It was suggested that processing subject relative clauses (SRCs) are universally easier than processing object relative clauses (ORCs) based on the studies carried out in head-initial languages such as English, and German. However, studies carried out in head-final languages such as Chinese and Basque refuted this claim. Turkish is also a head-final language. Existing relative clause processing literature in Turkish is based solely on behavioural metrics. Even though an ORC processing disadvantage was suggested for Turkish, the results were not conclusive. Therefore, we aimed to investigate the neural dynamics of relative clause processing in Turkish. We asked 14 native Turkish speakers to answer Yes/No questions about 24 sentences each containing either SRC or ORC while their prefrontal hemodynamic activity was recorded with fNIRS. Our findings revealed hemodynamic activity in the lateral portions of the left prefrontal cortex in both conditions. However, hemodynamic activity was more widespread in prefrontal regions for ORC than SRC. Even though the behavioural metrics failed to produce a significant difference between SRC and ORC conditions, direct ORC>SRC contrast revealed significant activity in left and right DLPFC, which are known to be involved in language processing and conflict monitoring related processes, respectively. Our findings indicate that processing ORCs are more difficult and require further prefrontal resources than processing SRCs in Turkish, thus refuting the head-directionality based explanations of relative clause processing asymmetries.

There are more and more studies on the detection method of 3-chloro-1,2-propanediol fatty acid esters (3-MCPD esters) at present. By comparing these methods for the determination of 3-MCPD esters. Indirect methods, which determine total amount of 3-MCPD after hydrolysis of the esters, have an advantage over direct methods. The existing indirect methods, however, may yield unreliable results or require long hours of alkaline methanolysis. In contrast, the Indirect enzymatic hydrolysis method has mild conditions and more accurate results. In this study, we developed a reliable and rapid indirect method for determinations of 3-MCPD esters. 3-MCPD esters was enzymatized to 3-MCPD by indirect enzymatic hydrolysis method, and the conditions of enzymatic hydrolysis were optimized, the content of 3-MCPD after enzymatic hydrolysis was detected by gas chromatography-mass spectrometry (GC-MS) and the yield was calculated. Finally, the optimum conditions for enzymatic hydrolysis of 3-MCPD esters were determined. According to the optimal enzymatic hydrolysis condition, the contents of 3-MCPD esters in four food oils were determined. The method is simple and sensitive, and can meet the requirement of 3-MCPD esters detection in general oils.

Necrolytic Acral Erythema (NAE) is a rare cutaneous sign for hepatitis C virus, which generally presents as circumscribed keratotic plaques on the extremities. Many studies reported NAE in the absence of HCV. This case presents a female diagnosed with NAE and hypothyroidism in the absence of HCV infection.

Cardiac bradyarrhythmia and conduction disorder may be rare, but recurrent adverse events caused by bortezomib. Here we report a case with POEMS syndrome presenting severe heart block after bortezomib plus dexamethasone therapy. After permanent pacemaker implantation, bortezomib was restarted and maintained, resulting in sustained complete response for POEMS syndrome.

Venous thrombosis rarely occurs in patients’ after administered COVID-19 viral mRNA vaccination rather than vector vaccination. The occurrence of superior mesenteric vein (SMV) is rarer. We herein present an image of an SMV trunk thrombosis after COVID-19 mRNA vaccination.

The dentigerous cyst is frequent in children under 12 years old. Surgical marsupialization or decompression are actually the most two conservative treatment option described for the management of dentigerous cyst with the preservation of involved teeth. we report two clinical cases of dentigerous cysts treated successufelly by decompression

Stomata are the key nodes linking photosynthesis and transpiration. By regulating the opening degree of stomata, plants successively achieve the balance between water loss and carbon dioxide acquisition. The dynamic behavior of stomata is an important cornerstone of plant adaptability. Though there have been miscellaneous experimental results on stomata and their constituent cells, the guard cells and the subsidiary cells, current theory of stomata regulation is far from clear and unified. In this work, we develop an integrated model to describe the stomatal dynamics of seed plants based on existing experimental results. The model includes three parts: 1) a passive mechanical model of the stomatal aperture as a bivariate function of the guard-cell and the subsidiary-cell turgor pressures; 2) an active regulation model with a targeted ion-content in guard cells as a function of their water potential; and 3) a dynamical model for the movement of potassium ions and water content. Our model has been used to reproduce different experimental phenomena semi and stomatal responses to environment conditions.

An 85-year-old woman was diagnosed with traumatic ascending aortic dissection, right clavicle and left first rib fracture, and abdominal contusions after a vehicle accident. After admission, the aortic dissection progressed, and emergent surgery was performed. Although the risk of hemorrhagic complications needs to be evaluated, prompt aortic repair is required

Aims: To describe the medication changes implemented during physician-led medication reviews that resulted in improved health-related quality of life; and to explore factors that could identify patients with overprescription.Methods: Post-hoc analyses of data from a pragmatic, non-blinded, randomized clinical trial investigating a medication review intervention (NCT03911934) in 408 geriatric outpatients taking \(\geq\)9 medicines.Results: The most frequent medicine change in the medication review group (n=196) was discontinuation (26% of the medicines) due to lack of indication (72% of the discontinuations). After 13 months, 82% of the discontinued medicines were persistently discontinued. The medicines most often discontinued in the medication review group compared with usual care included: metoclopramide (11/5=73% discontinued vs 1/12=8% in usual care), acetylsalicylic acid (20/48=42% vs 2/47=4%), simvastatin (18/48=38% vs 2/58=3%), zopiclone (23/59=39% vs 4/54=7%), quinine (9/14=64% vs 6/16=38%), citalopram (4/18=22% vs 0/20=0%), and tramadol (18/37=49% vs 8/30=27%). Factors associated with the number of overprescribed medicines included: number of prescribed medicines (8% increase per medicine), Drug Burden Index (15% increase per 1 increase), and patient motivation for medicine changes (26% less if not motivated). Prescriptions of metoclopramide, iron preparations, antidepressants other than SSRIs, NSAIDs, or drugs for urinary incontinence were associated with a higher number of overprescribed medicines.Conclusion: Medication reviews can be used to persistently discontinue overprescribed medicines in older polypharmacy patients. Motivation for having their medicine changed, treatment with a higher number of medicines, and a higher burden of sedative and anticholinergic drugs characterized patients most likely to benefit from physician-led medication reviews.

Type of manuscript : CorrespondenceTitle : Stomatocytes - a whistleblower for future familial cardiovascular events- unraveling the diagnosis of Sitosterolemia in an Indian family. Running title : Hemolytic manifestation of sitosterolemia in an Indian familyAuthors : Richa Chauhan¹, Manas Kalra², Surbhi Singh ¹*, Anupam Sachdev², Jyoti Kotwal¹Affiliation : Departments of Hematology¹ and Pediatric hemato-oncology2, Sir Gangaram Hospital, New DelhiAuthor’s contribution: The manuscript is original and all authors have contributed equally to manuscript preparation.Text word count : 1091Number of Figures : 01Keywords : macrothrombocytopenia, stomatocytosis, sitosterolsDisclosure statement : NoneFunding : NilConflicts of interest : There is no conflicts of interest.

Is workplace violence against health care workers in Mozambique gender related?

To our knowledge, this is the first reported case of successful transbronchial biopsy via RB in a 5-year-old patient. The sample revealed a potential diagnosis, but more importantly, helped rule out an active infectious process and avoided an open lung biopsy which was being planned and would have otherwise been necessary to establish a diagnosis. We believe this technology can be used to increase the diagnostic yield of flexible bronchoscopy, particularly in the immunocompromised population as there is already evidence supporting image-guided bronchoscopy over conventional bronchoscopy in this population [(4)](#ref-0004). A notable limitation to RB is the size of the available bronchoscopes for robotic platforms (4.5 and 3.5 mm OD). In children, this may limit the capacity to sample more peripheral lesions via fine needle aspiration, as more lung tissue (relative to chest size) may be injured. In our case, the catheter tip was never as close to the lesion as it has been described in adults [(2)](#ref-0002). As the field of pediatric interventional pulmonology continues to develop, RB will likely be one of several options available for safe and high-yield diagnostic procedures.

This paper is concerned with a diffusive predator-prey model with prey-taxis and prey-structure under the homogeneous Neumann boundary condition. The stability of the unique positive constant equilibrium of the predator-prey model is derived. Hopf bifurcation and steady state bifurcation are also concluded.

New therapeutic possibilities open up in the nonpharmacological rate control of patients with atrial fibrillation, and an approach with an ablation line around the AVN could be useful both for modulating the ventricular response and for safer AV ablation if this is finally required.

The behavior of animals potentially affects their survival and reproduction. The activity budget of the Critically Endangered giraffe Giraffa camelopardalis camelopardalis has been investigated in populations across Africa and found to be influenced by body size, diet and sex. Foraging patterns show how an animal chooses to forage in its environment, and is influenced by resource availability, competition and predation risk. The activity budget and foraging patterns of Nubian giraffes vary considerably between ecosystems. The Nubian giraffe is a recently identified subspecies G. camelopardalis camelopardalis). This Critically Endangered giraffes which includes Rothschild’s giraffes, occurs only within Kenya, Uganda, Ethiopia, and Southern Sudan. We observed the behavior of a population of Nubian giraffes in Lake Nakuru National Park, Kenya, to assess seasonal activity budgets and foraging patterns. In the wet and dry seasons, giraffes spent approximately the same amount of time (53 and 57%, respectively) foraging. Movement and resting duration decreased slightly from the dry to the wet season (22 to 20% and 25 to 22%, respectively. Across both seasons, Vachellia xanthophloea (67%), Maytenus senegalensis (19%), and Solanum incanum (9%) made up the bulk of the giraffe’s diet. In the dry season, giraffe additionally foraged on Maerua triphylla (2%), Vachellia gerrardi (2%), and Grewia similis (1%); in the wet season, they added Vachellia abyssinica (2%) and Rhus natalensis (2%) to their diet. The most utilized browsing height was 3.5 m below their average height.. Overall, season did not appear to influence the Nubian giraffe’s activity time budget or foraging patterns in Lake Nakuru National Park. Improved knowledge of the behavioral patterns of this subspecies will allow managers to manage and conserve the species and its habitat better. For instance, planting perennial plants in all vegetation types used by giraffes in the park minimizes browsing pressure on the already over browsed Vachellia.

The distribution ranges and spatio-temporal patterns in the occurrence and activity of boreal bats are yet largely unknown due to their cryptic lifestyle and lack of suitable and efficient study methods. We approached the issue by establishing a permanent passive-acoustic sampling setup spanning the area of Finland to gain an understanding on how latitude affects bat species composition and activity patterns in northern Europe. The recorded bat calls were semi-automatically identified for three target taxa; Myotis spp., Eptesicus nilssonii or Pipistrellus nathusii and the seasonal activity patterns were modeled for each taxa across the seven sampling years (2015–2021). We found an increase in activity since 2015 for E. nilssonii and Myotis spp. For E. nilssonii and Myotis spp. we found significant latitude -dependent seasonal activity patterns, where seasonal variation in patterns appeared stronger in the north. Over the years, activity of P. nathusii increased during activity peak in June and late season but decreased in mid season. We found the passive-acoustic monitoring network to be an effective and cost-efficient method for gathering bat activity data to analyze spatio-temporal patterns. Long-term data on the composition and dynamics of bat communities facilitates better estimates of abundances and population trend directions for conservation purposes and predicting the effects of climate change.

Reduced fetal movements: time to move on?Lawrence Impey, BA, FRCOG. Department of Fetal Medicine, John Radcliffe Hospital, Oxford University Hospitals NHS Trust, and Nuffield Department of Women’s Reproductive Health, John Radcliffe Hospital, Oxford University, Oxford, OX3 9DU, United KingdomNatalia Abadi-Cuchi MD. Servicio de Ginecologia y Obstetricia, Hospital Clinico Unversitario Lozano Blesa, Avda. San Juan Bosco 15, 50009, Zaragoza, SpainCorresponding author:Lawrence ImpeyEmail: [email protected]: +44 1865 851165ORCID 0000-0002-4462-112XRunning title: Reduced fetal movements: time to move on?The authors declare no conflict of interestsBoth authors contributed to the conception and writing up of this commentaryWord count: 1445 words

Background: Radiation therapy normal tissue dose constraints are critical when treating pediatric patients. However, there is limited evidence supporting proposed constraints which has led to variations in constraints over the years. In this study we identify these variations in dose constraints within pediatric trials both in the United States (US) and in Europe used in the past 30 years. Procedure: All pediatric trials from the Children’s Oncology Group website were queried from inception until January 2022 and a sampling of European studies was included. Dose constraints were identified and built into an organ-based interactive web application with filters to display data by organs-at-risk (OARs), protocol, start date, dose, volume, and fractionation scheme. Dose constraints were evaluated for consistency over time and compared between pediatric US trials and European trials Results: One hundred and five closed trials were included—93 US trials and 12 European trials. Thirty-eight separate OARs were found with high dose constraint variability. Across all trials, nine organs had greater than 10 different constraints (median 16, range 11-26), including serial organs. When comparing US versus European dose tolerances, US constraints were higher for seven OARs, lower for one, and identical for five. No OARs had constraints change systematically over the last 30 years. Conclusion: Review of pediatric dose-volume constraints in clinical trials showed substantial variability for all OARs. Continued efforts focused on standardization of OAR dose constraints and risk profiles are essential to increase consistency of protocol outcomes and ultimately to reduce radiation toxicities in the pediatric population.