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study illustrates the effects the media and anecdotal experiences of a growing population of players undergoing UCL reconstruction have had on the game of baseball and players' decisions to return to sport. Level of evidence Level IV. © 2020 Professor P K Surendran Memorial Education Foundation. Published by Elsevier B.V. All rights reserved.The past decades have been characterized by a growing number of nonstate actors (NSAs) involved in global governance. However, despite this growth, only a small number of NSAs have been able to maintain a prolonged global presence over a substantial period of time. To explain why some NSAs are more active, we rely on resource dependence theory. We demonstrate that sustained advocacy over time can be explained by a density dependence mechanism, namely the more NSAs mobilize, the lower the chance that individual NSAs will prolong their global advocacy efforts. Analysis of data stemming from a unique data set of 5,627 NSAs active at the global climate conferences demonstrates that much advocacy in this field is indeed of an incidental nature, namely a large number of groups attend once and never return. © 2019 The Authors. Governance published by Wiley Periodicals, Inc.A rapid, facile and selective detection of anti-H5 subtype avian influenza virus (AIV) antibody in serum by fluorescence polarization immunoassay (FPIA) was achieved. A fragment of recombinant H5 subtype AIVhemagglutinin was produced and labeled with fluorescein to use it as a labeled antigen in FPIA. This labeled antigen was mixed with anti-AIV sera (H1-H16 subtypes) and FP of the mixture was measured using a portable FP analyzer on a microdevice. It was found that FP increased in proportion to the concentration of anti-H5 AIV antibody (serum) and was significantly higher than FP obtained with the other sera. The selective detection of anti-H5 subtype AIV antibody was confirmed. The required volume of original sample was 2 μL and analysis time was within 20 min. This detection system realizes an efficient on-site diagnosis and surveillance of AIV. © 2020 Published by Elsevier B.V.Fuel cell vehicles fueled with renewable hydrogen is recognized as a life-cycle carbon-free option for the transport sector, however, the profitability of the H2 pathway becomes a key issue for the FCV commercialization. By analyzing the actual data from the Zhangjiakou fuel cell transit bus project, this research reveals it is economically feasible to commercialize FCV in areas with abundant renewable resources. Low electricity for water electrolysis, localization of H2 supply, and curtailed end price of H2 refueling effectively reduce the hydrogen production, delivery and refueling cost, and render a chance for the profitability of refueling stations. After the fulfillment of the intense deployment of both vehicles and hydrogen stations for the 2022 Winter Olympics, the H2 pathway starts to make a profit thereafter. 7ACC2 The practices in the Zhangjiakou FCB project offer a solution to the hydrogen economy, which helps to break the chicken-egg dilemma of vehicles and hydrogen infrastructure. © 2020 Hydrogen Energy Publications LLC. Published by Elsevier Ltd. All rights reserved.People are facing uncertain and difficult times in the face of the Covid-19 pandemic. The benefits of plants (psychological, health, economic, productive) in this period of forced isolation can be of key importance. If many of us have to self-isolate in urban or suburban environments, we need something to do to keep our bodies and minds active and fed. In such a challenging scenario, a vegetable garden in home spaces can bring recreational, health, economic and environmental benefits. Regardless of the Covid-19 pandemic, there is untapped potential for this kind of garden to impact environmental outcomes, public awareness, and market trends. Home vegetable gardens could provide a small-scale approach to the sustainable use of natural resources, leading towards self-sufficiency, self-regulation, sustainability, and environmental protection. © Springer Science+Business Media, LLC, part of Springer Nature 2020.New data and new methods have provided many new insights into rural households in the past 50 years. We analyze what we have learned from household models since Boserup and Becker, using this to frame more recent findings about household behavior from three types of studies observational studies, experimental games, and impact evaluations. More sex-disaggregated data, as well as data that are collected at smaller units, such as agricultural plots, have allowed us to better understand agricultural productivity, risk sharing, and spousal cooperation. However, the focus on bargaining within households has often led us to ignore the cooperation that occurs within households. Many resources are owned and managed jointly by household members and many decisions are made jointly, although not all parties necessarily have equal voice in these decisions. Research demonstrating that households often do not reach efficient outcomes suggests that we still have much to learn about rural household behavior. Understanding both individual roles within households and the levels of cooperation, including joint decision making and ownership of resources, is essential to analysis of households, especially in rural areas where households engage in both production and consumption. © 2019 The Authors. Agricultural Economics published by Wiley Periodicals, Inc. on behalf of International Association of Agricultural Economists.Generational changes in IQ (the Flynn Effect) have been extensively researched and debated. Within the US, gains of 3 points per decade have been accepted as consistent across age and ability level, suggesting that tests with outdated norms yield spuriously high IQs. However, findings are generally based on small samples, have not been validated across ability levels, and conflict with reverse effects recently identified in Scandinavia and other countries. Using a well-validated measure of fluid intelligence, we investigated the Flynn Effect by comparing scores normed in 1989 and 2003, among a representative sample of American adolescents ages 13-18 (n=10,073). Additionally, we examined Flynn Effect variation by age, sex, ability level, parental age, and SES. Adjusted mean IQ differences per decade were calculated using generalized linear models. Overall the Flynn Effect was not significant; however, effects varied substantially by age and ability level. IQs increased 2.3 points at age 13 (95% CI=2.0, 2.7), but decreased 1.6 points at age 18 (95% CI=-2.1, -1.2). IQs decreased 4.9 points for those with IQ130 (95% CI=3.4, 3.6). The Flynn Effect was not meaningfully related to other background variables. Using the largest sample of US adolescent IQs to date, we demonstrate significant heterogeneity in fluid IQ changes over time. Reverse Flynn Effects at age 18 are consistent with previous data, and those with lower ability levels are exhibiting worsening IQ over time. Findings by age and ability level challenge generalizing IQ trends throughout the general population.Negative urgency is a trait that is a risk factor for a range of psychopathology. Yet, little research has tested whether global self-report measures of negative urgency truly reflect a heightened association between real-world negative emotions and impulsive behaviors. In a sample of young adults (N = 222) assessed 3 times per day for 10 days, we tested whether negative emotions were associated with multiple facets of impulsivity at the state-level, and whether those associations were moderated by global self-report of negative urgency. Our findings suggest a robust within-person association between negative affect and acting on impulse. However, global self-report of negative urgency did not moderate any emotion-impulsivity association we tested.Immune-mediated inflammatory diseases are a group of diseases characterized by generalized inflammation that results from immune dysregulation, especially involving the mechanisms of acquired immunity. These diseases may be familial, showing that genetic factors play an important role in their development. Additionally, the occurrence of one disease makes a patient prone to other diseases. However, the coexistence of systemic lupus erythematosus (SLE) and psoriasis (Ps) is very rare due to their distinct genetic determinants and mechanisms of pathogenesis. Treatment is also challenging, as medications used to treat one condition exacerbate or even trigger the symptoms of the other. This paper presents the case of a Ps patient with a family history of autoimmune diseases, who developed systemic lupus erythematosus during puberty, as well as a discussion on the coexistence of SLE and Ps in developmental age based on available literature searching for PubMed database and American College of Rheumatology and European League Against Rheumatism abstracts particularly in this subject. Copyright © 2020 Narodowy Instytut Geriatrii, Reumatologii i Rehabilitacji w Warszawie.Rheumatoid arthritis (RA) is an autoimmune disease with joint inflammation and destruction as the main features that appears with prevalence of 1 to 2% of the general population. Women are three times more likely to suffer from RA than men. Rheumatoid arthritis occurs at any age but commonly over 40-50 years old. In the course of RA each joint may be involved but most frequently the proximal interphalangeal and metacarpophalangeal joints of the hands, wrists, and also small joints of the feet are affected. Symmetrical joint swelling with overgrowth of synovium and hypervascularization confirmed in power Doppler ultrasound imaging are very characteristic for RA. Quantification of vascularization with the color fraction index may be a useful tool to monitor disease activity and in evaluation of inflammation in scientific research. This article aims to present this imaging diagnostic method based on the literature. Copyright © 2020 Narodowy Instytut Geriatrii, Reumatologii i Rehabilitacji w Warszawie.Eating habits have been analysed for years as a factor influencing the development of autoimmune diseases and susceptibility to infections. On the basis of research, observational studies and meta-analyses, special attention was paid to omega-3 and omega-6 acids. The purpose of the review is to show the importance of omega-3 and omega-6 acids as important ingredients in the healthy diet and as factors protecting against the development of the most common inflammatory rheumatic diseases. The influence of these omega-3 and -6 acids on the course of rheumatic diseases and arguments for their use as complementary therapy are also presented. Copyright © 2020 Narodowy Instytut Geriatrii, Reumatologii i Rehabilitacji w Warszawie.Biological agents such as monoclonal antibodies and fusion proteins are widely used for the treatment of patients with various rheumatic disorders, influencing the quality of life, disability and even mortality in patients. However, biological agents can evoke adverse reactions of different grades of severity. Although drug avoidance remains a gold standard in the care of patients hypersensitive to medication, in certain clinical situations the culprit drug is the drug of choice and cannot be replaced by another equally effective compound. In such cases, desensitization can allow the patient to be treated within current guidelines and with the most effective treatment. The authors searched Medline and Scopus databases for English-language sources using the following key words hypersensitivity, desensitization, biologicals, adalimumab, etanercept, adalimumab, certolizumab, golimumab, rituximab, infliximab, ixekizumab, tocilizumab, anakinra and canakinumab. The aim of our review is to present the current knowledge about desensitization to biological agents and some guidelines according to patient inclusion, contraindications, procedures, and safety requirements.
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