Changes in Oxygenation and Clinical Outcomes with Awake Prone Positioning in Patients with Suspected COVID-19 In Low-Resource Settings: A Retrospective Cohort Study

Introduction This study aimed to describe the use of awake prone positioning (APP) and conventional oxygen therapy (COT) in patients with suspected coronavirus disease (COVID-19) and respiratory failure in a limited-resource setting. Methods This was a retrospective cohort study of hospitalized patients aged ≥18 years old who were placed in an awake prone position due to hypoxemic respiratory failure and suspected COVID-19. The patients were selected from a tertiary center in Cartagena, Colombia, between March 1, 2020, and August 31, 2020. Demographic, clinical, and laboratory variables were collated, and all the variables were compared between the groups. Results The median age of the participants was 63 (IQR, 48.8-73) years (survivors: 59 [IQR, 43.568] years vs. non-survivors: 70 [IQR, 63-78] years, P ≤ .001). Of the 1470 patients admitted for respiratory symptoms, 732 (49.8%) were hospitalized for more than 24 h, and 212 patients developed respiratory failure and required COT and APP (overall hospital mortality, 34% [73/212]). The mean rank difference in PaO2/FiO2 before and after APP was higher in the survivors than in the non-survivors (201.1-252.6, mean rank difference = 51.5, P = .001 vs. 134.1-172.4, mean rank difference = 38.28, P = .24, respectively). Conclusion While using COT in conjunction with APP can improve respiratory failure in patients with suspected COVID-19 in low-resource settings, persistent hypoxemia after APP can identify patients with higher mortality risk. More evidence is needed to establish the role of this strategy.

Cooperating elephants mitigate competition until the stakes get too high

Cooperation is ubiquitous in the animal kingdom as it aims to maximize benefits through joint action. Selection, however, may also favor competitive behaviors that could violate cooperation. How animals mitigate competition is hotly debated, with particular interest in primates and little attention paid thus far to nonprimates. Using a loose-string pulling apparatus, we explored cooperative and competitive behavior, as well as mitigation of the latter, in semi-wild Asian elephants (Elephas maximus). Our results showed that elephants first maintained a very high cooperation rate (average = 80.8% across 45 sessions). Elephants applied “block,” “fight back,” “leave,” “move side,” and “submission” as mitigation strategies and adjusted these strategies according to their affiliation and rank difference with competition initiators. They usually applied a “fight back” mitigation strategy as a sanction when competition initiators were low ranking or when they had a close affiliation, but were submissive if the initiators were high ranking or when they were not closely affiliated. However, when the food reward was limited, the costly competitive behaviors (“monopoly” and “fight”) increased significantly, leading to a rapid breakdown in cooperation. The instability of elephant cooperation as a result of benefit reduction mirrors that of human society, suggesting that similar fundamental principles may underlie the evolution of cooperation across species.

Different contribution of the monkey prefrontal and premotor dorsal cortex in decision-making supported by inferential reasoning

Several studies reported similar neural modulations between brain areas of the frontal cortex, such as the dorsolateral prefrontal (DLPFC) and the premotor dorsal (PMd) cortex, in tasks requiring encoding of the abstract rules for selecting the proper action. Here, we compared the DLPFC and PMd neuronal activity of monkeys trained in choosing the highest ranking image of pair (target item), selected from an arbitrarily rank-ordered set (A>B>C>D>E>F) in the context of a transitive inference task. Once acquired by trial-and-error, the ordinal relationship between pairs of adjacent images (i.e. A>B; B>C; C>D; D>E; E>F), monkeys were tested in inferring the ordinal relation between items of the list not paired during learning. During inferential decisions, we observed that the choice accuracy increased and the reaction time decreased as the rank difference between the compared items enhanced. This result is in line with the hypothesis that after learning, the monkeys built an abstract mental representation of the ranked items, where rank comparisons correspond to the item position comparison on this representation. In both brain areas, we observed higher neuronal activity when the target item appeared in a specific location on the screen, with respect to the opposite position and that this difference was particularly enhanced at lower degrees of difficulty. By comparing the time evolution of the activity of the two areas, we revealed that the neural encoding of target item spatial position occurred earlier in DLPFC than in PMd, while in PMd the spatial encoding duration was longer.

The Function of Mounts in Free-Ranging Barbary Macaques (Macaca sylvanus)

Generally, nonreproductive sex is thought to act as “social grease,” facilitating peaceful coexistence between subjects that lack close genetic ties. However, specifc nonreproductive sexual behaviors may fulfill different functions. With this study, we aimed to test whether nonreproductive mounts in Barbary macaques are used to 1) assert dominance, 2) reinforce social relationships, and/or 3) solve conflicts. We analyzed nonreproductive mounts (N = 236) and postmount behavior in both aggressive and nonaggressive contexts, in 118 individuals belonging to two semi-free-ranging groups at La Montagne des Singes (France). As predicted by the dominance assertion hypothesis, the probability to be the mounter increased with rank difference, especially in aggressive contexts (increasing from 0.066 to 0.797 in nonaggressive contexts, and from 0.011 to 0.969 in aggressive contexts, when the rank difference was minimal vs. maximal). The strength of the social bond did not significantly predict the proportion of mounts across dyads in nonaggressive contexts, providing no support for the relationship reinforcement hypothesis. Finally, in support of the conflict resolution hypothesis, when individuals engaged in postconflict mounts, 1) the probability of being involved in further aggression decreased from 0.825 to 0.517, while 2) the probability of being involved in grooming interactions with each other increased from 0.119 to 0.606. The strength of the social bond between former opponents had no significant effect on grooming occurrence and agonistic behavior after postconflict mounts. Overall, our findings suggest that nonreproductive mounts in Barbary macaques have different functions that are not affected by the strength of the social bond.

Serum soluble CD26/DPP4 titer variation is a potential prognostic biomarker in cancer therapy with a humanized anti-CD26 antibody

Background The phase I trial of the humanized anti-CD26 monoclonal antibody YS110 for CD26-expressing tumors was conducted recently. The present study identifies a potential prognostic biomarker for CD26-targeted therapy based on the phase I data. Methods Box and Whisker plot analysis, Scatter plot analysis, Peason product moment correlation/Spearman’s rank-difference correlation, Bar graph analysis, and Receiver Operating Characteristics (ROC) were used to examine the correlation between sCD26 titer variation with YS110 administration and tumor volume change, RECIST criteria evaluation and progression free survival (PFS). Mechanism for serum sCD26 titer variation was confirmed by in vitro experimentation. Results Serum sCD26/DPP4 titer was reduced following YS110 administration and gradually recovered until the next infusion. Serum sCD26/DPP4 titer before the next infusion was sustained at lower levels in Stable Disease (SD) cases compared to Progressive Disease cases. ROC analysis defined the cut-off level of serum sCD26/DPP4 titer variation at day 29 pre/post for the clinical outcome of SD as tumor response or PFS. In vitro experimentation confirmed that YS110 addition reduced sCD26 production from CD26-expressing tumor and non-tumor cells. Conclusions Our study indicates that serum sCD26/DPP4 titer variation in the early phase of YS110 treatment is a predictive biomarker for evaluating therapeutic efficacy.

Judo mixed team event match outcome and the Judo World Ranking List

The Judo World Ranking List has been used to assess its predictive power regarding athletic performance. The aim of this study was to check if the ranking difference among athletes in the individual rankings could be used as a predictor for the outcome of mixed teams judo competition. We sought to verify the association between the variable “rank difference” and the probability of the higher-ranked athlete winning against that lower-ranked. This heterogeneity between athletes is a major factor in increasing or decreasing the team’s chances of winning. The higher ranked athlete’s defeat seems to have a significant negative effect on his/her teammates in subsequent bouts. These findings imply that future studies on mixed teams judo competitions should consider individual ranking differences among athletes as a predictor of performance.

Burkitt lymphoma: Age Specific Fertility Rate in 113 long-term female survivors after treatment with cyclophosphamide

Introduction Reduced fertility risk is a risk in females treated with a high cumulative cyclophosphamide (CPM) dose. Objectives The objective of this study is to establish the age at menarche, record all pregnancies, calculate age-specific fertility rate (ASFR) in female BL survivors, treated in Cameroon, in the age groups 15–19 and 20–24 years, and association with an increasing cumulative CPM dose. Methods Data collection included personal data and telephone interviews for female survivors, aged ≥12 years with regards to menarche age, their mothers’ menarche age, incidence and outcome of all pregnancies. The cumulative CPM/m2 dose was categorized as low (<4723 mg/m2), medium (4724–10 635 mg/m/2) or high (>10 635 mg/m2). Results The median age at first treatment for 113 patients was 8 years (range 3–17 years), with median current age 17 years (range 12–26 years); the median duration of follow-up was 9 years (range 1.2–13.3 years). The median age of patients at menarche (n = 109; 4 unknown) was 14 years (range 10–17 years, SD 1.19) and that of their mothers (n = 68; 45 unknown) 15 years (range 10–17 years, SD 1.53). The median time to first pregnancy following menarche (the fertility time) was 3.04 years (n = 10) with low-dose CPM, 6.09 years with medium-dose CPM (n = 81) and 6.04 years with high-dose CPM (n = 32) (log rank difference p = 0.420). The ASFR in the age group 15–19 years was 82.19 (n = 73) and in the age group 20–24 years was 863.6 (n = 22), with significantly lower ASFR (p > 0.001) in children treated before the age of 10 years. Conclusion Fertility rates of girls treated for BL with CPM were normal but reduced in patients who commenced treatment before the age of 10 years.

Serum soluble CD26/DPP4 titer variation is a potential prognostic biomarker in cancer therapy with a humanized anti-CD26 antibody

Background The phase I trial of the humanized anti-CD26 monoclonal antibody YS110 for CD26-expressing tumors was conducted recently. The present study identifies a potential prognostic biomarker for CD26-targeted therapy based on the phase I data. Methods Box and Whisker plot analysis, Scatter plot analysis, Peason product moment correlation/Spearman’s rank-difference correlation, Bar graph analysis, and Receiver Operating Characteristics (ROC) were used to examine the correlation between sCD26 titer variation with YS110 administration and tumor volume change, RECIST criteria evaluation and progression free survival (PFS). Mechanism for serum sCD26 titer variation was confirmed by in vitro experimentation. Results Serum sCD26/DPP4 titer was reduced following YS110 administration and gradually recovered until the next infusion. Serum sCD26/DPP4 titer before the next infusion was sustained at lower levels in Stable Disease (SD) cases compared to Progressive Disease cases. ROC analysis defined the cut-off level of serum sCD26/DPP4 titer variation at day 29 pre/post for the clinical outcome of SD as tumor response or PFS. In vitro experimentation confirmed that YS110 addition reduced the sCD26 production from CD26-expressing tumor and non-tumor cells. Conclusions Our study indicates that serum sCD26/DPP4 titer variation in the early phase of YS110 treatment is a predictive biomarker for evaluating therapeutic efficacy.

Linearly Homomorphic Signatures from Lattices

Linearly homomorphic signatures (LHSs) allow any entity to linearly combine a set of signatures and to provide authentication service for the corresponding (combined) data. The public key of the current known LHSs from lattices in the standard model requires $O(l)$ matrices and $O(k)$ vectors, where $l$ is the length of file identifier and $k$ is the maximum data set size that linear functions support. In this paper, we construct two lattice-based LHS schemes with provable security in the standard model and both schemes can authenticate vectors defined over finite field. First, we present a basic LHS scheme satisfying selective security, based on the full-rank difference hash functions. Second, we modify the chameleon hash function constructed by (Cash, D., Hofheinz, D., Kiltz, E. and Peikert, C. (2010) Bonsai Trees, or How to Delegate a Lattice Basis. In Proc. EUROCRYPT 10, Monaco/French Riviera, May 30 to June 3, pp. 523–552. Springer, Berlin) to construct a linearly homomorphic chameleon hash function (LHCHF), which can be applied to all transformations from selectively secure LHS scheme that authenticates vectors defined over finite field $\mathbb{F}_{p}$ ($p=poly(n)$) to fully secure one, except for a new one that authenticates vectors defined over a small field. Starting from LHCFH and the basic scheme as above, we obtain a fully secure LHS scheme. Both schemes can be used to sign multiple files and have relatively short public keys consisting of $O(1)$ matrices and $O(k)$ vectors.