Despite decades of studies on the differential distribution of polyploid organisms, the causes of this pattern have yet to be elucidated. This study aimed to explore some of the possible physiological mechanisms explaining the differential northern distribution of polyploid clones of Daphnia pulex compared to the one of the diploid parental species. The critical thermal minimum (CTmin) was measured in 17 D. pulex clones of contrasted ploidy (diploid and triploid) and geographic origins (temperate and subarctic climates) reared under low and high temperatures (16 and 24 °C). Triploid clones had better cold tolerance (lower CTmin) than both sympatric and temperate diploid clones. No significant association was found between CTmin and body size nor with cell size. We suggest that triploids might express a cold shock resistant phenotype related to higher gene expression and/or fatty acid profiles. Cold tolerance can be viewed as one of the possible reasons for polyploid preponderance in subarctic climates.

The present work prepared a copper N-heterocyclic carbene complex that could be used in catalyzing the homogeneous hydrogenation of carboxylic acid with ammonia borane (hydrogen source) to synthesize primary alcohols. Various aromatic and aliphatic carboxylic acids with diverse functional groups were transformed to respective alcohols in moderate to high yields. The process can be easily scaled up (TON up to 14545) and exhibit a high compatibility with different sensitive functional groups, including fluorine, chlorine, bromine, iodine, hydroxyl, cyano and nitro groups. IMesCuCl/NH3·BH3 combination can selectively reduce aromatic and aliphatic esters. Mechanistic studies indicate that Cu-H species produced in situ are the active intermediates.

Atypical Atrial Flutter Ablation: The Clinical Impact of High-Density MappingBahjat Z. Ghazzal MD1, Marwan M. Refaat, MD21 Division of Cardiology, Department of Internal Medicine, University of Massachusetts Chan Medical School , Worcester, Massachusetts, USA2 Division of Cardiology, Department of Internal Medicine, American University of Beirut Medical Center, Beirut, LebanonRunning Title: Atypical Atrial Flutter Ablation: The Clinical Impact of High-Density MappingWords: 700 (excluding the title page and references)Keywords: cardiac arrhythmias, heart diseases, cardiovascular diseases, catheter ablation, atrial flutter, high density mappingFunding: NoneDisclosures: NoneCorresponding Author:Marwan M. Refaat, MD, FACC, FAHA, FHRS, FASE, FESC, FACP, FRCPTenured Professor of MedicineTenured Professor of Biochemistry and Molecular GeneticsMember, Division of Cardiology/ Section of Cardiac ElectrophysiologyDirector, Cardiovascular Fellowship Program American University of Beirut Faculty of Medicine and Medical CenterPO Box 11-0236, Riad El-Solh 1107 2020- Beirut, LebanonUS Address: 3 Dag Hammarskjold Plaza, 8th Floor, New York, NY 10017, USAOffice: +961-1-350000/+961-1-374374 Extension 5353 or Extension 5366 (Direct)Atypical atrial flutter (AAFL) is an arrhythmia that is distinct from typical atrial flutter (AFL) due to its non-isthmus-dependent reentrant circuit, and often arises in patients with a history of cardiac surgery or ablation, where the resulting iatrogenic scar provides the basis for re-entry circuits.1 Catheter ablation for AAFL is an effective treatment option, associated with lower rates of thromboembolic events, transfusions, and shorter hospital stays compared to typical AFL.2 However, the complexity of AAFL circuits requires precise mapping, and traditional techniques often lack the resolution to accurately delineate these pathways. High-density (HD) mapping technology has emerged as a significant advancement in this regard, offering detailed electroanatomic maps that enhance procedural success.3 In this issue of the Journal of Cardiovascular Electrophysiology, the study by Sink et al. investigates the impact of HD mapping on AAFL ablation outcomes and healthcare utilization, providing valuable insights into its clinical benefits.4In this retrospective analysis, Sink et al. examined 108 patients who underwent AAFL ablation at a single academic center from 2005 to 2022. The cohort was divided into two groups: those who received HD mapping with a 16-electrode HD Grid catheter and Precision mapping system, and those who underwent non-HD mapping using traditional spiral catheters and the Velocity system. Primary outcomes included procedural success, defined as non-inducibility of the arrhythmia after ablation, and AFL recurrence. Secondary outcomes included emergency department (ED) visits, hospitalizations, and overall healthcare utilization within one-year post-procedure. The study revealed that HD mapping significantly improved both the delineation of AAFL circuits (92.5% vs. 76%; p=0.014) and procedural success rates (91% vs. 71%; p=0.006). Additionally, patients in the HD mapping group experienced significantly fewer ED visits (aIRR 0.32; p=0.007) and hospitalizations (aIRR 0.32; p=0.004) for AF/AFL/HF within the first year. While there was a trend towards lower AFL recurrence in the HD mapping group (aHR 0.60; p=0.13), this difference did not reach statistical significance. This study highlights the significant advantages of HD mapping in AAFL ablation. The enhanced resolution provided by HD mapping allows for more precise identification and targeting of arrhythmogenic substrates, leading to improved clinical outcomes.Though this study was well-conducted, minor limitations must be noted. The study’s retrospective design and single-center setting introduce potential biases and limit the generalizability of the results. The non-randomized nature of the study also raises the possibility of selection bias. Furthermore, the higher use of contact force-sensing catheters in the HD mapping group may have contributed to the observed differences in outcomes. A larger sample size would have likely allowed the study to achieve statistical significance when comparing recurrent AAFL rates between groups. Despite these limitations however, this study provides strong support for the clinical utility of HD mapping in AAFL ablation. Future multi-center, randomized trials should validate these findings and examine factors not studied here, such as procedure fluoroscopy time and complication rates between groups. Long-term benefits should also be further investigated, as some prior studies for example have shown no significant decrease in anti-arrhythmic drug use at 1-year follow-up5 and significantly decreased rates of sinus rhythm maintenance for repeat ablations compared with single ablations6. Research on HD mapping in patients with specific comorbidities could also provide insights into its broader applicability. For instance, one study showed a greater chance of acute procedural failure in patients with a history of surgical correction for congenital heart disease.7 Though HD-mapping-guided ablation demonstrates higher acute procedural success, several studies have shown long-term recurrence rates remain significant.8, 9 Hence, further research is needed to identify strategies to reduce these rates. In this context, the development of new mapping tools, such as the Octaray TM system (Biosense Webster Inc., Irvine, CA, USA)10 and the Ensite TM Omnipolar Technology (OT) (Abbott, Chicago, IL, USA)11, may offer improved outcomes. Further research is also needed to assess the clinical outcomes, healthcare utilization and biomarker response for ablation of AAFL with HD mapping in the setting of heart failure with reduced ejection fraction.12 To the best of our knowledge, this is the first such study to demonstrate that ablation with HD mapping for AAFL results in reduced re-hospitalization and ED visits. Future research should attempt to expand on these findings to evaluate potential cost-benefit and impact on patient quality of life.References:1. Cherian Tharian S, Supple G, Smietana J, Santangeli P, Nazarian S, Lin D, Hyman Matthew C, Walsh K, Marchlinski F and Arkles J. Idiopathic Atypical Atrial Flutter Is Associated With a Distinct Atriopathy.JACC: Clinical Electrophysiology . 2021;7:1193-1195.2. Ko Ko NL, Sriramoju A, Khetarpal BK and Srivathsan K. Atypical atrial flutter: review of mechanisms, advances in mapping and ablation outcomes.Curr Opin Cardiol . 2022;37:36-45.3. Raymond-Paquin A, Pillai A, Myadam R, Mankad P, Lovejoy S, Koneru JN and Ellenbogen KA. Atypical atrial flutter catheter ablation in the era of high-density mapping.J Interv Card Electrophysiol . 2023;66:1807-1815.4. Sink JC, Kasen; Uppalapati, Lakshmi; Lancki, Nicola; Peigh, Graham; Lohrmann, Graham; Elsayed, Mahmoud; Carneiro, Herman; Baman, Jayson; Pfenniger, Anna; Patil, Kaustubha D.; Verma, Nishant; Arora, Rishi; Kim, Susan S.; Chicos, Alexandru B.; Lin, Albert C.; Knight, Bradley P.; Passman, Rod S. Association Between High-Density Mapping of Atypical Atrial Flutter, Clinical Outcomes and Healthcare Utilization. Journal of Cardiovascular Electrophysiology . 2024.5. Balt JC, Klaver MN, Mahmoodi BK, van Dijk VF, Wijffels MCEF and Boersma LVA. High-density versus low-density mapping in ablation of atypical atrial flutter.Journal of Interventional Cardiac Electrophysiology . 2021;62:587-599.6. Marazzato J, Cappabianca G, Angeli F, Crippa M, Golino M, Ferrarese S, Beghi C and De Ponti R. Catheter ablation of atrial tachycardias after mitral valve surgery: a systematic review and meta‐analysis. Journal of Cardiovascular Electrophysiology . 2020;31:2632-2641.7. Delacretaz E, Ganz Leonard I, Soejima K, Friedman Peter L, Walsh Edward P, Triedman John K, Sloss Laurence J, Landzberg Michael J and Stevenson William G. Multiple atrial macro–re-entry circuits in adults with repaired congenital heart disease: entrainment mapping combined with three-dimensional electroanatomic mapping.Journal of the American College of Cardiology . 2001;37:1665-1676.8. Lozano-Granero C, Moreno J, Sanchez-Perez I, Matia-Frances R, Hernandez-Madrid A, Zamorano JL and Franco E. Results of atypical flutter ablation in the era of high density electroanatomical mapping (the RAFAELA study). European Heart Journal . 2023;44.9. Anter E, McElderry TH, Contreras-Valdes FM, Li J, Tung P, Leshem E, Haffajee CI, Nakagawa H and Josephson ME. Evaluation of a novel high-resolution mapping technology for ablation of recurrent scar-related atrial tachycardias. Heart Rhythm . 2016;13:2048-2055.10. Sroubek J, Rottmann M, Barkagan M, Leshem E, Shapira‐Daniels A, Brem E, Fuentes‐Ortega C, Malinaric J, Basu S and Bar‐Tal M. A novel octaray multielectrode catheter for high‐resolution atrial mapping: electrogram characterization and utility for mapping ablation gaps. Journal of Cardiovascular Electrophysiology . 2019;30:749-757.11. Rillo M, Palamà Z, Punzi R, Vitanza S, Aloisio A, Polini S, Tucci A, Pollastrelli A, Zonno F, Anastasia A, Giannattasio CF and My L. A new interpretation of nonpulmonary vein substrates of the left atrium in patients with atrial fibrillation. Journal of Arrhythmia . 2021;37:338-347.12. Pascual-Figal D, Wachter R, Senni M, Bao W, Noè A, Schwende H, Butylin D, Prescott MF; TRANSITION Investigators. NT-proBNP Response to Sacubitril/Valsartan in Hospitalized Heart Failure Patients With Reduced Ejection Fraction: TRANSITION Study. JACC Heart Fail Oct 2020;8(10):822-833.

Article type: Letter – To the editorTitle: Comment on: Implementation of a formalized evaluation and planning tool to improve pediatric oncology outcomes in KenyaSubtitle: Bridging Gaps: AI-Driven Healthcare Equity for Low and Middle-Income CountriesAnoud Khana, Aryan Tareena

：Thymoma, a rare tumor from thymic epithelial cells, presents diagnostic challenges due to the subjective nature of traditional methods, leading to high false-negative rates and long diagnosis times. This study introduces a thymoma classification technique that integrates hyperspectral imaging with deep learning. We initially capture pathological slice images of thymoma using a hyperspectral camera and delineate regions of interest to extract spectral data. This data undergoes reflectance calibration and noise reduction. Subsequently, we transform the spectral data into two-dimensional images via the Gramian Angular Field (GAF) method. A variant residual network is then utilized to extract features and classify these images. Our results demonstrate that this model significantly enhances classification accuracy and efficiency, achieving an average accuracy of 95%. The method proves highly effective in automated thymoma diagnosis, optimizing data utilization and feature representation learning.

Current workflows in academic ecology rarely allow an engagement of ecologists with philosophers, or with contemporary philosophical work. We argue that this is a missed opportunity for enriching ecological reasoning and practice, because many questions in ecology overlap with philosophical questions and with current topics in contemporary philosophy of science. One obstacle to a closer connection and collaboration between the fields is the limited awareness of scientists, including ecologists, of current philosophical questions, developments and ideas. In this article, we aim to overcome this obstacle and trigger more collaborations between ecologists and philosophers. First, we provide an overview of philosophical research relevant to ecologists. Second, we use examples to demonstrate that many ecological questions have a philosophical dimension and point to related philosophical work. We elaborate on one example -- the debate around the appropriate level of complexity of ecological models -- to show in more detail how philosophy can enrich ecology. Finally, we provide suggestions for how to initiate collaborative projects involving both ecologists and philosophers.

The operation of offshore vessels is directly related to the use of flexible pipelines. The article describes in detail the analysis of power, geometric, kinematic and technological parameters that affect the main operational characteristics of these pipes during their operation under water, in rough sea conditions and under wind loads. The article describes the degree of dependence between loads on the pipeline and velocity of the oncoming flow, the geometry of the pipe and the distance to the rigid surface of the ship’s hull or the seabed. It was determined how the flow velocity during parametric oscillations of the pipeline in unrestricted flow and near the surface of the seabed affects the change in its drag and lift coefficients. An estimate of operational limits of flexible pipeline instability was obtained. On the base of changes in distributed load, specific values for safe lengths of pipelines were formulated. It has been stated that the probability of failure-free operation of a flexible pipeline at a level of 0.99 is directly determined by the frequency of its oscillation. Its numerical values should always be at a level that does not exceed 3.7% of the frequency of pipe dynamic oscillations.

Over the past two decades, patient-centered care has gained global prominence, emphasizing collaboration among patients, families, caregivers, and healthcare professionals to improve healthcare delivery. Recognizing the foundational role of patient participation in enhancing clinical outcomes, healthcare organizations increasingly integrate patient inputs and resources into their management strategies. Patient and Family Advisory Councils (PFACs) represent a primary form of collective patient engagement at the organizational level. PFACs actively engage in all levels of the hospital system to enhance quality improvement and meet the demands of patients. Despite PFACs’ recognized importance, empirical evidence regarding their roles as strategic resources and impact on hospital performance remains unexplored. Incorporating patient engagement into SRBV, this study addresses how comprehensive strategic resources are associated with a hospital’s quality of care and patient satisfaction outcomes. Utilizing hospital-level data from 2018 to 2020, a cross-sectional time-series ordered logit analysis examines the quality of care and satisfaction models. The findings reveal that patient engagement, physical resources, and human capital are positively associated with hospital quality of care and patient satisfaction. In contrast, a social resource – a minority population – is negatively associated with hospital outcomes. This study contributes theoretical and practical implications. It synthesizes patient engagement into the SRBV approach and provides consistent empirical evidence. In addition, it suggests evidence for practitioners to develop and manage patient engagement as a strategic resource.

Climate change and human influence are transforming mountain ecosystems, significantly impacting species distributions and biodiversity. Among these changes, the upward migration of lowland species into mountain regions stands out. This study examines the ecogeographical niche overlap and genetic diversity among three Leucanthemum species in the Carpathian Mountains distributed along an altitudinal gradient: the lowland L. ircutianum (4x), the montane L. rotundifolium (2x), and the alpine L. gaudinii (2x). By genotyping over 600 individuals using SNP analysis, followed by Principal Coordinate Analysis (PCoA), Neighbor-Net Network, and Structure clustering, we reveal not just distinct genetic groups but also hybridization across all species, suggesting the potential for triple hybrids. Genetic admixture is further supported by environmental background and niche overlap analyses that reveal substantial overlap among species, particularly in line with their vertical distribution. Climate envelope plots indicate a likely reduction in available habitat for mountainous species due to climate change, leading to an increase in competition and an intensification of hybridization. Anthropogenic influences are further intensifying these hybridization trends. Among the studied species, L. gaudinii is most at risk of overwhelming hybridization, whereas L. ircutianum may experience habitat expansion. By providing a comprehensive genetic and ecological overview, our research highlights the significance of hybridization in biodiversity conservation and the challenges posed by environmental changes and anthropogenic activities in mountain environments. This study not only contributes to the understanding of genetic diversity in the Carpathians but also underscores the broader implications for molecular ecology and conservation strategies in mountain ecosystems.

As a young scientist in Brazil, my journey began in a public school, where I faced the typical challenges of the Brazilian public education system, such as a lack of resources and support. With immense dedication and resilience, I successfully gained admission to the University of São Paulo (USP), a prestigious institution and one of the top universities in Latin America. Currently, my research focuses on the relationship between the nervous and immune systems in psychosis, a topic I am deeply passionate about. In this piece, I will delve deeper into the challenges and achievements of being a young scientist in Brazil. I also discuss the systemic issues within the Brazilian education and research system, and the changes needed to foster a more supportive and resourceful environment for emerging scientists.

A document by Maisha Maliha. Click on the document to view its contents.

Visual search is guided by mental representations of target-defining features (attentional templates) that are activated in a preparatory fashion. It remains unknown how many templates can be maintained concurrently, and what kind of costs are associated with multiple-template versus single-template search. Here, we compared the operation of attentional templates during three-colour and single-colour search tasks. Preparatory template activation processes were tracked by measuring N2pc components to task-irrelevant singleton colour probes that appeared in rapid succession during the interval between search displays. These probes attract attention (as indexed by an N2pc) if the corresponding colour template is active at the time when the probe appears. In a three-colour search task where target identity was fully predictable (Experiment 1), only probes that matched the upcoming target colour triggered N2pcs, demonstrating that only a single target template was activated. When three possible colour targets appeared randomly and unpredictably (Experiment 2), probes that matched any of these colours triggered N2pcs, demonstrating that all three templates were activated concurrently. However, relative to a single-colour search task, clear costs emerged in this three-colour task for the attentional guidance towards search targets and for search performance. These costs appear to be linked to inhibitory interactions between simultaneously active search templates. These findings show that while at least three target templates can be maintained in parallel, multiple-template search is still subject to capacity limitations which affect both template-guided attentional guidance and the subsequent selective processing of search targets.

This paper focuses on the three-dimensional(3D) incompressible anisotropic Boussinesq system while the velocity of fluid only involves horizontal dissipation and the temperature has a damping term. By utilizing the structure of the system, the energy methods and the means of bootstrapping argument, we prove the global stability property in the Sobolev space H k ( R 3 ) ( k ≥ 3 ) of perturbations near the hydrostatic equilibrium. Moreover, we take an effective approach to obtain the optimal decay rates for the global solution itself as well as its derivatives. In this paper, we aim to reveal the mechanism of how the temperature helps stabilize the fluid. Additionally, exploring the stability of perturbations near hydrostatic equilibrium may provide valuable insights into specific severe weather phenomena.

Microglia are resident brain cells that regulate neuronal development and innate immunity. Microglia activation is involved in the cellular response to neuroinflammation, thus representing a possible target for pharmacological strategies aimed to counteract the onset and progression of brain disorders, including depression. In this sense, antidepressant drugs have been reported to reduce neuroinflammation by acting on glial cells, too. Herein, the potential anti-inflammatory and neuroprotective effects of trazodone (TRZ) on the microglial HMC3 cell line were investigated. HMC3 cells were activated by a double inflammatory stimulus (LPS and TNF-α, 24 h each), and the induction of inflammation was demonstrated by i) the increased expression levels of Nuclear Factor kappa-light-chain-enhancer of activated B cells (NF-kB) and Ionized calcium-Binding Adapter molecule 1 (IBA-1), and ii) the increased release of interleukin 6 (IL-6) and Transforming Growth Factor-beta (TGF-β). TRZ effects were evaluated by treating HMC3 cells for 24 h before (pre-treatment) and after (post-treatment) the double inflammatory stimulus. Notably, both TRZ treatment approaches restored microglia, significantly decreasing the expression of NF-kB and IBA-1, and the release of the cytokines IL-6 and TGF-β. Moreover, TRZ prevented and reduced the release of quinolinic acid (QUIN), a known neurotoxic kynurenine metabolite, demonstrating a potential neuroprotective effect. In this sense, neuronal-like cells were incubated with conditioned media collected from microglial cells previously treated with LPS-TNF-α in the absence or in the presence of TRZ to evaluate cell viability. Overall, for the first time, this study suggests anti-inflammatory and neuroprotective effects of TRZ on human microglia.

As the single link between leaves and the rest of the plant, petioles must develop conductive tissues according to the water influx and sugar outflow of the leaf lamina. A scaling relationship between leaf area and anatomical traits of xylem and phloem is expected to improve the efficiency of these tissues. However, the different constraints compromising the functionality of both tissues (e.g., risk of cavitation) must not be disregarded. Additionally, plants present two main leaf habits (deciduous and evergreen) that may have different strategies to produce and package their petiole conduits to cope with environmental restrictions. In this study, we explore, in a diverse group of 33 oak species, the relationships between petiole anatomical traits, leaf area, stomatal conductance and photosynthesis rate. Results showed allometric scaling between anatomical structure of xylem and phloem with leaf area. We also found how photosynthesis and stomatal conductance at leaf-level are correlated with anatomical traits in the petiole. Nonetheless, the main novelty is how oaks present a different strategy depending on the leaf habit. Deciduous species tend to increase their diameters to achieve a greater leaf-specific conductivity. By contrast, evergreen oaks develop larger xylem conductive areas for a given leaf area than deciduous ones. This trade-off between safety-efficiency in petioles has never been attributed to the leaf habit of the species.

Hypocalcemia-induced seizures in a peritoneal dialysis (PD) patient: A case report\RLMohammed Mohammed Taha1, Ayman Azhary2,3 *, Abdallah Elssir Ahmed3, Abubakar Abdelbagi4, Mohammed Elfatih Hamida5, and

Introduction: The subcutaneous implantable cardioverter defibrillator (S-ICD) is an alternative to a transvenous ICD in patients who meet criteria for ICD implantation without concurrent need for cardiac pacing. The objective of this study is to examine the rates of and indications for S-ICD removal and extraction. Methods: A retrospective analysis of all patients who underwent S-ICD implantation between 2010 and 2022 at a single multihospital healthcare system was performed. The primary endpoint was S-ICD removal or extraction. Patient and device characteristics were abstracted from the electronic medical record. Univariate and multivariate analyses were completed to determine factors associated with S-ICD extraction. Results: A total of 372 patients (69.5% male; 48.6 ± 14.4 years old) underwent S-ICD implantation during the study period. There were 22 (5.9%) patients (81.8% male; 52.1 ± 13.2 years old) who underwent S-ICD extraction over a median follow up period of 4.4 [2.0-6.5] years. The median length of time between implantation and extraction was 39.6 [8.3-64.6] months. The most common indications for S-ICD extraction were need for bradycardia pacing (incidence, 1.08%), infection (1.34%), and inappropriate shocks due to oversensing (1.34%). A smoking history and higher body mass index were independently associated with S-ICD extraction. Conclusions: The overall rate of S-ICD extraction over 4.4 [2.0-6.5] years was 5.9%, with the most common indications for extraction being need for bradycardia pacing, infection, and inappropriate shocks due to oversensing. A smoking history and high body mass index are associated with increased rates of S-ICD extraction. With appropriate patient selection for the S-ICD, the need to remove the device after implantation is low.

Hydatid cyst of thyroid gland: A case reportPrashant Ghimire, Universal College of Medical Sciences, Bhairahawa, [email protected] Rana Magar, Tribhuvan University Institute of Medicine, Kathmandu, Nepal [email protected] Panthi, Department of Pathology, Tribhuvan University Teaching Hospital, Kathmandu, [email protected] Bahadur Maharjan, Kathmandu University, Dhulikhel, [email protected] Khan, Universal College of Medical Sciences, Bhairahawa, [email protected] Thapa, Nepal Medical College Teaching Hospital, [email protected] Paudel, Institute of Medicine, Kathmandu, [email protected] Karn,  Tribhuvan University Institute of Medicine Maharajgunj Medical Campus, Kathmandu, [email protected] Luitel,  Tribhuvan University Institute of Medicine Maharajgunj, Kathmandu, [email protected]