Early onset of cabergoline therapy for prophylaxis from ovarian hyperstimulation syndrome (OHSS): A potentially safer and more effective protocol

Vascular endothelial growth factor (VEGF) is the most important angiogenic mediator in ovarian hyperstimulation syndrome OHSS. Studies proved that cabergoline administration blocks the increase in vascular permeability via dephosphorylation of VEGF receptors and hence can be used as prophylactic agent against OHSS. This study aimed at evaluating the effectiveness of early administration of cabergoline in the prevention of OHSS in high risk cases prepared for ICSI. This case series study was conducted on 126 high risk patients prepared for ICSI using the fixed antagonist protocol. High risk patients were defined as having more than 20 follicles >12 mm in diameter, and/or E2 more than 3000 pg/ml when the size of the leading follicle is more than 15 mm. When the size of the leading follicle reached 15 mm, cabergoline was administered (0.5 mg/day) for 8 days. Patients were followed up clinically, ultrasonographically and hematologically. The final E2 was 6099.5 ± 2730 and the mean number of retrieved oocytes was 19.7 ± 7.8. The clinical pregnancy rate was 62/126 (49.2%). There were no significant changes (p > 0.05) comparing hematological parameters, renal function tests and liver function tests between the day of HCG and the day of blastocyst transfer. The incidence of severe OHSS in this group was 1/126 (0.9%), while moderate OHSS was 12 (9.5%) and there were no cases of critical OHSS. We concluded that early administration of cabergoline is a safe and potentially more effective approach for prophylaxis against OHSS in high risk cases.     

Political economy and global arts for social change: A comparative analysis of youth orchestras in Venezuela and Chile

An expansive movement comprised of UN Millennium Development Goals, international banks, and hundreds of programs worldwide promotes access to the arts as a creative means of social change. Often grounded in cognitive science and inspired by the model of youth orchestras in Venezuela known as El Sistema, this movement contends that arts training—which can foster empathy, collaboration, academic achievement, and self-esteem—helps alleviate poverty and combat inequality. In contrast to the majority of the literature on public arts programs—impact studies that often assume arts engagement creates social change through universal mechanisms—this study examines the influence of political economy on the implementation of public arts programs. Through a comparative study of youth orchestras with social inclusion goals in Venezuela (1974–2015) and Chile (1964–2015), the scope and intensity of government control, social welfare policy, and competition for public funds are found to shape public arts programs' social goals, daily operations, definitions of success, and impact study procedures. Therefore, scholars, practitioners, and policy makers must reexamine their understanding of arts programs as a development model. Future global efforts to combat inequality should avoid over-standardization. This article offers a new Arts for Social Change Context Framework that places input variables at the center of analysis, with policy implications.     

The adaptive potential of plant populations in response to extreme climate events

The frequency and magnitude of extreme climate events are increasing with global change, yet we lack predictions and empirical evidence for the ability of wild populations to persist and adapt in response to these events. Here, we used Fisher's Fundamental Theorem of Natural Selection to evaluate the adaptive potential of Lasthenia fremontii, a herbaceous winter annual that is endemic to seasonally flooded wetlands in California, to alternative flooding regimes that occur during El Niño Southern Oscillation (ENSO) events. The results indicate that populations may exhibit greater adaptive potential in response to dry years than wet years, and that the relative performance of populations will change across climate scenarios. More generally, our findings show that extreme climate events can substantially change the potential for populations to adapt to climate change by modulating the expression of standing genetic variation and mean fitness.     

Increased extreme drought events in south–central China since the last century：Evidence from oxygen isotope signatures preserved in tree ring cellulose

Tree-ring cellulose oxygen isotope ratios (δ¹⁸O) is a well-established proxy for hydroclimatic conditions in monsoon Asia. We reconstructed June–October relative humidity (RH_J–O) variations from 1808 to 2017, based on tree-ring cellulose δ¹⁸O data, which explain 46.2% of the actual RH variance in the Nanyue region, south–central China. Extreme wet events occurred frequently prior to the 1900s, but there have been more extreme dry events since the 1900s, apart from the late 1930s and early 1950s. Periodicity analysis revealed that the reconstructed RH_J–O records show obvious 15–30 years cycles from the 1830–1970s. The multi-decadal signals may reflect the effect of the Pacific Decadal Oscillation (PDO) on hydroclimate. In the positive PDO phase, there is drying in south–central China, which is related to a weaker East Asian summer monsoon (EASM) via the Pacific–Japan teleconnection. The decadal signal has weakened since the 1970s. In addition, the reconstructed RH_J–O record shows strong interannual variations, which may be related to the Central Pacific El Niño–Southern Oscillation (CP ENSO). During extreme CP El Niño events, there is a weaker EASM due to the Pacific–Japan teleconnection, and the study site experienced drought. Our reconstructed moisture record is characterized by a decreasing influence from the PDO and increasing influence from the CP ENSO in recent decades. Moreover, the frequency of CP ENSO events is projected to increase under anthropogenic warming. Consequently, more extreme droughts which are related to CP ENSO events may increase in the south–central China in near future.     

First sighting of a tropical benthic reef shark species at Rapa Nui: chance dispersal or a sign of things to come?

On 20 December 2017, a mature Triaenodon obesus was observed at Hanga Roa Bay, Rapa Nui (Easter Island) at c.18 m depth. This observation increases both the range of T. obesus in the Pacific Ocean and the number of elasmobranch species at Rapa Nui. In combination with other recent sightings further extending the southern range of this species during the Austral summer, sea surface temperature is suggested as key to southern dispersal.     

Shifted Cytosolic NADP+-Dependent Isocitrate Dehydrogenase on 2-D Gel in the Brain of Genetically Epileptic El Mice

We observed a spot on two-dimensional (2-D) gel in the epileptic mutant strain El mice with a similar molecular weight but with a different isoelectric point of approximately 0.2, compared with its mother strain ddY mice. The collected protein from the El mice was identified as cytosolic NADP⁺-dependent isocitrate dehydrogenase by internal amino acid sequencing. The enzyme is known to be maximally active during the development of the brain and to play an important role in NADPH production for fatty acids and cholesterol synthesis. In addition, alterations in cholesterol synthesis early in the development of the mammalian brain have been reported to lead to chronic epilepsy. The results in the present study therefore suggest that cytosolic NADP⁺-dependent isocitrate dehydrogenase might be involved in the epileptogenesis of the El mouse.     

Relationships of subalpine forest fires in the Colorado Front Range with interannual and multidecadal‐scale climatic variation

Aim An understanding of past relationships between fire occurrence and climate variability will help to elucidate the implications of climate‐change scenarios for future patterns of wildfire. In the present study we investigate the relationships between subalpine‐zone fire occurrence and climate variability and broad‐scale climate patterns in the Pacific and Atlantic Oceans at both interannual and multidecadal time‐scales. Location The study area is the subalpine zone of Engelmann spruce (Picea engelmannii) and subalpine fir (Abies lasiocarpa), and lodgepole pine (Pinus contorta) in the southern sector of the Rocky Mountain National Park, which straddles the continental divide of the northern Colorado Front Range. Methods We compared years of widespread fire from AD 1650 to 1978 for the subalpine zone of southern Rocky Mountain National Park, with climate variables such as measures of drought, and indices such as the El Niño–Southern Oscillation (ENSO), the Pacific Decadal Oscillation (PDO), and the Atlantic Multidecadal Oscillation (AMO). Results Years of extensive subalpine‐zone fires are significantly related to climate variability, phases of ENSO, the PDO, and the AMO, as well as to phase combinations of ENSO, the PDO, and the AMO at both interannual and centennial time‐scales. Main conclusions Years of extensive fires are related to extreme drought conditions and are significantly related to the La Niña phase of ENSO, the negative (cool) phase of the PDO, and the positive (warm) phase of the AMO. The co‐occurrence of the phase combination of La Niña‐negative PDO‐positive AMO is more important to fire occurrence than the individual influences of the climate patterns. Low‐frequency trends in the occurrence of this combination of climate‐pattern phases, resulting from trends in the AMO, are the primary climate pattern associated with periods of high fire occurrence (1700–89 and 1851–1919) and a fire‐free period (1790–1850). The apparent controlling influence of the AMO on drought and years of large fires in the subalpine forests of the Colorado Front Range probably applies to an extensive area of western North America.     

L’Aurignacien archaïque de la grotte El Castillo (Espagne) : caractérisation technologique et typologique

In this paper, we present the techno-typological study of level 16 of El Castillo cave (Archaic Aurignacian). In this level, we can identify an important bladelet production from schémas opératoires of unipolar prismatic cores, carinated endscraper and carinated burins types. Besides, we find a specific production of Discoid conception. The retouched blanks, though scanty, are dominated by the Dufour bladelets. Level 16 is in relation with the Archaic Aurignacian at the Cantabrian Iberia, which is present in sites like Cueva Morín, Labeko Koba, Gatzarria, or Isturitz and it also is in relation with the Mediterranean Archaic Aurignacian. Finally, we analyse the different hypotheses about the Initial Upper Paleolithic origin in Europe. The mosaic hypothesis is acceptable for us.     

Being En Route

Through an ethnography of unauthorized migration from El Salvador to the United States, I explore "clandestinity" as a hidden, yet known, dimension of social reality. Unauthorized migrants who are en route to the United States have to make themselves absent from the spaces they occupy. When they become clandestine, such migrants embody illegality; in some cases, they literally "go underground" should they die and be buried en route. Because their presence is prohibited, unauthorized migrants do not fully arrive even when they reach their destinations. There are parallels between the ways that migrants are present in yet absent from nations, and the ways that ethnographers are present in yet absent from the field. This ethnography of migrants en route therefore suggests how anthropological knowledge practices also produce realities that are hidden, yet known.