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Mechanistic Modelling of Rotating Algal Biofilms
Yan GAO
Patrick Perré

Yan GAO

and 4 more

February 15, 2025
Biofilm-based systems have recently attracted increasing attention as an alternative to the conventional cultivation in suspension. In Rotating Algal Biofilms (RAB), cells are periodically exposed to phases of light and darkness. In light/dark cycles, the exposition of the cells to darkness allows mitigating intense sunlight, thus protecting microalgae from photoinhibition. In order to better understand how light variations affect photosynthesis, a mechanistic model was developed based on Han’s model. It includes respiration dynamics and covers a wide range of cycle times and light fractions (Light/Dark fractions) and is calibrated with experimental data. Our model predicts accurately the biofilm behavior in various conditions of light intensity and duty cycles. Respiration variation in intermittent light regimes is for the first time considered to better predict biofilm growth under various cycle times and duty cycles. Data show that, for the same average light intensity, increasing the light frequency enhances growth thanks to reduced inhibition. Increasing the light fraction improves the growth rate as both the peak light intensity and the dark period decrease, which is beneficial at high and low frequencies. Model analysis provides clues to understand the biofilm response and suggests strategies for productivity enhancement, guiding reactor design and advanced process control.
Exploring the Genetic Diversity, Virulence, and Antimicrobial Resistance of Diarrheag...
Josphat Gichure
Tine Hald

Josphat Gichure

and 2 more

February 15, 2025
Introduction: Previous studies, including our research, provide critical insights into the contamination of food and water consumed by children under five in the Southern African Development Community (SADC) with Diarrheagenic Escherichia coli (DEC). Methods: This study uncovered the transmission dynamics of eleven DEC isolates from food, children under five and water from Maputo, Mozambique, with 125 others from the SADC region previously collected from food, animals and environment but available in the EnteroBase database ([http://enterobase.warwick.ac.uk](http://enterobase.warwick.ac.uk/)). The assemblies of the DEC isolates were analysed using pipelines at the Center for Genomic Epidemiology, Denmark. At the same time, statistical analysis and visualization were done using R-statistics. Results: Clustering based on Single Nucleotide Polymorphism (SNP) and core genome Multilocus sequence typing (cgMLST) alleles revealed associations based on geographic locations, sample niche, pathovar, and O:H antigen, pointing to evolutionary relatedness between the clades with Principal Coordinate Analysis uncovering this accounted for 27.55% of the genetic diversity. Virulence genes eae (63.97%), LT (25.00%), and Stx1 (15.44%) were most abundant, with an inverse association between the presence of LT and eae genes. Resistance to folate pathway antagonists (sulfamethoxazole– 55.9%), beta-lactamases (amoxicillin, ampicillin and piperacillin– all 54.4%), and aminoglycoside (streptomycin– 55.1%) were most abundant. Conclusions: The study provides insightful evidence on horizontal gene transfer and the risk associated with antibiotic and detergent resistance and virulent genes. We also provide a framework to facilitate a proactive response in the regional effort to protect human and animal health.
Efficacy of switching between other SGLT-2 inhibitors on urine albumin-to-creatinine...
Thanh Trang Vo
Van Bang Nguyen

Thanh Trang Vo

and 3 more

February 15, 2025
EFFICACY OF SWITCHING BETWEEN OTHER SGLT-2 INHIBITORS ON URINE ALBUMIN-TO-CREATININE RATIO: TWO CASE REPORTSThanh Trang Vo1*, Van Bang Nguyen1, Van Vy Hau Nguyen1, Xuan Nguyen Thi1, Tuyen Linh Pham Nguyen 1(1) Center of Endocrinology and Diabetes, Family Hospital, Da Nang, Vietnam.Running title : Efficacy of switching between other SGLT-2 inhibitors on urine albumin-to-creatinine ratio
Developing Mitigation Measures for Full or Partially Missed Nirmatrelvir-Ritonavir Do...
Tat Ming Ng
Grace Si Ru Hoo

Tat Ming Ng

and 5 more

February 15, 2025
Aims. Nirmatrelvir/ritonavir is the preferred treatment of vulnerable COVID-19 patients. Current manufacturer’s recommendations are inadequate in addressing diverse medication errors due to full or partially missed nirmatrelvir/ritonavir doses. We aimed to develop a decision tree to mitigate these medication errors using a published physiologically-based pharmacokinetic (PBPK) model. Methods. Medication errors of missed nirmatrelvir/ritonavir doses were documented from 1st January 2023 to 31st March 2024 in a local hospital. We performed PBPK simulations in adults, including those with moderate renal impairment and Chinese elderly under different scenarios of missed doses and mitigation measures. The decision tree was verified in clinically reported medication error scenarios. Results. Ten errors were reported. In adults and Chinese elderly who missed the full standard nirmatrelvir/ritonavir (300 mg/100 mg) dose or full nirmatrelvir component (300 mg), administering the missed dose after 8 hours simulated sub-therapeutic nirmatrelvir troughs for at least one dosing interval. This problem was circumvented by skipping and administering the missed nirmatrelvir/ritonavir dose 12 hours after completing the last scheduled dose in line with manufacturer’s recommendation. When a tablet of nirmatrelvir (150 mg) was missed in a standard or renal dose, no therapeutic consequence was found. No sub-therapeutic nirmatrelvir trough was simulated with a missed ritonavir dose. For the clinically reported medication error scenarios, our decision tree ensured minimally 120 hours of therapeutic nirmatrelvir troughs during the treatment duration. Conclusion. PBPK model-informed mitigation measures to address missed nirmatrelvir/ritonavir doses were successfully verified. Further studies should investigate the implementation and efficacy of these mitigation measures.
Direct measurement of glacier ice melt: boundary layer details are critical for subma...
Kaelan Weiss
Jonathan D Nash

Kaelan J Weiss

and 9 more

April 03, 2025
Parameterization of submarine melting represents a large source of uncertainty in modeling ice sheet response to climate change. Here we present in-situ observations of melt at near-vertical ice faces using a novel instrument platform mounted rigidly to icebergs. We investigate boundary layer dynamics controlling melt across 31 measurement periods that span a range of momentum and thermal forcing (1-12 cm/s flows and 3-10 K). While melt generally scales with velocity and temperature, we find substantially enhanced melt linked with unsteady forcing. Several implementations of the 3-equation melt parameterization show melt can be predicted within a factor of 2 if the model is evaluated with peak near-boundary velocities and flows are quasi-steady. However, if flows are unsteady or the model is evaluated with low-resolution velocities, melt is underpredicted by 2-75x. We conclude that understanding the detailed character of near-boundary flows is critical for submarine melt predictions.
”BRIDGING THE GAP: A HOLISTIC APPROACH TO ORTHODONTIC FAILURE VIA PERIODONTAL AND PRO...
MR ARJUN
subair k

MR ARJUN

and 4 more

February 15, 2025
”BRIDGING THE GAP: A HOLISTIC APPROACH TO ORTHODONTIC FAILURE VIA PERIODONTAL AND PROSTHETIC TREATMENT”- A CASE REPORT
Metastatic intussusception, a rare complication of myxofibrosarcoma : a case report a...
Lina Berrada Dirhoussi

Lina Berrada Dirhoussi

February 15, 2025
A document by Lina Berrada Dirhoussi. Click on the document to view its contents.
When should antiarrhythmic drugs concomitant with catheter ablation for persistent at...
Yuki Hasegawa
Rie Akagawa

Yuki Hasegawa

and 9 more

February 15, 2025
Introduction: Antiarrhythmic drugs are often administered after catheter ablation (CA) in patients with atrial fibrillation (AF); however, it is unclear for how long it should be continued. Methods: We administered hybrid therapy consisting of CA and bepridil to 130 patients with persistent AF and left atrial (LA) enlargement (volume index >48 ml/m 2). After a 2-month of hybrid therapy, bepridil discontinuation was attempted. All patients underwent echocardiography 6 months after CA. We investigated the relationship between the duration of bepridil administration and the recurrence of AF after bepridil discontinuation. Results: After excluding patients who were unable to maintain sinus rhythm during bepridil administration (n=18), and those who disagreed to bepridil discontinuation (n=17), 95 patients were divided into the short-term continuation (bepridil discontinued for <6 months [median 3.0 months] after CA [n=63]), and long-term continuation (bepridil discontinued for >6 months [median 11.4 months] after CA [n=32]) groups. During the mean follow-up period of 28±15 months, the groups showed a similar incidence of recurrent AF after bepridil discontinuation. In the long-term continuation group, 13 patients had recurrence, with 8 (62%) cases occurring within 4 months after discontinuation. A multivariate Cox regression analysis revealed that left atrial (LA) reverse remodeling (>15% decrease in LA volume index at 6 months) was an independent predictor of recurrent AF after CA (p<0.01). Conclusions: Long-term bepridil administration after CA did not affect the recurrence of AF after discontinuation. The assessment of LA reverse remodeling may be useful for decision-making regarding the discontinuation of antiarrhythmic drugs after CA.
Intervention Mapping: A Multi-stage investigation to Control Respiratory Tract Infect...
Dr. Shahzad Mahmood

Dr. Shahzad Mahmood

March 11, 2025
Respiratory Tract Infections are the major health hazard to humanity, nowadays. This research aims at the development and implementation of evidence-based intervention at primary healthcare level, in order to control Respiratory Tract Infections, called Intervention Mapping(IM). It comprises multiple phases, focussing on specific needs of the target population and ensuring that intervention should be based on behavioral and systematic change. The study has a mixed design, quantitative and qualitative approach, involving multiple stakeholders, community's participation and healthcare worker's collaboration, to control infectious diseases at primary healthcare level and thereby to reduce the burden of diseases. The study comprises three phases including a pre-intervention phase in which disease load was assessed and the need of particular intervention was analyzed. A multi-targeted public health intervention, incorporating health education, environmental modification, and policy changes, was designed and applied after community analysis. This phase is preceded by the insight development phase which showcased the vitality of community based intervention. The infectivity of respiratory tract infections is studied under two categories. The gender based segregation provided an insight on the spread of respiratory tract infections in males and females, and a subsequent reduction in disease load among both the genders. The second form of study is focussed of age based separation and disease load. The effectiveness of the research can be analyzed by a remarkable decrease in the respiratory diseases in a community. According to the study's findings, epidemiologic burden of respiratory infectious diseases can be trimmed by community strengthening activities including population sensitization, community health initiatives, targeting at-risk population, and engaging key actors of the area. This translational research provides a policy recommendation for health promotion, disease prevention, and intervention mapping in a resource-constrained environment. However, the pathway stipulated by the study revolves around shifting from a curative model of healthcare to the preventive model at primary health level.
Simulated infection induced changes in DNA methylation differ between introduced and...
Aaron Schrey
Oluremi Ige

Aaron Schrey

and 23 more

February 14, 2025
DNA methylation, which can change within-individuals over time and regulate gene expression, is important to many aspects of avian biology. It is particularly important in avian responses to various stressors associated with introductions, such as infection and environmental changes. However, it remains unclear whether native and invasive bird species differ in their epigenetic responses to stress, and how DNA methylation may contribute to the success of invasive species because of the limited availability of longitudinal epigenetic studies. To address this knowledge gap, we used epiRADseq to investigate changes in DNA methylation within-individual house sparrows (Passer domesticus) over an eight hour period in response to simulated infection. We compare wild-caught house sparrows from introduced populations with those from native populations, assessing the number of genomic locations that exhibit changes, the magnitude of those changes, and the variance among individuals. Our results show that individuals from introduced populations experience more widespread changes in DNA methylation, with greater magnitude and higher variance, compared to their counterparts from native populations. Together, these findings suggest that DNA methylation plays a significant role in an individual’s response to infection. They also indicate that individuals from introduced populations may exhibit distinct epigenetic responses compared to their native counterparts, consistent with the concept of epigenetic buffering.
Temperature predictability and introduction history affect the expression of genes re...
Lynn Martin
Kailey McCain

Lynn B. Martin

and 17 more

February 14, 2025
Phenotypic plasticity is a major mechanism whereby organisms adjust their traits to changes in environmental conditions. In the context of range expansions, plasticity is especially important, as plastic changes in traits can lead to rapid adaptation. For these reasons, there has been growing interest in the role of molecular epigenetic processes in range expansions. One epigenetic process in particular, DNA methylation, enables organisms to adjust gene expression contingent on the environment, which suggests it may play a role in some invasions. Nevertheless, we know little about how methylation is regulated in wildlife, especially expression of the enzymes responsible for altering methyl marks on the genome. The most important forms of these enzymes in vertebrates are DNA methyltransferase 1, which largely maintains existing methyl marks, DNA methyltransferase 3, which creates most de novo methyl marks, and TET2, which is a major demethylator of CpG motifs, genomic regions where most methyl marks occur. In this study, we compared expression of these genes in three tissues (i.e., gut, liver, and spleen) of house sparrows (Passer domesticus) from 9 locations. Some sparrow populations derived from the native range (i.e., Israel, Netherlands, Norway, Spain, and Vietnam) whereas others were introduced <150 years ago (i.e., Australia, Canada, New Zealand, Senegal). Our hypothesis was that non-native birds and/or birds from sites with comparatively unpredictable climates would express more of all three genes. We found, however, that DNMT expression differences, while extensive, were reversed of predictions: all three genes were expressed more in sparrows from the native range and from areas with more predictable temperatures. Surprisingly, gene expression was also strongly correlated among populations and within-individuals. Our results reveal no simple role for these enzymes in range expansions, but the appreciable among and within-population variation in these enzymes warrants more detailed investigations.
[Part II] Metabolic Overload: How Modern Diets Break the Body
James Oliver

James Oliver

February 28, 2025
The human metabolism evolved under conditions of scarcity—finely tuned for whole foods, intermittent fasting, and rare glucose surges. The modern diet—dominated by ultra-processed foods and relentless carbohydrate exposure—overwhelms this system, forcing it into continuous metabolic stress. The question is not why metabolic disease is rising, but why we would expect anything else.When any system is forced beyond its tolerances, failure is inevitable. The biological consequences—obesity, type 2 diabetes, fatty liver disease, cardiovascular disorders, neurodegeneration—are not separate conditions. They are the same failure state manifesting in different tissues, at different speeds.This paper exposes how modern diets systematically override metabolic regulation, pushing the body into a state of perpetual dysregulation. It dismantles the myth that these conditions are personal failings or genetic inevitabilities. They are not anomalies—they are engineered outcomes.This paper is Part 2 of a three-part series. Part 1, The Chronic Crisis, details the structural incentives driving the modern health crisis. Part 3, Metabolic Eating, presents the necessary correction—how to realign nutrition with biological function to prevent systemic metabolic failure.
Density Functional Theory Studies on Tuning TaXTi(1-X)S2 For Insoluble Li2S2-Li2S Con...
jinyan chen
Shuai Zhao

jinyan chen

and 5 more

February 14, 2025
Due to the complexity of insoluble Li2S2-Li2S conversion, few descriptors exist to correlate the catalytic performance and the underlying electronic structures of a given catalyst, which inhibits the development of lithium−sulfur catalysts. In this article, we employ the cluster expansion method to select 17 optimal structures for TaXTi(1-X)S2 (0≤X≤1) and apply density functional theory calculations to probe the electronic structures and the conversion of Li2S2 to Li2S relationships across different doping concentrations. We found the simultaneous pathway is most possible in propose five possible reaction pathways. Notably, we identify Ta0.38Ti0.62S2 as a promising candidate for electrocatalytic applications in the conversion from Li2S2 to Li2S. Furthermore, our study analyzes the charge transfer of Li2S2(QLi2S2 )), the electronegative difference(ΔX), the adsorption energy of Li2S(EaLi2S)), and work function(WF) significantly influence the conversion process from Li2S2 to Li2S by machine learning based on various descriptors. This research contributes to a deeper theoretical understanding of the complex mechanisms underlying the Li2S2-Li2S conversion and provides valuable insights into the rational design of sulfur redox catalysts.
Knowledge gaps explored for Laboulbeniomycetes, a clade of understudied microfungi, i...
Jonathan Cazabonne

Jonathan Cazabonne

and 5 more

February 28, 2025
Despite escalating efforts to document and understand biodiversity, gaps in knowledge persist due to the inherent complexity of biological systems and the sheer scale of global biodiversity. Such knowledge shortfalls have been identified, described, and discussed for several well-studied organismal groups, leading to significant advancements in research and conservation. However, less-studied organismal groups (including most fungi) continue to suffer from pronounced knowledge gaps. Recently, Laboulbeniomycetes (phylum Ascomycota), a class of minute fungi obligately associated with arthropods either for dispersal or as epibionts, has been proposed as a model system to illustrate the extent of biodiversity and conservation shortfalls in poorly known organismal groups. Here, we explore biodiversity knowledge shortfalls for the Laboulbeniomycetes, examining gaps in species diversity (Linnean), distribution (Wallacean), populations (Prestonian), evolution (Darwinian), functional traits and ecological functions (Raunkiaeran), abiotic tolerance (Hutchinsonian), ecological interactions (Eltonian), natural history knowledge (Parkerian), persistence (Latimerian), conservation assessment (Scottian), and applied conservation, legal policies, fundings, and public awareness (Ostromian). Additionally, we introduce the Thaxterian shortfall, named after Roland Thaxter (1858–1932), professor at Harvard University and leading expert of Laboulbeniales, that quantifies the lack of taxonomic expertise in a given organismal group. We also discuss the implications of these shortfalls for conservation and future research avenues. We hope this chapter will serve as a catalyst for further discussion on biodiversity shortfalls in other taxa and pave the way towards a global momentum for the integration of poorly known organisms into conservation frameworks.
Integrated proteomics and metabolomics reveal the mechanisms of blood pressure reduct...
delong duo
Yabin Duan

Delong Duo

and 6 more

October 30, 2024
High-altitude hypoxic environments significantly affect the cardiovascular system and blood pressure regulation. However, the underlying pathological mechanisms remain unclear, necessitating further studies on the effect of high-altitude hypoxic exposure on blood pressure. We established a long-term high-altitude hypoxia exposure model, exposing spontaneously hypertensive rats (SHRs) to high-altitude hypoxia for 10 weeks, and performed quantitative proteomics and metabolomics of the abdominal aorta of SHRs using tandem mass tag-based quantitative proteomics and metabolomics. Analysis using bioinformatics and enrichment strategies indicated that the altered proteins and metabolites participate in various biological processes. The differentially expressed proteins primarily participate in oxidative phosphorylation pathways, thermogenesis, the tricarboxylic acid cycle, and carbon metabolism. We speculated that oxidative phosphorylation and thermogenesis were related to the reduced blood pressure in SHRs under high-altitude hypoxic conditions. Combined proteome and metabolome analyses revealed that altered metabolites, including thiamine, S-adenosylhomocysteine, pantothenic acid, fumaric acid, and homoserine, participated alongside differentially expressed proteins in the process of blood pressure reduction in high-altitude hypoxic environments in SHRs. This study elucidated the potential molecular mechanisms underlying blood pressure reduction in SHRs under high-altitude hypoxic conditions by integrating proteomics and metabolomics, providing insights into exploring how high-altitude hypoxia affects blood pressure at the molecular level.
Absences, symptoms and respiratory viruses in a Swiss school: Longitudinal study with...
Nicolas Banholzer
David Kronthaler

Nicolas Banholzer

and 8 more

February 14, 2025
Background: Viral respiratory infections contribute to sick days in school children. We monitored respiratory infections, absences, and symptoms in a Swiss school. Methods: Serial saliva sampling (three per week) and daily recording of absences and symptoms over six weeks during the winter of 2023/24 in four Swiss school classes (age 14–15). Results: We analyzed 1,047 samples of 67/84 (80%) participants, identifying 87 infections across eight viruses: 28 (32%) human rhinovirus, 18 (21%) influenza A/B, 11 (13%) respiratory syncytial virus, and 14 (16%) human coronaviruses, 6 (7%) parainfluenza virus, and 5 (6%) influenza B: SARS-CoV-2 was not detected. Spatiotemporal trends revealed seasonal epidemic trends and evidence of transmission within classes. Viral loads (interquartile range 29.5–36.9 Ct) and duration of detection (modeled range 3.2–5.3 days) were similar for all viruses. School absences were more likely for Influenza B than for other viruses (>99% vs. 38%, p=0.005), and absences tended to be longer (average 4.2 vs. 2.2 days). Symptoms varied depending on the pathogen detected, with human rhinovirus and parainfluenza virus infections commonly presenting with runny nose and sore throat, while influenza infections were often associated with fever. Conclusions: Class-specific distribution patterns suggest a major contribution of within-class to overall respiratory virus transmission. Respiratory viruses showed distinct profiles regarding school absences and symptoms. This highlights the importance of infection control measures, including vaccination, and virus-specific monitoring to better understand transmission dynamics in schools.
Advancing HIV Diagnostics: Evaluating the Emerging Multisure HIV1/2 Rapid Confirmator...
Ahmed Ismail
Israa M. Salameh

Ahmed Ismail

and 17 more

February 14, 2025
Background: HIV remains a significant global health challenge, demanding routine testing for early detection. CLIA screening assay, particularly Architect HIV, followed by immunoblot confirmation assay such as INNO-LIA™, is the standard procedure. However, due to indeterminate results and limitations of immunoblot assays, the CDC recommended utilizing Geenius HIV1/2 assay for confirmatory testing. This study compares two advanced HIV1/2 rapid tests as efficient alternatives for HIV confirmation. Method: 224 Architect HIV positive and HIV negative samples were utilized. These included true positives ( n=38; Architect positive & INNO-LIA™ positive), true negatives ( n=139; Architect negative & INNO-LIA™ negative), false positives ( n=20; Architect positive & INNO-LIA™ negative) and INNO-LIA™ indeterminate ( n=27). Samples were screened with Architect HIV and confirmed by INNO-LIA™ and PCR. All samples were re-tested by Multisure HIV1/2 and Geenius HIV1/2. Assessment performed via performance evaluation metrics. Results: Both rapid tests showed 100% sensitivity and specificity compared to INNO-LIA™. For IND cases, Multisure HIV1/2 classified 81.5% as negative, while Geenius HIV1/2 classified 55.6%. Multisure had higher specificity (89.2%) and PPV (89.5%) than Geenius (82.9% and 84.6%) when compared to PCR. Conclusion: Multisure HIV1/2 is a reliable potential addition to the CDC algorithm as an alternative to immunoblot assays.
1.Article Title: Scopolamine slightly improved postoperative Anxiety and Depression s...
Shaoting Zhang
Guangyan Zhang

Shaoting Zhang

and 8 more

February 14, 2025
Objective: We further explored the anxiolytic and antidepressant effects of scopolamine on perioperative anxiety and depression in a high-risk population. Design: randomised controlled study. Setting: tertiary hospital. Population: 583 gynaecological surgical patients were enrolled based on the inclusion and exclusion criteria. Methods: We assessed preoperative anxiety and depression in patients using the Hospital Anxiety and Depression Scale (HADS). Patients with anxiety and depression symptoms were randomly assigned to the scopolamine group (0.3 mg scopolamine intravenous injection, iv.) or the placebo group (saline iv.). Main outcome measures: the changes in HADS score on POD 1,3 and 7 and the PSQI scale score, side effects of medication and short-term postoperative complications. Results: A total of 128 of 583 patients had preoperative anxiety or depression symptoms. The mean anxiety score (HADS-A) decreased significantly in the scopolamine group on postoperative day 7 by 1.43 points [95% (CI), range 1.11 to 1.74], compared to a mean reduction score of 0.33 [95% (CI), range 0.12 to 0.53] in the placebo group. The mean depression score (HADS-D) also decreased significantly in the scopolamine group on postoperative day 7 by 0.43 points [95% (CI), range 0.17 to 0.68], compared to a mean reduction score of 0.08 [95% (CI), range -0.14 to 0.29] in the placebo group. Conclusion: Scopolamine significantly alleviated postoperative anxiety and depression in a high-risk population undergoing gynaecological surgery. Funding: the National Research Institute for Family Planning, PR China (2021KYSHX01501) and the Scientific Research Initial Funding of Guangdong Provincial People’s Hospital awarded to HS (KJ012019529).
Consensus on Treatment for Inoperable and Peroperatively Unresectable Ovarian Cancer:...
P. Garkhail
Gatske  Nieuwenhuyzen-de Boer

P. Garkhail

and 4 more

February 14, 2025
Objective To achieve consensus on treatment strategies for patients with inoperable or peroperatively unresectable epithelial ovarian cancer. Design A modified Delphi method was employed. Setting The study was conducted in academic and regional hospitals across the Netherlands specializing in the treatment of ovarian cancer. Population or Sample Participants included gynaecologists, gynaecologic-oncologists and medical oncologists. Methods Three survey rounds were conducted with a structured questionnaire featuring clinical case-scenarios, with anonymized feedback and aggregated responses after each round to refine consensus (defined as ≥80% agreement). Main Outcome Measures Consensus on treatment strategies for inoperable or peroperatively unresectable epithelial ovarian cancer. Results Seventeen clinicians representing all academic centres in the Netherlands completed all three rounds of survey. Consensus was achieved on 9 statements. Agreement was reached on the continuation of systemic therapy for patients in good clinical condition following neoadjuvant chemotherapy and on transitioning to best supportive care for those in suboptimal condition after futile laparotomy (peroperatively unresectable disease). Variability was observed in the choice of systemic therapy regimens. During the study, clinicians identified a strong preference for shared decision-making and highlighted the need for decision-aids to facilitate patient-clinician discussions. Conclusions This study provides consensus for the management of inoperable and peroperatively unresectable epithelial ovarian cancer. However, lack of agreement on systemic therapy regimens underscores the urgent need for further research.
Antibiotic persister cells in Acinetobacter baumannii : overview of molecular mechani...
Delphine Vergoz
Emmanuelle Dé

Delphine Vergoz

and 3 more

February 14, 2025
Acinetobacter baumannii is a bacterium classified as priority 1 by the World Health Organization due to the rapid development of antibiotic resistance leading to many therapeutic failures. However, the existence of dormant bacterial subpopulations, like persister cells, may also partly explain these therapeutic failures. Persister cells are a bacterial subpopulation that may survive to high concentrations of antibiotics compared to isogenic individuals. This temporary and reversible phenotype may eventually lead to the development of new antibiotic resistance or to the recurrence of infection. Persister cells are often studied, but the mechanisms involved in their selection / formation are complex and often poorly described (toxin/antitoxin; second messengers; SOS response; phenyl acetic catabolic pathway; membranes). The mechanisms involved in the selection of persister cells are complex, and some appear to be species- or strain-specific. For example, some systems, such as antitoxin toxin, are described by others as directly involved in the formation of these cells. In fact, A. baumannii presents a great diversity of systems of antitoxin toxin. This review focuses on current advances in knowledge concerning the molecular mechanisms involved in the physiology of persister cells in A. baumannii, and the eradication strategies developed to combat this dormant subpopulation.
Diel prey distribution patterns shape predators shared strategies and niche divergenc...
Astrid Anette Carlsen
Claire Saraux

Astrid Anette Carlsen

and 10 more

February 14, 2025
Diel prey distribution patterns drastically alter their availability to predators, but how that affects predator behaviours remain poorly understood due to limited data overlap. Using spatiotemporally concurrent tracking of two sympatric seabird species and their fish prey, we reveal how diel prey distribution patterns influence foraging behaviour. The seabirds invested greater effort during twilight, peaking at dusk, with 25-80% enhanced efficiency. Prey vertical migration increased their abundance near the surface at night with 20%, but number of aggregations showed diel asymmetry, peaking at 140° azimuth before decreasing with 25% in 20°. These dynamics created elevated foraging windows in late afternoons, with extended duration of high efficiency and effort (56–70% of dives). The deep-diving predator Uria aalge followed prey depth linearly, while the comparatively flight-adapted Alca torda was more sensitive to prey depth and aggregations. We provide novel details of diel prey behaviour shaping predator foraging, demonstrating how morphological adaptations drive niche differentiation.
Arbuscular mycorrhizal diversity sustains plant performance under multiple global cha...
Xuan Jiang
Xinyu Li

Xuan Jiang

and 8 more

February 14, 2025
High biodiversity can mitigate the negative impacts of global change factors (GCFs) on differing ecosystem functions captured in multifunctionality. However, multiple GCFs occurring simultaneously may diminish the positive effects of high biodiversity on multifunctionality. Arbuscular mycorrhizal fungi (AMF) play a crucial role in determining ecosystem functionality, yet it remains unclear whether AMF alleviate the negative impact of multiple GCFs on ecosystem multifunctionality. In this study, we conducted a microcosm experiment to explore the role of AMF in maintaining ecosystem multifunctionality under multiple GCFs. We found that ecosystem multifunctionality under high AMF diversity was greater than under low AMF diversity under multiple GCFs. Notably, AMF diversity significantly improved plant growth simultaneously. While AMF inoculation significantly influenced soil functions, the diversity of AMF showed limited effect on soil functions. Our findings emphasize the importance of conserving AMF diversity to maintain ecosystem functionality.
Euonymus duanensis (Celastraceae), a new species from Guangxi, China
Yong-Hua Qin
Rainer Bussmann

Yong-Hua Qin

and 5 more

February 14, 2025
The species Euonymus duanensis (Celastraceae), a small shrub, is newly described and illustrated from karst areas of Guangxi Autonomous Region, China. This species is similar to Euonymus dielsianus but is readily distinguished by its smaller leaves, obovate or elliptic-obovate, 2-2.5 × 5-6 cm (vs. 4.5-6 × 9-15 cm), blade margin crenulate, serrulate to serrate (vs. margin proximal 1/5-2/5 entire, distal 3/5-4/5 crenulate, serrulate to serrate, sometimes ciliate), reddish flowers and petals (vs. flowers and petals green, light yellow, or greenish yellow), short petiole, milk white seeds (vs. dark brown), and aril bright red partial covering seed (vs. aril bright red covering seed wholly). Phylogenetic study also revealed apparent phylogenetic position of the new species among Euonymus species, and the relationships between related species have also been discussed.
Ecosystem size reverses the effect of the spatial coupling between autotrophic and he...
Emanuele Giacomuzzo
Tianna Peller

Emanuele Giacomuzzo

and 3 more

February 14, 2025
The flow of non-living resources between autotrophic and heterotrophic ecosystems can impact their ecosystem function. However, ecosystem size is similarly known to influence ecological properties and it is uncertain how the size of coupled ecosystems mediates the effect of resource flows. Here, we used a protist experiment to examine how differences in relative ecosystem sizes mediated the effect of non-living resource flows on the functioning of two-patch, autotrophic-heterotrophic meta-ecosystems. We found that when the autotrophic patch was larger, resource flows between the patches led to an increase in the total biomass of the meta-ecosystem. Conversely, when the heterotrophic patch was larger, resource flows decreased the total biomass of the meta-ecosystem. Patch size also played a critical role in determining the effects of resource flows on biomass at the ecosystem level. Our findings reveal that differences in relative ecosystem size can significantly influence cross-ecosystem dynamics and their implications for ecosystem function.
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