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Climate change profoundly affects plant phenology. An important parameter in research on plant dynamics is the plastochrone interval (PI), which is define as the time interval between the formation of successive leaves. The PI has been used to evaluate seagrass demography and as a direct measure of shoot growth and age. Variations in PI determine the growth rates, maintenance, and success of seagrass beds. Global warming could affect the PI dynamics of Zostera marina and, consequently, alter the dynamics of seagrass beds. Using Bayesian linear regression with a time series composed of 316 biweekly sampling dates from 1998 to 2018, we evaluated PI dynamics in the Punta Banda Estuary in Baja California, Mexico. We found that the tendency of the series was linear with parameter values of β0 = 1.65 (SD ±0.19) and β1 = −0.012 (SD ±0. 001). The Bayesian analysis of variance showed strong evidence of differences in the PI among years, given probabilities from 3.2 to 1.88 × 106 times higher of differences than no differences. The largest differences were detected between cold and hot years. The climatology of the time series PI values showed changes in seasonality over time. Summer and autumn were found to be the most perturbed seasons. Finally, by linking the PI estimates with the sea surface temperature anomalies for the complete series, a good inverse correspondence was observed between hot years and high PI, as well as cold years and low PI values, suggesting that climate change has affected PI among years and seasons.
Between 2022 and 2024, Somalia’s ongoing drought claimed more than 70 000 lives, with nearly 40% of these deaths among children under 5. This tragic loss highlights the urgent need for action to address the disproportionate impact of the drought on Somalia’s most vulnerable populations. The 2022 drought, which affected nearly half of the country’s population, brought Somalia to the brink of famine, leaving many families without essential resources and health care, particularly in the southern-central regions like Banadir, Bay, and Lower Shabelle. Despite narrowly avoiding famine through the efforts of the Somali government and international partners, the consequences of the drought continue to devastate communities. The study “From Insight to Action: An Update on Mortality Patterns in Somalia” reveals that most excess deaths were children, presenting not only a tragedy for families but also a long-term social and economic setback for the nation. WHO and UNICEF stress the need for a long-term approach to address Somalia’s vulnerabilities, emphasizing the importance of building resilient health systems, investing in climate-resilient agriculture, and empowering communities. The international community must also commit to supporting Somalia’s development to break the cycle of disaster and ensure a brighter future for the nation’s children.
This article examines the distribution of medieval English churches and chapels dedicated to St Gregory, arguing that this distribution reflects Gregory’s symbolic significance in the pre-Conquest church as a figure who could connect centres and margins. Early dedications in ecclesiastical and royal centres recall the Gregorian mission and the connection it forged between Britain, on the margins of Christian Europe, and Rome at the centre. Concentrations of later dedications in East Anglia and the South-West asserted the connection of these more peripheral regions with the newly formed English nation, through veneration of its patron saint. The decline in numbers of Gregory dedications after the Conquest reflects the transfer of Gregory’s status as founder of the English church and patron of the English nation to other saints.
In this paper, we analyze a polling system on a circle. Random batches of customers arrive at a circle, where each customer, independently, obtains a location that is uniformly distributed on the circle. A single server cyclically traverses the circle to serve all customers. Using mean value analysis, we derive the expected number of waiting customers within a given distance of the server. We exploit this to obtain closed-form expressions for both the mean batch sojourn time and the mean time to delivery.
Racial justice is widely seen as a central moral and political ideal of our time, especially on the liberal-egalitarian left. And racial justice goes hand in hand with racial equality. The centrality of these ideals would be hard to justify if they had no bearing on material or economic inequality, or applied solely to semiotic and cultural issues. But we argue that, at present, the only plausible basis for understanding racial equality as a distinctive aim for the economic domain—rather than a mere implication of more general egalitarian or progressive principles—rests on minimal state, right-libertarian foundations. As such, racial equality is a strange focus for the left.
Production and utilization of crop residues as mulch and effective weed management are two central elements in the successful implementation of Conservation Agriculture (CA) systems in southern Africa. Yet, the challenges of crop residue availability for mulch or the difficulties in managing weed proliferation in CA systems are bigger than a micro-level focus on weeds and crop residues themselves. The bottlenecks are symptoms of broader systemic complications that cannot be resolved without appreciating the interactions between the current scientific understanding of CA and its application in smallholder systems, private incentives, social norms, institutions, and government policy. In this paper, we elucidate a series of areas that represent some unquestioned answers about chemical weed control and unanswered questions about how to maintain groundcover demanding more research along the natural and social sciences continuum. In some communities, traditional rules that allow free-range grazing of livestock after harvesting present a barrier in surface crop residue management. On the other hand, many of the communities either burn, remove, or incorporate the residues into the soil thus hindering the near-permanent soil cover required in CA systems. The lack of soil cover also means that weed management through soil mulch is unachievable. Herbicides are often a successful stopgap solution to weed control, but they are costly, and most farmers do not use them as recommended, which reduces efficacy. Besides, the use of herbicides can cause environmental hazards and may affect human health. Here, we suggest further assessment of the manipulation of crop competition, the use of vigorously growing cover crops, exploration of allelopathy, and use of microorganisms in managing weeds and reducing seed production to deplete the soil weed seed bank. We also suggest in situ production of plant biomass, use of unpalatable species for mulch generation and change of grazing by-laws towards a holistic management of pastures to reduce the competition for crop residues. However, these depend on the socio-economic status dynamics at farmer and community level.
Neuropsychological criteria for mild cognitive impairment (MCI) more accurately predict progression to Alzheimer’s disease (AD) and are more strongly associated with AD biomarkers and neuroimaging profiles than ADNI criteria. However, research to date has been conducted in relatively healthy samples with few comorbidities. Given that history of traumatic brain injury (TBI) and post-traumatic stress disorder (PTSD) are risk factors for AD and common in Veterans, we compared neuropsychological, typical (Petersen/Winblad), and ADNI criteria for MCI in Vietnam-era Veterans with histories of TBI or PTSD.
Method:
267 Veterans (mean age = 69.8) from the DOD-ADNI study were evaluated for MCI using neuropsychological, typical, and ADNI criteria. Linear regressions adjusting for age and education assessed associations between MCI status and AD biomarker levels (cerebrospinal fluid [CSF] p-tau181, t-tau, and Aβ42) by diagnostic criteria. Logistic regressions adjusting for age and education assessed the effects of TBI severity and PTSD symptom severity simultaneously on MCI classification by each criteria.
Results:
Agreement between criteria was poor. Neuropsychological criteria identified more Veterans with MCI than typical or ADNI criteria, and were associated with higher CSF p-tau181 and t-tau. Typical and ADNI criteria were not associated with CSF biomarkers. PTSD symptom severity predicted MCI diagnosis by neuropsychological and ADNI criteria. History of moderate/severe TBI predicted MCI by typical and ADNI criteria.
Conclusions:
MCI diagnosis using sensitive neuropsychological criteria is more strongly associated with AD biomarkers than conventional diagnostic methods. MCI diagnostics in Veterans would benefit from incorporation of comprehensive neuropsychological methods and consideration of the impact of PTSD.
Many Operation Enduring Freedom/Operation Iraqi Freedom (OEF/OIF) Veterans have sustained a mild traumatic brain injury (mTBI) during their military service and a substantial “miserable minority” frequently report significant cognitive complaints long after injury. Although existing studies have shown associations between genetic factors (e.g., apolipoprotein E [APOE] and brain-derived neurotrophic factor [BDNF]) and cognitive performance in this vulnerable population, the TBI-genetics literature has generally been varied and inconsistent. Although past findings suggest that individuals who possess APOE £4 and BDNF Met alleles have worse cognitive outcomes after mTBI, this has not been consistently reported. Additionally, the influence of any gene-by-gene interactions on cognition has not been sufficiently explored and therefore remains a critical area of interest. Thus, we examined relationships between APOE and BDNF genotypes on neuropsychological function in a well-characterized sample of younger Veterans with mTBI histories.
Participants and Methods:
Participants included Veterans with a history of mTBI who adequately completed performance validity testing. In total, 78 Veterans (84.6% male; age: M=32.95, SD=7.00; race/ethnicity: 51.3% White, 28.2% Hispanic/Latino, and 20.5% Another Race/Ethnicity) completed a structured clinical interview to collect detailed information on TBI history and underwent a comprehensive neuropsychological exam. A buccal swab was also collected to determine APOE and BDNF allele status for each participant. Three cognitive composite scores were computed reflecting memory (8 items), attention/processing speed (7 items), and executive functioning (10 items). Two-way analyses of covariance (ANCOVAs) adjusting for age, sex, and race/ethnicity were used to assess the effects of APOE (ε4+ vs. ε4-) and BDNF (Met+ vs. Met-) on cognitive functioning (ε4+/Met-: n=12, ε4+/Met+: n=8, £4-/Met-: n=35, and ε4-/Met+: n=23).
Results:
ANCOVAs revealed no significant main effects for APOE or BDNF genotypes on cognitive functioning; however, there was a significant APOE x BDNF genotype interaction for all three cognitive composites (memory: p=.026, np2=.068; attention/processing speed: p=.045, np2=.055; and executive functioning: p=.031, np2=.064). Specifically, the interaction was such that Veterans in the ε4+/Met+ group demonstrated the poorest cognitive functioning relative to all other allele group combinations (ε4+/Met-, ε4-/Met+, ε4-/Met-).
Conclusions:
The results of this preliminary study demonstrate that, compared to the other genetic subgroups in the TBI sample, Veterans with APOE £4 and BDNF Met alleles demonstrated the poorest cognitive functioning across several domains known to be negatively affected in the context of head injury (i.e., memory, attention/processing speed, and executive functioning). These findings are the first to show an APOE x BDNF interaction in Veterans with histories of mTBI. Further
research is necessary to replicate and extend this study in larger samples. Moreover, future work should incorporate neuroimaging variables to better interrogate structural and functional correlates of these observed genetic polymorphism associations in Veterans with mTBI histories.
Veterans with a history of mild traumatic brain injury (mTBI) often endorse enduring postconcussive symptoms (PCS) including cognitive and neuropsychiatric complaints. However, although several studies have shown associations between these complaints and brain structure and cerebrovascular function, few studies have examined relationships between structural and functional brain alterations and PCS in the context of remote mTBI. We therefore examined whether PCS were associated with cortical thickness and cerebral blood flow (CBF) in a well-characterized sample of Veterans with a history of mTBI.
Participants and Methods:
116 Veterans underwent structural neuroimaging and a clinical interview to obtain detailed TBI history and injury-related information. Participants also completed the following self-report measures: the Neurobehavioral Symptom Inventory (NSI) for ratings of cognitive, emotional, somatic-sensory, and vestibular symptoms, and the Posttraumatic Stress Disorder (PTSD) Checklist for PTSD symptom severity. Regional brain thickness was indexed using FreeSurfer-derived cortical parcellations of frontal and temporal regions of interest (ROIs) including the superior frontal gyrus (SFG), middle frontal gyrus (MFG), inferior frontal gyrus (IFG), orbitofrontal cortex (OFC), anterior cingulate cortex (ACC), medial temporal lobe (MTL), and lateral temporal lobe (LTL). A subset of Veterans (n=50) also underwent multi-phase pseudo-continuous arterial spin labeling (MPPCASL) to obtain resting CBF. T1-weighted structural and MPPCASL scans were co-registered and CBF estimates were extracted from the 7 bilateral parcellations of ROIs. To assess the relationship between NSI total and subscale scores and ROI thickness and CBF, multiple regression analyses were conducted adjusting for age, sex, and PTSD symptom severity. False Discovery Rate was used to correct for multiple comparisons.
Results:
NSI total and subscale scores were not associated with cortical thickness of any ROI. However, higher NSI scores were associated with increased ROI CBF of the SFG (q=.014) and MFG CBF (q=.014). With respect to symptom subscales, higher affective subscale scores were associated with increased SFG (q=.001), MFG (q=.001), IFG (q=.039), ACC (q=.026), and LTL CBF (q=.026); higher cognitive subscale scores were associated with increased SFG (q=.014) and MFG CBF (q=.032); and higher vestibular subscale scores were associated with increased ACC CBF (q=.021). NSI somatic-sensory subscale scores were not associated with ROI CBF.
Conclusions:
Results demonstrate that in TBI-susceptible anterior ROIs, alterations in CBF but not cortical thickness are associated with postconcussive symptomatology in Veterans with a history of mTBI. Specifically, postconcussive total symptoms as well as affective, cognitive, and vestibular subscale symptoms were strongly linked primarily to CBF of frontal regions. Remarkably, these results indicate that enduring symptoms in generally younger samples of Veterans with head injury histories may be closely tied to cerebrovascular function rather than brain structure changes. These findings may provide a neurological basis for negative clinical outcomes (e.g., enduring PCS and poor quality of life) that is frequently reported by many individuals following mTBI. Future work is needed to examine unique effects of blast exposure as well as associations with repeated injury on brain-behavior relationships.
Somalia has a long history of famine and humanitarian crisis. This article focuses on the years 2008–2020, during which governance and aid practices changed substantially and which include three crisis periods. The article examines whether and how governance analysed as a political marketplace can help explain Somalia's repeated humanitarian crises and the manipulation of response. We argue that between 2008 and 2011 the political marketplace was a violent competitive oligopoly which contributed to famine, but that from 2012 a more collusive, informal political compact resulted in a status quo which avoided violent conflict or famine in 2017 and which functioned to keep external resources coming in. At the same time, this political arrangement benefits from the maintenance of a large group of displaced people in permanent precarity as a source of aid and labour.
Existing evidence in the association between maternal pregnancy and pre-pregnancy weight and behavioural outcomes in children.
Objectives
This study aimed to examine these associations at six developmental time-points between ages 3 and 16.
Methods
We used data from the Avon Longitudinal Study of Parents and Children (ALSPAC), an ongoing population-based longitudinal pregnancy cohort study in Bristol, United Kingdom (UK). Data on behavioural outcomes were measured at ages 3.5, 7, 9, 11 and 16 years using the Strengths and Difficulties Questionnaire (SDQ). Over 7960 (at 3.5 years of age) and 4400 (at 16 years of age) mother-child pairs were included in the final analysis. Logistic regression analyses were used to examine the associations.
Results
Pre-pregnancy BMI and gestational weight gain were associated with total behavioural difficulties in children across all age groups. In separate analyses using each SDQ subscale, however, we found that pre-pregnancy underweight was associated with emotional problems at ages 7 (OR = 1.66, 95% CI; 1.20 – 2.29), 11 (OR = 1.49, 95% CI; 1.02 – 2.18) and 16 (OR = 1.74, 95% CI; 1.16 – 2.60) years and hyperactivity/inattention problems at age 16 (OR = 1.96, 95% CI; 1.27 – 3.05). We also found an association between guideline-discordant gestational weight gain and peer relationship problems at age 9 and pro-social behaviour at ages 9 and 11.
Conclusions
Our findings highlight that pre-pregnancy underweight than overweight, obesity or gestational weight gain may influence the emotional health of children and adolescents.
The Fueter-Sce theorem provides a procedure to obtain axially monogenic functions, which are in the kernel of generalized Cauchy–Riemann operator in ${\mathbb{R}}^{n+1}$. This result is obtained by using two operators. The first one is the slice operator, which extends holomorphic functions of one complex variable to slice monogenic functions in $ \mathbb{R}^{n+1}$. The second one is a suitable power of the Laplace operator in n + 1 variables. Another way to get axially monogenic functions is the generalized Cauchy–Kovalevskaya (CK) extension. This characterizes axial monogenic functions by their restriction to the real line. In this paper, using the connection between the Fueter-Sce map and the generalized CK-extension, we explicitly compute the actions $\Delta_{\mathbb{R}^{n+1}}^{\frac{n-1}{2}} x^k$, where $x \in \mathbb{R}^{n+1}$. The expressions obtained is related to a well-known class of Clifford–Appell polynomials. These are the building blocks to write a Taylor series for axially monogenic functions. By using the connections between the Fueter-Sce map and the generalized CK extension, we characterize the range and the kernel of the Fueter-Sce map. Furthermore, we focus on studying the Clifford–Appell–Fock space and the Clifford–Appell–Hardy space. Finally, using the polyanalytic Fueter-Sce theorems, we obtain a new family of polyanalytic monogenic polynomials, which extends to higher dimensions the Clifford–Appell polynomials.
Se presentan los primeros resultados del análisis de pieles procesadas recuperadas en el sitio Puerto Tranquilo 1, ubicado en el extremo norte de la Isla Victoria, en el Parque Nacional Nahuel Huapi, Provincia de Neuquén, Argentina. El material estudiado proviene de un nivel tardío, por encima de un fogón fechado en 640 ± 60 años aP (1288–1431 cal dC). El conjunto incluye tanto fragmentos de piel con pelo como depilados, con costuras de tendón y pelo, pintados y con reparaciones. Se aplicó una metodología específica para el análisis de las pieles y las fibras, con una descripción técnico-morfológica detallada a partir del análisis macro- y microscópico (SEM/óptico). Las características de la médula y de la cutícula de las fibras permitieron la identificación de Lama guanicoe y Mustelidae (cf. Galictis). Se aplicaron estrategias analíticas y metodológicas novedosas y se generaron datos acerca de las diferentes dimensiones del uso humano de los recursos faunísticos y de la producción de tecnologías en el área boscoso-lacustre norpatagónica. La comparación con otras evidencias arqueológicas, etnográficas y etnohistóricas permitió reconocer rasgos tecnológicos recurrentes en la preparación de las pieles y en la manufactura de artefactos, como parte del proceso productivo del cuero en Norpatagonia.
Clinical trials are constantly evolving in the context of increasingly complex research questions and potentially limited resources. In this review article, we discuss the emergence of “adaptive” clinical trials that allow for the preplanned modification of an ongoing clinical trial based on the accumulating evidence with application across translational research. These modifications may include terminating a trial before completion due to futility or efficacy, re-estimating the needed sample size to ensure adequate power, enriching the target population enrolled in the study, selecting across multiple treatment arms, revising allocation ratios used for randomization, or selecting the most appropriate endpoint. Emerging topics related to borrowing information from historic or supplemental data sources, sequential multiple assignment randomized trials (SMART), master protocol and seamless designs, and phase I dose-finding studies are also presented. Each design element includes a brief overview with an accompanying case study to illustrate the design method in practice. We close with brief discussions relating to the statistical considerations for these contemporary designs.
Up to 30% of patients with Guillain–Barré syndrome require mechanical ventilation and 5% die due to acute complications of mechanical ventilation. There is a considerable group of patients that will need prolonged mechanical ventilation (considered as >14 days) and should be considered for early tracheostomy. The objective of this study is to identify risk factors for prolonged mechanical ventilation.
Methods:
We prospectively analyzed patients with Guillain–Barré diagnosis with versus without prolonged mechanical ventilation. We considered clinical and electrophysiological characteristics and analyzed factors associated with prolonged mechanical ventilation.
Results:
Three hundred and three patients were included; 29% required mechanical ventilation. When comparing the groups, patients with prolonged invasive mechanical ventilation (IMV) have a lower score on the Medical Research Council score (19.5 ± 16.2 vs 27.4 ± 17.5, p = 0.03) and a higher frequency of dysautonomia (42.3% vs 19.4%, p = 0.037), as well as lower amplitudes of the distal compound muscle action potential (CMAP) of the median nerve [0.37 (RIQ 0.07–2.25) vs. 3.9 (RIQ1.2–6.4), p = <0.001] and ulnar nerve [0.37 (RIQ0.0–3.72) vs 1.5 (RIQ0.3–6.6), p = <0.001], and higher frequency of severe axonal damage in these nerves (distal CMAP ≤ 1.0 mV). Through binary logistic regression, severe axonal degeneration of the median nerve is an independent risk factor for prolonged IMV OR 4.9 (95%CI 1.1–21.5) p = 0.03, AUC of 0.774, (95%CI 0.66–0.88), p = < 0.001.
Conclusions:
Severe median nerve damage is an independent risk factor for prolonged mechanical ventilation.
In this study, a non-linear deterministic model for the transmission dynamics of skin sores (impetigo) disease is developed and analysed by the help of stability of differential equations. Some basic properties of the model including existence and positivity as well as boundedness of the solutions of the model are investigated. The disease-free and endemic equilibrium were investigated, as well as the basic reproduction number, R0, also calculated using the next-generation matrix approach. When R0 < 1, the model's stability analysis reveals that the system is asymptotically stable at disease-free critical point globally as well as locally. If R0 > 1, the system is asymptotically stable at disease-endemic equilibrium both locally and globally. The long-term behaviour of the skin sores model's steady-state solution in a population is investigated using numerical simulations of the model.
Coronavirus disease 2019 (COVID-19) has spread rapidly around the world, affecting every community directly or indirectly. Therefore, this study aims to investigate the prevalence of COVID-19 infection in the population of the West Gondar zone.
Method:
A retrospective cross-sectional study was conducted from November 2020 to January 2021, in the West Gondar zone, Northwest Ethiopia. Records of study participants with required information like age, gender, travel history, type of specimen taken, and site of specimen taken were included. For analysis, the statistical package for social sciences (SPSS) version 20 software was used. Descriptive statistics were summarized as percentages and means ± standard deviation. The chi-squared test is used to compare categorical data.
Results:
A total of 1,166 participants were enrolled in this study. Of them, 16 individuals had positive results, giving a prevalence of 1.37% (95% CI: 0.66-2.08). Living in an urban area (P-value = 0.035) and being female (P-value = 0.045) was statistically associated with the positive rate for COVID-19.
Conclusions:
This study revealed a low prevalence of COVID-19 infection in the study area despite the increasing and rapid dissemination of the disease. State-wide population prevalence study should be done to estimate the general prevalence of COVID-19 in Ethiopia.
A recently updated Cochrane review supports the efficacy of psychotherapy for borderline personality disorder (BPD).
Aims
To evaluate the effects of standalone and add-on psychotherapeutic treatments more concisely.
Method
We applied the same methods as the 2020 Cochrane review, but focused on adult samples and comparisons of active treatments and unspecific control conditions. Standalone treatments (i.e. necessarily including individual psychotherapy as either the sole or one of several treatment components) and add-on interventions (i.e. complementing any ongoing individual BPD treatment) were analysed separately. Primary outcomes were BPD severity, self-harm, suicide-related outcomes and psychosocial functioning. Secondary outcomes were remaining BPD diagnostic criteria, depression and attrition.
Results
Thirty-one randomised controlled trials totalling 1870 participants were identified. Among standalone treatments, statistically significant effects of low overall certainty were observed for dialectical behaviour therapy (self-harm: standardised mean difference (SMD) −0.54, P = 0.006; psychosocial functioning: SMD −0.51, P = 0.01) and mentalisation-based treatment (self-harm: risk ratio 0.51, P < 0.0007; suicide-related outcomes: risk ratio 0.10, P < 0.0001). For adjunctive interventions, moderate-quality evidence of beneficial effects was observed for DBT skills training (BPD severity: SMD −0.66, P = 0.002; psychosocial functioning: SMD −0.45, P = 0.002), and statistically significant low-certainty evidence was observed for the emotion regulation group (BPD severity: mean difference −8.49, P < 0.00001), manual-assisted cognitive therapy (self-harm: mean difference −3.03, P = 0.03; suicide-related outcomes: SMD −0.96, P = 0.005) and the systems training for emotional predictability and problem-solving (BPD severity: SMD −0.48, P = 0.002).
Conclusions
There is reasonable evidence to conclude that psychotherapeutic interventions are helpful for individuals with BPD. Replication studies are needed to enhance the certainty of findings.
As a result of the COVID-19 pandemic, whether and when the world can reach herd immunity and return to normal life and a strategy for accelerating vaccination programmes constitute major concerns. We employed Metropolis–Hastings sampling and an epidemic model to design experiments based on the current vaccinations administered and a more equitable vaccine allocation scenario. The results show that most high-income countries can reach herd immunity in less than 1 year, whereas low-income countries should reach this state after more than 3 years. With a more equitable vaccine allocation strategy, global herd immunity can be reached in 2021. However, the spread of SARS-CoV-2 variants means that an additional 83 days will be needed to reach global herd immunity and that the number of cumulative cases will increase by 113.37% in 2021. With the more equitable vaccine allocation scenario, the number of cumulative cases will increase by only 5.70% without additional vaccine doses. As SARS-CoV-2 variants arise, herd immunity could be delayed to the point that a return to normal life is theoretically impossible in 2021. Nevertheless, a more equitable global vaccine allocation strategy, such as providing rapid vaccine assistance to low-income countries/regions, can improve the prevention of COVID-19 infection even though the virus could mutate.
Anorexia nervosa (AN) is one of the most common chronic disorders in adolescence with still high mortality rates. Knowledge on gut-brain interaction might help to develop new treatments, as severe starvation-induced changes of the microbiome in AN-patients have been demonstrated, which do not alleviate with weight gain. In our own pilot study alpha-diversity was increased in patients with AN after short-term weight recovery, while beta diversity showed clear group differences with healthy controls before and after weight gain. A reduction of taxa belonging to Enterobacteriaceae at admission and discharge and an increase in taxa belonging to Lachnospiraceae at discharge were typically found in patients with AN. The work plan of our European project comprises an observational study and two phase II RCTs with the application of omega-3-PUFA and a multistrain psychobiotic to both, humans and rodents. With the help of a well-established animal model for AN (activity-based anorexia, ABA), the effect of stool transplants from patients to rodents will be analysed. Longitudinal MRI will be conducted in rodents together with cellular and molecular brain analyses. In addition, immune response and circulating antibodies associated with the presence of certain bacterial strains and interaction with hunger and satiety hormones will be explored. We hope that by this translational research we may systematically investigate the role of an altered microbiome for the course of AN and to identify new therapeutic tools.
Disclosure
This project is funded by ERA-NET of the European Union.