Title: Obesogenic microbial signatures and the development of obesity in childhood acute lymphoblastic leukemia.

Childhood acute lymphoblastic leukemia (ALL) is the most common childhood cancer with survival exceeding 90% for standard-risk groups. A debilitating side-effect of treatment is the development of overweight/obesity (OW/OB), which develops in approximately 40% of children by the end of treatment. The microbiome has been associated with the development of OW/OB. We examined fluctuations in the microbiome with the development of OW/OB during the first six months of treatment at diagnosis, and two subsequent timepoints (N = 62). Shotgun metagenomic sequencing was performed on Illumina Nextseq system, and taxa and functional pathways were extracted from sequences using kraken2 and humann2, respectively. An association of increased presence of several species (e.g., Klebsiella pneumoniae, Escherichia coli) was observed in children with OW/OB, while lean-promoting species (Veillonella, Haemophilus, and Akkermansia) were increased in children who maintained a normal weight. Pathway analysis revealed purine nucleotide biosynthesis, sugar nucleotide biosynthesis, and enzyme cofactor biosynthesis were positively correlated with Bacteroides spp. among children with OW/OB. We identified several taxa and functional pathways that may confer increased risk for the development of OW/OB. The associations observed in this pilot are preliminary and warrant further research in the microbiome and the development of OW/OB in childhood ALL.

Health-related quality of life in patients with idiopathic pulmonary fibrosis: a systematic review.

BACKGROUND: Idiopathic pulmonary fibrosis (IPF) profoundly affects the quality of patients' lives. A systematic review was performed to evaluate critically the published literature and to examine what is known about health-related quality of life (HRQL) in patients with IPF. METHODS: The MEDLINE, EMBASE, Health and Psychosocial Instruments, and Cochrane Library databases were searched to 1 April 2004. Abstracts and bibliographies of published articles were scanned and contact was made with investigators. Included studies analysed HRQL (or quality of life) in at least 10 patients with IPF. Two reviewers independently selected studies, evaluated their quality according to predetermined criteria, and abstracted data on study design, patients' demographic and clinical characteristics, and quality of life outcome measures. RESULTS: Seven studies met the inclusion criteria. The studies enrolled 512 patients with IPF and used three different instruments to measure HRQL. All studies had important limitations in methodological quality; none measured longitudinal changes in HRQL over time. Patients reported substantially impaired HRQL, especially in domains that measured physical health and level of independence. Patients with IPF appear to have similar impairments in HRQL to those with chronic obstructive pulmonary disease. Measures of dyspnoea were moderately correlated with scores from domains that measured physical health (R2 = 0.03-0.66) and energy/fatigue/pep (R2 = 0.19-0.55), but measures of pulmonary function and gas exchange did not correlate as strongly with these and other domains. CONCLUSION: Studies of HRQL in patients with IPF suggest that, in addition to the obvious effect on physical health, general health, energy level, respiratory symptoms, and level of independence are also impaired. Variability in HRQL among patients is not fully explained by measures of dyspnoea or pulmonary function, suggesting that HRQL measures provide unique information. More research is needed to identify or design appropriate measurement instruments for patients with IPF and to examine changes in HRQL over time or in response to specific treatments.

Freshening of the Ross Sea during the late 20th century.

Ocean measurements in the Ross Sea over the past four decades, one of the longest records near Antarctica, reveal marked decreases in shelf water salinity and the surface salinity within the Ross Gyre. These changes have been accompanied by atmospheric warming on Ross Island, ocean warming at depths of approximately 300 meters north of the continental shelf, a more negative Southern Oscillation Index, and thinning of southeast Pacific ice shelves. The freshening appears to have resulted from a combination of factors, including increased precipitation, reduced sea ice production, and increased melting of the West Antarctic Ice Sheet.

Circulation and melting beneath the ross ice shelf.

Thermohaline observations in the water column beneath the Ross Ice Shelf and along its terminal face show significant vertical stratification, active horizontal circulation, and net melting at the ice shelf base. Heat is supplied by seawater that moves southward beneath the ice shelf from a central warm core and from a western region of high salinity. The near-freezing Ice Shelf Water produced flows northward into the Ross Sea.

Fish, crustaceans, and the sea floor under the ross ice shelf.

Baited traps and a camera lowered through the Ross Ice Shelf, Antarctica, at a point 475 kilometers from the open Ross Sea and to 597 meters below sea level revealed the presence of fish, many amphipods, and one isopod. Biological or current markings were not evident on a soft bottom littered with subangular lumps. A fish was caught through a crevasse 80 kilometers from the shelf edge.