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1.
Nurs Outlook ; 72(5): 102248, 2024 Jul 26.
Artículo en Inglés | MEDLINE | ID: mdl-39067108

RESUMEN

Xylazine-associated wounds are a distinct, novel clinical entity characterized by co-occurrence with substance use, progressive necrosis of skin, muscle, tendon, and bone, and slow healing. In Philadelphia, the specter of limb loss, stigma, and shame has hung over hospital-based care for xylazine-associated wounds among people who use drugs (PWUD) and kept many people away from engaging in care. Continued engagement in harm reduction wound care nursing, however, offers an opportunity for PWUD to address their wounds and their fears with members of the medical world. In the absence of established best practices, harm reduction's model of risk-reductive care offers a way forward for patients and practitioners alike. Here, "harm reduction" describes an ethic of practical, trauma-informed, patient-centered care. It is this integration of harm reduction into medicine and public health that effectively promotes the safety, survival, and recovery of PWUD across all spectrums of drug use habits and housing stability.

2.
Cad Saude Publica ; 40(6): e00224023, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-39082563

RESUMEN

Malaria is a public health problem and the cases diagnosed in the capital of Roraima, Brazil, show potential to characterize the burden of the disease in the state. This study aimed to describe the epidemiological, clinical, and laboratory aspects of malaria cases diagnosed in Boa Vista. For this purpose, a descriptive, cross-sectional study was conducted in two health units in the city, with individuals diagnosed and who agreed to respond the questionnaire. Of the total of 206 participants, characterized as men, mixed-race, and young, 96% (198) reported participating in illegal mining activity. Among the group of miners, 66% (131) came from other states of Brazil or other countries. The mines were mainly located in the Yanomami territory in Roraima. Plasmodium vivax infection occurred in 74% (153) of participants. In the miner's group, hospitalizations for severe malaria, previous malaria attacks, and delays in treatment after the onset of symptoms were reported. Although 73% (145) of miners reported knowing how malaria was transmitted, only 54% (107) used mosquito nets or repellents. The use of Artecom and chloroquine by miners is not for the complete treatment but only to relieve symptoms for returning to gold mines, highlighting the importance of molecular surveillance to antimalarial resistance. Indigenous peoples are considered vulnerable to malaria and miners promotes the increase of malaria in Roraima Indigenous Lands. Therefore, access to diagnosis and treatment in Indigenous areas invaded by miners is imperative to confront this disease that ravages Indigenous communities and threatens public health on a large scale to achieve the goal of eliminating malaria in the state.


Asunto(s)
Minería , Humanos , Brasil/epidemiología , Masculino , Estudios Transversales , Adulto , Adulto Joven , Femenino , Adolescente , Persona de Mediana Edad , Malaria Vivax/epidemiología , Malaria Vivax/prevención & control , Malaria/epidemiología , Malaria/prevención & control , Indígenas Sudamericanos/estadística & datos numéricos
3.
Acta Cytol ; 2024 Jul 18.
Artículo en Inglés | MEDLINE | ID: mdl-39025059

RESUMEN

The International Serous Fluid Cytopathology Reporting System (TIS) was developed to standardize communication among health professionals reporting analyses of serous fluid samples. The categories include Non-Diagnosis (ND), Negative for Malignancy (NFM), Atypia of Undetermined Significance (AUS), Suspected Malignancy (SFM), and Malignant (MAL). Each category was characterized by a risk of malignancy (ROM). We performed a literature review to analyze studies related to TIS using several sources, including PubMed, followed by a search of relevant cytopathology journal websites (American Cancer Society, Diagnostic Cytopathology, Journal of the American Society of Cytopathology, and Acta Cytologica and Cytopathology). The search included articles published between January 2020 and December 2023, using the terms "international AND serous fluid system." We identified 257 articles, of which 20 addressed the inclusion and exclusion criteria. The overall ROMs for each category were 23.55% for ND, 16.46% for NFM, 50.78% for AUS, 91.34% for SFM, and 98.21% for MAL. Considering the TIS-recommended ROM rates, the ND category was between the suggested intervals, while the SFM category rate was larger than expected. The other categories (NFM, AUS, and MAL) were below expected values. SFM and MAL had a stronger association with malignant results. New studies are needed to determine each category's ROM rate from TIS accurately.

4.
Behav Brain Res ; 472: 115135, 2024 Jul 02.
Artículo en Inglés | MEDLINE | ID: mdl-38964616

RESUMEN

The present study aimed to evaluate the protective potential of carvacrol against depressive-like behavior and cognitive impairment prompted by chronic unpredictable mild stress (CUMS) in mice. The animals were divided into six groups: Control (non-stressed), CARV (carvacrol at 50 mg/kg, p.o.), FLU (fluoxetine at 10 mg/kg, p.o.), CUMS (stressed), CUMS + CARV and CUMS + FLU, and the groups with CUMS were subjected to different stressors for 28 days. After treatment, mice underwent behavioral testing (open field, forced swimming, sucrose preference, social interaction, novel object recognition and Y-maze) and brain areas were removed for oxidative stress (MDA, nitrite/nitrate and GSH levels) and cytokine (IL-1ß and TNF-α) content assays. The results revealed that CARV administration reversed depressive-like behavior and significantly ameliorated the cognitive deficit induced by CUMS, as well as was able to attenuate oxidative stress (decreased MDA and nitrite/nitrate levels and increased GSH levels). In addition, a significant reduction in hippocampal IL-1ß and TNF-α levels was observed, demonstrating a potential anti-neuroinflammatory activity. Taken together, the antioxidant and anti-inflammatory activities observed in this study indicate that CARV is a promising drug for antidepressant treatment.

5.
J Environ Manage ; 366: 121826, 2024 Jul 14.
Artículo en Inglés | MEDLINE | ID: mdl-39008928

RESUMEN

Pollution by microplastics (MPs) in mangroves is a growing concern, given its potential ecological and human health impacts. The characteristics of microplastic pollution and a risk assessment of MPs in the Amazon region's coastal sediments are still insufficient, and information about MP pollution in the benthic component of the mangrove ecosystem is lacking. We analyzed MP concentrations in the surface sediment of 9 stations in three tidal channels along the Ajuruteua Peninsula connected to the Caeté River estuary, aiming to assess the hazard level on the environment based on the Pollution Load Index (PLI). Raman and Fourier transform infrared spectroscopy determined the MP's chemical composition. The results showed that the abundance of sediment MPs ranged from 100 to 1200 items kg-1, with an average of 433 ± 261.6 items kg-1. The MPs were mainly composed of transparent and blue fragments and fibers, ranging in size from 100 to 5000 µm. Six types of polymers were identified, including alkyd varnish (AV), resin dispersion (RD), chlorinated polyethylene (CPE), polyethylene-polypropylene (PE-PP), low-density polyethylene (LDPE), and hostaperm blue (HB). Hydrodynamic processes within estuaries and tidal channels play a crucial role in explaining the concentrations found, as circulation determines the pattern of sediment deposition and the particles adhered to it. PLI risk assessment showed that all sampling sites were at hazard level I: a low level of contamination in the mangrove sediments. However, a more comprehensive and systematic monitoring campaign is needed to expand our knowledge about pollution and contamination by MPs in Amazon mangrove areas.

6.
Behav Pharmacol ; 2024 Jul 22.
Artículo en Inglés | MEDLINE | ID: mdl-39051915

RESUMEN

Depression is a common mood disorder and many patients do not respond to conventional pharmacotherapy or experience a variety of adverse effects. This work proposed that riparin I (RIP I) and riparin II (RIP II) present neuroprotective effects through modulation of astrocytes and microglia, resulting in the reversal of depressive-like behaviors. To verify our hypothesis and clarify the pathways underlying the effect of RIP I and RIP II on neuroinflammation, we used the chronic unpredictable mild stress (CUMS) depression model in mice. Male Swiss mice were exposed to stressors for 28 days. From 15th to the 22nd day, the animals received RIP I or RIP II (50 mg/kg) or fluoxetine (FLU, 10 mg/kg) or vehicle, by gavage. On the 29th day, behavioral tests were performed. Expressions of microglia (ionized calcium-binding adaptor molecule-1 - Iba-1) and astrocyte (glial fibrillary acidic protein - GFAP) markers and levels of cytokines tumor necrosis factor alfa (TNF-α) and interleukin 1 beta (IL-1ß) were measured in the hippocampus. CUMS induced depressive-like behaviors and cognitive impairment, high TNF-α and IL-1ß levels, decreased GFAP, and increased Iba-1 expressions. RIP I and RIP II reversed these alterations. These results contribute to the understanding the mechanisms underlying the antidepressant effect of RIP I and RIP II, which may be related to neuroinflammatory suppression.

7.
Chemistry ; : e202402634, 2024 Jul 30.
Artículo en Inglés | MEDLINE | ID: mdl-39078075

RESUMEN

BODIPYs have a well-established role in biological sciences as chemosensors and versatile biological markers due to their chemical reactivity, which allows for fine-tuning of their photophysical characteristics. In this work, we combined the unique reactivity of arylazo sulfones with the advantages of a "sunflow" reactor to develop a fast, efficient, and versatile method for the photochemical arylation of BODIPYs and other chromophores. This approach resulted in red-shifted emitting fluorophores due to extended electronic delocalization at the 3- and 5-positions of the BODIPY core. This method represents an advantageous approach for BODIPY functionalization compared to existing strategies.

8.
Chemosphere ; 361: 142492, 2024 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-38830469

RESUMEN

The Amazon rivers constitute the largest river basin in the world, with a high level of biodiversity. The Tocantins River is one of the most important rivers in this region, which has been impacted by different land uses. The objective of this study was to carry out a multi-evidence analysis focusing on the water quality of the Tocantins River, close to the municipality of Marabá-PA. We analyzed forest cover and water quality and, using the model organism Danio rerio, performed toxicity tests for histopathological effects, as well as the habitat selection approach by exposing fish to different river water samples in a multi-compartment device. The results showed that the studied area has already lost almost 30% of its forests in recent decades. Regarding water quality, the upstream (C1) and downstream (C5) points are the least impacted. On the other hand, the other points (C2-C4), closer to the city, greater input of pollutants was detected. Fish exposed to water samples from the most impacted sites showed several oedemas and hyperplastic cells in the gills. Regarding habitat selection behavior, there was a marked avoidance by samples with the highest contamination load. The results of this study lead to the understanding of the potential negative effects of human activities on local Amazonian biodiversity, since the potential toxicity of the environment, in conjunction with changes in the habitat selection process, could lead to a decline in populations of aquatic organisms, altering the environmental balance.


Asunto(s)
Ecosistema , Monitoreo del Ambiente , Ríos , Contaminantes Químicos del Agua , Calidad del Agua , Pez Cebra , Animales , Ríos/química , Contaminantes Químicos del Agua/análisis , Contaminantes Químicos del Agua/toxicidad , Biodiversidad , Brasil , Bosques , Peces
9.
Heliyon ; 10(11): e31826, 2024 Jun 15.
Artículo en Inglés | MEDLINE | ID: mdl-38882311

RESUMEN

As an ecological alternative to the conventional refrigeration technology, magnetocaloric refrigeration is still facing scientific and technological challenges hindering their application. Magnetocaloric devices rely on the magnetocaloric effect, where temperature variations result from magnetic field changes. The correct implementation of the magnetocaloric effect in numerical models is crucial before prototyping the related solutions. Here, we present a comparison between the three most used numerical methods to simulate the magnetocaloric effect: continuous temperature change, discrete temperature change step and heat source obtained from adiabatic temperature. By varying the time and space steps, it was observed that the continuous temperature change method is the most appropriate for small time steps, but has the largest computational cost. The discrete method can only be applied to small time steps, but is the fastest method. Finally, the adiabatic temperature change power source method can be applied in the entire range and is the one that presents the best results for larger time steps.

10.
Artículo en Inglés | MEDLINE | ID: mdl-38928926

RESUMEN

Multidrug- and artemisinin-resistant (ART-R) Plasmodium falciparum (Pf) parasites represent a challenge for malaria elimination worldwide. Molecular monitoring in the Kelch domain region (pfk13) gene allows tracking mutations in parasite resistance to artemisinin. The increase in illegal miners in the Roraima Yanomami indigenous land (YIL) could favor ART-R parasites. Thus, this study aimed to investigate ART-R in patients from illegal gold mining areas in the YIL of Roraima, Brazil. A questionnaire was conducted, and blood was collected from 48 patients diagnosed with P. falciparum or mixed malaria (Pf + P. vivax). The DNA was extracted and the pfk13 gene was amplified by PCR. The amplicons were subjected to DNA-Sanger-sequencing and the entire amplified fragment was analyzed. Among the patients, 96% (46) were from illegal mining areas of the YIL. All parasite samples carried the wild-type genotypes/ART-sensitive phenotypes. These data reinforce the continued use of artemisinin-based combination therapies (ACTs) in Roraima, as well as the maintenance of systematic monitoring for early detection of parasite populations resistant to ART, mainly in regions with an intense flow of individuals from mining areas, such as the YIL. This is especially true when the achievement of falciparum malaria elimination in Brazil is planned and expected by 2030.


Asunto(s)
Antimaláricos , Artemisininas , Resistencia a Medicamentos , Malaria Falciparum , Minería , Plasmodium falciparum , Artemisininas/uso terapéutico , Artemisininas/farmacología , Brasil/epidemiología , Plasmodium falciparum/efectos de los fármacos , Plasmodium falciparum/genética , Humanos , Antimaláricos/uso terapéutico , Antimaláricos/farmacología , Resistencia a Medicamentos/genética , Malaria Falciparum/tratamiento farmacológico , Malaria Falciparum/epidemiología , Malaria Falciparum/parasitología , Masculino , Adulto , Femenino , Persona de Mediana Edad , Adulto Joven , Adolescente , Genotipo
11.
J Evid Based Dent Pract ; 24(2): 101982, 2024 06.
Artículo en Inglés | MEDLINE | ID: mdl-38821663

RESUMEN

ARTICLE TITLE AND BIBLIOGRAPHIC INFORMATION: Salivary biomarkers of oxidative stress in children with dental caries: Systematic review and meta-analysis doi:10.1016/j.archoralbio.2022.105432. SOURCE OF FUNDING: CAPES (Coordination for the improvement of higher education, National Council of Technological and Scientific Development), Finace code 001. TYPE OF STUDY/DESIGN: Systematic review with meta-analysis of data.


Asunto(s)
Antioxidantes , Biomarcadores , Caries Dental , Estrés Oxidativo , Saliva , Niño , Humanos , Saliva/química , Revisiones Sistemáticas como Asunto , Metaanálisis como Asunto
12.
Chemosphere ; 360: 142411, 2024 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-38789050

RESUMEN

Atrazine is an herbicide with a high soil leaching capacity, contaminating subsurface water sources. Once the water table is contaminated, riparian species can be exposed to atrazine. In this way, understanding the impacts of this exposure must be evaluated for planning strategies that minimize the effects of this herbicide on native forest species. We aimed to evaluate forest species' sensitivity and antioxidant response to exposure to subsurface waters contaminated with atrazine, as well the dissipation this herbicide. The experiment was conducted in a greenhouse in a completely randomized design, with three replications and one plant per experimental unit. The treatments were arranged in a 2 × 10 factorial. The first factor corresponded to the presence or absence (control) of the atrazine in the subsurface water. The second factor comprised 10 forest species: Amburana cearensis, Anadenanthera macrocarpa, Bauhinia cheilantha, Enterolobium contortisiliquum, Hymenaea courbaril, Libidibia ferrea, Mimosa caesalpiniifolia, Mimosa tenuiflora, Myracrodruon urundeuva, and Tabebuia aurea. The forest species studied showed different sensitivity levels to atrazine in subsurface water. A. cearensis and B. cheilantha species do not have efficient antioxidant systems to prevent severe oxidative damage. The species A. macrocarpa, E. contortisiliquum, L. ferrea, and M. caesalpiniifolia are moderately affected by atrazine. H. courbaril, M. urundeuva, and T. aurea showed greater tolerance to atrazine due to the action of the antioxidant system of these species, avoiding membrane degradation events linked to the production of reactive oxygen species (ROS). Among the forest species, H. courbaril has the most significant remedial potential due to its greater tolerance and reduced atrazine concentrations in the soil.


Asunto(s)
Antioxidantes , Atrazina , Bosques , Herbicidas , Plantones , Contaminantes Químicos del Agua , Atrazina/análisis , Herbicidas/análisis , Antioxidantes/metabolismo , Antioxidantes/análisis , Contaminantes Químicos del Agua/análisis , Plantones/efectos de los fármacos , Contaminantes del Suelo/análisis , Suelo/química
13.
bioRxiv ; 2024 May 01.
Artículo en Inglés | MEDLINE | ID: mdl-38746311

RESUMEN

Substance Use Disorders (SUDs) manifest as persistent drug-seeking behavior despite adverse consequences, with Alcohol Use Disorder (AUD) and Opioid Use Disorder (OUD) representing prevalent forms associated with significant mortality rates and economic burdens. The co-occurrence of AUD and OUD is common, necessitating a deeper comprehension of their intricate interactions. While the causal link between these disorders remains elusive, shared genetic factors are hypothesized. Leveraging public datasets, we employed genomic and transcriptomic analyses to explore conserved and distinct molecular pathways within the dorsolateral prefrontal cortex associated with AUD and OUD. Our findings unveil modest transcriptomic overlap at the gene level between the two disorders but substantial convergence on shared biological pathways. Notably, these pathways predominantly involve inflammatory processes, synaptic plasticity, and key intracellular signaling regulators. Integration of transcriptomic data with the latest genome-wide association studies (GWAS) for problematic alcohol use (PAU) and OUD not only corroborated our transcriptomic findings but also confirmed the limited shared heritability between the disorders. Overall, our study indicates that while alcohol and opioids induce diverse transcriptional alterations at the gene level, they converge on select biological pathways, offering promising avenues for novel therapeutic targets aimed at addressing both disorders simultaneously.

14.
Sci Rep ; 14(1): 10841, 2024 05 12.
Artículo en Inglés | MEDLINE | ID: mdl-38736010

RESUMEN

Optimizing early breast cancer (BC) detection requires effective risk assessment tools. This retrospective study from Brazil showcases the efficacy of machine learning in discerning complex patterns within routine blood tests, presenting a globally accessible and cost-effective approach for risk evaluation. We analyzed complete blood count (CBC) tests from 396,848 women aged 40-70, who underwent breast imaging or biopsies within six months after their CBC test. Of these, 2861 (0.72%) were identified as cases: 1882 with BC confirmed by anatomopathological tests, and 979 with highly suspicious imaging (BI-RADS 5). The remaining 393,987 participants (99.28%), with BI-RADS 1 or 2 results, were classified as controls. The database was divided into modeling (including training and validation) and testing sets based on diagnostic certainty. The testing set comprised cases confirmed by anatomopathology and controls cancer-free for 4.5-6.5 years post-CBC. Our ridge regression model, incorporating neutrophil-lymphocyte ratio, red blood cells, and age, achieved an AUC of 0.64 (95% CI 0.64-0.65). We also demonstrate that these results are slightly better than those from a boosting machine learning model, LightGBM, plus having the benefit of being fully interpretable. Using the probabilistic output from this model, we divided the study population into four risk groups: high, moderate, average, and low risk, which obtained relative ratios of BC of 1.99, 1.32, 1.02, and 0.42, respectively. The aim of this stratification was to streamline prioritization, potentially improving the early detection of breast cancer, particularly in resource-limited environments. As a risk stratification tool, this model offers the potential for personalized breast cancer screening by prioritizing women based on their individual risk, thereby indicating a shift from a broad population strategy.


Asunto(s)
Neoplasias de la Mama , Aprendizaje Automático , Humanos , Neoplasias de la Mama/sangre , Neoplasias de la Mama/diagnóstico , Neoplasias de la Mama/patología , Femenino , Persona de Mediana Edad , Estudios Retrospectivos , Adulto , Anciano , Recuento de Células Sanguíneas/métodos , Medición de Riesgo/métodos , Detección Precoz del Cáncer/métodos , Brasil/epidemiología
15.
Pharmacol Biochem Behav ; 240: 173778, 2024 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-38679081

RESUMEN

Depression and anxiety disorders have their pathophysiologies linked to inflammation and oxidative stress. In this context, celecoxib (CLX) and etoricoxib (ETR) inhibit cyclooxygenase 2 (COX-2), an enzyme expressed by cells involved in the inflammatory process and found in the brain. Studies have been using CLX as a possible drug in the treatment of depression, although its mechanisms at the central nervous system level are not fully elucidated. In this study, the effects of CLX and ETR on behavioral, oxidative, and inflammatory changes induced by systemic exposure to Escherichia coli lipopolysaccharide (LPS) were evaluated in adult male swiss mice. For ten days, the animals received intraperitoneal injections of LPS at 0.5 mg/kg. From the sixth to the tenth day, one hour after LPS exposure, they were treated orally with CLX (15 mg/kg), ETR (10 mg/kg), or fluoxetine (FLU) (20 mg/kg). Twenty-four hours after the last oral administration, the animals underwent evaluation of locomotor activity (open field test), predictive tests for depressive-like behavior (forced swim and tail suspension tests), and anxiolytic-like effect (elevated plus maze and hole board tests). Subsequently, the hippocampus, prefrontal cortex and striatum were dissected for the measurement of oxidative and nitrosative parameters (malondialdehyde, nitrite, and glutathione) and quantification of pro-inflammatory cytokines (IL-1ß and IL-6). LPS induced depressive and anxious-like behavior, and treatment with CLX or ETR was able to reverse most of the behavioral changes. It was evidenced that nitrosative stress and the degree of lipid peroxidation induced by LPS were reduced in different brain areas after treatment with the drugs, as well as the endogenous defense system against free radicals was strengthened. CLX and ETR also significantly reduced LPS-induced cytokine levels. These data are expected to expand information on the role of inflammation in depression and anxiety and provide insights into possible mechanisms of COX-2 inhibitors in psychiatric disorders with a neurobiological basis in inflammation and oxidative stress.


Asunto(s)
Ansiedad , Conducta Animal , Celecoxib , Inhibidores de la Ciclooxigenasa 2 , Depresión , Lipopolisacáridos , Estrés Oxidativo , Animales , Masculino , Ratones , Lipopolisacáridos/farmacología , Estrés Oxidativo/efectos de los fármacos , Inhibidores de la Ciclooxigenasa 2/farmacología , Depresión/tratamiento farmacológico , Depresión/inducido químicamente , Depresión/metabolismo , Ansiedad/tratamiento farmacológico , Ansiedad/inducido químicamente , Conducta Animal/efectos de los fármacos , Celecoxib/farmacología , Celecoxib/administración & dosificación , Etoricoxib/farmacología , Enfermedades Neuroinflamatorias/tratamiento farmacológico , Enfermedades Neuroinflamatorias/metabolismo , Enfermedades Neuroinflamatorias/inducido químicamente , Inflamación/tratamiento farmacológico , Inflamación/inducido químicamente , Inflamación/metabolismo
16.
Biodivers Data J ; 12: e118854, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-38628455

RESUMEN

Background: The special area of conservation Montesinho/Nogueira (SAC-MN) is a key area for biodiversity conservation in the Iberian Peninsula. Covering an area of approximately 1081 km² in the northeast of Portugal mainland, the SAC-MN is home to a wide range of species, including several endemic and endangered species and priority habitats. Despite its ecological significance and importance for conservation, there is a lack of publicly available biodiversity data, which urges the need to create a comprehensive and up-to-date biodiversity dataset for the SAC-MN. New information: To bridge the knowledge gap on biodiversity in SAC-MN, we undertook a thorough data collection process, including species occurrence records and conservation status information at regional (Portugal) and European levels, from multiple sources. We collected and compiled this information for five major taxonomic groups (amphibians, birds, flora - vascular plants, mammals and reptiles) in SAC-MN, resulting in a total of 31,871 records with 1,312 documented species. In addition, we developed an easy-to-navigate web-based geographic information system (Web GIS). In this article, we present an in-depth report on the process of compiling and preparing data, as well as the development and design of our Web GIS to increase awareness and enhance understanding of the importance of preserving biodiversity in SAC-MN.

17.
Ann Intensive Care ; 14(1): 54, 2024 Apr 09.
Artículo en Inglés | MEDLINE | ID: mdl-38592412

RESUMEN

BACKGROUND: The influence of socioeconomic deprivation on health inequalities is established, but its effect on critically ill patients remains unclear, due to inconsistent definitions in previous studies. METHODS: Prospective multicenter cohort study conducted from March to June 2018 in eight ICUs in the Greater Paris area. All admitted patients aged ≥ 18 years were enrolled. Socioeconomic phenotypes were identified using hierarchical clustering, based on education, health insurance, income, and housing. Association of phenotypes with 180-day mortality was assessed using Cox proportional hazards models. RESULTS: A total of 1,748 patients were included. Median age was 62.9 [47.4-74.5] years, 654 (37.4%) patients were female, and median SOFA score was 3 [1-6]. Study population was clustered in five phenotypes with increasing socioeconomic deprivation. Patients from phenotype A (n = 958/1,748, 54.8%) were without socioeconomic deprivation, patients from phenotype B (n = 273/1,748, 15.6%) had only lower education levels, phenotype C patients (n = 117/1,748, 6.7%) had a cumulative burden of 1[1-2] deprivations and all had housing deprivation, phenotype D patients had 2 [1-2] deprivations, all of them with income deprivation, and phenotype E patients (n = 93/1,748, 5.3%) included patients with 3 [2-4] deprivations and included all patients with health insurance deprivation. Patients from phenotypes D and E were younger, had fewer comorbidities, more alcohol and opiate use, and were more frequently admitted due to self-harm diagnoses. Patients from phenotype C (predominant housing deprivation), were more frequently admitted with diagnoses related to chronic respiratory diseases and received more non-invasive positive pressure ventilation. Following adjustment for age, sex, alcohol and opiate use, socioeconomic phenotypes were not associated with increased 180-day mortality: phenotype A (reference); phenotype B (hazard ratio [HR], 0.85; 95% confidence interval CI 0.65-1.12); phenotype C (HR, 0.56; 95% CI 0.34-0.93); phenotype D (HR, 1.09; 95% CI 0.78-1.51); phenotype E (HR, 1.20; 95% CI 0.73-1.96). CONCLUSIONS: In a universal health care system, the most deprived socioeconomic phenotypes were not associated with increased 180-day mortality. The most disadvantaged populations exhibit distinct characteristics and medical conditions that may be addressed through targeted public health interventions.

18.
J Chem Inf Model ; 64(9): 3767-3778, 2024 May 13.
Artículo en Inglés | MEDLINE | ID: mdl-38621228

RESUMEN

In this work, we introduce the Solvate Suite, a comprehensive and modular command-line interface designed for molecular simulation and microsolvation modeling. The suite interfaces with widely used scientific software, streamlining computational experiments for liquid systems through the automated creation of simulation boxes and topology with adjustable simulation parameters. Furthermore, it has features for graphical and statistical analysis of simulated properties and extraction of trajectory configurations with various filters. Additionally, it introduces innovative strategies for microsolvation modeling with a multiscale approach, employing equilibrated dynamics to identify favorable solute-solvent interactions and enabling full cluster optimization for free-energy calculations without imaginary frequency contamination.


Asunto(s)
Simulación de Dinámica Molecular , Programas Informáticos , Solventes , Solventes/química , Termodinámica , Interfaz Usuario-Computador
19.
Int J Mol Sci ; 25(8)2024 Apr 12.
Artículo en Inglés | MEDLINE | ID: mdl-38673856

RESUMEN

Immune response to biomaterials, which is intimately related to their surface properties, can produce chronic inflammation and fibrosis, leading to implant failure. This study investigated the development of magnetic nanoparticles coated with silica and incorporating the anti-inflammatory drug naproxen, aimed at multifunctional biomedical applications. The synthesized nanoparticles were characterized using various techniques that confirmed the presence of magnetite and the formation of a silica-rich bioactive glass (BG) layer. In vitro studies demonstrated that the nanoparticles exhibited bioactive properties, forming an apatite surface layer when immersed in simulated body fluid, and biocompatibility with bone cells, with good viability and alkaline phosphatase activity. Naproxen, either free or encapsulated, reduced nitric oxide production, an inflammatory marker, while the BG coating alone did not show anti-inflammatory effects in this study. Overall, the magnetic nanoparticles coated with BG and naproxen showed promise for biomedical applications, especially anti-inflammatory activity in macrophages and in the bone field, due to their biocompatibility, bioactivity, and osteogenic potential.


Asunto(s)
Materiales Biocompatibles Revestidos , Vidrio , Nanopartículas de Magnetita , Naproxeno , Naproxeno/farmacología , Naproxeno/química , Vidrio/química , Materiales Biocompatibles Revestidos/química , Materiales Biocompatibles Revestidos/farmacología , Nanopartículas de Magnetita/química , Animales , Ratones , Humanos , Óxido Nítrico/metabolismo , Materiales Biocompatibles/química , Materiales Biocompatibles/farmacología , Dióxido de Silicio/química , Supervivencia Celular/efectos de los fármacos , Células RAW 264.7 , Osteogénesis/efectos de los fármacos
20.
Ecol Evol ; 14(4): e11200, 2024 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-38571800

RESUMEN

The introduction of bees for agricultural production in distinct parts of the world and poor management have led to invasion processes that affect biodiversity, significantly impacting native species. Different Bombus species with invasive potential have been recorded spreading in different regions worldwide, generating ecological and economic losses. We applied environmental niche and potential distribution analyses to four species of the genus Bombus to evaluate the similarities and differences between their native and invaded ranges. We found that B. impatiens has an extended environmental niche, going from dry environmental conditions in the native range to warmer and wetter conditions in the invaded range. Bombus ruderatus also exhibited an extended environmental niche with drier and warmer conditions in the invaded range than in its native range. Bombus subterraneus expanded its environmental niche from cooler and wetter conditions in the native range to drier and warmer conditions in the invaded range. Finally, B. terrestris showed the most significant variation in the environmental niche, extending to areas with similar and different environmental conditions from its native range. The distribution models agreed with the known distributions for the four Bombus species, presenting geographic areas known to be occupied by each species in different regions worldwide. The niche analysis indicate shifts in the niches from the native to the invaded distribution area of the bee species. Still, niche similarities were observed in the areas of greatest suitability in the potential distribution for B. ruderatus, B. subterraneus, and B. terrestris, and to a lesser degree in the same areas with B. impatiens. These species require similar environmental conditions as in their native ranges to be established in their introduced ranges. Still, they can adapt to changes in temperature and humidity, allowing them to expand their ranges into new climatic conditions.

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