HC). Data were analyzed using a drift-diffusion model (DDM) to uncover latent psychological processes.

Do Sex Ratio Distorting Microbes Inhibit the Evolution of Pesticide Resistance? An Experimental Test.

We are still largely reliant on pesticides for the suppression of arthropod pests which threaten human health and food production, but the recent rise of evolved resistance among important pest species has reduced pesticide efficacy. Despite this, our understanding of strategies that effectively limit the evolution of resistance remains weak. Male-killing sex ratio distorting microbes (SRDMs), such as and , are common among arthropod species.

A decade of outsourcing in health and social care in England: What was it meant to achieve?

The increased private provision of publicly funded health and social care over the last 75 years has been one of the most contentious topics in UK public policy. In the last decades, health and social care policies in England have consistently promoted the outsourcing of public services to private for-profit and non-profit companies with the assumption that private sector involvement will reduce costs and improve service quality and access. However, it is not clear why outsourcing often fails to improve quality of care, and which of the underlying assumptions behind marketising care are not supported by research.

Electron beam and thermal stabilities of MFM-300(M) metal-organic frameworks.

This work reports the thermal and electron beam stabilities of a series of isostructural metal-organic frameworks (MOFs) of type MFM-300(M) (M = Al, Ga, In, Cr). MFM-300(Cr) was most stable under the electron beam, having an unusually high critical electron fluence of 1111 e Å while the Group 13 element MOFs were found to be less stable. Within Group 13, MFM-300(Al) had the highest critical electron fluence of 330 e Å, compared to 189 e Å and 147 e Å for the Ga and In MOFs, respectively.

Insectivorous bat activity dataset across different land-use types in the Islands of São Tomé and Príncipe, Central West Africa.

Background: São Tomé and Príncipe oceanic islands, in Central West Africa, are characterised by exceptional levels of endemism. Since human colonisation in the mid-15 century, São Tomé and Príncipe have lost 74% and 67% of their native habitat, respectively. Today, these islands are mainly covered by remaining old-growth forests, secondary regrowth forests, shaded plantations (mostly of cocoa), oil palm plantations (in the case of São Tomé), small-scale agricultural areas and urban areas.

Scoping review of post-TB pulmonary vascular disease: Proceedings from the 2nd International Post-Tuberculosis Symposium.

Tuberculosis (TB) may cause significant long-term cardiorespiratory complications, of which pulmonary vascular disease is most under-recognized. TB is rarely listed as a cause of pulmonary hypertension (PH) in most PH guidelines, yet PH may develop at various stages in the time course of TB, from active infection through to the post-TB period. Predisposing risk factors for the development of PH are likely multifactorial, involving active TB disease and post-TB lung disease (PTLD), host-related and environment-related factors.

Enhanced tumor response to adoptive T cell therapy with PHD2/3-deficient CD8 T cells.

While adoptive cell therapy has shown success in hematological malignancies, its potential against solid tumors is hindered by an immunosuppressive tumor microenvironment (TME). In recent years, members of the hypoxia-inducible factor (HIF) family have gained recognition as important regulators of T-cell metabolism and function. The role of HIF signalling in activated CD8 T cell function in the context of adoptive cell transfer, however, has not been explored in full depth.

Cardiophrenic lymph node metastasis as the sole presentation of high grade serous ovarian carcinoma.

Key Clinical Message: Cardiophrenic metastasis is typically a late stage manifestation of ovarian high grade serous carcinoma. Here we present a case where this was the sole presentation of this disease. This case challenges our current understanding of the natural course of ovarian high grade serous carcinoma.