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1.
J Phys Chem Lett ; 15(38): 9557-9565, 2024 Sep 26.
Artigo em Inglês | MEDLINE | ID: mdl-39265158

RESUMO

In the radiation chemistry of water, two hydrated electrons (ehyd-) can react to form H2 and OH-. Experiments and simulations suggest that this reaction occurs through a mechanism involving colocalization of two ehyd-'s into the same solvent cavity, forming a hydrated dielectron ((ehyd)22-) intermediate, with aqueous hydride (H-) as a subintermediate. However, there has been no direct experimental observation of either (ehyd)22- or H-. Here, we present TD-DFT-based predictions for the absorption spectrum of open-shell-singlet and triplet ehyd- pairs, (ehyd)22-, and H-. We find that relative to ehyd-, triplet and open-shell singlet electron pairs show spectral shifts to the blue and red, respectively. Additionally, we find that (ehyd)22- absorbs even further to the red, and that H- has a charge-transfer-to-solvent-like transition at wavelengths several eV to the blue, providing a direct experimental handle with which to probe these species. We propose a three-pulse transient absorption experiment that should allow detection of (ehyd)22- and H-.

2.
J Phys Chem Lett ; 15(32): 8187-8195, 2024 Aug 15.
Artigo em Inglês | MEDLINE | ID: mdl-39093598

RESUMO

Gas-phase potential energy surfaces (PESs) are often used to provide an intuitive understanding of molecular chemical reactivity. Most chemical reactions, however, take place in solution, and it is unclear whether gas-phase PESs accurately represent chemical processes in solvent environments. In this work we use quantum simulations to investigate the dissociation energetics of NaK+ in liquid tetrahydrofuran (THF) to understand the degree to which solvent interactions alter the gas-phase picture. Using umbrella sampling and thermodynamic integration techniques, we construct condensed-phase free energy surfaces of NaK+ on THF in both the ground and electronic excited states. We find that solvation by THF completely alters the nature of the NaK+ bond by reordering the thermodynamic dissociation products. Reaching the thermodynamic dissociation limit in THF also requires a long-range charge transfer process that has no counterpart in the gas phase. Gas-phase PESs, even with perturbations, cannot adequately describe the reactivity of simple asymmetric molecules in solution.

3.
J Chem Theory Comput ; 2024 Aug 07.
Artigo em Inglês | MEDLINE | ID: mdl-39110603

RESUMO

Even though single hydrated electrons (ehyd-'s) are stable in liquid water, two hydrated electrons can bimolecularly react with water to create H2 and hydroxide: ehyd- + ehyd- + 2H2O → H2 + 2OH-. The rate of this reaction has an unusual temperature and isotope dependence as well as no dependence on ionic strength, which suggests that cosolvation of two electrons as a single hydrated dielectron (e2,hyd2-) might be an important intermediate in the mechanism of this reaction. Here, we present an ab initio density functional theory study of this reaction to better understand the potential properties, reactivity, and experimental accessibility of hydrated dielectrons. Our simulations create hydrated dielectrons by first simulating single ehyd-'s and then injecting a second electron, providing a well-defined time zero for e2,hyd2- formation and offering insight into a potential experimental route to creating dielectrons and optically inducing the reaction. We find that e2,hyd2- immediately forms in every member of our ensemble of trajectories, allowing us to study the molecular mechanism of H2 and OH- formation. The subsequent reaction involves separate proton transfer steps with a generally well-defined hydride subintermediate. The time scales for both proton transfer steps are quite broad, with the first proton transfer step spanning times over a few ps, while the second proton transfer step varies over ∼150 fs. We find that the first proton transfer rate is dictated by whether or not the reacting water is part of an H-bond chain that allows the newly created OH- to rapidly move by Grotthuss-type proton hopping to minimize electrostatic repulsion with H-. The second proton transfer step depends significantly on the degree of solvation of H-, leading to a wide range of reactive geometries where the two waters involved can lie either across the dielectron cavity or more adjacent to each other. This also allows the two proton transfer events to take place either effectively concertedly or sequentially, explaining differing views that have been presented in the literature.

4.
J Phys Chem B ; 128(35): 8557-8566, 2024 Sep 05.
Artigo em Inglês | MEDLINE | ID: mdl-39178349

RESUMO

Experiments show that the absorption spectrum of the hydrated electron (ehyd-) blue-shifts in electrolyte solutions compared with what is seen in pure water. This shift has been assigned to the ehyd-'s competitive ion-pairing interactions with the salt cation relative to the salt anion based on the ions' positions on the Hofmeister series. Remarkably, little work has been done investigating the ehyd-'s behavior when the salts have chaotropic cations, which should greatly change the ion-pairing interactions given that the ehyd- is a champion chaotrope. In this work, we remedy this by using mixed quantum/classical simulations to analyze the behavior of two different models of the ehyd- in aqueous RbF and RbI electrolyte solutions as a function of salt concentration. We find that the magnitude of the salt-induced spectral blue-shift is determined by a combination of the number of chaotropic Rb+ cations near the ehyd- and the number of salt anions near those cations so that the spectrum of the ehyd- directly reflects its local environment. We also find that the use of a soft-cavity ehyd- model predicts stronger competitive interactions with Rb+ relative to I- than a more traditional hard cavity model, leading to different predicted spectral shifts that should provide a way to distinguish between the two models experimentally. Our simulations predict that at the same concentration, salts with chaotropic cations should produce larger spectral blue-shifts than salts with kosmotropic cations. We also found that at high salt concentrations with chaotropic cations, the predicted blue-shift is greater when the salt anion is kosmotropic instead of chaotropic. Our goal is for this work to inspire experimentalists to make such measurements, which will help provide a spectroscopic means to distinguish between simulations models that predict different hydration structures for the ehyd-.

5.
Chem Mater ; 36(11): 5552-5562, 2024 Jun 11.
Artigo em Inglês | MEDLINE | ID: mdl-38883433

RESUMO

Conjugated polymers are a versatile class of electronic materials featured in a variety of next-generation electronic devices. The utility of such polymers is contingent in large part on their electrical conductivity, which depends both on the density of charge carriers (polarons) and on the carrier mobility. Carrier mobility, in turn, is largely controlled by the separation between the polarons and dopant counterions, as counterions can produce Coulombic traps. In previous work, we showed that large dopants based on dodecaborane (DDB) clusters were able to reduce Coulombic binding and thus increase carrier mobility in regioregular (RR) poly(3-hexylthiophene-2,5-diyl) (P3HT). Here, we use a DDB-based dopant to study the effects of polaron-counterion separation in chemically doped regiorandom (RRa) P3HT, which is highly amorphous. X-ray scattering shows that the DDB dopants, despite their large size, can partially order the RRa P3HT during doping and produce a doped polymer crystal structure similar to that of DDB-doped RR P3HT; Alternating Field (AC) Hall measurements also confirm a similar hole mobility. We also show that use of the large DDB dopants successfully reduces Coulombic binding of polarons and counterions in amorphous polymer regions, resulting in a 77% doping efficiency in RRa P3HT films. The DDB dopants are able to produce RRa P3HT films with a 4.92 S/cm conductivity, a value that is ∼200× higher than that achieved with 3,5,6-tetrafluoro-7,7,8,8-tetracyanoquinodimethane (F4TCNQ), the traditional dopant molecule. These results show that tailoring dopants to produce mobile carriers in both the amorphous and semicrystalline regions of conjugated polymers is an effective strategy for increasing achievable polymer conductivities, particularly in low-cost polymers with random regiochemistry. The results also emphasize the importance of dopant size and shape for producing Coulombically unbound, mobile polarons capable of electrical conduction in less-ordered materials.

6.
Cancer Discov ; 14(8): 1457-1475, 2024 Aug 02.
Artigo em Inglês | MEDLINE | ID: mdl-38587317

RESUMO

Microsatellite-unstable (MSI) cancers require WRN helicase to resolve replication stress due to expanded DNA (TA)n dinucleotide repeats. WRN is a promising synthetic lethal target for MSI tumors, and WRN inhibitors are in development. In this study, we used CRISPR-Cas9 base editing to map WRN residues critical for MSI cells, validating the helicase domain as the primary drug target. Fragment-based screening led to the development of potent and highly selective WRN helicase covalent inhibitors. These compounds selectively suppressed MSI model growth in vitro and in vivo by mimicking WRN loss, inducing DNA double-strand breaks at expanded TA repeats and DNA damage. Assessment of biomarkers in preclinical models linked TA-repeat expansions and mismatch repair alterations to compound activity. Efficacy was confirmed in immunotherapy-resistant organoids and patient-derived xenograft models. The discovery of potent, selective covalent WRN inhibitors provides proof of concept for synthetic lethal targeting of WRN in MSI cancer and tools to dissect WRN biology. Significance: We report the discovery and characterization of potent, selective WRN helicase inhibitors for MSI cancer treatment, with biomarker analysis and evaluation of efficacy in vivo and in immunotherapy-refractory preclinical models. These findings pave the way to translate WRN inhibition into MSI cancer therapies and provide tools to investigate WRN biology. See related commentary by Wainberg, p. 1369.


Assuntos
Helicase da Síndrome de Werner , Humanos , Helicase da Síndrome de Werner/genética , Camundongos , Animais , Instabilidade de Microssatélites , Neoplasias/tratamento farmacológico , Neoplasias/genética , Neoplasias/patologia , Linhagem Celular Tumoral , Ensaios Antitumorais Modelo de Xenoenxerto , Inibidores Enzimáticos/farmacologia , Inibidores Enzimáticos/uso terapêutico
7.
Neurology ; 102(5): e208112, 2024 Mar 12.
Artigo em Inglês | MEDLINE | ID: mdl-38335499

RESUMO

BACKGROUND AND OBJECTIVES: Vamorolone is a dissociative agonist of the glucocorticoid receptor that has shown similar efficacy and reduced safety concerns in comparison with prednisone in Duchenne muscular dystrophy (DMD). This study was conducted to determine the efficacy and safety of vamorolone over 48 weeks and to study crossover participants (prednisone to vamorolone; placebo to vamorolone). METHODS: A randomized, double-blind, placebo-controlled and prednisone-controlled clinical trial of 2 doses of vamorolone was conducted in participants with DMD, in the ages from 4 years to younger than 7 years at baseline. The interventions were 2 mg/kg/d of vamorolone and 6 mg/kg/d of vamorolone for 48 weeks (period 1: 24 weeks + period 2: 24 weeks) and 0.75 mg/kg/d of prednisone and placebo for the first 24 weeks (before crossover). Efficacy was evaluated through gross motor outcomes and safety through adverse events, growth velocity, body mass index (BMI), and bone turnover biomarkers. This analysis focused on period 2. RESULTS: A total of 121 participants with DMD were randomized. Vamorolone at a dose of 6 mg/kg/d showed maintenance of improvement for all motor outcomes to week 48 (e.g., for primary outcome, time to stand from supine [TTSTAND] velocity, week 24 least squares mean [LSM] [SE] 0.052 [0.0130] rises/s vs week 48 LSM [SE] 0.0446 [0.0138]). After 48 weeks, vamorolone at a dose of 2 mg/kg/d showed similar improvements as 6 mg/kg/d for North Star Ambulatory Assessment (NSAA) (vamorolone 6 mg/kg/d-vamorolone 2 mg/kg/d LSM [SE] 0.49 [1.14]; 95% CI -1.80 to 2.78, p = 0.67), but less improvement for other motor outcomes. The placebo to vamorolone 6 mg/kg/d group showed rapid improvements after 20 weeks of treatment approaching benefit seen with 48-week 6 mg/kg/d of vamorolone treatment for TTSTAND, time to run/walk 10 m, and NSAA. There was significant improvement in linear growth after crossover in the prednisone to vamorolone 6 mg/kg/d group, and rapid reversal of prednisone-induced decline in bone turnover biomarkers in both crossover groups. There was an increase in BMI after 24 weeks of treatment that then stabilized for both vamorolone groups. DISCUSSION: Improvements of motor outcomes seen with 6 mg/kg/d of vamorolone at 24 weeks of treatment were maintained to 48 weeks of treatment. Vamorolone at a dose of 6 mg/kg/d showed better maintenance of effect compared with vamorolone at a dose of 2 mg/kg/d for most (3/5) motor outcomes. Bone morbidities of prednisone (stunting of growth and declines in serum bone biomarkers) were reversed when treatment transitioned to vamorolone. TRIAL REGISTRATION INFORMATION: ClinicalTrials.gov Identifier: NCT03439670. CLASSIFICATION OF EVIDENCE: This study provides Class I evidence that for boys with DMD, the efficacy of vamorolone at a dose of 6 mg/kg/d was maintained over 48 weeks.


Assuntos
Distrofia Muscular de Duchenne , Pregnadienodiois , Humanos , Masculino , Biomarcadores , Distrofia Muscular de Duchenne/tratamento farmacológico , Prednisona/efeitos adversos , Pregnadienodiois/efeitos adversos , Pré-Escolar , Criança
8.
J Phys Chem B ; 128(10): 2425-2431, 2024 Mar 14.
Artigo em Inglês | MEDLINE | ID: mdl-38422045

RESUMO

Different simulation models of the hydrated electron produce different solvation structures, but it has been challenging to determine which simulated solvation structure, if any, is the most comparable to experiment. In a recent work, Neupane et al. [J. Phys. Chem. B 2023, 127, 5941-5947] showed using Kirkwood-Buff theory that the partial molar volume of the hydrated electron, which is known experimentally, can be readily computed from an integral over the simulated electron-water radial distribution function. This provides a sensitive way to directly compare the hydration structure of different simulation models of the hydrated electron with experiment. Here, we compute the partial molar volume of an ab-initio-simulated hydrated electron model based on density-functional theory (DFT) with a hybrid functional at different simulated system sizes. We find that the partial molar volume of the DFT-simulated hydrated electron is not converged with respect to the system size for simulations with up to 128 waters. We show that even at the largest simulation sizes, the partial molar volume of DFT-simulated hydrated electrons is underestimated by a factor of 2 with respect to experiment, and at the standard 64-water size commonly used in the literature, DFT-based simulations underestimate the experimental solvation volume by a factor of ∼3.5. An extrapolation to larger box sizes does predict the experimental partial molar volume correctly; however, larger system sizes than those explored here are currently intractable without the use of machine-learned potentials. These results bring into question what aspects of the predicted hydrated electron radial distribution function, as calculated by DFT-based simulations with the PBEh-D3 functional, deviate from the true solvation structure.

9.
J Phys Chem Lett ; 15(4): 903-911, 2024 Feb 01.
Artigo em Inglês | MEDLINE | ID: mdl-38241152

RESUMO

Decoherence is a fundamental phenomenon that occurs when an entangled quantum state interacts with its environment, leading to collapse of the wave function. The inevitability of decoherence provides one of the most intrinsic limits of quantum computing. However, there has been little study of the precise chemical motions from the environment that cause decoherence. Here, we use quantum molecular dynamics simulations to explore the photodissociation of Na2+ in liquid Ar, in which solvent fluctuations induce decoherence and thus determine the products of chemical bond breaking. We use machine learning to characterize the solute-solvent environment as a high-dimensional feature space that allows us to predict when and onto which photofragment the bonding electron will localize. We find that reaching a requisite photofragment separation and experiencing out-of-phase solvent collisions underlie decoherence during chemical bond breaking. Our work highlights the utility of machine learning for interpreting complex solution-phase chemical processes as well as identifies the molecular underpinnings of decoherence.

10.
J Clin Gastroenterol ; 58(1): 91-97, 2024 01 01.
Artigo em Inglês | MEDLINE | ID: mdl-36729430

RESUMO

GOAL: The objective of this study was to characterize an autoimmune hepatitis (AIH)/nonalcoholic fatty liver disease (NAFLD) overlap cohort, determine if they received standard of care treatment, and delineate their outcomes in comparison with patients with AIH or NAFLD alone. BACKGROUND: AIH is a relatively rare and heterogeneously presenting liver disease of unknown etiology. NAFLD is a leading cause of liver disease worldwide. AIH treatment includes steroids, which have adverse metabolic effects that can worsen NAFLD. No treatment guidelines are available to mitigate this side on AIH/NAFLD overlap patients. Few studies to date have examined these patients' characteristics, management practices, and outcomes. MATERIALS AND METHODS: A single-center, retrospective chart review study examining biopsy-proven AIH/NAFLD, AIH, and NAFLD patients. Characteristics, treatment, and 1- and 3-year outcomes (all-cause mortality, need for liver transplantation, or decompensated cirrhosis) were evaluated. RESULTS: A total of 72 patients (36.1% AIH/NAFLD, 34.7% AIH, and 29.2% NAFLD) were included. AIH/NAFLD patients were found to be more often Hispanic/Latino, female, and with lower liver aminotransaminases, immunoglobulin G, and anti-smooth muscle antibody positivity. AIH/NAFLD patients were less likely to receive standard of care treatment. No significant differences in outcomes were seen between AIH/NAFLD and either AIH or NAFLD. CONCLUSIONS: Our study demonstrated that AIH/NAFLD patients have unique characteristics and are less likely to receive standard of care treatment compared with patients with AIH alone. Despite this, no difference in outcomes (all-cause mortality, need for liver transplantation, or decompensated cirrhosis) was seen. Given NAFLD's rising prevalence, AIH/NAFLD cases will likely increase, and may benefit from alternative treatment guidelines to prevent worsening of NAFLD.


Assuntos
Hepatite Autoimune , Hepatopatia Gordurosa não Alcoólica , Humanos , Feminino , Hepatopatia Gordurosa não Alcoólica/terapia , Hepatite Autoimune/terapia , Estudos Retrospectivos , Cirrose Hepática/etiologia , Cirrose Hepática/terapia
11.
Vaccine ; 41(49): 7395-7408, 2023 Nov 30.
Artigo em Inglês | MEDLINE | ID: mdl-37951793

RESUMO

OBJECTIVES: To compare vaccine-related attitudes and values of parents of children 2-17 years old to other adults, examine intentions to vaccinate their children, and identify factors associated with intending to vaccinate children. METHODS: A nationally representative survey was conducted in September 2021 (just before the EUA for children 5-11 years old) using Ipsos KnowledgePanel, a probability-based web panel. The survey measured COVID-19 vaccination status, intentions, attitudes, values, and trust in public health authorities among US adults. Scale response options to survey items were dichotomized, and cross-tabulations and logistic regressions were performed. RESULTS: Parents had lower odds of reporting being vaccinated against COVID-19 than other adults even after adjusting for associated sociodemographic characteristics such as age (aOR: 0.66; 95 %CI: 0.50-0.87). The most prevalent parental concerns about COVID-19 vaccines included the speed of their development (88 %), potential side effects (78 %), suspicion of government (77 %), and suspicion of pharmaceutical companies (72 %). Fewer than half (42 %) of parents intended to vaccinate their children 5-11 years old, while 38 % were uncertain and 20 % were unlikely to ever vaccinate their children. Vaccinated parents had higher odds than unvaccinated parents of intending to vaccinate their children (OR: 675.51; 95 %CI: 106.46-4286.12). Discussions with healthcare providers who encouraged COVID-19 vaccination were positively associated with intent to vaccinate children (OR: 11.29; 95 %CI: 2.60-49.02). CONCLUSIONS: We found parental vaccination and conversations with providers were positively associated with intent to vaccinate children. Decisions about childhood vaccination need to be supported by healthcare providers and a public health system that makes vaccine access and related information equitable and accessible. Vaccination-related decision making should be guided by healthcare providers and provide information about safety and risk to children.


Assuntos
Vacinas contra COVID-19 , COVID-19 , Adolescente , Adulto , Criança , Pré-Escolar , Humanos , COVID-19/prevenção & controle , Vacinas contra COVID-19/efeitos adversos , Conhecimentos, Atitudes e Prática em Saúde , Intenção , Pais/psicologia , Vacinação/efeitos adversos , Vacinação/psicologia , Estados Unidos
12.
ArXiv ; 2023 Aug 24.
Artigo em Inglês | MEDLINE | ID: mdl-37664408

RESUMO

Introduction: Technical burdens and time-intensive review processes limit the practical utility of video capsule endoscopy (VCE). Artificial intelligence (AI) is poised to address these limitations, but the intersection of AI and VCE reveals challenges that must first be overcome. We identified five challenges to address. Challenge #1: VCE data are stochastic and contains significant artifact. Challenge #2: VCE interpretation is cost-intensive. Challenge #3: VCE data are inherently imbalanced. Challenge #4: Existing VCE AIMLT are computationally cumbersome. Challenge #5: Clinicians are hesitant to accept AIMLT that cannot explain their process. Methods: An anatomic landmark detection model was used to test the application of convolutional neural networks (CNNs) to the task of classifying VCE data. We also created a tool that assists in expert annotation of VCE data. We then created more elaborate models using different approaches including a multi-frame approach, a CNN based on graph representation, and a few-shot approach based on meta-learning. Results: When used on full-length VCE footage, CNNs accurately identified anatomic landmarks (99.1%), with gradient weighted-class activation mapping showing the parts of each frame that the CNN used to make its decision. The graph CNN with weakly supervised learning (accuracy 89.9%, sensitivity of 91.1%), the few-shot model (accuracy 90.8%, precision 91.4%, sensitivity 90.9%), and the multi-frame model (accuracy 97.5%, precision 91.5%, sensitivity 94.8%) performed well. Discussion: Each of these five challenges is addressed, in part, by one of our AI-based models. Our goal of producing high performance using lightweight models that aim to improve clinician confidence was achieved.

13.
J Chem Theory Comput ; 19(19): 6761-6769, 2023 Oct 10.
Artigo em Inglês | MEDLINE | ID: mdl-37769199

RESUMO

Polarons and bipolarons are created when one or two electrons are removed from the π-system of a p-type conjugated polymer, respectively. In the traditional band picture, the creation of a polaron causes two electronic energy levels to move into the band gap. The removal of a second electron to form a bipolaron causes the two intragap states to move further into the gap. Several groups, however, who looked at the energies of the Kohn-Sham orbitals from DFT calculations, have recently argued that the traditional band picture is incorrect for explaining the spectroscopy of doped conjugated polymers. Instead, the DFT calculations suggest that polaron creation causes only one unoccupied state to move into the band gap near the valence band edge while half-filled state in the valence band and the conduction band bend downward in energy. To understand the discrepancy, we performed TD-DFT calculations of polarons and bipolarons on poly(3-hexylthiophene) (P3HT). Not only do the TD-DFT-calculated absorption spectra match the experimental absorption spectra, but an analysis using natural transitional orbitals (NTOs), which provides an approximate one-electron picture from the many-electron TD-DFT results, supports the traditional band picture. Our TD-DFT/NTO analysis indicates that the traditional band picture also works for bipolarons, a system for which DFT calculations were unable to determine the electronic structure.

14.
Mater Adv ; 4(15): 3351-3355, 2023 Jul 31.
Artigo em Inglês | MEDLINE | ID: mdl-37588776

RESUMO

Polycyclic aromatic hydrocarbons (PAHs) are important compounds in materials chemistry, particularly for optoelectronic applications. One strategy for tuning PAH properties involves the net exchange of carbon atoms for heteroatoms, such as nitrogen. We report a comparative study of the well-known fluorophore 9,10-diphenylanthracene with an aza analog. The latter compound is accessed using a short sequence involving the use of two strained cyclic alkynes, benzyne and a 3,4-piperidyne, in Diels-Alder cycloaddition sequences. Comparative studies of 9,10-diphenylanthracene and the aza-analog show how the addition of a single nitrogen atom impacts electrochemical and optical properties. Organic light-emitting diode (OLED) devices were prepared using both compounds, which showed that nitrogen substitution leads to an unexpected red shift in electroluminescence, likely due to exciplex formation between the active layer and the 4,4'-N,N'-bis[N-(1-naphthyl)-N-phenylamino]biphenyl (NPB) hole-transport layer. These studies highlight a unique approach to accessing heteroatom-containing PAHs, while underscoring the impact of heteroatoms on OLED device performance.

15.
Alcohol Clin Exp Res (Hoboken) ; 47(5): 908-918, 2023 May.
Artigo em Inglês | MEDLINE | ID: mdl-37526580

RESUMO

BACKGROUND: Nurses and other first responders are at high risk of exposure to the SARS-CoV2 virus, and many have developed severe COVID-19 infection. A better understanding of the factors that increase the risk of infection after exposure to the virus could help to address this. Although several risk factors such as obesity, diabetes, and hypertension have been associated with an increased risk of infection, many first responders develop severe COVID-19 without established risk factors. As inflammation and cytokine storm are the primary mechanisms in severe COVID-19, other factors that promote an inflammatory state could increase the risk of COVID-19 in exposed individuals. Alcohol misuse and shift work with subsequent misaligned circadian rhythms are known to promote a pro-inflammatory state and thus could increase susceptibility to COVID-19. To test this hypothesis, we conducted a prospective, cross-sectional observational survey-based study in nurses using the American Nursing Association network. METHOD: We used validated structured questionnaires to assess alcohol consumption (the Alcohol Use Disorders Identification Test) and circadian typology or chronotype (the Munich Chronotype Questionnaire Shift -MCTQ-Shift). RESULTS: By latent class analysis (LCA), high-risk features of alcohol misuse were associated with a later chronotype, and binge drinking was greater in night shift workers. The night shift was associated with more than double the odds of COVID-19 infection of the standard shift (OR 2.67, 95% CI: 1.18 to 6.07). Binge drinkers had twice the odds of COVID-19 infection of those with low-risk features by LCA (OR: 2.08, 95% CI: 0.75 to 5.79). CONCLUSION: Working night shifts or binge drinking may be risk factors for COVID-19 infection among nurses. Understanding the mechanisms underlying these risk factors could help to mitigate the impact of COVID-19 on our at-risk healthcare workforce.

16.
BMJ Case Rep ; 16(7)2023 Jul 05.
Artigo em Inglês | MEDLINE | ID: mdl-37407236

RESUMO

Spindle cell lipomas (SCLs) containing minimal fat are rare and can be diagnostically challenging due to their similar radiographic appearance to other benign and malignant tumours. SCLs are benign lipomatous tumours that typically occur in middle aged to elderly men as slow-growing, painless masses in the subcutaneous tissue of the posterior neck, shoulders or back. However, rarely these tumours can arise in unusual locations such as the lower extremities. We present an unusual case of a lipid poor SCL occurring in the lower extremity. Initial clinical and radiographic findings were suspicious for a malignancy. Two core biopsies demonstrated benign fibro collagenous tissue, so a marginal excision was performed. Final histopathological and immunohistochemical stains confirmed the diagnosis of an SCL. Radiologists, pathologists and oncologic surgeons should be aware of this lipomatous tumour's potential to present in unusual locations with minimal fatty components to increase confidence in radiologic-pathological concordance.


Assuntos
Lipoma , Masculino , Idoso , Pessoa de Meia-Idade , Humanos , Lipoma/diagnóstico por imagem , Lipoma/cirurgia , Tronco/patologia , Extremidade Inferior/patologia , Antígenos CD34 , Lipídeos
17.
Public Health Rep ; 138(3): 422-427, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-36971286

RESUMO

Limited studies are available on how decisions and perceptions on SARS-CoV-2 vaccination have changed since the start of vaccination availability. We performed a qualitative study to identify factors critical to SARS-CoV-2 vaccination decision making and how perspectives evolved among African American/Black, Native American, and Hispanic communities disproportionately affected by COVID-19 and social and economic disadvantage. We conducted 16 virtual meetings, with 232 participants in wave 1 meetings (December 2020) and with 206 returning participants in wave 2 meetings (January and February 2021). Wave 1 vaccine concerns in all communities included information needs, vaccine safety, and speed of vaccine development. Lack of trust in government and the pharmaceutical industry was influential, particularly among African American/Black and Native American participants. Participants showed more willingness to get vaccinated at wave 2 than at wave 1, indicating that many of their information needs had been addressed. Hesitancy remained greater among African American/Black and Native American participants than among Hispanic participants. Participants in all groups indicated that conversations tailored to their community and with those most trustworthy to them would be helpful. To overcome vaccine hesitancy, we propose a model of fully considered SARS-CoV-2 vaccine decision making, whereby public health departments supply information, align with community values and recognize lived experiences, offer support for decision making, and make vaccination easy and convenient.


Assuntos
Vacinas contra COVID-19 , COVID-19 , Tomada de Decisões , Humanos , Indígena Americano ou Nativo do Alasca/psicologia , Negro ou Afro-Americano/psicologia , COVID-19/prevenção & controle , Vacinas contra COVID-19/administração & dosagem , Hispânico ou Latino/psicologia , SARS-CoV-2 , Vacinação/psicologia
18.
J Phys Chem Lett ; 14(12): 3014-3022, 2023 Mar 30.
Artigo em Inglês | MEDLINE | ID: mdl-36943261

RESUMO

The hydrated electron (eaq-) is known via polarized transient hole-burning (pTHB) experiments to have a homogeneously broadened absorption spectrum. Here, we explore via quantum simulation how the pTHB spectroscopy of different eaq- models changes in the presence of electrolytes. The idea is that cation-eaq- pairing can break the local symmetry and, thus, induce persistent inhomogeneity. We find that a "hard" cavity model shows a modest increase in the pTHB recovery time in the presence of salt, while a "soft" cavity model remains homogeneously broadened independent of the salt concentration. We also explore the orientational anisotropy of a fully ab initio density functional theory-based model of the eaq-, which is strongly inhomogeneously broadened without salt and which becomes significantly more inhomogeneously broadened in the presence of salt. The results provide a direct prediction for experiments that can distinguish between different models and, thus, help pin down the hydration structure and dynamics of the eaq-.

19.
J Therm Biol ; 112: 103485, 2023 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-36796925

RESUMO

Organisms living in environmentally stable ecosystems are hypothesized to exhibit narrow environmental tolerance ranges; however, previous experiments testing this prediction with invertebrates in spring habitats are equivocal. Here we examined the effects of elevated temperatures on four riffle beetle species (family: Elmidae) native to central and west Texas, USA. Two of these, Heterelmis comalensis and Heterelmis cf. glabra are known to occupy habitats immediately adjacent to spring openings and are thought to have stenothermal tolerance profiles. The other two, Heterelmis vulnerata and Microcylloepus pusillus are surface stream species with more cosmopolitan distributions and are assumed to be less sensitive to variation in environmental conditions. We examined performance and survival of elmids in response to increasing temperatures using dynamic and static assays. Additionally, changes in metabolic rate in response to thermal stress were assessed for all four species. Our results indicated that spring-associated H. comalensis is most sensitive while the more cosmopolitan elmid M. pusillus is least sensitive to thermal stress. However, there were differences in temperature tolerances among the two spring-associated species: H. comalensis had relatively narrow thermal tolerance in comparison to H. cf. glabra. This could be due to differences in the climatic and hydrological conditions in the geographical regions which the respective riffle beetle populations reside. However, despite these differences, H. comalensis and H. cf. glabra showed a dramatic increase in their metabolic rates with increasing temperatures indicating that these species are indeed spring specialists and likely have a stenothermal profile.


Assuntos
Besouros , Ecossistema , Animais , Temperatura , Invertebrados , Estações do Ano
20.
J Phys Chem Lett ; 14(2): 559-566, 2023 Jan 19.
Artigo em Inglês | MEDLINE | ID: mdl-36630724

RESUMO

We have performed the first DFT-based ab initio MD simulations of a hydrated electron (eaq-) in the presence of Na+, a system chosen because ion-pairing behavior in water depends sensitively on the local hydration structure. Experiments show that eaq-'s interact weakly with Na+; the eaq-'s spectrum blue shifts by only a few tens of meV upon ion pairing without changing shape. We find that the spectrum of the DFT-simulated eaq- red shifts and changes shape upon interaction with Na+, in contrast with experiment. We show that this is because the hydration structure of the DFT-simulated eaq- is too ordered or kosmotropic. Conversely, simulations that produce eaq-'s with a less ordered or chaotropic hydration structure form weaker ion pairs with Na+, yielding predicted spectral blue shifts in better agreement with experiment. Thus, ab initio simulations based on hybrid GGA DFT functionals fail to produce the correct solvation structure for the hydrated electron.


Assuntos
Elétrons , Água , Teoria da Densidade Funcional , Cátions , Água/química
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