Patterns of vestibular function in patients with dizziness after COVID-19 vaccination; dual tertiary referral center study.

BACKGROUND: Although dizziness is a common symptom after vaccination, the mechanism, and prognosis are not well understood. AIMS/OBJECTIVES: This study aimed to investigate patients with dizziness after COVID-19 vaccination by analyzing objective information. METHODS: A retrospective study of patients who visited the outpatient clinics of two institutes with a complaint of dizziness occurring within 72 h after a COVID-19 vaccination. RESULTS: In most cases, patients experienced only a single event of dizziness, and the subjective symptom was relieved after a few weeks. All patients decreased gain of vestibular ocular reflex (VOR). The vestibular function test results showed signs of central vestibulopathy in some cases. We separated patients into two groups; the direction-fixed nystagmus (DFN) group and the direction-changing nystagmus (DCN) group. All patients showed decreased gain on the rotational chair test (RCT). The DFN group showed an 80% decrease in video head impulse test (vHIT) gain, whereas the DCN group only showed a decrease of 25%. In RCT, 66% of the DFN group showed asymmetry compared to 20% showing asymmetry in the DCN group. CONCLUSION AND SIGNIFICANCE: The patients who suffered from dizziness after the COVID-19 vaccination exhibited decreased VOR gain and in some cases signs of central vestibulopathy.

Is the Relationship Between Religiosity and Filial Elder-Care Norms Declining? A Comparison Between Two Middle-Aged Generations.

We investigated whether religiosity among middle-aged adults in the Baby Boom generation and Generation-X was associated with filial elder-care norms. The sample consisted of 720 Baby Boom and 520 Gen-X respondents participating in the Longitudinal Study of Generations. A cohort-comparative model was devised using data from Baby Boomers in 1994 and Gen-Xers in 2016, when they were 42 and 40 years old, respectively. A three-step latent class modeling technique identified three religious classes in both generations: strongly religious, weakly religious, and doctrinally religious. Weakly religious Baby Boomers and Gen-Xers reported weaker filial elder-care norms than the strongly religious in each generation. No difference in these effects were detected by generation. However, only among Baby Boomers did the doctrinally religious express stronger filial norms, suggesting cross-cohort weakening in how beliefs translate into filial responsibility in the absence of congregational practice. This research opens lines of inquiry that examine long-term effects of adult children's religiosity on the actual provision of assistance to older parents when they face health difficulties.

Highly Scattering Hierarchical Porous Polymer Microspheres with a High-Refractive Index Inorganic Surface for a Soft-Focus Effect.

Functional light scattering materials have received considerable attention in various fields including cosmetics and optics. However, a conventional approach based on optically active inorganic materials requires considerable synthetic effort and complicated dispersion processes for special refractive materials. Here, we report a simple and effective fabrication strategy for highly scattering hierarchical porous polymer microspheres with a high-refractive index inorganic surface that mitigates the disadvantages of inorganic materials, producing organic-inorganic hybrid particles with an excellent soft-focus effect. Hierarchical organic-inorganic hybrid particles were synthesized using the simple physical mixing of porous poly (methyl methacrylate) (PMMA) microparticles with different pore sizes and regularities as the organic core and titanium dioxide (TiO2) nanoparticles with different particle sizes as the inorganic shell. The polar noncovalent interactions between polar PMMA microspheres and the polar surface of TiO2 nanoparticles could induce the hierarchical core-shell structure of hybrid particles. The synthesized hybrid particles had increased diffuse reflectance properties of up to 160% compared with single inorganic particles. In addition, the light scattering efficiency and soft-focus effect could be increased further, depending on the size of the TiO2 nanoparticles and the pore characteristics of the PMMA microspheres. The proposed study can provide a facile and versatile way to improve the light scattering performance for potential cosmetics.

Highly Sustainable and Completely Amorphous Hierarchical Ceramide Microcapsules for Potential Epidermal Barrier.

As a main component of the stratum corneum, ceramides can construct protective lamellae to provide an epidermal barrier against dehydration or external microorganisms. However, as ceramide molecules can easily form the isolated crystalline phase through self-assembly due to the amphipathic nature of bioactive lipids, the effective incorporation of ceramides into liquid media is the remaining issue for controlled release. Here, we report an unprecedented effective strategy to fabricate a completely amorphous and highly sustainable hierarchical ceramide polymer microcapsule for promising epidermal barrier by using the interpenetrating and cooperative self-construction of conical amphiphiles with a different critical packing parameter. The self-constructed amorphous architecture of ceramides in polymer microcapsule is achieved by the facile doping of conical amphiphiles and subsequent in situ polymerization of shell polymer in the core-shell geometry. It is experimentally revealed that an irregular cooperative packing structure formed by adaptive hydrophobic-hydrophilic interactions of cylindrical ceramides and conical amphiphiles in the confined microcapsule geometry enables a completely amorphous morphology of ceramides to be realized during the spontaneous encapsulation process. Furthermore, this elegant approach affords a highly dispersible and uniform hierarchical amorphous ceramide microcapsule with a greatly enhanced long-term stability compared to conventional crystalline ceramides.

The [corrected] SEC23-SEC31 [corrected] interface plays critical role for export of procollagen from the endoplasmic reticulum.

COPII proteins are essential for exporting most cargo molecules from the endoplasmic reticulum. The membrane-facing surface of the COPII proteins (especially SEC23-SEC24) interacts directly or indirectly with the cargo molecules destined for exit. As we characterized the SEC23A mutations at the SEC31 binding site identified from patients with cranio-lenticulo-sutural dysplasia, we discovered that the SEC23-SEC31 interface can also influence cargo selection. Remarkably, M702V SEC23A does not compromise COPII assembly, vesicle size, and packaging of cargo molecules into COPII vesicles that we have tested but induces accumulation of procollagen in the endoplasmic reticulum when expressed in normal fibroblasts. We observed that M702V SEC23A activates SAR1B GTPase more than wild-type SEC23A when SEC13-SEC31 is present, indicating that M702V SEC23A causes premature dissociation of COPII from the membrane. Our results indicate that a longer stay of COPII proteins on the membrane is required to cargo procollagen than other molecules and suggest that the SEC23-SEC31 interface plays a critical role in capturing various cargo molecules.

Comparison of growth factor and cytokine expression in patients with degenerated disc disease and herniated nucleus pulposus.

OBJECTIVES: This study was conducted to investigate the expression of cytokines and growth factors in disc specimens obtained from patients with herniated nucleus pulposus (HNP) and degenerated disc disease (DDD). DESIGN AND METHODS: MRI and Western blot analyses were performed to evaluate the levels of disc degeneration and the expression levels of cytokines and growth factors. RESULTS: The levels of TNF-alpha and IL-8 were significantly greater in the DDD group than in the HNP group, but no statistical differences were observed in the expression of IL-1beta, IL-6 and IL-12 between the HNP and DDD groups. In addition, the expression of TGF beta, VEGF and NGF was significantly higher in the DDD group than in the HNP group. CONCLUSION: The greater levels of cytokine and growth factor expression in the DDD group than in the HNP explain why discogenic patients usually have more severe back pain than patients with herniated discs.