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1.
J Am Coll Cardiol ; 2024 May 08.
Article En | MEDLINE | ID: mdl-38752902

BACKGROUND: In stable coronary artery disease, 30% to 60% of patients remain symptomatic despite successful revascularization. Perhaps not all symptoms reported by a patient with myocardial ischemia are, in fact, angina. OBJECTIVES: This study sought to determine whether independent symptom verification using a placebo-controlled ischemic stimulus could distinguish which patients achieve greatest symptom relief from percutaneous coronary intervention (PCI). METHODS: ORBITA-STAR was a multicenter, n-of-1, placebo-controlled study in patients undergoing single-vessel PCI for stable symptoms. Participants underwent 4 episodes (60 seconds each) of low-pressure balloon occlusion across their coronary stenosis, randomly paired with 4 episodes of placebo inflation. Following each episode, patients reported the similarity of the induced symptom in comparison with their usual symptom. The similarity score ranged from -10 (placebo replicated the symptom more than balloon occlusion) to +10 (balloon occlusion exactly replicated the symptom). The primary endpoint was the ability of the similarity score to predict symptom relief with PCI. RESULTS: Fifty-one patients were recruited, aged 62.9 ± 8.6 years. The median fractional flow reserve was 0.68 (Q1-Q3: 0.57-0.79), and the instantaneous wave-free ratio was 0.80 (Q1-Q3: 0.48-0.89). The median similarity score was 3 (Q1-Q3: 0.875-5.25). The similarity score was a strong predictor of symptom improvement following PCI: a patient with an upper quartile similarity score of 5.25 was significantly more likely to have lower angina frequency at follow-up (OR: 8.01; 95% credible interval: 2.39-15.86) than a patient with a lower quartile similarity score of 0.875 (OR: 1.31; 95% credible interval: 0.71-1.99), Pr(difference) >99.9%. CONCLUSIONS: Similarity score powerfully predicted symptom improvement from PCI. These data lay the foundation for independent symptom mapping to target PCI to those patients most likely to benefit. (Systematic Trial of Angina Assessment Before Revascularization [ORBITA-STAR]; NCT04280575).

2.
Lancet ; 403(10436): 1543-1553, 2024 Apr 20.
Article En | MEDLINE | ID: mdl-38604209

BACKGROUND: The coronary sinus reducer (CSR) is proposed to reduce angina in patients with stable coronary artery disease by improving myocardial perfusion. We aimed to measure its efficacy, compared with placebo, on myocardial ischaemia reduction and symptom improvement. METHODS: ORBITA-COSMIC was a double-blind, randomised, placebo-controlled trial conducted at six UK hospitals. Patients aged 18 years or older with angina, stable coronary artery disease, ischaemia, and no further options for treatment were eligible. All patients completed a quantitative adenosine-stress perfusion cardiac magnetic resonance scan, symptom and quality-of-life questionnaires, and a treadmill exercise test before entering a 2-week symptom assessment phase, in which patients reported their angina symptoms using a smartphone application (ORBITA-app). Patients were randomly assigned (1:1) to receive either CSR or placebo. Both participants and investigators were masked to study assignment. After the CSR implantation or placebo procedure, patients entered a 6-month blinded follow-up phase in which they reported their daily symptoms in the ORBITA-app. At 6 months, all assessments were repeated. The primary outcome was myocardial blood flow in segments designated ischaemic at enrolment during the adenosine-stress perfusion cardiac magnetic resonance scan. The primary symptom outcome was the number of daily angina episodes. Analysis was done by intention-to-treat and followed Bayesian methodology. The study is registered with ClinicalTrials.gov, NCT04892537, and completed. FINDINGS: Between May 26, 2021, and June 28, 2023, 61 patients were enrolled, of whom 51 (44 [86%] male; seven [14%] female) were randomly assigned to either the CSR group (n=25) or the placebo group (n=26). Of these, 50 patients were included in the intention-to-treat analysis (24 in the CSR group and 26 in the placebo group). 454 (57%) of 800 imaged cardiac segments were ischaemic at enrolment, with a median stress myocardial blood flow of 1·08 mL/min per g (IQR 0·77-1·41). Myocardial blood flow in ischaemic segments did not improve with CSR compared with placebo (difference 0·06 mL/min per g [95% CrI -0·09 to 0·20]; Pr(Benefit)=78·8%). The number of daily angina episodes was reduced with CSR compared with placebo (OR 1·40 [95% CrI 1·08 to 1·83]; Pr(Benefit)=99·4%). There were two CSR embolisation events in the CSR group, and no acute coronary syndrome events or deaths in either group. INTERPRETATION: ORBITA-COSMIC found no evidence that the CSR improved transmural myocardial perfusion, but the CSR did improve angina compared with placebo. These findings provide evidence for the use of CSR as a further antianginal option for patients with stable coronary artery disease. FUNDING: Medical Research Council, Imperial College Healthcare Charity, National Institute for Health and Care Research Imperial Biomedical Research Centre, St Mary's Coronary Flow Trust, British Heart Foundation.


Angina, Stable , Coronary Artery Disease , Coronary Sinus , Percutaneous Coronary Intervention , Humans , Male , Female , Coronary Artery Disease/therapy , Angina, Stable/drug therapy , Coronary Sinus/diagnostic imaging , Bayes Theorem , Treatment Outcome , Percutaneous Coronary Intervention/adverse effects , Double-Blind Method , Ischemia , Adenosine
3.
Microbiol Spectr ; : e0004024, 2024 Apr 30.
Article En | MEDLINE | ID: mdl-38687120

The growth of pathogenic bacteria in moist and wet surfaces and tubing of medically relevant devices results in serious infections in immunocompromised patients. In this study, we investigated and demonstrated the successful implementation of a UV-C side-emitting optical fiber in disinfecting medically relevant pathogenic bacteria (Pseudomonas aeruginosa and Methicillin-resistant Staphylococcus aureus [MRSA]) within tight channels of polytetrafluoroethylene (PTFE). PTFE is a commonly used material both in point-of-use (POU) water treatment technologies and medical devices (dental unit water line [DUWL], endoscope). For a 1-m-long PTFE channel, up to ≥6 log inactivation was achieved using a 1-m-long UV side-emitting optical fiber (SEOF) with continuous 16-h exposure of low UV-C radiation ranging from ~0.23 to ~29.30 µW/cm2. Furthermore, a linear model was used to calculate the inhibition zone constant (k`), which enables us to establish a correlation between UV dosage and the extent of inactivated surface area (cm2) for surface-bound Escherichia coli on a nutrient-rich medium. The k` value for an irradiance ranging from ~150 to ~271.50 µW/cm2 was calculated to be 0.564 ± 0.6 cm·cm2/mJ. This study demonstrated the efficacy of SEOFs for disinfection of medically relevant microorganisms present in medically and domestically relevant tight channels. The impact of the results in this study extends to the optimization of operational efficiency in pre-existing UV surface disinfection setups that currently operate at UV dosages exceeding the optimal levels.IMPORTANCEGermicidal UV radiation has gained global recognition for its effectiveness in water and surface disinfection. Recently, various works have illustrated the benefit of using UV-C side-emitting optical fibers (SEOFs) for the disinfection of tight polytetrafluoroethylene (PTFE) channels. This study now demonstrates its impact for disinfection of medically relevant organisms and introduces critical design calculations needed for its implementation. The flexible geometry and controlled emission of light in these UV-SEOFs make them ideal for light distribution in tight channels. Moreover, the results presented in this manuscript provide a novel framework that can be employed in various applications, addressing microbial contamination and the disinfection of tight channels.

4.
J Appl Stat ; 51(2): 216-229, 2024.
Article En | MEDLINE | ID: mdl-38476452

Statistical modelling of sports data is indispensable to analyse the sports behaviour and apprehend significant inferences that are helpful to adopt decisive strategies before or during the sports events. This paper introduces a stochastic model as the distribution of difference derived from the Bivariate Affine-Linear Exponential distribution. The distribution of difference is first ever used to model the margin of victory that provides an adequate fitting on the observed data. A simulation study is carried out to observe the stability of the model parameters through their average estimated values, biases, standard errors, root mean square errors and confidence intervals. The performance of the proposed model is examined by applying it on the real data of the National Football League and comparing the results with those of the existing models. Finally, the quantile function of the proposed distribution is used to assess the possible range of point spreads for winning the bet in a particular game.

5.
RSC Adv ; 14(9): 6146-6155, 2024 Feb 14.
Article En | MEDLINE | ID: mdl-38375009

Fluorinated and formaldehyde-based compounds impart excellent hydrophobicity and flame-retardant properties to cotton fabrics. However, they come with various health and environmental risks. A novel hydrophobic, flame retardant, and antimicrobial finishing agent free from fluorine and formaldehyde was synthesized. The diammonium phosphate octadecyl citrate (DAPOC) was synthesized by using stearic acid (octadecanoic acid), citric acid (propane-1,2,3-tricarboxylic acid), and diammonium hydrogen phosphate. It was grafted onto the cotton fabrics by employing the conventional pad-dry-cure method. The results indicated that this newly developed finish could be chemically bonded to cotton fabrics through C-O-C covalent bonds. The contact angle of the cotton fabric finished with a 12% concentration of the finishing agent reached 151.9°. Additionally, the finished cotton fabrics displayed evident flame-retardant properties. After undergoing 20 laundering cycles, DAPOC maintained strong hydrophobic and flame-retardant characteristics, demonstrating its durability. The chemical structure of DAPOC was verified by nuclear magnetic resonance spectroscopy (1H-NMR). The thermogravimetric analysis confirmed the flame-retardant nature of the treated cotton fabric samples. Scanning electron microscopy (SEM), Energy dispersive X-ray analysis (EDX), and Fourier-transform infrared spectroscopy (FTIR) results demonstrated the successful grafting of the newly created finish onto the cotton fiber. X-ray diffraction (XRD) spectra depicted that the crystalline structure of finished cotton fabric remained mostly unaltered. Furthermore, the finished cotton fabric exhibited commendable antimicrobial properties due to the inclusion of citric acid.

6.
ACS Pharmacol Transl Sci ; 7(1): 236-248, 2024 Jan 12.
Article En | MEDLINE | ID: mdl-38230281

Optogenetics is a novel biotechnology widely used to precisely manipulate a specific peripheral sensory neuron or neural circuit. However, the use of optogenetics to assess the therapeutic efficacy of analgesics is elusive. In this study, we generated a transgenic mouse stain in which all primary somatosensory neurons can be optogenetically activated to mimic neuronal hyperactivation in the neuropathic pain state for the assessment of analgesic effects of drugs. A transgenic mouse was generated using the advillin-Cre line mated with the Ai32 strain, in which channelrhodopsin-2 fused to enhanced yellow fluorescence protein (ChR2-EYFP) was conditionally expressed in all types of primary somatosensory neurons (advillincre/ChR2+/+). Immunofluorescence and transdermal photostimulation on the hindpaws were used to verify the transgenic mice. Optical stimulation to evoke pain-like paw withdrawal latency was used to assess the analgesic effects of a series of drugs. Injury- and pain-related molecular biomarkers were investigated with immunohistofluorescence. We found that the expression of ChR2-EYFP was observed in many primary afferents of paw skin and sciatic nerves and in primary sensory neurons and laminae I and II of the spinal dorsal horns in advillincre/ChR2+/+ mice. Transdermal blue light stimulation of the transgenic mouse hindpaw evoked nocifensive paw withdrawal behavior. Treatment with gabapentin, some channel blockers, and local anesthetics, but not opioids or COX-1/2 inhibitors, prolonged the paw withdrawal latency in the transgenic mice. The analgesic effect of gabapentin was also verified by the decreased expression of injury- and pain-related molecular biomarkers. These optogenetic mice provide a promising model for assessing the therapeutic efficacy of analgesics in neuropathic pain.

7.
RSC Adv ; 13(50): 35003-35016, 2023 Nov 30.
Article En | MEDLINE | ID: mdl-38046633

Pristine ZnO and Co-doped ZnO photocatalyst thin films were fabricated on a ceramic substrate by spray pyrolysis. The optical, morphological and structural properties of the fabricated nanophotocatalyst thin films were analyzed using X-ray diffraction (XRD), scanning electron microscopy (SEM), energy-dispersive X-ray (EDX) spectroscopy and Fourier transform infrared (FTIR) spectroscopy. Operational parameters, including dye concentration, oxidant concentration, irradiation time and pH for dye degradation, were optimized by response surface methodology (RSM). The maximum degradation obtained was 93% under ideal conditions, such as pH 7, 3 h of direct sunlight irradiation, 30 mM concentration of oxidant and 10 ppm concentration of dye (MB). The evaluation of the extent of degradation was done using the UV/visible spectrophotometry technique. The reusability of the fabricated thin film was examined under optimized conditions. Density functional theory (DFT) with the B3LYP/LanL2DZ method was used for the theoretical modelling of the fabricated nanomaterials. The optimized structure, theoretical band gaps, IR spectra and Raman spectra of the fabricated pristine ZnO and Co:ZnO nanophotocatalysts were determined.

8.
Sci Rep ; 13(1): 22417, 2023 12 16.
Article En | MEDLINE | ID: mdl-38104172

Floating treatment wetlands (FTWs) are a sustainable solution to treat polluted water, but their role in chromium (Cr(III)) removal under neutral pH conditions remains poorly understood. This study evaluated the potential of FTWs planted with two perennial emergent macrophytes, Phragmites australis and Iris pseudacorus, to remove Cr(III) and nutrients (N and PO4-P) from water containing 7.5 mg/L TN, 1.8 mg/L PO4-P, and Cr(III) (500, 1000, and 2000 µg/L). Within 1 h of exposure, up to 96-99% of Cr was removed from the solution, indicating rapid precipitation. After 50 days, Phragmites bound 9-19% of added Cr, while Iris bound 5-22%. Both species accumulated Cr primarily in the roots (BCF > 1). Biomass production and growth development were inhibited in Cr treatments, but microscopic examination of plant roots revealed no histological changes at 500 and 1000 µg/L Cr, suggesting high resistance of the tested species. At 2000 µg/L Cr, both species exhibited disruptions in the arrangement of vessel elements in the stele and increased aerenchyma spaces in Phragmites. At the end of the experiment, 70-86% of TN and 54-90% of PO4-P were removed.


Chromium , Water Pollutants, Chemical , Chromium/metabolism , Wetlands , Biodegradation, Environmental , Plants/metabolism , Poaceae/metabolism , Water/metabolism , Water Pollutants, Chemical/analysis
9.
Environ Sci Pollut Res Int ; 30(50): 109331-109342, 2023 Oct.
Article En | MEDLINE | ID: mdl-37924168

This study examines the impact of CO2 emissions, globalization, economic growth, and renewable and non-renewable energies consumption in South Asian countries between 1985 and 2019. We employ a fully modified ordinary least squares (FMOLS) method to achieve the purpose of this study. The empirical results of this study indicate that globalization positively impacts CO2 emissions. Furthermore, the study indicates that the consumption of non-renewable energy contributes to environmental pollution. Moreover, the findings support the existence of the EKC hypothesis in these countries. As economic growth increases, environmental degradation will also increase, and vice versa. Environmental degradation, however, decreases as economic growth increases after a certain threshold. For countries to cope with the problem of environmental degradation, the pragmatic results recommend that they promote and subsidize all green energy sources.


Carbon Dioxide , Renewable Energy , Carbon Dioxide/analysis , Energy-Generating Resources , Environmental Pollution/analysis , Economic Development , Internationality
10.
Environ Monit Assess ; 195(10): 1223, 2023 Sep 19.
Article En | MEDLINE | ID: mdl-37725297

Droughts and heat waves are currently recognized as two of the most serious threats associated with climate changes. Drought is characterized by prolonged dry periods, low precipitation, and high temperature, while heat wave refers to an extended period of exceptionally high temperature, surpassing the region's average for that time of year. There is a close relationship between droughts and heat waves, as both are often caused by similar weather patterns and can exacerbate each other's impacts. Therefore, it is crucial to monitor and quantify both droughts and heat waves jointly at a regional level in order to develop sustainable policies and effectively manage water resources. This article develops a new index, the standardized composite index for climate extremes (SCICE), for joint monitoring and probabilistic quantification of extreme climate events at regional level. The procedure of SCICE is mainly based on the joint standardization of standardized precipitation index (SPI) and standardized temperature index (STI). In the application of SCICE, results reveal that the long-term probabilities of the joint occurrence of dry and hot events are significantly greater than those of wet and cold events. Furthermore, the outcomes of the comparative assessment support the validity of using SCICE as a compact statistical approach in regional drought analysis. In summation, the study demonstrates the capability of SCICE to effectively characterize and assess the joint monitoring of drought and heat waves at a regional level, providing a comprehensive approach to understanding the joint impact of climate extremes.


Climate Change , Environmental Monitoring , Cold Temperature , Droughts , Policy
11.
ACS Omega ; 8(32): 28932-28944, 2023 Aug 15.
Article En | MEDLINE | ID: mdl-37599927

Food is a crucial source for the endurance of individuals, and quality concerns of consumers are being raised with the progression of time. Edible coatings and films (ECFs) are increasingly important in biobased packaging because they have a prime role in enhancing the organoleptic characteristics of the food products and minimizing the spread of microorganisms. These sustainable ingredients are crucial for a safer and healthier environment. These are created from proteins, polysaccharides, lipids, plasticizers, emulsifiers, and active substances. These are eco-friendly since made from innocuous material. Nanocomposite films are also beginning to be developed and support networks of biological polymers. Antioxidant, flavoring, and coloring compounds can be employed to improve the quality, wellbeing, and stability of packaged foods. Gelatin-enhanced fruit and vegetable-based ECFs compositions have the potential to produce biodegradable films. Root plants like cassava, potato, and sweet potato have been employed to create edible films and coatings. Achira flour, amylum, yam, ulluco, and water chestnut have all been considered as novel film-forming ingredients. The physical properties of biopolymers are influenced by the characteristics, biochemical confirmation, compatibility, relative humidity, temperature, water resistance, and application procedures of the components. ECFs must adhere to all regulations governing food safety and be generally recognized as safe (GRAS). This review covers the new advancements in ECFs regarding the commitment of novel components to the improvement of their properties. It is expected that ECFs can be further investigated to provide innovative components and strategies that are helpful for global financial issues and the environment.

12.
Heliyon ; 9(7): e18421, 2023 Jul.
Article En | MEDLINE | ID: mdl-37539114

Climatic variations and GHG emissions are the most debated issues of the current age economically, socially, politically and environmentally. An internationally legally binding treaty on climate change, the "Paris Agreement" is followed by G-8 countries to maintain environmental sustainability with green development. The research investigates the relationship of GHG emissions with renewable energy (RE), foreign direct investment (FDI), total population (TP), and trade (TR). The time span of 22 years is used for analytical purposes covering the period from 2000 to 2021 b y addressing the literary gap. The analytical procession found total population and trade increase GHG emissions because of its modern fundamental layers toxic human activities and polluted trade practices. The decreasing behavior toward GHG emissions has been determined by FDI and RE. The findings of this research have confirmed the long-run relationship among variables. They are evidence that the eco-innovative steps by G-8 countries significantly reduce GHG emissions directly or indirectly. Furthermore, the analytical outcomes indicate that innovative green development in renewable energy sector can reduce the GHG emissions pressure from this sector and contribute to net zero emissions. The extracting results have suggested policies for environmental practitioners and economic developers.

13.
Environ Res ; 228: 115852, 2023 07 01.
Article En | MEDLINE | ID: mdl-37024034

Nanoparticles (NPs) preparation using a green as well as environmentally acceptable processes has achieved a lot of attention in recent decade. The current study compared the synthesis of titania (TiO2) nanoparticles synthesized from leaf extracts of two plant species (Trianthema portulacastrum, Chenopodium quinoa) and traditional approach by chemical preparation. The effects of no calcination on the physical characteristics of TiO2 NPs as well as their antifungal effects were examined and compared with the already reported calcinated TiO2 NPs. The produced TiO2 NPs were evaluated using high-tech techniques such as X-ray diffraction (XRD), scanning electron microscope, energy dispersive spectroscopy (EDX), and elemental mapping. TiO2 NPs prepared by sol-gel technique (T1) and prepared from extractions from leaves of T. portulacastrum (T2), and C. quinoa (T3) were either calcinated or non calcinated and tested against fungal disease (Ustilago tritici) of wheat for antifungal efficacy. The -peak (2θ) at 25.3 was confirmed by XRD to be connected with the anatase (101) form in both cases but before calcination, NPs were lacking the rutile and brookite peaks. The results showed that all types of TiO2 NPs examined had good antifungal activity against U. tritici, but those made from C. quinoa plant extract have good antifungal activity against disease. TiO2 NPs which are produced by the green methods (T2, T3) have the highest antifungal activity (58%, 57% respectively), while minimal activity (19%) was recorded when NPs were synthesized using the sol-gel method (T1) with 25 µl/mL. Non calcinated TiO2 NPs have less antifungal potential than calcined TiO2 NPs. It can be concluded that calcination may be preferred for efficient antifungal activity when using titania nanoparticles. The green technology may be used on a larger scale with less damaging TiO2 NP production and can be utilized against fungal disease on wheat crop to reduce crop losses worldwide.


Metal Nanoparticles , Mycoses , Nanoparticles , Antifungal Agents/pharmacology , Triticum , Titanium/pharmacology , Titanium/chemistry , Nanoparticles/chemistry , Metal Nanoparticles/toxicity , Metal Nanoparticles/chemistry , X-Ray Diffraction
14.
Polymers (Basel) ; 15(7)2023 Mar 23.
Article En | MEDLINE | ID: mdl-37050225

Delamination, a form of composite failure, is a significant concern in laminated composites. The increasing use of out-of-autoclave manufacturing techniques for automotive applications, such as compression moulding and thermoforming, has led to increased interest in understanding the delamination resistance of carbon-fibre-reinforced thermoplastic (CFRTP) composites compared to traditional carbon-fibre-reinforced thermosetting (CFRTS) composites. This study evaluated the mode I (opening) interlaminar fracture toughness of two non-crimp fabric (NCF) biaxial (0/90°) carbon/thermoplastic composite systems: T700/polyamide 6.6 and T700/polyphenylene sulphide. The mode I delamination resistance was determined using the double cantilever beam (DCB) specimen. The results were analysed and the Mode I interlaminar fracture toughness was compared. Additionally, the fractographic analysis (microstructure characterisation) was conducted using a scanning electron microscope (SEM) to examine the failure surface of the specimens.

15.
Reumatol Clin (Engl Ed) ; 19(3): 130-135, 2023 Mar.
Article En | MEDLINE | ID: mdl-36906388

BACKGROUND AND OBJECTIVE: Familial Mediterranean fever (FMF) and systemic lupus erythematosus (SLE) are autosomal recessive auto-inflammatory diseases, triggered by FMF-associated gene mutations and auto-antigens. The literature on the co-occurrence of these two disorders is limited to case reports and their correlation is considered rare. We investigated the proportion of FMF among SLE patients when compared with a healthy adult cohort in South Asia. METHODS: For this observational study, data from our institutional database were collected for the patients diagnosed with SLE. The control group was randomly selected from the database and were age- matched for SLE. The overall proportion of FMF among patients with and without SLE was considered. Student's t-test, Chi-square, and ANOVA were used for univariate analysis. RESULTS: The study population included 3623 SLE patients and 14,492 controls. In the SLE group, there was a significantly higher proportion of FMF patients compared with the non-SLE group (1.29% vs. 0.79% respectively; p=0.015). SLE was prevalent in Pashtun's (50%) in the middle socioeconomic group while FMF was dominant in Punjabi's and Sindhi's (53%) in the low socioeconomic class. CONCLUSION: This investigation demonstrates that FMF is more prevalent in a South-Asian population cohort of SLE patients.


Familial Mediterranean Fever , Lupus Erythematosus, Systemic , Adult , Humans , Familial Mediterranean Fever/complications , Familial Mediterranean Fever/diagnosis , Familial Mediterranean Fever/genetics , Lupus Erythematosus, Systemic/complications , Mutation , Asia, Southern
16.
Reumatol. clín. (Barc.) ; 19(3): 130-135, Mar. 2023. ilus, tab, graf
Article En | IBECS | ID: ibc-217287

Background and objective: Familial Mediterranean fever (FMF) and systemic lupus erythematosus (SLE) are autosomal recessive auto-inflammatory diseases, triggered by FMF-associated gene mutations and auto-antigens. The literature on the co-occurrence of these two disorders is limited to case reports and their correlation is considered rare. We investigated the proportion of FMF among SLE patients when compared with a healthy adult cohort in South Asia. Methods: For this observational study, data from our institutional database were collected for the patients diagnosed with SLE. The control group was randomly selected from the database and were age- matched for SLE. The overall proportion of FMF among patients with and without SLE was considered. Student's t-test, Chi-square, and ANOVA were used for univariate analysis. Results: The study population included 3623 SLE patients and 14,492 controls. In the SLE group, there was a significantly higher proportion of FMF patients compared with the non-SLE group (1.29% vs. 0.79% respectively; p=0.015). SLE was prevalent in Pashtun's (50%) in the middle socioeconomic group while FMF was dominant in Punjabi's and Sindhi's (53%) in the low socioeconomic class. Conclusion: This investigation demonstrates that FMF is more prevalent in a South-Asian population cohort of SLE patients.(AU)


Antecedentes y objetivo: La fiebre mediterránea familiar (FMF) y el lupus eritematoso sistémico (LES) son enfermedades autoinflamatorias autosómicas recesivas, desencadenadas por mutaciones genéticas asociadas a la FMF y autoantígenos. La literatura sobre la coexistencia de estos dos trastornos se limita a informes de casos y su correlación se considera rara. Investigamos la proporción de FMF entre pacientes con LES en comparación con una cohorte de adultos sanos en el sudeste asiático. Métodos: Para este estudio observacional se recolectaron datos de nuestra base de datos institucional para los pacientes diagnosticados con LES. El grupo control se seleccionó al azar de la base de datos y se emparejaron por edad y sexo para LES. Se consideró la proporción global de FMF entre pacientes con y sin LES. Se utilizaron la prueba t de Student, χ2 y ANOVA para el análisis univariado. Resultados: La población de estudio incluyó a 3.623 pacientes con LES y 14.492 controles. En el grupo de LES, hubo una proporción significativamente mayor de pacientes con FMF en comparación con el grupo sin LES (1,29 vs. 0,79%, respectivamente; p=0,015). LES prevaleció en la región pastún (50%) en el grupo socioeconómico medio, mientras que FMF fue dominante en Punyab y Sind (53%) en la clase socioeconómica baja. Conclusión: Esta investigación demuestra que la FMF es más frecuente en una cohorte de pacientes con LES del sudeste asiático.(AU)


Humans , Male , Female , Middle Aged , Lupus Erythematosus, Systemic , Familial Mediterranean Fever , Hereditary Autoinflammatory Diseases , Rheumatic Diseases , Asia, Eastern , Rheumatology , Case-Control Studies
17.
Nanomaterials (Basel) ; 13(3)2023 Jan 29.
Article En | MEDLINE | ID: mdl-36770508

Nanomaterials have attracted attention for application in photocatalytic hydrogen production because of their beneficial properties such as high specific surface area, attractive morphology, and high light absorption. Furthermore, hydrogen is a clean and green source of energy that may help to resolve the existing energy crisis and increasing environmental pollution caused by the consumption of fossil fuels. Among various hydrogen production methods, photocatalytic water splitting is most significant because it utilizes solar light, a freely available energy source throughout the world, activated via semiconductor nanomaterial catalysts. Various types of photocatalysts are developed for this purpose, including carbon-based and transition-metal-based photocatalysts, and each has its advantages and disadvantages. The present review highlights the basic principle of water splitting and various techniques such as the thermochemical process, electrocatalytic process, and direct solar water splitting to enhance hydrogen production. Moreover, modification strategies such as band gap engineering, semiconductor alloys, and multiphoton photocatalysts have been reviewed. Furthermore, the Z- and S-schemes of heterojunction photocatalysts for water splitting were also reviewed. Ultimately, the strategies for developing efficient, practical, highly efficient, and novel visible-light-harvesting photocatalysts will be discussed, in addition to the challenges that are involved. This review can provide researchers with a reference for the current state of affairs, and may motivate them to develop new materials for hydrogen generation.

18.
Biomater Sci ; 11(4): 1373-1397, 2023 Feb 14.
Article En | MEDLINE | ID: mdl-36594554

Colon mucosal inflammation attracts a plethora of immune cells with overexpressed surface receptors. Colon drug targeting can be aided by exploiting overexpressed cell surface receptors which improve drug site retention for an extended period. We developed Tofacitinib citrate (Tofa) loaded transferrin anchored PLGA nanocarriers (Tofa-P/tfr NCs) via the quality by design (QbD) approach for specific binding to the transferrin receptor (TFR-1/CD71) overexpressed on macrophages and colon epithelial cells. Nanocarriers were produced using a modified emulsion-evaporation method with a protein adsorption technique. The QbD-risk assessment method was adopted to screen the variables impacting the quality of nanocarriers, which were then optimized using the 33 Box-Behnken design of experiment (DOE). The obtained nanocarriers have the desired physicochemical properties, drug entrapment, tfr adsorption, stability, mucoadhesion, and sustained drug release pattern at pH 7.4 (colon pH). In vitro cell-based studies confirmed the cellular biocompatibility and considerable uptake of nanocarriers by colon and macrophage cells; the uptake was diminished by anti-CD71/TFR1 antibodies. Tofa-P/tfr NCs demonstrated good colon targeting potential in the dextran sulfate sodium (DSS) induced ulcerative colitis (UC) model. In vivo therapeutic efficacy against UC was established through restored morphological and histopathological scores, vascular integrity, antioxidant levels, hematological parameters, pro-inflammatory cytokine/marker levels, and microbial indices. Tofa-P/tfr NCs shut down the elevated STAT-1 and TFR-1 levels, demonstrating the enhanced efficacy of the encapsulated drug. Thus, the QbD-driven approach successfully developed Tofa-P/tfr NCs with good potential to mitigate mucosal inflammation by targeting colon and macrophage surface receptors.


Colitis, Ulcerative , Colitis , Humans , Animals , Transferrin , Drug Delivery Systems , Colitis, Ulcerative/chemically induced , Colitis/chemically induced , Colitis/drug therapy , Macrophages/metabolism , Inflammation/drug therapy , Inflammation/metabolism , Disease Models, Animal
19.
Environ Sci Pollut Res Int ; 30(14): 39803-39814, 2023 Mar.
Article En | MEDLINE | ID: mdl-36602734

The aim of the study is to assess the role of green financing on carbon emission reduction and green economic recovery in emerging economies context. The BCC DEA technique of data envelopment analysis (DEA) is used to examine the nexus among variables by applying small input-output estimation parameters. Researchers found that green financing strategies like government subsidies and tax refunds for green financing are effective in cutting carbon emissions in developing nations. As a result, a panel of data from 2016 to 2020 is employed. Green financing measures assist reduces carbon emissions and prolong the green economic rebound, according to our research. Renewable energy companies had better ranges of total investment efficiency and size efficiency, and their levels of green economic recovery promotion were more than 0.457% percent, with a reduction in carbon emissions of 29.7 percent in developing countries backed by present government subsidies of 16 percent and taxes rebates of 11 percent. Green financing policies have a favorable impact on the green economy's revival. The study's policy implications include that green financing policies be implemented successfully to reduce carbon emissions more efficiently and to make climate change beneficial to countries in order to promote economic recovery over time.


Economic Development , Investments , Policy , Taxes , Carbon/analysis , Carbon Dioxide/analysis , Renewable Energy
20.
J Environ Manage ; 331: 117339, 2023 Apr 01.
Article En | MEDLINE | ID: mdl-36669313

Environmentally sustainable remediation is needed to protect freshwater resources which are deteriorating due to severe industrial, mining, and agricultural activities. Treatment by floating wetlands could be a sustainable solution to remediate water bodies. The study aimed to examine the effects of Cd on Phragmites australis and Iris pseudacorus growth (height, biomass, root length and chlorophyll contents), anatomy, Cd accumulation in their biomass and their ability to remove Cd, N and P. Seedlings of both plants were grown in a greenhouse for 50 days in artificially prepared stormwater amended with Cd, N, and P. The treatments were: control (Cd _0), Cd_1, Cd_2, and Cd_4 mg L-1. N and P contents were 4 mg L-1 and 1.8 mg L-1, respectively. In the case of P. australis, the maximum plant height, root length, and total dry biomass production was increased in medium dose (Cd_2) treatment while the chlorophyll index (CCI) increased in high dose (Cd_4) treatment as compared to all treatments. For I. pseudacorus, the maximum plant height and total dry biomass production, root length and CCI values were improved in low dose (Cd_1) and high dose (Cd_4) treatments, respectively among all treatments. Results showed that P. australis accumulated 10.94-1821.59 µg · (0.05 m2)-1 in roots and 2.45-334.65 µg · (0.05 m2)-1 in shoots under Cd_0, Cd_1 and Cd_4 treatments. I. pseudacorus accumulated the highest Cd in roots up to 5.84-4900 µg · (0.05 m2)-1 and 3.40-609 µg · (0.05 m2)-1 in shoots under Cd_0, Cd_1 and Cd_4 treatments. The translocation factor was observed as <1 and the bioconcentration factor >1 for both species, which indicates their phytostabilization potential. Results demonstrate that P. australis and I. pseudacorus are suitable for use in floating wetlands to remediate contaminated sites.


Cadmium , Iris Plant , Cadmium/pharmacology , Wetlands , Biodegradation, Environmental , Plants , Poaceae , Biomass , Plant Roots/chemistry
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