96, 95%CI (0.72-1.26), P = 0.735]. CONCLUSION OAB patients for whom an initial choice of BTX therapy ends in failure or dissatisfaction may consider switching to SNM therapy. There is no difference in outcomes between these patients and those whose first choice was SNM therapy.BACKGROUND Although combined antiretroviral therapy has substantially improved the prognosis of people living with HIV (PLHIV), mortality remains higher compared to the general population, mainly due to higher prevalence of non-HIV-related comorbidities, including cardiovascular diseases (CVD). We assessed the prevalence of CVD risk and its contributing factors in adult PLHIV versus general population controls in Greece. SETTINGS Cross-sectional comparison of PLHIV (Athens-Multicenter-AIDS-Cohort-Study; AMACS) versus general population controls (National health examination survey; EMENO). METHODS All HIV-infected adults with ≥1 measurement of interest (blood pressure, lipids, glucose, weight, height) between 2012-2014 and all EMENO participants (2014-2016) were included. Ten-year total CVD risk was estimated using the Framingham (FRS) or the Systematic Coronary Risk Evaluation (SCORE) equations. RESULTS 5839 PLHIV (median age41.6 years, 85.4% males) and 4820 controls (median age48 years, 48.4% males) were included. Adjusting for age, sex and origin, PLHIV were more likely to be current smokers (adjusted OR1.53 [95% CI1.35-1.74]) and dyslipidemic (aOR1.18; [1.04-1.34]), less likely to be obese (aOR0.44 [0.38-0.52], with no differences in hypertension, diabetes or high (≥20%) FRS but with greater odds of high (≥5%) SCORE (aOR1.55 [1.05-2.30]). Further adjustment for educational level, anti-HCV positivity and BMI showed higher prevalence of hypertension in PLHIV. CONCLUSIONS Despite the relative absence of obesity, PLHIV have higher prevalence of traditional CVD risk factors and higher risk of fatal CVD compared to general population. Regular screening and early management of CVD risk factors in PLHIV should be of high priority for CVD prevention.Knee osteoarthritis (KOA) is closely related with ageing, physical disability and functional dependency. The course of KOA is considered progressive and irreversible. Engagement with self-management may, however, minimize the impact of KOA. To be fully engaged with self-management activities, knowledge about KOA is a prerequisite. There is limited empirical data on older adults' understanding on KOA and their information needs about KOA. Therefore, the aims of this study were to explore older adults' knowledge about KOA and their perspectives on the information required to enable self-management. Three focus groups were conducted with 16 older adults with KOA. The sample consisted of three men and thirteen women with the mean age 73.2 years (range from 61 to 89). Thematic content analysis revealed two themes which were understanding about KOA and information needed about KOA. Participants' knowledge about KOA varied between individuals with many expressing that they needed more information about KOA. A targeted strategy is needed to educate older adults about KOA in order to support and prepare them for self-management.BACKGROUND A number of studies have reported on associations between reproductive factors, such as delivery methods, number of birth and breastfeeding, and incidence of cancer in children, but systematic reviews addressing this issue to date have important limitations, and no reviews have addressed the impact of reproductive factors on cancer over the full life course of offspring. METHODS We performed a comprehensive search in MEDLINE, and Embase up to January 2020 and Web of Science up to 2018 July, including cohort studies reporting the association between maternal reproductive factors of age at birth, birth order, number of births, delivery methods, and breastfeeding duration and cancer in children. Teams of two reviewers independently extracted data and assessed risk of bias. We conducted random effects meta-analyses to estimate summary relative estimates, calculated absolute differences between those with and without risk factors, and used the GRADE approach to evaluate the certainty of evidence. RESULTix, uterine corpus, multiple myeloma, testis cancer incidence; Caesarean delivery with childhood kidney cancer incidence (RR = 1.25, 95% CI = 1.01-1.55; AR/10,000 = 0, 95% CI = 0 to 1); and breastfeeding with adult colorectal cancer incidence. CONCLUSION Very small impacts existed between a number of reproductive factors and cancer incidence and mortality in children and the certainty of evidence was low to very low primarily due to observational design.In recent years, the reach and influence of far-right ideologies have been extended through online communities with devastating effects in the real world. https://www.selleckchem.com/products/cc-90001.html In this research, we examine how far-right online communities can be empowered by socio-political events that are significant to them. Using over 14 years of data extracted from an Australian national sub-forum of a global online white supremacist community, we investigate whether the group cohesion of the community is affected by local race riots. Our analysis shows that the online community, not only became more cohesive after the riots, but was also reinvigorated by highly active new members who joined during the week of the riots or soon after. These changes were maintained over the longer-term, highlighting pervasive ramifications of the local socio-political context for this white supremacist community. Pre-registered analyses of data extracted from other white supremacist online communities (in South Africa and the United Kingdom) show similar effects on some of the indicators of group cohesion, but of reduced magnitude, and not as enduring as the effects found in the context of the Australian far-right online community.Few studies exist that document how high-elevation Andean ecosystems recover naturally after the cessation of human activities and this can limit the implementation of cost-effective restoration actions. We assessed Andean forest (Polylepis stands) and páramo grassland recovery along an elevation gradient (3,600-4,350 m.a.s.l.) in the Yanacocha Reserve (Ecuador) where natural recovery has been allowed since 1995. Within the Yanacocha Reserve in 2012 and 2014 the aboveground biomass (AGB), aboveground necromass (AGN) and belowground biomass (BGB) carbon (C) stocks were measured and C sequestration rates calculated as proxy of ecosystem recovery. The soil organic carbon (SOC) stock to 36-cm depth was also quantified during the 2012 survey. To explore potential drivers of spatiotemporal variation of the forest and páramo C stocks they were related to abiotic and biotic variables. Andean forest C stocks were influenced mainly by disturbance history and tree-species composition. Páramo C stocks´ spatial variation were related to the elevation gradient; we found a positive significant trend in páramo AGB-C stocks with elevation, whereas we found a significant negative trend in AGN-C stocks. Likewise, significant temporal changes were found for AGB-C and AGN-C stocks. Net increases in AGB-C stocks were the largest in the Andean forest and páramo, 2.5 Mg C ha-1 year-1 and 1.5 Mg C ha-1 year-1 respectively. Carbon sequestration rates were partly explained by environmental variables. In the Andean forest, plots with low dominance of Baccharis padifolia were observed to present higher AGB-C and lower BGB-C sequestration rates. In the páramo, higher sequestration rates for AGB-C were found at higher elevations and associated with higher levels of growth-forms diversity. Temporal changes in BGB-C stocks on the contrary were non-significant. Our results indicated that terrestrial aboveground C sequestration rates might be an appropriate indicator for assessing Andean forest and páramo recovery after human disturbance.Herpesviral encephalitis caused by Herpes Simplex Virus 1 (HSV-1) is one of the most devastating diseases in humans. Patients present with fever, mental status changes or seizures and when untreated, sequelae can be fatal. Herpes Simplex Encephalitis (HSE) is characterized by mainly unilateral necrotizing inflammation effacing the frontal and mesiotemporal lobes with rare involvement of the brainstem. HSV-1 is hypothesized to invade the CNS via the trigeminal or olfactory nerve, but viral tropism and the exact route of infection remain unclear. Several mouse models for HSE have been developed, but they mimic natural infection only inadequately. The porcine alphaherpesvirus Pseudorabies virus (PrV) is closely related to HSV-1 and Varicella Zoster Virus (VZV). While pigs can control productive infection, it is lethal in other susceptible animals associated with severe pruritus leading to automutilation. Here, we describe the first mutant PrV establishing productive infection in mice that the animals are able toanimal models of disease.BACKGROUND AND AIMS In comparison with men, women who use drugs (WWUD) have considerably more frequent and intense experiences with interpersonal violence, sexual abuse and trauma. The aim of this study was to identify issues related to gender-based vulnerability in a group of WWUD attended in a harm reduction facility in Madrid, Spain. MATERIAL AND METHODS A cross-sectional study was conducted during a screening of blood borne infections. We included WWUD (smoked or injected heroin/cocaine) who were actively screened for HIV, HBV and HCV in a harm reduction setting in Madrid (Spain) from January to December 2017. WWUD were interviewed for gender-based abuse or violence using a face-to-face questionnaire by a trained interviewer. Aspects related to their social-epidemiological condition and gender-based vulnerability were collected. RESULTS We included 109 women who were actively using drugs. The median age was 39 (IQR 35-47) years, 84.4% were Spanish born, 22.9% were homeless, 43 (41.7%) had ever used injected drugs, 29 (26.6%) were currently using injected drugs, and 27.1% had mental health disorders. Aspects related to gender-based vulnerability were collected. Among those surveyed, they reported having ever suffered emotional or psychological damage (88%), having experienced at least one incident of serious physical injury by a male partner (71%), and having ever suffered sexual abuse (49%). In addition, 28% had ever exchanged sex for money/drugs. When compared to women that did not use injecting drugs, those who injected drugs had more frequently exchanged sex for money/drugs (55% vs 21%, p = 0.003). CONCLUSIONS A high proportion of WWUD suffer psychological or physical violence by partners denoting gender-based vulnerability. Interventions in harm reduction settings with a multidisciplinary and gender-based approach should be implemented.Bats are the natural reservoir host for a number of zoonotic viruses, including Hendra virus (HeV) which causes severe clinical disease in humans and other susceptible hosts. Our understanding of the ability of bats to avoid clinical disease following infection with viruses such as HeV has come predominantly from in vitro studies focusing on innate immunity. Information on the early host response to infection in vivo is lacking and there is no comparative data on responses in bats compared with animals that succumb to disease. In this study, we examined the sites of HeV replication and the immune response of infected Australian black flying foxes and ferrets at 12, 36 and 60 hours post exposure (hpe). Viral antigen was detected at 60 hpe in bats and was confined to the lungs whereas in ferrets there was evidence of widespread viral RNA and antigen by 60 hpe. The mRNA expression of IFNs revealed antagonism of type I and III IFNs and a significant increase in the chemokine, CXCL10, in bat lung and spleen following infection.