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1.
Phys Rev Lett ; 132(5): 051002, 2024 Feb 02.
Artigo em Inglês | MEDLINE | ID: mdl-38364164

RESUMO

We present the measurement of the cosmic ray proton spectrum from 50 TeV to 1.3 PeV using 7.81×10^{6} extensive air shower events recorded by the ground-based GRAPES-3 experiment between 1 January 2014 and 26 October 2015 with a live time of 460 day. Our measurements provide an overlap with direct observations by satellite and balloon-based experiments. The electromagnetic and muon components in the shower were measured by a dense array of plastic scintillator detectors and a tracking muon telescope, respectively. The relative composition of the proton primary from the air shower data containing all primary particles was extracted using the multiplicity distribution of muons which is a sensitive observable for mass composition. The observed proton spectrum suggests a spectral hardening at ∼166 TeV and disfavors a single power law description of the spectrum up to the Knee energy (∼3 PeV).

2.
Artigo em Inglês | MEDLINE | ID: mdl-39016050

RESUMO

The purpose of this study is to investigate the effect of feeding cauliflower leaf meal (CLM) on growth performance, nutrient utilization, carcass characteristics, histopathology and economics of rabbit production. A total of eighteen 45-day-old Newzeland White rabbits were randomly divided into three groups and fed with control (0%), 20% and 30% CLM in concentrate mixture and feeding trial continued for 3 months. Growth performance was recorded upto the end of the trial. On completion of the growth study, a digestibility trial was conducted to assess the digestibility of nutrients. Afterwards, all the experimental rabbits were slaughtered to evaluate the carcass and meat quality, and to examine histological changes in the viscera. The cost of production was calculated on the basis of partially replacing wheat bran with CLM. Results showed that the body weight gain, feed intake, feed conversion ratio and digestibility of nutrients were similar among the groups of rabbits. Further, dressing percentage, wholesome cut yield, chemical composition of meat, sensory evaluation, water holding capacity and shear force value were also comparable among all groups. However, total phenolic content, vitamin A and E, and polyunsaturated fatty acid were significantly (p < 0.05) higher and 2-Thiobarbituric acid reactive substance was significantly (p < 0.05) lower in 30% CLM-fed group. Histopathological study showed no pathological changes in viscera of rabbits fed with CLM. Moreover, the cost of production was significantly (p < 0.05) lower in 30% CLM-fed group of rabbits. The present work shows that the 30% CLM can be incorporated in concentrate mixture in rabbit diet without affecting growth performance or meat quality and successfully used in rabbit nutrition, which will be cheaper with enhanced keeping quality of meat.

3.
BJOG ; 2023 May 08.
Artigo em Inglês | MEDLINE | ID: mdl-37156239

RESUMO

OBJECTIVE: To examine prevalence of novel newborn types among 541 285 live births in 23 countries from 2000 to 2021. DESIGN: Descriptive multi-country secondary data analysis. SETTING: Subnational, population-based birth cohort studies (n = 45) in 23 low- and middle-income countries (LMICs) spanning 2000-2021. POPULATION: Liveborn infants. METHODS: Subnational, population-based studies with high-quality birth outcome data from LMICs were invited to join the Vulnerable Newborn Measurement Collaboration. We defined distinct newborn types using gestational age (preterm [PT], term [T]), birthweight for gestational age using INTERGROWTH-21st standards (small for gestational age [SGA], appropriate for gestational age [AGA] or large for gestational age [LGA]), and birthweight (low birthweight, LBW [<2500 g], nonLBW) as ten types (using all three outcomes), six types (by excluding the birthweight categorisation), and four types (by collapsing the AGA and LGA categories). We defined small types as those with at least one classification of LBW, PT or SGA. We presented study characteristics, participant characteristics, data missingness, and prevalence of newborn types by region and study. RESULTS: Among 541 285 live births, 476 939 (88.1%) had non-missing and plausible values for gestational age, birthweight and sex required to construct the newborn types. The median prevalences of ten types across studies were T+AGA+nonLBW (58.0%), T+LGA+nonLBW (3.3%), T+AGA+LBW (0.5%), T+SGA+nonLBW (14.2%), T+SGA+LBW (7.1%), PT+LGA+nonLBW (1.6%), PT+LGA+LBW (0.2%), PT+AGA+nonLBW (3.7%), PT+AGA+LBW (3.6%) and PT+SGA+LBW (1.0%). The median prevalence of small types (six types, 37.6%) varied across studies and within regions and was higher in Southern Asia (52.4%) than in Sub-Saharan Africa (34.9%). CONCLUSIONS: Further investigation is needed to describe the mortality risks associated with newborn types and understand the implications of this framework for local targeting of interventions to prevent adverse pregnancy outcomes in LMICs.

4.
J Endocrinol Invest ; 46(9): 1865-1874, 2023 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-36848018

RESUMO

PURPOSE: Bone health in primary ovarian insufficiency (POI) is under-investigated. We assessed patients with spontaneous POI for vertebral fractures (VFs) and related parameters of bone health. METHODS: 70 cases with spontaneous POI (age 32.5 ± 7.0 years) and an equal number of controls were assessed for BMD, TBS, and VFs. BMD at the lumbar-spine (L1-L4), left hip, non-dominant forearm, and TBS (iNsight software) were measured on a dual-energy X-ray absorptiometry (DXA) machine. VFs were assessed by Genant's classification. Serum FSH, LH, estradiol, T4, TSH, iPTH, serum 25(OH)D, total calcium, and inorganic phosphorus were measured. RESULTS: BMD at the lumbar-spine, hip and forearm was reduced by 11.5%, 11.4% and 9.1% in POI as compared to controls (P < 0.001). Degraded or partially degraded microarchitecture on TBS was observed in 66.7% of patients and 38.2% of controls (P = 0.001). 15.7% of the POI patients had VFs, compared to 4.3% of controls (P = 0.045). Age, duration of amenorrhea and duration of HRT use were the significant predictors of TBS (P < 0.01). Serum 25(OH)D was the significant determinant of VFs. TBS abnormalities were higher in patients with POI and VFs. BMD was not significantly different in patients with and without VFs. CONCLUSION: Thus, lumbar-spine osteoporosis, impaired TBS and VFs were present in 35.7%, 66.7% and 15.7% of patients with spontaneous POI in their early third decade. This indicates need for rigorous investigations for impaired bone health in these young patients and management with HRT, vitamin-D, and possible need for bisphosphonate therapy.


Assuntos
Fraturas por Osteoporose , Insuficiência Ovariana Primária , Fraturas da Coluna Vertebral , Feminino , Humanos , Adulto , Densidade Óssea , Osso Esponjoso/diagnóstico por imagem , Absorciometria de Fóton , Vértebras Lombares/diagnóstico por imagem
5.
J Endocrinol Invest ; 45(9): 1777-1786, 2022 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-35585296

RESUMO

PURPOSE: Patients with hypoparathyroidism are at risk of vertebral fractures (VFs) despite high bone mineral density (BMD). We investigated this paradox by assessing trabecular bone score (TBS) and hip structural analysis (HSA) in non-surgical chronic hypoparathyroidism (cHypoPT) with and without VFs. METHODS: 152 cHypoPT patients (age 40.2 ± 13.4 years, M: F = 81:71) with a median follow-up of 8 (2-13) years were assessed for BMD, VFs, TBS, and HSA and compared with 152 healthy controls. VFs at T7-L4 were assessed by Genant's method. Average serum total calcium and phosphorus during follow-up were assessed. RESULTS: The lumbar spine and hip BMD were higher by 25.4 and 13.4% in cHypoPT than controls (P < 0.001). Paradoxically, VFs (30.9 vs.7.9%), including multiple (12.5 vs. 2.6%) were higher in cHypoPT (P < 0.001). Though overall average TBS (1.411 ± 0.091) was normal in cHypoPT, 25.4% of the females had subnormal TBS, more in post than pre-menopausal women (52.3 vs. 14%, P = 0.002) and as compared to males (6.1%, P = 0.001). TBS correlated with menopausal status and follow-up serum calcium-phosphorus product. For every gm/cm2 rise in BMD, TBS increase was only 0.227 in cHypoPT compared to 0.513 in controls. Frequency of VFs increased with declining TBS (P = 0.004). HSA was comparable between cHypoPT with and without VFs. 23.4% of cHypoPT with VFs had subnormal TBS. CONCLUSION: 31% of cHypoPT patients had VFs. TBS indicated degraded bone microarchitecture in 50% of the post-menopausal cHypoPT women. However, TBS has limitations to detect abnormal bone microarchitecture in cHypoPT as only one-fourth of patients with VFs showed low TBS.


Assuntos
Hipoparatireoidismo , Fraturas por Osteoporose , Fraturas da Coluna Vertebral , Absorciometria de Fóton/métodos , Adulto , Densidade Óssea , Cálcio , Osso Esponjoso/diagnóstico por imagem , Feminino , Humanos , Vértebras Lombares/diagnóstico por imagem , Masculino , Pessoa de Meia-Idade , Fraturas por Osteoporose/diagnóstico , Fraturas por Osteoporose/etiologia , Fósforo , Fraturas da Coluna Vertebral/diagnóstico por imagem , Fraturas da Coluna Vertebral/etiologia
6.
Curr Microbiol ; 80(1): 41, 2022 Dec 19.
Artigo em Inglês | MEDLINE | ID: mdl-36534266

RESUMO

Streptococcus pneumoniae (SP) infections cause morbidity and mortality among children worldwide. Hence India introduced 13-valent pneumococcal conjugate vaccine (PCV-13) in 2017 in a phased manner. The primary objective of this study was to assess the proportion of healthy children having nasopharyngeal colonization (NP) with SP. Secondary objective was to determine prevalent serotype of SP among the PCV13 vaccinated and non-vaccinated children. This cross-sectional study was conducted in 4 hospitals of Lucknow District, Northern India. Three hundred healthy children (2-59 months) were recruited between July and August 2019 from vaccination-clinics of hospitals. NP specimen was cultured using 5% sheep blood agar plate containing gentamicin. Pneumococcal isolates were identified by optochin sensitivity and bile-solubility tests. Serotyping was done using Quellung Method. Of the 300 healthy children, 56.7% (170/300) were males and 59.3% (181/300) had received at least one dose of PCV13 vaccine. The NP carriage rate of SP among healthy children was 37.7% (113/300). Vaccine serotypes were found in 33.3% (22/66) in PCV vaccinated children and 48.9% (23/47) in non-vaccinated children (p 0.09). Common vaccine serotypes that isolated were: 18C, 19A, 19F, 23F, 3, 4, 6A, 6B, 9 V. Thus more than one-third of healthy children had NP colonization with SP. Adjusting for age, there was a trend for significant reduction in vaccine serotypes in the NP with one doses versus two or more doses (ptrend = 0.04).


Assuntos
Infecções Pneumocócicas , Streptococcus pneumoniae , Masculino , Animais , Ovinos , Feminino , Sorogrupo , Estudos Transversais , Portador Sadio , Infecções Pneumocócicas/prevenção & controle , Índia
7.
Int J Biometeorol ; 65(10): 1615-1628, 2021 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-33877430

RESUMO

Climate and weather directly impact plant phenology, affecting airborne pollen. The objective of this systematic review is to examine the impacts of meteorological variables on airborne pollen concentrations and pollen season timing. Using PRISMA methodology, we reviewed literature that assessed whether there was a relationship between local temperature and precipitation and measured airborne pollen. The search strategy included terms related to pollen, trends or measurements, and season timing. For inclusion, studies must have conducted a correlation analysis of at least 5 years of airborne pollen data to local meteorological data and report quantitative results. Data from peer-reviewed articles were extracted on the correlations between seven pollen indicators (main pollen season start date, end date, peak date, and length, annual pollen integral, average daily pollen concentration, and peak pollen concentration), and two meteorological variables (temperature and precipitation). Ninety-three articles were included in the analysis out of 9,679 articles screened. Overall, warmer temperatures correlated with earlier and longer pollen seasons and higher pollen concentrations. Precipitation had varying effects on pollen concentration and pollen season timing indicators. Increased precipitation may have a short-term effect causing low pollen concentrations potentially due to "wash out" effect. Long-term effects of precipitation varied for trees and weeds and had a positive correlation with grass pollen levels. With increases in temperature due to climate change, pollen seasons for some taxa in some regions may start earlier, last longer, and be more intense, which may be associated with adverse health impacts, as pollen exposure has well-known health effects in sensitized individuals.


Assuntos
Pólen , Tempo (Meteorologia) , Alérgenos , Mudança Climática , Humanos , Estações do Ano , Temperatura
8.
J Obstet Gynaecol ; 41(4): 616-620, 2021 May.
Artigo em Inglês | MEDLINE | ID: mdl-32811236

RESUMO

This study aimed to compare the impact of 3 versus 6 cycles of neoadjuvant chemotherapy (NACT) on the optimal cytoreduction in patients of advanced ovarian malignancy during interval debulking surgery (IDS). Thirty patients with advanced-stage IIIc/IV epithelial ovarian cancer, fallopian tube cancer, and primary peritoneal cancer were randomly allocated to receive 6 cycles in the late IDS group versus 3 cycles in early IDS before undergoing interval debulking surgery. A higher percentage of patients achieved optimal cytoreduction in the late IDS group compared to the early IDS group (60 versus 23%) which was statistically significant (p = .010). Giving 6 cycles of NACT before surgery increased the odd of optimal cytoreduction by 10 than giving 3 cycles of NACT which was statistically significant (p = 0.046) Thus, we conclude that administering 6 cycles of neoadjuvant chemotherapy before debulking surgery helps in achieving optimal cytoreduction in a higher number of patients with lesser surgical morbidity.IMPACT STATEMENTWhat is already known on the subject? Currently, there are no established criteria that would help to determine the number of chemotherapy cycles before debulking surgery in patients with advanced ovarian malignancy.What do the results of this study add? Administering 6 cycles of neoadjuvant chemotherapy before debulking surgery helps in achieving optimal cytoreduction in a higher number of patients with lesser surgical morbidity in cases of advanced epithelial ovarian cancer.What are the implications of these findings for clinical practice and/or further research? We conclude that late interval debulking may be used as a treatment option in the advanced stage IIIc/stage IV. However, the findings need to be studied in a larger study group with a longer follow up period.


Assuntos
Carcinoma Epitelial do Ovário/terapia , Procedimentos Cirúrgicos de Citorredução/estatística & dados numéricos , Terapia Neoadjuvante/métodos , Neoplasias Ovarianas/terapia , Adulto , Carcinoma Epitelial do Ovário/patologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Estadiamento de Neoplasias , Neoplasias Ovarianas/patologia , Projetos Piloto , Estudos Prospectivos , Resultado do Tratamento
9.
Phys Rev Lett ; 124(4): 043902, 2020 Jan 31.
Artigo em Inglês | MEDLINE | ID: mdl-32058792

RESUMO

Time-varying metasurfaces are emerging as a powerful instrument for the dynamical control of the electromagnetic properties of a propagating wave. Here we demonstrate an efficient time-varying metasurface based on plasmonic nano-antennas strongly coupled to an epsilon-near-zero (ENZ) deeply subwavelength film. The plasmonic resonance of the metal resonators strongly interacts with the optical ENZ modes, providing a Rabi level spitting of ∼30%. Optical pumping at frequency ω induces a nonlinear polarization oscillating at 2ω responsible for an efficient generation of a phase conjugate and a negative refracted beam with a conversion efficiency that is more than 4 orders of magnitude greater compared to the bare ENZ film. The introduction of a strongly coupled plasmonic system therefore provides a simple and effective route towards the implementation of ENZ physics at the nanoscale.

10.
Clin Radiol ; 75(6): 423-432, 2020 06.
Artigo em Inglês | MEDLINE | ID: mdl-32081346

RESUMO

Malignant pleural mesothelioma (MPM) is a primary malignancy of the pleura and is associated with a poor outcome. The symptoms and signs of malignant mesothelioma present late in the natural history of the disease and are non-specific, making the diagnosis challenging and imaging key. In 2018, the British Thoracic Society (BTS) updated the guideline on diagnosis, staging, and follow-up of patients with MPM. These recommendations are discussed in this review of the current literature on imaging of MPM. It is estimated MPM will continue to cause serious morbidity and mortality in the UK late into the 21st century, and internationally, people continue to be exposed to asbestos. We aim to update the reader on current and future imaging strategies, which could aid early diagnosis of pleural malignancy and provide an update on staging and assessment of tumour response.


Assuntos
Diagnóstico por Imagem/normas , Mesotelioma Maligno/diagnóstico por imagem , Neoplasias Pleurais/diagnóstico por imagem , Guias de Prática Clínica como Assunto , Detecção Precoce de Câncer , Humanos , Mesotelioma Maligno/patologia , Estadiamento de Neoplasias , Neoplasias Pleurais/patologia , Sociedades Médicas
11.
J Dairy Sci ; 103(4): 3349-3362, 2020 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-32008786

RESUMO

Crossbreeding is a strategy to counter the declining fertility, resilience, and longevity of purebred Holstein (Ho) cows. However, little is known of the effects of long-term systematic rotational crossbreeding on milk technological properties and cheese yield (CY). In this study, we compared the individual milk composition, milk coagulation properties (MCP), and CY of 468 purebred Ho and 648 crossbred (CR) cows obtained from two 3-breed rotational crossbreeding systems using Viking Red (VR), Montbéliarde (Mo), and Ho sires over 4 generations. Individual milk samples were collected once from 1,116 primiparous and multiparous cows kept in 2 dairy herds, raised for the production of Grana Padano (high milk yield, total mixed ration based on corn silage) and Parmigiano Reggiano (moderate milk yield, only dry feeds) cheeses. In both herds, a 3-breed rotational mating system was used in which Ho cows were first inseminated with VR, whereas Mo and Ho semen was used in the subsequent generations. In one herd, the sequence Mo-VR-Ho was also used. Individual milk samples were analyzed for milk composition, single-point MCP, and parameters for modeling curd firming over time, whereas CY and milk nutrient recovery in the curd were assessed through a laboratory cheese-making procedure. Compared with Ho, CR cows produced 5.8% less milk, which had comparable fat but greater protein and casein contents and lower lactose contents and somatic cell scores. Milk from CR cows tended to reach a curd firmness of 20 mm more quickly and exhibited greater curd firmness at 45 and 60 min from rennet addition. Holstein and CR cows yielded milk with similar CY and recovery in the curd traits. The milk fat content, somatic cell scores, curd firmness traits, and CY of CR cows relative to the Ho cows differed in the 2 herds, and the favorable effects on the CR cows were more evident in the herd with the greatest milk yield and the worst MCP traits. Crossbred cows of the 4 generations performed similarly, with the exception of the better MCP of the milk from first-generation CR cows. The 2 rotational systems using different sire-breed sequences also performed similarly. In summary, both rotational crossbreeding programs exhibited some advantage over the Ho purebred breeding system in terms of milk composition and MCP but not CY. Future research is needed to investigate the interactions between crossbreeding schemes and dairy systems.


Assuntos
Bovinos/fisiologia , Queijo , Hibridização Genética , Leite/química , Animais , Feminino , Fertilidade , Conteúdo Gastrointestinal , Lactação , Masculino , Paridade , Fenótipo , Gravidez , Silagem , Zea mays
12.
Luminescence ; 35(1): 144-155, 2020 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-31514262

RESUMO

The interaction of zinc oxide nanoparticles (ZnO NPs) with human haemoglobin (Hb) is studied for the biologically safe application of ZnO NPs in the human body. The Hb corona is formed around the ZnO nanoparticles, directly observed from high-resolution transmission electron microscopy (HRTEM) images. Hb formed 'hard corona' on the surface of ZnO NPs from an exponential association mechanism over a very short duration, as well as unfolding of Hb that occurred over a long lifetime. Dynamic light scattering measurements demonstrated that the ZnO NPs were completely covered by Hb with shell thickness of c. 6 nm that formed a 'hard corona'. Zeta potential measurements represented that the ZnO NPs were fully covered by Hb molecules using an exponential association mechanism. Tryptophans (TRY), as well as heme-porphyrin moieties of Hb, are the major binding sites for ZnO NPs. The nature of the interaction between ZnO NPs and Hb was analysed from the fluorescence quenching of TRYs. Electrostatic interaction, along with the hydrophobic interaction between ZnO NPs and Hb, is responsible for the conformational change in Hb due to increase in the percentage of ß-sheets together with a decrease in α-helices.


Assuntos
Difusão Dinâmica da Luz , Hemoglobinas/química , Nanopartículas/química , Óxido de Zinco/química , Humanos , Microscopia Eletrônica de Transmissão , Desdobramento de Proteína , Eletricidade Estática , Fatores de Tempo
13.
Clin Exp Immunol ; 197(2): 131-140, 2019 08.
Artigo em Inglês | MEDLINE | ID: mdl-31099890

RESUMO

Neutrophils maintain immune homeostasis by engulfing apoptotic cells and debris. We describe the rapid activation of neutrophils after engulfing hemoglobin (Hb)-activated platelets, which are abundant in the circulation of hemolytic patients. Neutrophils from healthy individuals after engulfing Hb-activated platelets express elevated CD11b and secrete significant amounts of tumor necrosis factor (TNF)-α, interleukin (IL)-1ß, IL-6, myeloperoxidase (MPO) and elastase within 4-h platelets, but not with free-Hb only in vitro. These neutrophils exhibit early onset of apoptosis and cell death after engulfing Hb-activated platelets, but not with free-Hb only. Further, our data from mice with phenylhydrazine-induced intravascular hemolysis display a gradual decrease in total neutrophil count, but the number of activated neutrophils and neutrophil-platelet aggregates increases, along with the rise of TNF-α, IL-1ß, IL-6 and MPO in circulation. Our data from paroxysmal nocturnal hemoglobinuria (PNH) patients confirmed the observation of decreased total neutrophil counts, but elevated numbers of activated neutrophils, including neutrophil-platelet aggregates, in parallel with elevated expression of TNFA, IL1B and IL6 genes in neutrophils, also increased levels of these cytokines along with MPO in circulation, and this correlated directly with elevated intravascular hemolysis (high free-Hb in plasma). The patients' neutrophils displayed significant localization of intracellular Hb and platelets, unlike the counterparts from healthy individuals. Together, therefore, our observations suggest that Hb-activated platelets, which are abundant in the circulation of patients with hemolytic disorders, including PNH, promotes early onset of neutrophil activation and increases their proinflammatory response and leads to early apoptosis and cell death.


Assuntos
Plaquetas/imunologia , Hemoglobinúria Paroxística/imunologia , Neutrófilos/imunologia , Animais , Apoptose , Células Cultivadas , Citocinas/genética , Citocinas/metabolismo , Modelos Animais de Doenças , Endocitose , Feminino , Hemoglobinas/metabolismo , Hemólise , Homeostase , Humanos , Mediadores da Inflamação/metabolismo , Masculino , Camundongos , Camundongos Endogâmicos BALB C , Ativação de Neutrófilo , Fenil-Hidrazinas
14.
Phys Rev Lett ; 123(19): 197203, 2019 Nov 08.
Artigo em Inglês | MEDLINE | ID: mdl-31765191

RESUMO

By means of new muon spin relaxation experiments, we disentangle extrinsic and intrinsic sources of low-temperature bulk magnetism in the candidate topological Kondo insulator (TKI) SmB_{6}. Results on Al-flux-grown SmB_{6} single crystals are compared to those on a large floating-zone-grown ^{154}Sm ^{11}B_{6} single crystal in which a 14 meV bulk spin exciton has been detected by inelastic neutron scattering. Below ∼10 K, we detect the gradual development of quasistatic magnetism due to rare-earth impurities and Sm vacancies. Our measurements also reveal two additional forms of intrinsic magnetism: (1) underlying low-energy (∼100 meV) weak magnetic moment (∼10^{-2} µ_{B}) fluctuations similar to those detected in the related candidate TKI YbB_{12} that persist down to millikelvin temperatures, and (2) magnetic fluctuations consistent with a 2.6 meV bulk magnetic excitation at zero magnetic field that appears to hinder surface conductivity above ∼4.5 K. We discuss potential origins of the magnetism.

15.
Herz ; 44(1): 76-81, 2019 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-29043406

RESUMO

BACKGROUND: We examined the predictive value of central venous oxygen saturation (ScvO2) changes regarding the occurrence of pericardial tamponade following cardiac surgery. METHODS: We retrospectively identified 66 consecutive patients in whom ScvO2 and arterial lactate levels were analyzed during an 8­h time interval preceding pericardiotomy due to pericardial tamponade (PT), and at equivalent time points in 30 control patients (C) who had an uncomplicated course. RESULTS: The median age of the patients was 74 years (interquartile range, 63-78). Three percent of procedures were re-operations. There were no differences between the baseline values of PT and C patients. Pericardiotomy was performed on average 1 day (0-3.5) after cardiac surgery. PT patients displayed a significant decline (p < 0.001) to lower ScvO2 levels (p < 0.001) and a significant increase (p = 0.005) to higher arterial lactate levels (p = 0.019) during the 8 h preceding pericardiotomy, whereas C patients did not (p = 0.440 and p = 0.279, respectively). PT was associated with a longer hospital stay (p = 0.04) and a higher in-hospital mortality (p = 0.008). An ScvO2 decline below 60% (p = 0.018), a delta ScvO2 decline greater than 5% (p = 0.001), and a delta lactate increase greater than 0.18 mmol/l (p = 0.002) during the 8 h preceding pericardiotomy were independently associated with PT. None of these parameters predicted in-hospital mortality. CONCLUSION: Deteriorations in ScvO2 might serve as an early marker of PT following cardiac surgery.


Assuntos
Tamponamento Cardíaco , Procedimentos Cirúrgicos Cardiovasculares , Oxigênio , Idoso , Tamponamento Cardíaco/sangue , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Oximetria , Oxigênio/sangue , Estudos Prospectivos , Estudos Retrospectivos
16.
J Helminthol ; 94: e111, 2019 Dec 17.
Artigo em Inglês | MEDLINE | ID: mdl-31843032

RESUMO

The efficacy of eight essential oils (EOs) (Solidago canadensis, Eucalyptus globulus, Pelargonium asperum, Ocimum basilicum, Thymus vulgaris, Mentha piperita, Cymbopogon citratus and Cymbopogon martinii) against gastrointestinal nematodes (GINs) was evaluated using eggs collected from naturally infected cattle and cultured infective larvae (L3). The larvae species cultured from the faecal samples and subjected to two in vitro tests were Haemonchus spp. (55.5%), Trichostrongylus spp. (28.0%), Cooperia spp. (15.0%) and Oesophagostomum spp. (1.5%). The genus of EO Cymbopogon (C. citratus and C. martinii) showed the highest anthelmintic activity at the dose of 8.75 mg/ml, for the egg hatch, the larval migration and mortality assays. All of the EOs tested reduced egg hatching to rates <19.0%, compared to the controls (water and water + Tween 20) that had rates >92.0%. Cymbopogon citratus and C. martinii treatments resulted in 11.6 and 8.1% egg hatch, had the lowest migration of larvae through sieves, 60.5 and 54.9%, and the highest mortality rates, 63.3 and 56.3%, respectively. Dose-response tests showed that EO from C. citratus had the lowest larval LC50 and migration inhibition concentration (IC50) values of 3.89 and 7.19 mg/ml, respectively, compared to two other EOs (C. martinii and O. basilicum). The results suggest that EOs from the genus Cymbopogon can be interesting candidates for nematode control in cattle, although it may prove challenging to deliver concentrations to the gastrointestinal tract sufficient to effectively manage GINs.


Assuntos
Anti-Helmínticos/farmacologia , Trato Gastrointestinal/parasitologia , Nematoides/efeitos dos fármacos , Óleos Voláteis/farmacologia , Extratos Vegetais/farmacologia , Animais , Bovinos/parasitologia , Doenças dos Bovinos/parasitologia , Fezes/parasitologia , Concentração Inibidora 50 , Larva/efeitos dos fármacos , Larva/fisiologia , Óleos Voláteis/química , Contagem de Ovos de Parasitas , Testes de Sensibilidade Parasitária , Extratos Vegetais/química
17.
J Food Sci Technol ; 56(9): 4266-4273, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-31477997

RESUMO

Nectarine is an important stone fruit after plum and peach. The area under peach cultivation is now getting replaced by nectarine due to its fuzzless nature and high nutritive value. Nectarines are juicy, delicious fruits having low calorific value and have high antioxidant capacity. In India, its cultivation is confined to North-Western and North-Eastern Himalayas. In this study, five major nectarine cultivars growing in India namely, 'Silver Queen', 'Red Gold', 'Spring Bright', 'Independence' and 'Missourie' were harvested at commercial maturity and analyzed for various chemical and nutritional aspects. Our results showed that there were quantitative differences among the genotypes in different parameters analyzed. The predominant sugar in nectarine was fructose which was highest in 'Silver Queen' (14.48 mg 100 g-1 FW) and lowest in 'Independence' (9.04 mg 100 g-1 FW). Major organic acids were malic, succinic, citric and acetic acid. The highest malic acid content was recorded in 'Independence' (1.13 mg 100 g-1 FW) and lowest in 'Red Gold' (0.61 mg 100 g-1 FW). Nectarine genotypes chiefly contained phloridizin dihydrate and chlorogenic acid as the phenolic component. However, chlorogenic acid was highest in 'Spring Bright' (17.63 µg g-1 FW) and lowest in 'Red Gold' (3.67 µg g-1 FW). Similarly, a wider variability was recorded in major and minor mineral concentrations among the genotypes. Based on these observations, it can be concluded that among the major nectarine varieties cultivated in India, 'Silver Queen' have higher mineral nutrients than other varieties, and 'Spring Bright' have higher phenolics and antioxidants.

18.
Psychol Med ; 48(9): 1410-1426, 2018 07.
Artigo em Inglês | MEDLINE | ID: mdl-28929996

RESUMO

Psychotic experiences (PEs), including hallucination- and delusion-like experiences, are robustly associated with self-injurious thoughts and behaviours (SITB) in the general population. However, it remains unclear as to why there is an association. The purpose of this systematic review was to elucidate the role of other factors that influence the association between PEs and SITB and, in doing so, highlight potential mechanisms underlying the relationship. A search of electronic international databases was undertaken, including PubMed, PsycINFO and EMBASE, and eligible studies were grouped according to seven confounder categories: sociodemographics, mental disorders, alcohol and substance use, environmental, psychological, intervention and family history/genetic factors. The systematic search strategy identified 41 publications reporting on 1 39 427 participants from 16 different countries. In the majority of studies, where adjustment for other variables occurred, the association between PEs and SITB persisted, suggesting PEs have an independent role. Common mental disorders, psychological distress and negative environmental exposures explained a substantial amount of the variance and therefore need to be considered as potential underlying mechanisms. There was high variability in the variables adjusted for in these studies, and so the question still remains as to whether the association between PEs and self-harm/suicidality can be attributed (fully or in part) to confounding and mediating factors or directly causal mechanisms. Regardless of causality, the now extensive literature reporting an association between these two clinical phenomena supports the broad usefulness of PEs as an indicator of risk for SITB.


Assuntos
Delusões/epidemiologia , Alucinações/epidemiologia , Transtornos Mentais/psicologia , Comportamento Autodestrutivo/epidemiologia , Comportamento Autodestrutivo/psicologia , Causalidade , Fatores de Confusão Epidemiológicos , Humanos , Fatores de Risco
19.
J Microsc ; 269(1): 14-22, 2018 01.
Artigo em Inglês | MEDLINE | ID: mdl-28703381

RESUMO

Carbon nanotubes (CNTs) have become an important nano entity for biomedical applications. Conventional methods of their imaging, often cannot be applied in biological samples due to an inadequate spatial resolution or poor contrast between the CNTs and the biological sample. Here we report a unique and effective detection method, which uses differences in conductivities of carbon nanotubes and HeLa cells. The technique involves the use of a helium ion microscope to image the sample with the surface charging artefacts created by the He+ and neutralised by electron flood gun. This enables us to obtain a few nanometre resolution images of CNTs in HeLa Cells with high contrast, which was achieved by tailoring the He+ fluence. Charging artefacts can be efficiently removed for conductive CNTs by a low amount of electrons, the fluence of which is not adequate to discharge the cell surface, resulting in high image contrast. Thus, this technique enables rapid detection of any conducting nano structures on insulating cellular background even in large fields of view and fine spatial resolution. The technique demonstrated has wider applications for researchers seeking enhanced contrast and high-resolution imaging of any conducting entity in a biological matrix - a commonly encountered issue of importance in drug delivery, tissue engineering and toxicological studies.


Assuntos
Células HeLa/citologia , Aumento da Imagem/métodos , Microscopia/métodos , Nanotubos de Carbono/análise , Hélio , Humanos , Íons
20.
Acta Psychiatr Scand ; 137(4): 306-315, 2018 04.
Artigo em Inglês | MEDLINE | ID: mdl-29453789

RESUMO

OBJECTIVES: Religiosity is often associated with better health outcomes. The aim of the study was to examine associations between psychotic experiences (PEs) and religiosity in a large, cross-national sample. METHODS: A total of 25 542 adult respondents across 18 countries from the WHO World Mental Health Surveys were assessed for PEs, religious affiliation and indices of religiosity, DSM-IV mental disorders and general medical conditions. Logistic regression models were used to estimate the association between PEs and religiosity with various adjustments. RESULTS: Of 25 542 included respondents, 85.6% (SE = 0.3) (n = 21 860) respondents reported having a religious affiliation. Overall, there was no association between religious affiliation status and PEs. Within the subgroup having a religious affiliation, four of five indices of religiosity were significantly associated with increased odds of PEs (odds ratios ranged from 1.3 to 1.9). The findings persisted after adjustments for mental disorders and/or general medical conditions, as well as religious denomination type. There was a significant association between increased religiosity and reporting more types of PEs. CONCLUSIONS: Among individuals with religious affiliations, those who reported more religiosity on four of five indices had increased odds of PEs. Focussed and more qualitative research will be required to unravel the interrelationship between religiosity and PEs.


Assuntos
Saúde Global/estatística & dados numéricos , Saúde Mental/estatística & dados numéricos , Transtornos Psicóticos/epidemiologia , Religião , Adulto , Feminino , Inquéritos Epidemiológicos/estatística & dados numéricos , Humanos , Masculino , Pessoa de Meia-Idade , Organização Mundial da Saúde
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