Egg-Clutch Biomechanics Affect Escape-Hatching Behavior and Performance.

Arboreal embryos of phyllomedusine treefrogs hatch prematurely to escape snake predation, cued by vibrations in their egg clutches during attacks. However, escape success varies between species, from ∼77% in Agalychnis callidryas to just ∼9% in A. spurrelli at 1 day premature. Both species begin responding to snake attacks at similar developmental stages, when vestibular mechanosensory function begins, suggesting that sensory ability does not limit the hatching response in A. spurrelli. Agalychnis callidryas clutches are thick and gelatinous, while A. spurrelli clutches are thinner and stiffer. We hypothesized that this structural difference alters the egg motion excited by attacks. Since vibrations excited by snakes must propagate through clutches to reach embryos, we hypothesized that the species difference in attack-induced hatching may reflect effects of clutch biomechanics on the cues available to embryos. Mechanics predicts that thinner, stiffer structures have higher free vibration frequencies, greater spatial attenuation, and faster vibration damping than thicker, more flexible structures. We assessed clutch biomechanics by embedding small accelerometers in clutches of both species and recording vibrations during standardized excitation tests at two distances from the accelerometer. Analyses of recorded vibrations showed that A. spurrelli clutches have higher free vibration frequencies and greater vibration damping than A. callidryas clutches. Higher frequencies elicit less hatching in A. callidryas, and greater damping could reduce the amount of vibration embryos can perceive. To directly test if clutch structure affects escape success in snake attacks, we transplanted A. spurrelli eggs into A. callidryas clutches and compared their escape rates with untransplanted, age-matched conspecific controls. We also performed reciprocal transplantation of eggs between pairs of A. callidryas clutches as a method control. Transplanting A. spurrelli embryos into A. callidryas clutches nearly tripled their escape success (44%) compared to conspecific controls (15%), whereas transplanting A. callidryas embryos into different A. callidryas clutches only increased escape success by 10%. At hatching competence, A. callidryas eggs are no longer jelly-encapsulated, while A. spurrelli eggs retain their jelly coat. Therefore, we compared the hatching response and latency of A. spurrelli in de-jellied eggs and their control, jelly-encapsulated siblings using manual egg-jiggling to simulate predation cues. Embryos in de-jellied eggs were more likely to hatch and hatched faster than control siblings. Together, our results suggest that the properties of parentally produced egg-clutch structures, including their vibration biomechanics, constrain the information available to A. spurrelli embryos and contribute to interspecific differences in hatching responses to predator attacks.

Resumen Los embriones arbóreos de las ranas Phyllomedusinae eclosionan prematuramente para escapar de la depredación de las serpientes, señaladas por las vibraciones en sus posturas durante los ataques. El éxito de escape varía entre especies, desde ∼77% en Agalychnis callidryas hasta sólo ∼9% en A. spurrelli a un día antes de la eclosión espontanea. Ambas especies comienzan a responder a los ataques de serpientes en etapas del desarrollo similares cuando inicia la función mecanosensorial vestibular, lo que sugiere que la capacidad sensorial no limita la respuesta de eclosión en A. spurrelli. Estructuralmente, las posturas de A. callidryas son gruesas y gelatinosas, mientras que las de A. spurrelli son más delgadas y rígidas. Esta diferencia en estructura de la postura podría afectar su movimiento y la propagación de las señales de vibración que perciben los embriones durante los ataques de serpientes. Por lo tanto, investigamos la hipótesis de que las diferencias entre especies en las respuestas de eclosión a los ataques de serpientes se deben a la influencia de la biomecánica de las posturas en las señales disponibles para los embriones. Mecánicamente, las estructuras más delgadas deberían tener frecuencias de resonancia más altas, mayor atenuación espacial y una amortiguación de vibraciones más rápida que las estructuras más gruesas y flexibles. Evaluamos la biomecánica de las posturas mediante la incorporación de acelerómetros pequeños dentro de las posturas de ambas especies, así como la grabación de vibraciones causadas por pruebas de excitación estandarizadas a diferentes distancias del acelerómetro. Los análisis de las vibraciones registradas indican que las posturas de A. spurrelli tienen frecuencias de vibración más altas y una mayor amortiguación de vibraciones que las posturas de A. callidryas. Las frecuencias más altas provocan menos eclosión en A. callidryas, y una mayor amortiguación podría reducir la cantidad de vibración que pueden percibir los embriones. Para probar directamente si la estructura de posturas afecta el éxito de escape en los ataques de serpientes, trasplantamos huevos de A. spurrelli en posturas de A. callidryas y comparamos sus tasas de escape con controles conespecíficos de la misma edad no trasplantados. También realizamos trasplante recíproco en A. callidryas como control de método. El trasplante de embriones de A. spurrelli en posturas de A. callidryas casi triplicó su éxito de escape (44%) en comparación con los controles conespecíficos (15%), mientras que el trasplante de huevos de A. callidryas aumentó el éxito de escape en solo un 10%. Al momento de la eclosión, los huevos de A. callidryas ya no están encapsulados en gelatina, mientras que los huevos de A. spurrelli conservan su cápsula de gelatina. Por lo tanto, comparamos la respuesta de eclosión y la latencia de A. spurrelli en huevos sin gelatina y sus hermanos de control, encapsulados en gelatina, usando movimientos manuales de huevos para simular señales de depredación. Los embriones en huevos sin gelatina tenían más probabilidades de eclosionar y eclosionaron más rápido que los hermanos de control. Nuestros resultados sugieren que las propiedades de las estructuras producidas por padres, como las posturas de huevos, incluida su biomecánica de vibración, restringen la información disponible para los embriones de A. spurrelli y contribuyen a las diferencias interespecíficas en las respuestas de eclosión a los ataques de los depredadores.

A Geospatial Analysis of Social and Structural Determinants of Health and High HIV Prevalence in Alabama, USA.

OBJECTIVE: This study utilizes geospatial analytic techniques to examine HIV hotspots in Alabama leveraging Medicaid utilization data. METHODS: This cross-sectional study leveraged Medicaid utilization data from Alabama's 67 counties, averaging 9,861 Medicaid recipients aged > 18 years old per county. We used Alabama Medicaid administrative claims data from January 1, 2016, to December 31, 2020, to identify individuals with HIV. Using Microsoft SQL Server, we obtained the average annual count of HIV Medicaid claims in each of the 67 Alabama counties (numerator) and the number of adult Medicaid recipients in each county (denominator), and standardized with a multiplier of 100,000. We also examined several other area-level summary variables (e.g., non-high school completion, income greater than four times the federal poverty level, social associations, urbanicity/rurality) as social and structural determinants of health. County-boundary choropleth maps were created representing the geographic distribution of HIV rates per 100,000 adult Medicaid recipients in Alabama. Leveraging ESRI ArcGIS and local indicators of spatial association (LISA), results were examined using local Moran's I to identify geographic hotspots. RESULTS: Eleven counties had HIV rates higher than 100 per 100,000. Three were hotspots. Being an HIV hotspot was significantly associated with relatively low educational attainment and less severe poverty than other areas in the state. CONCLUSIONS: Findings suggesting that the HIV clusters in Alabama were categorized by significantly less severe poverty and lower educational attainment can aid ongoing efforts to strategically target resources and end the HIV epidemic in U.S.' Deep South.

Medication-assisted treatment and self-help group participation among military veterans with opioid or alcohol use disorder.

INTRODUCTION: Medication-assisted treatment (MAT) is a combination of behavioural therapy and medications to assist with recovery and has been administered to individuals with alcohol and opioid withdrawal symptoms. Military veterans seeking MAT could have barriers preventing them from receiving the care they desire. The present study sought to compare outcomes in individuals who received MAT or those who participated in self-help groups for opioid or alcohol use disorder. In addition, the present study sought to compare outcomes between veterans and non-military-connected individuals. METHODS: We used the 2015-2017 United States Treatment Episode Data Set Discharges data from the Substance Abuse and Mental Health Services Administration. The data set included 138 594 unique discharges. A multinomial logistic regression model was used to examine differences in substance use outcomes for veterans/non-veterans in MAT and a self-help group. RESULTS: Fewer veterans (2.58%) than non-veterans (4.28%) reported usage of MAT. Fewer veterans (38.94%) than non-veterans (40.17%) reported signing up for a self-help group. Finally, those who participated in MAT and a self-help group had a better outcome (66.64%)-defined as no substance use at discharge-than those who only received MAT (43.02%) and those who did not participate in MAT or self-help groups (34.84%). CONCLUSIONS: Recommendations for future research on MAT and implementation for the veteran population would benefit the literature base.

Frog embryos use multiple levels of temporal pattern in risk assessment for vibration-cued escape hatching.

Stereotyped signals can be a fast, effective means of communicating danger, but animals assessing predation risk must often use more variable incidental cues. Red eyed-treefrog, Agalychnis callidryas, embryos hatch prematurely to escape from egg predators, cued by vibrations in attacks, but benign rain generates vibrations with overlapping properties. Facing high false-alarm costs, embryos use multiple vibration properties to inform hatching, including temporal pattern elements such as pulse durations and inter-pulse intervals. However, measures of snake and rain vibration as simple pulse-interval patterns are a poor match to embryo behavior. We used vibration playbacks to assess if embryos use a second level of temporal pattern, long gaps within a rhythmic pattern, as indicators of risks. Long vibration-free periods are common during snake attacks but absent from hard rain. Long gaps after a few initial vibrations increase the hatching response to a subsequent vibration series. Moreover, vibration patterns as short as three pulses, separated by long periods of silence, can induce as much hatching as rhythmic pulse series with five times more vibration. Embryos can retain information that increases hatching over at least 45 s of silence. This work highlights that embryo behavior is contextually modulated in complex ways. Identical vibration pulses, pulse groups, and periods of silence can be treated as risk cues in some contexts and not in others. Embryos employ a multi-faceted decision-making process to effectively distinguish between risk cues and benign stimuli.

Deletion of platelet CLEC-2 decreases GPIbα-mediated integrin αIIbß3 activation and decreases thrombosis in TTP.

Microvascular thrombosis in patients with thrombotic thrombocytopenic purpura (TTP) is initiated by GPIbα-mediated platelet binding to von Willebrand factor (VWF). Binding of VWF to GPIbα causes activation of the platelet surface integrin αIIbß3. However, the mechanism of GPIbα-initiated activation of αIIbß3 and its clinical importance for microvascular thrombosis remain elusive. Deletion of platelet C-type lectin-like receptor 2 (CLEC-2) did not prevent VWF binding to platelets but specifically inhibited platelet aggregation induced by VWF binding in mice. Deletion of platelet CLEC-2 also inhibited αIIbß3 activation induced by the binding of VWF to GPIbα. Using a mouse model of TTP, which was created by infusion of anti-mouse ADAMTS13 monoclonal antibodies followed by infusion of VWF, we found that deletion of platelet CLEC-2 decreased pulmonary arterial thrombosis and the severity of thrombocytopenia. Importantly, prophylactic oral administration of aspirin, an inhibitor of platelet activation, and therapeutic treatment of the TTP mice with eptifibatide, an integrin αIIbß3 antagonist, reduced pulmonary arterial thrombosis in the TTP mouse model. Our observations demonstrate that GPIbα-mediated activation of integrin αIIbß3 plays an important role in the formation of thrombosis in TTP. These observations suggest that prevention of platelet activation with aspirin may reduce the risk for thrombosis in patients with TTP.

A Fay-Herriot Model for Estimating Subjective Cognitive Decline among Military Veterans.

BACKGROUND: Although studies have examined the geographic distribution of dementia among the general population in order to develop geographically targeted interventions, no studies have examined the geographic distribution of subjective cognitive decline (SCD) among military veterans specifically. OBJECTIVES: To map the geographic distribution of subjective cognitive decline from 2011-2019 in the United States among military veterans. DESIGN: Cross-sectional. SETTING: United States. PARTICIPANTS: Individuals reporting previous service in the United States Armed Forces. MEASUREMENTS: Using 2011 Behavioral Risk Factor Surveillance System (BRFSS) data, which is last year for which geocoded SCD data is publicly available, we estimated the survey-weighted county-level prevalence of veteran SCD for counties with >30 veterans (43 counties in 7 states). We then developed a Fay-Herriot small area estimation linear model using auxiliary data from the Census, with county-level veteran-specific covariates including % >65 years old, % female, % college educated, and median income. Following model validation, we created beta-weighted predictions of veteran SCD for all USA counties for 2011-2019 using relevant time-specific Census auxiliary data. We provide choropleth maps of our predictions. RESULTS: Results of our model on 43 counties showed that county-level rates of SCD were significantly associated with all auxiliary variables except annual income (F = 1.49, df = 4, 38). Direct survey-weighted rates were correlated with model-predicted rates in 43 counties (Pearson r = 0.32). Regarding predicted rates for the entire USA, the average county-level prevalence rate of veteran SCD in 2011 was 13.83% (SD = 7.35), but 29.13% in 2019 (SD = 14.71) - although variation in these rates were evident across counties. CONCLUSIONS: SCD has increased since 2011 among veterans. Veterans Affairs hospitals should implement plans that include cognitive assessments, referral to resources, and monitoring patient progress, especially in rural areas.

L-SIGN is a receptor on liver sinusoidal endothelial cells for SARS-CoV-2 virus.

Coronavirus disease 2019 (COVID-19), caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), remains a pandemic. Severe disease is associated with dysfunction of multiple organs, but some infected cells do not express ACE2, the canonical entry receptor for SARS-CoV-2. Here, we report that the C-type lectin receptor L-SIGN interacted in a Ca2+-dependent manner with high-mannose-type N-glycans on the SARS-CoV-2 spike protein. We found that L-SIGN was highly expressed on human liver sinusoidal endothelial cells (LSECs) and lymph node lymphatic endothelial cells but not on blood endothelial cells. Using high-resolution confocal microscopy imaging, we detected SARS-CoV-2 viral proteins within the LSECs from liver autopsy samples from patients with COVID-19. We found that both pseudo-typed virus enveloped with SARS-CoV-2 spike protein and authentic SARS-CoV-2 virus infected L-SIGN-expressing cells relative to control cells. Moreover, blocking L-SIGN function reduced CoV-2-type infection. These results indicate that L-SIGN is a receptor for SARS-CoV-2 infection. LSECs are major sources of the clotting factors vWF and factor VIII (FVIII). LSECs from liver autopsy samples from patients with COVID-19 expressed substantially higher levels of vWF and FVIII than LSECs from uninfected liver samples. Our data demonstrate that L-SIGN is an endothelial cell receptor for SARS-CoV-2 that may contribute to COVID-19-associated coagulopathy.

Secondary data analysis investigating effects of marine omega-3 fatty acids on circulating levels of leptin and adiponectin in older adults.

BACKGROUND: Higher leptin and lower adiponectin levels have been linked to progressing systemic inflammation and diseases of aging. Among older adults with obesity and an inflammatory conditions, we quantified effects of eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA) supplementation on leptin, adiponectin, and the leptin-to-adiponectin ratio (LAR). We also examined associations among adipokine and cytokine levels. METHODS: Using a randomized, double-blind, placebo-controlled design, participants (mean age 61.3 ± 2.1) received 1.5 g EPA + 1.0 g DHA (n = 14) or mineral oil (n = 18) daily. Plasma adipokine and cytokine levels were quantified by electrochemiluminescence at all study intervals. RESULTS: While no between-group differences were detected, there was a reduction in the LAR (by 23%, p=.065) between weeks 4 and 8 among the EPA+DHA group. Adiponectin levels were negatively associated with IL-1ß levels at week 4 (p=.02) and TNF-α levels at week 8 (p=.03). CONCLUSION: Potential benefits of EPA+DHA supplementation among aging populations warrant further study.

Regulation of Neutrophil Function by Marine n-3 Fatty Acids-A Mini Review.

While normal functioning neutrophils contribute in various, critical ways to the maintenance of a stable immune system, their hypo- or hyper-activation has been implicated in the onset or exacerbation of multiple inflammatory conditions often affecting the vulnerable, aging population. As such, many would benefit from interventions capable of targeting neutrophils in disease-specific ways without disrupting their primary role in maintaining immune function. After consumption, marine omega-3 fatty acids are rapidly incorporated into the phospholipid bilayer of neutrophils, changing the fatty acid composition and consequently modifying neutrophil function. In addition to eicosanoid synthesis, the mechanisms by which marine n-3 fatty acids and their metabolites alter neutrophil function involve blockage of transcription factors that subsequently reduce pro-inflammatory gene expression by neutrophils and through the disruption of lipid rafts. In the current mini-review, a brief explanation of marine n-3 fatty acid metabolism is provided and the subsequent impact on neutrophil function is discussed. In addition, current evidence of the effects of marine n-3 fatty acid supplementation on neutrophil function from clinical trials conducted in the past 15 years is summarized.

Kupffer cell receptor CLEC4F is important for the destruction of desialylated platelets in mice.

The liver has recently been identified as a major organ for destruction of desialylated platelets. However, the underlying mechanism remains unclear. Kupffer cells, which are professional phagocytic cells in the liver, comprise the largest population of resident tissue macrophages in the body. Kupffer cells express a C-type lectin receptor, CLEC4F, that recognizes desialylated glycans with an unclear in vivo role in mediating platelet destruction. In this study, we generated a CLEC4F-deficient mouse model (Clec4f-/-) and found that CLEC4F was specifically expressed by Kupffer cells. Using the Clec4f-/- mice and a newly generated platelet-specific reporter mouse line, we revealed a critical role for CLEC4F on Kupffer cells in mediating destruction of desialylated platelets in the liver in vivo. Platelet clearance experiments and ultrastructural analysis revealed that desialylated platelets were phagocytized predominantly by Kupffer cells in a CLEC4F-dependent manner in mice. Collectively, these findings identify CLEC4F as a Kupffer cell receptor important for the destruction of desialylated platelets induced by bacteria-derived neuraminidases, which provide new insights into the pathogenesis of thrombocytopenia in disease conditions such as sepsis.

Mental and physical health in service member and veteran students who identify as American Indians and Alaskan natives.

OBJECTIVE: The purpose of this study was to explore (a) current utilization rates of university mental health services among American Indian/Alaskan Native/Native Hawaiian (AI/AN/NH) student veterans and (b) predictors of mental health service utilization among AI/AN student veterans. Participants: Data for this cross-sectional study were obtained from the American College Health Association (ACHA)'s 2011-2014 National College Health Assessment II (n = 103). Methods: University mental health service utilization rates were calculated as a percentage for AI/AN/NH student veterans. Multivariable logistic regression was used to determine predictors of mental health service utilization. Results: Results showed that 14% of AI/AN/NH student veterans have used university mental health services. Predictors of mental health service utilization in this population included financial stress, lack of deployment during service, suicidal ideation, and a diagnosis of depression, model χ2 (13) = 162. 128, p < 0.001, Nagelkerke R2 = 0.130. Conclusion: This research identified gaps in service provision for AI/AN service member and veteran students on college campuses and provided possible models for intervention development.

Estimation of acoustic absorption in porous materials based on visco-thermal boundary layers modeled as boundary conditions.

A method for estimating acoustic absorption in porous materials is presented in which the thermal and viscous boundary layers are modeled through boundary conditions to the Helmholtz equation for the acoustic pressure. The method is proposed for rigid-framed porous materials in which vibration of the frame is negligible compared to pressure fluctuations in air. The method reduces computation times by 2 orders of magnitude compared to a full thermoviscous acoustic solver. Furthermore, the method is shown to be highly accurate over geometrical features and frequencies of interest as long as thermal and viscous boundary layers do not overlap and the effects of the sharp changes in curvature are negligible. The method is demonstrated for a periodic sound absorber from the literature as well as a sound absorber with a randomly graded microstructure.

Proximal colon-derived O-glycosylated mucus encapsulates and modulates the microbiota.

Colon mucus segregates the intestinal microbiota from host tissues, but how it organizes to function throughout the colon is unclear. In mice, we found that colon mucus consists of two distinct O-glycosylated entities of Muc2: a major form produced by the proximal colon, which encapsulates the fecal material including the microbiota, and a minor form derived from the distal colon, which adheres to the major form. The microbiota directs its own encapsulation by inducing Muc2 production from proximal colon goblet cells. In turn, O-glycans on proximal colon-derived Muc2 modulate the structure and function of the microbiota as well as transcription in the colon mucosa. Our work shows how proximal colon control of mucin production is an important element in the regulation of host-microbiota symbiosis.

Dynamic labeling discernment: Contextual importance of self-identifiers for individuals in recovery.

Recent studies associate identifiers, such as "alcoholic/addict", with stigma, discrimination, and service deficits. Yet, little is known about why and how self-identifiers are chosen. This study analyzed qualitative responses from individuals (N = 42) in recovery from substance use disorders (SUDs) concerning their use of "alcoholic/addict" or "person with a SUD". Evaluative structure and generative theories were developed via latent content analysis and grounded theory. Secondary analysis evidenced four thematic constructs: contextual significance, flexibility/rigidity, leveraging identity to counteract stigma, and indications of identity integration/disintegration. Some individuals indicated the contextual utility of certain identifiers, regardless of associated stigma and bias.

Subtle ocular movements in a patient with brain death.

Introduction and Case Presentation: Brain death can be associated with limb movements that are attributed to spinal reflexes. Although head/face movements have been rarely reported, no case of overt eye movements in brain death has been documented. We report a case of a patient with subtle eye movements whose exam was otherwise consistent with brain death. The presence of eye movements delayed pronouncing the patient as brain dead and delayed organ donation. We agree with American Academy of Neurology Position statement from 2019 that brain death does not mean demise of every neuron. Discussion: This case raises important questions about the types of movements that should be "allowed" during the determination of brain death to avoid delays in diagnosis.

Prevalence and Incidence of Microhemorrhages in Adolescent Football Players.

BACKGROUND AND PURPOSE: SWI is an advanced imaging modality that is especially useful in cerebral microhemorrhage detection. Such microhemorrhages have been identified in adult contact sport athletes, and the sequelae of these focal bleeds are thought to contribute to neurodegeneration. The purpose of this study was to utilize SWI to determine whether the prevalence and incidence of microhemorrhages in adolescent football players are significantly greater than those of adolescent noncontact athletes. MATERIALS AND METHODS: Preseason and postseason SWI was performed and evaluated on 78 adolescent football players. SWI was also performed on 27 adolescent athletes who reported no contact sport history. Two separate one-tailed Fisher exact tests were performed to determine whether the prevalence and incidence of microhemorrhages in adolescent football players are greater than those of noncontact athlete controls. RESULTS: Microhemorrhages were observed in 12 football players. No microhemorrhages were observed in any controls. Adolescent football players demonstrated a significantly greater prevalence of microhemorrhages than adolescent noncontact controls (P = .02). Although 2 football players developed new microhemorrhages during the season, microhemorrhage incidence during 1 football season was not statistically greater in the football population than in noncontact control athletes (P = .55). CONCLUSIONS: Adolescent football players have a greater prevalence of microhemorrhages compared with adolescent athletes who have never engaged in contact sports. While microhemorrhage incidence during 1 season is not significantly greater in adolescent football players compared to adolescent controls, there is a temporal association between playing football and the appearance of new microhemorrhages.

Sound absorption by metallic foam after triaxial hydrostatic compression.

An engineering method for triaxial hydrostatic compression of metallic foam is presented to preferentially alter the foam's microstructure. The method is demonstrated on an assortment of open-cell aluminum foams with varying pore size and porosity. Measurements of acoustic absorption indicate that the compressed samples absorb significantly more sound than the conventional samples of equal thickness in the test range from 0.25 to 4 kHz. The acoustic absorption trends that result from the transformation of foam microstructure in the compressed samples are a function of the initial pore size and porosity. An analysis is presented which links the microstructure properties of compressed foam samples to conventional samples, thereby providing a means to estimate acoustic absorption trends for compressed samples through use of existing models.

Core 1-derived mucin-type O-glycosylation protects against spontaneous gastritis and gastric cancer.

Core 1-derived mucin-type O-glycans (O-glycans) are a major component of gastric mucus with an unclear role. To address this, we generated mice lacking gastric epithelial O-glycans (GEC C1galt1-/-). GEC C1galt1-/- mice exhibited spontaneous gastritis that progressed to adenocarcinoma with ∼80% penetrance by 1 yr. GEC C1galt1-/- gastric epithelium exhibited defective expression of a major mucus forming O-glycoprotein Muc5AC relative to WT controls, which was associated with impaired gastric acid homeostasis. Inflammation and tumorigenesis in GEC C1galt1-/- stomach were concurrent with activation of caspases 1 and 11 (Casp1/11)-dependent inflammasome. GEC C1galt1-/- mice genetically lacking Casp1/11 had reduced gastritis and gastric cancer progression. Notably, expression of Tn antigen, a truncated form of O-glycan, and CASP1 activation was associated with tumor progression in gastric cancer patients. These results reveal a critical role of O-glycosylation in gastric homeostasis and the protection of the gastric mucosa from Casp1-mediated gastric inflammation and cancer.

Small area estimation of human papillomavirus vaccination coverage among school-age children in Alabama counties.

OBJECTIVES: This study estimated county-level human papillomavirus (HPV) vaccination initiation rates in Alabama and determined whether disparities existed between counties in the Mississippi Delta region (MDR) and Appalachian region (AR). STUDY DESIGN: This study used an observational cross-sectional design. METHODS: We used small area estimation methodology to estimate rates of medical provider-verified HPV vaccine initiation among school-age children in Alabama. Data for the study were retrieved from the 2015 National Immunization Survey (n = 22,205) and the US Census Bureau. RESULTS: The predictive model results showed that older age (odds ratio [OR] = 1.22, 95% confidence interval [CI] = 1.16, 1.29) was positively associated with vaccination initiation and black (OR = 0.79, 95% CI = 0.71, 0.87), white (OR = 0.56, 95% CI = 0.52, 0.60), and 'other' race/ethnicities (OR = 0.78, 95% CI = 0.70, 0.86), compared with Hispanics, and was negatively associated with vaccination initiation. The median (x̃)-modeled HPV vaccination initiation rate for all Alabama counties was 50.83% (interquartile range = 5.00%). Modeled HPV vaccination initiation rates were lowest in AR counties (x̃ = 49.81%), followed by counties not in the AR or MDR (x̃ = 53.26%) and MDR counties (x̃ = 54.90%). CONCLUSIONS: Culturally sensitive school-based HPV vaccine delivery programs are needed for children living in AR counties in Alabama.

Analysis of thermal and viscous boundary layers in acoustic absorption by metallic foam.

A method for estimating acoustic absorption in foams is presented using a combination of micro-computed tomography, finite element analysis, and boundary layer loss theory. In the method, the foam is assumed to be rigid framed and the viscous and thermal boundary layers at the fluid and frame interface are assumed to be small compared to foam dimensions. The boundary layer losses are approximated using an infinite planar model. The method is demonstrated for a commercially available open-cell metallic foam and allows for absorption to be estimated without determination of any intermediate variables that are required in existing methods. Enhancement of sound absorbing properties by selection of foam properties, such as porosity and pores per inch, is discussed. Furthermore, predicted absorption trends agree with other published models and experimental data. A simplified, two-dimensional geometry is presented in which the assumptions of this method are analyzed.