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Objectives/Goals: To probe microbe and bacterial extracellular vesicle (bEV) mobility through biological barriers, we use novel multiple-particle tracking technology. The goal is to evaluate changes caused by extracellular vesicles relevant to placental function and neonatal development. Methods/Study Population: We conducted multiple particle tracking to assess whole bacterial and bEV mobility in cervicovaginal mucus. To accomplish this, cervicovaginal mucus was self-collected from 10 women. Mucus samples were characterized via wet mount, Nugent score, and pH measurements. In parallel, we cultured commercially available vaginal bacteria strains in anaerobic conditions. We isolated bEVs via ultracentrifugation, and subsequently characterized them via nanoparticle tracking analysis to measure size, ζ-potential, and concentration. We investigated reproductive tract tissues response to bEVs. We dosed vaginal, endometrial, myometrial, and placental cells lines with bEVs over a 24 h period and determined uptake, viability, and cytokine production. One-way analysis of variance was used for statistical analysis. Results/Anticipated Results: Based on our previous work, size and ζ-potential greatly affect particle mobility in mucus. G. vaginalis and M. mulieris were smaller than L. crispatus and L. iners. G. vaginalis had a more net-neutral ζ-potential compared to other bEVs. During multiple-particle tracking analysis, whole bacteria were unable to diffuse through vaginal mucus, while bEVs showed increased mobility. Through fluorescence levels, we determined M. mulieris bEVs reach >90% uptake at 24 h. Uptake was verified via microscopy. Across all strains, bEVs were not detrimental to placental viability. When investigating cytokine production in placental cells, an increase in IL-6 was seen after treatment with L. iners bEVs, while TNFα was increased after treatment with G. vaginalis bEVs. Discussion/Significance of Impact: Vaginal microbiome dysbiosis increases adverse obstetric indications. We demonstrate that bacteria are unable to ascend to reproductive tissues. We propose that bEVs travel through vaginal mucus, facilitating microbe–host communication. This impacts obstetric disease pathology and is relevant for diagnostic criteria during pregnancy.
For many people outside the South Korean popular music (K-pop) world, the December 2017 death of pop star Kim Jonghyun was a sad, but abstract event. Jonghyun, and dozens more like him, is a type of Korean celebrity known as an “idol.” In addition to being popular within Korea, idols are the public face of K-pop, which has become a worldwide phenomenon. This has made idols into incarnations of Korea and Korean culture, and brought the public's powerful disciplining gaze to bear on these young performers. In this paper, we explore how characteristics of life in contemporary Korea—including a high suicide rate, and intense pressures in education and employment—compound with idols' years of intense training in singing and dancing without adequate attention to physical, much less mental, health. Although this is the first incident of an A-list K-pop idol committing suicide, we propose that the nature of contemporary Korean celebrity, together with specific factors defining the lives of Korean youth, create an environment where suicide may become even more prevalent, escalating Korea's suicide rate, which is already among the world's highest. Finally, we discuss the potential impact of Jonghyun's suicide on K-pop fans.
The viability of organic dairy operations in the United States (US) relies on forage production. The objectives of this study were to (1) assess producer and farm information regarding current forage production practices and producer knowledge gaps and (2) identify forage research and educational needs of organic dairy producers across the US. A survey was distributed to 643 organic dairy producers across the US, with 165 respondents (26% response rate). A focus group consisting of extension professionals, university researchers and staff, consultants, dairy industry representatives and organic dairy producers was also consulted for forage research needs. Results showed that approximately half (51%) of surveyed producers were somewhat satisfied with their forage production systems and sometimes experienced negative weather-related impacts on forage yield and quality. A majority (64%) of producers felt their knowledge to meet farm goals was adequate but they reported a lack of resources to implement this knowledge especially for balancing high-forage diets and selecting soil amendments. This study revealed that 54% of producers rely on peer experiences as information resources to make decisions on forage programs. Producer knowledge gaps included pasture renovation with reduced or no-tillage, forage mixtures that match their needs, and forage management practices aiming for high-quality forage. Based on the survey and focus group findings, forage research and educational activities should foster climate change resilience regarding forage diversity adapted to local and regional climatic conditions, improve forage quality, enhance economic returns from soil fertility amendments and pasture renovation, and introduce new forages and forage mixtures that suit economical, agronomical, and environmental needs.
Patients with ventricular assist devices (VADs) represent a growing population presenting to Emergency Medical Services (EMS), but little is known about their prehospital care. This study aimed to characterize current EMS protocols in the United States for patients with VADs.
Methods:
States with state-wide EMS protocols were included. Protocols were obtained from the state EMS website. If not available, the office of the state medical director was contacted. For each state, protocols were analyzed for patient and VAD assessment and treatment variables.
Results:
Of 32 states with state-wide EMS protocols, 21 had VAD-specific protocols. With 17 (81%) states noting a pulse may not be palpable, protocols recommended assessing alternate measures of perfusion and mean arterial pressure (MAP; 15 [71%]). Assessment of VAD was advised through listening for pump hum (20 [95%]) and alarms (20 [95%]) and checking the power supply (15 [71%]). For treatment, EMS prehospital consultation was required to begin chest compression in three (14%) states, and mechanical (device) chest compressions were not permitted in two (10%) states. Contact information for VAD coordinator was listed in a minority of five (24%) states. Transport of VAD equipment/backup bag was advised in 18 (86%) states.
Discussion:
This national analysis of EMS protocols found VAD-specific EMS protocols are not universally adopted in the United States and are variable when implemented, highlighting a need for VAD teams to partner with EMS agencies to inform standardized protocols that optimize these patients’ care.
The crystal structure of a natural, ordered IIb-4 triclinic clinochlore has been refined in space group C1̄ from 4282 unique X-ray intensity measurements of which 3833 are greater than 3 times the statistical counting error (3σ). Unit cell parameters are a = 5.3262(6) Å; b = 9.226(1) Å; c = 14.334(3) Å; α = 90.56(2)°; β = 97.47(2)°; and γ = 89.979(9)°, which represents the greatest deviation from mono-clinic symmetry yet recorded for a triclinic chlorite. The final weighted R is 0.059 for reflections with I > 3σ and 0.064 for all reflections. The chemical formula is (Mg0.966Fe0.034)MI(Mg0.962Fe0.038)M22(Si2.96Al1.04)O10 (OH)2(Mg0.996Fe0.004)M32(Al0.841FeIII0.102Cr0.004Ti0.004)M4(OH)6, which is consistent with electron microprobe (EMP), wet chemical analyses, Mössbauer spectroscopy and X-ray structure refinement. The high degree of ordering of the divalent versus trivalent octahedral cations in the interlayer is noteworthy, with FeIII and Al in M4 and virtually no Fe in M3. In the 2:1 layer, M1 and M2 each contain similar amounts of Fe. The 2 tetrahedral sites have nearly identical mean oxygen distances and volumes, and thus show no evidence of long-range cation ordering.
Altered basaltic tephra from Haleakala, Maui, are characterized using multiple techniques in order to identify the minerals formed under a variety of conditions and to understand the soil formation processes here. We collected samples that are representative of typical bulk weathered material in the crater, as well as solfataric alteration in a hydrothermal environment. For this study X-ray diffraction, electron probe microanalysis, scanning electron microscopy and transmission electron microscopy are coupled with spectroscopic techniques including Mössbauer, visible-infrared reflectance, transmission infrared, and thermal infrared emission spectroscopies to analyze these samples. The unaltered tephra are composed of feldspar, glass, pyroxene and olivine. Observed alteration products include Fe oxides, phyllosilicates and sulfates, as well as SAED amorphous Al-Si-bearing material. These samples are potential analogs for altered volcanic material on Mars as the pedogenic influences and contact with plants and animals are minimal. Results from this study may help to determine spectral signatures of these samples that could be used for identification on Mars of the minerals observed here.
The current study investigated whether older adults’ cognitive test scores at the time of long-term care nursing home admission are associated with psychological well-being over the first six months. We analyzed the link between Mattis Dementia Rating Scale (DRS-2) subscale scores and anxiety, depression, quality of life, and positive/negative affect.
Participants and Methods:
Participants were recently admitted long-term care residents from 13 nursing homes in the Louisville, KY area. Sixty-two older adults were administered the DRS-2 shortly after nursing home admission. Using a cutoff of less than 6 scaled score on the DRS-2, 52% of participants scored as cognitively impaired. Self-report measures of anxiety (RAID), depression (PHQ9), quality of life (QoL-AD), and positive/negative affect (Philadelphia Geriatric Center Affect Rating Scale) were collected at time of admission, and 3 and 6 months later.
Results:
The DRS-2 attention subscale significantly correlated with baseline depression symptoms. No other DRS-2 subscale or the DRS-2 total score correlated with anxiety, depression, quality of life, or affect ratings at admission. Baseline DRS-2 attention, initiation/perseveration, and memory had significant correlations with self-report measures at 3 and 6 months; these DRS-2 scores were selected for further analysis. Mixed ANOVAs found a significant main effect of group (impaired vs. not-impaired) for the initiation/perseveration subscale, memory subscale, and DRS-2 total score on negative affect; impairment in any of these domains was associated with lower reported negative affect at all three time points. There was no significant effect of cognitive scores on any other self-report measure. There was a significant, positive linear trend in quality of life over time. There was a significant quadratic trend in depression symptoms, with decreased depression reported at 3 months and increase at 6 months.
Conclusions:
Impaired performance on the DRS-2 was associated with lower negative affect over time. Cognitive impairment was not associated with anxiety, depression, quality of life, or positive affect. There appear to be reliable trends in some psychological factors regardless of cognitive scores, with an increase in quality of life over time and a temporary decrease in reported depression captured at 3 months. The relationship between cognitive impairment and negative affect should be interpreted with caution, as only 22 residents completed the affect self-report at all three time points. Overall, we found limited evidence of an association between cognitive scores at time of admission and self-reported psychological factors at 3 and 6 months.
Across the Pacific, agricultural systems have used two main complementary cultivation regimes: irrigated farming of wet environments and rain-fed cropping of drylands. These strategies have different productive potential and labour needs, which has structured their temporal and spatial distributions. Although these approaches have been studied a great deal at a general level, there has been less work on the local use and significance of these strategies. Here, the authors evaluate ideal distribution models of agricultural activities in the Punalu‘u valley on O‘ahu, Hawai‘i, to assess how habitat suitability changed as a result of infrastructural investment and dynamic environmental, social and demographic change. The results are of relevance for contemporary initiatives to revive Indigenous agricultural systems in Hawai‘i and beyond.
Includes 'John Harvey of Ickwell, 1688-9', edited by Margaret Richards. 'Henry Taylor of Pulloxhill, 1750-72', edited by Patricia Bell. 'John Salusbury of Leighton Buzzard, 1757-9', edited by Joyce Godber. 'John Pedley of Great Barford, 1773-95', edited by F. G. Emmison. 'Elizabeth Brown of Ampthill, 1778-91', edited by Joyce Godber. 'Edward Arpin of Felmersham, 1763-1831', edited by C. D. Linnell. 'Catherine Young (later Maclear) of Bedford, 1832-5 and 1846', edited by Isobel Thompson. 'Sir John Burgoyne, Bart., of Sutton, 1854', edited by Brigadier P. Young, DSO, MC. 'Major J. H. Brooks and the Indian Mutiny, 1857', edited by Aileen M. Armstrong. 'The Rev. G. D. Newbolt of Souldrop, 1856-95', edited by Patricia Bell. 'Some Letters from Bedfordshire Pioneers in Australia, 1842-86', edited by Andrew Underwood.
Includes 'The Relief of the Poor at Eaton Socon, 1706-1834', by F. G. Emmison.
'Tithe at Pavenham, 1759/60', contributed by C. D. Linnell (Transcriptions of two documents held by Trinity College, Cambridge. The first is a report on the tithes at Pavenham written by W. Elstobb, a surveyor, of Cambridge in 1759. The second, probably also by Mr Elstobb, puts forward a scheme for renting the tithe from Trinity College which would allow each farmer to rent his share of the tithe, i.e. pay an agreed sum of money annually. The documents also record produce, prices and land values.).
Benjamin Rogers was vicar of Stagsden from 1712 to 1720, when he was presented by Lord Trevor to the living of Carlton, where he remained until his death in 1771. His diary covers the years 1727 to 1752. In addition to clerical duties, he records his family, friends, farming, travels, the weather, prescriptions for a range of ailments and injuries, Bedford borough politics, local events and people. There are also notes of tithes for 1722; malt sold to his mother; a terrier of the glebe land in Carlton; notes on local people; a list of Rogers' glebe land and the 33 acres he rented; names of the certificates upon Chellington and Carlton files, presumably settlement certificates; the fruit trees planted around his house in 1729; recipients of money given for the poor of Chellington and Carlton in 1735 and 1737 and extracts about Stagsden, Carlton and Chellington from ecclesiatical records. Pedigrees of the Rogers, Alston and Trevor families.