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We show that their contribution cannot be ignored, as particles smaller than less then 1 μm can contain up to 35% of the water+H2O2 extractable arsenic as methylated species, but only dimethylarsinate showed a clear seasonal trend throughout the year.A zinc metal-organic framework, i.e., Zn-MOF (Zn-DBC), with ca. 27% solvent-accessible void volume was synthesized from a rationally designed tetraacid based on sterically insulated dibenzo[g,p]chrysene core; the latter inherently features concave shapes. Due to rigidification of the fluorophore in the MOF, Zn-DBC exhibits a respectable fluorescence quantum yield of ca. 30% in the solid state. The fluorescent and water-stable Zn-DBC MOF was found to display intriguing temperature-dependent emission behavior with an activation barrier of 1.06 kcal/mol for radiationless deactivation from the singlet-excited state. It is shown that the Zn-MOF can be employed as an efficient sensory material for detection of hazardous "quat" dicationic herbicides in water by diffusion-limited "turn-off" fluorescence. Due to confinement of the cationic guest analytes within the pores of the MOF, the fluorescence quenching via excited-state charge transfer mechanism is shown to depend on the molecular size of the analyte in addition to the redox potentials. Remarkably, Zn-DBC permits sensing of DQ, a well-known toxic "quat" herbicide, with a detection limit as low as 2.8 ppm in water. The unique structural attributes of the Zn-MOF for highly efficient fluorescence sensing of toxic herbicides in water are thus exemplified for the first time.BACKGROUND An oral compound, SEP-363856, that does not act on dopamine D2 receptors but has agonist activity at trace amine-associated receptor 1 (TAAR1) and 5-hydroxytryptamine type 1A (5-HT1A) receptors, may represent a new class of psychotropic agent for the treatment of psychosis in schizophrenia. METHODS We performed a randomized, controlled trial to evaluate the efficacy and safety of SEP-363856 in adults with an acute exacerbation of schizophrenia. The patients were randomly assigned in a 11 ratio to receive once-daily treatment with SEP-363856 (50 mg or 75 mg) or placebo for 4 weeks. The primary end point was the change from baseline in the total score on the Positive and Negative Symptom Scale (PANSS; range, 30 to 210; higher scores indicate more severe psychotic symptoms) at week 4. There were eight secondary end points, including the changes from baseline in the scores on the Clinical Global Impressions Severity (CGI-S) scale and the Brief Negative Symptom Scale (BNSS). RESULTS A total of 120 patieseline in the PANSS total score than placebo. Longer and larger trials are necessary to confirm the effects and side effects of SEP-363856, as well as its efficacy relative to existing drug treatments for patients with schizophrenia. (Funded by Sunovion Pharmaceuticals; ClinicalTrials.gov number, NCT02969382.). Copyright © 2020 Massachusetts Medical Society.INTRODUCTION Pre-exposure prophylaxis (PrEP) is highly effective, although PrEP adherence and persistence has been variable during real world implementation. Little is known about missed opportunities to enhance PrEP adherence among individuals who later HIV seroconverted after using PrEP. The goal of this analysis was to identify all HIV infections among individuals who had accessed PrEP in an integrated health system in San Francisco, and to identify potentially intervenable factors that could have prevented HIV infection through in-depth interviews with people who HIV seroconverted after using PrEP. METHODS We identified individuals who initiated PrEP in an integrated safety-net public health system and performed in-depth chart review to determine person-time on and after stopping PrEP over six years. We identified all PrEP seroconversions using the Centers for Disease Control and Prevention's Enhanced HIV/AIDS Reporting System and then calculated HIV incidence while using PrEP and during gaps in use. We tce during gaps in PrEP use was nearly eight-fold higher than while on PrEP in this large cohort in San Francisco. Many individuals who stop PrEP remain at risk of HIV, and participants reported that proactive outreach could potentially have prevented HIV infections. Individuals using non-daily PrEP may require additional education and support in the United States. © 2020 The Authors. Journal of the International AIDS Society published by John Wiley & Sons Ltd on behalf of the International AIDS Society.INTRODUCTION Weight gain following antiretroviral therapy (ART) initiation is common, potentially predisposing some persons with HIV (PWH) to cardio-metabolic disease. We assessed relationships between ART drug class and weight change among treatment-naïve PWH initiating ART in the North American AIDS Cohort Collaboration on Research and Design (NA-ACCORD). METHODS Adult, treatment-naïve PWH in NA-ACCORD initiating integrase strand transfer inhibitor (INSTI), protease inhibitor (PI) or non-nucleoside reverse-transcriptase inhibitor (NNRTI)-based ART on/after 1 January 2007 were followed through 31 December 2016. Multivariate linear mixed effects models estimated weight up to five years after ART initiation, adjusting for age, sex, race, cohort site, HIV acquisition mode, treatment year, and baseline weight, plasma HIV-1 RNA level and CD4+ cell count. Due to shorter follow-up for PWH receiving newer INSTI drugs, weights for specific INSTIs were estimated at two years. Secondary analyses using logistic regressiegulation that require further exploration. © 2020 The Authors. learn more Journal of the International AIDS Society published by John Wiley & Sons Ltd on behalf of International AIDS Society.Over 21 years, 26 coronary artery fistulae were treated percutaneously, and 21 (81%) were successful. There is still much to be learned about the physiology of coronary fistulae. Transcatheter methods have improved over the years and permit a high success rate, but some cases still require a surgical approach. © 2020 Wiley Periodicals, Inc.Limited information is available about the performance of bioabsorbable-polymer drug-eluting stents in the setting of acute myocardial infarction. Patients treated with these stents presenting with acute myocardial infarction are at higher risk of adverse events compared with stable patients. Further clinical trials are needed to fully understand the role of bioabsorbable-polymer drug-eluting stents in patients presenting with acute myocardial infarction. © 2020 Wiley Periodicals, Inc.
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