Relationship between symptoms, sociodemographic factors, and general practice help-seeking in 10 904 adults aged 50 and over.

Symptoms are a common reason for contact with primary care. This study investigated associations between symptom-related, demographic, social, and economic factors on general practice (GP) help-seeking. Secondary analysis of responses to a 25-symptom questionnaire, from 10 904 adults aged ≥50 years reporting at least one symptom in the preceding year.

Positive Reinforcement: Balancing Negative and Positive Feedback for Comprehensive Improvement.

Patient feedback plays a vital role in healthcare, offering insights into the quality of care and promoting professional development. Despite the emphasis on feedback collection from regulatory bodies, institutional policies appear to focus on processing complaints and negative feedback over positive feedback. The aim of this study is to investigate the processes relevant to the systematic logging of patient feedback in the dental hospitals across the UK and the Republic of Ireland.

Examining parental participation in a successful psychological intervention for young people with epilepsy and mental health difficulties: Results from a longitudinal qualitative study within a randomised controlled trial.

Objective: Children with epilepsy may have significant mental health needs with detrimental impact on quality of life, and families often request support and intervention. This paper explores the change experienced by parents of young people with epilepsy and mental health difficulties receiving an integrated mental health intervention.

Methods: A qualitative study was conducted within a randomised controlled trial evaluating the Mental Health Intervention for Children with Epilepsy (MICE) psychological therapy in addition to usual care.

NRF2 activation in the heart induces glucose metabolic reprogramming and reduces cardiac dysfunction via upregulation of the pentose phosphate pathway.

Aims: The transcription factor NRF2 is well recognized as a master regulator of antioxidant responses and cytoprotective genes. Previous studies showed that NRF2 enhances resistance of mouse hearts to chronic hemodynamic overload at least in part by reducing oxidative stress. Evidence from other tissues suggests that NRF2 may modulate glucose intermediary metabolism but whether NRF2 has such effects in the heart is unclear.

A Cloud Detection Network Based on Adaptive Laplacian Coordination Enhanced Cross-Feature U-Net.

Cloud cover experiences rapid fluctuations, significantly impacting the irradiance reaching the ground and causing frequent variations in photovoltaic power output. Accurate detection of thin and fragmented clouds is crucial for reliable photovoltaic power generation forecasting. In this paper, we introduce a novel cloud detection method, termed Adaptive Laplacian Coordination Enhanced Cross-Feature U-Net (ALCU-Net).

Cleavage of Cartilage Oligomeric Matrix Protein (COMP) by ADAMTS4 generates a neoepitope associated with osteoarthritis and other forms of degenerative joint disease.

Osteoarthritis (OA) is a highly prevalent joint disease, affecting millions of people worldwide and characterized by degradation of articular cartilage, subchondral bone remodeling and low-grade inflammation, leading to pain, stiffness and disability. Cartilage Oligomeric Matrix Protein (COMP) is a major structural component of cartilage and its degradation has been proposed as a marker of OA severity/progression. Several proteases cleave COMP in vitro, however, it is unclear which of these COMPase activities is prevalent in an osteoarthritic joint.

ANGIOTENSIN II FOR CATECHOLAMINE-RESISTANT VASODILATORY SHOCK IN PATIENTS WITH ACUTE KIDNEY INJURY: A POST HOC ANALYSIS OF THE ATHOS-3 TRIAL.

Objective: The combination of catecholamine-resistant vasodilatory shock and acute kidney injury (AKI) is associated with high morbidity and mortality. The role of angiotensin II (ANGII) in this setting is unclear. Methods: We conducted a post hoc analysis of the Angiotensin II for the Treatment of High-Output Shock (ATHOS) 3 trial which assessed the effect of Intravenous ANG II or placebo in patients with refractory vasodilatory shock in 75 intensive care units across nine countries in North America, Australasia, and Europe.

Integrated child nutrition, parenting, and health intervention in rural Liberia: A mixed-methods feasibility study.

In Liberia, children are exposed to multiple forms of adversity which can negatively impact their health and development. Research is needed to examine the feasibility and benefits of integrated interventions that can be incorporated into existing health delivery programs to simultaneously address low responsive stimulation, undernutrition, and infection. This study assessed the feasibility of an integrated intervention promoting psychosocial stimulation and improved child feeding by the provision of eggs and fish.

Operando Evolution of a Hybrid Metallic Alloy Interphase for Reversible Aqueous Zinc Batteries.

Aqueous Zn-ion batteries (AZIBs) are widely acknowledged as viable future energy storage solutions, particularly for low-cost stationary applications. However, the interfacial instability of zinc anodes represents a major challenge to the commercial potential of Zn-ion systems, promoting an array of side reactions including spontaneous corrosion, hydrogen evolution, and dendrite growth that destabilize cell performance, lower Coulombic efficiency and ultimately lead to early cell failure. While other commercially relevant battery systems benefit from a spontaneously forming solid electrolyte interphase, no such layer forms in AZIBs.

Draft genomes of two contemporary strains of .

, major cause of bovine babesiosis with zoonotic potential, was analyzed through genomes Bdiv23B and Bdiv24B following Illumina sequencing of DNA extracted from PCR-positive cattle blood. The genomes comprised 3888 and 4032 predicted coding sequences, respectively, comparable to the reference genome, Rouen 1987, highlighting genomic consistency across isolates.

Benefits of nostalgic landmarks for people living with Alzheimer's disease.

Background: Emerging literature shows that nostalgia induced by autobiographical reflection and music confers psychological benefits to people living with dementia.

Objective: Our objective was to test the potential benefits of nostalgic landmarks for people living with Alzheimer's disease.

Methods: We displayed the landmarks as wall-mounted pictures within a virtual environment.

Radiobiology and modelling in Brachytherapy: A review inspired by the ESTRO Brachytherapy pre-meeting course.

Brachytherapy (BT) plays a key role in cancer treatment by delivering a high dose to a small volume over a short time. The use of BT is currently validated in a wide range of cancers such as cervical, prostate and breast cancers while being a favourable choice for organ preservation, such as in penile or rectal cancer, or in the setting of reirradiation. Consideration of the radiobiology of BT is integral to the choices made around dose and fractionation and combination with other techniques such as external beam radiotherapy (EBRT).

Population-based germline testing of , and in breast cancer patients in the United Kingdom: Evidence to support extended testing, and definition of groups who may not require testing.

Purpose: To assess the contribution of germline pathogenic variants (PVs) in population-based series of breast cancers and the best strategy to improve detection rates.

Methods: Three cohort studies were utilized, including a hospital-based series identified from new UK mainstream testing criteria (group-1), offering testing to all women (group-2-BReast CAncer [BRCA]-DIRECT), and a Greater Manchester cohort study recruited from the mammography screening population (group-3-Predicting Risk of Cancer at Screening). DNA samples from women with breast cancer were sequenced for PVs in , , and Partner and Localiser of BRCA2 ().

Establishing a national linked database for Fetal Alcohol Spectrum Disorder (FASD) in the UK: multi-method public and professional involvement to determine acceptability and feasibility.

Introduction: Fetal Alcohol Spectrum Disorder (FASD) is one of the leading non-genetic causes of developmental disability worldwide and is thought to be particularly common in the UK. Despite this, there is a lack of data on FASD in the UK.

Objective: To conduct public and professional involvement work to establish stakeholder views on the feasibility, acceptability, key purposes, and design of a national linked longitudinal research database for FASD in the UK.

Increased chloroplast occupancy in bundle sheath cells of rice hap3H mutants revealed by Chloro-Count: a new deep learning-based tool.

There is an increasing demand to boost photosynthesis in rice to increase yield potential. Chloroplasts are the site of photosynthesis, and increasing their number and size is a potential route to elevate photosynthetic activity. Notably, bundle sheath cells do not make a significant contribution to overall carbon fixation in rice, and thus, various attempts are being made to increase chloroplast content specifically in this cell type.

Mapping the patriarchy in conservation.

It is essential to ensure the effectiveness of current conservation efforts to meet the interconnected crises of biodiversity loss, habitat degradation, and climate change. In this article, we discuss one aspect that undermines conservation's effectiveness while at the same time being underexplored in the academic and political discourse on conservation: patriarchal norms and structures. We argue that these norms and structures, which promote male supremacy and inequality, are central to driving environmental destruction.

Nanobinders advance screen-printed flexible thermoelectrics.

Limited flexibility, complex manufacturing processes, high costs, and insufficient performance are major factors restricting the scalability and commercialization of flexible inorganic thermoelectrics for wearable electronics and other high-end cooling applications. We developed an innovative, cost-effective technology that integrates solvothermal, screen-printing, and sintering techniques to produce an inorganic flexible thermoelectric film. Our printable film, comprising BiTe-based nanoplates as highly orientated grains and Te nanorods as "nanobinders," shows excellent thermoelectric performance for printable films, good flexibility, large-scale manufacturability, and low cost.

The dimensionality of neural coding for cognitive control is gradually transformed within the lateral prefrontal cortex.

Implementing cognitive control relies on neural representations that are inherently high-dimensional and distributed across multiple subregions in the prefrontal cortex (PFC). Traditional approaches tackle prefrontal representation by reducing it into a unidimensional measure (univariate amplitude) or using them to distinguish a limited number of alternatives (pattern classification). By contrast, representational similarity analysis (RSA) enables flexibly formulating various hypotheses about informational contents underlying the neural codes, explicitly comparing hypotheses, and examining the representational alignment between brain regions.

Advanced anaerobic co-digestion of hydrothermally pretreated wheat straw: Process performance, techno-economic and life cycle assessment.

Hydrothermal and thermal-alkali pretreatment potential was investigated to enhance agro-wastes' anaerobic co-digestion (AcoD). The techno-economic (TEA) and life cycle assessment (LCA) of biogas upgrading (BioCNG) and energy generation via combined heat and power (CHP) processes for energy utilization were carried out to realize the environmental impacts and cost-effectiveness of the studied processes. Three AcoD conditions of untreated, hydrothermally (150 °C, 60 min) and thermal-alkali pretreated (1% NaOH, 150 °C- 60 min) wheat straw (WS) with food waste and cow manure were studied in semi-continuous mode for 340 days under variable organic loading rates (OLR, 1.

Genome size influences plant growth and biodiversity responses to nutrient fertilization in diverse grassland communities.

Experiments comparing diploids with polyploids and in single grassland sites show that nitrogen and/or phosphorus availability influences plant growth and community composition dependent on genome size; specifically, plants with larger genomes grow faster under nutrient enrichments relative to those with smaller genomes. However, it is unknown if these effects are specific to particular site localities with speciifc plant assemblages, climates, and historical contingencies. To determine the generality of genome size-dependent growth responses to nitrogen and phosphorus fertilization, we combined genome size and species abundance data from 27 coordinated grassland nutrient addition experiments in the Nutrient Network that occur in the Northern Hemisphere across a range of climates and grassland communities.