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Chapter 18 offers a critical analysis of the types of remedies sought in climate cases and examines their implications within the legal landscape. Drawing on a comprehensive analysis of climate lawsuits from around the world, the authors provide insights into the diverse range of remedies that have been sought to address the adverse impacts of climate change. They then shed light on the different considerations and approaches that courts have taken when determining appropriate remedies. In their exploration of emerging best practices, the authors highlight instances where courts have adopted innovative and transformative approaches to remedies in climate litigation. They examine creative legal mechanisms that go beyond traditional compensatory measures and explore the potential of remedies such as injunctive relief, restitution, and declaratory judgments to address the multifaceted challenges posed by climate change.
The electromagnetically driven magnetised spherical Couette flow is studied experimentally, theoretically and numerically in the laminar regime. The working fluid, Galinstan, is contained in the spherical gap between two concentric spheres at rest. The electromagnetic stirring is primarily generated due to the interaction of a direct current, which is injected through two ring-shaped electrodes located at the equatorial zone of each sphere, and a dipolar magnetic field produced by a permanent magnet located inside the inner sphere. The flows were explored experimentally for a Reynolds number ranging from 450 to 2230 and a Hartmann number of 240. Ultrasound Doppler velocimetry and particle image velocimetry were used to characterise the flow. For low Reynolds numbers, given the symmetry of the problem, a one-dimensional analytic solution is obtained in the equatorial plane from the magnetohydrodynamic equations. The analytical solution reproduces the main characteristics of the flow. In addition, a full three-dimensional numerical model is able to reproduce both the analytical solution and the experimental measurements. To the best knowledge of the authors, this is the first time experimental results of the magnetised spherical Couette flow have been reported with electromagnetic forcing using a liquid metal as the working media.
Los estudios sobre las acciones colectivas de las trabajadoras sexuales se han centrado principalmente en la esfera pública, abordando procesos de organización sindical, movimientos sociales y articulación de redes para la reivindicación de sus derechos. Sin embargo, han prestado escasa atención a las acciones que les permiten sobrellevar los agravios en su contexto laboral. Este estudio tiene como objetivo comprender las acciones colectivas cotidianas de protesta de las trabajadoras sexuales en entornos laborales estigmatizados por la norma de género. Para ello, realizamos una etnografía etnometodológica feminista durante dieciocho meses en el norte de Chile, donde observamos diversos escenarios del trabajo sexual y realizamos dieciocho entrevistas en profundidad. Concluimos que las trabajadoras sexuales producen acciones colectivas de protesta situadas y efímeras, mediante las cuales buscan restituir, aunque precariamente, el equilibrio de poder en sus escenarios laborales, y que relegan la posibilidad de impugnar directamente el orden social debido al costo que significaría en sus vidas.
Common mental disorders (CMDs) are a leading cause of burden and disability globally. Approximately 75% of those living with CMDs reside in low- and middle-income countries (LMICs), and up to 90% of those needing mental health care do not receive it. The Friendship Bench is a task-sharing mental health intervention delivered by lay health workers (LHWs) that utilizes concepts of Problem-Solving Therapy. The aim of this systematic review is to identify and evaluate the barriers and facilitators to the implementation of research outcomes of the Friendship Bench and understand its systematic uptake to narrow the CMD treatment gap. We conducted a systematic review of articles that reported on the Friendship Bench in LMICs, CMDs, implementation research outcomes, and studies that utilized experimental, observational, or qualitative study designs. We identified articles using medical subject headings and keywords from APA PsycINFO, Cochrane, CINAHL, EMBASE, Global Health, OVID, PubMed/Medline, Science Direct, Web of Science, and Google Scholar in February 2023 and again in December 2023 to capture any additional articles. We screened 641 articles, and a total of 7 articles were included in the final analysis. All studies were conducted in Zimbabwe within the past 8 years, and across all the studies, all implementation research outcomes were reported. There is strong evidence that the Friendship Bench is acceptable, appropriate, and feasible to address the CMD treatment gap in Zimbabwe. Facilitators include that the Friendship Bench is culturally adaptable, utilizes trusted LHWs, and has relatively strong community and political buy-in. Conversely, barriers include a lack of a reliable mental health system, limitations in its ability to treat more serious mental conditions, and mental health stigma. There is an opportunity to explore the application of the Friendship Bench for CMDs in other countries and as a basis for novel task-sharing interventions for other health conditions.
Weighted sieves are used to detect numbers with at most S prime factors with $S \in \mathbb{N}$ as small as possible. When one studies problems with two variables in somewhat symmetric roles (such as Chen primes, that is primes p such that $p+2$ has at most two prime factors), one can utilise the switching principle. Here we discuss how different sieve weights work in such a situation, concentrating in particular on detecting a prime along with a product of at most three primes.
As applications, we improve on the works of Yang and Harman concerning Diophantine approximation with a prime and an almost prime, and prove that, in general, one can find a pair $(p, P_3)$ when both the original and the switched problem have level of distribution at least $0.267$.
Effective conservation management of threatened species with transboundary distributions is a challenge, requiring international coordination to ensure that country-specific actions align with regional imperatives. Many international conservation efforts overlook species needing attention and fail to incorporate the field expertise of local researchers in regional-level assessments. Here we focus on the taruka Hippocamelus antisensis, a threatened and little-studied deer of the Central Andes Ecoregion in South America. Since 2016, experts, managers and governmental authorities from all countries encompassing the species’ range have gathered to collate information about its presence and coordinate efforts to conserve it. We constructed taruka distribution models using historical records and more recent sightings reported during the last 50 years. Our findings revealed several critical insights: slope, normalized difference vegetation index (NDVI) during the dry season, and daily and seasonal temperature variability are primary predictors of taruka distribution, and the largest part of its range is in Peru (54%), followed by Bolivia (30%), Argentina (10%) and Chile (6%). The species’ core distribution is confined to the western and eastern limits of the Central Andes Ecoregion, bordered by the Sechura and Atacama Desert to the west and the Yungas Forest to the east. Protection is limited, with only 12 and 8% of the core and non-core areas, respectively, of the species’ range under formal protection. We recommend safeguarding connectivity of the core distribution by establishing transboundary protected areas, improving taruka coexistence with local communities, strengthening and formalizing international collaboration amongst taruka experts and raising the species’ appeal amongst policymakers and the public. In particular, we hope to encourage international collaboration between Southern Hemisphere specialists. This is important because these researchers have extensive field knowledge that could improve global conservation efforts, especially in regions that lack adequate conservation funding.
Late talkers (LTs) exhibit delayed vocabulary development, which might stem from a lack of a typical word learning strategy to generalise object labels by shape, called the ‘shape bias’. We investigated whether LTs can acquire a shape bias and whether this accelerates vocabulary learning. Fourteen LTs were randomly allocated to either a shape training group (Mage = 2.76 years, 6 males), which was taught that objects similar in shape have the same name, or a control group (Mage = 2.61 years, 4 males), which was taught real words without any focus on object shape. After seven training sessions, children in the shape training group generalised trained labels by shape (d = 1.28), but not unfamiliar labels. Children in the control group extended all labels randomly. Training did not affect expressive vocabulary.
We applied a Density-Based Clustering algorithm on samples of galaxies and galaxy systems belonging to 53 rich superclusters from the Main SuperCluster Catalogue to identify the presence of “central regions’’, or cores, in these large-scale structures. Cores are defined here as large gravitationally bound galaxy structures, comprised of two or more clusters and groups, with sufficient matter density to survive cosmic expansion and virialize in the future. We identified a total of 105 galaxy structures classified as cores, which exhibit a high density contrast of mass and galaxies. The Density-based Core Catalogue, presented here, includes cores that were previously reported in well-known superclusters of the Local Universe, and also several newly identified ones. We found that 83% of the rich superclusters in our sample have at least one core. While more than three cores with different dynamical state are possible, the presence of a single core in the superclusters is more common. Our work confirms the existence of nucleation regions in the internal structure of most rich superclusters and points to the fact that these cores are the densest and most massive features that can be identified in the cosmic web with high probability for future virialization.
To identify urinary catheter (UC)–associated urinary tract infection (CAUTI) incidence and risk factors.
Design:
A prospective cohort study.
Setting:
The study was conducted across 623 ICUs of 224 hospitals in 114 cities in 37 African, Asian, Eastern European, Latin American, and Middle Eastern countries.
Participants:
The study included 169,036 patients, hospitalized for 1,166,593 patient days.
Methods:
Data collection took place from January 1, 2014, to February 12, 2022. We identified CAUTI rates per 1,000 UC days and UC device utilization (DU) ratios stratified by country, by ICU type, by facility ownership type, by World Bank country classification by income level, and by UC type. To estimate CAUTI risk factors, we analyzed 11 variables using multiple logistic regression.
Results:
Participant patients acquired 2,010 CAUTIs. The pooled CAUTI rate was 2.83 per 1,000 UC days. The highest CAUTI rate was associated with the use of suprapubic catheters (3.93 CAUTIs per 1,000 UC days); with patients hospitalized in Eastern Europe (14.03) and in Asia (6.28); with patients hospitalized in trauma (7.97), neurologic (6.28), and neurosurgical ICUs (4.95); with patients hospitalized in lower–middle-income countries (3.05); and with patients in public hospitals (5.89).
The following variables were independently associated with CAUTI: Age (adjusted odds ratio [aOR], 1.01; P < .0001), female sex (aOR, 1.39; P < .0001), length of stay (LOS) before CAUTI-acquisition (aOR, 1.05; P < .0001), UC DU ratio (aOR, 1.09; P < .0001), public facilities (aOR, 2.24; P < .0001), and neurologic ICUs (aOR, 11.49; P < .0001).
Conclusions:
CAUTI rates are higher in patients with suprapubic catheters, in middle-income countries, in public hospitals, in trauma and neurologic ICUs, and in Eastern European and Asian facilities.
Based on findings regarding risk factors for CAUTI, focus on reducing LOS and UC utilization is warranted, as well as implementing evidence-based CAUTI-prevention recommendations.
Body composition and phase angle (PhA) have been used to predict mortality in multiple diseases. However, little has been studied regarding segmental measurements, which could potentially help assess subtle changes in specific tissue segments. This study aimed to identify the total PhA cut-off point associated with mortality risk and changes in body composition within a week of hospitalisation in non-critical hospitalised patients with COVID-19. A cohort study was conducted where patients underwent to a complete nutritional assessment upon admission and after seven days, and followed up until hospital discharge or death. A receiver operating characteristic curve was constructed to determine the PhA cut-off point, and the Kaplan–Meier estimator was used to determine survival analysis. Segmental and complete body compositions on admission and after 7 d were compared. We included 110 patients (60 men) with a mean age of 50·5 ± 15·0 years and a median BMI of 28·5 (IQR, 25·6–33·5) kg/m2. The median length of hospital stay was 6 (IQR, 4–9) d, and the mortality rate was 13·6 %. The PhA cut-off point obtained was 4°, with significant differences in the survival rate (P < 0·001) and mortality (HR = 5·81, 95 % CI: 1·80, 18·67, P = 0·003). Segmental and whole-body compositions were negatively affected within one week of hospitalisation, with changes in the approach by the graphical method in both sexes. Nutritional status deteriorates within a week of hospitalisation. PhA < 4° is strongly associated with increased mortality in non-critical hospitalised patients with COVID-19.
Despite associations between hypoglycemia and cognitive performance using cross-sectional and experimental methods (e.g., Insulin clamp studies), few studies have evaluated this relationship in a naturalistic setting. This pilot study utilizes an EMA study design in adults with T1D to examine the impact of hypoglycemia and hyperglycemia, measured using CGM, on cognitive performance, measured via ambulatory assessment.
Participants and Methods:
Twenty adults with T1D (mean age 38.9 years, range 26-67; 55% female; 55% bachelor’s degree or higher; mean HbA1c = 8.3%, range 5.4% - 12.5%), were recruited from the Joslin Diabetes Center at SUNY Upstate Medical University. A blinded Dexcom G6 CGM was worn during everyday activities while completing 3-6 daily EMAs using personal smartphones. EMAs were delivered between 9 am and 9 pm, for 15 days. EMAs included 3 brief cognitive tests developed by testmybrain.org and validated for brief mobile administration (Gradual Onset CPT d-prime, Digit Symbol Matching median reaction time, Multiple Object Tracking percent accuracy) and self-reported momentary negative affect. Day-level average scores were calculated for the cognitive and negative affect measures. Hypoglycemia and hyperglycemia were defined as the percentage of time spent with a sensor glucose value <70 mg/dL or > 180 mg/dL, respectively. Daytime (8 am to 9 pm) and nighttime (9 pm to 8 am) glycemic excursions were calculated separately. Multilevel models estimated the between- and within-person association between the night prior to, or the same day, time spent in hypoglycemia or hyperglycemia and cognitive performance (each cognitive test was modeled separately). To evaluate the effect of between-person differences, person-level variables were calculated as the mean across the study and grand-mean centered. To evaluate the effect of within-person fluctuations, day-level variables were calculated as deviations from these person-level means.
Results:
Within-person fluctuations in nighttime hypoglycemia were associated with daytime processing speed. Specifically, participants who spent a higher percentage of time in hypoglycemia than their average percentage the night prior to assessment performed slower than their average performance on the processing speed test (Digit Symbol Matching median reaction time, b = 94.16, p = 0.042), while same day variation in hypoglycemia was not associated with variation in Digit Symbol Matching performance. This association remained significant (b = 97.46, p = 0.037) after controlling for within-person and between-person effects of negative affect. There were no significant within-person associations between time spent in hyperglycemia and Digit Symbol Matching, nor day/night hypoglycemia or hyperglycemia and Gradual Onset CPT or Multiple Object Tracking.
Conclusions:
Our findings from this EMA study suggest that when individuals with T1D experience more time in hypoglycemia at night (compared to their average), they have slower processing speed the following day, while same day hypoglycemia and hyperglycemia does not similarly impact processing speed performance. These results showcase the power of intensive longitudinal designs using ambulatory cognitive assessment to uncover novel determinants of cognitive variation in real world settings that have direct clinical applications for optimizing cognitive performance. Future research with larger samples is needed to replicate these findings.
S100B is a calcium-binding astrocyte-specific cytokine, that is considered a biomarker of neurodegeneration; which may be involved in the imbalance of the inflammatory response observed in several brain disorders, including major depression and schizophrenia. Two meta-analyses have reported higher serum levels of S100B in patients with schizophrenia respect to healthy controls.
Different studies have described circadian and seasonal variations of biological variables, such as melatonin or cortisol. It has been reported that there is not circadian rhythm of S100B blood levels in healthy subjects. However, it is not known whether there are circadian oscillations in S100B blood concentrations in patients with schizophrenia.
Objectives
The aim of this study is to describe S100B serum levels in patients with schizophrenia and to analyse whether they follow a circadian rhythm.
Methods
Our sample consists in 47 patients in acute phase and stabilized status. Blood samples were collected at 12:00 and 00:00 hours by venipuncture. Serum levels of Protein S100B were measured three times: at admission, discharge and three months after discharge. Protein S100B was measured by means of ELISA (Enzyme-linked immunosorbent assay) techniques.
Results
12:00
24:00
P
ADMISSION
132,95±199,27
85,85±121,44
0,004
DISCHARGE
73,65±71,744
75,80±123,628
0,070
CONTROL
43,49±34,60
40,14±23,08
0,47
P global
P Admission Vs. Discharge
P Admission Vs. Control
P Discharge Vs. Control
0,97
There is a significance difference between 12:00 and 24:00 at admission for the Protein S100B.However, these difference did not occur at discharge and at three months after discharge.It can be interpreted as there is a circadian rhythm of Protein S100B when the patient has got a psychotic outbreak and disappears at discharge and when is psychopathologically stable.
Conclusions
With respect to our results we can hypothesize that schizophrenic patients in acute relapse present circadian S100B rhythm that is not present when the patients are clinically stable.Furthermore, the decrease of serum protein S100B levels at discharge is indicative of a reduction of the cerebral inflammation, thus it can be a biomarker of cerebral inflammation and this reduction can be the effect of the treatment. Finally, its circadianity could be a guide of this process and clinical improvement.
To identify central-line (CL)–associated bloodstream infection (CLABSI) incidence and risk factors in low- and middle-income countries (LMICs).
Design:
From July 1, 1998, to February 12, 2022, we conducted a multinational multicenter prospective cohort study using online standardized surveillance system and unified forms.
Setting:
The study included 728 ICUs of 286 hospitals in 147 cities in 41 African, Asian, Eastern European, Latin American, and Middle Eastern countries.
Patients:
In total, 278,241 patients followed during 1,815,043 patient days acquired 3,537 CLABSIs.
Methods:
For the CLABSI rate, we used CL days as the denominator and the number of CLABSIs as the numerator. Using multiple logistic regression, outcomes are shown as adjusted odds ratios (aORs).
Results:
The pooled CLABSI rate was 4.82 CLABSIs per 1,000 CL days, which is significantly higher than that reported by the Centers for Disease Control and Prevention National Healthcare Safety Network (CDC NHSN). We analyzed 11 variables, and the following variables were independently and significantly associated with CLABSI: length of stay (LOS), risk increasing 3% daily (aOR, 1.03; 95% CI, 1.03–1.04; P < .0001), number of CL days, risk increasing 4% per CL day (aOR, 1.04; 95% CI, 1.03–1.04; P < .0001), surgical hospitalization (aOR, 1.12; 95% CI, 1.03–1.21; P < .0001), tracheostomy use (aOR, 1.52; 95% CI, 1.23–1.88; P < .0001), hospitalization at a publicly owned facility (aOR, 3.04; 95% CI, 2.31–4.01; P <.0001) or at a teaching hospital (aOR, 2.91; 95% CI, 2.22–3.83; P < .0001), hospitalization in a middle-income country (aOR, 2.41; 95% CI, 2.09–2.77; P < .0001). The ICU type with highest risk was adult oncology (aOR, 4.35; 95% CI, 3.11–6.09; P < .0001), followed by pediatric oncology (aOR, 2.51;95% CI, 1.57–3.99; P < .0001), and pediatric (aOR, 2.34; 95% CI, 1.81–3.01; P < .0001). The CL type with the highest risk was internal-jugular (aOR, 3.01; 95% CI, 2.71–3.33; P < .0001), followed by femoral (aOR, 2.29; 95% CI, 1.96–2.68; P < .0001). Peripherally inserted central catheter (PICC) was the CL with the lowest CLABSI risk (aOR, 1.48; 95% CI, 1.02–2.18; P = .04).
Conclusions:
The following CLABSI risk factors are unlikely to change: country income level, facility ownership, hospitalization type, and ICU type. These findings suggest a focus on reducing LOS, CL days, and tracheostomy; using PICC instead of internal-jugular or femoral CL; and implementing evidence-based CLABSI prevention recommendations.
The Philippines is an island country in Southeast Asia surrounded by the Pacific Ocean. An archipelago made up of 7,107 islands, the Philippines’ location in the Pacific Ring of Fire make it a country prone to earthquakes, while its tropical climate makes it vulnerable to typhoons (Alcayna et al et al 2016). In 2017, the Philippines had an estimated population of 102 million inhabitants, which placed it as the 12th most populous country in the world (World Bank 2019). Its biodiversity is one of the world's richest, and its growing industrialization process has led to the replacement of agricultural activity by the manufacture of industrialized products and services (World Bank 2019). However, the Philippines faces numerous challenges linked to, among other things, the lack of access to education, health services, and human development for large sectors of its population (United Nations Development Program 2019, 76).
The Philippines is one of the top three countries with the highest exposure to disaster risks (UN Office for Disaster Risk Reduction 2019, 6), among which typhoon Haiyan stood out in November of 2013. The Haiyan disaster resulted in 7,354 deaths, affected 16,106,870 people (requiring immediate assistance), and caused an estimated economic loss of more than US$10 billion (Centre for Research on the Epidemiology of Disasters 2019). There are also earthquakes and permanent volcanic activity in the Philippines due to the presence of 53 volcanoes, including the Mayón Volcano, which is one of the most active in the world (Centre for Research on the Epidemiology of Disasters 2019). These major disasters have cumulative impacts on the population, not only in terms of deaths but also in their social and economic effects.
In economic terms, the average annual loss due to multiple risks for the Philippines is estimated at over US$7 billion, which is equivalent to 69% of the country's social spending in 2011 (Alcayna et al 2016, 2). Although the Philippines recorded a GDP of US$330.91 billion that placed it in 39th position in the world in 2018 (World Bank 2019), the United Nations Human Development Report placed it in the 106th place in 2018, with a Human Development Index (HDI) of 0,712 (United Nations Development Program 2019, 301).
Rates of ventilator-associated pneumonia (VAP) in low- and middle-income countries (LMIC) are several times above those of high-income countries. The objective of this study was to identify risk factors (RFs) for VAP cases in ICUs of LMICs.
Design:
Prospective cohort study.
Setting:
This study was conducted across 743 ICUs of 282 hospitals in 144 cities in 42 Asian, African, European, Latin American, and Middle Eastern countries.
Participants:
The study included patients admitted to ICUs across 24 years.
Results:
In total, 289,643 patients were followed during 1,951,405 patient days and acquired 8,236 VAPs. We analyzed 10 independent variables. Multiple logistic regression identified the following independent VAP RFs: male sex (adjusted odds ratio [aOR], 1.22; 95% confidence interval [CI], 1.16–1.28; P < .0001); longer length of stay (LOS), which increased the risk 7% per day (aOR, 1.07; 95% CI, 1.07–1.08; P < .0001); mechanical ventilation (MV) utilization ratio (aOR, 1.27; 95% CI, 1.23–1.31; P < .0001); continuous positive airway pressure (CPAP), which was associated with the highest risk (aOR, 13.38; 95% CI, 11.57–15.48; P < .0001); tracheostomy connected to a MV, which was associated with the next-highest risk (aOR, 8.31; 95% CI, 7.21–9.58; P < .0001); endotracheal tube connected to a MV (aOR, 6.76; 95% CI, 6.34–7.21; P < .0001); surgical hospitalization (aOR, 1.23; 95% CI, 1.17–1.29; P < .0001); admission to a public hospital (aOR, 1.59; 95% CI, 1.35-1.86; P < .0001); middle-income country (aOR, 1.22; 95% CI, 15–1.29; P < .0001); admission to an adult-oncology ICU, which was associated with the highest risk (aOR, 4.05; 95% CI, 3.22–5.09; P < .0001), admission to a neurologic ICU, which was associated with the next-highest risk (aOR, 2.48; 95% CI, 1.78–3.45; P < .0001); and admission to a respiratory ICU (aOR, 2.35; 95% CI, 1.79–3.07; P < .0001). Admission to a coronary ICU showed the lowest risk (aOR, 0.63; 95% CI, 0.51–0.77; P < .0001).
Conclusions:
Some identified VAP RFs are unlikely to change: sex, hospitalization type, ICU type, facility ownership, and country income level. Based on our results, we recommend focusing on strategies to reduce LOS, to reduce the MV utilization ratio, to limit CPAP use and implementing a set of evidence-based VAP prevention recommendations.
The present study aimed to determine the prevalence of adiposity-based chronic disease (ABCD) and its association with anthropometric indices in the Mexican population. A cross-sectional study was conducted in 514 adults seen at a clinical research unit. The American Association of Clinical Endocrinology/AACE/ACE criteria were used to diagnose ABCD by first identifying subjects with BMI ≥ 25 kg/m2 and those with BMI of 23–24·9 kg/m2 and waist circumference ≥ 80 cm in women or ≥ 90 cm in men. The presence of metabolic and clinical complications associated with adiposity, such as factors related to metabolic syndrome, prediabetes, type 2 diabetes, dyslipidaemia and arterial hypertension, were subsequently evaluated. Anthropometric indices related to cardiometabolic risk factors were then determined. The results showed the prevalence of ABCD was 87·4 % in total, 91·5 % in men and 86 % in women. The prevalence of ABCD stage 0 was 2·4 %, stage 1 was 33·7 % and stage 2 was 51·3 %. The prevalence of obesity according to BMI was 57·6 %. The waist/hip circumference index (prevalence ratio (PR) = 7·57; 95 % CI 1·52, 37·5) and the conicity index (PR = 3·46; 95 % CI 1·34, 8·93) were better predictors of ABCD, while appendicular skeletal mass % and skeletal muscle mass % decreased the risk of developing ABCD (PR = 0·93; 95 % CI 0·90, 0·96; and PR = 0·95; 95 % CI 0·93, 0·98). In conclusion, the prevalence of ABCD in our study was 87·4 %. This prevalence increased with age. It is important to emphasise that one out of two subjects had severe obesity-related complications (ABCD stage 2).
OBJECTIVES/GOALS: Pancreatic ductal adenocarcinoma (PDAC) is a relatively radioresistant disease, and inhibition of DNA homologous recombination (HR) repair in combination with radiation therapy (RT) is a potentially attractive strategy to overcome radioresistance. We have found that the expression of the HR protein RAD18 is upregulated in PDAC cells. METHODS/STUDY POPULATION: Standard clonogenic assays, γH2aX foci staining, HR-GFP reporter assay, and western blot analysis of DNA damage response proteins were performed in MIA-PaCa2 (MP2) and PANC-1 cells following knockdown of RAD18 in cells via short hairpin RNA (shRNA). Drug targeting of RAD18 was achieved through the use of a USP-7 inhibitor, P5091. Cells with or without stable knockdown of RAD18 were implanted orthotopically in the pancreas of athymic nude mice and treated with sham radiation or radiation to a dose of 20 Gy in 5 daily fractions once tumors reached 100-150 mm3. RESULTS/ANTICIPATED RESULTS: Stable knockdown of RAD18 in MP2 and PANC-1 resulted in decreased radiation clonogenic survival in vitro (dose enhancement factor (DEF)=1.52 and 1.51, respectively), decreased DNA repair after radiation as measured by the increased number of γH2aX nuclear foci assay at 6, 12, and 24 hours (all p<0.05), decreased HR activation following DNA damage via an HR-GFP reporter assay (p=0.039), and increased tumor growth delay following radiation in vivo (p<0.001). P5091 treatment of both MP2 and PANC-1 resulted in efficient knockdown of RAD18, which was confirmed through western blotting, qRT-PCR, and luciferase reporter assays. P5091 increased radiosensitization, yH2aX nuclear foci remained elevated at 12 and 24 hours (p<0.05), and HR repair was also reduced (p=0.014). DISCUSSION/SIGNIFICANCE: Herein, we show the HR repair protein RAD18, and that modulation of RAD18 expression correlates with in vitro and in vivo radiosensitization through altered HR-mediated DNA repair. USP7 inhibition successfully reduced RAD18 expression and resulted in enhanced radiosensitization.
Social influence among people is widely understood to be a universal component of the human experience. However, studies of political behavior have generally approached social influence as specific to a type of behavior, such as voting, in a particular national context. There are good reasons to expect that social influence is observable across diverse behaviors and national contexts. In this study, we test this expectation using a two-wave panel survey of national samples in 19 countries. We employ autoregressive models that address some of the endogeneity challenges associated with attempts to measure social influence with survey designs. Our measure of social influence is predictive of diverse political behaviors in many countries with average effects comparable in size to important standard predictors of behavior.
Results from seven direct and large-eddy simulations of gravity currents on slopes ranging from 0.14$^{\circ }$ to 2.86$^{\circ }$ that span from the subcritical to the supercritical regime are studied. By considering a long domain, attention is focused on the near-self-similar state approached by these currents far downstream. In the self-similar limit, the various shape factors, local Richardson number, entrainment coefficient, velocity scale and basal drag coefficient reach a constant value, while the current height, volume and momentum fluxes continue to increase linearly. Their dependence on slope is presented.
Although it has been demonstrated that environmental changes within a year can affect the reproduction, survival, and growth of invasive species, these factors have rarely been incorporated into demographic analyses. Therefore, we applied multistate demographic models (based on capture–recapture animal methods accounting for imperfect detectability of individuals in natural conditions) to evaluate the effects of reproductive phenology and rainy season on the survival and transition/retrogression rates among stage categories of black elderberry (Sambucus nigra L.)—an invasive tree species widely distributed in temperate forests of Europe and America. In the Abies religiosa temperate forest, Mexico City, a multistate demographic model of S. nigra was built using bimonthly censuses during a year. We selected the best-fitting model according to Akaike’s information criterion adjusted for small sample sizes (AICc). We determined the response of reproductive phenology of S. nigra to the rainy season for 2 yr through repeatability and phenotypic plasticity indexes. Our results showed that the reproductive phenology of S. nigra has a low repeatability index and a high phenotypic plasticity index. We demonstrated that additive and interactive effects of reproductive phenology and rainy season promote changes in survival and transition/retrogression rates among stage categories. During the rainy season, the survival probability of seedlings and transition probability toward the adult category increased. Therefore, our study represents a significant contribution to the knowledge of the demographic dynamics of invasive species on an intra-annual scale.