Given the ever-increasing number of approved therapies for the treatment of psoriasis (PsO) and psoriatic arthritis (PsA), head-to-head (H2H) comparative studies are essential. These are aimed primarily at a comparative analysis of treatment effectiveness. In both PsO and PsA, biological disease-modifying antirheumatic drugs (bDMARD) have been shown to be superior to conventional therapies in H2H studies. In PsO interleukin 17 (IL-17) and IL-23 inhibitors proved superiority compared to tumor necrosis factor (TNF) inhibitors (etanercept and adalimumab) in several studies. Ustekinumab was more effective than etanercept, but less effective than IL-17 and IL-23 inhibitors. Only a few H2H studies have been published on the treatment of PsA. In the Spirit H2H study ixekizumab was superior to adalimumab using a combined endpoint of arthritis and psoriasis response (ACR-50 and PASI-100). When looking at arthritic symptoms only (ACR-20), secukinumab was not significantly superior to adalimumab in the EXCEED study but was superior in terms of the effect on skin involvement (PASI90). Other H2H studies focused on the treatment of enthesitis (ECLIPSA study), the efficacy of Janus kinase (JAK) inhibition (SELECT-PSA-1) or the additional administration of methotrexate to bDMARD treatment (MUST study). The H2H data have been incorporated into the treatment guidelines and have led to IL-17 and IL-23 inhibition being preferred over TNF inhibition in cases of relevant skin involvement in PsA.
UNASSIGNED: Angesichts einer immer größeren Auswahl zugelassener Therapien zur Behandlung der Psoriasis (PsO) und Psoriasisarthritis (PsA) sind direkte Vergleichsstudien unerlässlich. Diese zielen insbesondere auf eine vergleichende Analyse der therapeutischen Wirksamkeit ab. Sowohl bei der PsO als auch der PsA haben sich in Head-to-Head-Studien (H2H) biologische krankheitsmodifizierende antirheumatische Medikamente (bDMARDs) gegenüber den konventionellen Therapien überlegen gezeigt. Bei der PsO zeigten sich in mehreren Studien die IL-17- und IL-23-Inhibitoren den TNF-Inhibitoren (Etanercept und Adalimumab) überlegen. Ustekinumab war wirksamer als Etanercept, aber weniger wirksam als die IL-17- und IL-23-Inhibitoren. Zur Behandlung der PsA wurden bisher nur wenige H2H-Studien veröffentlicht. In der Spirit-H2H-Studie war bei einem kombinierten Endpunkt zum Ansprechen der Arthritis und der Psoriasis (ACR-50 und PASI-100) Ixekizumab gegenüber Adalimumab überlegen. Wenn nur die arthritischen Beschwerden betrachtet wurden (ACR-20), zeigte sich in der EXCEED-Studie Secukinumab gegenüber Adalimumab nicht signifikant überlegen, hinsichtlich der Wirkung auf die Hautbeteiligung (PASI-90) aber schon. Weitere H2H-Studien beschäftigten sich mit der Enthesitisbehandlung (ECLIPSA-Studie), der Wirksamkeit von JAK-Inhibition (SELECT-PSA-1) oder von zusätzlichem Methotrexat bei bDMARD-Therapie (MUST-Studie). Die H2H-Daten finden Eingang in die Therapieleitlinien und haben zu einer bevorzugten Empfehlung von IL-17- und IL-23-Inhibition gegenüber TNF-Inhibition bei relevanter Hautbeteiligung bei der PsA geführt.

Organic luminescence materials makes the molecule more enthusiastic in wide  variety of  applications. The luminescent organic materials are in a attraction of the researchers, and the  Aggregation-Induced Emission (AIE) is attributed to the occurrence that particular chromophores (typically fluorophores) display very low or nearly no emission in the monomolecular soluble state but become highly emissive when forming aggregates in solution or in solid state.  This phenomenon is relatively abnormal when compared with many other traditional fluorophores. AIE research suppresses aggregation-caused quenching (ACQ). Nevertheless, the carbon dots (CDs) and quantum dots have shown to have tyical florescence properties, therefore, recent years many researchers have also attracted for their developments.  The CDs, luminescent, and AIE materials are not only used in biomedical applications and organic light-emitting diodes but also in sensing, self-assembly, and other areas. One should introduce promising material to a designed framework that exhibits AIE characteristics to ensure moral results in AIE. Amongest, AIE-active tetraphenylethylene (TPE) is attractive fluorophores due to its easy synthesis strategy. This review article discusses the synthesis properties of TPE, CDs, and luminescent materials with a broad range of applications. We have outlined linear, branched-shaped supramolecular, and hybrid macromolecules due to its potential in the future.

Gastrointestinal mucormycosis, a rare fatal fungal infection in an immunocompromised host, affects mainly the stomach. Colonic mucormycosis is infrequent and is associated with high mortality. Perianal involvement is seen in almost one-third of patients with Crohn\'s disease. Perianal Crohn\'s disease is a particularly debilitating form of the disease, which requires multidisciplinary care. It may also require profound immunosuppression with biological agents to control disease activity. Opportunistic infections can complicate the disease course in these patients. We present a case of a middle-aged female with perianal Crohn\'s disease on adalimumab who developed colonic mucormycosis causing a flare in her disease activity. This patient highlights the need to increase awareness about fungal infections as a cause of disease flare in inflammatory bowel disease.

BACKGROUND: We present an unusual case of a 28-year-old rheumatologic male patient who developed eosinophilia while he was on etanercept therapy first and then on golimumab.
METHODS: Although eosinophilia is rarely reported in the literature as a side-effect of various Tumor Necrosis Factor-alpha [TNF-alpha] antagonists, it represents a riddle about the future treatments of these patients since the persistence of therapy might lead to the onset of dermatologic or visceral eosinophilic complications in such patients.
CONCLUSIONS: Furthermore, the pathogenesis of eosinophilia is still unknown, and all the proposed hypotheses do not explain the eosinophilic proliferation in certain subjects.

BACKGROUND: Neurohypophysis (NH) function in eating disorders (ED) remains poorly elucidated. Studies on vasopressin and oxytocin display inconclusive findings regarding their levels and associations with psychological complications in ED. The profile of opioid tone, a crucial NH activity regulator, is also unknown.
OBJECTIVE: To characterise the circadian profile of NH hormones and NH opioid tone using positron emission tomography/MRI (PET/MRI) imaging in patients with ED compared to healthy controls.
METHODS: Twelve-point plasma circadian profiles of copeptin and oxytocin, alongside nutritional and psychological scores, were assessed in age-matched female participants: 13 patients with anorexia nervosa restrictive-type (ANR), 12 patients recovered from AN (ANrec), 14 patients with bulimia nervosa and 12 controls. Neurohypophysis PET/MRI [11C] diprenorphin binding potential (BPND) was evaluated in AN, ANrec and controls.
RESULTS: Results revealed lower copeptin circadian levels in both ANR and ANrec compared to controls, with no oxytocin differences. Bulimia nervosa exhibited elevated copeptin and low oxytocin levels. [11C] diprenorphin pituitary binding was fully localised in NH. Anorexia nervosa restrictive-type displayed lower NH [11C] diprenorphin BPND (indicating higher opioid tone) and volume than controls. In ANR, copeptin inversely correlated with osmolarity. Neurohypophysis [11C] diprenorphin BPND did not correlated with copeptin or oxytocin.
CONCLUSIONS: Copeptin demonstrated significant group differences, highlighting its potential diagnostic and prognostic value. Oxytocin levels exhibited conflicting results, questioning the reliability of peripheral blood assessment. Increased NH opioid tone in anorexia nervosa may influence the vasopressin or oxytocin release, suggesting potential therapeutic applications.

Termite mound soils are known to possess unique physico-chemical and biochemical properties, making them highly fertile. Considering their rich nutrient content, the objective of the current experiment is to assess the physico-chemical properties and enzyme activities of termite mound based potting media and evaluate theirperformance for further exploration in floriculture. Potting media consisting of termite mound soil (TS) of a subterranean termite, Odontotermes obesus were prepared in 7 different combinations with garden soil (GS), sand (S) and farmyard manure (FYM) and a control (without termite mound soil), i.e., T1 (TS, GS, S, FYM (v:v:v:v /1:2:1:1)), T2 (TS, GS, S, FYM (v:v:v:v / 2:1:1:1)), T3 (TS, S, FYM (v:v:v / 2:1:1)), T4 (TS, GS, FYM (v:v:v / 2:1:1)), T5 (TS, GS, S (v:v:v / 2:1:1)), T6 (TS, S, FYM (v:v:v / 3:1:1)), T7 (TS, S, FYM (v:v:v / 1:1:2)) and control (GS, S, FYM (v:v:v / 2:1:1)). The samples were then analysed in laboratory. Experimental analysis on physico-chemical and biological parameters revealed superiority of T7 (TS, S, FYM (v:v:v / 1:1:2)) in terms of pH (7.15), organic carbon (2.13%), available nitrogen (526.02 kg ha-1), available phosphorus (56.60 kg ha-1), available potassium (708.19 kg ha-1), dehydrogenase activity (18.21 μg TTF g-1 soil day-1), Phosphomonoesterase (PME) activity (46.68 54 μg p-nitrophenol/gsoil/h) and urease activity (3.39 μg NH4-N g-1 soil h-1). Whereas T4 (TS, GS, FYM (v:v:v /2:1:1)) registered superiority in terms of PME activity (50.54 μg p-nitrophenol/gsoil/h), Fluorescein diacetate (FDA) activity (11.01 μgfluorescein/gsoil/h) and Soil Microbial Biomass Carbon (SMBC) (262.25 μg/g). Subsequent to the laboratory analysis, two best potting mixtures (T7 & T4) were selected and their performance was assessed by growing a test crop, Tagetes erecta cv. Inca Orange. Considering the growth parameters, the potting media: T7 was found to be significantly superior in terms of plant spread (39.64 cm), leaf area index (4.07), fresh weight (37.72 g), yield (317.81 g/plant), and diameter (9.38 cm) of flower over T4 & control. The Benefit:Cost (B:C) ratio meaning the ratio of net returns to total cost of cultivation was determined. The B:C ratio of raising marigold flower as potted plant in T7 was 1.10 whereas the B:C ratio of the potting mixture of T7 was 2.52. This shows that T7 potting media is also economically viable choice for commercial purposes.

OBJECTIVE: The selection of valve prostheses for patients undergoing surgical aortic valve replacement remains controversial. In this study, we compared the long-term outcomes of patients undergoing aortic valve replacement with biological or mechanical aortic valve prostheses.
METHODS: We evaluated late results among 5762 patients aged 45 to 74 years who underwent biological or mechanical aortic valve replacement with or without concomitant coronary artery bypass from 1989 to 2019 at 4 medical centers. The Cox proportional hazards model was used to compare late survival; the age-dependent effect of prosthesis type on long-term survival was evaluated by an interaction term between age and prosthesis type. Incidences of stroke, major bleeding, and reoperation on the aortic valve after the index procedure were compared between prosthesis groups.
RESULTS: Overall, 61% (n = 3508) of patients received a bioprosthesis. The 30-day mortality rate was 1.7% (n = 58) in the bioprosthesis group and 1.5% (n = 34) in the mechanical group (P = .75). During a mean follow-up of 9.0 years, the adjusted risk of mortality was higher in the bioprosthesis group (hazard ratio, 1.30, P < .001). The long-term survival benefit associated with mechanical prosthesis persisted until 70 years of age. Bioprosthesis (vs mechanical prosthesis) was associated with a similar risk of stroke (P = .20), lower risk of major bleeding (P < .001), and higher risk of reoperation (P < .001).
CONCLUSIONS: Compared with bioprostheses, mechanical aortic valves are associated with a lower adjusted risk of long-term mortality in patients aged 70 years or less. Patients aged less than 70 years undergoing surgical aortic valve replacement should be informed of the potential survival benefit of mechanical valve substitutes.

When one walks toward a crowd of pedestrians, dealing with their biological motion while controlling one\'s own self-motion is a difficult perceptual task. Limb articulation of a walker is naturally coupled to the walker\'s translation through the scene and allows the separation of optic flow generated by self-motion from the biological motion of other pedestrians. Recent research has shown that if limb articulation and translation mismatch, such as for walking in place, self-motion perception becomes biased. This bias may reflect an illusory motion attributed to the pedestrian crowd from the articulation of their limbs. To investigate this hypothesis, we presented observers with a simulation of forward self-motion toward a laterally moving crowd of point-light walkers and asked them to report the perceived lateral speed of the crowd. To investigate the dependence of the crowd speed percept on biological motion, we also included conditions in which the points of the walker were spatially scrambled to destroy body form and limb articulation. We observed illusory crowd speed percepts that were related to the articulation rate of the biological motion. Scrambled walkers also produced illusory motion but it was not related to articulation rate. We conclude that limb articulation induces percepts of crowd motion that can be used for interpreting self-motion toward crowds.

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OBJECTIVE: Eating disorders (EDs) represent a major public health burden. Increasingly, studies suggest mental health (MH) fields are failing to improve the effectiveness of treatments and that alternative models of care must be considered. Precision mental health (PMH) seeks to tailor treatment to individual needs and relies on a comprehensive understanding of the neurobiological and physiological underpinnings of mental illness.
METHODS: In this narrative review, published literature with focus on biological application of PMH strategies for EDs is reviewed and summarised.
RESULTS: A total of 39 articles were retained for the review covering a variety of themes with relevance to PMH. Many studies of biological markers with PMH applicability focused on anorexia nervosa. Although a variety of potential PMH research applications were identified, the review failed to identify any evidence of implementation into routine ED practice.
CONCLUSIONS: Despite the theoretical merit of biological application of PMH in ED treatment, clinical applications for standard practice are lacking. There is a need to invest further in studies that seek to identify biological markers and investigate neurobiological underpinnings of disease in hopes of targeting and developing treatments that can be better tailored to the individualised needs of patients.