Associated Colleges of the Twin Cities

While loneliness profoundly affects mental health at every stage of life, adolescents today face unprecedented challenges finding meaningful social connections. Social media is a contributing factor that can improve the structure of relationships; however, function and quality are often impaired which significantly impacts connectedness. Lifestyle medicine clinicians can address the loneliness epidemic by promoting ways for adolescents to increase their connectedness to peers, school, and family. Specifically, clinicians can support the development of connectedness by recommending ways in which youth can build social-emotional skills. Using these concepts in all age groups is likely to be an important area for clinicians to focus with their patients.

Abstract Extreme cold events, which have become more frequent, can revert the direction of long-term responses to climate change. In 2021, record snowstorms swept the United States, causing wildlife die-offs that may have been associated with rapid natural selection. Our objective was to determine whether the snowstorms caused natural selection in Eastern Bluebirds (Sialia sialis). To test which mechanism most influenced their survival, we measured the morphology and coloration of fatalities and survivors at three sites. Survival was associated with a longer tarsus and with a wider, longer, and deeper beak, in support of the starvation and thermal endurance hypotheses. Additionally, bluebirds with more-ornamented plumage were less likely to have survived, perhaps because of an early energy investment in mate and site acquisition. As bluebirds encounter increasingly warm summer conditions, the longer extremities favored during the snowstorms may continue to be favored through their thermoregulatory benefits. However, the dull plumage coloration favored by natural selection during the snowstorms may be opposed by sexual selection benefits of more-ornamented plumage. Overall, responses to extreme events are difficult to predict from responses to long-term climate change, and responses to one event, such as the 2021 snowstorms, may not predict responses to a future extreme event.

For patients on renal replacement therapy (RRT), "travel" and "independence" are rated as 2 of the top 5 factors that inform their choice of treatment modality. While home dialysis modalities offer patients a high degree of independence, the most common RRT in the United States is in-center hemodialysis (IHD). The limits imposed by IHD treatment can present a variety of challenges for patients who wish to travel. This study explored how IHD patients managed their travel and the role of dialysis social workers in executing travel arrangements for patients. We performed a qualitative descriptive investigation using semi-structured interviews with adults receiving IHD (n = 16) and renal social workers (n = 8) from Iowa, Minnesota, North Dakota, South Dakota, and Wisconsin. Data were analyzed using a constant comparative method. Three themes emerged from the interviews: travel process, travel-related barriers, and travel-related facilitators. The travel process entailed transient dialysis unit challenges and the need for multiple preparations and precautions. Barriers included comorbidities and not having a relationship with transient dialysis unit staff. Facilitators focused on the importance of travel and staff professionalism at transient dialysis units. Overall, there was lack of uniform protocols to guide the travel process at the patient and the dialysis unit levels. This study identified multiple perspectives regarding travel arrangements in chronic IHD patients. There is limited research on travel issues for IHD patients and this investigation is among the first to articulate barriers and facilitators associated with travel from the perspective of patients and social workers. Supporting travel for IHD patients can increase their sense of autonomy and provide opportunities to improve their quality of life.

This study investigates the role of pentraxin 3 (PTX3) in the regulation of inflammatory homeostasis involving anti-inflammatory miR-21 during lipopolysaccharide (LPS) stimulation in adipocytes. Using PTX3 knockout (PTX3 KO) mouse and primary stromal vascular cell models, this study determined the effect of PTX3 deficiency on the expression and secretion of miR-21 in brown adipose tissue (BAT) and brown adipocytes as well as the rescue effect of recombinant PTX3 on miR-21 during LPS-induced inflammation. Among three fat depots, BAT was the major tissue and fully differentiated brown adipocytes were the major cells that expressed miRNA-processing enzymes and produced miRNA. Moreover, brown adipocytes, but not stromal vascular cells, were the LPS-responsive cells in miR-21 production. PTX3 deficiency attenuated LPS-stimulated upregulation of miR-21 in sera and BAT. In wild-type brown adipocytes, LPS stimulation significantly upregulated cellular miR-21. Interestingly, this stimulatory effect of LPS was attenuated, and cellular and secreted miR-21 levels were reduced in PTX3 KO cells upon LPS stimulation. Treatment of recombinant PTX3 reversed the cellular and secreted levels of miR-21 and attenuated an LPS-stimulated increase in the expression of Tnf-α and Mcp1 genes in PTX3 KO adipocytes. PTX3 plays an anti-inflammatory role, in part through regulating miR-21 expression and secretion.

A revision of the microcaddisfly genus Ascotrichia (Trichoptera, Hydroptilidae) is provided, including a generic diagnosis, illustrations, and descriptions of males. This genus is endemic to the Neotropical region and has been recorded from countries in northern South America. Adults of the genus are notable within the family for the contrasting black and green hairs on the forewings. A total of six species are treated, three described as new: Ascotrichia adirecta sp. n. (Brazil), A. hystricosa sp. n. (Brazil), and A. simoma sp. n. (Brazil).

The medical programmes we see in our training as physician-scientists are becoming more progressive and supportive of students. Here’s what academia can learn from them, say Yoo Jung Kim and Erik Faber. The medical programmes we see in our training as physician-scientists are becoming more progressive and supportive of students. Here’s what academia can learn from them, say Yoo Jung Kim and Erik Faber.