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Acute respiratory distress syndrome (ARDS) is a common cause of mortality in patients with acute kidney injury (AKI). Inflammatory crosstalk from the kidney to the lung has been shown to contribute to lung injury after AKI, but anti-inflammatory therapies have not been proven beneficial in human studies. Recently, AKI was shown to alter mitochondria and related metabolic pathways in the heart, but the impact of AKI on lung metabolism has not been investigated to our knowledge. In this study, we evaluated the metabolomic profile of the lung following renal ischemia and reperfusion to identify novel pathways that may be modifiable. We randomized C57BL/6 mice to 20 minutes of bilateral renal arterial clamping or sham operation under ketamine/xylazine anesthesia. At 4 hours after reperfusion, we found a significant increase in markers of lung injury, as well as significant metabolomic changes across lung, kidney, plasma and bronchoalveolar lavage fluid (BALF) compared to shams. Comparative analyses revealed that the fatty acid oxidation pathway was the most significantly altered metabolic pathway, a finding which is consistent with mitochondrial dysfunction systemically and in the lung. These metabolomic changes correlated with the extracellular accumulation of the mitochondrial damage associated molecular patterns (mtDAMPs), mitochondrial DNA (mtDNA) and transcription factor A, mitochondria (TFAM). Finally, we found that intraperitoneal injection of renal mtDAMPs caused metabolomic changes consistent with mitochondrial dysfunction in the lung in vivo. compound library chemical Mitochondrial function and mtDAMPs warrant further investigation as potential therapeutic targets in preventing lung injury because of AKI.

Hepatitis B virus infection is a major public health problem worldwide and is a major cause of morbidity and mortality. This study aimed to assess the prevalence of hepatitis B virus infection and associated factors among pregnant mothers in the Gedeo Zone, southern Ethiopia.

An institution-based cross-sectional study was conducted among 479 pregnant women visiting governmental and private health facilities in the Gedeo zone from January to April 2019. We selected study participants using systematic random sampling techniques. The Eugene strip test was used to determine hepatitis B virus infection among pregnant mothers. We collected the status of HIV of the pregnant women from the records. Other variables were collected from the mothers using interviewer-administered questionnaires. We used binary and multivariable logistic regression for the analysis. An adjusted odds ratios and their 95% confidence intervals (CIs) were calculated to determine the association between HBsAg sero-positivity and various fawas 4.75%. The health facilities must implement early initiation of antenatal care services which incorporate the prevention and control of HBV in the Gedeo Zone.Background People bereaved by suicide often face isolation, complicated grief, and increased suicide risk. Aims We aimed to explore how live-chat can support survivors in their bereavement process. Method A thematic analysis was carried out on 30 live-chat conversations through the software ATLAS.ti8. Transcripts were retrieved from a major Italian association providing online support. The users had different ages (18-60 years), degrees of kinship with the deceased (blood-related and not), and time distance from the loss (between 48 hr and 10 years). Results Five themes were identified meaning-making, reactions to the loss, resources, needs, and interactions with the operator. Survivors used the live-chat as a safe space in which to disclose nonsocially desirable details and to make sense of suicide through the reconstruction of events and the deceased's motivations. Given the limited social resources and the dissatisfaction with the available formal support, users resorted to justification, rationalization, or faith and found support and reassurance in the live chats. Limitations Some conversations were fragmented and lacked detailed information on the users. Conclusion Because of their anonymity and accessibility, live-chats represent a valid first-line form of support, from which survivors may obtain useful information and start a meaning-making process.Background Alfred Redl, a colonel in the Imperial and Royal General Staff and Deputy Director of Military Intelligence for the Austro-Hungarian Empire, was a leading figure of pre-World War I spying. The "spy of the century," as he has been called, died by suicide in Vienna on May 25, 1913. It was a big news story based on espionage, sex, and betrayal. Aim We aimed to test whether this celebrity suicide elicited an increase in suicides - a phenomenon consistent with the "Werther effect." Method Given daily suicide numbers were not available, we conducted archival research. Civil death registers for the city of Vienna were used to identify suicides before and after Redl's suicide. Results The analysis indicated that more people died by suicide in the immediate aftermath and that the quantity of news reporting on Colonel Redl predicted the number of suicides per day - a pattern that is consistent with the Werther effect. Limitations Causal interpretations are limited. Conclusion Given the fact that the "Redl affair" is relevant for many scientific disciplines, we discuss multiple contributions to suicide research, history, media research, and research on intelligence and counter-intelligence.Public events such as state fairs provide valuable opportunities to provide informal animal welfare education, possibly changing people's decisions regarding animal welfare. This study evaluated whether an interactive animal-free exhibit increased visitors' self-reported knowledge and stated behavioral intentions related to animal welfare. The exhibit featured information about the behavior and welfare of cattle, sheep, pigs, goats, poultry, horses, cats and dogs. Survey data were collected at two events in the Midwestern United States (Purdue University Spring Fest (FEST) n = 32; Indiana State Fair (FAIR) n = 49 valid responses). Most people agreed and strongly agreed (FEST 60.00%; FAIR 74.47%) that they learned new information and would consider this information when making decisions (FAIR 70.37%; FAIR 76.19). Most people (FEST 67.86%; FAIR 71.11%) also stated that they had a better understanding of animal welfare after visiting the exhibit. These findings indicate that an animal welfare exhibit can positively influence visitors' self-reported knowledge and stated decisions about animal welfare.

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