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  • gloeosporioides species complex isolated from avocado in 65%, whereas Bacillus tequilensis A3 supernatant did so in 25% after 3 days post inoculation. B. tequilensis mycoides A1was a producer of proteases, indolacetic acid and siderophores. Preventive treatment using cell-free supernatant of B. mycoides A1, diminished the severity of anthracnose disease (41.9%) on avocado fruit. CONCLUSION These results reveal the possibility of using Bacillus mycoides A1 as a potential biological control agent. This article is protected by copyright. All rights reserved. This article is protected by copyright. All rights reserved.BACKGROUND Multi-elements have been widely used to identify the geographical origins of various agricultural products. The objective of this study was to investigate the feasibility of identifying the geographical origins of peanut kernels at different regional scales by using the multi-element fingerprinting technique. The concentrations of 20 elements (B, Mg, P, K, Ca, etc.) were determined in 135 peanut samples from Jilin Province, Jiangsu Province, and Shandong Province of China. Data obtained were processed by one-way analysis of variance (ANOVA), principal components analysis (PCA), k nearest neighbors (k-NN), linear discriminant analysis (LDA), and support vector machine (SVM). RESULTS Peanut kernels from different regions had their own element fingerprints. k-NN, LDA, and SVM were all suitable to predict peanut kernels according to their grown provinces with the total correct classification rates of 91.2, 91.1, and 91.1%, respectively. While SVM was the best to identify different grown cities of peanut kernels with the prediction accuracy of 91.3%, compared to 72.2 and 78.3% for k-NN and LDA respectively. CONCLUSION It was an effective method to identify producing areas of peanut kernels at different regional scales using multi-element fingerprinting combined with SVM to enhance regional capabilities for quality assurance and control. https://www.selleckchem.com/products/XL184.html This article is protected by copyright. All rights reserved. This article is protected by copyright. All rights reserved.BACKGROUND Size of fruit is an important issue in determining yield at harvest. Even in controlled conditions, variation between fruit and trusses can be considerable. As an easy to measure indication of size, the diameter of tomatoes growing in trusses was assessed in three experiments with different number of tomatoes per truss, cultivars and varying the level of ions in the recirculated drain water. RESULTS By applying the von Bertalanffy growth model, more than 99% of the variation present could be explained by the time of fruit set for all tomatoes growing anywhere in trusses. A linear relation between time of fruit set and the biological shift factor, an indication of developmental age, was observed. Integrating this linear relation in the analysis of the diameter data removed one stochastic variable (biological shift factor) effectively halving the number of parameters to be estimated. CONCLUSION These results indicate that the major part of the variation present in the diameter of tomatoes growing in trusses is the result of variation in time of fruit set of individual fruit. The position within the greenhouse, i.e. local differences in assimilates supply, exerted only a minor effect on diameter development. So, the time of fruit set largely determines fruit size. Likely,, growing conditions before fruit set are crucial for final fruit size. The time of fruit set of each tomato in the truss and the local growing conditions within the greenhouse affecting assimilate supply need to be assessed accurately for a reliable size prediction. This article is protected by copyright. All rights reserved. This article is protected by copyright. All rights reserved.AIM investigating the anti-angiogenic effect of bevacizumab on chronic schistosomiasis mansoniin atrial to hinder the Schistosoma-induced angiogenesis and porto-systemic shunting complications. METHODS The immunohistochemical expression of CD34, VEGF-R1, PCNA & α-SMA (angiogenesis markers) was analyzed in the lung, liver and gastrointestinal-junctions of chronic S. mansoni infected **** after intraperitoneal injection of bevacizumab. Prolonged administration of bevacizumab with praziquantel was also assessed through parasitic load, protective index, granuloma and fibrous tissue evaluation. RESULTS A significantly less vascular activity and micro vascular density were observed in bevacizumab treated ****. They had a significantly less VEGF-R1, PCNA, CD-34 & α-SMA expression compared to the infected untreated. The least tissue egg count was reported in **** received bevacizumab for 6 weeks (Mean=27120). However, they had persistent liver granulomas, and massively amalgamated fibrosis. Interestingly, the least faecal egg & tissue worms counts (Mean=112, 13.4), and highest protection index (39.26) were reported in **** received bevacizumab for 3 weeks, with marked granuloma, and fibrous tissue resolution. CONCLUSIONS Bevacizumab has a promising protective effect against the Schistosma-induced angiogenesis. As an adjuvant to praziquamntel; it is important to adjust the duration of administration to achieve the best schistosomicidal effect without impeding granuloma and fibrous tissue resolution. This article is protected by copyright. All rights reserved.BACKGROUND The polishing process plays a key role in determining the beneficial quality of rice. However, the effects of polishing on human exposure to essential and toxic elements are not well reported. This study evaluated the effects of polishing on the levels of essential and toxic elements in rice grains and evaluated the status of their daily intake using probabilistic assessment. RESULTS The levels of essential elements decreased as the degree of polishing increased. The highest reduction percentages of essential elements (24% of Cu, 26% of Ni, and 52% of Mn) were found after the first polishing step. The highest Zn reduction (15%) was found after the fourth polishing step. For toxic elements, polishing significantly reduced the As concentration (15% to 31%) from that of the whole grains, of which 26% was removed after the first step. CONCLUSION Polishing removed both essential and toxic elements from rice grains. The highest losses of Cu, Mn, Ni, and As were found after the first polishing step since these elements generally localize in the aleurone layers of rice grains.
    gloeosporioides species complex isolated from avocado in 65%, whereas Bacillus tequilensis A3 supernatant did so in 25% after 3 days post inoculation. B. tequilensis mycoides A1was a producer of proteases, indolacetic acid and siderophores. Preventive treatment using cell-free supernatant of B. mycoides A1, diminished the severity of anthracnose disease (41.9%) on avocado fruit. CONCLUSION These results reveal the possibility of using Bacillus mycoides A1 as a potential biological control agent. This article is protected by copyright. All rights reserved. This article is protected by copyright. All rights reserved.BACKGROUND Multi-elements have been widely used to identify the geographical origins of various agricultural products. The objective of this study was to investigate the feasibility of identifying the geographical origins of peanut kernels at different regional scales by using the multi-element fingerprinting technique. The concentrations of 20 elements (B, Mg, P, K, Ca, etc.) were determined in 135 peanut samples from Jilin Province, Jiangsu Province, and Shandong Province of China. Data obtained were processed by one-way analysis of variance (ANOVA), principal components analysis (PCA), k nearest neighbors (k-NN), linear discriminant analysis (LDA), and support vector machine (SVM). RESULTS Peanut kernels from different regions had their own element fingerprints. k-NN, LDA, and SVM were all suitable to predict peanut kernels according to their grown provinces with the total correct classification rates of 91.2, 91.1, and 91.1%, respectively. While SVM was the best to identify different grown cities of peanut kernels with the prediction accuracy of 91.3%, compared to 72.2 and 78.3% for k-NN and LDA respectively. CONCLUSION It was an effective method to identify producing areas of peanut kernels at different regional scales using multi-element fingerprinting combined with SVM to enhance regional capabilities for quality assurance and control. https://www.selleckchem.com/products/XL184.html This article is protected by copyright. All rights reserved. This article is protected by copyright. All rights reserved.BACKGROUND Size of fruit is an important issue in determining yield at harvest. Even in controlled conditions, variation between fruit and trusses can be considerable. As an easy to measure indication of size, the diameter of tomatoes growing in trusses was assessed in three experiments with different number of tomatoes per truss, cultivars and varying the level of ions in the recirculated drain water. RESULTS By applying the von Bertalanffy growth model, more than 99% of the variation present could be explained by the time of fruit set for all tomatoes growing anywhere in trusses. A linear relation between time of fruit set and the biological shift factor, an indication of developmental age, was observed. Integrating this linear relation in the analysis of the diameter data removed one stochastic variable (biological shift factor) effectively halving the number of parameters to be estimated. CONCLUSION These results indicate that the major part of the variation present in the diameter of tomatoes growing in trusses is the result of variation in time of fruit set of individual fruit. The position within the greenhouse, i.e. local differences in assimilates supply, exerted only a minor effect on diameter development. So, the time of fruit set largely determines fruit size. Likely,, growing conditions before fruit set are crucial for final fruit size. The time of fruit set of each tomato in the truss and the local growing conditions within the greenhouse affecting assimilate supply need to be assessed accurately for a reliable size prediction. This article is protected by copyright. All rights reserved. This article is protected by copyright. All rights reserved.AIM investigating the anti-angiogenic effect of bevacizumab on chronic schistosomiasis mansoniin atrial to hinder the Schistosoma-induced angiogenesis and porto-systemic shunting complications. METHODS The immunohistochemical expression of CD34, VEGF-R1, PCNA & α-SMA (angiogenesis markers) was analyzed in the lung, liver and gastrointestinal-junctions of chronic S. mansoni infected mice after intraperitoneal injection of bevacizumab. Prolonged administration of bevacizumab with praziquantel was also assessed through parasitic load, protective index, granuloma and fibrous tissue evaluation. RESULTS A significantly less vascular activity and micro vascular density were observed in bevacizumab treated mice. They had a significantly less VEGF-R1, PCNA, CD-34 & α-SMA expression compared to the infected untreated. The least tissue egg count was reported in mice received bevacizumab for 6 weeks (Mean=27120). However, they had persistent liver granulomas, and massively amalgamated fibrosis. Interestingly, the least faecal egg & tissue worms counts (Mean=112, 13.4), and highest protection index (39.26) were reported in mice received bevacizumab for 3 weeks, with marked granuloma, and fibrous tissue resolution. CONCLUSIONS Bevacizumab has a promising protective effect against the Schistosma-induced angiogenesis. As an adjuvant to praziquamntel; it is important to adjust the duration of administration to achieve the best schistosomicidal effect without impeding granuloma and fibrous tissue resolution. This article is protected by copyright. All rights reserved.BACKGROUND The polishing process plays a key role in determining the beneficial quality of rice. However, the effects of polishing on human exposure to essential and toxic elements are not well reported. This study evaluated the effects of polishing on the levels of essential and toxic elements in rice grains and evaluated the status of their daily intake using probabilistic assessment. RESULTS The levels of essential elements decreased as the degree of polishing increased. The highest reduction percentages of essential elements (24% of Cu, 26% of Ni, and 52% of Mn) were found after the first polishing step. The highest Zn reduction (15%) was found after the fourth polishing step. For toxic elements, polishing significantly reduced the As concentration (15% to 31%) from that of the whole grains, of which 26% was removed after the first step. CONCLUSION Polishing removed both essential and toxic elements from rice grains. The highest losses of Cu, Mn, Ni, and As were found after the first polishing step since these elements generally localize in the aleurone layers of rice grains.
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  • This study highlights the importance of global AS regulation during EMT in cancer progression and paves the way for further investigation into RNA regulation in EMT and metastasis.PPR proteins are a diverse family of RNA binding factors found in all Eukaryotic lineages. They perform multiple functions in the expression of organellar genes, mostly on the post-transcriptional level. PPR proteins are also significant determinants of evolutionary nucleo-organellar compatibility. Plant PPR proteins recognize their RNA substrates using a simple modular code. No target sequences recognized by animal or yeast PPR proteins were identified prior to the present study, making it impossible to assess whether this plant PPR code is conserved in other organisms. Dmr1p (Ccm1p, Ygr150cp) is a S. cerevisiae PPR protein essential for mitochondrial gene expression and involved in the stability of 15S ribosomal RNA. We demonstrate that in vitro Dmr1p specifically binds a motif composed of multiple AUA repeats occurring twice in the 15S rRNA sequence as the minimal 14 nucleotide (AUA)4AU or longer (AUA)7 variant. Short RNA fragments containing this motif are protected by Dmr1p from exoribonucleolytic activity in vitro. Presence of the identified motif in mtDNA of different yeast species correlates with the compatibility between their Dmr1p orthologues and S. cerevisiae mtDNA. RNA recognition by Dmr1p is likely based on a rudimentary form of a PPR code specifying U at every third position, and depends on other factors, like RNA structure.In eukaryotic cells, proteins that associate with RNA regulate its activity to control cellular function. To fully illuminate the basis of RNA function, it is essential to identify such RNA associated proteins, their mode of action on RNA, and their preferred RNA targets and binding sites. By analyzing catalogs of human RNA associated proteins defined by ultraviolet light (UV)-dependent and independent approaches, we classify these proteins into two major groups (1) the widely-recognized RNA binding proteins (RBPs), which bind RNA directly and UV crosslink efficiently to RNA, and (2) a new group of RBP-associated factors (RAFs), which bind RNA indirectly via RBPs and UV crosslink poorly to RNA. As the UV cross-linking and immunoprecipitation followed by sequencing (CLIP-Seq) approach will be ill-suited to identify binding sites of RAFs, we show that formaldehyde crosslinking stabilizes RAFs within ribonucleoproteins to allow for their immunoprecipitation under stringent conditions. Using an RBP (CASC3) and an RAF (RNPS1) within the exon junction complex (EJC) as examples, we show that formaldehyde crosslinking combined with RNA immunoprecipitation in tandem followed by sequencing (xRIPiT-Seq) far exceeds CLIP-Seq to identify binding sites of RNPS1. xRIPiT-Seq reveals that RNPS1 occupancy is increased on exons immediately upstream of strong recursively spliced exons, which depend on EJC for their inclusion.Background and objectives Studies of adults have demonstrated an association between metabolic acidosis, as measured by low serum bicarbonate levels, and CKD progression. We evaluated this relationship in children using data from the Chronic Kidney Disease in Children study. Design, setting, participants, & measurements The relationship between serum bicarbonate and a composite end point, defined as 50% decline in eGFR or KRT, was described using parametric and semiparametric survival methods. https://www.selleckchem.com/products/apx-115-free-base.html Analyses were stratified by underlying nonglomerular and glomerular diagnoses, and adjusted for demographic characteristics, eGFR, proteinuria, anemia, phosphate, hypertension, and alkali therapy. Results Six hundred and three participants with nonglomerular disease contributed 2673 person-years of follow-up, and 255 with a glomerular diagnosis contributed 808 person-years of follow-up. At baseline, 39% (237 of 603) of participants with nonglomerular disease had a bicarbonate level of ≤22 meq/L and 36% (85 of 237) of thow bicarbonate was associated with a lower risk of CKD progression. Fewer than one half of all children with low bicarbonate reported treatment with alkali therapy. Long-term studies of alkali therapy's effect in patients with pediatric CKD are needed.Background and objectives Despite the presence of a universal health care system, it is unclear if there is intercenter variation in access to kidney transplantation in the United Kingdom. This study aims to assess whether equity exists in access to kidney transplantation in the United Kingdom after adjustment for patient-specific factors and center practice patterns. Design, setting, participants, & measurements In this prospective, observational cohort study including all 71 United Kingdom kidney centers, incident RRT patients recruited between November 2011 and March 2013 as part of the Access to Transplantation and Transplant Outcome Measures study were analyzed to assess preemptive listing (n=2676) and listing within 2 years of starting dialysis (n=1970) by center. Results Seven hundred and six participants (26%) were listed preemptively, whereas 585 (30%) were listed within 2 years of commencing dialysis. The interquartile range across centers was 6%-33% for preemptive listing and 25%-40% for listing afa written protocol was associated negatively with listing within 2 years of starting dialysis (odds ratio, 0.7; 95% confidence interval, 0.58 to 0.9). Conclusions Patient case mix accounts for most of the intercenter variation seen in access to transplantation in the United Kingdom, with practice patterns also contributing some variation. Socioeconomic inequity exists despite having a universal health care system.Although Juliet's claim, 'What's in a name? That which we call a rose by any other name would smell as sweet', may apply to family names, 'that which we call' embryos and procedures in reproductive genetics often smell sweet because the names were created to perfume not-so-sweet-smelling practices. Reproductive-genetic scientists and clinicians, including myself, have used perfumed names to make our research smell sweet for research ethics boards, research grant funders, government regulators, hospital administrators and the general public. The sweet-smelling names in reproductive genetics explored here include 'pre-embryo', preimplantation genetic 'diagnosis', 'normal' embryo, 'suitable' embryo, 'healthy' embryo, preimplantation genetic 'testing', 'non-invasive prenatal testing', 'donation', and most recently 'mitochondrial replacement therapy', a sweet-smelling name for germline nuclear transfer prohibited in antireproductive cloning legislation in most countries. In order for informed choices to occur for women who come to clinicians for information regarding reproductive genetics, and for transparency of scrutiny by research ethics boards, governmental regulators and the general public, it is essential that we consider the real meaning of sweet-smelling names in reproductive genetics.
    This study highlights the importance of global AS regulation during EMT in cancer progression and paves the way for further investigation into RNA regulation in EMT and metastasis.PPR proteins are a diverse family of RNA binding factors found in all Eukaryotic lineages. They perform multiple functions in the expression of organellar genes, mostly on the post-transcriptional level. PPR proteins are also significant determinants of evolutionary nucleo-organellar compatibility. Plant PPR proteins recognize their RNA substrates using a simple modular code. No target sequences recognized by animal or yeast PPR proteins were identified prior to the present study, making it impossible to assess whether this plant PPR code is conserved in other organisms. Dmr1p (Ccm1p, Ygr150cp) is a S. cerevisiae PPR protein essential for mitochondrial gene expression and involved in the stability of 15S ribosomal RNA. We demonstrate that in vitro Dmr1p specifically binds a motif composed of multiple AUA repeats occurring twice in the 15S rRNA sequence as the minimal 14 nucleotide (AUA)4AU or longer (AUA)7 variant. Short RNA fragments containing this motif are protected by Dmr1p from exoribonucleolytic activity in vitro. Presence of the identified motif in mtDNA of different yeast species correlates with the compatibility between their Dmr1p orthologues and S. cerevisiae mtDNA. RNA recognition by Dmr1p is likely based on a rudimentary form of a PPR code specifying U at every third position, and depends on other factors, like RNA structure.In eukaryotic cells, proteins that associate with RNA regulate its activity to control cellular function. To fully illuminate the basis of RNA function, it is essential to identify such RNA associated proteins, their mode of action on RNA, and their preferred RNA targets and binding sites. By analyzing catalogs of human RNA associated proteins defined by ultraviolet light (UV)-dependent and independent approaches, we classify these proteins into two major groups (1) the widely-recognized RNA binding proteins (RBPs), which bind RNA directly and UV crosslink efficiently to RNA, and (2) a new group of RBP-associated factors (RAFs), which bind RNA indirectly via RBPs and UV crosslink poorly to RNA. As the UV cross-linking and immunoprecipitation followed by sequencing (CLIP-Seq) approach will be ill-suited to identify binding sites of RAFs, we show that formaldehyde crosslinking stabilizes RAFs within ribonucleoproteins to allow for their immunoprecipitation under stringent conditions. Using an RBP (CASC3) and an RAF (RNPS1) within the exon junction complex (EJC) as examples, we show that formaldehyde crosslinking combined with RNA immunoprecipitation in tandem followed by sequencing (xRIPiT-Seq) far exceeds CLIP-Seq to identify binding sites of RNPS1. xRIPiT-Seq reveals that RNPS1 occupancy is increased on exons immediately upstream of strong recursively spliced exons, which depend on EJC for their inclusion.Background and objectives Studies of adults have demonstrated an association between metabolic acidosis, as measured by low serum bicarbonate levels, and CKD progression. We evaluated this relationship in children using data from the Chronic Kidney Disease in Children study. Design, setting, participants, & measurements The relationship between serum bicarbonate and a composite end point, defined as 50% decline in eGFR or KRT, was described using parametric and semiparametric survival methods. https://www.selleckchem.com/products/apx-115-free-base.html Analyses were stratified by underlying nonglomerular and glomerular diagnoses, and adjusted for demographic characteristics, eGFR, proteinuria, anemia, phosphate, hypertension, and alkali therapy. Results Six hundred and three participants with nonglomerular disease contributed 2673 person-years of follow-up, and 255 with a glomerular diagnosis contributed 808 person-years of follow-up. At baseline, 39% (237 of 603) of participants with nonglomerular disease had a bicarbonate level of ≤22 meq/L and 36% (85 of 237) of thow bicarbonate was associated with a lower risk of CKD progression. Fewer than one half of all children with low bicarbonate reported treatment with alkali therapy. Long-term studies of alkali therapy's effect in patients with pediatric CKD are needed.Background and objectives Despite the presence of a universal health care system, it is unclear if there is intercenter variation in access to kidney transplantation in the United Kingdom. This study aims to assess whether equity exists in access to kidney transplantation in the United Kingdom after adjustment for patient-specific factors and center practice patterns. Design, setting, participants, & measurements In this prospective, observational cohort study including all 71 United Kingdom kidney centers, incident RRT patients recruited between November 2011 and March 2013 as part of the Access to Transplantation and Transplant Outcome Measures study were analyzed to assess preemptive listing (n=2676) and listing within 2 years of starting dialysis (n=1970) by center. Results Seven hundred and six participants (26%) were listed preemptively, whereas 585 (30%) were listed within 2 years of commencing dialysis. The interquartile range across centers was 6%-33% for preemptive listing and 25%-40% for listing afa written protocol was associated negatively with listing within 2 years of starting dialysis (odds ratio, 0.7; 95% confidence interval, 0.58 to 0.9). Conclusions Patient case mix accounts for most of the intercenter variation seen in access to transplantation in the United Kingdom, with practice patterns also contributing some variation. Socioeconomic inequity exists despite having a universal health care system.Although Juliet's claim, 'What's in a name? That which we call a rose by any other name would smell as sweet', may apply to family names, 'that which we call' embryos and procedures in reproductive genetics often smell sweet because the names were created to perfume not-so-sweet-smelling practices. Reproductive-genetic scientists and clinicians, including myself, have used perfumed names to make our research smell sweet for research ethics boards, research grant funders, government regulators, hospital administrators and the general public. The sweet-smelling names in reproductive genetics explored here include 'pre-embryo', preimplantation genetic 'diagnosis', 'normal' embryo, 'suitable' embryo, 'healthy' embryo, preimplantation genetic 'testing', 'non-invasive prenatal testing', 'donation', and most recently 'mitochondrial replacement therapy', a sweet-smelling name for germline nuclear transfer prohibited in antireproductive cloning legislation in most countries. In order for informed choices to occur for women who come to clinicians for information regarding reproductive genetics, and for transparency of scrutiny by research ethics boards, governmental regulators and the general public, it is essential that we consider the real meaning of sweet-smelling names in reproductive genetics.
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  • Additionally, the potential challenges of microplastic removal from treatment processes and remediation strategies of microplastics in drinking water were also put forward. The relationship between the properties and behavior of microplastics during different treatment processes is suggested to explore in the future.Prothioconazole is a fungicide that has been widely used in general agriculture and livestock husbandry. This study evaluated the acute toxicity of prothioconazole to zebrafish embryos by assessing their hatching rate and malformation when exposed to different concentrations of prothioconazole. The 96 h-LC50 value of zebrafish embryos was 1.70 mg/L. Upon exposure to 0.85 mg/L, the mortality rate of the embryos significantly increased while their hatching rate decreased significantly. At prothioconazole concentrations higher than 0.43 mg/L, developmental morphologic abnormalities such as heart and yolk-sac edema, spine curvature, tail deformity, shortened body length and decreased eye area were observed. The heart rate of embryos decreased in a dose-dependent fashion during the exposure time. Prothioconazole exposure also resulted in increased rates of cardiac malformation detected by significant increase in the distance between the sinus venosus and bulbus arteriosus and the pericardium area. Moreover, the expression levels of genes related to cardiac development (amhc, vmhc, fli1, hand2, gata4, nkx2.5, tbx5 and atp2a2a) were significantly altered after exposure to prothioconazole. Indeed, this study revealed the adverse effects on the developmental and cardiovascular system of zebrafish embryo caused by prothioconazole. It further elucidated the risk of prothioconazole exposure to vertebrate cardiovascular toxicity. As such, it provides a theoretical foundation for pesticide risk management measures.In this study, carbon quantum dots (CQDs) were used to decorate a TiO2/g-C3N4 (TCN) film electrode. The morphological, optical, and electrochemical properties of the TiO2/g-C3N4/CQDs nanorod arrays (TCNC NRAs) film were investigated using transmission electron microscopy (TEM), scanning electron microscopy (SEM), UV-vis diffuse reflectance spectroscopy (DRS), photoluminescence (PL), and electrochemical impedance spectroscopy (EIS). The improved optical properties, photoelectrochemical properties and photoelectrocatalytic (PEC) performance of photoanode can be observed by doping CQDs onto the TCN NRAs film. Compared with TiO2 NRAs and TCN NRAs, the narrower band gap of 2.47 eV and longer lifetime of photoinduced electron-hole pairs were observed in the TCNC NRAs. Under visible light irradiation and a bias voltage of 1.2 V, the photocurrent density and 1,4-dioxane (1,4-D) removal rate of PEC process with TCNC NRAs electrode reached 0.16 mA/cm2 and 77.9%, respectively, which was 2.5 times and 1.5 times of that with TCN NRAs electrode. TCNC NRAs electrode could keep >75% of the 1,4-D removal rate during five cycles tests. High PEC performance with TCNC NRAs electrode could be attributed to the enhanced charge separation and the change of electron transfer mechanism from typical heterojunction to Z-scheme, which may increase the active species production and change the dominant reactive species from O2·- to ·OH. Our experimental results should be useful for studying the degradation of 1,4-D and developing efficient PEC materials.This study is among the first to systematically study the electrochemical reduction of nitrate on boron-doped diamond (BDD) films with different surface terminations and boron-doping levels. The highest nitrate reduction efficiency was 48% and the highest selectivity in the production of nitrogen gas was 44.5%, which were achieved using a BDD electrode with a hydrogen-terminated surface and a ****ratio of 1.0%. C-H bonds served as the anchor points for attracting NO3- anions close to the electrode surface, and thus accelerating the formation of NO3-(ads). Compared to oxygen termination, hydrogen-terminated BDD exhibited higher electrochemical reactivity for reducing nitrate, resulting from the formation of shallow acceptor states and small interfacial band bending. The hydrophobicity of the hydrogen-terminated BDD inhibited water electrolysis and the subsequent adsorption of atomic hydrogen, leading to increased selectivity in the production of nitrogen gas. A BDD electrode with a boron-doping level of 1.0% increased the density of acceptor states, thereby enhancing the conductivity and promoting the formation of C-H bonds after the cathodic reduction pretreatment leading to the direct reduction of nitrate.Abandoned mining and quarry areas are sources of potentially toxic elements (PTEs), through lixiviates or transfer processes of bioavailable fractions from mining wastes and tailings. https://www.selleckchem.com/products/mek162.html In this study, earthworms (Eisenia fetida Savigny, 1826) were exposed for 28 days to two mining soils from a lead/zinc mine and two quarry soils from an old serpentine quarry. Despite their pseudo total metal contents, a previous characterization of these soils pointed out for a low chemical availability of PTEs. Therefore, a multibiomarker approach was used and the response of E. fetida to soils was assessed through the analysis of neurotoxic, oxidative stress, energy metabolism and DNA damage biomarkers (acetylcholinesterase, catalase, glutathione-s-transferase, lactate dehydrogenase, lipid peroxidation and DNA strand breaks). Metal bioaccumulation was also assessed to evaluate bioavailability and organism's exposure. Results showed that high contents of PTEs were recorded in the whole body of earthworms exposed to lead/zinc mine. However, the bioaccumulation factors for worms exposed to soils from both sampling sites were less then 1 due to the high PTEs contents in soils. Earthworms exposed to both types of soils displayed neurotoxic and energy metabolism effects. However, significant levels of oxidative stress and DNA damage were recorded only for earthworms exposed to lead/zinc mine soils. This study demonstrated that despite the low availability of PTEs showed by previous sequential chemical extractions, the results obtained from the direct toxicity assessment performed in this study, highlight the importance of a multibiomarker approach using soil organisms to provide a better evaluation of soils pollution.
    Additionally, the potential challenges of microplastic removal from treatment processes and remediation strategies of microplastics in drinking water were also put forward. The relationship between the properties and behavior of microplastics during different treatment processes is suggested to explore in the future.Prothioconazole is a fungicide that has been widely used in general agriculture and livestock husbandry. This study evaluated the acute toxicity of prothioconazole to zebrafish embryos by assessing their hatching rate and malformation when exposed to different concentrations of prothioconazole. The 96 h-LC50 value of zebrafish embryos was 1.70 mg/L. Upon exposure to 0.85 mg/L, the mortality rate of the embryos significantly increased while their hatching rate decreased significantly. At prothioconazole concentrations higher than 0.43 mg/L, developmental morphologic abnormalities such as heart and yolk-sac edema, spine curvature, tail deformity, shortened body length and decreased eye area were observed. The heart rate of embryos decreased in a dose-dependent fashion during the exposure time. Prothioconazole exposure also resulted in increased rates of cardiac malformation detected by significant increase in the distance between the sinus venosus and bulbus arteriosus and the pericardium area. Moreover, the expression levels of genes related to cardiac development (amhc, vmhc, fli1, hand2, gata4, nkx2.5, tbx5 and atp2a2a) were significantly altered after exposure to prothioconazole. Indeed, this study revealed the adverse effects on the developmental and cardiovascular system of zebrafish embryo caused by prothioconazole. It further elucidated the risk of prothioconazole exposure to vertebrate cardiovascular toxicity. As such, it provides a theoretical foundation for pesticide risk management measures.In this study, carbon quantum dots (CQDs) were used to decorate a TiO2/g-C3N4 (TCN) film electrode. The morphological, optical, and electrochemical properties of the TiO2/g-C3N4/CQDs nanorod arrays (TCNC NRAs) film were investigated using transmission electron microscopy (TEM), scanning electron microscopy (SEM), UV-vis diffuse reflectance spectroscopy (DRS), photoluminescence (PL), and electrochemical impedance spectroscopy (EIS). The improved optical properties, photoelectrochemical properties and photoelectrocatalytic (PEC) performance of photoanode can be observed by doping CQDs onto the TCN NRAs film. Compared with TiO2 NRAs and TCN NRAs, the narrower band gap of 2.47 eV and longer lifetime of photoinduced electron-hole pairs were observed in the TCNC NRAs. Under visible light irradiation and a bias voltage of 1.2 V, the photocurrent density and 1,4-dioxane (1,4-D) removal rate of PEC process with TCNC NRAs electrode reached 0.16 mA/cm2 and 77.9%, respectively, which was 2.5 times and 1.5 times of that with TCN NRAs electrode. TCNC NRAs electrode could keep >75% of the 1,4-D removal rate during five cycles tests. High PEC performance with TCNC NRAs electrode could be attributed to the enhanced charge separation and the change of electron transfer mechanism from typical heterojunction to Z-scheme, which may increase the active species production and change the dominant reactive species from O2·- to ·OH. Our experimental results should be useful for studying the degradation of 1,4-D and developing efficient PEC materials.This study is among the first to systematically study the electrochemical reduction of nitrate on boron-doped diamond (BDD) films with different surface terminations and boron-doping levels. The highest nitrate reduction efficiency was 48% and the highest selectivity in the production of nitrogen gas was 44.5%, which were achieved using a BDD electrode with a hydrogen-terminated surface and a B/C ratio of 1.0%. C-H bonds served as the anchor points for attracting NO3- anions close to the electrode surface, and thus accelerating the formation of NO3-(ads). Compared to oxygen termination, hydrogen-terminated BDD exhibited higher electrochemical reactivity for reducing nitrate, resulting from the formation of shallow acceptor states and small interfacial band bending. The hydrophobicity of the hydrogen-terminated BDD inhibited water electrolysis and the subsequent adsorption of atomic hydrogen, leading to increased selectivity in the production of nitrogen gas. A BDD electrode with a boron-doping level of 1.0% increased the density of acceptor states, thereby enhancing the conductivity and promoting the formation of C-H bonds after the cathodic reduction pretreatment leading to the direct reduction of nitrate.Abandoned mining and quarry areas are sources of potentially toxic elements (PTEs), through lixiviates or transfer processes of bioavailable fractions from mining wastes and tailings. https://www.selleckchem.com/products/mek162.html In this study, earthworms (Eisenia fetida Savigny, 1826) were exposed for 28 days to two mining soils from a lead/zinc mine and two quarry soils from an old serpentine quarry. Despite their pseudo total metal contents, a previous characterization of these soils pointed out for a low chemical availability of PTEs. Therefore, a multibiomarker approach was used and the response of E. fetida to soils was assessed through the analysis of neurotoxic, oxidative stress, energy metabolism and DNA damage biomarkers (acetylcholinesterase, catalase, glutathione-s-transferase, lactate dehydrogenase, lipid peroxidation and DNA strand breaks). Metal bioaccumulation was also assessed to evaluate bioavailability and organism's exposure. Results showed that high contents of PTEs were recorded in the whole body of earthworms exposed to lead/zinc mine. However, the bioaccumulation factors for worms exposed to soils from both sampling sites were less then 1 due to the high PTEs contents in soils. Earthworms exposed to both types of soils displayed neurotoxic and energy metabolism effects. However, significant levels of oxidative stress and DNA damage were recorded only for earthworms exposed to lead/zinc mine soils. This study demonstrated that despite the low availability of PTEs showed by previous sequential chemical extractions, the results obtained from the direct toxicity assessment performed in this study, highlight the importance of a multibiomarker approach using soil organisms to provide a better evaluation of soils pollution.
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  • This event-related perspective permits statements like "Event X is associated with signals A, B, and C, each with particular spatial, temporal, and signal decay properties". Denoising approaches can then be tailored, via performance in known events, to permit or suppress certain kinds of signals based on their desirability.Motor commands for the arm and hand generally arise from the contralateral motor cortex, where most of the relevant corticospinal tract originates. However, the ipsilateral motor cortex shows activity related to arm movement despite the lack of direct connections. The extent to which the activity related to ipsilateral movement is independent from that related to contralateral movement is unclear based on conflicting conclusions in prior work. Here we investigate bilateral arm and hand movement tasks completed by two human subjects with intracortical microelectrode arrays implanted in the left hand and arm area of the motor cortex. Neural activity was recorded while they attempted to perform arm and hand movements in a virtual environment. https://www.selleckchem.com/products/forskolin.html This enabled us to quantify the strength and independence of motor cortical activity related to continuous movements of each arm. We also investigated the subjects' ability to control both arms through a brain-computer interface. Through a number of experiments, we found that ipsilateral arm movement was represented independently of, but more weakly than, contralateral arm movement. However, the representation of grasping was correlated between the two hands. This difference between hand and arm representation was unexpected and poses new questions about the different ways the motor cortex controls the hands and arms.Studies on single muscle fibre passive material properties often report relatively large variation in elastic modulus, and it is not clear where this variation arises. This study was designed to determine if the elastic modulus is inherently different between type 1 and type 2 muscle fibres. Vastus lateralis fibres (n=93), from ten young men, were mechanically tested using a cumulative stretch-relaxation protocol. SDS-PAGE classified fibres as type 1 or 2. While there was a difference in elastic modulus between fibre types (p=0.0019), an unexpected inverse relationship was found between fibre diameter and elastic modulus (r=-0.64; p less then 0.001). As fibre type and diameter are not independent, a one-way ANCOVA including fibre diameter as a covariate was run; this eliminated the effect of fibre type on elastic modulus (p=0.1935). To further explore the relationship between fibre size and elastic properties, we tested whether stiffness was linearly related to fibre cross-sectional area, as would be expected for a homogenous material. Passive stiffness was not linearly related to fibre area (p less then 0.001), which can occur if single muscle fibres are better represented as composite materials. The rule of mixtures for composite materials was used to explore whether the presence of a stiff perimeter-based fibre component could explain the observed results. The model (R2=0.38) predicted a perimeter-based modulus of 8,800 ± 2,600 kPa/µm, which is within the range of basement membrane moduli reported in the literature.Uncontrollable shaking in the human wrist, caused by pathological tremor, can significantly undermine the power and accuracy in object manipulation. In this paper, the design of a Tremor Alleviating Wrist Exoskeleton (TAWE) is introduced. Unlike the works in the literature that only consider the flexion/extension motion, in this paper, we model the wrist joint as a constrained 3D rotational joint accounting for the coupled flexion/extension (FE) and radial/ulnar deviation (RUD) motions. Hence TAWE, which features a 6 degree-of-freedom (DOF) rigid linkage structure, aims to accurately monitor, suppress tremors and provide light-power augmentation in both FE and RUD wrist motions. The presented study focuses on providing a fundamental understanding of the feasibility of TAWE through theoretical analyses. The analytical multibody model of the forearm-TAWE assembly provides insight into the necessary conditions for control, which indicates that reliable control conditions in the desired workspace can be acquired by tuning the design parameters. Nonlinear regressions are then implemented to identify the information that is crucial to the controller design from the unknown wrist kinematics. The proposed analytical model is validated numerically with V-REP and the result shows good agreement. Simulations also demonstrate the reliable performance of TAWE under controllers designed for tremor suppression and movement assistance.The Global Strategy for Women's Children's and Adolescents' Health emphasizes accountability as essential to ensure that decision-makers have the information required to meet the health needs of their populations and stresses the importance of tracking resources, results, and rights to see 'what works, what needs improvement and what requires increased attention'. However, results from accountability initiatives are mixed and there is a lack of broadly applicable, validated tools for planning, monitoring and evaluating accountability interventions. This article documents an effort to transform accountability markers-including political will, leadership and the monitor-review-act cycle-into a measurement tool that can be used prospectively or retrospectively to plan, monitor and evaluate accountability initiatives. It describes the development process behind the tool including the literature review, framework development and subsequent building of the measurement tool itself. It also examines feedback on the tool from a panel of global experts and the results of a pilot test conducted in Bauchi and Gombe states in Nigeria. The results demonstrate that the tool is an effective aid for accountability initiatives to reflect on their own progress and provides a useful structure for future planning, monitoring and evaluation. The tool can be applied and adapted to other accountability mechanisms working in global health.The ICRU proposed new operational quantities, which are defined in close relation to effective dose and absorbed dose. Most of the current personal dosemeters were designed to measure personal dose equivalents. Because of differences between the new and old quantities, the existing dosemeters may not be ideal for measurements of the new quantities, personal dose, Hp, and absorbed dose in local skin, Dp local skin. For photon radiation sources, we investigated relative responses of the current personal dosemeters with respect to the measurement of the new quantities. Introduction of the new quantities into practice will require some changes in practical radiation protection. A recalibration of the current dosemeters will be essential for Hp measurements in higher photon energy region (>50 keV). For lower photon energies, a redesign of specific evaluation algorithms will be necessary. For purposes of Dp local skin measurements the dosemeters do not require any fundamental changes.
    This event-related perspective permits statements like "Event X is associated with signals A, B, and C, each with particular spatial, temporal, and signal decay properties". Denoising approaches can then be tailored, via performance in known events, to permit or suppress certain kinds of signals based on their desirability.Motor commands for the arm and hand generally arise from the contralateral motor cortex, where most of the relevant corticospinal tract originates. However, the ipsilateral motor cortex shows activity related to arm movement despite the lack of direct connections. The extent to which the activity related to ipsilateral movement is independent from that related to contralateral movement is unclear based on conflicting conclusions in prior work. Here we investigate bilateral arm and hand movement tasks completed by two human subjects with intracortical microelectrode arrays implanted in the left hand and arm area of the motor cortex. Neural activity was recorded while they attempted to perform arm and hand movements in a virtual environment. https://www.selleckchem.com/products/forskolin.html This enabled us to quantify the strength and independence of motor cortical activity related to continuous movements of each arm. We also investigated the subjects' ability to control both arms through a brain-computer interface. Through a number of experiments, we found that ipsilateral arm movement was represented independently of, but more weakly than, contralateral arm movement. However, the representation of grasping was correlated between the two hands. This difference between hand and arm representation was unexpected and poses new questions about the different ways the motor cortex controls the hands and arms.Studies on single muscle fibre passive material properties often report relatively large variation in elastic modulus, and it is not clear where this variation arises. This study was designed to determine if the elastic modulus is inherently different between type 1 and type 2 muscle fibres. Vastus lateralis fibres (n=93), from ten young men, were mechanically tested using a cumulative stretch-relaxation protocol. SDS-PAGE classified fibres as type 1 or 2. While there was a difference in elastic modulus between fibre types (p=0.0019), an unexpected inverse relationship was found between fibre diameter and elastic modulus (r=-0.64; p less then 0.001). As fibre type and diameter are not independent, a one-way ANCOVA including fibre diameter as a covariate was run; this eliminated the effect of fibre type on elastic modulus (p=0.1935). To further explore the relationship between fibre size and elastic properties, we tested whether stiffness was linearly related to fibre cross-sectional area, as would be expected for a homogenous material. Passive stiffness was not linearly related to fibre area (p less then 0.001), which can occur if single muscle fibres are better represented as composite materials. The rule of mixtures for composite materials was used to explore whether the presence of a stiff perimeter-based fibre component could explain the observed results. The model (R2=0.38) predicted a perimeter-based modulus of 8,800 ± 2,600 kPa/µm, which is within the range of basement membrane moduli reported in the literature.Uncontrollable shaking in the human wrist, caused by pathological tremor, can significantly undermine the power and accuracy in object manipulation. In this paper, the design of a Tremor Alleviating Wrist Exoskeleton (TAWE) is introduced. Unlike the works in the literature that only consider the flexion/extension motion, in this paper, we model the wrist joint as a constrained 3D rotational joint accounting for the coupled flexion/extension (FE) and radial/ulnar deviation (RUD) motions. Hence TAWE, which features a 6 degree-of-freedom (DOF) rigid linkage structure, aims to accurately monitor, suppress tremors and provide light-power augmentation in both FE and RUD wrist motions. The presented study focuses on providing a fundamental understanding of the feasibility of TAWE through theoretical analyses. The analytical multibody model of the forearm-TAWE assembly provides insight into the necessary conditions for control, which indicates that reliable control conditions in the desired workspace can be acquired by tuning the design parameters. Nonlinear regressions are then implemented to identify the information that is crucial to the controller design from the unknown wrist kinematics. The proposed analytical model is validated numerically with V-REP and the result shows good agreement. Simulations also demonstrate the reliable performance of TAWE under controllers designed for tremor suppression and movement assistance.The Global Strategy for Women's Children's and Adolescents' Health emphasizes accountability as essential to ensure that decision-makers have the information required to meet the health needs of their populations and stresses the importance of tracking resources, results, and rights to see 'what works, what needs improvement and what requires increased attention'. However, results from accountability initiatives are mixed and there is a lack of broadly applicable, validated tools for planning, monitoring and evaluating accountability interventions. This article documents an effort to transform accountability markers-including political will, leadership and the monitor-review-act cycle-into a measurement tool that can be used prospectively or retrospectively to plan, monitor and evaluate accountability initiatives. It describes the development process behind the tool including the literature review, framework development and subsequent building of the measurement tool itself. It also examines feedback on the tool from a panel of global experts and the results of a pilot test conducted in Bauchi and Gombe states in Nigeria. The results demonstrate that the tool is an effective aid for accountability initiatives to reflect on their own progress and provides a useful structure for future planning, monitoring and evaluation. The tool can be applied and adapted to other accountability mechanisms working in global health.The ICRU proposed new operational quantities, which are defined in close relation to effective dose and absorbed dose. Most of the current personal dosemeters were designed to measure personal dose equivalents. Because of differences between the new and old quantities, the existing dosemeters may not be ideal for measurements of the new quantities, personal dose, Hp, and absorbed dose in local skin, Dp local skin. For photon radiation sources, we investigated relative responses of the current personal dosemeters with respect to the measurement of the new quantities. Introduction of the new quantities into practice will require some changes in practical radiation protection. A recalibration of the current dosemeters will be essential for Hp measurements in higher photon energy region (>50 keV). For lower photon energies, a redesign of specific evaluation algorithms will be necessary. For purposes of Dp local skin measurements the dosemeters do not require any fundamental changes.
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  • Severe acute respiratory syndrome coronavirus 2-induced direct cytopathic effects against type I and II pneumocytes mediate lung damage. Krebs von den Lungen-6 (KL-6) is mainly produced by damaged or regenerating alveolar type II pneumocytes. This preliminary study analyzed serum concentrations of KL-6 in patients with coronavirus disease (COVID-19) to verify its potential as a prognostic biomarker of severity. Twenty-two patients (median age [interquartile range] 63 [59-68] years, 16 males) with COVID-19 were enrolled prospectively. Patients were divided into mild-moderate and severe groups, according to respiratory impairment and clinical management. KL-6 serum concentrations and lymphocyte subset were obtained. Peripheral natural killer (NK) cells/µL were significantly higher in nonsevere patients than in the severe group (P = .0449) and the best cut-off value was 119 cells/µL. KL-6 serum concentrations were significantly higher in severe patients than the nonsevere group (P = .0118). Receiver operating characteristic analysis distinguished severe and nonsevere patients according to KL-6 serum levels and the best cut-off value was 406.5 U/mL. NK cell analysis and assay of KL-6 in serum can help identify severe COVID-19 patients. Increased KL-6 serum concentrations were observed in patients with severe pulmonary involvement, revealing a prognostic value and supporting the potential usefulness of KL-6 measurement to evaluate COVID-19 patients' prognosis.Background Critical illness can cause post-traumatic stress and impaired mental health. The NONSEDA trial was a Scandinavian multicenter RCT, assessing non-sedation versus sedation with a daily wake-up call during mechanical ventilation in critically ill adults. The aim of this substudy was to assess the effect of non-sedation on post-traumatic stress and mental health. Methods This substudy is based on all participating patients from a single NONSEDA trial site (Kolding, Denmark). Patients were randomized to sedation or non-sedation within the first 24 hours of mechanical ventilation. Three months after ICU discharge survivors were examined by a neuropsychologist for post-traumatic stress, anxiety and depression, and filled out the SF-36 questionnaire regarding quality of life. Results The two groups of survivors were similar with regard to baseline characteristics, length of admission and mechanical ventilation. Sedated patients received more propofol and midazolam. Doses of morphine and haloperidole were equal. Primary outcome the number of patients with post-traumatic stress disorder did not differ between groups (non-sedated 2 patients vs sedated 0, P = .23). Secondary outcomes there were no differences between groups in **** Anxiety Index (median, non-sedated 0 vs sedated 0, P = .62), **** Depression Index (median, non-sedated 7 vs sedated 4, P = .24), SF-36 mental component score (mean, non-sedated 46.7 vs sedated 47.5, P = .73) or number of patients with symptoms of post-traumatic stress (8 in both groups, P = .89). Conclusion Levels of PTSD, anxiety and depression and quality of life regarding mental health were similar between the non-sedated and sedated group.Coronavirus disease 2019 (COVID-19) has spread rapidly around the world since its emergence in humans last December. Previous studies suggested that numerous markers of inflammation were elevated in patients in with severe disease relative to patients with milder conditions, and an elevated level of interleukin-6 (IL-6) was associated with a high case fatality of COVID-19 infection. This article is protected by copyright. All rights reserved.Background Emergence delirium is a well-described complication in pediatric anesthesia, occurring more often following short surgical procedures using volatile anesthetics with a rapid recovery profile. Dental extractions and conservation dentistry are commonly performed in children and are not painful postoperatively. The use of nerve blocks and local anesthetic infiltration intraoperatively limits nociception and obviates the need for opioids, allowing for more objective assessment of emergence delirium. Aim The purpose of this preliminary study was to describe the incidence of emergence delirium and the associated risk factors in children undergoing elective dental surgery under general anesthesia at a regional academic hospital in South Africa. Methods A prospective, descriptive study of healthy children aged 2-6 years was undertaken. Patients were anesthetized using standardized protocols. Assessments included demographics of the child and caregiver, child anxiety at induction using the modified Yale Preoperative Anxiety Scale, intraoperative events, and Paediatric Anaesthesia Emergence Delirium score in the recovery room. https://www.selleckchem.com/products/ganetespib-sta-9090.html Data were assessed for associations and correlations. Results Ninety-one children with a mean age of 3.9 (SD = 0.9) years were included. Anxiety was present in 69.2% at induction and emergence delirium occurred in 51.6% of the patients. The mean (SD, range) Paediatric Anaesthesia Emergence Delirium score in the patients without emergence delirium was 7 (2.65, 0-9) and in patients with emergence delirium was 14 (2.52, 10-18). Children with emergence delirium required more interventions in the recovery room but few required pharmacological treatment. Conclusions Emergence delirium occurs commonly after dental surgery, and the majority of the children presenting for dental surgery are anxious at induction. Children with emergence delirium require more interventions in the recovery room but few require pharmacological treatment.Before the COVID‐19 pandemic, clinicians were already adept at creating workarounds for day‐to‐day shortages of equipment, inventively cobbling together substitute gadgets together to fulfil a clinical need. This is colloquially known as ‘jury‐rigging’ or ‘MacGyvering’, the latter taken from the eponymous 1980s television series of a problem‐solving crime fighter who could seemingly manufacture anything from a few paperclips and some chewing gum [1].**** bearing CT26 tumors can be cured by administration of L19-mIL12 or F8-mTNF, two antibody fusion proteins which selectively deliver their cytokine payload to the tumor. In both settings, cancer cures crucially depended on CD8+ T cells and the AH1 peptide (derived from the gp70 protein of the murine leukemia virus) acted as the main tumor-rejection antigen, with ∼50% of CD8+ T cells in the neoplastic mass being AH1-specific after therapy. In order to characterize the clonality of the T cell response, its phenotype, and activation status, we isolated CD8+ T cells from tumors and secondary lymphoid organs and submitted them to T cell receptor (TCR) and total mRNA sequencing. We found an extremely diverse repertoire of more than 40 000 unique TCR sequences, but the ten most abundant TCRs accounted for >60% of CD8+ T-cell clones in the tumor. AH1-specific TCRs were consistently found among the most abundant sequences. AH1-specific T cells in the tumor had a tissue-resident memory phenotype. Treatment with L19-mIL12 led to overexpression of IL-12 receptor and of markers of cell activation and proliferation.
    Severe acute respiratory syndrome coronavirus 2-induced direct cytopathic effects against type I and II pneumocytes mediate lung damage. Krebs von den Lungen-6 (KL-6) is mainly produced by damaged or regenerating alveolar type II pneumocytes. This preliminary study analyzed serum concentrations of KL-6 in patients with coronavirus disease (COVID-19) to verify its potential as a prognostic biomarker of severity. Twenty-two patients (median age [interquartile range] 63 [59-68] years, 16 males) with COVID-19 were enrolled prospectively. Patients were divided into mild-moderate and severe groups, according to respiratory impairment and clinical management. KL-6 serum concentrations and lymphocyte subset were obtained. Peripheral natural killer (NK) cells/µL were significantly higher in nonsevere patients than in the severe group (P = .0449) and the best cut-off value was 119 cells/µL. KL-6 serum concentrations were significantly higher in severe patients than the nonsevere group (P = .0118). Receiver operating characteristic analysis distinguished severe and nonsevere patients according to KL-6 serum levels and the best cut-off value was 406.5 U/mL. NK cell analysis and assay of KL-6 in serum can help identify severe COVID-19 patients. Increased KL-6 serum concentrations were observed in patients with severe pulmonary involvement, revealing a prognostic value and supporting the potential usefulness of KL-6 measurement to evaluate COVID-19 patients' prognosis.Background Critical illness can cause post-traumatic stress and impaired mental health. The NONSEDA trial was a Scandinavian multicenter RCT, assessing non-sedation versus sedation with a daily wake-up call during mechanical ventilation in critically ill adults. The aim of this substudy was to assess the effect of non-sedation on post-traumatic stress and mental health. Methods This substudy is based on all participating patients from a single NONSEDA trial site (Kolding, Denmark). Patients were randomized to sedation or non-sedation within the first 24 hours of mechanical ventilation. Three months after ICU discharge survivors were examined by a neuropsychologist for post-traumatic stress, anxiety and depression, and filled out the SF-36 questionnaire regarding quality of life. Results The two groups of survivors were similar with regard to baseline characteristics, length of admission and mechanical ventilation. Sedated patients received more propofol and midazolam. Doses of morphine and haloperidole were equal. Primary outcome the number of patients with post-traumatic stress disorder did not differ between groups (non-sedated 2 patients vs sedated 0, P = .23). Secondary outcomes there were no differences between groups in Beck Anxiety Index (median, non-sedated 0 vs sedated 0, P = .62), Beck Depression Index (median, non-sedated 7 vs sedated 4, P = .24), SF-36 mental component score (mean, non-sedated 46.7 vs sedated 47.5, P = .73) or number of patients with symptoms of post-traumatic stress (8 in both groups, P = .89). Conclusion Levels of PTSD, anxiety and depression and quality of life regarding mental health were similar between the non-sedated and sedated group.Coronavirus disease 2019 (COVID-19) has spread rapidly around the world since its emergence in humans last December. Previous studies suggested that numerous markers of inflammation were elevated in patients in with severe disease relative to patients with milder conditions, and an elevated level of interleukin-6 (IL-6) was associated with a high case fatality of COVID-19 infection. This article is protected by copyright. All rights reserved.Background Emergence delirium is a well-described complication in pediatric anesthesia, occurring more often following short surgical procedures using volatile anesthetics with a rapid recovery profile. Dental extractions and conservation dentistry are commonly performed in children and are not painful postoperatively. The use of nerve blocks and local anesthetic infiltration intraoperatively limits nociception and obviates the need for opioids, allowing for more objective assessment of emergence delirium. Aim The purpose of this preliminary study was to describe the incidence of emergence delirium and the associated risk factors in children undergoing elective dental surgery under general anesthesia at a regional academic hospital in South Africa. Methods A prospective, descriptive study of healthy children aged 2-6 years was undertaken. Patients were anesthetized using standardized protocols. Assessments included demographics of the child and caregiver, child anxiety at induction using the modified Yale Preoperative Anxiety Scale, intraoperative events, and Paediatric Anaesthesia Emergence Delirium score in the recovery room. https://www.selleckchem.com/products/ganetespib-sta-9090.html Data were assessed for associations and correlations. Results Ninety-one children with a mean age of 3.9 (SD = 0.9) years were included. Anxiety was present in 69.2% at induction and emergence delirium occurred in 51.6% of the patients. The mean (SD, range) Paediatric Anaesthesia Emergence Delirium score in the patients without emergence delirium was 7 (2.65, 0-9) and in patients with emergence delirium was 14 (2.52, 10-18). Children with emergence delirium required more interventions in the recovery room but few required pharmacological treatment. Conclusions Emergence delirium occurs commonly after dental surgery, and the majority of the children presenting for dental surgery are anxious at induction. Children with emergence delirium require more interventions in the recovery room but few require pharmacological treatment.Before the COVID‐19 pandemic, clinicians were already adept at creating workarounds for day‐to‐day shortages of equipment, inventively cobbling together substitute gadgets together to fulfil a clinical need. This is colloquially known as ‘jury‐rigging’ or ‘MacGyvering’, the latter taken from the eponymous 1980s television series of a problem‐solving crime fighter who could seemingly manufacture anything from a few paperclips and some chewing gum [1].Mice bearing CT26 tumors can be cured by administration of L19-mIL12 or F8-mTNF, two antibody fusion proteins which selectively deliver their cytokine payload to the tumor. In both settings, cancer cures crucially depended on CD8+ T cells and the AH1 peptide (derived from the gp70 protein of the murine leukemia virus) acted as the main tumor-rejection antigen, with ∼50% of CD8+ T cells in the neoplastic mass being AH1-specific after therapy. In order to characterize the clonality of the T cell response, its phenotype, and activation status, we isolated CD8+ T cells from tumors and secondary lymphoid organs and submitted them to T cell receptor (TCR) and total mRNA sequencing. We found an extremely diverse repertoire of more than 40 000 unique TCR sequences, but the ten most abundant TCRs accounted for >60% of CD8+ T-cell clones in the tumor. AH1-specific TCRs were consistently found among the most abundant sequences. AH1-specific T cells in the tumor had a tissue-resident memory phenotype. Treatment with L19-mIL12 led to overexpression of IL-12 receptor and of markers of cell activation and proliferation.
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  • xylanicola (0.487 U mg-1) and Saitozyma podzolica (0.384 U mg-1). The results showed that rotting wood collected from the Atlantic Rainforest is a valuable source of yeasts able to grow in sugarcane bagasse hydrolysate, including species with promising biotechnological properties.In nature, microorganisms often exhibit competitive behavior for nutrients and limited space, allowing them to alter the virulence determinants of pathogens. The human pathogenic yeast Cryptococcus neoformans can be found organized in biofilms, a complex community composed of an extracellular matrix which confers protection against predation. The aim of this study was to evaluate and characterize antagonistic interactions between two cohabiting microorganisms C. neoformans and the bacteria Serratia marcescens. The interaction of S. marcescens with C. neoformans expressed a negative effect on biofilm formation, polysaccharide capsule, production of urease, and melanization of the yeast. These findings evidence that competition in mixed communities can result in dominance by one species, with direct impact on the physiological modulation of virulence determinants. Such an approach is key for understating the response of communities to the presence of competitors and, ultimately, rationally designing communities to prevent and treat certain diseases.Mucor circinelloides is an opportunistic dimorphic pathogen, with the dimorphic process controlled in parts by fermentative and oxidative metabolisms, which lead to yeast or mycelial growth, respectively. Dimorphic transition is important for pathogenesis since the mycelium represents the virulent morphology. We previously reported that the deletion of arl1 or arl2 stimulate anaerobic germination in M. circinelloides, suggesting an augmented fermentative metabolism. In the present study, we demonstrate that the heterokaryon Δarl1(+)(-) and homokaryon Δarl2 strains contain low number of mitochondria, which possibly results in a dysfunctional oxidative metabolism, marked by a low oxygen consumption in glucose and poor growth in glycerol as the unique carbon source. This dysfunction is compensated for by an increase in the glycolysis and fermentation in aerobic conditions, demonstrating growth kinetics similar to that in the wild-type strain. Moreover, as a consequence a high fermentative activity, the Δarl1(+)(-) and Δarl2 strains possibly increased the yeast cell growth during low oxygen concentrations in presence of glucose. To the best of our knowledge, this is the first study to demonstrate the control of members of Arf family on the mitochondrial population in a Mucor species.Most fungi are multinucleated organisms. In some fungi, they have asynchronous nuclei in the same cytoplasm. We analyzed a cell-cycle regulation mechanism using a model fungus Neurospora crassa, which can make heterokaryon cells. G1/S cyclin CLN-1 and cyclin-dependent kinase CDC-2 were tagged with different fluorescence in different strains and expressed. By forming a heterokaryon strain of these, two different fluorescence-tagged proteins were expressed in the same cytoplasm. CDC-2 was localized in all nuclei, whereas CLN-1 was not detected in most of the nuclei and was dispersed in the cytoplasm with small granular clusters. This indicates that in multinucleated fungi, cell-cycle regulators, similar to other proteins, are shared around the nuclei regardless of different cell-cycle stages. Moreover, each nucleus can select and use a special cell-cycle regulator only when it is necessary. Fungal nuclei may have a novel pickup mechanism of necessary proteins from their cytoplasm at the point of use.Introduction Lag screw insertion into the ideal position is essential to obtain good results in open reduction and internal fixation for femoral trochanteric fracture. Tip-apex distance (TAD) is a widely adopted method for evaluating the risk of lag screw cut-out. Adaptive positioning technology (ADAPT) is a fluoroscopic computer-assisted surgery system that enables orthopaedic surgeons to guide the screw into a proper position intraoperatively. A randomized control study concluded that ADAPT resulted in excellent TAD. However, it was not significantly better than conventional methods when performed by fellowship-trained traumatologists. Therefore, we hypothesised that ADAPT would be useful to orthopaedic residents and evaluated this usefulness. Methods We reviewed 102 patients who underwent open reduction and internal fixation for femoral trochanteric fracture from May 2017 to March 2019 using Gamma-3 intertrochanteric nails. Two residents performed all procedures; 51 patients underwent surgery using ADAPT autiously because skill or experience may influence its use, especially by orthopaedic residents.Background & aims The heterodimeric integrin receptor α4β7 regulates CD4 T cell recruitment to inflamed tissues, but its role in the pathogenesis of nonalcoholic steatohepatitis (NASH) is unknown. Here we examined the role of α4β7-mediated recruitment of CD4 T cells to the intestine and liver in NASH. Methods Male littermate F11r+/+ (control) and junctional adhesion molecule A knockout F11r-/- **** were fed a normal diet or a Western diet (WD) for eight weeks. Liver and intestinal tissues were analyzed by histology, qRT-PCR, 16s rRNA sequencing and flow cytometry. Colonic mucosa-associated microbiota was analyzed using 16s rRNA sequencing. Liver biopsies from NASH patients were analyzed by confocal imaging and qRT-PCR. Results WD-fed knockout **** developed NASH and had increased hepatic and intestinal α4β7+ CD4 T cells relative to control **** which developed mild hepatic steatosis. The increase in α4β7+ CD4 T cells was associated with markedly higher expression of the α4β7 ligand mucosal addressin cell adhed despite its growing incidence no therapies currently exist to halt NAFLD progression. Here, we show that blocking integrin receptor α4β7-mediated recruitment of CD4 T cells to the intestine and liver not only attenuates hepatic inflammation and fibrosis, but also improves metabolic derangements associated with NASH. https://www.selleckchem.com/products/CAL-101.html These findings provide evidence for potential therapeutic application of α4β7 antibody in the treatment of human NASH.
    xylanicola (0.487 U mg-1) and Saitozyma podzolica (0.384 U mg-1). The results showed that rotting wood collected from the Atlantic Rainforest is a valuable source of yeasts able to grow in sugarcane bagasse hydrolysate, including species with promising biotechnological properties.In nature, microorganisms often exhibit competitive behavior for nutrients and limited space, allowing them to alter the virulence determinants of pathogens. The human pathogenic yeast Cryptococcus neoformans can be found organized in biofilms, a complex community composed of an extracellular matrix which confers protection against predation. The aim of this study was to evaluate and characterize antagonistic interactions between two cohabiting microorganisms C. neoformans and the bacteria Serratia marcescens. The interaction of S. marcescens with C. neoformans expressed a negative effect on biofilm formation, polysaccharide capsule, production of urease, and melanization of the yeast. These findings evidence that competition in mixed communities can result in dominance by one species, with direct impact on the physiological modulation of virulence determinants. Such an approach is key for understating the response of communities to the presence of competitors and, ultimately, rationally designing communities to prevent and treat certain diseases.Mucor circinelloides is an opportunistic dimorphic pathogen, with the dimorphic process controlled in parts by fermentative and oxidative metabolisms, which lead to yeast or mycelial growth, respectively. Dimorphic transition is important for pathogenesis since the mycelium represents the virulent morphology. We previously reported that the deletion of arl1 or arl2 stimulate anaerobic germination in M. circinelloides, suggesting an augmented fermentative metabolism. In the present study, we demonstrate that the heterokaryon Δarl1(+)(-) and homokaryon Δarl2 strains contain low number of mitochondria, which possibly results in a dysfunctional oxidative metabolism, marked by a low oxygen consumption in glucose and poor growth in glycerol as the unique carbon source. This dysfunction is compensated for by an increase in the glycolysis and fermentation in aerobic conditions, demonstrating growth kinetics similar to that in the wild-type strain. Moreover, as a consequence a high fermentative activity, the Δarl1(+)(-) and Δarl2 strains possibly increased the yeast cell growth during low oxygen concentrations in presence of glucose. To the best of our knowledge, this is the first study to demonstrate the control of members of Arf family on the mitochondrial population in a Mucor species.Most fungi are multinucleated organisms. In some fungi, they have asynchronous nuclei in the same cytoplasm. We analyzed a cell-cycle regulation mechanism using a model fungus Neurospora crassa, which can make heterokaryon cells. G1/S cyclin CLN-1 and cyclin-dependent kinase CDC-2 were tagged with different fluorescence in different strains and expressed. By forming a heterokaryon strain of these, two different fluorescence-tagged proteins were expressed in the same cytoplasm. CDC-2 was localized in all nuclei, whereas CLN-1 was not detected in most of the nuclei and was dispersed in the cytoplasm with small granular clusters. This indicates that in multinucleated fungi, cell-cycle regulators, similar to other proteins, are shared around the nuclei regardless of different cell-cycle stages. Moreover, each nucleus can select and use a special cell-cycle regulator only when it is necessary. Fungal nuclei may have a novel pickup mechanism of necessary proteins from their cytoplasm at the point of use.Introduction Lag screw insertion into the ideal position is essential to obtain good results in open reduction and internal fixation for femoral trochanteric fracture. Tip-apex distance (TAD) is a widely adopted method for evaluating the risk of lag screw cut-out. Adaptive positioning technology (ADAPT) is a fluoroscopic computer-assisted surgery system that enables orthopaedic surgeons to guide the screw into a proper position intraoperatively. A randomized control study concluded that ADAPT resulted in excellent TAD. However, it was not significantly better than conventional methods when performed by fellowship-trained traumatologists. Therefore, we hypothesised that ADAPT would be useful to orthopaedic residents and evaluated this usefulness. Methods We reviewed 102 patients who underwent open reduction and internal fixation for femoral trochanteric fracture from May 2017 to March 2019 using Gamma-3 intertrochanteric nails. Two residents performed all procedures; 51 patients underwent surgery using ADAPT autiously because skill or experience may influence its use, especially by orthopaedic residents.Background & aims The heterodimeric integrin receptor α4β7 regulates CD4 T cell recruitment to inflamed tissues, but its role in the pathogenesis of nonalcoholic steatohepatitis (NASH) is unknown. Here we examined the role of α4β7-mediated recruitment of CD4 T cells to the intestine and liver in NASH. Methods Male littermate F11r+/+ (control) and junctional adhesion molecule A knockout F11r-/- mice were fed a normal diet or a Western diet (WD) for eight weeks. Liver and intestinal tissues were analyzed by histology, qRT-PCR, 16s rRNA sequencing and flow cytometry. Colonic mucosa-associated microbiota was analyzed using 16s rRNA sequencing. Liver biopsies from NASH patients were analyzed by confocal imaging and qRT-PCR. Results WD-fed knockout mice developed NASH and had increased hepatic and intestinal α4β7+ CD4 T cells relative to control mice which developed mild hepatic steatosis. The increase in α4β7+ CD4 T cells was associated with markedly higher expression of the α4β7 ligand mucosal addressin cell adhed despite its growing incidence no therapies currently exist to halt NAFLD progression. Here, we show that blocking integrin receptor α4β7-mediated recruitment of CD4 T cells to the intestine and liver not only attenuates hepatic inflammation and fibrosis, but also improves metabolic derangements associated with NASH. https://www.selleckchem.com/products/CAL-101.html These findings provide evidence for potential therapeutic application of α4β7 antibody in the treatment of human NASH.
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  • As the co-chair of Patients for Patient Safety Canada (PFPSC), I have had the opportunity to be a guest editor for this Special Issue of Healthcare Quarterly and, consequently, have reviewed and critiqued each article. I also was a patient partner in the National Patient Safety Consortium, the work of which is the basis for the articles in this issue. Patient safety is a serious issue in Canada. In fact, unintended harm while receiving healthcare is the third leading cause of death in Canada (RiskAnalytica 2017). The papers in this issue describe initiatives that have the potential to and/or have contributed to reducing patient harm if implemented across our system and in such a way that patients and families are an integral part of the process. Copyright © 2020 Longwoods Publishing.Patients should never have to worry about getting an infection while in hospital. Yet every year, many hospitalized Canadians continue to acquire an infection during their hospital stay and experience increased morbidity and mortality as a result of these healthcare-associated infections (HAIs) (PHAC 2019b). Measuring and monitoring HAIs provide key data to better understand the magnitude of the problem. In Canada, there are inconsistencies in the use of standardized HAI case definitions and surveillance practices. These inconsistencies make it difficult to provide benchmarks and set targets to help reduce the rate of HAIs in Canadian hospitals. Copyright © 2020 Longwoods Publishing.In 2018, SE Health (formerly Saint Elizabeth Health Care) delivered care and support to more than 500,000 people when and where they needed it. We delivered many of these health services to Canadians in their own homes, supporting independent living and freeing up hospital beds for acute care needs. As care in one's home becomes more commonplace, it is critical that Canadians know they are safe. Copyright © 2020 Longwoods Publishing.With Canada's aging population, innovations in technology and changes in patient preferences regarding where they receive care, there is a growing reliance on homecare services. Professionals in the homecare sector want to provide the best care possible for their clients, whereas homecare organizations look to foster a greater patient safety culture. The Canadian Patient Safety Institute and the Canadian Home Care Association conducted two learning collaboratives aimed at increasing quality improvement capability in homecare settings. Teams from across the country have increased their capacity and capability to engage patients and families, mitigate and prevent harm from homecare safety incidents such as falls and specifically address issues such as improving interprofessional collaboration, teamwork and communication. Copyright © 2020 Longwoods Publishing.Healthcare is a complex and often high-risk environment. All health systems strive to improve safety and quality but often experience less than favourable results when it comes to reducing harm. Over the past few decades, many strategies have emerged to make care safer checklists, bundles, root cause analysis and process improvements, to name a few. Although these may have some impact, harm continues to occur. Significant planning and deployment of safety strategies are not achieving the desired or sustained results (IHPME 2015). What is missing? Copyright © 2020 Longwoods Publishing.Senior healthcare leaders are the difference makers as key influencers in ushering in an organizational culture committed to patient safety. Although leaders at all levels are champions of transformation, leaders at the "top" have a unique opportunity - and a responsibility - to foster a culture that supports an organization on its journey to zero harm. Through a literature review of more than 60 resources and validation with thought leaders, national and provincial partners have developed a patient safety culture bundle for CEOs and senior healthcare leaders. The bundle is based on a set of evidence-based practices that must be applied collectively to establish and sustain a culture of quality and safety in order to deliver safe care. Copyright © 2020 Longwoods Publishing.Patients undergoing surgery today experience longer hospital stays and more complications because evidence-based practices in the areas of nutrition, activity, opioid-sparing analgesia, hydration and overall best practices are not consistently applied or used. There is also emerging evidence that supporting patients and families to become engaged in their perioperative care improves outcomes. Enhanced Recovery After Surgery (ERAS) helps patients be more prepared for surgery and recover more quickly by bringing patients, healthcare providers and health systems together and creating tools and resources that are based on the most up-to-date evidence. The goal of Enhanced Recovery Canada is to support the uptake of these best practices across Canada, improving patient outcomes and experiences. Copyright © 2020 Longwoods Publishing.This quality improvement initiative to help prevent known medication-related failures during transitions of care was co-led by Patients for Patient Safety Canada, the Institute for Safe Medication Practices Canada, the Canadian Patient Safety Institute, the Canadian Pharmacists Association, and the Canadian Society for Hospital Pharmacists. Initially, the intervention was to develop, test, evaluate and disseminate a medication safety "checklist" for patients and healthcare providers. https://www.selleckchem.com/products/blz945.html Through small tests of change, the checklist was redesigned as the "5 Questions to Ask about Your Medications." Collective results demonstrate a shared commitment among more than 200 organizations to empower patients with questions to ask about their medications. Copyright © 2020 Longwoods Publishing.In September 2015, Health Quality Ontario (HQO) and the Canadian Patient Safety Institute (CPSI), with an action team that brought together quality councils and committees along with patient and family representatives, garnered consensus and published the report Never Events for Hospital Care in Canada (HQO and CPSI 2015). The report is a call to action for healthcare leaders to prevent the occurrence of never events. Many sites have already been collecting data and focusing efforts on reducing never events. We need to take this action further, to collaborate between sites and provinces and territories so that we can learn from one another and prevent patient harm. This is an opportune time to centre our efforts so that never events no longer occur in our hospitals. Copyright © 2020 Longwoods Publishing.
    As the co-chair of Patients for Patient Safety Canada (PFPSC), I have had the opportunity to be a guest editor for this Special Issue of Healthcare Quarterly and, consequently, have reviewed and critiqued each article. I also was a patient partner in the National Patient Safety Consortium, the work of which is the basis for the articles in this issue. Patient safety is a serious issue in Canada. In fact, unintended harm while receiving healthcare is the third leading cause of death in Canada (RiskAnalytica 2017). The papers in this issue describe initiatives that have the potential to and/or have contributed to reducing patient harm if implemented across our system and in such a way that patients and families are an integral part of the process. Copyright © 2020 Longwoods Publishing.Patients should never have to worry about getting an infection while in hospital. Yet every year, many hospitalized Canadians continue to acquire an infection during their hospital stay and experience increased morbidity and mortality as a result of these healthcare-associated infections (HAIs) (PHAC 2019b). Measuring and monitoring HAIs provide key data to better understand the magnitude of the problem. In Canada, there are inconsistencies in the use of standardized HAI case definitions and surveillance practices. These inconsistencies make it difficult to provide benchmarks and set targets to help reduce the rate of HAIs in Canadian hospitals. Copyright © 2020 Longwoods Publishing.In 2018, SE Health (formerly Saint Elizabeth Health Care) delivered care and support to more than 500,000 people when and where they needed it. We delivered many of these health services to Canadians in their own homes, supporting independent living and freeing up hospital beds for acute care needs. As care in one's home becomes more commonplace, it is critical that Canadians know they are safe. Copyright © 2020 Longwoods Publishing.With Canada's aging population, innovations in technology and changes in patient preferences regarding where they receive care, there is a growing reliance on homecare services. Professionals in the homecare sector want to provide the best care possible for their clients, whereas homecare organizations look to foster a greater patient safety culture. The Canadian Patient Safety Institute and the Canadian Home Care Association conducted two learning collaboratives aimed at increasing quality improvement capability in homecare settings. Teams from across the country have increased their capacity and capability to engage patients and families, mitigate and prevent harm from homecare safety incidents such as falls and specifically address issues such as improving interprofessional collaboration, teamwork and communication. Copyright © 2020 Longwoods Publishing.Healthcare is a complex and often high-risk environment. All health systems strive to improve safety and quality but often experience less than favourable results when it comes to reducing harm. Over the past few decades, many strategies have emerged to make care safer checklists, bundles, root cause analysis and process improvements, to name a few. Although these may have some impact, harm continues to occur. Significant planning and deployment of safety strategies are not achieving the desired or sustained results (IHPME 2015). What is missing? Copyright © 2020 Longwoods Publishing.Senior healthcare leaders are the difference makers as key influencers in ushering in an organizational culture committed to patient safety. Although leaders at all levels are champions of transformation, leaders at the "top" have a unique opportunity - and a responsibility - to foster a culture that supports an organization on its journey to zero harm. Through a literature review of more than 60 resources and validation with thought leaders, national and provincial partners have developed a patient safety culture bundle for CEOs and senior healthcare leaders. The bundle is based on a set of evidence-based practices that must be applied collectively to establish and sustain a culture of quality and safety in order to deliver safe care. Copyright © 2020 Longwoods Publishing.Patients undergoing surgery today experience longer hospital stays and more complications because evidence-based practices in the areas of nutrition, activity, opioid-sparing analgesia, hydration and overall best practices are not consistently applied or used. There is also emerging evidence that supporting patients and families to become engaged in their perioperative care improves outcomes. Enhanced Recovery After Surgery (ERAS) helps patients be more prepared for surgery and recover more quickly by bringing patients, healthcare providers and health systems together and creating tools and resources that are based on the most up-to-date evidence. The goal of Enhanced Recovery Canada is to support the uptake of these best practices across Canada, improving patient outcomes and experiences. Copyright © 2020 Longwoods Publishing.This quality improvement initiative to help prevent known medication-related failures during transitions of care was co-led by Patients for Patient Safety Canada, the Institute for Safe Medication Practices Canada, the Canadian Patient Safety Institute, the Canadian Pharmacists Association, and the Canadian Society for Hospital Pharmacists. Initially, the intervention was to develop, test, evaluate and disseminate a medication safety "checklist" for patients and healthcare providers. https://www.selleckchem.com/products/blz945.html Through small tests of change, the checklist was redesigned as the "5 Questions to Ask about Your Medications." Collective results demonstrate a shared commitment among more than 200 organizations to empower patients with questions to ask about their medications. Copyright © 2020 Longwoods Publishing.In September 2015, Health Quality Ontario (HQO) and the Canadian Patient Safety Institute (CPSI), with an action team that brought together quality councils and committees along with patient and family representatives, garnered consensus and published the report Never Events for Hospital Care in Canada (HQO and CPSI 2015). The report is a call to action for healthcare leaders to prevent the occurrence of never events. Many sites have already been collecting data and focusing efforts on reducing never events. We need to take this action further, to collaborate between sites and provinces and territories so that we can learn from one another and prevent patient harm. This is an opportune time to centre our efforts so that never events no longer occur in our hospitals. Copyright © 2020 Longwoods Publishing.
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  • Background and objectives Hydatid cyst is a zoonotic disease caused by Echinococcus granulosus. The aim of our study is to present the clinical features of the patients who were treated for hydatid cyst, determine the interventional techniques and anesthesia methods used and review the occurred complications in detail. Methods This study included 393 patients who were followed up and/or treated with the diagnosis of hydatid cyst between January 2013 and November 2018. The patients' data was evaluated retrospectively. Results The mean age of the patients was 31.0±17.2 years. Of the patients, 111 (28.4%) had more than one cyst and 36 (9.2%) patients had multi-organ involvement. Six of the patients refused the intervention or was transferred to another hospital. Among the remaining 387 patients, 335 (85.2%) received general anesthesia and intubation, 9 patients (2.3%) received general anesthesia and laryngeal mask airway, 39 patients (9.9%) received sedoanalgesia and 4 patients (1%) received regional anesthesia. Perioperative mortality was developed in one patient. The most common periopertaive complication was allergic reaction (1.5%), whereas the most common post-operative complications were atelectasis (3.3%) and biliary fistula (3%). The mean Intensive Care Unit stay (ICU) was 1.9±1.1 days in patients requiring ICU. https://www.selleckchem.com/products/mek162.html Recurrence during the 40±17 months follow-up occurred in 8.4% patients. Conclusions Anesthesiologists have an important role in the management of hydatid cyst patients. Patients should be evaluated exhaustively in terms of multi-organ involvement and the presence of more than one cyst in the same organ. The type of treatment procedure and the localization of the cysts determine the anesthetic management.With the increasing demand for energy conversation and high efficiency, data quality is of great important to the operation management and monitoring in industrial applications. Data reconciliation, as a data processing technology, provides great potential to improve quality of process data, and is widely used to reduce measurement error and estimate unmeasured parameters. However, there are reactors connected in series in the long-running industrial processes so that liquid material information is difficult to mark and trace, and the liquid material has different residence times in each reactor due to the differences in the internal structure and operation mode. The time-delay in different reactors may be various and time-varying. In this paper, to solve these problems, a multiple time-delay interval estimation based hierarchical data reconciliation method is put forward. First, the multiple time-delay interval estimation is developed according to the process mechanism analysis and modeling. Then, an improved discrete state transition solution approach is presented to solve the data time-matching with multiple time-delay interval estimation for different reactors. Finally, a hierarchical data reconciliation frame is built by data characteristics. The feasible of the proposed data reconciliation method is verified utilizing the industrial application results.The inkjet 3D printing has been one of the most studied and applied additive manufacturing (AM) processes in electronic industry. In this AM process, the forming quality is greatly influenced by the micro-droplet deposition and substrate temperature. While most studies focus on the formation mechanism of droplets, there are few studies on the quantitative evaluation of the droplet surface profile and its qualitative correlation with temperature changes. In this study, the characteristics of droplet profile in three-dimensional inkjet printing were studied from two aspects, the modeling of droplet shape and the estimation of droplet temperature. For this purpose, different types of radial basis function networks (RBFN) are applied. The validity of the regularized RBFN model is developed and verified by experiments. The results show that the droplet shape can be accurately modeled and the drying temperature can be accurately estimated given the model.Pneumolysin is a highly conserved, cholesterol-dependent cytolysin that is an important Streptococcus pneumoniae virulence factor and an attractive target for vaccine development. To attenuate pneumolysin toxicity, a genetic toxoid was constructed with two amino acid changes, G293S and L460D, termed PLY-D, that reduced cytolytic activity > 125,000-fold. In ****, PLY-D elicited high anti-PLY IgG antibody titers that neutralized the cytolytic activity of the wild-type toxin in vitro. To evaluate the protective efficacy of PLY-D, **** were immunized intramuscularly and then challenged intranasally with a lethal dose of 28 clinical isolates of S. pneumoniae originating from different geographical locations, disease states (i.e. bacteremia, pneumonia), or body sites (i.e. sputum, blood). PLY-D immunization conferred significant protection from challenge with 17 of 20 serotypes (85%) and 22 of 28 strains (79%). Further, we demonstrated that immunization with PLY-D provided statistically significant improvement in survival against challenge with serotype 4 and 18C strains compared to **** immunized with a pneumococcal conjugate vaccine Prevnar 13® (PCV13). Co-administration of PLY-D and PCV13 conferred greater protection against challenge with a serotype 6B strain than immunization with either vaccine alone. These data indicate that PLY-D is a broadly protective antigen with the potential to serve as a serotype-independent vaccine against invasive pneumococcal disease either alone or in combination with PCVs.Background Viral genetic variability presents a major challenge to the development of a prophylactic hepatitis C virus (HCV) vaccine. A promising HCV vaccine using chimpanzee adenoviral vectors (ChAd) encoding a genotype (gt) 1b non-structural protein (ChAd-Gt1b-NS) generated high magnitude T cell responses. However, these T cells showed reduced cross-recognition of dominant epitope variants and the vaccine has recently been shown to be ineffective at preventing chronic HCV. To address the challenge of viral diversity, we developed ChAd vaccines encoding HCV genomic sequences that are conserved between all major HCV genotypes and adjuvanted by truncated shark invariant chain (sIitr). Methods Age-matched female **** were immunised intramuscularly with ChAd (108 infectious units) encoding gt-1 and -3 (ChAd-Gt1/3) or gt-1 to -6 (ChAd-Gt1-6) conserved segments spanning the HCV proteome, or gt-1b (ChAd-Gt1b-NS control), with immunogenicity assessed 14-days post-vaccination. Results Conserved segment vaccines, ChAd-Gt1/3 and ChAd-Gt1-6, generated high-magnitude, broad, and functional CD4+ and CD8+ T cell responses.
    Background and objectives Hydatid cyst is a zoonotic disease caused by Echinococcus granulosus. The aim of our study is to present the clinical features of the patients who were treated for hydatid cyst, determine the interventional techniques and anesthesia methods used and review the occurred complications in detail. Methods This study included 393 patients who were followed up and/or treated with the diagnosis of hydatid cyst between January 2013 and November 2018. The patients' data was evaluated retrospectively. Results The mean age of the patients was 31.0±17.2 years. Of the patients, 111 (28.4%) had more than one cyst and 36 (9.2%) patients had multi-organ involvement. Six of the patients refused the intervention or was transferred to another hospital. Among the remaining 387 patients, 335 (85.2%) received general anesthesia and intubation, 9 patients (2.3%) received general anesthesia and laryngeal mask airway, 39 patients (9.9%) received sedoanalgesia and 4 patients (1%) received regional anesthesia. Perioperative mortality was developed in one patient. The most common periopertaive complication was allergic reaction (1.5%), whereas the most common post-operative complications were atelectasis (3.3%) and biliary fistula (3%). The mean Intensive Care Unit stay (ICU) was 1.9±1.1 days in patients requiring ICU. https://www.selleckchem.com/products/mek162.html Recurrence during the 40±17 months follow-up occurred in 8.4% patients. Conclusions Anesthesiologists have an important role in the management of hydatid cyst patients. Patients should be evaluated exhaustively in terms of multi-organ involvement and the presence of more than one cyst in the same organ. The type of treatment procedure and the localization of the cysts determine the anesthetic management.With the increasing demand for energy conversation and high efficiency, data quality is of great important to the operation management and monitoring in industrial applications. Data reconciliation, as a data processing technology, provides great potential to improve quality of process data, and is widely used to reduce measurement error and estimate unmeasured parameters. However, there are reactors connected in series in the long-running industrial processes so that liquid material information is difficult to mark and trace, and the liquid material has different residence times in each reactor due to the differences in the internal structure and operation mode. The time-delay in different reactors may be various and time-varying. In this paper, to solve these problems, a multiple time-delay interval estimation based hierarchical data reconciliation method is put forward. First, the multiple time-delay interval estimation is developed according to the process mechanism analysis and modeling. Then, an improved discrete state transition solution approach is presented to solve the data time-matching with multiple time-delay interval estimation for different reactors. Finally, a hierarchical data reconciliation frame is built by data characteristics. The feasible of the proposed data reconciliation method is verified utilizing the industrial application results.The inkjet 3D printing has been one of the most studied and applied additive manufacturing (AM) processes in electronic industry. In this AM process, the forming quality is greatly influenced by the micro-droplet deposition and substrate temperature. While most studies focus on the formation mechanism of droplets, there are few studies on the quantitative evaluation of the droplet surface profile and its qualitative correlation with temperature changes. In this study, the characteristics of droplet profile in three-dimensional inkjet printing were studied from two aspects, the modeling of droplet shape and the estimation of droplet temperature. For this purpose, different types of radial basis function networks (RBFN) are applied. The validity of the regularized RBFN model is developed and verified by experiments. The results show that the droplet shape can be accurately modeled and the drying temperature can be accurately estimated given the model.Pneumolysin is a highly conserved, cholesterol-dependent cytolysin that is an important Streptococcus pneumoniae virulence factor and an attractive target for vaccine development. To attenuate pneumolysin toxicity, a genetic toxoid was constructed with two amino acid changes, G293S and L460D, termed PLY-D, that reduced cytolytic activity > 125,000-fold. In mice, PLY-D elicited high anti-PLY IgG antibody titers that neutralized the cytolytic activity of the wild-type toxin in vitro. To evaluate the protective efficacy of PLY-D, mice were immunized intramuscularly and then challenged intranasally with a lethal dose of 28 clinical isolates of S. pneumoniae originating from different geographical locations, disease states (i.e. bacteremia, pneumonia), or body sites (i.e. sputum, blood). PLY-D immunization conferred significant protection from challenge with 17 of 20 serotypes (85%) and 22 of 28 strains (79%). Further, we demonstrated that immunization with PLY-D provided statistically significant improvement in survival against challenge with serotype 4 and 18C strains compared to mice immunized with a pneumococcal conjugate vaccine Prevnar 13® (PCV13). Co-administration of PLY-D and PCV13 conferred greater protection against challenge with a serotype 6B strain than immunization with either vaccine alone. These data indicate that PLY-D is a broadly protective antigen with the potential to serve as a serotype-independent vaccine against invasive pneumococcal disease either alone or in combination with PCVs.Background Viral genetic variability presents a major challenge to the development of a prophylactic hepatitis C virus (HCV) vaccine. A promising HCV vaccine using chimpanzee adenoviral vectors (ChAd) encoding a genotype (gt) 1b non-structural protein (ChAd-Gt1b-NS) generated high magnitude T cell responses. However, these T cells showed reduced cross-recognition of dominant epitope variants and the vaccine has recently been shown to be ineffective at preventing chronic HCV. To address the challenge of viral diversity, we developed ChAd vaccines encoding HCV genomic sequences that are conserved between all major HCV genotypes and adjuvanted by truncated shark invariant chain (sIitr). Methods Age-matched female mice were immunised intramuscularly with ChAd (108 infectious units) encoding gt-1 and -3 (ChAd-Gt1/3) or gt-1 to -6 (ChAd-Gt1-6) conserved segments spanning the HCV proteome, or gt-1b (ChAd-Gt1b-NS control), with immunogenicity assessed 14-days post-vaccination. Results Conserved segment vaccines, ChAd-Gt1/3 and ChAd-Gt1-6, generated high-magnitude, broad, and functional CD4+ and CD8+ T cell responses.
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  • Dialkylketones migration from paper-based food contact articles into organic solvents isooctane and dichloromethane, in olive and sunflower oils, and in fatty foods (croissants, Gouda, cheddar cheese, and salami was studied). As a result, it was found that the simulating tests, including the edible oil extraction tests, gave migration values that exceeded the SML largely, while the migration with the food samples were largely below the SML.Recent advances in myoelectric controlled techniques have made the surface electromyogram (sEMG)-based sensing armband a promising candidate for acquiring bioelectric signals in a simple and convenient way. However, inevitable electrode shift as a non-negligible defect commonly causes a trained classifier requiring continuous recalibrations. In this study, a novel hand gesture prediction is firstly proposed; it is robust to electrode shift with arbitrary angle. Unlike real-time recognition which outputs target gestures only after the termination of hand motions, our proposed advanced prediction can provide the same results, even before the completion of signal collection. Moreover, by combining interpolated peak location and preset synchronous gesture, the developed simplified rapid electrode shift detection and correction at random rather than previous fixed angles are realized. Experimental results demonstrate that it is possible to achieve both electrode shift detection with high precision and gesture prediction with high accuracy. This study provides a new insight into electrode shift robustness which brings gesture prediction a step closer to practical applications.Activating transcription factor-6 α (ATF6) is one of the three main sensors and effectors of the endoplasmic reticulum (ER) stress response and, as such, it is critical for protecting the heart and other tissues from a variety of environmental insults and disease states. In the heart, ATF6 has been shown to protect cardiac myocytes. However, its roles in other cell types in the heart are unknown. Here we show that ATF6 decreases the activation of cardiac fibroblasts in response to the cytokine, transforming growth factor β (TGFβ), which can induce fibroblast trans-differentiation into a myofibroblast phenotype through signaling via the TGFβ-Smad pathway. ATF6 activation suppressed fibroblast contraction and the induction of α smooth muscle actin (αSMA). Conversely, fibroblasts were hyperactivated when ATF6 was silenced or deleted. ATF6 thus represents a novel inhibitor of the TGFβ-Smad axis of cardiac fibroblast activation.This study developed a multi-classification model for vehicle interior noise from the subway system, collected on smartphones. The proposed model has the potential to be used to analyze the causes of abnormal noise using statistical methods and evaluate the effect of rail maintenance work. To this end, first, we developed a multi-source data (audio, acceleration, and angle rate) collection framework via smartphone built-in sensors. Then, considering the Shannon entropy, a 1-second window was selected to segment the time-series signals. This study extracted 45 features from the time- and frequency-domains to establish the classifier. Next, we investigated the effects of balancing the training dataset with the Synthetic Minority Oversampling Technique (SMOTE). By comparing and analyzing the classification results of importance-based and mutual information-based feature selection methods, the study employed a feature set consisting of the top 10 features by importance score. Comparisons with other classifiers indicated that the proposed XGBoost-based classifier runs fast while maintaining good accuracy. Finally, case studies were provided to extend the applications of this classifier to the analysis of abnormal vehicle interior noise events and evaluate the effects of rail grinding.Data on exosomal-derived urinary miRNAs have identified several miRNAs associated with disease activity and fibrosis formation, but studies on prognosis are lacking. We conducted a qPCR array screening on urinary exosomes from 14 patients with biopsy-proven proliferative lupus glomerulonephritis with a renal outcome of clinical response (n = 7) and non-response (n = 7) following therapy. Validation studies were performed by qRT-PCR in a new lupus nephritis (LN) cohort (responders = 22 and non-responders = 21). Responder patients expressed significantly increased levels of miR-31, miR-107, and miR-135b-5p in urine and renal tissue compared to non-responders. MiR-135b exhibited the best predictive value to discriminate responder patients (area under the curve = 0.783). In vitro studies showed exosome-derived miR-31, miR-107, and miR-135b-5p expression to be mainly produced by tubular renal cells stimulated with inflammatory cytokines (e.g IL1, TNFα, IFNα and IL6). Uptake of urinary exosomes from responders by mesangial cells was superior compared to that from non-responders (90% vs. 50%, p less then 0.0001). HIF1A was identified as a potential common target, and low protein levels were found in non-responder renal biopsies. https://www.selleckchem.com/products/way-309236-a.html HIF1A inhibition reduced mesangial proliferation and IL-8, CCL2, CCL3, and CXCL1 mesangial cell production and IL-6/VCAM-1 in endothelial cells. Urinary exosomal miR-135b-5p, miR-107, and miR-31 are promising novel markers for clinical outcomes, regulating LN renal recovery by HIF1A inhibition.Atmospheric pollution by particulate matter represents a significant health risk and needs continuous monitoring by air quality networks that provide mass concentrations for PM10 and PM2.5 (particles with diameter smaller than 10 m and 2.5 m, respectively). We present here a new approach to monitor the urban particles content, using six years of aerosols number concentration measurements for particles in the 0.2-50 m size range. These measurements are performed by the Light Optical Aerosols Counter (LOAC) instrument onboard the tethered touristic balloon "Ballon de Paris Generali", in Paris, France. Such measurements have allowed us first to detect at ground a seasonal variability in the particulate matter content, due to the origin of the particles (anthropogenic pollution, pollens), and secondly, to retrieve the mean evolution of particles concentrations with height above ground up to 150 m. Measurements were also conducted up to 300 m above ground during major pollution events. The vertical evolution of concentrations varies from one event to another, depending on the origin of the pollution and on the meteorological conditions.
    Dialkylketones migration from paper-based food contact articles into organic solvents isooctane and dichloromethane, in olive and sunflower oils, and in fatty foods (croissants, Gouda, cheddar cheese, and salami was studied). As a result, it was found that the simulating tests, including the edible oil extraction tests, gave migration values that exceeded the SML largely, while the migration with the food samples were largely below the SML.Recent advances in myoelectric controlled techniques have made the surface electromyogram (sEMG)-based sensing armband a promising candidate for acquiring bioelectric signals in a simple and convenient way. However, inevitable electrode shift as a non-negligible defect commonly causes a trained classifier requiring continuous recalibrations. In this study, a novel hand gesture prediction is firstly proposed; it is robust to electrode shift with arbitrary angle. Unlike real-time recognition which outputs target gestures only after the termination of hand motions, our proposed advanced prediction can provide the same results, even before the completion of signal collection. Moreover, by combining interpolated peak location and preset synchronous gesture, the developed simplified rapid electrode shift detection and correction at random rather than previous fixed angles are realized. Experimental results demonstrate that it is possible to achieve both electrode shift detection with high precision and gesture prediction with high accuracy. This study provides a new insight into electrode shift robustness which brings gesture prediction a step closer to practical applications.Activating transcription factor-6 α (ATF6) is one of the three main sensors and effectors of the endoplasmic reticulum (ER) stress response and, as such, it is critical for protecting the heart and other tissues from a variety of environmental insults and disease states. In the heart, ATF6 has been shown to protect cardiac myocytes. However, its roles in other cell types in the heart are unknown. Here we show that ATF6 decreases the activation of cardiac fibroblasts in response to the cytokine, transforming growth factor β (TGFβ), which can induce fibroblast trans-differentiation into a myofibroblast phenotype through signaling via the TGFβ-Smad pathway. ATF6 activation suppressed fibroblast contraction and the induction of α smooth muscle actin (αSMA). Conversely, fibroblasts were hyperactivated when ATF6 was silenced or deleted. ATF6 thus represents a novel inhibitor of the TGFβ-Smad axis of cardiac fibroblast activation.This study developed a multi-classification model for vehicle interior noise from the subway system, collected on smartphones. The proposed model has the potential to be used to analyze the causes of abnormal noise using statistical methods and evaluate the effect of rail maintenance work. To this end, first, we developed a multi-source data (audio, acceleration, and angle rate) collection framework via smartphone built-in sensors. Then, considering the Shannon entropy, a 1-second window was selected to segment the time-series signals. This study extracted 45 features from the time- and frequency-domains to establish the classifier. Next, we investigated the effects of balancing the training dataset with the Synthetic Minority Oversampling Technique (SMOTE). By comparing and analyzing the classification results of importance-based and mutual information-based feature selection methods, the study employed a feature set consisting of the top 10 features by importance score. Comparisons with other classifiers indicated that the proposed XGBoost-based classifier runs fast while maintaining good accuracy. Finally, case studies were provided to extend the applications of this classifier to the analysis of abnormal vehicle interior noise events and evaluate the effects of rail grinding.Data on exosomal-derived urinary miRNAs have identified several miRNAs associated with disease activity and fibrosis formation, but studies on prognosis are lacking. We conducted a qPCR array screening on urinary exosomes from 14 patients with biopsy-proven proliferative lupus glomerulonephritis with a renal outcome of clinical response (n = 7) and non-response (n = 7) following therapy. Validation studies were performed by qRT-PCR in a new lupus nephritis (LN) cohort (responders = 22 and non-responders = 21). Responder patients expressed significantly increased levels of miR-31, miR-107, and miR-135b-5p in urine and renal tissue compared to non-responders. MiR-135b exhibited the best predictive value to discriminate responder patients (area under the curve = 0.783). In vitro studies showed exosome-derived miR-31, miR-107, and miR-135b-5p expression to be mainly produced by tubular renal cells stimulated with inflammatory cytokines (e.g IL1, TNFα, IFNα and IL6). Uptake of urinary exosomes from responders by mesangial cells was superior compared to that from non-responders (90% vs. 50%, p less then 0.0001). HIF1A was identified as a potential common target, and low protein levels were found in non-responder renal biopsies. https://www.selleckchem.com/products/way-309236-a.html HIF1A inhibition reduced mesangial proliferation and IL-8, CCL2, CCL3, and CXCL1 mesangial cell production and IL-6/VCAM-1 in endothelial cells. Urinary exosomal miR-135b-5p, miR-107, and miR-31 are promising novel markers for clinical outcomes, regulating LN renal recovery by HIF1A inhibition.Atmospheric pollution by particulate matter represents a significant health risk and needs continuous monitoring by air quality networks that provide mass concentrations for PM10 and PM2.5 (particles with diameter smaller than 10 m and 2.5 m, respectively). We present here a new approach to monitor the urban particles content, using six years of aerosols number concentration measurements for particles in the 0.2-50 m size range. These measurements are performed by the Light Optical Aerosols Counter (LOAC) instrument onboard the tethered touristic balloon "Ballon de Paris Generali", in Paris, France. Such measurements have allowed us first to detect at ground a seasonal variability in the particulate matter content, due to the origin of the particles (anthropogenic pollution, pollens), and secondly, to retrieve the mean evolution of particles concentrations with height above ground up to 150 m. Measurements were also conducted up to 300 m above ground during major pollution events. The vertical evolution of concentrations varies from one event to another, depending on the origin of the pollution and on the meteorological conditions.
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