Among individuals who carry the apolipoprotein E ε4 (APOE*ε4) allele, women are more susceptible to Alzheimer disease (AD) than men only between the ages of 65 and 75 years, according to a new study published in JAMA Neurology.

With failure of solder joints (SJs) in photovoltaic (PV) modules constituting over 40% of the total module failures, investigation of SJ's reliability factors is critical. This study employs the Garofalo creep model in ANSYS Finite Element Modelling (FEM) to simulate solder joint damage. Accumulated creep strain energy density is used to quantify damage. PV modules consisting of interconnections formed from different material combinations (silver, copper, aluminum, zinc, tin and brass) are subjected to induced temperature cycles ranging from -40 °C to +85 °C. Results show that zinc-solder-silver joint having the highest CTE mismatch of 19.6 ppm exhibits the greatest damage while silver-solder-silver with no mismatch possesses the least damage.

A novel molecular imprinting polymer (MIP) was prepared by bulk polymerization using sulpiride as the template molecule, itaconic acid (ITA) as the functional monomer and ethylene glycol dimethacrylate (EGDMA) as the crosslinker. The formation of the MIP was determined as the molar ratio of sulpiride-ITA-EGDMA of 1:4:15 by single-factor experiments. The MIP showed good adsorption property with imprinting factor α of 5.36 and maximum adsorption capacity of 61.13 μmol/g, and was characterized by scanning electron microscopy (SEM), Fourier-transform infrared spectroscopy (FT-IR) and surface area analysis. With the structural analogs (amisulpride, tiapride, lidocaine and cisapride) and small molecules containing a mono-functional group (p-toluenesulfonamide, formamide and 1-methylpyrrolidine) as substrates, static adsorption, kinetic adsorption, and rebinding experiments were also performed to investigate the selective adsorption ability, kinetic characteristic, and recognition mechanism of the MIP. A serial study suggested that the highly selective recognition ability of the MIP mainly depended on binding sites provided by N-functional groups of amide and amine. Moreover, the MIP as solid-phase extractant was successfully applied to extraction of sulpiride from the mixed solution (consisted of p-toluenesulfonamide, sulfamethoxazole, sulfanilamide, p-nitroaniline, acetanilide and trimethoprim) and serum sample, and extraction recoveries ranged from 81.57% to 86.63%. The tentative tests of drug release in stimulated intestinal fluid (pH 6.8) demonstrated that the tablet with the MIP–sulpiride could obviously inhibit sulpiride release rate. Thus, ITA-based MIP is an efficient and promising alternative to solid-phase adsorbent for extraction of sulpiride and removal of interferences in biosample analysis, and could be used as a potential carrier for controlled drug release

A convenient synthetic route of poly(3HB-co-3HH-co-SEB) terpolyesters has been reported. The developed protocol consists of two steps; poly(3-hydroxybutyrate-co-3-hydroxyhexanoate) (PHBHx) oligoesterdiols were synthesized via selective reduction of biopolyesters and then via their polycondensation with sebacoyl chloride the biodegradable terpolyesters, poly(3HB-co-3HH-co-SEB), were obtained. The structure of the obtained terpolyesters was established by NMR analysis supported by mass spectrometry. Modification of poly(3-hydroxybutyrate-co-3-hydroxyhexanoate) by incorporating units derived from sebacic acid into its chains resulted in terpolyesters with better physico-chemical properties than the starting PHBHx biopolyester. These new polyester materials have greater thermal stability than the starting biopolyester. Furthermore, the introduction of sebacic acid units to a polyester chain leads to the reduction of the glass transition temperatures of the materials and reduces the required processing temperature. A preliminary study confirmed that poly(3HB-co-3HH-co-SEB) terpolyesters can be used to create scaffolds for cell cultures in the form of a three-dimensional spatial structure. Moreover, a toxicity test of the obtained terpolyester carried out on human cells demonstrated that the novel terpolyester is not toxic to human cells in vitro.

External border surveillance is critical to the security of every state and the challenges it poses are changing and likely to intensify. Wireless sensor networks (WSN) are a low cost technology that provide an intelligence-led solution to effective continuous monitoring of large, busy, and complex landscapes. The linear network topology resulting from the structure of the monitored area raises challenges that have not been adequately addressed in the literature to date. In this paper, we identify an appropriate metric to measure the quality of WSN border crossing detection. Furthermore, we propose a method to calculate the required number of sensor nodes to deploy in order to achieve a specified level of coverage according to the chosen metric in a given belt region, while maintaining radio connectivity within the network. Then, we contribute a novel cross layer routing protocol, called levels division graph (LDG), designed specifically to address the communication needs and link reliability for topologically linear WSN applications. The performance of the proposed protocol is extensively evaluated in simulations using realistic conditions and parameters. LDG simulation results show significant performance gains when compared with its best rival in the literature, dynamic source routing (DSR). Compared with DSR, LDG improves the average end-to-end delays by up to 95%, packet delivery ratio by up to 20%, and throughput by up to 60%, while maintaining comparable performance in terms of normalized routing load and energy consumption.

Acute myeloid leukemia (AML) is a heterogeneous malignancy. Despite the advances in past decades, the clinical outcomes of AML patients remain poor. Leukemia stem cells (LSCs) is the major cause of the recurrence of AML even after aggressive treatment making, promoting development of LSC-targeted agents is an urgent clinical need. Although the antitumor activity of disulfiram (DS), an approved anti-alcoholism drug, has been demonstrated in multiple types of tumors including hematological malignancies such as AML, it remains unknown whether this agent would also be able to target cancer stem cells like LSCs. Here, we report the in vitro and in vivo activity of DS in combination with copper (Cu) against CD34(+)/CD38(+) leukemia stem-like cells sorted from KG1α and Kasumi-1 AML cell lines, as well as primary CD34(+) AML samples. DS plus Cu (DS/Cu) displayed marked inhibition of proliferation, induction of apoptosis, and suppression of colony formation in cultured AML cells while sparing the normal counterparts. DS/Cu also significantly inhibited the growth of human CD34(+)/CD38(+) leukemic cell-derived xenografts in NOD/SCID mice. Mechanistically, DS/Cu-induced cytotoxicity was closely associated with activation of the stress-related ROS-JNK pathway as well as simultaneous inactivation of the pro-survival Nrf2 and nuclear factor-κB pathways. In summary, our findings indicate that DS/Cu selectively targets leukemia stem-like cells both in vitro and in vivo, thus suggesting a promising LSC-targeted activity of this repurposed agent for treatment of relapsed and refractory AML.

Anticholinergic side effects of medications often misdiagnosed as cognitive function decline in the elderly. The study aims to explore the effectiveness of home medication reviews on reducing anticholinergic burden caused by medications with anticholinergic properties in elderly patients in Australia. The study was a qualitative, prospective, observational case-control study. Interviews at baseline and six-month were performed. Medications changes were theoretically possible to reduce the Anticholinergic Cognitive Burden score, but occasionally are impractical to implement. When it was safe to implement, recommendations were in most cases dismissed by doctors. The study could not draw a clear conclusion on pharmacist ability to improve older patients’ cognitive functions as the recommendations were not tested. The home medication review process is lacking the step that obligate the referring doctor to communicate the reason for not implementing the recommendations made by the pharmacist who needs to be addressed by Medicare. This will ensure that medication use is optimised.

Dolichoectasia, a condition of unknown cause characterized by elongation, twisting and dilation of the basilar artery in old age, is common among young patients admitted for acute stroke, a new study shows. This finding highlights the need to consider vascular abnormalities as a risk factor for stroke in young adults.

Purpose The aim of the study was to investigate two single nucleotide polymorphisms (SNP) in PTK2 for associations with human muscle strength phenotypes in healthy men. Methods Measurement of maximal isometric voluntary knee extension (MVCKE) torque, net MVCKE torque and vastus lateralis (VL) specific force, using established techniques, was completed on 120 Caucasian men (age = 20.6 ± 2.3 year; height = 1.79 ± 0.06 m; mass = 75.0 ± 10.0 kg; mean ± SD). All participants provided either a blood (n = 96) or buccal cell sample, from which DNA was isolated and genotyped for the PTK2 rs7843014 A/C and rs7460 A/T SNPs using real-time polymerase chain reaction. Results Genotype frequencies for both SNPs were in Hardy–Weinberg equilibrium (X 2 ≤ 1.661, P ≥ 0.436). VL specific force was 8.3% higher in rs7843014 AA homozygotes than C-allele carriers (P = 0.017) and 5.4% higher in rs7460 AA homozygotes than T-allele carriers (P = 0.029). No associations between either SNP and net MVCKE torque (P ≥ 0.094) or peak MVCKE torque (P ≥ 0.107) were observed. Conclusions These findings identify a genetic contribution to the inter-individual variability within muscle specific force and provides the first independent replication, in a larger Caucasian cohort, of an association between these PTK2 SNPs and muscle specific force, thus extending our understanding of the influence of genetic variation on the intrinsic strength of muscle.

Purpose Biased assumptions and unhelpful tendencies in human nature can lead people who are experiencing mental illness to shun help and support. Mental illness is often perceived as immutable and/or a sign of weakness. Even those seeking support may not receive the assistance they need. Advice may be unsuitable or people feel too nervous and challenged to help. The Mental Health First Aid™ courses, like general first aid, are designed to enhance community knowledge and thereby support appropriate assistance. The purpose of this paper is to evaluate the extent to which this is achieved. Design/methodology/approach An educational audit based upon a short quiz administered anonymously to 162 tertiary students from a range of disciplines, before and after delivery of the standard 12 hour Mental Health First Aid™ course. This was used to examine assumptions and proposed actions before and after training. Findings Analysis of the 162 responses found that the Mental Health First Aid™ courses significantly improve knowledge. This has the potential to increase understanding and support for those suffering mental illness. Research limitations/implications This educational audit looked only at knowledge improvement. Whether this really does translate into improved outcomes requires further investigation. Practical implications Tertiary students who are enrolled in health courses and others which involve human interaction as provision of services will be empowered with skills that enable them to interact with those who they will be serving at well-informed level and equity. Social implications Social inclusion and de-stigmatising mental health issues Originality/value Mental health first aid courses potentially enable individuals who are not otherwise involved in mental health to assist people in need.