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1.
Nature ; 615(7950): 87-93, 2023 03.
Artigo em Inglês | MEDLINE | ID: mdl-36859582

RESUMO

Water resources sustainability in High Mountain Asia (HMA) surrounding the Tibetan Plateau (TP)-known as Asia's water tower-has triggered widespread concerns because HMA protects millions of people against water stress1,2. However, the mechanisms behind the heterogeneous trends observed in terrestrial water storage (TWS) over the TP remain poorly understood. Here we use a Lagrangian particle dispersion model and satellite observations to attribute about 1 Gt of monthly TWS decline in the southern TP during 2003-2016 to westerlies-carried deficit in precipitation minus evaporation (PME) from the southeast North Atlantic. We further show that HMA blocks the propagation of PME deficit into the central TP, causing a monthly TWS increase by about 0.5 Gt. Furthermore, warming-induced snow and glacial melt as well as drying-induced TWS depletion in HMA weaken the blocking of HMA's mountains, causing persistent northward expansion of the TP's TWS deficit since 2009. Future projections under two emissions scenarios verified by satellite observations during 2020-2021 indicate that, by the end of the twenty-first century, up to 84% (for scenario SSP245) and 97% (for scenario SSP585) of the TP could be afflicted by TWS deficits. Our findings indicate a trajectory towards unsustainable water systems in HMA that could exacerbate downstream water stress.


Assuntos
Altitude , Mudança Climática , Dessecação , Previsões , Abastecimento de Água , Humanos , Ásia , Mudança Climática/estatística & dados numéricos , Abastecimento de Água/estatística & dados numéricos , Tibet , Congelamento , Neve , Imagens de Satélites , Chuva , Oceano Atlântico , Camada de Gelo , Conservação dos Recursos Hídricos
2.
Am J Physiol Gastrointest Liver Physiol ; 327(1): G16-G24, 2024 Jul 01.
Artigo em Inglês | MEDLINE | ID: mdl-38651230

RESUMO

Acute pancreatitis (AP) is a common disease with no targeted therapy and has varied outcomes ranging from spontaneous resolution to being lethal. Although typically painful, AP can also be painless. Various agents, including opioids, are used for pain control in AP; the risks and benefits of which are often debated. As experimental AP in mice is used to study the efficacy of potential therapies, we studied the effect of a commonly used opioid, buprenorphine, on the initiation and progression of AP. For this, we administered extended-release buprenorphine subcutaneously before inducing the previously established severe AP model that uses interleukins 12 and 18 (IL12,18) in genetically obese (ob/ob) mice and compared this to mice with AP but without the drug. Mice were monitored over 3 days, and parameters of AP induction and progression were compared. Buprenorphine significantly reduced serum amylase, lipase, pancreatic necrosis, and AP-associated fat necrosis, which is ubiquitous in obese mice and humans. Buprenorphine delayed the AP-associated reduction of carotid artery pulse distention and the development of hypothermia, hastened renal injury, and muted the early increase in respiratory rate versus IL12,18 alone. The site of buprenorphine injection appeared erythematous, inflamed, and microscopically showed thinning, loss of epidermal layers that had increased apoptosis. In summary, subcutaneous extended-release buprenorphine interfered with the induction of AP by reducing serum amylase, lipase, pancreatic and fat necrosis, the worsening of AP by delaying hypotension, hypothermia, while hastening renal injury, respiratory depression, and causing cutaneous injury at the site of injection.NEW & NOTEWORTHY Extended-release buprenorphine interferes with the initiation and progression of acute pancreatitis at multiple levels.


Assuntos
Buprenorfina , Pancreatite , Animais , Buprenorfina/farmacologia , Pancreatite/induzido quimicamente , Pancreatite/patologia , Camundongos , Analgésicos Opioides/farmacologia , Modelos Animais de Doenças , Masculino , Interleucina-12/metabolismo , Interleucina-18/metabolismo , Interleucina-18/sangue , Camundongos Obesos , Doença Aguda , Pâncreas/patologia , Pâncreas/efeitos dos fármacos , Camundongos Endogâmicos C57BL
3.
Gastroenterology ; 165(4): 999-1015, 2023 10.
Artigo em Inglês | MEDLINE | ID: mdl-37263302

RESUMO

BACKGROUND & AIMS: Although transient bacteremia is common during dental and endoscopic procedures, infections developing during sterile diseases like acute pancreatitis (AP) can have grave consequences. We examined how impaired bacterial clearance may cause this transition. METHODS: Blood samples from patients with AP, normal controls, and rodents with pancreatitis or those administered different nonesterified fatty acids (NEFAs) were analyzed for albumin-unbound NEFAs, microbiome, and inflammatory cell injury. Macrophage uptake of unbound NEFAs using a novel coumarin tracer were done and the downstream effects-NEFA-membrane phospholipid (phosphatidylcholine) interactions-were studied on isothermal titration calorimetry. RESULTS: Patients with infected AP had higher circulating unsaturated NEFAs; unbound NEFAs, including linoleic acid (LA) and oleic acid (OA); higher bacterial 16S DNA; mitochondrial DNA; altered ß-diversity; enrichment in Pseudomonadales; and increased annexin V-positive myeloid (CD14) and CD3-positive T cells on admission. These, and increased circulating dead inflammatory cells, were also noted in rodents with unbound, unsaturated NEFAs. Isothermal titration calorimetry showed progressively stronger unbound LA interactions with aqueous media, phosphatidylcholine, cardiolipin, and albumin. Unbound NEFAs were taken into protein-free membranes, cells, and mitochondria, inducing voltage-dependent anion channel oligomerization, reducing ATP, and impairing phagocytosis. These were reversed by albumin. In vivo, unbound LA and OA increased bacterial loads and impaired phagocytosis, causing infection. LA and OA were more potent for these amphipathic interactions than the hydrophobic palmitic acid. CONCLUSIONS: Release of stored LA and OA can increase their circulating unbound levels and cause amphipathic liponecrosis of immune cells via uptake by membrane phospholipids. This impairs bacterial clearance and causes infection during sterile inflammation.


Assuntos
Pancreatite , Humanos , Doença Aguda , Ácidos Graxos não Esterificados , Ácido Oleico , Inflamação , Albuminas , Fosfatidilcolinas
4.
Chembiochem ; 25(4): e202400074, 2024 02 16.
Artigo em Inglês | MEDLINE | ID: mdl-38293899

RESUMO

The synthesis of diarylamine-based organoselenium compounds via the nucleophilic substitution reactions has been described. Symmetrical monoselenides and diselenides were conveniently synthesized by the reduction of their corresponding selenocyanates using sodium borohydride. Selenocyanates were obtained from 2-chloro acetamides by the nucleophilic displacement with potassium selenocyanate. Selenides were synthesized by treating the 2-chloro acetamides with in situ generated sodium butyl selenolate as nucleophile. Further, the newly synthesized organoselenium compounds were evaluated for their glutathione peroxidase (GPx)-like activity in thiophenol assay. This study revealed that the methoxy-substituted organoselenium compounds showed significant effect on the GPx-like activity. The catalytic parameters for the most efficient catalysts were also determined. The anti-ferroptotic activity for all GPx-mimics evaluated in a 4-OH-tamoxifen (TAM) inducible GPx4 knockout cell line using liproxstatin as standard.


Assuntos
Ferroptose , Compostos Organosselênicos , Glutationa Peroxidase/metabolismo , Aminas , Compostos Organosselênicos/farmacologia , Antioxidantes/metabolismo , Acetamidas
5.
Pancreatology ; 24(1): 14-23, 2024 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-37981523

RESUMO

OBJECTIVE: Non-steroidal anti-inflammatory drugs (NSAIDs) are the most studied chemoprophylaxis for post-endoscopic retrograde cholangiopancreatography pancreatitis (PEP). While previous systematic reviews have shown NSAIDs reduce PEP, their impact on moderate to severe PEP (MSPEP) is unclear. We conducted a systematic review and meta-analysis to understand the impact of NSAIDs on MSPEP among patients who developed PEP. We later surveyed physicians' understanding of that impact. DESIGN: A systematic search for randomized trials using NSAIDs for PEP prevention was conducted. Pooled-prevalence and Odds-ratio of PEP, MSPEP were compared between treated vs. control groups. Analysis was performed using R software. Random-effects model was used for all variables. Physicians were surveyed via email before and after reviewing our results. RESULTS: 7688 patients in 25 trials were included. PEP was significantly reduced to 0.598 (95%CI, 0.47-0.76) in the NSAIDs group. Overall burden of MSPEP was reduced among all patients undergoing ERCP: OR 0.59 (95%CI, 0.42-0.83). However, NSAIDs didn't affect the proportion of MSPEP among those who developed PEP (p = 0.658). Rectal Indomethacin and diclofenac reduced PEP but not MSPEP. Efficacy didn't vary by risk, timing of administration, or bias-risk. Survey revealed a change in the impression of the effect of NSAIDs on MSPEP after reviewing our results. CONCLUSIONS: Rectal diclofenac or indomethacin before or after ERCP reduce the overall burden of MSPEP by reducing the pool of PEP from which it can arise. However, the proportion of MSPEP among patients who developed PEP is unaffected. Therefore, NSAIDs prevent initiation of PEP, but do not affect severity among those that develop PEP. Alternative modalities are needed to reduce MSPEP among patients who develop PEP.


Assuntos
Diclofenaco , Pancreatite , Humanos , Diclofenaco/uso terapêutico , Colangiopancreatografia Retrógrada Endoscópica/efeitos adversos , Administração Retal , Anti-Inflamatórios não Esteroides/uso terapêutico , Indometacina/uso terapêutico , Pancreatite/epidemiologia , Pancreatite/etiologia , Pancreatite/prevenção & controle
6.
J Org Chem ; 88(24): 16934-16948, 2023 12 15.
Artigo em Inglês | MEDLINE | ID: mdl-38008916

RESUMO

The synthesis of 1,3-benzoselenazoles was achieved by the reaction of corresponding bis[3-amino-N-(p-tolyl)benzamide-2-yl] diselenide, bis[3-amino-N-(4-methoxyphenyl)benzamide-2-yl] diselenide, and bis[3-amino-N-(4-(dimethylamino)phenyl) benzamide-2-yl] diselenide with aryl aldehydes. The 1,3-benzoselenazoles continued to exist as planar molecules due to the presence of secondary Se···O interactions as revealed by the single-crystal X-ray analysis. The presence of secondary Se···O interactions in 1,3-benzoselenazoles was confirmed using natural bond orbital (NBO) and atoms in molecules (AIM) calculations. Nucleus-independent chemical shift (NICS) values suggested the presence of aromatic character in a five-membered benzoselenazole heterocyclic ring. The glutathione peroxidase (GPx)-like antioxidant activity of all 1,3-benzoselenazoles was assessed using a thiophenol assay, exhibiting greater antioxidant activity than Ph2Se2 used as a reference. The most active catalyst carrying a strong electron-donating group (-NMe2) at the ortho-position to the benzoselenazole ring was further investigated at different concentrations of thiophenol, H2O2, and 1,3-benzoselenazoles as catalyst for determining their catalytic parameters. Moreover, the potential applications of all 1,3-benzoselenazoles against pancreatic lipase (PL) have been identified using in silico interactions between the active sites of the 1LPB protein as evaluated using a molecular docking study.


Assuntos
Antioxidantes , Peróxido de Hidrogênio , Antioxidantes/farmacologia , Simulação de Acoplamento Molecular , Glutationa Peroxidase/química , Lipase , Benzamidas
7.
J Org Chem ; 88(7): 4273-4285, 2023 Apr 07.
Artigo em Inglês | MEDLINE | ID: mdl-36930142

RESUMO

Copper-catalyzed direct selenation of substituted 2-bromo-N-phenylbenzamide substrates with elemental selenium powder provided a series of methoxy-substituted isoselenazolones via the C-Se and Se-N bond formations. Phenolic substituted isoselenazolones have been obtained by O-demethylation of the corresponding methoxy-substituted analogues using boron tribromide. Some isoselenazolones have been structurally characterized by X-ray single-crystal analysis. The glutathione peroxidase (GPx)-like antioxidant activity of isoselenazolones has been evaluated both in thiophenol and coupled-reductase assays. All isoselenazolones showed good GPx-like activities in the coupled-reductase assay. The ferric-reducing antioxidant power of phenolic antioxidants has also been evaluated. The best phenolic antioxidants were found to be good ferric-reducing antioxidant power agents. The single electron transfer, hydrogen atom transfer, and proton-coupled electron transfer mechanisms for the antioxidant properties of all catalysts have been supported by density functional theory calculations. The catalytic cycle was proposed for one of the phenolic isoselenazolones involving diselenide, selenenyl sulfide, selenol, and selenenic acid as intermediates using 77Se{1H} NMR spectroscopy.

8.
J Org Chem ; 88(6): 3509-3522, 2023 03 17.
Artigo em Inglês | MEDLINE | ID: mdl-36847416

RESUMO

Bis(3-amino-1-hydroxybenzyl)diselenide containing two ortho groups was synthesized from 7-nitro-3H-2,1-benzoxaselenole and in situ generated sodium benzene tellurolate (PhTeNa). One-pot synthesis of 1,3-benzoselenazoles was achieved from bis(3-amino-1-hydroxybenzyl)diselenide and aryl aldehydes using acetic acid as a catalyst. The X-ray crystal structure of chloro-substituted benzoselenazole revealed a planar structure with T-shaped geometry around the Se atom. Both natural bond orbital and atoms in molecules calculations confirmed the presence of secondary Se···H interactions in bis(3-amino-1-hydroxybenzyl)diselenide and Se···O interactions in benzoselenazoles, respectively. The glutathione peroxidase (GPx)-like antioxidant activities of all compounds were evaluated using a thiophenol assay. Bis(3-amino-1-hydroxybenzyl)diselenide and benzoselenazoles showed better GPx-like activity compared to that of the diphenyl diselenide and ebselen, used as references, respectively. Based on 77Se{1H} NMR spectroscopy, a catalytic cycle for bis(3-amino-1-hydroxybenzyl)diselenide using thiophenol and hydrogen peroxide was proposed involving selenol, selenosulfide, and selenenic acid as intermediates. The potency of all GPx mimics was confirmed by their in vitro antibacterial properties against the biofilm formation of Bacillus subtilis and Pseudomonas aeruginosa. Additionally, molecular docking studies were used to evaluate the in silico interactions between the active sites of the TsaA and LasR-based proteins found in Bacillus subtilis and Pseudomonas aeruginosa.


Assuntos
Antioxidantes , Compostos Organosselênicos , Simulação de Acoplamento Molecular , Fenóis , Compostos de Sulfidrila , Compostos Organosselênicos/química , Glutationa Peroxidase/química
9.
Org Biomol Chem ; 21(6): 1316-1327, 2023 Feb 08.
Artigo em Inglês | MEDLINE | ID: mdl-36648399

RESUMO

Phenolic organochalcogen chain-breaking antioxidants, i.e. 6-bromo-8 (hexadecyltellanyl)-3,3-dimethyl-1,5-dihydro-[1,3]dioxepino[5,6-c]pyridin-9-ol and 2-methyl-2,3-dihydrobenzo[b]selenophene-5-ol, have been investigated in a two-phase (chlorobenzene/water) lipid peroxidation model system as potent inhibitors of lipid peroxyl radicals with various co-antioxidants at various pH values. The pH has a significant effect on the chain-breaking antioxidant activities of phenolic organochalcogens. The key chain-breaking mechanism profile was attributed to the first oxygen atom transfer from the lipid peroxyl radicals to the Se/Te atom, followed by hydrogen atom transfer in a solvent cage from the nearby phenolic group to the resulting alkoxyl radical. Finally, regeneration of organochalcogen antioxidants could take place in the presence of aqueous-soluble co-antioxidants. Also, in the presence of aqueous soluble N-acetylcysteine at pH 1-7, both antioxidants behaved as very good inhibitors of lipid peroxyl radicals. The role of aqueous soluble mild co-antioxidants in the regeneration studies of organochalcogen antioxidants has been investigated in a two-phase lipid peroxidation model system. The importance of the phase transfer catalyst has been explored in the inhibition studies of selenium containing antioxidants using an Fe(II) source. The overall pH-dependent antioxidant activities of organochalcogens depend on their hydrogen atom transfer ability, relative stability, and distribution in the aqueous/lipid phase.

10.
Environ Sci Technol ; 57(5): 2093-2104, 2023 02 07.
Artigo em Inglês | MEDLINE | ID: mdl-36696288

RESUMO

Greenhouse gas (GHG) emissions from integrated urban drainage systems (IUDSs), including sewer, wastewater treatment plants (WWTPs), and receiving water systems, have not yet been integrated due to the lack of modeling tools. Here, we updated the computable general equilibrium-based System Dynamics and Water Environmental Model (CGE-SyDWEM), a recently developed model simulating the water-energy-carbon nexus at the watershed level, to calculate the direct and indirect (electricity use and external) GHG emissions from IUDSs considering carbon mitigation strategies and water engineering practices. The updated CGE-SyDWEM was applied to an estuary watershed in Shenzhen, the fourth largest city in China. With increasing socio-economic development and water infrastructure systems upgrading, GHG emissions are projected to increase from 129.2 (95% CI: 95.9-162.5) kt in 2007 to 190.7 (144.8-236.6) kt in 2025, with 89% from WWTPs (direct: 17%; electricity use: 65%; and external: 7%), 10% from the sewer (direct: 1% and electricity use: 9%) and 1% from receiving waters (direct). Carbon mitigation can reduce GHG emissions by 7% and emission intensity by 6% by 2025, with 63% contributed by external emission reduction from chemical uses. The integrated model can aid water, energy, and carbon decision-makers in finding cost-effective solutions for water and energy security in the future.


Assuntos
Gases de Efeito Estufa , Carbono , Água , Dióxido de Carbono/análise , China , Efeito Estufa
11.
J Environ Manage ; 346: 118948, 2023 Nov 15.
Artigo em Inglês | MEDLINE | ID: mdl-37717396

RESUMO

The inundation process of floodplain wetlands plays a crucial role in maintaining the balance of river ecosystems, which are highly sensitive to hydrological alteration. Nevertheless, the specific mechanisms through which these hydrological changes affect the inundation patterns of floodplain wetlands are still unclear. This study aimed to investigate the impact mechanism of cascade hydropower development on the inundation process of floodplain wetlands. Multitemporal remote sensing datasets and long-term hydrometeorological data series were utilized in this study. By employing the water appearance frequency (WAF) index, wetland hydrological stability assessment, and wavelet analysis, the inundation changes in floodplain wetlands and the underlying hydrological driving mechanisms were examined. The results revealed significant alterations in the inundation frequency of floodplain wetlands due to the construction of upstream dams. Specifically, the construction of the Danjiangkou and Wangfuzhou dams led to an increase in the total inundated area of Part A (16.09 km2) and Part B (76.93 km2), respectively. Conversely, the moderate frequency inundation zone in Part C decreased (26.7 km2) after the construction of the Cuijiaying Dam. The typical floodplain wetland 7 shifted from high to low (8.94 km2) stability after the construction of the Cuijiaying Dam. Furthermore, the cascade hydropower dam construction resulted in increased fluctuations in downstream water discharge. This study provides an effective approach to understanding the impact of cascade hydropower dams on the inundation process of floodplain wetlands.

12.
Environ Monit Assess ; 195(12): 1438, 2023 Nov 09.
Artigo em Inglês | MEDLINE | ID: mdl-37943470

RESUMO

Under climate change, drought assessment, which can address nonstationarity in drought indicators and anthropogenic implications, is required to mitigate drought impacts. However, the development of drought indices for a reliable drought assessment is a challenging task in the warming climate. Thus, this study discusses factors that should be considered in developing drought indices in changing climate. Inconsistent drought assessment can be obtained, depending on the baseline period defined in developing drought indices. Therefore, the baseline period should represent the contemporary climate but should also correspond to long enough observations for stable parameter estimation. The importance of accurate potential evapotranspiration (PET) for drought indices becomes higher under a warming climate. Although the Penman-Monteith method yields accurate PET values, depending on the climate and vegetation cover, other suitable PET formulas, such as the Hargreaves method, with fewer hydrometeorological data can be used. Since a single drought index is not enough to properly monitor drought evolution, a method that can objectively combine multiple drought indices is required. Besides, quantifying anthropogenic impacts, which can add more uncertainty, on drought assessment is also important to adapt to the changing drought conditions and minimize human-induced drought. Drought is expected to occur more frequently with more severe, longer, and larger areal extent under global warming, since a more arid background, which climate change will provide, intensifies land-atmosphere feedback, leading to the desiccation of land and drying atmosphere. Thus, an accurate drought assessment, based on robust drought indices, is required.


Assuntos
Mudança Climática , Secas , Humanos , Monitoramento Ambiental , Aquecimento Global , Efeitos Antropogênicos
13.
Gastroenterology ; 161(5): 1513-1525, 2021 11.
Artigo em Inglês | MEDLINE | ID: mdl-34303660

RESUMO

BACKGROUND & AIMS: The role of fatty acid ethyl esters (FAEEs) during human alcoholic pancreatitis is unknown. We compared FAEEs levels with their nonesterified fatty acids (NEFAs) precursors during alcohol intoxication and clinical alcoholic pancreatitis. The pathophysiology underlying FAEEs increase and their role as diagnostic biomarkers for alcoholic pancreatitis was investigated. METHODS: A prospective blinded study compared FAEEs, NEFAs, and ethanol blood levels on hospitalization for alcoholic pancreatitis (n = 31), alcohol intoxication (n = 25), and in normal controls (n = 43). Serum FAEEs were measured at admission for nonalcoholic pancreatitis (n = 75). Mechanistic cell and animal studies were done. RESULTS: Median FAEEs were similarly elevated during alcohol intoxication (205 nmol/L; 95% confidence interval [CI], 71.8-515 nmol/L, P < .001) and alcoholic pancreatitis (103.1 nmol/L; 95% CI, 53-689 nmol/L, P < .001) vs controls (1.7 nmol/L; 95% CI, 0.02-4.3 nmol/L) or nonalcoholic pancreatitis (8 nmol/L; 95% CI, 1.1-11.5 nmol/L). Alcoholic pancreatitis increased serum NEFAs (1024 ± 710 µmol/L vs 307 ± 185 µmol/L in controls, P < .05). FAEEs comprised 0.1% to 2% of the parent NEFA concentrations. FAEES correlated strongly with NEFAs independent of ethanol levels in alcoholic pancreatitis but not during alcohol intoxication. On receiver operating characteristic curve analysis for diagnosing alcoholic pancreatitis, the area under the curve for serum FAEEs was 0.87 (95% CI, 0.78-0.95, P < .001). In mice and cells, alcohol administration transiently increased all FAEEs. Oleic acid ethyl ester was the only FAEE with a sustained increase up to 24 hours after intraperitoneal oleic acid plus ethanol administration. CONCLUSIONS: The sustained, alcohol-independent, large (20- to 50-fold) increase in circulating FAEEs during alcoholic pancreatitis results from their visceral release and mirrors the 2- to 4-fold increase in parent NEFA. The large areas under the curve of FAEEs on receiver operating characteristic curve analysis supports their role as alcoholic pancreatitis biomarkers.


Assuntos
Intoxicação Alcoólica/sangue , Ácidos Graxos/sangue , Pancreatite Alcoólica/sangue , Adulto , Intoxicação Alcoólica/diagnóstico , Intoxicação Alcoólica/fisiopatologia , Biomarcadores/sangue , Concentração Alcoólica no Sangue , Estudos de Casos e Controles , Ácidos Graxos não Esterificados/sangue , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Pancreatite Alcoólica/diagnóstico , Pancreatite Alcoólica/fisiopatologia , Valor Preditivo dos Testes , Estudos Prospectivos , Regulação para Cima
14.
Pancreatology ; 22(5): 547-552, 2022 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-35523703

RESUMO

Abdominal pain is considered a cardinal feature of acute pancreatitis (AP), and abdominal imaging is only required to diagnose AP when the pain is atypical, or serum enzyme elevation does not match the clinical picture. While painless lipase elevation is being increasingly associated with worse outcomes in various diseases, the diagnostic approach to such elevation is so-far unclear. We thus aimed to learn the impact of pain on the diagnosis of AP. METHODS: All patients presenting to the Mayo Clinic Arizona Hospital emergency department with a serum lipase ≥3x upper limit of normal between April 2016 and January 2020 were prospectively followed. Their charts were reviewed for the nature of pain, serum lipase levels on presentation, abdominal imaging, and whether a diagnosis of AP was made. Chronic pancreatitis was excluded. RESULTS: Among 320 patients, 85 (26.5%) had painless lipase elevation. These patients had abdominal imaging less often (56/85, 66%) than in those with abdominal pain (201/235, 83%; p = 0.001). The diagnosis of AP increased overall from 31/63 (49%) without imaging to 198/257 (77%) with imaging (P < 0.001). Imaging increased the diagnosis of AP in patients with painless lipase elevation from 2/29 (7%) without imaging to 16/56 (29%; p = 0.025) among those who were imaged. CONCLUSIONS: Painless lipase elevation >3-fold the upper limit of normal is common in emergency department patients. 1/3 to 1/4 of these may have AP. Abdominal imaging increases the diagnosis of AP in patients with painless lipase elevation. Therefore, abdominal imaging in such patients may help detect AP that otherwise eludes diagnosis.


Assuntos
Pancreatite , Dor Abdominal/diagnóstico , Dor Abdominal/etiologia , Doença Aguda , Diagnóstico por Imagem , Humanos , Lipase , Pancreatite/diagnóstico , Pancreatite/diagnóstico por imagem
15.
J Ultrasound Med ; 41(3): 749-762, 2022 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-33938031

RESUMO

Percutaneous transendocardial injections of therapeutic agents into the myocardium may not always be effective. We used an animal model for assessing the efficacy of the injections using linoleic acid as a testing agent. Efficacious delivery into the myocardium of a beating heart was indicated by rapidly developed local myocardial necrosis and wall motion abnormalities using echocardiography. We employed this experimental model to test our innovative technology, an acoustically active injection catheter. The Doppler ultrasound-guided acoustically active injection catheter effectively delivers the substance to the myocardium but needs further technical improvements to minimize an unwanted systemic distribution of the agent.


Assuntos
Cateterismo Cardíaco , Catéteres , Animais , Modelos Animais de Doenças , Injeções , Ultrassonografia Doppler
16.
J Environ Manage ; 309: 114690, 2022 May 01.
Artigo em Inglês | MEDLINE | ID: mdl-35151141

RESUMO

The trade-off between ecological and socioeconomic benefits in the reservoir operation has become a focus issue in the watershed water resource management. However, finding a suitable reservoir ecological operation scheme in the multi-objective cascade reservoir systems remains unclear. At present, most ecological operation models are designed on the basis of water quantity balance, neglecting the dynamic variability of the hydrological process. This study proposed a multi-objective ecological operation system, which coupled a two-dimensional hydrodynamic model with a rainfall-runoff model, and integrated the ecological operation scheme into the hydrodynamic simulation system considering ecological flow. Moreover, the applicability of the operation scheme under climate variability with different hydrological periods was evaluated. Results indicated that multi-reservoir joint operation had the largest effect in normal years; the variation in the monthly hydrological magnitude, extreme events and their duration, temporal change and frequency of streamflow were significantly reduced after reservoir ecological operation. The SAM0-UNICON model performed better than the two other climate models, the ecological deficit (ED) under the Representative Concentration Pathway (RCP) 8.5 climate change scenario was larger than other scenarios with different operation schemes. Future climate change will have a larger impact on discharge change in the wet season than in other hydrological periods. This study emphasises the comprehensive application of the hydrological and hydrodynamic methods, which is of considerable importance for decision-making in basin water resource management and reservoir regulation.


Assuntos
Hidrologia , Rios , Mudança Climática , Ecossistema , Modelos Teóricos
17.
J Environ Manage ; 305: 114356, 2022 Mar 01.
Artigo em Inglês | MEDLINE | ID: mdl-34954683

RESUMO

The ecological implications of drought have been widely discussed in recent years. Ecological drought was thus proposed as a new drought type to describe the impact of drought on ecosystems. The current study used an innovative drought index, called the standardized ecological water deficit index (SEWDI), to monitor terrestrial ecological drought in Northwestern China, which is an ecologically fragile region. Droughts and their characteristics, including drought affected area, drought severity, drought duration, drought frequency, and drought orientation, were extracted using a spatial and temporal identification method based on SEWDI at a three-month timescale. To investigate the variation in dominant factors determining vegetation health, the contributions of moisture and thermal conditions during different ecological drought events were determined using a gradient boosting regression model. The main results indicated that (1) the spatial and temporal identification method successfully identified the spatio-temporal patterns of ecological drought; (2) a total of 184 ecological drought events during 1982-2020 were identified, of which 56.6% occurred prior to the 21st century. Drought events in the 21st century always exhibit larger affected areas, longer durations, a higher frequency, and greater severity, and migrated westward; and (3) in all ecological drought events, vegetation health dominated by thermal conditions accounted for 42.7% and 48.2% before and during the 21st century, respectively. This illustrated that vegetation has experienced more severe thermal stress during the 21st century.


Assuntos
Secas , Ecossistema , China
18.
J Environ Manage ; 320: 115813, 2022 Oct 15.
Artigo em Inglês | MEDLINE | ID: mdl-35963070

RESUMO

Drought, as a natural disaster, has widespread consequences and is notoriously difficult to manage. Critical to developing a drought management strategy is the identification and assessment of drought. To that end, this study developed a new composite index, called the standardized water cycle index (SWCI) based on the water cycle and water balance. The SWCI couplesd the key elements of the water cycle, including precipitation, evapotranspiration, leaf area index, surface runoff, and subsurface runoff, and requires the joint distribution of these elements which was determined using the D-vine copula. The Kendall transform was used to reduce the dimensionality of the five-element joint probability density function, which was then inversed to obtain the SWCI which was then evaluated with the data from the Pearl River basin obtained using the CMIP6. Results showed that the SWCI satisfactorily evaluated drought conditions, while reflecting the drought-mitigating effect of vegetation and subsurface runoff. The SWCI was also able to evaluate drought in areas with a high level of human activity.


Assuntos
Secas , Rios , China , Atividades Humanas , Humanos , Ciclo Hidrológico
19.
Environ Monit Assess ; 194(3): 152, 2022 Feb 07.
Artigo em Inglês | MEDLINE | ID: mdl-35132506

RESUMO

The relationship between soil organic carbon (SOC) and environmental parameters was investigated in the Galazchai Watershed, Iran. Therefore, correlating the SOC amounts with remote sensing (RS) indices, topographic variables, and soil texture was analyzed. Some 125 soil samples gather from the upper 30 cm, and the weight of each sample was about 0.5 kg. The RS indices, consisting of difference vegetation index (DVI), enhanced vegetation index (EVI), optimized soil adjusted vegetation index (OSAVI), normalized difference vegetation index (NDVI), and soil adjusted vegetation index (SAVI), were used. Topographic variables included slope, elevation, aspect, and topographical wetness index (TWI), as well as clay and silt contents. The ordinary least square (OLS) and the geographically weighted regression (GWR) were employed to develop the SOC relationship considering different combinations of the variables. Results showed that none of the combinations of variables accurately estimated SOC (R2 < 0.32 and p value > 0.001). However, EVI with GWR (R2 = 0.291) and OSAVI, clay, slope, and aspect with GWR (R2= 0.32) better estimated SOC. Therefore, results showed that the study remotely sensed indices and environmental field inventory variables could not favorably predict the SOC content. These results can be attributed to the low SOC values varying from 0.917 to 3.355%, with a mean of 2.194 ± 0.522 in the study watershed. However, studies using more uniformly distributed and denser sampling in the study area and other methods to investigate the relationship between variables are recommended.


Assuntos
Carbono , Solo , Carbono/análise , Monitoramento Ambiental , Análise dos Mínimos Quadrados , Regressão Espacial
20.
Environ Monit Assess ; 194(5): 388, 2022 Apr 21.
Artigo em Inglês | MEDLINE | ID: mdl-35445983

RESUMO

Over the past decades, lands alongside Gurguéia River have witnessed rapid expansion of soybean agriculture which has increased soil degradation and affected nutrient concentration in sediment, especially phosphorus (P). The present study aimed to quantify the P concentration in soils under different land uses (i.e., croplands, grasslands, and cerrado) and fluvial sediments (suspended sediment, channel bank, and riverbed sediments), assessing pollution over the main watercourse in cerrado biome Gurguéia watershed, located in Piauí State, Brazil. In total, 136 composite soil samples at a depth of 0-5 cm, under different land uses, as well as 51 composite fluvial sediment samples were collected over the watershed. The land use change from native cerrado had resulted in an increase of total phosphorus (TP) whose concentration was higher in cropland areas, followed by suspended sediment, channel bank, and riverbed sediments. This high concentration in cropland areas resulted from phosphate fertilizer inputs. The transfer of phosphorus to water bodies was evidenced, since an increase of TP was observed in suspended sediment, channel bank and riverbed  sediments. Mineralogical signatures in sediments were identified by X-ray diffraction analysis which showed the occurrence of kaolinite, illite, smectite, iron oxides, and other minerals in lesser proportions. The presence of 1:1 minerals was higher in riverbed sediments and downstream sampling points, while 2:1 minerals were present in higher proportions in suspended sediment and channel bank sediment, as well as at the upstream and middle sampling points. This finding shows that land use change from cerrado to cropland due to soybean agriculture expansion might increase P discharges from terrestrial to aquatic environments, with sediments being the major carrier of this element.


Assuntos
Fósforo , Solo , Agricultura , Ecossistema , Monitoramento Ambiental , Sedimentos Geológicos , Fósforo/análise
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