2% of cases, while the novel time-delay model generated an effective warning in 90.2%. In terms of response time and conflict time difference, the traditional model gave a longer response time of 0.91 s (that of the time-delay model is 0.78 s), but the time-delay model reduced the driving risk with a larger conflict time difference. Based on an analysis of driver gaze change post-warning, the statistical results showed that the proportion of effective gaze changes reached 84.3%. Based on subjective evaluations, drivers reported a higher degree of acceptance of the time-delay model. Therefore, the time-delay side-collision warning model for non-signalized intersections proposed herein can improve the applicability and efficacy of warning systems in such complex traffic environments and provide reference for safety applications in V2I systems.Circadian rhythm gene expression in cerebral pacemaker regions is regulated by a transcriptional-translational feedback loop across the 24-h day-night cycle. In preclinical models of subarachnoid hemorrhage (SAH), cyclic gene expression is disrupted. Stabilization of circadian rhythm gene expression attenuates susceptibility to ischemic damage in both neuronal and myocardial tissues. In this clinical observational study, circadian rhythm gene Period-2 (Per2) mRNA expression levels were determined from blood leukocytes and cerebrospinal fluid (CSF) cells via real-time PCR on days 1, 7 and 14 after aneurysm rupture in 49 patients with spontaneous SAH. CSF Per2 expression was markedly suppressed immediately after SAH and remained suppressed over the course of two weeks of ICU treatment. Short-term mortality as well as occurrence of delirium was associated with greater extent of Per2 suppression on day 1 after SAH. https://www.selleckchem.com/products/azd9291.html Patients that developed delayed cerebral ischemia exhibited comparatively lower Per2 expression levels on day 7 after SAH, while presence of vasospasm remained unaffected. However, Per2 expression did not differ in patient groups with favourable or non-favourable functional neurological outcome (modified Rankin Scales 1-3 vs. 4-6). While our findings suggest a potential protective effect of stable circadian rhythm gene expression on the extent of ischemic damage, this effect was confined to the early disease course and was not reflected in patients' functional neurological outcome.Sexual reproduction places constraints on both the place and time in which individuals can reproduce, as the sperm and ova need to meet in a certain location within a specific time frame for successful reproduction [...].In this paper, we provide an overview of the causes of death of roe deer (Capreolus capreolus) diagnosed within the national passive health surveillance of roe deer in Slovenia. From 2000 to 2019, postmortem examinations of 510 free-ranging roe deer provided by hunters were conducted at the Veterinary Faculty, Slovenia. A comprehensive necropsy was performed. According to the results of the necropsy, the samples were subjected to microscopic, histopathological, bacteriological, parasitological, or virological examination. The most frequent causes of death in roe deer were infectious diseases (67%), followed by noninfectious diseases (28%). Of all deaths, parasitic infections represented 48%, bacterial infections 14.8%, trauma 12.5%, and metabolic disorders 9.8%. Less frequent causes were diseases like neoplasia and mycotic infections, winter starvation, hernias, and lightning strike. This study covered an estimated 1% of the total disease-related mortality of roe deer in Slovenia. Comparisons of sex/age structure indicated that hunters did not provide random samples (e.g., young males were disproportionately represented). Therefore, such monitoring does not ensure an unbiased assessment of the significance of the individual disease for the mortality of the population; however, it can provide credible evidence of whether or not a particular disease is present in a population. We show that no identified disease in roe deer in Slovenia can be considered a significant health threat to roe deer, other wildlife species, or humans.The lithium-polysulfide (LiPS) dissolution from the cathode to the organic electrolyte is the main challenge for high-energy-density lithium-sulfur batteries (LSBs). Herein, we present a multi-functional porous carbon, melamine cyanurate (MCA)-glucose-derived carbon (MGC), with superior porosity, electrical conductivity, and polysulfide affinity as an efficient sulfur support to mitigate the shuttle effect. MGC is prepared via a reactive templating approach, wherein the organic MCA crystals are utilized as the pore-/micro-structure-directing agent and nitrogen source. The homogeneous coating of spherical MCA crystal particles with glucose followed by carbonization at 600 °C leads to the formation of hierarchical porous hollow carbon spheres with abundant pyridinic N-functional groups without losing their microstructural ordering. Moreover, MGC enables facile penetration and intensive anchoring of LiPS, especially under high loading sulfur conditions. Consequently, the MGC cathode exhibited a high areal capacity of 5.79 mAh cm-2 at 1 mA cm-2 and high loading sulfur of 6.0 mg cm-2 with a minor capacity decay rate of 0.18% per cycle for 100 cycles.The cellular response to cancer-induced stress is one of the major aspects regulating cancer development and progression. The Heat Shock Protein B8 (HSPB8) is a small chaperone involved in chaperone-assisted selective autophagy (CASA). CASA promotes the selective degradation of proteins to counteract cell stress such as tumor-induced stress. HSPB8 is also involved in (i) the cell division machinery regulating chromosome segregation and cell cycle arrest in the G0/G1 phase and (ii) inflammation regulating dendritic cell maturation and cytokine production. HSPB8 expression and role are tumor-specific, showing a dual and opposite role. Interestingly, HSPB8 may be involved in the acquisition of chemoresistance to drugs. Despite the fact the mechanisms of HSPB8-mediated CASA activation in tumors need further studies, HSPB8 could represent an important factor in cancer induction and progression and it may be a potential target for anticancer treatment in specific types of cancer. In this review, we will discuss the molecular mechanism underlying HSPB8 roles in normal and cancer conditions.

Freshwater sludge (FS) is generated in large quantities during the production of drinking water every day. It is largely underutilized, and has long been filter pressed to sludge cake and then disposed of in landfills. The search for more economical and sustainable disposal or reuse options is urgently needed. Biochar and hydrochar are increasingly popular wastes derived materials with huge potential for soil improvement, environmental remediation, and mitigation of climate change, but there is a lack of research on the production of FS derived biochar and hydrochar. In this study, biochar was produced by pyrolysis at 300, 500 or 700 °C for 1 h, and hydrochar was produced by hydrothermal carbonization (HTC) at 140, 160, 180 or 200 °C for 4 h. Proximate analyses show that the biochar has a higher carbon stability and is possibly suitable for carbon sequestration, while the hydrochar contains more labile carbon structures. The ultimate analysis indicates that the surface hydrophobicity is in the order of biochar > hydrochar > FS. The phytotoxicity tests indicate their positive effects on germination of wheat seeds. This study provides a new treatment to reuse numerous FS and put forward the possible applications of its carbonaceous products, which is expected to facilitate a circular economy and realize the zero-waste target.Hydrophytes have been widely used to reduce nutrient levels in aquatic ecosystems, but only limited species with high nutrient removal efficiencies have been implemented. Thus, it is necessary to continually explore new candidate species with high nutrient removal efficiencies. To effectively explore the nutrient removal ability of hydrophytes, a new process-based model combining the multiple-quotas approach and nutrient-cycle model was developed. The multiple-quotas approach provides a theoretical framework to conceptually explain the uptake and response of autotrophs to multiple nutrients. The developed process-based model was validated using observational data from microcosm experiments with two emergent hydrophytes, Menyanthes trifoliata and Cicuta virosa. The results showed that both M. trifoliata and C. virosa effectively reduced nitrogen (N) and phosphorus (P) in both water and sediment layers, but M. trifoliata showed a higher removal efficiency for both nutrients than C. virosa, particularly for total ammonia + ammonium-nitrogen (NHx-N) and nitrate-nitrogen (NO3-N) in the sediment layer (M. trifoliata 0.579-0.976 for NHx-N, 0.567-0.702 for NO3-N; C. virosa 0.212-0.501 for NHx-N, 0.466-0.560 for NO3-N). In addition, M. trifoliata achieved the maximum removal efficiency for N and P at higher nutrient exposure levels than C. virosa (M. trifoliata exposure level of 0.725-0.775; C. virosa exposure level of 0.550-0.575). The developed model well simulated the species-specific growth patterns of hydrophytes depending on the nutrient exposure level as well as the N and P dynamics in the water and sediment layers. The approach adopted in this study provides a useful tool for discovering candidate species to improve hydrophyte diversity and effectively remove nutrients from aquatic ecosystems.Protected areas (PAs) seek to conserve valuable genes, species and ecosystems by applying a legal regime that restricts some socioeconomic activities and also offers opportunities for new ones. https://www.selleckchem.com/products/mg-101-alln.html As a result, PAs have been claimed by some authors to boost socioeconomic conditions in rural areas mainly through tourism activities. However, others have claimed that PAs contribute to rural depopulation through the worsening of living conditions of local residents because of restrictions resulting from protection regulations. Here, we applied a multiple-paired Before-After-Control-Impact (BACI) research design on a census on protected rural municipalities (cases; N = 52) versus unprotected rural municipalities (controls; N = 55) in Spain to ascertain whether PAs had positive or negative effects on rural populations using three indicators on depopulation with official municipal data from 1996 until 2019 Compound annual growth rate (CAGR); Proportion of reproductive individuals (REP); and Proportion of reproductive females (WREP). We controlled for some confounders such as biophysical characteristics and regional regulations by carefully selecting our sample of municipalities spatially. Our results show that depopulation figures were worse in cases than in controls, with some exceptions whose characteristics should be further explored. Municipalities in Sites of Community Importance (SCIs) performed best against rural depopulation and generally better than their controls, whereas municipalities in Biosphere Reserves and Special Protection Areas (SPAs) showed mostly worse figures. Our findings suggest that, while necessary and important for biodiversity, multiple-use PAs generally entailed negative consequences for Spanish rural populations that need to be offset by State's intervention.Airborne particulate matter (PM) has a major impact on the biogeochemical cycles of chemical elements in the urban environment. Anthropogenic-derived PM emissions are the cause of some of the most severe environmental and health problems. The presented study aims to improve our knowledge of PM dynamics by introducing a multi-media, multi-analytical and multi-elemental holistic approach to geochemical studies of inorganic PM in the urban environment. The importance of the holistic approach is highlighted and its application in a case study of Maribor (Slovenia) is presented. The chemical composition and individual particulate characteristics of street, attic and household dust were determined and compared with the characteristics of airborne PM, and PM deposited in snow, together with the chemical composition of the soil. We found that the mineralogical and chemical composition and the individual solid particle characteristics of the studied media differ considerably. Nevertheless, minerals of geogenic origin are present in all media. The highest levels of potentially toxic elements (PTEs) in all media, except household dust, are typical for industrial areas. Street dust primarily reflects the influence of winter road maintenance and industrial activities, while characteristics of household dust are predominantly influenced by indoor activities and properties of dwellings. The comparison of the chemical composition of attic and street dust indicates that emissions of As, Cd, Pb, S and Zn were higher in the past. The characterisation of airborne PM and PM deposited in snow is essential for the identification of the most recent sources of PTE-bearing particles. Several industrial sources and the fate of some particle types in the environment have been determined based on the findings of the SEM/EDS analyses. This study confirms that various environmental media are carriers of diverse geochemical information and highlights the importance of a holistic approach in geochemistry of PM in urban areas.

SPD decreased between T1 and T6. Mean SPD tracked low-to-moderate in the short time span. From late adolescence to the mid-thirties, more mean SPD was observed during weekdays compared to weekend days.
SPD decreased between T1 and T6. Mean SPD tracked low-to-moderate in the short time span. From late adolescence to the mid-thirties, more mean SPD was observed during weekdays compared to weekend days.The complete replacement of fishmeal with terrestrial meals did not have a negative impact on the attractiveness, palatability, and apparent digestibility of the formulation. Shrimp were found on average to eat more and have similar appetite revival on the terrestrial meal-based formulation (TM) diet compared to the traditional fishmeal-based formulation (FM) diet. However, methionine (Met) and lysine (Lys) leached out rapidly from the TM diet, and as a result, this initially overfortified diet showed lower levels of those AA in comparison to FM after 60 min immersion. Both dietary Lys and Met were sub-optimal in TM within 120 min of immersion, whereas in comparison, the FM diet supplied consistent levels of EAA for up to 240 min immersion. https://www.selleckchem.com/products/Everolimus(RAD001).html Nonetheless, shrimp fed fresh TM had significantly higher peak haemolymph concentrations at 30 and 60 min for total AA, Met, and Lys than FM-fed shrimp. The over-supply of CAA far compensated leaching losses, and CAA were well absorbed and used by the shrimp within 120 min, with no obvious signs of asynchronous absorption of CAA to protein-bound AA. However, shrimp fed the TM diet that had leached out for 60 min, had haemolymph concentrations of Met and Lys that were only 41% and 44% of the ones on fresh feed respectively, while there was a negligible effect of leaching on FM. This study provides further insight into the feeding behaviour and bioavailability of dietary amino acids for P. monodon juveniles.Palmitoylethanolamide (PEA) is an endogenous lipid produced on demand by neurons and glial cells that displays neuroprotective properties. It is well known that inflammation and neuronal damage are strictly related processes and that microglia play a pivotal role in their regulation. The aim of the present work was to assess whether PEA could exert its neuroprotective and anti-inflammatory effects through the modulation of microglia reactive phenotypes. In N9 microglial cells, the pre-incubation with PEA blunted the increase of M1 pro-inflammatory markers induced by lipopolysaccharide (LPS), concomitantly increasing those M2 anti-inflammatory markers. Images of microglial cells were processed to obtain a set of morphological parameters that highlighted the ability of PEA to inhibit the LPS-induced M1 polarization and suggested that PEA might induce the anti-inflammatory M2a phenotype. Functionally, PEA prevented Ca2+ transients in both N9 cells and primary microglia and antagonized the neuronal hyperexcitability induced by LPS, as revealed by multi-electrode array (MEA) measurements on primary cortical cultures of neurons, microglia, and astrocyte. Finally, the investigation of the molecular pathway indicated that PEA effects are not mediated by toll-like receptor 4 (TLR4); on the contrary, a partial involvement of cannabinoid type 2 receptor (CB2R) was shown by using a selective receptor inverse agonist.Piezoelectric nanogenerators (NGs) consist of zinc oxide nanorods (ZNRs), and polydimethylsiloxane (PDMS) layers were fabricated on indium tin oxide (ITO)-coated substrate for the energy harvesting system. The formation of seed layers by an optimized aqueous solution method greatly helped the growth of well-aligned ZNRs for NGs. Polyethylenimine (PEI) was added to increase the aspect ratio of ZNRs, which reached up to 241, showing the best energy harvesting performance of NGs. The formation of PDMS layers on the ZNRs increased the work function difference for the top Ag electrode. The thickness of PDMS layers was optimized as 80 μm, which showed the maximum work function difference, resulting in the enhancement of charge density. Piezoelectric NGs made of ZNRs of the highest aspect ratio of 241 with an 80-μm-thick PDMS layer achieved the highest current density of 2270.1 nA/cm2, which could be sufficient to drive low-power electronics.There are a multitude of existing material models for the finite element analysis of cracked reinforced concrete that provide reduced shear stiffness but do not limit shear strength. In addition, typical models are not based on the actual physical behavior of shear transfer across cracks by shear friction recognized in the ACI 318 Building Code. A shear-friction model was recently proposed that was able to capture the recognized cracked concrete behavior by limiting shear strength as a yielding function in the reinforcement across the crack. However, the proposed model was formulated only for the specific case of one-directional cracking parallel to the applied shear force. This study proposed and generalized an orthogonal-cracking shear-friction model for finite element use. This was necessary for handling the analysis of complex structures and nonproportional loading cases present in real design and testing situations. This generalized model was formulated as a total strain-based model using the approximation that crack strains are equal to total strains, using the proportional load vector, constant vertical load, and modified Newton-Raphson method to improve the model's overall accuracy.Local livestock breeds in Slovenia have been eligible for financial incentives in the form of a fixed payment per livestock unit (LU) since 2002. The scheme has however not been successful in reversing the erosion of animal genetic resources (AnGR). This paper investigates an alternative, whereby incentive payments would better reflect breeders' actual opportunity costs. The paper contributes to the limited existing body of knowledge related to the use of tender mechanisms in the design of the payments for agrobiodiversity conservation schemes (PACS), particularly for AnGR. Empirical findings draw on the results of a stated preference survey involving 301 farmers in Slovenia, engaging, or being potentially able to engage, in the rearing of local pig, sheep and goat breeds. Interval and logistic regression model results suggest that willingness to accept (WTA) conservation support significantly differs from actual payment levels. The estimated WTA was found to be 27% lower for the local sheep and goat breeds and 5% higher for the local pig breed, suggesting that differentiated incentive payments would provide a more cost-effective alternative.

To undertake a rapid evidence assessment of approaches used to enhance nurse transition and retention for newly qualified nurses and to evaluate the strength of the evidence for specific approaches to nurse transition and retention.

A rapid evidence assessment was undertaken. Electronic databases were searched, and the full texts of relevant papers were retrieved. Studies were appraised using relevant Critical Appraisal Skills Programme and Mixed Methods Assessment Tools and a single descriptor of quality high; medium; or low was assigned to each output. Given the disparity in methods, the lack of randomised trials, results could not be combined; therefore, a descriptive approach was used to synthesise and present the data.

The search was undertaken using specific database searching; and secondary searching of relevant websites. Electronic databases (CINAHL complete, Academic search premier, Open Grey, ERIC* (Education), Web of Science-Social Science Citation Index and PubMed) were searched during Februended. Longitudinal studies would be beneficial in assessing the efficacy of approaches to enhancing retention.Pilot studies have hinted that serotonergic psychedelics such as psilocybin may relieve depression, and could possibly do so by promoting neural plasticity. Intriguingly, another psychotomimetic compound, ketamine, is a fast-acting antidepressant and induces synapse formation. The similarities in behavioral and neural effects have been puzzling because the compounds target distinct molecular receptors in the brain. In this opinion article, we develop a conceptual framework that suggests the actions of ketamine and serotonergic psychedelics may converge at the dendrites, to both enhance and suppress membrane excitability. We speculate that mismatches in the opposing actions on dendritic excitability may relate to these compounds' cell-type and region selectivity, their moderate range of effects and toxicity, and their plasticity-promoting capacities.
To characterize diabetes care across healthcare facilities in six Peruvian regions.

Cross-sectional study of patients with type 2 diabetes mellitus (T2DM), ranging from primary care facilities to hospital-based facilities, in six Peruvian regions. Data was collected by health staff trained between 2012 and 2016. We studied six diabetes care outcomes and four adequate diabetes care outcomes considering the healthcare facility as the exposure of interest. We estimated prevalence ratios (PR) and their 95% confidence intervals (95% CI) using Poisson regression with robust variance.

Data from 8879 patients with T2DM, mean age 59.1 years (SD ± 12.2), 53.6% males, was analyzed. Of these, 8096 (91.2%) were treated at primary care facilities. https://www.selleckchem.com/products/tefinostat.html The proportions of patients who had HbA1c, LDL-c, and creatinine/microalbumin test performed increased with the setting of the healthcare facility. Overall, 39%-56% of patients had an adequate HbA1c control, being higher in hospital-based facilities with specialists in comparison to primary care facilities.

We observed that the higher the setting of the facility, the higher the rate of the assessed diabetes care outcomes and adequate diabetes care for four of the six targets (fasting glucose, HbA1c, LDL-c and creatinine or microalbumin) and for three of the four targets (glucose≤130 mg/dL, HbA1c ≤7%(53 mmol/mol) and LDL-c <100 mg/dL), respectively. Substantial gaps were observed at the primary care facilities, calling for the strengthening of diabetes care.
We observed that the higher the setting of the facility, the higher the rate of the assessed diabetes care outcomes and adequate diabetes care for four of the six targets (fasting glucose, HbA1c, LDL-c and creatinine or microalbumin) and for three of the four targets (glucose≤130 mg/dL, HbA1c ≤7%(53 mmol/mol) and LDL-c less then 100 mg/dL), respectively. Substantial gaps were observed at the primary care facilities, calling for the strengthening of diabetes care.Traditional health systems typologies were based on health system financing type, such as the well-known OECD typology. However, the number of dimensions captured in classifications increased to reflect health systems complexity. This study aims to develop a taxonomy of primary care (PC) systems based on the actors involved (state, societal and private) and mechanisms used in governance, financing and regulation, which conceptually represents the degree of decentralisation of functions. We use nonlinear canonical correlations analysis and agglomerative hierarchical clustering on data obtained from the European Observatory on Health Systems and Policy and informants from 24 WHO European Region countries. We obtain four clusters 1) Bosnia Herzegovina, Czech Republic, Germany, Slovakia and Switzerland corporatist and/or fragmented PC system, with state involvement in PC supply regulation, without gatekeeping; 2) Greece, Ireland, Israel, Malta, Sweden, and Ukraine public and (re)centralised PC financing and regulation with private involvement, without gatekeeping; 3) Finland, Norway, Spain and United Kingdom public financing and devolved regulation and organisation of PC, with gatekeeping; and 4) Bulgaria, Croatia, France, North Macedonia, Poland, Romania, Serbia, Slovenia and Turkey public and deconcentrated with professional involvement in supply regulation, and gatekeeping. This taxonomy can serve as a framework for performance comparisons and a means to analyse the effect that different actors and levels of devolution or fragmentation of PC delivery may have in health outcomes.
In Italy, over the last decades, elderly care has been mostly provided by family members, especially adult offspring, and in particular daughters. This paper investigates the relationship between informal caregiving and mental distress among Italians aged 35-59, with a focus on gender effect and parenthood responsibilities.

The dataset is the European Health Interview Survey (EHIS), second wave, year 2015. As far as it is known, the Italian EHIS has not been used for studies on ageing and caregiving.

Using selected subsamples, a Propensity Score Matching between caregivers and non-caregivers aged 35-59 is implemented, with the aim of measuring the difference in level of depression, if any, between the two groups.

Findings show that women providing their frail relatives with informal care are less likely to suffer from mental distress compared to non-carers. However, results change radically if they have children aged less than 15 at home, and a higher probability of being depressed is detected for women overwhelmed by the double responsibility of assisting both dependent relatives and their own children.

Population ageing requires society to adjust by ensuring additional types of services and assistance for elderly people. These may be provided by either organized services and sources of informal social support. The latter are especially important since a lack of social support is associated with a lower level of psychological and physical well-being. During the Covid-19 pandemic, social support for the elderly has proven to be even more crucial, also due to physical distancing. Therefore, this study aims to identify and describe the various types of personal social support networks available to the elderly population during the pandemic. To this end, a survey of Slovenians older than 64 years was conducted from April 25 to May 4, 2020 on a probability web-panel-based sample (n = 605). The ego networks were clustered by a hierarchical clustering approach for symbolic data. Clustering was performed for different types of social support (socializing, instrumental support, emotional support) and different characteristics of the social support networks (i.e., type of relationship, number of contacts, geographical distance). The results show that most of the elderly population in Slovenia has a satisfactory social support network, while the share of those without any (accessible) source of social support is significant. The results are particularly valuable for sustainable care policy planning, crisis intervention planning as well as any future waves of the coronavirus.High-speed roads present a considerable level of risk for frontline workers operating in these environments. To optimise safety, prevention activities need to target the key skills required to mitigate risk. The aim of this research was to explore the behavioural (compliance, participation, voice), motivational (safety motivation) and work demand (role clarity) factors that influence safety outcomes for incident responders working on high-speed roads. Safety outcomes included secondary incidents and near misses with passing vehicles. A total of 295 complete survey responses were received from six emergency service and incident response agencies in one Australian state. Data were analysed using structural equation modelling. The results showed that higher levels of safety voice, safety motivation and, role clarity were significantly associated with safer self-reported safety outcomes after controlling for the number of incidents attended. The findings from this study will be used to guide the development of a training program to improve the cognitive, behavioural and perceptual skills of incident responders operating on high-speed roads. Some insight into the structure and format of this program is provided.The vertical vibration compaction method (VVCM), heavy compaction method and static pressure method were used to form phyllite specimens with different degrees of weathering. https://www.selleckchem.com/ALK.html The influence of cement content, compactness, and compaction method on the mechanical properties of phyllite was studied. The mechanical properties of phyllite was evaluated in terms of unconfined compressive strength (Rc) and modulus of resilience (Ec). Further, test roads were paved along an expressway in China to demonstrate the feasibility of the highly weathered phyllite improvement technology. Results show that unweathered phyllite can be used as subgrade filler. In spite of increasing compactness, phyllite with a higher degree of weathering cannot meet the requirements for subgrade filler. With increasing cement content, Rc and Ec of the improved phyllite increases linearly. Rc and Ec increase by at least 15% and 17%, respectively, for every 1% increase in cement content and by at least 10% and 6%, respectively, for every 1% increase in compactness. The higher the degree of weathering of phyllite, the greater the degree of improvement of its mechanical properties.
Only few smaller studies have examined if impaired kidney function increases the risk of acute kidney injury in patients with acute pyelonephritis. Therefore, we estimated 30-day risk of acute kidney injury by preadmission kidney function in patients with acute pyelonephritis. Furthermore, we examined if impaired kidney function was a risk factor for development of acute kidney injury in pyelonephritis patients.

This cohort study included patients with a first-time hospitalization with pyelonephritis from 2000 to 2017. Preadmission kidney function (estimated glomerular filtration rate (eGFR) <30, 30-44, 45-59, 60-89, and ≥90 ml/min/1.73 m2) and acute kidney injury within 30 days after admission were assessed using laboratory data on serum creatinine. The absolute 30-days risk of acute kidney injury was assessed treating death as a competing risk. The impact of eGFR on the odds of acute kidney injury was compared by odds ratios (ORs) with 95% confidence intervals estimated using logistic regression adjuof acute kidney injury in pyelonephritis patients and more attention should be raised in prevention of pyelonephritis in patients with a low kidney function.Ecological niche models (ENMs) aim to recreate the relationships between species and the environments where they occur and allow us to identify unexplored areas in geography where these species might be present. These models have been successfully used in terrestrial organisms but their application in aquatic organisms is still scarce. Recent advances in the availability of species occurrences and environmental information particular to aquatic systems allow the evaluation of these models. This study aims to characterize the niche of the Sabaleta Brycon henni Eigenmann 1913, an endemic fish of the Colombian Andes, using ENMs to predict its geographical distribution across the Magdalena Basin. For this purpose, we used a set of environmental variables specific to freshwater systems in addition to the customary bioclimatic variables, and species' occurrence data to model its potential distribution using the Maximum Entropy algorithm (MaxEnt). We evaluate the relative importance between these two sets of variables, the model's performance, and its geographic overlap with the IUCN map. Both on-site (annual precipitation, minimum temperature of coldest month) and upstream variables (open waters, average minimum temperature of the coldest month and average precipitation seasonality) were included in the models with the highest predictive accuracy. With an area under the curve of 90%, 99% of the species occurrences and 68% of absences correctly predicted, our results support the good performance of ENMs to predict the potential distribution of the Sabaleta and the utility of this tool in conservation and decision-making at the national level.