Background: Gastrointestinal conditions are common in hospitalized patients. Decreased mobility, dietary changes, medications and their underlying illness may alter patients’ bowel movements. It’s important for health care providers to be aware of patient’s bowel habits, especially for early identification of Clostridiodies difficile infection (CDI). Prior research has shown that patient modesty may be a barrier to discussing bowel habits with nurses and providers. This can lead to delay in diagnosis of CDI, lack of timely isolation and possible misclassification of community onset CDI cases as hospital onset (HO-CDI). Methods: A Bowel Habits Assessment Tool (BHAT) was developed to assist health care providers in learning skills to assess and document patient bowel habits accurately. The tool provides a structured approach to help clinicians gather relevant information, identify abnormalities, and promote effective communication with patients. The tool was developed by an infectious disease physician and modeled on existing tools utilized to take a sexual history. A team of infectious disease physicians, nurses and a gastroenterologist reviewed the tool and provided feedback. See Table 1. The tool was introduced as a pilot program at a 180 bed academically affiliated Veterans Affairs Hospital. Micro educational sessions were held to provide education about the importance of a bowel habit history, introduce the tool and teach its use in clinical care. The teaching sessions were led by an Infectious Disease physician and a nurse infection preventionist. An anonymous pre and post survey employing a 5-point Likert scale was administered to participants. All participation was voluntary. This project was reviewed and approved as a Quality Improvement by the VA Research Office, Eastern Colorado Health Care System. Results: Twenty nine healthcare personnel participated in the pilot. Participants included nurses (13), resident physicians (13), medical students (2) and nursing assistants (1). 59% of participants stated that they strongly agree with the statement “I am comfortable discussing patient’s bowel habits” on the pre-survey. (Question 1). This increased to 73% after the BHAT educational session. The mean difference between pre and post survey responses for question one was 0.45 (CI 0.08761 to 0.8089, p= 0.0167). All participants found the BHAT related to their work and useful, with 41% strongly agreeing and 52% somewhat agreeing that the BHAT was useful. See figure 1: Survey Responses. Conclusions: The effectiveness of a bowel habit assessment tool was demonstrated using a pre and post survey. BHAT improved clinicians comfort level discussing patient’s bowel habits.

Ultrafast optical probing is a widely used method of underdense plasma diagnostic. In relativistic plasma, the motion blur limits spatial resolution in the direction of motion. For many high-power lasers the initial pulse duration of 30–50 fs results in a 10–15 μm motion blur, which can be reduced by probe pulse post-compression. Here we used the compression after compressor approach [Phys.-Usp. 62, 1096 (2019); JINST 17 P07035 (2022)], where spectral broadening is performed in thin optical plates and is followed by reflections from negative-dispersion mirrors. Our initially low-intensity probe beam was down-collimated for a more efficient spectral broadening and higher probe-to-self-emission intensity ratio. The setup is compact, fits in a vacuum chamber and can be implemented within a short experimental time slot. We proved that the compressed pulse retained the high quality necessary for plasma probing.

Tight focusing with very small f-numbers is necessary to achieve the highest at-focus irradiances. However, tight focusing imposes strong demands on precise target positioning in-focus to achieve the highest on-target irradiance. We describe several near-infrared, visible, ultraviolet and soft and hard X-ray diagnostics employed in a ∼1022 W/cm2 laser–plasma experiment. We used nearly 10 J total energy femtosecond laser pulses focused into an approximately 1.3-μm focal spot on 5–20 μm thick stainless-steel targets. We discuss the applicability of these diagnostics to determine the best in-focus target position with approximately 5 μm accuracy (i.e., around half of the short Rayleigh length) and show that several diagnostics (in particular, 3$\omega$ reflection and on-axis hard X-rays) can ensure this accuracy. We demonstrated target positioning within several micrometers from the focus, ensuring over 80% of the ideal peak laser intensity on-target. Our approach is relatively fast (it requires 10–20 laser shots) and does not rely on the coincidence of low-power and high-power focal planes.

Recent losses of seagrass beds have resulted in a decrease in seagrass-associated fishes, highlighting the need for the improved management of such habitats and resources. Analyses of feeding patterns of fish associated with seagrass habitats are useful for understanding their habitat dependence, which contributes to achieving their effective conservation. The gut contents of 61 fish species were examined to clarify the food habits of subtropical seagrass fishes in Nagura Bay, Ishigaki Island, southern Japan. A cluster analysis based on dietary overlaps showed that the seagrass fish assemblage comprised six trophic groups (small crustacean, large crustacean, detritus, plant, fish and zooplankton feeders). Small and large crustacean feeders were the most abundant, followed by detritus, plant and fish feeders. Zooplankton feeders were represented by only two species. Ontogenetic changes in food preference were recognized in four species, including Lutjanus fulviflamma, Ostorhinchus ishigakiensis, Gerres oyena and Siganus fuscescens. Small individuals of the four species generally fed on small crustaceans or detritus, subsequently switching to other larger prey items with growth (e.g. crabs, shrimps and seagrass fronds). The most important food items for the assemblage comprised harpacticoid copepods, shrimps, crabs and detritus, representing high cumulative gut volumes for all fishes. Some species showed diets remarkably different from those determined for fishes in other seagrass beds off a nearby neighbouring island, evidence of the food-use patterns of seagrass fishes varying on a small spatial scale. Such dietary flexibility may increase the adaptability of fishes to seagrass beds characterized by significant variations in available food resources.

We report on the design and characterization of the plasma mirror system installed on the J-KAREN-P laser at the Kansai Photon Science Institute, National Institutes for Quantum Science and Technology. The reflectivity of the single plasma mirror system exceeded 80%. In addition, the temporal contrast was improved by two orders of magnitude at 1 ps before the main pulse. Furthermore, the laser near-field spatial distribution after the plasma mirror was kept constant at plasma mirror fluence of less than 100 kJ/cm2. We also present the results of investigating the difference and the fluctuation in energy, pulse width and pointing stability with and without the plasma mirror system.

The purpose of this study is to elucidate the impact of bleomycin on the degree of lung injury and development of mediastinal fat-associated lymphoid clusters (MFALCs) in the lymphoproliferative mouse model (MRL/MpJ-Faslpr/lpr “Lpr”) and its control strain (MRL/MpJ “MpJ”). We analyzed immune cells, the degree of proliferation, lymphatic vessels (LVs), and high endothelial venules (HEVs) in lungs and MFALCs in Lpr and MpJ mice on the 7th and 21st days following intranasal instillation of either bleomycin (BLM group) or PBS (PBS group). The BLM group showed a significant increase in the size of MFALCs, lung injury score, and positive area ratios of LVs, HEVs, and immune cells (especially macrophages, B- and T-lymphocytes) on both days 7 and 21. Interestingly, the lungs in the BLM group on day 21 showed higher collagen deposition and cellular infiltration in MpJ and Lpr, respectively. Moreover, significant positive correlations were observed between the size of MFALCs and lung injury. In conclusion, BLM could exert lung fibrosis or lymphoproliferative infiltration in chronic stages in MpJ and Lpr, respectively, and this varied effect could be due to the variations in the degree of immune cell proliferation and the development of LVs and HEVs among the studied strains.

We used Fourier-transform infrared (FTIR) spectroscopy to analyze 4 carbapenem-resistant Acinetobacter baumannii outbreaks. FTIR distinguished between isolates from different hospitals and uncovered the relatedness between isolates from acute-care hospitals and a post–acute-care hospital. Using higher cutoffs reveals more distant relationships and lower cutoffs support analyses of recent events.

We have experimentally improved the temporal contrast of the petawatt J-KAREN-P laser facility. We have investigated how the generation of pre-pulses by post-pulses changes due to the temporal overlap between the stretched pulse and the post-pulse in a chirped-pulse amplification system. We have shown that the time at which the pre-pulse is generated by the post-pulse and its shape are related to the time difference between the stretched main pulse and the post-pulse. With this investigation, we have found and identified the origins of the pre-pulses and have demonstrated the removal of most pre-pulses by eliminating the post-pulse with wedged optics. We have also demonstrated the impact of stretcher optics on the picosecond pedestal. We have realized orders of magnitude enhancement of the pedestal by improving the optical quality of a key component in the stretcher.

Autoimmune diseases play a critical role in the progression of infertility in both sexes and their severity has been reported to increase with age. However, few reports have discussed their effect on the morphological features of the testis. Therefore, we compared the morphological alterations in the testes of autoimmune model mice (MRL/MpJ-Faslpr) and the control strain (MRL/MpJ) with those of their background strain (C57BL/6N) at 3 and 6 months. Furthermore, we analyzed the changes in spermatocytes, Sertoli cells, immune cells, and Zonula occludens-1 junctional protein by immunohistochemical staining. The MRL/MpJ-Faslpr mice showed a significant increase in the serum Anti-double stranded DNA antibody level, relative spleen weight, and seminiferous luminal area when compared with other studied two strains. In contrast, a significant decrease in the relative testis weight, and numbers of both Sertoli, meiotic spermatocyte was observed in MRL/MpJ-Faslpr and MRL/MpJ mice compared with C57BL/6N mice especially at 6 months. Similarly, Zonula occludens-1 junctional protein positive cells showed a significant decrease in the same strains at 6 months. However, no immune cell infiltration could be observed among the studied three strains. Our findings suggest that the increase in autoimmune severity especially with age could lead to infertility through loss of spermatogenic and Sertoli cells, rather than the disturbance of the blood–testis barrier.

Diabetes mellitus (DM) is a predisposing factor for renal disorder progression and is referred to as diabetic kidney disease (DKD). However, there are no reports of DKD with an underlying autoimmune disorder. In this study, we compared the pathophysiological changes caused by DM induction after streptozotocin (STZ) injection in comparison with that in a control group receiving citrate buffer (CB) in the autoimmune disease model mice “BXSB/MpJ-Yaa” (Yaa) and the wild-type strain BXSB/MpJ. Both strains showed hyperglycemia after 12 weeks of STZ injection. Interestingly, the Yaa group developed membranous and proliferative glomerulonephritis, which tended to be milder glomerular lesions in the STZ group than in the CB group, as indicated by a decreased mesangial area and ameliorated albuminuria. Statistically, the indices for hyperglycemia and autoimmune abnormalities were negatively and positively correlated with the histopathological parameters for mesangial matrix production and glomerular proliferative lesions, respectively. STZ treatment induced renal tubular anisonucleosis and dilations in both strains, and they were more severe in Yaa. Significantly decreased cellular infiltration was observed in the Yaa group compared to the CB group. Thus, in DKD related to autoimmune nephritis, hyperglycemia modifies its pathology by decreasing the mesangial area and interstitial inflammation and aggravating renal tubular injury.

This study aimed to compare the expression of genes regulating follicles development, survival and steroid hormones secretion in oocytes and granulosa cells (GCs) and study the correlation between their expression and follicular fluid (FF) levels of progesterone (P4) in pregnant and non-pregnant camels. In total, 138 ovarian pairs from slaughtered camels were used. Gene expression and hormonal assay were determined using real-time polymerase chain reaction (PCR) and enzyme-linked immunosorbent assay (ELISA), respectively. The obtained results revealed that the number of follicles (3–8 mm) was significantly (P < 0.05) lower in pregnant, compared with non-pregnant, camels. P4 level in the FF was significantly (P < 0.05) higher in pregnant, compared with non-pregnant, camels. However, no significant (P > 0.05) difference was noticed in the oestradiol (E2) level. STAR, PTEN, IGF1 and BCL2 mRNA levels were significantly higher in GCs and significantly lower in oocytes of pregnant, compared with non-pregnant, camels. However, follicle-stimulating hormone receptor (FSHR) mRNA level was significantly lower in GCs and oocytes, and the BMP15 mRNA level was significantly lower in oocytes of pregnant, compared with non-pregnant, camels. P4 level in FF was positively correlated with STAR, PTEN, IGF1 and BCL2 mRNA levels in GCs and negatively correlated with BMP15 mRNA levels in oocytes and FSHR mRNA levels in GCs and oocytes of pregnant camels. It could be concluded that pregnancy-induced variations in oocytes and GC expression of BMP15, IGF1, FSHR, STAR, BCL2, and PTEN genes might be associated with a decrease in the number of follicles and an increase in the FF level of P4.

Diabetes is a devastating global health problem and is considered a predisposing factor for lung injury progression. Furthermore, previous reports of the authors revealed the role of mediastinal fat-associated lymphoid clusters (MFALCs) in advancing respiratory diseases. However, no reports concerning the role of MFALCs on the development of lung injury in diabetes have been published. Therefore, this study aimed to examine the correlations between diabetes and the development of MFALCs and the progression of lung injury in a streptozotocin-induced diabetic mouse model. Furthermore, immunohistochemical analysis for immune cells (CD3+ T-lymphocytes, B220+ B-lymphocytes, Iba1+ macrophages, and Gr1+ granulocytes), vessels markers (CD31+ endothelial cells and LYVE-1+ lymphatic vessels “LVs”), and inflammatory markers (TNF-α and IL-5) was performed. In comparison to the control group, the diabetic group showed lung injury development with a significant increase in MFALC size, immune cells, LVs, and inflammatory marker, and a considerable decrease of CD31+ endothelial cells in both lung and MFALCs was observed. Furthermore, the blood glucose level showed significant positive correlations with MFALCs size, lung injury, immune cells, inflammatory markers, and LYVE-1+ LVs in lungs and MFALCs. Thus, we suggest that the development of MFALCs and LVs could contribute to lung injury progression in diabetic conditions.

Mammalian sperm have to undergo capacitation to be fertilization competent. Capacitated sperm in vitro show hyperpolarization of the membrane potential. It has been reported that in mouse membrane hyperpolarization is necessary for the acrosome reaction. We recently found that the fluid of the hamster oviduct, where fertilization occurs, contained a high potassium (K+) concentration (~20 mEq/l). This high K+ concentration could depolarize the membrane potential and prevent the acrosome reaction/fertilization. Conversely, some beneficial effects on capacitation of high K+ concentration or a high K/Na ratio were also reported. In the present study, we investigated the effects of oviduct high K+ concentration on hamster sperm capacitation-associated events and fertilization. The present study confirmed that, in hamster sperm, membrane potential was hyperpolarized upon in vitro capacitation, indicating that capacitation-associated hyperpolarization is a universal phenomenon among mammalian species. An increase in KCl concentration in the medium to 20 mM significantly depolarized the membrane potential and suppressed hyperpolarization when in the presence of >101 mM NaCl. However, an increase in the KCl concentration to 20 mM did not significantly affect the percentage of motile sperm, hyperactivation or the acrosome reaction. No effect of 20 mM KCl on in vitro fertilization was observed. In addition, no correlative changes in hyperactivation and the acrosome reaction with K/Na ratio were observed. These results suggested that in hamsters the oviduct K+ concentration suppressed hyperpolarization but had no effect on capacitation and in vitro fertilization. Our results raised a question over the physiological significance of capacitation-associated hyperpolarization.

This study investigates the influence of the condensation coefficient of vapour on the collapse of a bubble composed of condensable gas (vapour) and non-condensable gas (NC gas). We simulated vapour and NC gas flow inside a bubble based on the molecular gas dynamics analysis in order to replicate the phase change (viz., evaporation and condensation) precisely, by changing the initial number density ratio of the NC gas and vapour, the initial bubble radius and the value of the condensation coefficient. The results show that the motion of the bubble is unaffected by the value of the condensation coefficient when that value is larger than approximately 0.4. We also discuss NC gas drift at the bubble wall during the final stage of the bubble collapse and its influence on the condensation coefficient. We conclude that vapour molecules can behave as NC gas molecules when the bubble collapses, owing to the large concentration of NC gas molecules at the gas–liquid interface. That is, the condensation coefficient reaches almost zero when the bubble collapses violently.

Geochemical characteristics and rare-earth element (REE)-bearing minerals of calc-alkaline granites in southern Myanmar were investigated to identify the minerals controlling fractionation between light and heavy REE (LREE and HREE) during magmatic differentiation and weathering. The granites were classified on the basis of the mineral assemblages into two contrasting groups: allanite-(Ce)- and/or titanite-bearing granites; and more HREE-enriched granites characterized by hydrothermal minerals including synchysite(Y), parisite-(Ce), bastnäsite-(Ce), xenotime-(Y), monazite-(Ce), Y-Ca silicate, waimirite-(Y) and fluorite. This suggests that allanite-(Ce) and titanite are not stable in differentiated magma and HREE are eventually preferentially incorporated into the hydrothermal minerals. The occurrence of the REE-bearing minerals is constrained by the degree of magmatic differentiation and the boundary of two contrasting granite groups is indicated by SiO2 contents of ∼74 wt.% or Rb/Sr ratios of ∼3–8. Fractionation between LREE and HREE during weathering of the granites is influenced by weathering resistance of the REE-bearing minerals, i.e. allanite-(Ce), titanite, the REE fluorocarbonates and waimirite-(Y) are probably more susceptible to weathering, whereas zircon, monazite-(Ce) and xenotime-(Y) are resistant to weathering. Ion-exchangeable REE in weathered granites tend to be depleted in HREE relative to the whole-rock compositions, suggesting that HREE are more strongly adsorbed on weathering products or that HREE remain in residual minerals.