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a feature pyramid structure, which enhances the learning performance of the network for lesions. The results of comparative numerical experiments show that the proposed method outperforms some state-of-the-art methods. This article is protected by copyright. All rights reserved.OBJECTIVES/HYPOTHESIS Evaluate technical success, tolerability, and safety of lidocaine iontophoresis and tympanostomy tube placement for children in an office setting. STUDY DESIGN Prospective individual cohort study. METHODS This prospective multicenter study evaluated in-office tube placement in children ages 6 months through 12 years of age. Anesthesia was achieved via lidocaine/epinephrine iontophoresis. Tube placement was conducted using an integrated and automated myringotomy and tube delivery system. Anxiolytics, sedation, and papoose board were not used. Technical success and safety were evaluated. Patients 5 to 12 years old self-reported tube placement pain using the Faces Pain Scale-Revised (FPS-R) instrument, which ranges from 0 (no pain) to 10 (very much pain). RESULTS Children were enrolled into three cohorts with 68, 47, and 222 children in the Operating Room (OR) Lead-In, Office Lead-In, and Pivotal cohorts, respectively. In the Pivotal cohort, there were 120 and 102 children in the less thenl, Rhinological and Otological Society, Inc.This study examined the relationship between residential mobility, neighborhood social cohesion, and health status in US adolescents. Using data from the 2017 National Child Health Survey, our study showed that high residential mobility is negatively related to adolescents' health. Furthermore, we found that the association between residential mobility and adolescents' health status was mediated by neighborhood social cohesion. These findings suggest that neighborhood social cohesion can be an important mechanism through which residential mobility affects adolescents' health status. © 2020 Wiley Periodicals, Inc.PURPOSE Hydrogen sulfide, a signaling molecule formed mainly from cysteine, is catabolized by sulfidequinone oxidoreductase (gene SQOR). Toxic hydrogen sulfide exposure inhibits complex IV. We describe children of two families with pathogenic variants in SQOR. METHODS Exome sequencing identified variants; SQOR enzyme activity was measured spectrophotometrically, protein levels evaluated by western blotting, and mitochondrial function was assayed. RESULTS In Family A, following a brief illness, a four-year-old girl presented comatose with lactic acidosis and multiorgan failure. After stabilization, she remained comatose, hypotonic, had neuro-storming episodes, elevated lactate, and Leigh-like lesions on brain imaging. She died shortly after. Her eight-year-old sister presented with a rapidly fatal episode of coma with lactic acidosis, and lesions in the basal ganglia and left cortex. Muscle and liver tissue had isolated decreased complex IV activity, but normal complex IV protein levels and complex formation. Both patients were homozygous for c.637G > A, which is a founder mutation in the Lehrerleut Hutterite with a carrier frequency of 1 in 13. The resulting p.Glu213Lys change disrupts hydrogen bonding with neighboring residues, resulting in severely reduced SQOR protein and enzyme activity, whereas sulfide generating enzyme levels were unchanged. In Family B, a boy had episodes of encephalopathy and basal ganglia lesions. He was homozygous for c.446delT and had severely reduced fibroblast SQOR enzyme activity and protein levels. CONCLUSION SQOR dysfunction can result in hydrogen sulfide accumulation, which, consistent with its known toxicity, inhibits complex IV resulting in energy failure. SQOR deficiency represents a new, potentially treatable, cause of Leigh disease. This article is protected by copyright. All rights reserved. This article is protected by copyright. All rights reserved.In response to a comment in this issue on our proposal of new terminology to distinguish red algal parasites, we clarify a few key issues. The terms adelphoparasite and alloparasite were previously used to identify parasites that infected close or distant relatives, respectively. However, most red algal parasites have only been studied morphologically, and molecular tools have shown that these binary terms do a poor job at representing the range of parasite-host relationships. We recognize the need to clarify inferred misconceptions that appear to be drawing from historical terminology to contaminate our new definitions. We did not intend to replace the term adelphoparasite with neoplastic parasites and the term alloparasites with archaeplastic parasites. Rather, we seek to establish new terms for discussing red algal parasites, based on the retention of a native plastid, a binary biological trait that is relatively easy to identify using modern methods and has biological implications for the interactions between a parasite and its host. The new terminology can better account for the spectrum of relationships and developmental patterns found among the many independently evolved red algal parasites, and is intended to inspire new research, particularly the role of plastids in the survival and evolution of red algal parasites. find more This article is protected by copyright. All rights reserved.BACKGROUND Occlusal trauma is an important local contributing factor aggravating periodontal pocket and alveolar bone absorption in periodontal diseases. Our previous studies have found that occlusal trauma inhibited osteogenic differentiation through NF-κB signaling. To further investigate the underlying mechanism, the aim of this study was to explore the role of long chain non-coding RNA Dancr in the inhibitory effect of traumatic stress on osteoblast differentiation. METHODS We took the MC3T3-E1 cells as object in vitro research and stimulated cells with simple stress load, Dancr-siRNA + stress load, Dancr overexpression-plasmid + stress load. Quantitative real-time polymerase chain reaction (RT-PCR) was used to detect the RNA expression levels of Dancr, Alp and Runx2. The protein expressions of Alp and Runx2 were tested by western blot and the activity of Alp was qualitatively demonstrated by Alp staining. In addition, western blot was performed to investigate the role of Dancr in affecting NF-κB signaling pathway.

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