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OBJECTIVE: The counterintuitive "Union Jack"-inspired turn signals on versions of BMW's Mini vehicles was investigated to reveal potential impacts on human performance. BACKGROUND: When some Mini drivers indicate a change in direction, they do so with an oppositely oriented arrow. This conflict, between the task-irrelevant spatial shape and task-relevant location of the signal, mimics a "converse" spatial-Stroop effect that, in combination with the ubiquitous use of arrows on road signs, may be confusing. METHOD: Participants (n = 30) responded-via right and left keypresses-to the directions of road signs and turn signals in both pure and mixed blocks. Reaction times and accuracies were recorded to determine performance in each condition (compatible, neutral, incompatible). RESULTS: Performance suffered when the location and direction of the stimuli did not correspond. When responding to turn signals the cost to performance was especially salient in mixed blocks. Thus, when driving on roads where the meanings of arrows on road signs is important, turn signals pointing in a direction opposite from the directional intention indicated by the signals' location are likely to be confusing. CONCLUSION: The design of some Mini's "Union Jack" style taillights opposes well-established principles of cognitive functioning, caused confusion in our laboratory study and therefore may be a safety hazard-a possibility that ought to be explored in more realistic (e.g., driving simulator) situations. APPLICATION: BMW designers should consider universally adopting the neutral, "horizontal line," illumination style that is currently available in the aftermarket.
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Urbanization and fires perturb the quantities and composition of fine organic aerosol in the central Amazon, with ramifications for radiative forcing and public health. These disturbances include not only direct emissions of particulates and secondary organic aerosol (SOA) precursors but also changes in the pathways through which biogenic precursors form SOA. The composition of ambient organic aerosol is complex and incompletely characterized, encompassing millions of potential structures relatively few of which have been synthesized and characterized. Through analysis of submicron aerosol samples from the Green Ocean Amazon (GoAmazon2014/5) field campaign by two-dimensional gas chromatography coupled with machine learning, â¼1300 unique compounds were traced and characterized over two seasons. Fires and urban emissions produced chemically and interseasonally distinct impacts on product signatures, with only â¼50% of compounds observed in both seasons. Seasonally unique populations point to the importance of aqueous processing in Amazonian aerosol aging, but further mechanistic insights are impeded by limited product identity knowledge. Less than 10% of compounds were identifiable at an isomer-specific level. Overall, the findings (i) provide compositional characterization of anthropogenic influence on submicron organic aerosol in the Amazon, (ii) identify key season-to-season differences in chemical signatures, and (iii) highlight high-priority knowledge gaps in current speciated knowledge.
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Poluentes Atmosféricos , Poluentes Atmosféricos/análise , Material Particulado/análise , Estações do Ano , Aerossóis/análise , Poeira/análiseRESUMO
The evolution of organic aerosol (OA) and brown carbon (BrC) in wildfire plumes, including the relative contributions of primary versus secondary sources, has been uncertain in part because of limited knowledge of the precursor emissions and the chemical environment of smoke plumes. We made airborne measurements of a suite of reactive trace gases, particle composition, and optical properties in fresh western US wildfire smoke in July through August 2018. We use these observations to quantify primary versus secondary sources of biomass-burning OA (BBPOA versus BBSOA) and BrC in wildfire plumes. When a daytime wildfire plume dilutes by a factor of 5 to 10, we estimate that up to one-third of the primary OA has evaporated and subsequently reacted to form BBSOA with near unit yield. The reactions of measured BBSOA precursors contribute only 13 ± 3% of the total BBSOA source, with evaporated BBPOA comprising the rest. We find that oxidation of phenolic compounds contributes the majority of BBSOA from emitted vapors. The corresponding particulate nitrophenolic compounds are estimated to explain 29 ± 15% of average BrC light absorption at 405 nm (BrC Abs405) measured in the first few hours of plume evolution, despite accounting for just 4 ± 2% of average OA mass. These measurements provide quantitative constraints on the role of dilution-driven evaporation of OA and subsequent radical-driven oxidation on the fate of biomass-burning OA and BrC in daytime wildfire plumes and point to the need to understand how processing of nighttime emissions differs.
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Poluentes Atmosféricos/química , Carbono/análise , Fumaça , Incêndios Florestais , Aerossóis , Monitoramento Ambiental , Material Particulado , Estados UnidosRESUMO
Data resulting from environmental monitoring programs are valuable assets for natural resource managers, decision-makers, and researchers. These data are often collected to inform specific reporting needs or decisions with a specific timeframe. While program-oriented data and related publications are effective for meeting program goals, sharing well-documented data and metadata allows users to research aspects outside initial program intentions. As part of an effort to integrate data from four long-term large-scale US aquatic monitoring programs, we evaluated the original datasets against the FAIR (Findable, Accessible, Interoperable, Reusable) data principles and offer recommendations and lessons learned. Differences in data governance across these programs resulted in considerable effort to access and reuse the original datasets. Requirements, guidance, and resources available to support data publishing and documentation are inconsistent across agencies and monitoring programs, resulting in various data formats and storage locations that are not easily found, accessed, or reused. Making monitoring data FAIR will reduce barriers to data discovery and reuse. Programs are continuously striving to improve data management, data products, and metadata; however, provision of related tools, consistent guidelines and standards, and more resources to do this work is needed. Given the value of these data and the significant effort required to access and reuse them, actions and steps intended on improving data documentation and accessibility are described.
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Monitoramento Ambiental , Recursos NaturaisRESUMO
Secondary organic aerosol formation via condensation of organic vapors onto existing aerosol transforms the chemical composition and size distribution of ambient aerosol, with implications for air quality and Earth's radiative balance. Gas-to-particle conversion is generally thought to occur on a continuum between equilibrium-driven partitioning of semivolatile molecules to the pre-existing mass size distribution and kinetic-driven condensation of low volatility molecules to the pre-existing surface area size distribution. However, we offer experimental evidence in contrast to this framework. When catechol is sequentially oxidized by O3 and NO3 in the presence of (NH4)2SO4 seed particles with a single size mode, we observe a bimodal organic aerosol mass size distribution with two size modes of distinct chemical composition with nitrocatechol from NO3 oxidation preferentially condensing onto the large end of the pre-existing size distribution (â¼750 nm). A size-resolved chemistry and microphysics model reproduces the evolution of the two distinct organic aerosol size modesâheterogeneous nucleation to an independent, nitrocatechol-rich aerosol phase.
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Poluentes Atmosféricos , Ozônio , Aerossóis/análise , Poluentes Atmosféricos/análise , Catecóis , Nitratos , Tamanho da PartículaRESUMO
Understanding the efficiency and variability of photochemical ozone (O3) production from western wildfire plumes is important to accurately estimate their influence on North American air quality. A set of photochemical measurements were made from the NOAA Twin Otter research aircraft as a part of the Fire Influence on Regional to Global Environments and Air Quality (FIREX-AQ) experiment. We use a zero-dimensional (0-D) box model to investigate the chemistry driving O3 production in modeled plumes. Modeled afternoon plumes reached a maximum O3 mixing ratio of 140 ± 50 ppbv (average ± standard deviation) within 20 ± 10 min of emission compared to 76 ± 12 ppbv in 60 ± 30 min in evening plumes. Afternoon and evening maximum O3 isopleths indicate that plumes were near their peak in NOx efficiency. A radical budget describes the NOx volatile - organic compound (VOC) sensitivities of these plumes. Afternoon plumes displayed a rapid transition from VOC-sensitive to NOx-sensitive chemistry, driven by HOx (=OH + HO2) production from photolysis of nitrous acid (HONO) (48 ± 20% of primary HOx) and formaldehyde (HCHO) (26 ± 9%) emitted directly from the fire. Evening plumes exhibit a slower transition from peak NOx efficiency to VOC-sensitive O3 production caused by a reduction in photolysis rates and fire emissions. HOx production in evening plumes is controlled by HONO photolysis (53 ± 7%), HCHO photolysis (18 ± 9%), and alkene ozonolysis (17 ± 9%).
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Poluentes Atmosféricos , Poluição do Ar , Ozônio , Incêndios Florestais , Poluentes Atmosféricos/análise , Poluição do Ar/análise , Monitoramento Ambiental , Ozônio/análise , FotoquímicaRESUMO
We present a novel method, the Gaussian observational model for edge to center heterogeneity (GOMECH), to quantify the horizontal chemical structure of plumes. GOMECH fits observations of short-lived emissions or products against a long-lived tracer (e.g., CO) to provide relative metrics for the plume width (wi/wCO) and center (bi/wCO). To validate GOMECH, we investigate OH and NO3 oxidation processes in smoke plumes sampled during FIREX-AQ (Fire Influence on Regional to Global Environments and Air Quality, a 2019 wildfire smoke study). An analysis of 430 crosswind transects demonstrates that nitrous acid (HONO), a primary source of OH, is narrower than CO (wHONO/wCO = 0.73-0.84 ± 0.01) and maleic anhydride (an OH oxidation product) is enhanced on plume edges (wmaleicanhydride/wCO = 1.06-1.12 ± 0.01). By contrast, NO3 production [P(NO3)] occurs mainly at the plume center (wP(NO3)/wCO = 0.91-1.00 ± 0.01). Phenolic emissions, highly reactive to OH and NO3, are narrower than CO (wphenol/wCO = 0.96 ± 0.03, wcatechol/wCO = 0.91 ± 0.01, and wmethylcatechol/wCO = 0.84 ± 0.01), suggesting that plume edge phenolic losses are the greatest. Yet, nitrophenolic aerosol, their oxidation product, is the greatest at the plume center (wnitrophenolicaerosol/wCO = 0.95 ± 0.02). In a large plume case study, GOMECH suggests that nitrocatechol aerosol is most associated with P(NO3). Last, we corroborate GOMECH with a large eddy simulation model which suggests most (55%) of nitrocatechol is produced through NO3 in our case study.
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Poluentes Atmosféricos , Poluição do Ar , Aerossóis , Poluentes Atmosféricos/análise , Poluição do Ar/análise , Biomassa , Fumaça/análiseRESUMO
BACKGROUND: HACEK (Haemophilus spp., Aggregatibacter spp., Cardiobacterium spp., Eikenella corrodens, and Kingella spp.) group organisms are responsible for 0.8% to 6% of all infective endocarditis cases, with Cardiobacterium spp. being the third most commonly implicated HACEK microorganism. Within this genus is Cardiobacterium valvarum (C. valvarum), a novel organism described in 2004. To date, only 15 cases of C. valvarum infection have been reported in the English-language literature, and have primarily been cases of infective endocarditis in patients with valvular disease. C. valvarum has not been reported to cause infections spreading to the surrounding bone. CASE PRESENTATION: We present a case of a 57-year-old man with a history of aortic dissection followed by aortic endograft replacement who presented with back pain. He was found to have radiographic evidence of an infected aortic endograft, along with vertebral osteomyelitis, discitis, and epidural phlegmon. Blood cultures identified C. valvarum as the causative organism. The patient was treated with ceftriaxone and surgical intervention was deferred due to the patient's complex anatomy. His course was complicated by septic cerebral emboli resulting in cerebrovascular accident. CONCLUSIONS: This case report highlights C. valvarum, a rare and emerging HACEK group microorganism that warrants consideration in high-risk patients with evidence of subacute infection and disseminated disease. While C. valvarum classically presents as infective endocarditis, extra-cardiac manifestations have also been described. As demonstrated in this case, endograft involvement and osteomyelitis may occur in rare circumstances.
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Cardiobacterium , Endocardite Bacteriana/microbiologia , Osteomielite/microbiologia , Antibacterianos/uso terapêutico , Aorta , Aorta Torácica/microbiologia , Aorta Torácica/cirurgia , Endocardite , Endocardite Bacteriana/complicações , Endocardite Bacteriana/tratamento farmacológico , Humanos , Masculino , Pessoa de Meia-Idade , Osteomielite/complicações , Osteomielite/diagnóstico por imagem , Osteomielite/tratamento farmacológico , TransplantesRESUMO
Humans' indigenous microbes strongly influence organ functions in an age- and diet-dependent manner, adding an important dimension to aging biology that remains poorly understood. Although age-related differences in the gut microbiota composition correlate with age-related loss of organ function and diseases, including inflammation and frailty, variation exists among the elderly, especially centenarians and people living in areas of extreme longevity. Studies using short-lived as well as nonsenescent model organisms provide surprising functional insights into factors affecting aging and implicate attenuating effects of microbes as well as a crucial role for certain transcription factors like forkhead box O. The unexpected beneficial effects of microbes on aged animals imply an even more complex interplay between the gut microbiome and the host. The microbiome constitutes the major interface between humans and the environment, is influenced by biosocial stressors and behaviors, and mediates effects on health and aging processes, while being moderated by sex and developmental stages.
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Envelhecimento , Microbiota , Animais , Dieta , HumanosRESUMO
Refractory osteomyelitis is defined as a chronic osteomyelitis that persists or recurs after appropriate interventions have been performed or where acute osteomyelitis has not responded to accepted management techniques [1]. To date, no randomized clinical trials examining the effects of hyperbaric oxygen (HBO2) therapy on refractory osteomyelitis exist, and the number of new osteomyelitis clinical trials conducted over the past decade has been limited. However, based on a comprehensive review of the scientific literature, the addition of HBO2 therapy to routine surgical and antibiotic treatment of previously refractory osteomyelitis appears to be both safe and ultimately improves infection resolution rates. In most cases, the best clinical results are obtained when HBO2 treatment is administered in conjunction with culture-directed antibiotics and initiated soon after clinically indicated surgical debridement. Where extensive surgical debridement or removal of fixation hardware is relatively contraindicated (e.g., cranial, spinal, sternal, or pediatric osteomyelitis), a trial of culture-directed antibiotics and HBO2 therapy prior to undertaking more than limited surgical interventions provides a reasonable prospect for osteomyelitis cure. HBO2 therapy is ordinarily delivered on a once daily basis, five-seven days per week, for 90-120 minutes using 2.0-3.0 atmospheres absolute (ATA) pressure. Where prompt clinical improvement is seen, the existing regimen of antibiotics and HBO2 therapy should be continued for approximately four to six weeks. Typically, 20-40 HBO2 sessions are required to achieve sustained therapeutic benefit. In contrast, if prompt clinical response is not noted or osteomyelitis recurs after this initial treatment period, then continuation of the current antibiotic and HBO2 treatment regimen is unlikely to be effective. Instead, clinical management strategies should be reassessed and additional surgical debridement and/or modification of antibiotic therapy considered. Subsequent reinstitution of HBO2 therapy will again help maximize the overall chances for treatment success in these persistently refractory patients.
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Antibacterianos/uso terapêutico , Oxigenoterapia Hiperbárica/métodos , Osteomielite/terapia , Adulto , Animais , Criança , Doença Crônica , Estudos de Coortes , Terapia Combinada/métodos , Desbridamento , Humanos , Oxigenoterapia Hiperbárica/estatística & dados numéricos , Osteomielite/classificação , Osteomielite/microbiologia , Seleção de Pacientes , Recidiva , Fatores de TempoRESUMO
As part of a larger study on the effects of fatigue on various attentional and behavioural measures, we had participants complete a modified version of Luna et al.'s (J Neurosci Methods 306:77-87, Luna et al., J Neurosci Methods 306:77-87, 2018) ANTI-Vea task (mANTI-Vea) at the beginning and end (pre/post) of each of two 8-h testing sessions. Between these administrations of the mANTI-Vea our participants spent ~ 6 h performing an intervening task. Our intent in this project was two-fold: first, to replicate the pattern of effects reported in Luna et al.'s original presentation of the ANTI-Vea; second, to assay the impact of fatigue on vigilance and attention by observing shifts in mANTI-Vea performance as a function of time on task and before versus after the intervening task. With time-on-task (the mANTI-Vea is divided into six sub-blocks) we observed that participants became increasingly conservative in their biases to respond towards infrequent targets, showed a decline in sensitivity, and lapsed in responding in the psychomotor vigilance task with greater frequency. In the pre/post comparison, we observed an increase in the proportion of lapses, but not in participants' response biases. Attentional network scores were found to be somewhat insensitive to our fatigue manipulations; the effect of time-on-task was only significant for orienting scores on RT, and our pre/post comparison was only significant for RT derived executive functioning scores.
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Fadiga , Vigília , Função Executiva , Humanos , Desempenho Psicomotor , Tempo de ReaçãoRESUMO
Wildfires are an important source of nitrous acid (HONO), a photolabile radical precursor, yet in situ measurements and quantification of primary HONO emissions from open wildfires have been scarce. We present airborne observations of HONO within wildfire plumes sampled during the Western Wildfire Experiment for Cloud chemistry, Aerosol absorption and Nitrogen (WE-CAN) campaign. ΔHONO/ΔCO close to the fire locations ranged from 0.7 to 17 pptv ppbv-1 using a maximum enhancement method, with the median similar to previous observations of temperate forest fire plumes. Measured HONO to NOx enhancement ratios were generally factors of 2, or higher, at early plume ages than previous studies. Enhancement ratios scale with modified combustion efficiency and certain nitrogenous trace gases, which may be useful to estimate HONO release when HONO observations are lacking or plumes have photochemical exposures exceeding an hour as emitted HONO is rapidly photolyzed. We find that HONO photolysis is the dominant contributor to hydrogen oxide radicals (HOx = OH + HO2) in early stage (<3 h) wildfire plume evolution. These results highlight the role of HONO as a major component of reactive nitrogen emissions from wildfires and the main driver of initial photochemical oxidation.
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Poluentes Atmosféricos/análise , Incêndios Florestais , Aerossóis , Ácido Nitroso/análise , FumaçaRESUMO
Anthropogenic emissions alter secondary organic aerosol (SOA) formation chemistry from naturally emitted isoprene. We use correlations of tracers and tracer ratios to provide new perspectives on sulfate, NOx, and particle acidity influencing isoprene-derived SOA in two isoprene-rich forested environments representing clean to polluted conditions-wet and dry seasons in central Amazonia and Southeastern U.S. summer. We used a semivolatile thermal desorption aerosol gas chromatograph (SV-TAG) and filter samplers to measure SOA tracers indicative of isoprene/HO2 (2-methyltetrols, C5-alkene triols, 2-methyltetrol organosulfates) and isoprene/NOx (2-methylglyceric acid, 2-methylglyceric acid organosulfate) pathways. Summed concentrations of these tracers correlated with particulate sulfate spanning three orders of magnitude, suggesting that 1 µg m-3 reduction in sulfate corresponds with at least â¼0.5 µg m-3 reduction in isoprene-derived SOA. We also find that isoprene/NOx pathway SOA mass primarily comprises organosulfates, â¼97% in the Amazon and â¼55% in Southeastern United States. We infer under natural conditions in high isoprene emission regions that preindustrial aerosol sulfate was almost exclusively isoprene-derived organosulfates, which are traditionally thought of as representative of an anthropogenic influence. We further report the first field observations showing that particle acidity correlates positively with 2-methylglyceric acid partitioning to the gas phase and negatively with the ratio of 2-methyltetrols to C5-alkene triols.
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Poluentes Atmosféricos , Hemiterpenos , Aerossóis/análise , Brasil , Butadienos , Pentanos , Sudeste dos Estados UnidosRESUMO
Acid-driven multiphase chemistry of isoprene epoxydiols (IEPOX), key isoprene oxidation products, with inorganic sulfate aerosol yields substantial amounts of secondary organic aerosol (SOA) through the formation of organosulfur compounds. The extent and implications of inorganic-to-organic sulfate conversion, however, are unknown. In this article, we demonstrate that extensive consumption of inorganic sulfate occurs, which increases with the IEPOX-to-inorganic sulfate concentration ratio (IEPOX/Sulfinorg), as determined by laboratory measurements. Characterization of the total sulfur aerosol observed at Look Rock, Tennessee, from 2007 to 2016 shows that organosulfur mass fractions will likely continue to increase with ongoing declines in anthropogenic Sulfinorg, consistent with our laboratory findings. We further demonstrate that organosulfur compounds greatly modify critical aerosol properties, such as acidity, morphology, viscosity, and phase state. These new mechanistic insights demonstrate that changes in SO2 emissions, especially in isoprene-dominated environments, will significantly alter biogenic SOA physicochemical properties. Consequently, IEPOX/Sulfinorg will play an important role in understanding the historical climate and determining future impacts of biogenic SOA on the global climate and air quality.
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Atmosfera , Pentanos , Aerossóis , Butadienos , Hemiterpenos , Sulfatos , TennesseeRESUMO
Recent large-scale genomics efforts to characterize the cis-regulatory sequences that orchestrate genome-wide expression patterns have produced impressive catalogues of putative regulatory elements. Most of these sequences have not been functionally tested, and our limited understanding of the non-coding genome prevents us from predicting which sequences are bona fide cis-regulatory elements. Recently, massively parallel reporter assays (MPRAs) have been deployed to measure the activity of putative cis-regulatory sequences in several biological contexts, each with specific advantages and distinct limitations. We developed LV-MPRA, a novel lentiviral-based, massively parallel reporter gene assay, to study the function of genome-integrated regulatory elements in any mammalian cell type; thus, making it possible to apply MPRAs in more biologically relevant contexts. We measured the activity of 2,600 sequences in U87 glioblastoma cells and human neural progenitor cells (hNPCs) and explored how regulatory activity is encoded in DNA sequence. We demonstrate that LV-MPRA can be applied to estimate the effects of local DNA sequence and regional chromatin on regulatory activity. Our data reveal that primary DNA sequence features, such as GC content and dinucleotide composition, accurately distinguish sequences with high activity from sequences with low activity in a full chromosomal context, and may also function in combination with different transcription factor binding sites to determine cell type specificity. We conclude that LV-MPRA will be an important tool for identifying cis-regulatory elements and stimulating new understanding about how the non-coding genome encodes information.
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Elementos Reguladores de Transcrição , Análise de Sequência de DNA/métodos , Sítios de Ligação , Linhagem Celular Tumoral , Células Cultivadas , DNA/química , Biblioteca Gênica , Genes Reporter , Genoma Humano , Humanos , Lentivirus/genética , Lentivirus/fisiologia , Células-Tronco Neurais/metabolismo , Motivos de Nucleotídeos , Fatores de Transcrição/metabolismo , Montagem de VírusRESUMO
BACKGROUND: A rapid non-destructive in-line grading system that can rapidly and accurately assess individual avocado fruit for internal quality attributes, including bruises and rots, would allow the avocado industry to provide a more consistent fruit quality to the consumer, optimise market distribution and ensure maximum yield for the producer and retailer. Fourier transform-near-infrared (FT-NIR) spectroscopy was investigated to detect bruises and rot susceptibility as an indication of shelf-life in avocado fruit at both the sprung stage of ripeness and eating ripe fruit. RESULTS: The classification models (principal component linear discriminant analysis, partial least squares discriminant analysis and support vector machine) for each of three growing seasons found hard green fruit that were deliberately bruised could be correctly detected with 70-78% accuracy after 2-5 h following impact damage and with 83-89% accuracy after 24 h. For eating ripe fruit, the accuracy was 60-100% after 2-5 h following impact damage and 66-100% after 24 h. The ability of the classification models to accurately predict rot development into two classes, ≤10% and >10% of flesh affected, ranged from 65% to 84% over the three growing seasons. When the rot classes were defined as ≤30% and >30% the accuracy was 69-77%. CONCLUSIONS: The results of the study highlight the potential of FT-NIR reflectance spectroscopy for application in a commercial, in-line setting for the non-destructive evaluation of impact damage and rot susceptibility of whole avocado fruit. The study indicates that fruit should be held for approximately 24 h prior to scanning to allow bruise development to occur, particularly in hard fruit (i.e., stage 2) prior to bruise assessment. © 2018 Society of Chemical Industry.
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Frutas/química , Persea/química , Espectroscopia de Luz Próxima ao Infravermelho/métodos , Análise Discriminante , Frutas/classificação , Análise dos Mínimos Quadrados , Persea/classificação , Controle de Qualidade , Estações do Ano , Máquina de Vetores de SuporteRESUMO
To date, several Department of Defense (DoD) and civilian studies have evaluated hyperbaric oxygen for mild forms of traumatic brain injury. Prior to the DoD-sponsored "Brain Injury and Mechanisms of Action of Hyperbaric Oxygen for Persistent Post-Concussive Symptoms after Mild Traumatic Brain Injury (mTBI) (BIMA)" trial, none included post-intervention follow-up beyond three to six months. Post-hoc attempts at long-term follow-up were complicated by low participation and potential self-selection bias. BIMA planned for follow-up through 12 months but was amended to add post-concussive and post-traumatic stress disorder, quality of life, pain, depression, anxiety, and alcohol use assessments at 24 and 36 months. A total of 42 of 71 BIMA participants consented to extendedfollow-up, and 40 and 14 completed a 24- or 36-month visit, respectively, representing an overall response rate of 59% and 20%. Participants who completed extended follow-up were similar to the study group that did not in terms of demographics, perceived intervention allocation, and initial response to intervention. There were no significant differences at 24 or 36 months between intervention groups, and group mean scores were near pre-intervention values. This return to baseline could be due to waning treatment effect, selection bias, or participant or perception effects. Though BIMA implemented several participant retention strategies, more frequent participant contact and increased compensation might improve long-term retention in future studies. clinicaltrials.gov Identifier NCT01611194.
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Oxigenoterapia Hiperbárica , Síndrome Pós-Concussão/terapia , Transtornos de Estresse Pós-Traumáticos/terapia , Adulto , Concussão Encefálica/complicações , Método Duplo-Cego , Feminino , Seguimentos , Humanos , Masculino , Militares , Seleção de Pacientes , Síndrome Pós-Concussão/complicações , Síndrome Pós-Concussão/tratamento farmacológico , Qualidade de Vida , Autorrelato , Transtornos de Estresse Pós-Traumáticos/complicações , Transtornos de Estresse Pós-Traumáticos/tratamento farmacológico , Avaliação de Sintomas , Fatores de Tempo , Resultado do TratamentoRESUMO
BACKGROUND: Some clinical trials report improvement in persistent post-concussive symptoms (PCS) with hyperbaric oxygen (HBO2) following mild traumatic brain injury (mTBI), but questions remain regarding the utility of HBO2 for PCS, the effects of HBO2 on post-traumatic stress disorder (PTSD), and the influences of sham control exposures. METHODS: A systematic review and pooled analysis was conducted to summarize available evidence for HBO2 in mTBI-associated PCS ± PTSD. Data aggregated from four Department of Defense (DoD) studies with participant-level data (n=254) were grouped into pooled HBO2 and sham intervention groups. Changes from baseline to post-intervention on PCS, PTSD, and neuropsychological measures were assessed using linear mixed models to evaluate main intervention and intervention-by-baseline PTSD effects. Potential dose-response relationships to oxygen partial pressures were investigated. Intervention effects from three other published studies with summary-level participant data (n=135) were also summarized.. RESULTS: Pooled DoD data analyses indicated trends toward improvement favoring HBO2 for PCS (Rivermead Total Score: -2.3, 95% CI [-5.6, 1.0], p=0.18); PTSD (PTSD Checklist Total Score: -2.7, 95% CI [-5.8, 0.4], p=0.09); and significant improvement in verbal memory (CVLT-II Trial 1-5 Free Recall: 3.8; 95% CI [1.0, 6.7], p=0.01). A dose-response trend to increasing oxygen partial pressure was also found, with a greater HBO2 effect in mTBI-associated PTSD suggested. The direction of results was consistent with other published studies. CONCLUSION: A definitive clinical trial, with an appropriate control group, should be considered to identify the optimal HBO2 dosing regimen for individuals with mTBI-associated PTSD ± PCS.
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Oxigenoterapia Hiperbárica , Síndrome Pós-Concussão/terapia , Transtornos de Estresse Pós-Traumáticos/terapia , Adulto , Concussão Encefálica/complicações , Lista de Checagem , Feminino , Humanos , Modelos Lineares , Masculino , Memória , Rememoração Mental , Pessoa de Meia-Idade , Militares , Testes Neuropsicológicos , Oxigênio , Pressão Parcial , Síndrome Pós-Concussão/complicações , Qualidade de Vida , Sensibilidade e Especificidade , Transtornos de Estresse Pós-Traumáticos/complicações , Resultado do Tratamento , Estados Unidos , United States Department of Defense , Adulto JovemRESUMO
AIMS: To investigate the presence of Campylobacter spp. in captive kiwi (Apteryx spp.) and compare their genotypic profiles with those of human and animal origin, in order to assess their potential for zoonotic or zooanthroponotic transmission. METHODS: Conventional selective enrichment and filter-based isolation methods were applied to isolate Campylobacter spp. from fresh faecal samples from 12 North Island brown kiwi (Apteryx mantelli) and one great spotted kiwi (A. haastii), housed in one of five different areas in a kiwi sanctuary in Christchurch, New Zealand. Isolates were identified using multiplex PCR and 16S rRNA gene sequencing. High-resolution rapid genotyping using multiplex ligation-dependant probe amplification-based binary typing (MBiT) was applied and profiles compared with similar results from 2,165 Campylobacter spp. isolates contained in a database derived from human clinical, veterinary and environmental samples. RESULTS: One isolate of C. jejuni, and one belonging to the C. lari phylogenetic group were recovered from faeces from two kiwi. High-resolution rapid genotyping by MBiT demonstrated these to be indistinguishable from isolates obtained previously from human cases of diarrhoea, and others from chicken, cattle, sheep and water. CONCLUSIONS: These data provide evidence for potential zoonotic or zooanthroponotic transmission of Campylobacter spp. in kiwi with implications for management of birds kept in captivity. We believe this is the first formal report of C. jejuni and a C. lari-like organism in kiwi. ABBREVIATIONS: MBiT: Multiplex ligation-dependant probe amplification-based binary typing.
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Doenças das Aves/microbiologia , Infecções por Campylobacter/veterinária , Campylobacter/isolamento & purificação , Paleógnatas/microbiologia , Animais , Doenças das Aves/epidemiologia , Campylobacter/genética , Infecções por Campylobacter/epidemiologia , Infecções por Campylobacter/microbiologia , Nova Zelândia/epidemiologia , ZoonosesRESUMO
Historic management actions authorized or allowed by federal land management agencies have had a profound negative effect on salmon, trout, and char populations and their habitats. To rectify past failings, in the 1990s, federal agencies in the Interior Columbia River Basin modified how they conducted land management activities to foster the conservation of aquatic species. The primary policy changes were to provide additional protection and restoration of lands near streams, lakes, and wetlands. What remains uncertain was whether these changes have altered the trajectory of stream habitat conditions. To address this question, we evaluate the status and trends of ten stream habitat attributes; wood frequency, wood volume, residual pool depth, percent pool, pool frequency, pool tail fines (< 6 mm), median particle size, percent undercut banks, bank angle, and streambank stability in managed and reference catchments following changes in management policies. Our review of these data support the hypothesis that changes made in management standards and guidelines in the 1990s are related to improved stream conditions. Determining the precise magnitude of changes in stream conditions that resulted from the modification of land management policies is difficult due to the shifting environmental baseline. By understanding and accounting for how changes in stream conditions reflect improved land management policies and broader environmental trends, federal agencies will be better situated to make project level decisions that benefit aquatic resources.