Now showing items 61-80 of 10153

    • Evaluation of instrumentation and pedicle screw design for posterior lumbar fixation: A pre-clinical in vivo/ex vivo ovine model

      Witek, Lukasz; Parente, Paulo Eduardo Lima; Torroni, Andrea; Greenberg, Michael; Nayak, Vasudev Vivekanand; Hacquebord, Jacques Henri; Coelho, Paulo G. (2023-01-13)
      Background: Stabilization procedures of the lumbar spine are routinely performed for various conditions, such as spondylolisthesis and scoliosis. Spine surgery has become even more common, with the incidence rates increasing ~30% between 2004 and 2015. Various solutions to increase the success of lumbar stabilization procedures have been proposed, ranging from the device's geometrical configuration to bone quality enhancement via grafting and, recently, through modified drilling instrumentation. Conventional (manual) instrumentation renders the excavated bony fragments ineffective, whereas the “additive” osseodensification rotary drilling compacts the bone fragments into the osteotomy walls, creating nucleating sites for regeneration. Methods: This study aimed to compare both manual versus rotary Osseodensification (OD) instrumentation as well as two different pedicle screw thread designs in a controlled split animal model in posterior lumbar stabilization to determine the feasibility and potential advantages of each variable with respect to mechanical stability and histomorphology. A total of 164 single thread (82 per thread configuration), pedicle screws (4.5 × 35 mm) were used for the study. Each animal received eight pedicles (four per thread design) screws, which were placed in the lumbar spine of 21 adult sheep. One side of the lumbar spine underwent rotary osseodensification instrumentation, while the contralateral underwent conventional, hand, instrumentation. The animals were euthanized after 6- and 24-weeks of healing, and the vertebrae were removed for biomechanical and histomorphometric analyses. Pullout strength and histologic analysis were performed on all harvested samples. Results: The rotary instrumentation yielded statistically (p = 0.026) greater pullout strength (1060.6 N ± 181) relative to hand instrumentation (769.3 N ± 181) at the 24-week healing time point. Histomorphometric analysis exhibited significantly higher degrees of bone to implant contact for the rotary instrumentation only at the early healing time point (6 weeks), whereas bone area fraction occupancy was statistically higher for rotary instrumentation at both healing times. The levels of soft tissue infiltration were lower for pedicle screws placed in osteotomies prepared using OD instrumentation relative to hand instrumentation, independent of healing time. Conclusion: The rotary instrumentation yielded enhanced mechanical and histologic results relative to the conventional hand instrumentation in this lumbar spine stabilization model.
    • Evolution of postural control assessment: From dynamic posturography to virtual reality

      Keshner, Emily A.; Mallinson, Arthur I.; Longridge, Neil S.; Sinno, Solara; Petersen, Hannes; Perrin, Philippe (2023-01-11)
      During the early years of spaceflight it was documented that astronauts were impaired and incapacitated upon return to earth. Computerized Dynamic Posturography (CDP) was devised to investigate and quantify this deficit, and eventually progressed into a clinical assessment tool. The current sprouting of virtual reality (VR) technologies has allowed for the development of an alternative approach that could be more informative. Many low-cost VR systems (including desktop gaming programs designed for rehabilitation) are now available. Continued improvements in this technology indicate a high probability that VR will become an integral component of posturography by replacing present mechanical CDP techniques. We researched the relevant literature to evaluate the strengths and weaknesses of CDP using the Equitest (Neurocom International; Clackamas USA), and the added benefits of incorporating VR to help clinicians assess the complex task of balance maintenance. VR is capable of manipulating task and environmental demands in order to assess functional postural behavior. VR is also a useful tool for clinical testing of postural disorders resulting from sensory mismatch. Although posturography is still a useful clinical tool, VR provides an inherent conflict between the visual and vestibular senses and can elevate the effectiveness of CDP for both assessment and intervention. We conclude that, when initially developed, CDP was innovative and ahead of its time. However, with the advent of VR, we have a chance to modernize CDP and enhance its value as a clinical instrument.
    • Concern about the Effectiveness of mRNA Vaccination Technology and Its Long-Term Safety: Potential Interference on miRNA Machinery

      Sbarro Health Research Organization (SHRO) (Temple University) (2023-01-11)
      After the outbreak of the pandemic due to COVID-19 infection, several vaccines were developed on short timelines to counteract the public health crisis. To allow the administration of mRNA vaccines through a faster-paced approval process, the Emergency Use Authorization (EUA) was applied. The Ba.5 (omicron) variant of SARS-CoV-2 is the predominant one at this moment. Its highly mutable single-stranded RNA genome, along with its high transmissivity, generated concern about the effectiveness of vaccination. The interaction between the vaccine and the host cell is finely regulated by miRNA machinery, a complex network that oversees a wide range of biological processes. The dysregulation of miRNA machinery has been associated with the development of clinical complications during COVID-19 infection and, moreover, to several human pathologies, among which is cancer disease. Now that in some areas, four doses of mRNA vaccine have been administered, it is natural to wonder about its effectiveness and long-term safety.
    • GPDs in asymmetric frames

      Bhattacharya, Shohini; Cichy, Krzysztof; Constantinou, Martha; Dodson, Jack; Gao, Xiang; Metz, Andreas; Mukherjee, Swagato; Scapellato, Aurora; Steffens, Fernanda; Zhao, Yong; Constantinou|0000-0002-6988-1745; Scapellato|0000-0002-3891-1411 (2023-04-06)
      It is often taken for granted that Generalized Parton Distributions (GPDs) are defined in the "symmetric" frame, where the transferred momentum is symmetrically distributed between the incoming/outgoing hadrons. However, such frames pose computational challenges for the lattice QCD practitioners. In these proceedings, we lay the foundation for lattice QCD calculations of GPDs in "asymmetric" frames, where the transferred momentum is not symmetrically distributed between the incoming/outgoing hadrons. The novelty of our work relies on the parameterization of the matrix elements in terms of Lorentz-invariant amplitudes, which not only helps in establishing relations between the said frames but also helps in isolating higher-twist contaminations. As an example, we focus on the unpolarized GPDs for spin-1/2 particles.
    • Observation of Correlations between Spin and Transverse Momenta in Back-to-Back Dihadron Production at CLAS12

      Avakian, H.; Hayward, T.B.; Kotzinian, A.; Armstrong, W.R.; ATAC, HAMZA; Gayoso, C. Ayerbe; Baashen, L.; Baltzell, N.A.; Barion, L.; Bashkanov, M.; Battaglieri, M.; Bedlinskiy, I.; Benkel, B.; Benmokhtar, F.; Bianconi, A.; Biondo, L.; Biselli, A.S.; Bondi, M.; Boiarinov, S.; Bossù, F.; Brinkman, K.T.; Briscoe, W.J.; Brooks, W.K.; Bueltmann, S.; Bulumulla, D.; Burkert, V.D.; Capobianco, R.; Carman, D.S.; Carvajal, J.C.; Celentano, A.; Chatagnon, P.; Chesnokov, V.; Chetry, T.; Ciullo, G.; Cole, P.L.; Contalbrigo, M.; Costantini, G.; D'Angelo, A.; Dashyan, N.; De Vita, R.; Defurne, M.; Deur, A.; Diehl, S.; Dilks, C.; Djalali, C.; Dupre, R.; Egiyan, H.; El Alaoui, A.; El Fassi, L.; Elouadrhiri, L.; Fegan, S.; Filippi, A.; Forest, T.; Gates, K.; Gavalian, G.; Ghandilyan, Y.; Glazier, D.I.; Golubenko, A.A.; Gosta, G.; Gothe, R.W.; Gotra, Y.; Griffioen, K.A.; Guidal, M.; Hakobyan, H.; Hattawy, M.; Hauenstein, F.; Heddle, D.; Hobart, A.; Holtrop, M.; Hyde, C.E.; Ilieva, Y.; Ireland, D.G.; Isupov, E.L.; Jo, H.S.; Johnston, R.; Joo, K.; Kabir, M.L.; Keller, D.; Khachatryan, M.; Khanal, A.; Kim, A.; Kim, W.; Klimenko, V.; Kripko, A.; Kubarovsky, V.; Kuhn, S.E.; Lagerquist, V; Lanza, L.; Leali, M.; Lee, S.; Lenisa, P.; Li, X.; MacGregor, I.J.D.; Marchand, D.; Mascagna, V.; McKinnon, B.; Migliorati, S.; Mineeva, T.; Mirazita, M.; Mokeev, V.; Montgomery, R.A.; Camacho, C. Munoz; Nadel-Turonski, P.; Naidoo, P.; Neupane, K.; Nguyen, D.; Niccolai, S.; Nicol, M.; Niculescu, G.; Osipenko, M.; Pandey, P.; Paolone, Michael; Pappalardo, L.L.; Paremuzyan, R.; Pasyuk, E.; Paul, S.J.; Phelps, W.; Pilleux, N.; Pogorelko, O.; Pokhrel, M.; Poudel, J.; Price, J.W.; Prok, Y.; Raue, B.A.; Reed, T.; Richards, J.; Ripani, M.; Ritman, J.; Rossi, P.; Sabatié, F.; Salgado, C.; Schmidt, A.; Sharabian, Y.G.; Shirokov, E.V.; Shrestha, U.; Simmerling, P.; Sokhan, D.; Sparveris, N.; Stepanyan, S.; Strakovsky, I.I.; Strauch, S.; Tan, J.A.; Trotta, N.; Tyson, R.; Ungaro, M.; Vallarino, S.; Venturelli, L.; Voskanyan, H.; Vossen, A.; Voutier, E.; Watts, D.P.; Wei, X.; Wishart, R.; Wood, M.H.; Zachariou, N.; Zhao, Z.W.; Zurek, M.; Atac|0000-0002-8945-5305; Paolone|0000-0002-8980-6670 (2023-01-11)
      We report the first measurements of deep inelastic scattering spin-dependent azimuthal asymmetries in back-to-back dihadron electroproduction in the deep inelastic scattering process. In this reaction, two hadrons are produced in opposite hemispheres along the 𝑧 axis in the virtual photon-target nucleon center-of-mass frame, with the first hadron produced in the current-fragmentation region and the second in the target-fragmentation region. The data were taken with longitudinally polarized electron beams of 10.2 and 10.6 GeV incident on an unpolarized liquid-hydrogen target using the CLAS12 spectrometer at Jefferson Lab. Observed nonzero sin⁡Δ⁢𝜙 modulations in 𝑒⁢𝑝→𝑒′⁢𝑝⁢𝜋+⁢𝑋 events, where Δ⁢𝜙 is the difference of the azimuthal angles of the proton and pion in the virtual photon and target nucleon center-of-mass frame, indicate that correlations between the spin and transverse momenta of hadrons produced in the target- and current-fragmentation regions may be significant. The measured beam-spin asymmetries provide a first access in dihadron production to a previously unexplored leading-twist spin- and transverse-momentum-dependent fracture function. The fracture functions describe the hadronization of the target remnant after the hard scattering of a virtual photon off a quark in the target particle and provide a new avenue for studying nucleonic structure and hadronization.
    • HIV gp120 impairs nucleus accumbens neuroimmune function and dopamine D3 receptor-mediated inhibition of cocaine seeking in male rats

      Moulder Center for Drug Discovery Research (Temple University) (2023-01-17)
      Cocaine Use Disorders (CUDs) are associated with an increased risk of human immunodeficiency virus (HIV) infection. Cocaine and the HIV envelope protein gp120 each induce distinct deficits to mesocorticolimbic circuit function and motivated behavior; however, little is known regarding how they interact to dysregulate these functions or how such interactions impact pharmacotherapeutic efficacy. We have previously shown that the selective, weak partial agonist of the dopamine D3 receptor (D3R), MC-25-41, attenuates cocaine-seeking behavior in male rats. Here, we sought to characterize changes in striatal neuroimmune function in gp120-exposed rats across abstinence from operant access to cocaine (0.75 mg/kg, i.v.) or sucrose (45 mg/pellet), and to examine the impact of gp120 exposure on MC-25-41-reduced cocaine seeking. After establishing a history of cocaine or sucrose self-administration, rats received intracerebroventricular gp120 infusions daily the first 5 days of abstinence and were sacrificed either on day 6 or after 21 days of forced abstinence and a cue-induced cocaine seeking test. We demonstrated that MC-25-41 treatment attenuated cue-induced cocaine seeking among control rats but not gp120-exposed rats. Moreover, postmortem analysis of nucleus accumbens (NAc) core neuroimmune function indicated cocaine abstinence- and gp120-induced impairments, and the expression of several immune factors within the NAc core significantly correlated with cocaine-seeking behavior. We conclude that cocaine abstinence dysregulates striatal neuroimmune function and interacts with gp120 to inhibit the effectiveness of a D3R partial agonist in reducing cocaine seeking. These findings highlight the need to consider comorbidities, such as immune status, when evaluating the efficacy of novel pharmacotherapeutics.
    • Observation of Weak Counterion Size Dependence of Thermoelectric Transport in Ion Exchange Doped Conducting Polymers Across a Wide Range of Conductivities

      Chen, Chen; Jacobs, Ian E.; Kang, Keehoon; Lin, Yue; Jellett, Cameron; Kang, Boseok; Lee, Seon Baek; Huang, Yuxuan; Balooch Qarai, Mohammad; Ghosh, Raja; Statz, Martin; Wood, William; Ren, Xinglong; Tjhe, Dion; Sun, Yuanhui; She, Xiaojian; Hu, Yuanyuan; Jiang, Lang; Spano, Frank C.; McCulloch, Iian; Sirringhaus, Henning; Qarai|0000-0002-0947-0557 (2023-01-10)
      Conducting polymers are of interest for a broad range of applications from bioelectronics to thermoelectrics. The factors that govern their complex charge transport physics include the structural disorder present in these highly doped polymer films and the Coulombic interactions between the electronic charge carriers and the dopant counterions. Previous studies have shown that at low doping levels carriers are strongly trapped in the vicinity of the counterions, while at high doping levels charge transport is not limited by Coulombic trapping, which manifests itself in the conductivity being independent of the size of the dopant counterion. Here a recently developed ion exchange doping method is used to investigate the ion size dependence of a semicrystalline polythiophene-based model system across a wide range of conductivities. It is found that the regime in which the charge and thermoelectric transport is not or only weakly dependent on ion size, extends to surprisingly low conductivities. This surprising observation is explained by a heterogeneous doping that involves doping of the amorphous domains to high doping levels first before doping of the ordered, crystalline domains occurs. The study provides new insights into how the thermoelectric physics of conducting polymers evolves as a function of doping level.
    • Applying Game Theory Models to Inpatient Medicine: Opportunities to Improve Care

      Temple University. Hospital (2023-01-10)
      Inpatient hospital costs have been increasing exponentially in the United States. Part of this increase is attributed to over and undertreatment, leading to higher costs and potential patient harm. Research improving clinician-patient interactions can help minimize and optimize the costs. Game theory has the ability improve clinician- patient interaction by modeling outcomes. Using variations of game theory, the bad doctor bad patient stigma can reframed to incentives. We believe the use of different models (prisoner dilemma, centipede game, assurance game, and chicken game) can outline the challenges faced during common inpatient scenarios, including end of life conversations and aggressive procedures. Applying game theory to multiple inpatient scenarios may also assist with analysis during morbidity and mortality conferences and quality improvement projects.
    • The Phospholipase A2 Superfamily: Structure, Isozymes, Catalysis, Physiologic and Pathologic Roles

      Moulder Center for Drug Discovery Research (Temple University) (2023-01-10)
      The phospholipase A2 (PLA2) superfamily of phospholipase enzymes hydrolyzes the ester bond at the sn-2 position of the phospholipids, generating a free fatty acid and a lysophospholipid. The PLA2s are amphiphilic in nature and work only at the water/lipid interface, acting on phospholipid assemblies rather than on isolated single phospholipids. The superfamily of PLA2 comprises at least six big families of isoenzymes, based on their structure, location, substrate specificity and physiologic roles. We are reviewing the secreted PLA2 (sPLA2), cytosolic PLA2 (cPLA2), Ca2+-independent PLA2 (iPLA2), lipoprotein-associated PLA2 (LpPLA2), lysosomal PLA2 (LPLA2) and adipose-tissue-specific PLA2 (AdPLA2), focusing on the differences in their structure, mechanism of action, substrate specificity, interfacial kinetics and tissue distribution. The PLA2s play important roles both physiologically and pathologically, with their expression increasing significantly in diseases such as sepsis, inflammation, different cancers, glaucoma, obesity and Alzheimer’s disease, which are also detailed in this review.
    • The emerging scenario of immunotherapy for T-cell Acute Lymphoblastic Leukemia: advances, challenges and future perspectives

      Sbarro Health Research Organization (SHRO) (Temple University) (2023-01-09)
      T-cell acute lymphoblastic leukemia (T-ALL) is a challenging pediatric and adult haematologic disease still associated with an unsatisfactory cure rate. Unlike B-ALL, the availability of novel therapeutic options to definitively improve the life expectancy for relapsed/resistant patients is poor. Indeed, the shared expression of surface targets among normal and neoplastic T-cells still limits the efficacy and may induce fratricide effects, hampering the use of innovative immunotherapeutic strategies. However, novel monoclonal antibodies, bispecific T-cell engagers (BTCEs), and chimeric antigen receptors (CAR) T-cells recently showed encouraging results and some of them are in an advanced stage of pre-clinical development or are currently under investigation in clinical trials. Here, we review this exciting scenario focusing on most relevant advances, challenges, and perspectives of the emerging landscape of immunotherapy of T-cell malignancies.
    • Aorta- and liver-generated TMAO enhances trained immunity for increased inflammation via ER stress/mitochondrial ROS/glycolysis pathways

      Cardiovascular Research Center (Temple University); Fox Chase Cancer Center (Temple University); Center for Biostatistics and Epidemiology (Temple University) (2022-11-17)
      We determined whether gut microbiota-produced trimethylamine (TMA) is oxidized into trimethylamine N-oxide (TMAO) in nonliver tissues and whether TMAO promotes inflammation via trained immunity (TI). We found that endoplasmic reticulum (ER) stress genes were coupregulated with MitoCarta genes in chronic kidney diseases (CKD); TMAO upregulated 190 genes in human aortic endothelial cells (HAECs); TMAO synthesis enzyme flavin-containing monooxygenase 3 (FMO3) was expressed in human and mouse aortas; TMAO transdifferentiated HAECs into innate immune cells; TMAO phosphorylated 12 kinases in cytosol via its receptor PERK and CREB, and integrated with PERK pathways; and PERK inhibitors suppressed TMAO-induced ICAM-1. TMAO upregulated 3 mitochondrial genes, downregulated inflammation inhibitor DARS2, and induced mitoROS, and mitoTEMPO inhibited TMAO-induced ICAM-1. β-Glucan priming, followed by TMAO restimulation, upregulated TNF-α by inducing metabolic reprogramming, and glycolysis inhibitor suppressed TMAO-induced ICAM-1. Our results have provided potentially novel insights regarding TMAO roles in inducing EC activation and innate immune transdifferentiation and inducing metabolic reprogramming and TI for enhanced vascular inflammation, and they have provided new therapeutic targets for treating cardiovascular diseases (CVD), CKD-promoted CVD, inflammation, transplantation, aging, and cancer.
    • Papillary thyroid cancer organoids harboring BRAFV600E mutation reveal potentially beneficial effects of BRAF inhibitor-based combination therapies

      Chen, Dong; Su, Xi; Zhu, Lizhang; Jia, Hao; Han, Bin; Chen, Haibo; Liang, Qingzhuang; Hu, Chenchen; Yang, Hao; Liu, Lisa; Li, Peng; Wei, Wei; Zhao, Yongsheng (2023-01-09)
      Backgrounds: Papillary thyroid cancer (PTC), which is often driven by acquired somatic mutations in BRAF genes, is the most common pathologic type of thyroid cancer. PTC has an excellent prognosis after treatment with conventional therapies such as surgical resection, thyroid hormone therapy and adjuvant radioactive iodine therapy. Unfortunately, about 20% of patients develop regional recurrence or distant metastasis, making targeted therapeutics an important treatment option. Current in vitro PTC models are limited in representing the cellular and mutational characteristics of parental tumors. A clinically relevant tool that predicts the efficacy of therapy for individuals is urgently needed. Methods: Surgically removed PTC tissue samples were dissociated, plated into Matrigel, and cultured to generate organoids. PTC organoids were subsequently subjected to histological analysis, DNA sequencing, and drug sensitivity assays, respectively. Results: We established 9 patient-derived PTC organoid models, 5 of which harbor BRAFV600E mutation. These organoids have been cultured stably for more than 3 months and closely recapitulated the histological architectures as well as mutational landscapes of the respective primary tumors. Drug sensitivity assays of PTC organoid cultures demonstrated the intra- and inter-patient specific drug responses. BRAFV600E inhibitors, vemurafenib and dabrafenib monotherapy was mildly effective in treating BRAFV600E-mutant PTC organoids. Nevertheless, BRAF inhibitors in combination with MEK inhibitors, RTK inhibitors, or chemotherapeutic agents demonstrated improved efficacy compared to BRAF inhibition alone. Conclusions: These data indicate that patient-derived PTC organoids may be a powerful research tool to investigate tumor biology and drug responsiveness, thus being useful to validate or discover targeted drug combinations.
    • Mitochondrial sodium/calcium exchanger NCLX regulates glycolysis in astrocytes, impacting on cognitive performance

      Aging + Cardiovascular Discovery Center (Temple University) (2023-01-09)
      Intracellular Ca2+ concentrations are strictly controlled by plasma membrane transporters, the endoplasmic reticulum, and mitochondria, in which Ca2+ uptake is mediated by the mitochondrial calcium uniporter complex (MCUc), while efflux occurs mainly through the mitochondrial Na+/Ca2+ exchanger (NCLX). RNAseq database repository searches led us to identify the Nclx transcript as highly enriched in astrocytes when compared with neurons. To assess the role of NCLX in mouse primary culture astrocytes, we inhibited its function both pharmacologically or genetically. This resulted in re-shaping of cytosolic Ca2+ signaling and a metabolic shift that increased glycolytic flux and lactate secretion in a Ca2+-dependent manner. Interestingly, in vivo genetic deletion of NCLX in hippocampal astrocytes improved cognitive performance in behavioral tasks, whereas hippocampal neuron-specific deletion of NCLX impaired cognitive performance. These results unveil a role for NCLX as a novel modulator of astrocytic glucose metabolism, impacting on cognition.
    • A Qualitative Analysis of Graduting Business Seniors Core Course and Online Course Perceptions

      Blau, Gary; Papenberg, Carly (2023-01-09)
      Business schools need to maintain student academic satisfaction. A key component of a business school’s curriculum is its core or required courses and online courses experiences. Using qualitative open item analyses, this study asked graduating business students for their perceptions of required core courses and their online course experiences. Consistent demographics and school background variables allowed the Fall, 2021 and Spring 2022 graduating samples to be combined. Student records allowed the graduating students to be split into qualitative versus quantitative majors to promote comparison across common categories. There was much overall agreement between qualitative and quantitative majors on the most valuable part of their core experience, as well as how to improve this experience. However, quantitative majors were more likely to mention specific core courses as being valuable than qualitative majors. In addition, quantitative majors were more likely to voice concerns about better professor instruction and poor course structure versus qualitative majors. Finally, quantitative majors were more likely to express that online courses were not as learning effective as in-person courses. Results are further discussed.
    • Nucleon transverse quark spin densities

      Alexandrou, Constantia; Bacchio, Simone; Constantinou, Martha; Dimopoulos, Petros; Finkenrath, Jacob; Frezzotti, Roberto; Hadjiyiannakou, Kyriakos; Jansen, Karl; Kostrzewa, Bartosz; Koutsou, Giannis; Spanoudes, Gregoris; Urbach, Carsten; Constantinou|0000-0002-6988-1745 (2023-04-06)
      We present a calculation of the Mellin moments of the nucleon transverse quark spin densities extracted from the unpolarized and transversity generalized form factors. We use three NF=2+1+1 ensembles of twisted mass fermions with quark masses tuned to their physical values and lattice spacings a∼0.08~fm, a∼0.07~fm and a∼0.06~fm and extrapolate the form factors to the continuum limit. Besides isovector densities we also include results for the tensor charge for each quark flavor using the ensemble with a∼0.08~fm for which we include the disconnected contributions.
    • Use of serial smartphone-based assessments to characterize diverse neuropsychiatric symptom trajectories in a large trauma survivor cohort

      Beaudoin, Francesca L.; An, Xinming; Basu, Archana; Ji, Yinyao; Liu, Mochuan; Kessler, Ronald C.; Doughtery, Robert F.; Zeng, Donglin; Bollen, Kenneth A.; House, Stacey L.; Stevens, Jennifer S.; Neylan, Thomas C.; Clifford, Gari D.; Jovanovic, Tanja; Linnstaedt,Sarah D.; Germine, Laura T.; Rauch, Scott L.; Haran, John P.; Storrow, Alan B.; Lewandowski, Christopher; Musey, Paul I.; Hendry, Phyllis L.; Sheikh, Sophia; Jones, Christopher W.; Punches, Brittany E.; Kurz, Michael C.; Swor, Robert A.; Murty, Vishnu; McGrath, Meghan E.; Hudak, Lauren A.; Pascaul, Jose L.; Datner, Elizabeth M.; Chang, Anna M.; Pearson, Claire; Peak, David A.; Merchant, Roland C.; Domeier, Robert M.; Rathlev, Niels K.; O'Neil, Brian J.; Sergot, Paulina; Sanchez, Leon D.; Bruce, Steven E.; Baker, Justin T.; Jormann, Jutta; Miller, Mark W.; Pietrzak, Robert H.; Barch, Deanna M.; Pizzagalli, Diego A.; Sheridan, John F.; Smoller, Jordan W.; Harte, Steven E.; Elliott, James M.; Koenen, Karestan C.; Ressler, Kerry J.; McLean, Samuel A.; Murty|0000-0002-1360-3156 (2023-01-07)
      The authors sought to characterize adverse posttraumatic neuropsychiatric sequelae (APNS) symptom trajectories across ten symptom domains (pain, depression, sleep, nightmares, avoidance, re-experiencing, anxiety, hyperarousal, somatic, and mental/fatigue symptoms) in a large, diverse, understudied sample of motor vehicle collision (MVC) survivors. More than two thousand MVC survivors were enrolled in the emergency department (ED) and completed a rotating battery of brief smartphone-based surveys over a 2-month period. Measurement models developed from survey item responses were used in latent growth curve/mixture modeling to characterize homogeneous symptom trajectories. Associations between individual trajectories and pre-trauma and peritraumatic characteristics and traditional outcomes were compared, along with associations within and between trajectories. APNS across all ten symptom domains were common in the first two months after trauma. Many risk factors and associations with high symptom burden trajectories were shared across domains. Both across and within traditional diagnostic boundaries, APNS trajectory intercepts, and slopes were substantially correlated. Across all domains, symptom severity in the immediate aftermath of trauma (trajectory intercepts) had the greatest influence on the outcome. An interactive data visualization tool was developed to allow readers to explore relationships of interest between individual characteristics, symptom trajectories, and traditional outcomes (http://itr.med.unc.edu/aurora/parcoord/). Individuals presenting to the ED after MVC commonly experience a broad constellation of adverse posttraumatic symptoms. Many risk factors for diverse APNS are shared. Individuals diagnosed with a single traditional outcome should be screened for others. The utility of multidimensional categorizations that characterize individuals across traditional diagnostic domains should be explored.
    • Mitochondrial Dysfunction: The Hidden Player in the Pathogenesis of Atherosclerosis?

      Sbarro Health Research Organization (SHRO) (Temple University) (2023-01-06)
      Atherosclerosis is a multifactorial inflammatory pathology that involves metabolic processes. Improvements in therapy have drastically reduced the prognosis of cardiovascular disease. Nevertheless, a significant residual risk is still relevant, and is related to unmet therapeutic targets. Endothelial dysfunction and lipid infiltration are the primary causes of atherosclerotic plaque progression. In this contest, mitochondrial dysfunction can affect arterial wall cells, in particular macrophages, smooth muscle cells, lymphocytes, and endothelial cells, causing an increase in reactive oxygen species (ROS), leading to oxidative stress, chronic inflammation, and intracellular lipid deposition. The detection and characterization of mitochondrial DNA (mtDNA) is crucial for assessing mitochondrial defects and should be considered the goal for new future therapeutic interventions. In this review, we will focus on a new idea, based on the analysis of data from many research groups, namely the link between mitochondrial impairment and endothelial dysfunction and, in particular, its effect on atherosclerosis and aging. Therefore, we discuss known and novel mitochondria-targeting therapies in the contest of atherosclerosis.
    • Singing and Speaking Ability in Parkinson's Disease and Spinocerebellar Ataxia

      Kim, Yoonji; Sidtis, Diana; Sidtis, John J. (2023-01-06)
      Purpose: This study examined spontaneous, spoken-to-a-model, and two sung modes in speakers with Parkinson's disease (PD), speakers with cerebellar disease (CD), and healthy controls. Vocal performance was measured by intelligibility scores and listeners' perceptual ratings. Method: Participants included speakers with hypokinetic dysarthria secondary to PD, those with ataxic dysarthria secondary to CD, and healthy speakers. Participants produced utterances in four vocal modes: spontaneous speech, spoken-to-a-model, sung-to-a-model, and spontaneous singing. For spoken-to-a-model and sung-to-a-model modes, written material was provided the model. For spontaneous singing, participants sang songs that they endorsed as familiar. Dependent variables: In Experiment I, listeners orthographically transcribed the audio samples of the first three vocal modes. In Experiment IIa, raters evaluated the accuracy of the pitch and rhythm of the spontaneous singing of familiar songs. Finally, familiar songs and sung-to-a-model utterances were rated on a competency scale by a second group of raters (Experiment IIb). Results: Results showed increases in intelligibility during the spoken-to-a-model mode compared with the spontaneous mode in both PD and CD groups. Singing enhanced the vocal output of speakers with PD more than in speakers with CD, as measured by percent intelligibility. PD participants' pitch and rhythm accuracy and competency in singing familiar songs was rated more favorably than those produced by CD participants. Conclusions: The findings reveal a vocal task effect for spoken utterances in both groups. Sung exemplars, more impaired in CD, suggest a significant involvement of the cerebellum in singing.
    • An entosis-like process induces mitotic disruption in Pals1 microcephaly pathogenesis

      Shriners Hospitals Pediatric Research Center (Temple University) (2023-01-05)
      Entosis is cell cannibalism utilized by tumor cells to engulf live neighboring cells for pro- or anti-tumorigenic purposes. It is unknown whether this extraordinary cellular event can be pathogenic in other diseases such as microcephaly, a condition characterized by a smaller than normal brain at birth. We find that mice mutant for the human microcephaly-causing gene Pals1, which exhibit diminished cortices due to massive cell death, also exhibit nuclei enveloped by plasma membranes inside of dividing cells. These cell-in-cell (CIC) structures represent a dynamic process accompanied by lengthened mitosis and cytokinesis abnormalities. As shown in tumor cells, ROCK inhibition completely abrogates CIC structures and restores the normal length of mitosis. Moreover, genetic elimination of Trp53 produces a remarkable rescue of cortical size along with substantial reductions of CIC structures and cell death. These results provide a novel pathogenic mechanism by which microcephaly is produced through entotic cell cannibalism.
    • Precarity, Innovation, and Survival in the Indian Film Festival Sector

      Karlekar, Tilottama (2023-01-05)
      Despite the vast expansion in the film festival sector in India since the early 2000s, most festivals have remained financially precarious. This is true of more mainstream festivals with industry support as well as of myriad activist and “alternative” festivals on the margins. In addition, the country’s Hindu nationalist government has subjected all cultural spaces to increased scrutiny and policing. As the virus affected India and the Indian government enforced a national lockdown, festival organizers had to adapt rapidly. In order to survive, they looked both to global strategies and specific local histories of exhibition and circulation. In this chapter, I map the festival sector in India in the midst of crisis and explore the divergent strategies for survival adopted by festival organizers. I focus closely on the “frontline” strategies implemented by two community-based, activist film festivals that have adopted distinct, yet successful, models for navigating the pandemic. Already adept at negotiating multiple forms of precarity, they connected with new global audiences while redefining ideals of “community.” This chapter explores what these festival experiments tell us about how the festival as medium might change politically, economically, and cinematically, even beyond the pandemic.