Effects of a multi-strain Bacillus probiotic on the intestinal microbiome, haemato-immunology, and growth performance of Nile tilapia.

The study evaluated dietary supplementation with a feed additive composed of multi-strain Bacillus for Nile tilapia Oreochromis niloticus. In vitro and in vivo assays employing culture-based microbiological methods and metagenomics were performed. Additionally, the study assessed the haemato-immunology, intestinal microbiome, and growth performance of the animals. For this, 30 juvenile Nile tilapia were used in the in vitro assay and 180 (60 + 120) in the in vivo assays. In the in vitro assay, we found evidence of adhesion of the probiotic bacteria to the intestinal mucus of fish, corroborated in the 15-day in vivo assay, in which the count of B. licheniformis was significantly higher in fish fed with probiotic when compared to fish of the control group. Furthermore, in the 50-day in vivo trial, a metagenomic analysis provided evidence for the modulation of the intestine microbiome of Nile tilapia by dietary supplementation of the probiotic. In addition, there was an increase in species richness, higher abundance of potentially probiotic autochthonous species and a lower abundance of Aeromonas sp. when the animals were fed the supplemented diet. Finally, no significant differences were observed in growth performance and haemato-immunological analyses, suggesting no harm to fish health when the product was supplemented for 15 and 50 days. The in vitro results indicate that the multi-strain probiotics were able to adhere to the intestinal mucus of Nile tilapia. Additionally, a modulation of the intestinal microbiome was evidenced in the in vivo assay.

Evaluation of blood cell count using an automatic hematology analyzer to optimize collection of peripheral blood progenitor cells by leukapheresis.

BACKGROUND: Autologous stem cell transplantation is a treatment modality for several diseases. Prediction of successful mobilization may be useful to optimize hematopoietic stem cell collection. STUDY DESIGN AND METHODS: This was a retrospective study with data from transplantation candidates between September 2015 and December 2021 being analyzed. The medical record of each patient was reviewed to mine mobilization information. The laboratory data analyzed were CD34+ cell enumeration and pre-collection peripheral blood cell count. The primary outcome, good mobilization, was defined as a CD34+ cell count ≥20/µL. RESULTS: This study included 807 patients. Increased patient weight, low mean corpuscular volume, high nucleated red blood cells, peripheral blood mononuclear cell and immature granulocyte counts were significantly associated with good mobilization. In addition, patients diagnosed with multiple myeloma were two times more likely to be good mobilizers than patients with lymphoma. The model was applied to a validation set to identify patients who underwent apheresis (CD34+ cell count ≥10 µL), resulting in a sensitivity of 69 %, a specificity of 95 %, positive predictive value of 98 %, and a negative predictive value of 50 %. CONCLUSION: Success in mobilization was greater in patients who underwent the first mobilization cycle and who had a diagnosis of multiple myeloma. Furthermore, higher body weight, and nucleated red blood cells, immature granulocytes and mononuclear cell counts, as well as low mean corpuscular volumes, were associated with successful mobilization.

Cell behaviors that pattern developing tissues: the case of the vertebrate nervous system.

Morphogenesis from cells to tissue gives rise to the complex architectures that make our organs. How cells and their dynamic behavior are translated into functional spatial patterns is only starting to be understood. Recent advances in quantitative imaging revealed that, although highly heterogeneous, cellular behaviors make reproducible tissue patterns. Emerging evidence suggests that mechanisms of cellular coordination, intrinsic variability and plasticity are critical for robust pattern formation. While pattern development shows a high level of fidelity, tissue organization has undergone drastic changes throughout the course of evolution. In addition, alterations in cell behavior, if unregulated, can cause developmental malformations that disrupt function. Therefore, comparative studies of different species and of disease models offer a powerful approach for understanding how novel spatial configurations arise from variations in cell behavior and the fundamentals of successful pattern formation. In this chapter, I dive into the development of the vertebrate nervous system to explore efforts to dissect pattern formation beyond molecules, the emerging core principles and open questions.

Effects of supplementation with different zinc-based products on the growth and health of Nile tilapia.

Zinc is one of the essential microelements for the metabolism of animals. Zinc nanoparticles may have higher bioavailability due to their low specific surface area, facilitating absorption by fish. The present study aimed to evaluate the effects of supplementation with different zinc-based products on the growth and health of Nile tilapia Oreochromis niloticus. Zinc, in different sizes (nanoparticles or bulk) and forms (inorganic or organic), were used as a supplement in the tilapia diet at a dose of 15 mg kg feed-1 for 60 days. At the end of the feeding trial, production performance, hemato-immunological parameters, activity of antioxidant system enzymes, exposure to Streptococcus agalactiae and zinc concentration in the muscle were examined. After the bacterial challenge, the mean corpuscular hemoglobin concentration (MCHC) significantly increased in the fish treated with organic zinc, inorganic nano zinc, and organic nano zinc, while in the control group (inorganic zinc), MCHC remained unchanged. Regarding defense cells, dietary inorganic nano zinc increased the number of basophils (1.50 ± 1.10) compared to organic zinc (0.80 ± 0.90). Lymphocyte count increased after the challenge only in the organic zinc treatments (bulk and nanoparticles). Neutrophils decreased in the control (inorganic zinc) (2.20 ± 1.70) and inorganic nano zinc (2.60 ± 2.70) treatments after the challenge. When compared before and after the bacterial challenge, the plasma antimicrobial titer significantly increased after the bacterial challenge in all treatments. No significant differences were observed for total proteins, enzymes (SOD and CAT), cumulative survival and zinc deposition on fillet. In conclusion, organic zinc in nanoparticles or bulk size increased Nile tilapia innate defense during bacterial infection. However, the other parameters evaluated were not affected by zinc particle size or form (organic or inorganic), indicating that further evaluations should be conducted with organic zinc in nanoparticles or bulk size in the tilapia diet.

Cognitive and Neural Representations of Fractals in Vision, Music, and Action.

The concept of fractal was popularized by Mandelbrot as a tool to tame the geometrical structure of objects with infinite hierarchical depth. The key aspect of fractals is the use of simple parsimonious rules and initial conditions, which when applied recursively can generate unbounded complexity. Fractals are structures ubiquitous in nature, being present in coast lines, bacteria colonies, trees, and physiological time series. However, within the field of cognitive science, the core question is not which phenomena can generate fractal structures, but whether human or animal minds can represent recursive processes, and if so in which domains. In this chapter, we will explore the cognitive and neural mechanisms underlying the representation of recursive hierarchical embedding. Language is the domain in which this capacity is best studied. Humans can generate an infinite array of hierarchically structured sentences, and this capacity distinguishes us from other species. However, recent research suggests that humans can represent similar structures in the domains of music, vision, and action and has provided additional cues as to how these capacities are cognitively implemented. Using a comparative approach, we will map the commonalities and differences across domains and offer a roadmap to understand the neurobiological implementation of fractal cognition.

Lippia sidoides essential oil at concentration of 0.25% provided improvements in microbiota and intestine integrity of Danio rerio.

The study evaluated the effects of dietary supplementation with Lippia sidoides essential oil on the microbiota and intestinal morphology of Danio rerio. For this, 448 fish were randomly distributed in 28 tanks divided into a control group fed a commercial diet without supplementation, a group fed a commercial diet containing grain alcohol and five groups fed a commercial diet containing essential oil of L. sidoides (LSEO) at concentrations of 0.25%, 0.50%, 0.75%, 1.00% and 1.25%. After the period of dietary supplementation, biological materials were collected for microbiological and histological analyses. There were no significant differences regarding the microbiological count between the groups. Diversity of the microbiome was higher in 0.25% group than in control group. LSEO inhibited the growth of potentially pathogenic bacteria. Fish fed LSEO0.25% showed greater intestinal histomorphometric indices. The inclusion of LSEO at 0.25% in the diet of D. rerio provided improvements in fish microbiota and intestine integrity.

O estudo avaliou os efeitos da suplementação dietária com óleo essencial de Lippia sidoides sobre a microbiota e a morfologia intestinal de Danio rerio. Para isso, 448 peixes foram distribuídos aleatoriamente em 28 tanques divididos em grupo controle alimentado com dieta comercial sem suplementação, grupo alimentado com dieta comercial contendo álcool de cereais e cinco grupos alimentados com dieta comercial contendo óleo essencial de L. sidoides (LSEO) em concentrações de 0,25%, 0,50%, 0,75%, 1,00% e 1,25%. Após o período de suplementação alimentar, foram coletadas amostras biológicas para análises microbiológicas e histológicas. Não houve diferenças significativas quanto à contagem microbiológica entre os grupos. A diversidade do microbioma foi maior no grupo de 0,25% do que no grupo controle. LSEO inibiu o crescimento de bactérias potencialmente patogênicas. Peixes alimentados com LSEO 0,25% apresentaram maiores índices histomorfométricos intestinais. A inclusão de LSEO a 0,25% na dieta de D. rerio proporcionou melhorias na microbiota e na integridade intestinal dos peixes.

Trace metal biomonitoring in the farming of tambaqui (Colossoma macropomum), an Amazonian neotropical fish.

In Brazil, studies evaluating the concentration of trace metals in fish farms are scarce. Therefore, studies investigating the presence and levels of these metals in aquatic biota, particularly in fish tissues, are crucial for developing appropriate strategies to mitigate the impact of possible toxic metals. Herein, we investigated the levels of trace metals (Cr, Mn, Co, Ni, Cu, Zn, Al, Ag, Cd, Pb, Fe, Na, Mg, Ca, K, and Ba) in water, feed, and sediment, as well as the bioconcentration and bioaccumulation factors in tambaqui muscles (Colossoma macropomum). For this purpose, eight commercial fish farms, which are also engaged in other agricultural activities, were selected. Fe, Zn, Mg, and Cr concentration in tambaqui muscles exceeded the limits set by the Brazilian regulations for daily consumption by adults. Mn, Zn, Al, Pb, Fe, Na, Cu, Co, Ag, Cd, and Ba levels were substantially higher in the liver tissue of tambaquis than those in the muscle tissue. The most prevalent metals found in the feed were Ca, K, Na, Mg, and Fe. However, the levels of Cr and Cd in the sediment, as well as Pb, Mn, Cu, and Fe in the water, exceeded the maximum limits allowed by the Brazilian legislation. The highest bioconcentration factors were observed for the metals, Na, Zn, and K, with concentrations up to 4.74, 12.61, and 72.08 times, respectively, higher in tambaqui muscle compared to those in water. The bioaccumulation factors for Ca, Zn, Mg, Na, and K were 2.90, 6.96, 21.21, 212.33, and 492.02 times, respectively, higher in the muscle tissue than those in the sediment values in fishponds across all fish farms. Therefore, our findings suggest that tambaquis have a remarkable ability to bioaccumulate trace metals, particularly the essential ones, and can be categorized as a bioindicator species for environmental quality. Furthermore, we observed that, although water exhibits the highest prevalence and diversity of elements above the values recommended by the Brazilian legislation, sediment is the primary source of trace metal contamination for tambaquis.

Dietary supplementation with Lippia sidoides essential oil improves organ integrity but the specific activity of antioxidant enzymes is dose-dependent in Danio rerio.

The nutritional quality of food can affect the health of animals. This study examined the effects of dietary supplementation with Lippia sidoides essential oil (LSEO) on the physiology of Danio rerio. Four hundred fourty-eight fish were divided into 28 tanks and subjected to different dietary treatments: a control group with no supplementation, a group with grain alcohol supplementation and five groups with LSEO at concentrations of 0.25%, 0.50%, 0.75%, 1.00% and 1.25%. After 15 days, histological and enzymatic analyses were conducted. The 0.25% LSEO group exhibited lower glutathione peroxidase and catalase activity compared to the 1.00% group. Additionally, fish in the 0.25% LSEO group showed improved liver, kidney and splenic integrity indices. These findings support the inclusion of 0.25% LSEO in the diet of D. rerio, suggesting potential benefits for fish physiology and encouraging further research on phytotherapeutics in fish diets.

Cognitive fossils: using cultural artifacts to reconstruct psychological changes throughout history.

Psychology is crucial for understanding human history. When aggregated, changes in the psychology of individuals - in the intensity of social trust, parental care, or intellectual curiosity - can lead to important changes in institutions, social norms, and cultures. However, studying the role of psychology in shaping human history has been hindered by the difficulty of documenting the psychological traits of people who are no longer alive. Recent developments in psychology suggest that cultural artifacts reflect in part the psychological traits of the individuals who produced or consumed them. Cultural artifacts can thus serve as 'cognitive fossils' - physical imprints of the psychological traits of long-dead people. We review the range of materials available to cognitive and behavioral scientists, and discuss the methods that can be used to recover and quantify changes in psychological traits throughout history.

Reproductive Strategies and Romantic Love in Early Modern Europe.

In Western Europe, the Early Modern Period is characterized by the rise of tenderness in romantic relationships and the emergence of companionate marriage. Despite a long research tradition, the origins of these social changes remain elusive. In this paper, we build on recent advances in behavioral sciences, showing that romantic emotional investment, which is more culturally variable than sexual attraction, enhances the cohesion of long-term relationships and increases investment in children. Importantly, this long-term strategy is considered especially advantageous when living standards are high. Here, we investigate the relationship between living standards, the emotional components of love expressed in fiction work, and behavioral outcomes related to pair bonding, such as nuptial and fertility rates. We developed natural language processing measures of "emotional investment" (tenderness) and "attraction" (passion) and computed romantic love in English plays (N = 847) as a ratio between the two. We found that living standards generally predicted and temporally preceded variations of romantic love in the Early Modern Period. Furthermore, romantic love preceded an increase in nuptial rates and a decrease in births per marriage. This suggests that increasing living standards in the Early Modern Period may have contributed to the emergence of modern romantic culture.

Neuronal migration prevents spatial competition in retinal morphogenesis.

The concomitant occurrence of tissue growth and organization is a hallmark of organismal development1-3. This often means that proliferating and differentiating cells are found at the same time in a continuously changing tissue environment. How cells adapt to architectural changes to prevent spatial interference remains unclear. Here, to understand how cell movements that are key for growth and organization are orchestrated, we study the emergence of photoreceptor neurons that occur during the peak of retinal growth, using zebrafish, human tissue and human organoids. Quantitative imaging reveals that successful retinal morphogenesis depends on the active bidirectional translocation of photoreceptors, leading to a transient transfer of the entire cell population away from the apical proliferative zone. This pattern of migration is driven by cytoskeletal machineries that differ depending on the direction: microtubules are exclusively required for basal translocation, whereas actomyosin is involved in apical movement. Blocking the basal translocation of photoreceptors induces apical congestion, which hampers the apical divisions of progenitor cells and leads to secondary defects in lamination. Thus, photoreceptor migration is crucial to prevent competition for space, and to allow concurrent tissue growth and lamination. This shows that neuronal migration, in addition to its canonical role in cell positioning4, can be involved in coordinating morphogenesis.

Influence of Seasonality and Culture Stage of Farmed Nile Tilapia (Oreochromis niloticus) with Monogenean Parasitic Infection.

The aim of this study was to observe how abiotic and biotic factors in a tropical region influence the rate of monogenean parasitism in Nile tilapia (Oreochromis niloticus) that are farmed in net cages. A total of 240 sexually reversed fish were analyzed, and 20 from each culture stage were collected during each sampling month. Overall, 60 fish were sampled in April (autumn), 60 in August (winter), 60 in November (spring), and 60 in February (summer). Fish were collected from a commercial fish farm located in Capivara Reservoir in the lower Paranapanema River region of Paraná, Brazil. In total, 3290 monogenean parasites were collected from fish gills of the following species: Cichlidogyrushalli, C. thurstonae, Scutogyruslongicornis, C. cirratus, C. sclerosus, and C. tilapiae. Higher parasitological indices were observed in colder seasons with lower precipitation. Autumn had the highest parasitic infection values compared to the other seasons. The occurrence of monogenean parasites showed a negative correlation with season, in contrast to the culture stage, in which there was a positive correlation. These results may provide a means for establishing adequate fish farm management to predict periods of high monogenean infestation.

Deterministic and probabilistic fate decisions co-exist in a single retinal lineage.

Correct nervous system development depends on the timely differentiation of progenitor cells into neurons. While the output of progenitor differentiation is well investigated at the population and clonal level, how stereotypic or variable fate decisions are during development is still more elusive. To fill this gap, we here follow the fate outcome of single neurogenic progenitors in the zebrafish retina over time using live imaging. We find that neurogenic progenitor divisions produce two daughter cells, one of deterministic and one of probabilistic fate. Interference with the deterministic branch of the lineage affects lineage progression. In contrast, interference with fate probabilities of the probabilistic branch results in a broader range of fate possibilities than in wild-type and involves the production of any neuronal cell type even at non-canonical developmental stages. Combining the interference data with stochastic modelling of fate probabilities revealed that a simple gene regulatory network is able to predict the observed fate decision probabilities during wild-type development. These findings unveil unexpected lineage flexibility that could ensure robust development of the retina and other tissues.

Adeno-associated virus-vectored delivery of HIV biologics: the promise of a "single-shot" functional cure for HIV infection.

The ability of immunoglobulin-based HIV biologics (Ig-HIV), including broadly neutralizing antibodies, to suppress viral replication in pre-clinical and clinical studies illustrates how these molecules can serve as alternatives or adjuncts to antiretroviral therapy for treating HIV infection. However, the current paradigm for delivering Ig-HIVs requires repeated passive infusions, which faces both logistical and economic challenges to broad-scale implementation. One promising way to overcome these obstacles and achieve sustained expression of Ig-HIVs in vivo involves the transfer of Ig-HIV genes to host cells utilizing adeno-associated virus (AAV) vectors. Because AAV vectors are non-pathogenic and their genomes persist in the cell nucleus as episomes, transgene expression can last for as long as the AAV-transduced cell lives. Given the long lifespan of myocytes, skeletal muscle is a preferred tissue for AAV-based immunotherapies aimed at achieving persistent delivery of Ig-HIVs. Consistent with this idea, recent studies suggest that lifelong immunity against HIV can be achieved from a one-time intramuscular dose of AAV/Ig-HIV vectors. However, realizing the promise of this approach faces significant hurdles, including the potential of AAV-delivered Ig-HIVs to induce anti-drug antibodies and the high AAV seroprevalence in the human population. Here we describe how these host immune responses can hinder AAV/Ig-HIV therapies and review current strategies for overcoming these barriers. Given the potential of AAV/Ig-HIV therapy to maintain ART-free virologic suppression and prevent HIV reinfection in people living with HIV, optimizing this strategy should become a greater priority in HIV/AIDS research.

Bioaccumulation of trace metals in Neoechinorhynchus buttnerae and in its fish host tambaqui (Colossoma macropomum) from fish farms.

Fish parasites are excellent bioindicators of environmental contamination because they respond quickly to water pollutant chemicals, and they can accumulate high concentrations of trace metals compared to their hosts. Here, we investigated the bioaccumulation pattern of the following: Cd, Ca, K, Na, Mg, Fe, Al, Zn, Ba, Mn, Cu, Pb, Cr, Ni, and Co. We investigated the presence of trace metals in the acanthocephalan parasite Neoechinorhynchus buttnerae, and the bioaccumulation factors (BAFs) of metals were tested in the food, muscle, and liver of its host fish Colossoma macropomum (tambaqui). We used samples from four commercial fish farms that also conduct other agribusiness activities. Tissues of the fish along with their parasites were subjected a trace metal concentration analysis by inductively coupled plasma optical emission spectrometry. Most of metals showed significantly higher presence in N. buttnerae than in tambaqui (p < 0.05), with increased level of Na, Pb, Ca, Mn, Zn, Al, and Fe in fish muscle and that of Cr, Ni, Zn, Al, Ca, and Ba in fish liver. Considering all the fish farms, the highest values of BAF were observed for Fe, Al, Zn, and Mn with concentrations up to 35.63, 26.88, 14.12, and 6.66 times higher in acanthocephalan tissues than in the fish muscle, respectively. Moreover, Ba, Ca, and Al showed concentrations up to 18.11, 12.18, and 11.77 times higher in acanthocephalan than in the liver of tambaqui. Our results indicate that the higher the levels of these metals in the parasite, the lower their concentrations in the muscular and hepatic tissues of the fish. Therefore, we suggest that N. buttnerae can directly influence the concentrations of trace metals in the fish tissues and accumulate both essential trace (Fe, Zn, Mn, and Ca) and toxic elements (Al, Pb, and Ba) in the host.

Efficacy of chlorine, sodium chloride and trichlorfon baths against monogenean Dawestrema cycloancistrium parasite of pirarucu Arapaima gigas.

This study investigated the efficacy of sodium chloride (SC) and trichlorfon (T) against Dawestrema cycloancistrium and its physiological effects on Arapaima gigas. The efficacy of chlorine (C) as a prophylactic disinfectant was also evaluated. In vitro test with 15 treatments were: SC 4, 8, 10, 12, 14 g/L, T0.1, 0.4, 0.8, 1.6, 3.2 mg/L, and C500, 1000, 3000, 6000 mg/L. Scanning electron microscopy was performed to evaluate parasite damage. The in vivo test was as follows: control, 4 h short baths, once a day, for four consecutive days (SC12 g/L, T5 mg/L); 24 h long baths, for 2 days in 24 h intervals (SC10 g/L, T5 mg/L). In vitro exposure to SC12 and 14 g/L caused 100% mortality of monogeneans at 45 and 60 min, while at T3.2 and 1.6 mg/L 100% of monogeneans died at 30 and 60 min, respectively. In vitro exposure to C resulted in complete mortality after 2-5 min exposure. The SC and T LD50-96 h were 9.9 g/L and 9.73 mg/L, respectively. All in vivo treatments presented efficacy above or close to 90%, with low survival in the long baths. C, starting at 500 mg/L for 5 min, can be used as a disinfectant. Short baths with SC12 g/L and T5 mg/L are recommended for D. cycloancistrium infestations in Arapaima.

COVID-19 en estudiantes de medicina en una universidad privada en el periodo académico 2020-2021. Frecuencia y características clínicas / COVID-19 in medical students at a private university in the 2020-2021 academic period. Frequency and clinical characteristics

Introducción: el primer caso de COVID-19 se confirmó en Paraguay el 7 de marzo de 2020. No se han encontrado publicaciones que haya caracterizado la frecuencia y características clínicoepidemiológica de COVID-19 en estudiantes de medicina. Objetivo: determinar la frecuencia de infección por SARS-CoV-2 y características clínicas de estudiantes de medicina de la Universidad del Pacífico en el periodo académico 2020-2021. Metodología: estudio observacional descriptivo de corte transversal, que incluyó a estudiantes de medicina de la Universidad del Pacifico. Los datos se obtuvieron mediante una encuesta virtual por Google Docs© que incluía la edad, sexo, curso, síntomas, secuelas, pruebas laboratoriales y resultados para SARS-CoV-2 y gravedad del cuadro. Resultados: se encuestaron 342 estudiantes entre 18 a 42 años de los 6 cursos, 70,8 % de sexo femenino, 66,4 % presentó síntomas compatibles con COVID-19, el más frecuente (44,2 %) fue el dolor de cabeza. El 67,5 % estuvo en contacto con alguna persona con COVID-19 y 40,4 % informó no haber respetado estrictamente la cuarentena, el 61,7 % se realizó alguna prueba laboratorial y de ellos el 42,7 % resultó positivo para el SARS-CoV-2, 98,9 % cursó con cuadro leve. El 86,7 % conocía el nexo de contagio. Se observó significativamente (p<0,001) mayor frecuencia de COVID19 en los estudiantes ≤21 años (65 % vs 32 %), los que tuvieron contacto con persona con COVID19 (49,1 % vs 10,5 %), y aquellos que presentaron síntomas compatibles (48,8 % vs 18,6 %). Conclusiones: casi la mitad de los participantes presentaron resultados positivos para SARS-CoV2, lo que pone de manifiesto una alta transmisión comunitaria.

Introduction: the first case of COVID-19 in Paraguay was confirmed on March 7, 2020. No publications characterizing the frequency and clinical-epidemiological characteristics of COVID-19 in medical students have been found. Objective: to determine the frequency of infection by SARS-CoV-2 and clinical characteristics of medical students at the Universidad del Pacífico during the 2020-2021 academic period. Methodology: this was a cross-sectional descriptive observational study, that included medical students from the Universidad del Pacífico. The data was obtained through an online survey by Google Docs© that included age, sex, academic year, symptoms, sequelae, laboratory testing and results for SARS-CoV-2 and severity of the condition. Results: 342 students between 18 and 42 years of age from the 6 courses were surveyed, 70.8% were female; 66.4 % presented symptoms compatible with COVID-19, the most frequent (44.2 %) was headache. 67.5 % were in contact with someone with COVID-19 and 40.4 % reported not strictly following quarantine guidelines, 61.7 % underwent some laboratory testing and 42.7 % of them were positive for SARS-CoV-2, 98.9 % had a mild infection. 86.7 % knew the contagion source. A significantly (p<0.001) higher frequency of COVID-19 was observed in students ≤21 years old (65 % vs 32 %), those who had contact with a person with COVID-19 (49.1 % vs 10.5 %), and those who presented compatible symptoms (48.8 % vs 18.6 %). Conclusions: almost half of the participants presented positive results for SARS-CoV-2, which shows high community transmission.

Uterine artery embolization with highly compressible calibrated microspheres for the treatment of uterine fibroids.

Objective: To evaluate the safety and efficacy of using highly compressible calibrated microspheres in uterine artery embolization (UAE) for the treatment of uterine fibroids. Materials and Methods: This was a prospective multicenter study. Thirty-two women with symptomatic uterine fibroids were selected for UAE between January 2019 and March 2020. The participants completed the Uterine Fibroid Symptom and Quality of Life (UFS-QOL) questionnaire, underwent contrast-enhanced pelvic magnetic resonance imaging (MRI), and were submitted to anti-Müllerian hormone measurement, subsequently undergoing UAE with Embosoft microspheres. After six months, the patients again completed the UFS-QOL questionnaire and underwent pelvic MRI. Results: The most common symptoms were abnormal uterine bleeding (in 81.3% of the cases), pelvic pain (in 81.3%), and compression (in 46.9%). Of the 32 patients evaluated, 12 (37.5%) had anemia due to abnormal uterine bleeding. Thirty patients completed the study. Among those patients, we observed median reductions of 21.4% in uterine volume and 15.9% in dominant fibroid volume. We identified no adverse events that could be attributed to the material itself, although there were events attributed to the UAE procedure in general. Conclusion: For the treatment of uterine fibroids, UAE using Embosoft microspheres shows satisfactory results, providing reductions in uterine and dominant fibroid volumes, with a low rate of adverse events, and improving patient quality of life, as well as demonstrating safety and efficacy.

Objetivo: Avaliar a eficácia e segurança da embolização da artéria uterina (EAU) com microesferas calibradas de alta compressibilidade no tratamento de miomas uterinos. Materiais e Métodos: Este foi um estudo prospectivo e multicêntrico. Foram selecionadas 32 mulheres com miomas uterinos sintomáticos para EAU de janeiro de 2019 a março de 2020. As participantes preencheram o questionário Uterine Fibroid Symptom and Quality of Life (UFS-QOL), realizaram ressonância magnética (RM) pélvica com contraste e teste para medição dos hormônios antimüllerianos, seguido de embolização de miomas com microesferas Embosoft. Após seis meses, as pacientes novamente preencheram o UFS-QOL e realizaram RM pélvica. Resultados: Os sintomas mais relatados foram sangramento uterino anormal (81,3%), dor pélvica (81,3%) e compressão (46,9%). Doze pacientes (37,5%) apresentaram anemia consequente a sangramento uterino anormal. Nas 30 pacientes que completaram o estudo, observou-se redução mediana de 21,4% no volume uterino e 15,9% no volume do mioma dominante. Não foram identificados eventos adversos possivelmente relacionados ao material utilizado, apenas em relação ao procedimento de EAU. Conclusão: EAU com microesferas Embrosoft mostrou resultados satisfatórios no tratamento de miomas uterinos, com redução dos volumes uterino e do mioma dominante, baixa taxa de eventos adversos e melhora na qualidade de vida, demonstrando segurança e eficácia.

How to Develop Reliable Instruments to Measure the Cultural Evolution of Preferences and Feelings in History?

While we cannot directly measure the psychological preferences of individuals, and the moral, emotional, and cognitive tendencies of people from the past, we can use cultural artifacts as a window to the zeitgeist of societies in particular historical periods. At present, an increasing number of digitized texts spanning several centuries is available for a computerized analysis. In addition, developments form historical economics have enabled increasingly precise estimations of sociodemographic realities from the past. Crossing these datasets offer a powerful tool to test how the environment changes psychology and vice versa. However, designing the appropriate proxies of relevant psychological constructs is not trivial. The gold standard to measure psychological constructs in modern texts - Linguistic Inquiry and Word Count (LIWC) - has been validated by psychometric experimentation with modern participants. However, as a tool to investigate the psychology of the past, the LIWC is limited in two main aspects: (1) it does not cover the entire range of relevant psychological dimensions and (2) the meaning, spelling, and pragmatic use of certain words depend on the historical period from which the fiction work is sampled. These LIWC limitations make the design of custom tools inevitable. However, without psychometric validation, there is uncertainty regarding what exactly is being measured. To overcome these pitfalls, we suggest several internal and external validation procedures, to be conducted prior to diachronic analyses. First, the semantic adequacy of search terms in bags-of-words approaches should be verified by training semantic vector spaces with the historical text corpus using tools like word2vec. Second, we propose factor analyses to evaluate the internal consistency between distinct bag-of-words proxying the same underlying psychological construct. Third, these proxies can be externally validated using prior knowledge on the differences between genres or other literary dimensions. Finally, while LIWC is limited in the analysis of historical documents, it can be used as a sanity check for external validation of custom measures. This procedure allows a robust estimation of psychological constructs and how they change throughout history. Together with historical economics, it also increases our power in testing the relationship between environmental change and the expression of psychological traits from the past.