抗原变异可使得多种致病微生物易于逃避宿主免疫应答。表达在感染红细胞表面的恶性疟原虫红细胞表面蛋白1（PfPMP1）与感染红细胞、内皮细胞、树突状细胞以及胎盘的单个或多个受体作用，在黏附及免疫逃避中起关键的作用。每个单倍体基因组var基因家族编码约60种成员，通过启动转录不同的var基因变异体为抗原变异提供了分子基础。

疟原虫var基因转换速率变化导致抗原变异[英]／Paul H, Robert P, Christodoulou Z, et al//Proc Natl Acad Sci U S A

Co-Planar Stereotaxic Atlas of the Human Brain—3-Dimensional Proportional System: An Approach to Cerebral Imaging, J. Talairach, P. Tournoux. Georg Thieme Verlag, New York (1988), 122 pp., 130 figs. DM 268

Summary Background Since December, 2019, Wuhan, China, has experienced an outbreak of coronavirus disease 2019 (COVID-19), caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Epidemiological and clinical characteristics of patients with COVID-19 have been reported but risk factors for mortality and a detailed clinical course of illness, including viral shedding, have not been well described. Methods In this retrospective, multicentre cohort study, we included all adult inpatients (≥18 years old) with laboratory-confirmed COVID-19 from Jinyintan Hospital and Wuhan Pulmonary Hospital (Wuhan, China) who had been discharged or had died by Jan 31, 2020. Demographic, clinical, treatment, and laboratory data, including serial samples for viral RNA detection, were extracted from electronic medical records and compared between survivors and non-survivors. We used univariable and multivariable logistic regression methods to explore the risk factors associated with in-hospital death. Findings 191 patients (135 from Jinyintan Hospital and 56 from Wuhan Pulmonary Hospital) were included in this study, of whom 137 were discharged and 54 died in hospital. 91 (48%) patients had a comorbidity, with hypertension being the most common (58 [30%] patients), followed by diabetes (36 [19%] patients) and coronary heart disease (15 [8%] patients). Multivariable regression showed increasing odds of in-hospital death associated with older age (odds ratio 1·10, 95% CI 1·03–1·17, per year increase; p=0·0043), higher Sequential Organ Failure Assessment (SOFA) score (5·65, 2·61–12·23; p Interpretation The potential risk factors of older age, high SOFA score, and d-dimer greater than 1 μg/mL could help clinicians to identify patients with poor prognosis at an early stage. Prolonged viral shedding provides the rationale for a strategy of isolation of infected patients and optimal antiviral interventions in the future. Funding Chinese Academy of Medical Sciences Innovation Fund for Medical Sciences; National Science Grant for Distinguished Young Scholars; National Key Research and Development Program of China; The Beijing Science and Technology Project; and Major Projects of National Science and Technology on New Drug Creation and Development.

Clinical course and risk factors for mortality of adult inpatients with COVID-19 in Wuhan, China: a retrospective cohort study

The COVID-19 pandemic represents a massive global health crisis. Because the crisis requires large-scale behaviour change and places significant psychological burdens on individuals, insights from the social and behavioural sciences can be used to help align human behaviour with the recommendations of epidemiologists and public health experts. Here we discuss evidence from a selection of research topics relevant to pandemics, including work on navigating threats, social and cultural influences on behaviour, science communication, moral decision-making, leadership, and stress and coping. In each section, we note the nature and quality of prior research, including uncertainty and unsettled issues. We identify several insights for effective response to the COVID-19 pandemic and highlight important gaps researchers should move quickly to fill in the coming weeks and months.

/pdf/using-social-and-behavioural-science-to-support-covid-19-25vr5kyvxt.pdf

Using social and behavioural science to support COVID-19 pandemic response.

https://sites.oxy.edu/clint/physio/article/therewardcircuitlinkingprimateanatomyandhumanimaging.pdf

The reward circuit: linking primate anatomy and human imaging.

Motivated dishonesty is a typical social behavior varying from person to person. Resting-state fMRI (rsfMRI) is capable of identifying unique patterns from functional connectivity (FC) between brain networks. To identify the relevant neural patterns and build an interpretable model to predict dishonesty, we scanned 8-min rsfMRI before an information-passing task. In the task, we employed monetary rewards to induce dishonesty. We applied both connectome-based predictive modeling (CPM) and region-of-interest (ROI) analysis to examine the association between FC and dishonesty. CPM indicated that the stronger FC between fronto-parietal and default mode networks can predict a higher dishonesty rate. The ROIs were set in the regions involving four cognitive processes (self-reference, cognitive control, reward valuation, and moral regulation). The ROI analyses showed that a stronger FC between these regions and the prefrontal cortex can predict a higher dishonesty rate. Our study offers an integrated model to predict dishonesty with rsfMRI, and the results suggest that the frequent motivated dishonest behavior may require a higher engagement of social brain regions.

https://www.biorxiv.org/content/biorxiv/early/2021/11/13/2021.11.10.468161.full.pdf

Resting-state functional connectivity of social brain regions predicts motivated dishonesty

University teaching, whether by professors, lecturers, or instructors, draws on a number of skills including communicating and simplifying complex ideas, to inspiring students and teaching critical thinking. The social sciences, from psychology to behavioral economics, and anthropology, are often a joy to teach as the fields inherently attempt to understand ourselves by scientifically interrogating all aspects of human nature. What is not often explicitly consid-ered is that the way we communicate science can come with implicit biases and narrow cultural references. This includes the data we present and how we interpret the data, as well as the identity of the scientists themselves. Attempts to increase unbiased teaching are particularly important for members of majority-status groups. This article draws on the recent increase in adoption of learner-centered teaching approaches, which aim to give students more power over learning. In supporting this goal, we offer suggestions for educators to reduce biased teaching practices and create more inclusive and positive learning environments. These are a selection of important biases to be combatted but are not intended to be all-inclusive. The overarching goal is to encourage teachers to continue on the path toward improving diversity and inclusion and to provide concrete action steps to do so. The aim of this article is to identify the unintended biases that educators can introduce into their classrooms. We discuss a range of seemingly small missteps that have substantial influence on the learning environment and students’ motivation and self-worth. The authors note that these Rules apply to teaching at all stages, from elementary to medical school, as well as across disciplines. These biases may be unrecognized because they are implicit or because they function as an unintended product of cultural understanding. We believe that the examples we give can have a big impact on students’ self-esteem and mold their self-perception. It is the obligation discrimination.

/pdf/ten-simple-rules-for-unbiased-teaching-14on55mh.pdf

Ten simple rules for unbiased teaching

Humans are creatures of routine and habit. When faced with situations in which a default option is available, people show a consistent tendency to stick with the default. Why this occurs is unclear. To elucidate its neural basis, we used a novel gambling task in conjunction with functional magnetic resonance imaging. Behavioral results revealed that participants were more likely to choose the default card and felt enhanced emotional responses to outcomes after making the decision to switch.Weshow that increased tendency to switch away from the default during the decision phase was associated with decreased activity in the anterior insula; activation in this same area in reaction to “switching away from the default and losing” was positively related with experienced frustration. In contrast, decisions to choose the default engaged the ventral striatum, the same reward area as seen in winning. Our findings highlight aversive processes in the insula as underlying the default bias and suggest that choosing the default may be rewarding in itself.

Dean Mobbs

Papers

Resting-state functional connectivity of social brain regions predicts motivated dishonesty

Ten simple rules for unbiased teaching

Insula and Striatum Mediate the Default Bias