Longitudinal Analysis of Inflammatory Response to SARS-CoV-2 in the Upper Respiratory Tract Reveals an Association with Viral Load, Independent of Symptoms

Background

SARS-CoV-2 infection leads to high viral loads in the upper respiratory tract that may be determinant in virus dissemination. The extent of intranasal antiviral response in relation to symptoms is unknown. Understanding how local innate responses control virus is key in the development of therapeutic approaches.

Methods

SARS-CoV-2-infected patients were enrolled in an observational study conducted at the Geneva University Hospitals, Switzerland, investigating virological and immunological characteristics. Nasal wash and serum specimens from a subset of patients were collected to measure viral load, IgA specific for the S1 domain of the spike protein, and a cytokine panel at different time points after infection; cytokine levels were analyzed in relation to symptoms.

Results

Samples from 13 SARS-CoV-2-infected patients and six controls were analyzed. We found an increase in CXCL10 and IL-6, whose levels remained elevated for up to 3 weeks after symptom onset. SARS-CoV-2 infection also induced CCL2 and GM-CSF, suggesting local recruitment and activation of myeloid cells. Local cytokine levels correlated with viral load but not with serum cytokine levels, nor with specific symptoms, including anosmia. Some patients had S1-specific IgA in the nasal cavity while almost none had IgG.

Conclusion

The nasal epithelium is an active site of cytokine response against SARS-CoV-2 that can last more than 2 weeks; in this mild COVID-19 cohort, anosmia was not associated with increases in any locally produced cytokines.

Supplementary Information

The online version contains supplementary material available at 10.1007/s10875-021-01134-z.

Language policy and planning: a discussion on the complexity of language matters and the role of computational methods

In this paper I argue in favour of the adoption of an interdisciplinary approach based on computational methods for the development of language policies. As a consequence of large-scale phenomena such as globalization, economic and political integration and the progress in information and communication technologies, social systems have become increasingly interconnected. Language-related systems are no exception. Besides, language matters are never just language matters. Their causes and consequences are to be found in many seemingly unrelated fields. Therefore, we can no longer overlook the numerous variables involved in the unfolding of linguistic and sociolinguistic phenomena if we wish to develop effective language policy measures. A genuinely interdisciplinary approach is key to address language matters (as well as many other public policy matters). In this regard, the tools of complexity theory, such as computational methods based on computer simulations, have proved useful in other fields of public policy.

Civil Disobedience in Times of Pandemic: Clarifying Rights and Duties

This paper seeks to investigate and assess a particular form of relationship between the State and its citizens in the context of the COVID-19 pandemic, namely that of obedience to the law and its related right of protest through civil disobedience. We do so by conducting an analysis and normative evaluation of two cases of disobedience to the law: (1) healthcare professionals refusing to attend work as a protest against unsafe working conditions, and (2) citizens who use public demonstration and deliberately ignore measures of social distancing as a way of protesting against lockdown. While different in many aspects, both are substantially similar with respect to one element: their respective protesters both rely on unlawful actions in order to bring change to a policy they consider unjust. We question the extent to which healthcare professionals may participate in civil disobedience with respect to the duty of care intrinsic to the medical profession, and the extent to which opponents of lockdown and confinement measures may reasonably engage in protests without endangering the lives and basic rights of non-dissenting citizens. Drawing on a contractualist normative framework, our analysis leads us to conclude that while both cases qualify as civil disobedience in the descriptive sense, only the case of healthcare professionals qualifies as morally justified civil disobedience.

Functionathon: a manual data mining workflow to generate functional hypotheses for uncharacterized human proteins and its application by undergraduate students

About 10% of human proteins have no annotated function in protein knowledge bases. A workflow to generate hypotheses for the function of these uncharacterized proteins has been developed, based on predicted and experimental information on protein properties, interactions, tissular expression, subcellular localization, conservation in other organisms, as well as phenotypic data in mutant model organisms. This workflow has been applied to seven uncharacterized human proteins (C6orf118, C7orf25, CXorf58, RSRP1, SMLR1, TMEM53 and TMEM232) in the frame of a course-based undergraduate research experience named Functionathon organized at the University of Geneva to teach undergraduate students how to use biological databases and bioinformatics tools and interpret the results. C6orf118, CXorf58 and TMEM232 were proposed to be involved in cilia-related functions; TMEM53 and SMLR1 were proposed to be involved in lipid metabolism and C7orf25 and RSRP1 were proposed to be involved in RNA metabolism and gene expression. Experimental strategies to test these hypotheses were also discussed. The results of this manual data mining study may contribute to the project recently launched by the Human Proteome Organization (HUPO) Human Proteome Project aiming to fill gaps in the functional annotation of human proteins. Database URL: http://www.nextprot.org.

Varieties of dispositional essentialism about natural laws

An important task for metaphysicians and philosophers of science is to account for laws of nature - in particular, how they distinguish themselves from 'mere' regularities, and the modal force they are endowed with, 'natural necessity'. Dispositional essentialism about laws (for short: 'essentialism') is roughly the view that laws distinguish themselves by being grounded in the essences of natural entities (e.g. kinds, properties). This paper does not primarily concern how essentialism compares to its main rivals - Humeanism and Armstrongeanism. Rather, it distinguishes and comparatively assesses various brands of essentialism - which mainly differ as to where exactly they take laws to find their essentialist sources (e.g. in particular entities, like electrons, or in larger pluralities of entities, or in the world as a whole), and what they take to be the targets of laws, namely what they apply to. Yet, this internal comparison is not unrelated to the more general debate about laws: the main criteria with which I compare these essentialist views concern how they can deal with some of the main objections faced by essentialism in general (the modal status it typically attributes to laws, which some think is too strong; and its alleged incapacity to account for the most 'general' laws, like conservation laws), and how they can keep what is arguably the main intuitive advantage of essentialism over its rivals (the fact that, on this view, things "govern themselves"). Thus, the paper also concerns the relative position of essentialism in the larger debate about laws - ultimately bringing support to it.

An efficient algorithm for solving piecewise-smooth dynamical systems

This article considers the numerical treatment of piecewise-smooth dynamical systems. Classical solutions as well as sliding modes up to codimension-2 are treated. An algorithm is presented that, in the case of non-uniqueness, selects a solution that is the formal limit solution of a regularized problem. The numerical solution of a regularized differential equation, which creates stiffness and often also high oscillations, is avoided.

Natural history and treatment options of radiation-induced brain cavernomas: a systematic review

Radiation-induced cavernous malformations (RICMs) are delayed complications of brain irradiation during childhood. Its natural history is largely unknown and its incidence may be underestimated as RCIMS tend to develop several years following radiation. No clear consensus exists regarding the long-term follow-up or treatment. A systematic review of Embase, Cochrane Library, PubMed, Google Scholar, and Web of Science databases, following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, was performed. Based on our inclusion/exclusion criteria, 12 articles were included, totaling 113 children with RICMs, 86 were treated conservatively, and 27 with microsurgery. We were unable to precisely define the incidence and natural history from this data. The mean age at radiation treatment was 7.3 years, with a slight male predominance (54%) and an average dose of 50.0 Gy. The mean time to detection of RICM was 9.2 years after radiation. RICM often developed at distance from the primary lesion, more specifically frontal (35%) and temporal lobe (34%). On average, 2.6 RICMs were discovered per child. Sixty-seven percent were asymptomatic. Twenty-one percent presented signs of hemorrhage. Clinical outcome was favorable in all children except in 2. Follow-up data were lacking in most of the studies. RICM is most often asymptomatic but probably an underestimated complication of cerebral irradiation in the pediatric population. Based on the radiological development of RICMs, many authors suggest a follow-up of at least 15 years. Studies suggest observation for asymptomatic lesions, while surgery is reserved for symptomatic growth, hemorrhage, or focal neurological deficits.

Arginine-dependent immune responses

A growing body of evidence indicates that, over the course of evolution of the immune system, arginine has been selected as a node for the regulation of immune responses. An appropriate supply of arginine has long been associated with the improvement of immune responses. In addition to being a building block for protein synthesis, arginine serves as a substrate for distinct metabolic pathways that profoundly affect immune cell biology; especially macrophage, dendritic cell and T cell immunobiology. Arginine availability, synthesis, and catabolism are highly interrelated aspects of immune responses and their fine-tuning can dictate divergent pro-inflammatory or anti-inflammatory immune outcomes. Here, we review the organismal pathways of arginine metabolism in humans and rodents, as essential modulators of the availability of this semi-essential amino acid for immune cells. We subsequently review well-established and novel findings on the functional impact of arginine biosynthetic and catabolic pathways on the main immune cell lineages. Finally, as arginine has emerged as a molecule impacting on a plethora of immune functions, we integrate key notions on how the disruption or perversion of arginine metabolism is implicated in pathologies ranging from infectious diseases to autoimmunity and cancer.

Thickness of the particle-free layer near charged interfaces in suspensions of like-charged nanoparticles

When a suspension of charged nanoparticles is in contact with a like-charged water-solid interface, next to this interface a particle-free layer is formed. The present study provides reliable measurements of the thickness of this particle-free layer with three different techniques, namely optical reflectivity, quartz crystal microbalance (QCM), and direct force measurements with atomic force microscopy (AFM). Suspensions of negatively charged nanoparticles of different size and type are investigated. When the measured layer thickness is normalized to the particle size, one finds that this normalized thickness shows universal inverse square root dependence on the particle volume fraction. This universal dependence can be also derived from Poisson-Boltzmann theory for highly asymmetric electrolytes, whereby one has to assume that the nanoparticles represent the multivalent coions.

Does Heart Rate Variability Biofeedback Enhance Executive Functions Across the Lifespan? A Systematic Review

The scope of this systematic review was to summarize the existing literature on the effects of heart rate variability biofeedback (HRV-BF) on executive functions (EFs) across the lifespan. Specifically, it aimed to investigate the factors that may affect the efficacy of HRV-BF interventions, such as the study population, duration and intensity of the intervention, or the technical equipment. This review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Studies that measured and presented at least one EF were included. We included controlled and uncontrolled trials involving clinical and general populations. From the initial list of 137 papers, 16 final studies were reviewed, with 777 participants. Fifty-six percent of the studies included in this review reported significant positive effects of HRV-BF intervention on at least one EF. Attention was the domain that most often benefited from the intervention. The majority of EF improvements (78%) occurred in studies that addressed patient populations or individuals that may present particular profiles: individuals exposed to stress, professional athletes, war veterans, children and adults with ADHD, and clinical older patients. The remaining studies (22%) that reported significant improvements focused on the general population. Efficacy was neither related to the duration or intensity of the intervention nor related to the technical equipment. Overall, our review shows that HRV-BF may be beneficial (a) to increase attentional skills, inhibition, and working memory and (b) when targeting more vulnerable individuals or individuals with particular profiles. However, further development of standardized, controlled protocols and consistent reporting of effect sizes may contribute to establishing the relevance of HRV-BF biofeedback interventions within the field of cognitive enhancement.

A New Argument for the Groundedness of Grounding Facts

Many philosophers have recently been impressed by an argument to the effect that all grounding facts about "derivative entities"-e.g. the facts expressed by the (let us suppose) true sentences 'the fact that Beijing is a concrete entity is grounded in the fact that its parts are concrete' and 'the fact that there are cities is grounded in the fact that p', where 'p' is a suitable sentence couched in the language of particle physics-must themselves be grounded. This argument relies on a principle, Purity, which states that facts about derivative entities are non-fundamental. Purity is questionable. In this paper, I introduce a new argument-the argument from Settledness-for a similar conclusion but which does not rely on Purity. The conclusion of the new argument is that every "thick" grounding fact is grounded, where a grounding fact [F is grounded in G, H, …] is said to be thick when at least one of F, G, H, … is a fact-a condition that is automatically satisfied if grounding is factive. After introducing the argument, I compare it with the argument from Purity, and I assess its cogency relative to the relevant accounts of the connections between grounding and fundamentality that are available in the literature.

Increased oxytocin release precedes hyponatremia after pituitary surgery

PURPOSE

The syndrome of inappropriate secretion of antidiuretic hormone (SIADH) is a well-known complication of transsphenoidal pituitary surgery, related to inappropriate secretion of arginine vasopressin (AVP). Its diagnosis is based on hyponatremia, with a peak of occurrence around day 7 after surgery and, to date, no early marker has been reported. In particular, copeptin levels are not predictive of hyponatremia in this case. Oxytocin (OXT) is secreted into the peripheral blood by axon terminals adjacent to those of AVP neurons in the posterior pituitary. Besides its role in childbirth and lactation, recent evidences suggested a role for OXT in sodium balance. The contribution of this hormone in the dysnatremias observed after pituitary surgery has however never been investigated.

METHODS

We analyzed the urinary output of OXT in patients subjected to transsphenoidal pituitary surgery.

RESULTS

While OXT excretion remained stable in patients who presented a normonatremic postoperative course, patients who were later diagnosed with SIADH-related hyponatremia presented with a significantly increased urinary secretion of OXT 4 days after surgery.

CONCLUSION

Taken together, these results show for the first time that urinary OXT output remains normally stable after transsphenoidal pituitary surgery. OXT excretion however becomes abnormally high on or around 4 days after surgery in patients later developing hyponatremia, suggesting that this abnormal dynamics of OXT secretion might serve as an early marker for transsphenoidal surgery-related hyponatremia attributed to SIADH.

A kind route from grounding to fundamentality

I offer an account of fundamentality for facts in terms of metaphysical grounding. The account does justice to the idea that whether a fact is absolutely fundamental, and whether a fact is more fundamental than, or as fundamental as, another fact, are a matter of where in a grounding-induced hierarchy of kinds of facts these facts appear.

Performances of automated digital imaging of Gram-stained slides with on-screen reading against manual microscopy

The objective of this study was to evaluate the performances of the automated digital imaging of Gram-stained slides against manual microscopy. Four hundred forty-three identified Gram-stained slides were included in this study. When both methods agreed, we considered the results as correct, and no further examination was carried out. Whenever the methods gave discrepant results, we reviewed the digital images and the glass slides by manual microscopy to avoid incorrectly read smears. The final result was a consensus of multiple independent reader interpretations. Among the 443 slides analyzed in this study, 101 (22.8%) showed discrepant results between the compared methods. The rates of discrepant results according to the specimen types were 5.7% (9/157) for positive blood cultures, 42% (60/142) for respiratory tract specimens, and 22% (32/144) for sterile site specimens. After a subsequent review of the discrepant slides, the final rate of discrepancies dropped to 7.0% (31/443). The overall agreement between the compared methods and the culture results reached 78% (345/443) and 79% (349/443) for manual microscopy and automated digital imaging, respectively. According to culture results, the specificity for automated digital imaging and manual microscopy were 90.8% and 87.7% respectively. In contrast, sensitivity was 84.1% for the two compared methods. The discrepant results were mostly encountered with microorganism morphologies of rare occurrence. The results reported in this study emphasize that on-screen reading is challenging, since the recognition of morphologies on-screen can appear different as compared to routine manual microscopy. Monitoring of Gram stain errors, which is facilitated by automated digital imaging, remains crucial for the quality control of reported Gram stain results.

The perspectives of mapping and monitoring of the sense of self in neurosurgical patients

Surgical treatment of tumors, epileptic foci or of vascular origin, requires a detailed individual pre-surgical workup and intra-operative surveillance of brain functions to minimize the risk of post-surgical neurological deficits and decline of quality of life. Most attention is attributed to language, motor functions, and perception. However, higher cognitive functions such as social cognition, personality, and the sense of self may be affected by brain surgery. To date, the precise localization and the network patterns of brain regions involved in such functions are not yet fully understood, making the assessment of risks of related post-surgical deficits difficult. It is in the interest of neurosurgeons to understand with which neural systems related to selfhood and personality they are interfering during surgery. Recent neuroscience research using virtual reality and clinical observations suggest that the insular cortex, medial prefrontal cortex, and temporo-parietal junction are important components of a neural system dedicated to self-consciousness based on multisensory bodily processing, including exteroceptive and interoceptive cues (bodily self-consciousness (BSC)). Here, we argue that combined extra- and intra-operative approaches using targeted cognitive testing, functional imaging and EEG, virtual reality, combined with multisensory stimulations, may contribute to the assessment of the BSC and related cognitive aspects. Although the usefulness of particular biomarkers, such as cardiac and respiratory signals linked to virtual reality, and of heartbeat evoked potentials as a surrogate marker for intactness of multisensory integration for intra-operative monitoring has to be proved, systemic and automatized testing of BSC in neurosurgical patients will improve future surgical outcome.

Combined spectroscopic studies on post-functionalized Au25 cluster as an ATR-FTIR sensor for cations

Recently, significant research activity has been devoted to thiolate-protected gold clusters due to their attractive optical and electronic properties. These properties as well as solubility and stability can be controlled by post-synthetic modification strategies. Herein, the ligand exchange reaction between Au25(2-PET)18 cluster (where 2-PET is 2-phenylethanethiol) and di-thiolated crown ether (t-CE) ligands bearing two chromophores was studied. The post-functionalization aimed to endow the cluster with ion binding properties. The exchange reaction was followed in situ by UV-vis, 1H NMR and HPLC. MALDI mass analysis revealed the incorporation of up to 5 t-CE ligands into the ligand shell. Once functionalized MALDI furthermore showed complexation of sodium ions to the cluster. ATR-FTIR spectroscopic studies using aqueous solutions of K+, Ba2+, Gd3+ and Eu3+ showed noticeable spectral shifts of the C-O stretching band around 1100 cm-1 upon complexation. Further spectral changes point towards a conformational change of the two chromophores that are attached to the crown ether. Density functional theory calculations indicate that the di-thiol ligand bridges two staple units on the cluster. The calculations furthermore reproduce the spectral shift of the C-O stretching vibrations upon complex formation and reveal a conformational change that involves the two chromophores attached to the crown ether. The functionalized clusters have therefore attractive ion sensing properties due to the combination of binding properties, mainly due to the crown ether, and the possibility for signal transduction via an induced conformational change involving chromophore units.

The Antiedematous Effect of Exogenous Lactate Therapy in Traumatic Brain Injury: A Physiological and Mechanistic Approach

Background

Sodium lactate (SL) has been described as an efficient therapy in treating raised intracranial pressure (ICP). However, the precise mechanism by which SL reduces intracranial hypertension is not well defined. An antiedematous effect has been proposed but never demonstrated. In this context, the involvement of chloride channels, aquaporins, or K–Cl cotransporters has also been suggested, but these mechanisms have never been assessed when using SL.

Methods

In a rat model of traumatic brain injury (TBI), we compared the effect of SL versus mannitol 20% on ICP, cerebral tissue oxygen pressure, and brain water content. We attempted to clarify the involvement of chloride channels in the antiedematous effects associated with lactate therapy in TBI.

Results

An equimolar single bolus of SL and mannitol significantly reduced brain water content and ICP and improved cerebral tissue oxygen pressure 4 h after severe TBI. The effect of SL on brain water content was much longer than that of mannitol and persisted at 24 h post TBI. Western blot and immunofluorescence staining analyses performed 24 h after TBI revealed that SL infusion is associated with an upregulation of aquaporin 4 and K–Cl cotransporter 2.

Conclusions

SL is an effective therapy for treating brain edema after TBI. This study suggests, for the first time, the potential role of chloride channels in the antiedematous effect induced by exogenous SL.

Ligand exchange reactions on thiolate-protected gold nanoclusters

As a versatile post-synthesis modification method, ligand exchange reaction exhibits great potential to extend the space of accessible nanoclusters. In this review, we summarized this process for thiolate-protected gold nanoclusters. In order to better understand this reaction we will first provide the necessary background on the synthesis and structure of various gold clusters, such as Au25(SR)18, Au38(SR)24, and Au102(SR)44. The previous investigations illustrated that ligand exchange is enabled by the chemical properties and flexible gold-sulfur interface of nanoclusters. It is generally believed that ligand exchange follows a SN2-like mechanism, which is supported both by experiments and calculations. More interesting, several studies show that ligand exchange takes place at preferred sites, i.e. thiolate groups -SR, on the ligand shell of nanoclusters. With the help of ligand exchange reactions many functionalities could be imparted to gold nanoclusters including the introduced of chirality to achiral nanoclusters, size transformation and phase transfer of nanoclusters, and the addition of fluorescence or biological labels. Ligand exchange was also used to amplify the enantiomeric excess of an intrinsically chiral cluster. Ligand exchange reaction accelerates the prosperity of the nanocluster field, and also extends the diversity of precise nanoclusters.

Symmetry fundamentalism in quantum mechanics

Modern particle physics suggests an intriguing vision of physical reality: we are to imagine the symmetries of the world as fundamental, whereas the material constituents of the world (such as particles and fields) are ontologically derivative of them. This paper develops a novel ontology for non-relativistic quantum mechanics which gives precise metaphysical content to this vision.

Respond of the different human cranial bones to pin-type head fixation device

Background

At this juncture, there is no consensus in the literature for the use and the safety of pin-type head holders in cranial procedures.

Methods

The present analysis of the bone response to the fixation of the instrument provides data to understand its impact on the entire skull as well as associated complications. An experimental study was conducted on fresh-frozen human specimens to analyze the puncture hole due to the fixation of each single pin of the pin-type head holder. Cone-beam CT images were acquired to measure the diameter of the puncture hole caused by the instrument according to several parameters: the pin angle, the clamping force, and different neurosurgical approaches most clinically used.

Results

The deepest hole, 2.67 ± 0.27 mm, was recorded for a 35° angle and a clamping force of 270 N at the middle fossa approach. The shallowest hole was 0.62 ± 0.22 mm for the 43° angle with a pinning force of 180 N in the pterional approach. The pterional approach had a significantly different effect on the depth of the puncture hole compared with the middle fossa craniotomy for 270 N pinning at 35° angle. The puncture hole measured with the 43° angle and 180 N force in prone position is significantly different from the other approaches with the same force.

Conclusions

These results could lead to recommendations about the use of the head holder depending on the patient’s history and cranial thickness to reduce complications associated with the pin-type head holder during clinical applications.

Lockdown and Children’s Well-Being: Experiences of Children in Switzerland, Canada and Estonia

This paper addresses the well-being of children in Switzerland, Canada and Estonia, as they experienced the lockdown imposed by governments after the state of international public health emergency, declared by the World Health Organization on 30 January 2020. Suspension of school or starting with distance learning, cessation of extracurricular activities, closure of playgrounds, parks, shopping centres and loss of daily contacts with friends completely transformed children’s lives. The surveys conducted by the authors in individual ways, were all inspired by their membership to the Children’s Understandings of Well-Being network and involved the participation of 403 children aged 7–17 years old (229 girls and 174 boys). They present the emerging trends from the children’s narratives focusing on their experience of the lockdown in relation to family life, school life, contacts with friends, and in relation to space, time and self. During the lockdown leisure activities and hobbies, followed by life with friends and school life challenged relational well-being the most, while family life opened up new perspectives and generational solidarity. Staying at home and decreased physical activity impacted on the physical health of children, missing direct contacts with friends and teachers put social relations to test, fear of the virus decreased feeling safe and secure, and the lockdown restricted participation in society. The findings underline the relational nature of their well-being. More in-depth studies are needed to highlight the widening of inequalities and the balance between protection and participation of children.

Fundamentality from grounding trees

I provide and defend two natural accounts of (both relative and absolute) fundamentality for facts that do justice to the idea that the "degree of fundamentality" enjoyed by a fact is a matter of how far, from a ground-theoretic perspective, the fact is from the ungrounded facts.

Comment on "Ultrapotassic magmatism in the heyday of the Variscan Orogeny: the story of the Třebíč Pluton, the largest durbachitic body in the Bohemian Massif" by Janoušek et al

This comment addresses the incorrect treatment and presentation of data from laser ablation ICP-MS U-Pb age determinations of two samples of the Třebíč Pluton. This results in inaccurate ages and error assessment, invalidating the age interpretations of the authors. To corroborate our arguments, new high-precision chemical abrasion ID-TIMS data are presented that unequivocally define the emplacement age of the Třebíč pluton.

Fluorescence intensities of composite resins on photo images

Recording fluorescence using flash photography, may help reduce time of capture and apply effectively in clinical practice. To test methods for visualizing composite resins fluorescence by direct digital photography. Sixty-four specimen discs (1.5 × 10 mm) were prepared from 8 different composite resin brands. Their CIELAB color coordinates (L*, a*, b*) and fluorescence were measured using a portable colorimeter and a fluorescence spectrophotometer. The mean of three measurements was recorded and then specimens were photographed by a DSLR camera with two different filters (365 nm and 405 nm) mounted on a commercial macro flash. RGB values of all specimens on the photographs were measured by using Photoshop software and converted to CIELab. Data were then analyzed using Kruskal–Wallis and Dunn’s multiple comparisons tests. Correlation and regression analyses were also used to relate fluorescence and color parameters on the photographs at α = 0.05. Fluorescence and color data indicated significant differences among the materials (p < 0.05). L* a* and b* color coordinates from both photographs were highly correlated to fluorescence intensities found by the reference method (r₃₆₅ − 0.95, r₄₀₅ − 0.94), while regression analysis indicated a strong linear relationship (R²₃₆₅ − 0.88, R²₄₀₅ − 0.89). The study showed that filtered flash photography either by the use of a 365 nm or a 405 nm band pass filter can directly visualize fluorescence of composite resin materials and differences in fluorescence between them.

Forensic age estimation based on fast spin-echo proton density (FSE PD)-weighted MRI of the distal radial epiphysis

Radiation exposure is a crucial factor to consider in forensic age estimation. The various magnetic resonance imaging (MRI) modalities used in forensic age estimation avoid radiation exposure. This study examined the reliability of distal radius ossification using fast spin-echo proton density (FSE PD)–weighted MRI to estimate age. Left wrist MRI findings of 532 patients aged 10–29 years were evaluated retrospectively using the five-stage system of Dedouit et al. The intra- and interobserver reliability values were κ = 0.906 and 0.869, respectively. Based on the results, the respective minimum ages estimated for stages 4 and 5 were 13.4 and 16.1 years for females, and 15.1 and 17.3 years for males; the method could not estimate an age of 18 years in any case. FSE PD MRI analysis of the distal radius epiphysis provides supportive data and can be used when evaluating the distal radius for forensic age estimation.