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1.
J Environ Sci (China) ; 150: 202-217, 2025 Apr.
Article in English | MEDLINE | ID: mdl-39306396

ABSTRACT

This study focuses on the spatiotemporal distribution, urban-rural variations, and driving factors of ammonia Vertical Column Densities (VCDs) in China's Yangtze River Delta region (YRD) from 2008 to 2020. Utilizing data from the Infrared Atmospheric Sounding Interferometer (IASI), Generalized Additive Models (GAM), and the GEOS-Chem chemical transport model, we observed a significant increase of NH3 VCDs in the YRD between 2014 and 2020. The spatial distribution analysis revealed higher NH3 concentrations in the northern part of the YRD region, primarily due to lower precipitation, alkaline soil, and intensive agricultural activities. NH3 VCDs in the YRD region increased significantly (65.18%) from 2008 to 2020. The highest growth rate occurs in the summer, with an annual average growth rate of 7.2% during the period from 2014 to 2020. Agricultural emissions dominated NH3 VCDs during spring and summer, with high concentrations primarily located in the agricultural areas adjacent to densely populated urban zones. Regions within several large urban areas have been discovered to exhibit relatively stable variations in NH3 VCDs. The rise in NH3 VCDs within the YRD region was primarily driven by the reduction of acidic gases like SO2, as emphasized by GAM modeling and sensitivity tests using the GEOS-Chem model. The concentration changes of acidic gases contribute to over 80% of the interannual variations in NH3 VCDs. This emphasizes the crucial role of environmental policies targeting the reduction of these acidic gases. Effective emission control is urgent to mitigate environmental hazards and secondary particulate matter, especially in the northern YRD.


Subject(s)
Air Pollutants , Ammonia , Environmental Monitoring , Rivers , China , Ammonia/analysis , Air Pollutants/analysis , Rivers/chemistry , Agriculture , Spatio-Temporal Analysis , Seasons
2.
J Environ Sci (China) ; 149: 314-329, 2025 Mar.
Article in English | MEDLINE | ID: mdl-39181645

ABSTRACT

Extensive spatiotemporal analyses of long-trend surface ozone in the Yangtze River Delta (YRD) region and its meteorology-related and emission-related have not been systematically analyzed. In this study, by using 8-year-long (2015-2022) surface ozone observation data, we attempted to reveal the variation of multiple timescale components using the Kolmogorov-Zurbenko filter, and the effects of meteorology and emissions were quantitatively isolated using multiple linear regression with meteorological variables. The results showed that the short-term, seasonal, and long-term components accounted for daily maximum 8-hr average O3 (O3-8 hr) concentration, 46.4%, 45.9%, and 1.0%, respectively. The meteorological impacts account for an average of 71.8% of O3-8 hr, and the YRD's eastern and northern sections are meteorology-sensitive areas. Based on statistical analysis technology with empirical orthogonal function, the contribution of meteorology, local emission, and transport in the long-term component of O3-8 hr were 0.21%, 0.12%, and 0.6%, respectively. The spatiotemporal analysis indicated that a distinct decreasing spatial pattern could be observed from coastal cities towards the northwest, influenced by the monsoon and synoptic conditions. The central urban agglomeration north and south of the YRD was particularly susceptible to local pollution. Among the cities studied, Shanghai, Anqing, and Xuancheng, located at similar latitudes, were significantly impacted by atmospheric transmission-the contribution of Shanghai, the maximum accounting for 3.6%.


Subject(s)
Air Pollutants , Environmental Monitoring , Ozone , China , Ozone/analysis , Air Pollutants/analysis , Rivers/chemistry , Seasons , Meteorology , Air Pollution/statistics & numerical data , Air Pollution/analysis
3.
Clin Chim Acta ; 564: 119938, 2025 Jan 01.
Article in English | MEDLINE | ID: mdl-39181293

ABSTRACT

OBJECTIVE: Delta bilirubin (albumin-covalently bound bilirubin) may provide important clinical utility in identifying impaired hepatic excretion of conjugated bilirubin, but it cannot be measured in real-time for diagnostic purposes in clinical laboratories. METHODS: A total of 210 samples were collected, and their delta bilirubin levels were measured four times using high-performance liquid chromatography. Data collected included age, sex, diagnosis code, delta bilirubin, total bilirubin, direct bilirubin, total protein, albumin, globulin, aspartate aminotransferase, alanine transaminase, alkaline phosphatase, gamma-glutamyl transferase, lactate dehydrogenase, hemoglobin, serum hemolysis value, hemolysis index, icterus value (Iv), icterus index (Ii), lipemia value (Lv), and lipemia index. To conduct feature selection and identify the optimal combination of variables, linear regression machine learning was performed 1,000 times. RESULTS: The selected variables were total bilirubin, direct bilirubin, total protein, albumin, hemoglobin, Iv, Ii, and Lv. The best predictive performance for high delta bilirubin concentrations was achieved with the combination of albumin-direct bilirubin-hemoglobin-Iv-Lv. The final equation composed of these variables was as follows: delta bilirubin = 0.35 × Iv + 0.05 × Lv - 0.23 × direct bilirubin - 0.05 × hemoglobin - 0.04 × albumin + 0.10. CONCLUSION: The equation established in this study is practical and can be easily applied in real-time in clinical laboratories.


Subject(s)
Bilirubin , Machine Learning , Bilirubin/blood , Humans , Female , Male , Middle Aged , Adult , Aged , Adolescent , Young Adult , Child , Aged, 80 and over , Chromatography, High Pressure Liquid , Child, Preschool , Infant
4.
Periodontol 2000 ; 2024 Sep 24.
Article in English | MEDLINE | ID: mdl-39317462

ABSTRACT

Inflammation is a complex physiological process that plays a pivotal role in many if not all pathological conditions, including infectious as well as inflammatory diseases, like periodontitis and autoimmune disorders. Inflammatory response to periodontal biofilms and tissue destruction in periodontitis is associated with the release of inflammatory mediators. Chronic inflammation can promote the development of cancer. Persistence of inflammatory mediators plays a crucial role in this process. Quantification and monitoring of the severity of inflammation in relation to cancer is essential. Periodontitis is mainly quantified based on the severity and extent of attachment loss and/or pocket probing depth, in addition with bleeding on probing. In recent years, studies started to investigate inflammation indices in association with periodontal diseases. To date, only few reviews have been published focusing on the relationship between blood cell count, inflammation indices, and periodontitis. This review presents a comprehensive overview of different systemic inflammation indices, their methods of measurement, and the clinical applications in relation to periodontitis and cancer. This review outlines the physiological basis of inflammation and the underlying cellular and molecular mechanisms of the parameters described. Key inflammation indices are commonly utilized in periodontology such as the neutrophil to lymphocyte ratio. Inflammation indices like the platelet to lymphocyte ratio, platelet distribution width, plateletcrit, red blood cell distribution width, lymphocyte to monocyte ratio, delta neutrophil index, and the systemic immune inflammation index are also used in hospital settings and will be discussed. The clinical roles and limitations, relationship to systemic diseases as well as their association to periodontitis and treatment response are described.

5.
Materials (Basel) ; 17(18)2024 Sep 16.
Article in English | MEDLINE | ID: mdl-39336284

ABSTRACT

Due to variations in chemical composition and production processes, homonymous austenitic stainless steels can differ significantly regarding their initial microstructure, metastability, and thus, their fatigue behavior. Microstructural investigations and fatigue tests have been performed in order to evaluate this aspect. Three different batches and production forms of nominally one type of steel AISI 347 were investigated under monotonic tensile tests and cyclic loading under total strain and stress control in low and high cycle fatigue regimes, respectively. The deformation induced α'-martensite formation was investigated globally by means of in situ magnetic measurements and locally using optical light microscopy of color etching of micrographs. The investigation showed that the chemical composition and the different production processes influence the material behavior. In fatigue tests, a higher metastability and thus a higher level of deformation induced α'-martensite pronounced cyclic hardening, resulting in significantly greater endurable stresses in total strain-controlled tests and an increase in fatigue life in stress-controlled tests. For applications of non-destructive-testing, detailed knowledge of a component's metastability is required. In less metastable batches and for lower stress levels, α'-martensite primarily formed at the plasticization zone of a crack. Furthermore, the formation and nucleation points of α'-martensite were highly dependent on grain size and the presence of δ-ferrite. This study provides valuable insights into the different material behavior of three different batches with the same designation, i.e., AISI 347, due to different manufacturing processes and differences in the chemical composition, metastability, and microstructure.

6.
Sci Rep ; 14(1): 21885, 2024 Sep 19.
Article in English | MEDLINE | ID: mdl-39322708

ABSTRACT

High-speed rail (HSR) may influence economic activities that rely heavily on innovation by facilitating skilled labour, face-to-face interactions, and knowledge spillovers. This study explores how HSR development affects the spatial distribution of technology-intensive manufacturing (TIM) in the Yangtze River Delta (YRD), China. Using a panel dataset including 24 cities for the period 2007-2016 and employing the output of communications equipment, computers, and other electronic equipment (CCOE) as a proxy for TIM's economic productivity at the city level, we apply the staggered difference-in-differences (DID) and spatial Durbin model (SDM) to measure the impacts of HSR's initial opening and connectivity on CCOE development and capture the spatial spillover effects of HSR connectivity. Our findings indicate that the initial opening of HSR and HSR connectivity are negatively associated with CCOE productivity in both DID and SDM. Additionally, the reduction of CCOE is more pronounced in cities with larger populations and higher levels of economy. Moreover, HSR has a more significant effect on CCOE than other manufacturing sectors. However, the spillover effects remain insignificant, indicating HSR's limited impact on CCOE development in adjacent cities within the YRD.

7.
Med Res Arch ; 12(8)2024 Aug.
Article in English | MEDLINE | ID: mdl-39324067

ABSTRACT

Chikungunya virus is an emerging pathogen with widespread distribution in regions of Africa, India, and Asia that threatens to spread into temperate climates following the introduction of its major vector, Aedes albopictus. Recent cases have been documented in Europe, the Caribbean, and the Americas. Chikungunya virus causes a disease frequently misdiagnosed as Dengue fever, with potentially life-threatening symptoms that can result in long term debilitating arthritis. There have been ongoing investigations of possible therapeutic interventions for both acute and chronic symptoms, but to date none have proven effective in reducing the severity or lasting effects of this disease. Recently, a promising vaccine candidate has received accelerated approval, indicating the importance of remedies to this emerging worldwide health threat. Nonetheless, therapeutic interventions for Chikungunya and other mosquito borne virus diseases are urgently needed yet remain elusive. The increasing risk of spread from endemic regions via human travel and commerce, coupled with the absence of a vaccine or approved therapeutic, puts a significant proportion of the world population at risk for this disease. In this report we explore the possibility of using Specific On/oFf Adapter Hepatitis Delta Virus Ribozymes as antivirals in cells infected with Chikungunya virus. The results we obtained suggest there could be some role in using these ribozyme molecules as antiviral therapies for not only Chikungunya virus, but potentially other viruses as well.

8.
Front Cell Neurosci ; 18: 1465836, 2024.
Article in English | MEDLINE | ID: mdl-39329085

ABSTRACT

Animals live in a complex and changing environment with various degrees of behavioral demands. Behavioral states affect the activity of cortical neurons and the dynamics of neuronal populations, however not much is known about the cortical circuitry behind the modulation of neuronal activity across behavioral states. Here we show that a class of GABAergic inhibitory interneurons that express vasoactive intestinal peptide-expressing interneurons (VIP), namely VIP interneurons, play a key role in the circuits involved in the modulation of cortical activity by behavioral state, as reflected in the mice facial motion. We show that inhibition of VIP interneurons reduces the correlated activity between the behavioral state of the animal and the spiking of individual neurons. We also show that VIP inhibition during the quiet state decreases the synchronous spiking of the neurons but increases delta power and phase locking of spiking to the delta-band activity. Taken together our data show that VIP interneurons modulate the behavioral state-dependency of cortical activity across different time scales.

10.
Sci Rep ; 14(1): 22390, 2024 Sep 27.
Article in English | MEDLINE | ID: mdl-39333358

ABSTRACT

The Offshore Niger Delta, Nigeria, stands as a dynamic geological marvel, known for its intricate processes and extensive hydrocarbon reservoirs. This study employed an integrated approach, utilizing 3D seismic data and well logs, to conduct a thorough analysis of sequence stratigraphy and reservoir characterization in the pursuit of optimizing hydrocarbon exploration in the region. The study focused on the NW-SE trending Miocene depocenters, which predominantly comprises alternating sandstone and thick shale layers within the Agbada Formation. These reservoir units showcased stacked shallow marine fluvial-deltaic sediments, separated by significant marine shale units. Within the study area, two hydrocarbon-bearing reservoirs were identified and named: R1 and R2. Petrophysical analysis identified R2 as the most promising reservoir, with a permeability of 1184 × 10- 3 µm2, 85% hydrocarbon saturation, porosity of 0.30, and effective porosity of 0.27. Fault structural analysis uncovered that hydrocarbons are trapped within a network of growth faults within the wave-dominated Niger Delta depositional system. From the sequence stratigraphic interpretation, four depositional sequences were delineated between the depths of 2030-3417 m, and are bounded by five sequence boundaries. Integrated seismic facies analysis revealed high-energy feeder systems likely supplying sediments from river sources to offshore locations. These integrated findings provide essential insights to inform resource management, exploration strategies, understanding of reservoir distribution, and structural intricacies within the complex offshore Niger Delta, Nigeria, providing valuable information. The depositional environment helped in the understanding of the stratigraphic traps which are prospects in the study area. This together with the associated reservoir quality allowed accurate prediction for potential reservoir facies and will further improve the field development plans.

11.
J Oral Sci ; 2024 Sep 04.
Article in English | MEDLINE | ID: mdl-39231717

ABSTRACT

PURPOSE: The aim of this study was to investigate the accessory root canal morphology of maxillary first molars in a Black South African subpopulation. METHODS: Micro-computed tomography was used to investigate 101 maxillary first molars (from 50 male and 51 female teeth, right 53 teeth, left 48 teeth). The prevalence of chamber canals, and the number, type and location (root third) of accessory canals were recorded. The relationships between arch side, sex and age were examined using chi-squared tests of association. Intra- and inter-observer reliability were assessed using Cohen's kappa test. RESULTS: Intra- and inter-rater agreement was 96.9% and 98.1%, respectively. Variations in accessory root canal anatomy according to side, sex and age were evident. Chamber canals were identified in 10.9% of teeth. Accessory canals were found mainly in the apical third of most teeth in the sample, and distributed predominantly in the mesio-buccal root. Apical deltas were most prevalent in the mesio-buccal root, and their frequency decreased in the palatal and then finally the disto-buccal root. CONCLUSION: Accessory root canals were common in this population, and showed a diverse range of anatomy. The present findings will be of assistance to clinicians during endodontic treatment and will also be valuable for educational purposes.

12.
Biophys Chem ; 314: 107318, 2024 Nov.
Article in English | MEDLINE | ID: mdl-39226875

ABSTRACT

The Ebola delta peptide is an amphipathic, 40-residue peptide encoded by the Ebola virus, referred to as E40. The membrane-permeabilising activity of the E40 delta peptide has been demonstrated in cells and lipid vesicles suggesting the E40 delta peptide likely acts as a viroporin. The lytic activity of the peptide increases in the presence of anionic lipids and a disulphide bond in the C-terminal part of the peptide. Previous in silico work predicts the peptide to show a partially helical structure, but there is no experimental information on the structure of E40. Here, we use circular dichroism spectroscopy to report the secondary structure propensities of the reduced and oxidised forms of the E40 peptide in water, detergent micelles, and lipid vesicles composed of neutral and anionic lipids (POPC and POPG, respectively). Results indicate that the peptide is predominately a random coil in solution, and the disulphide bond has a small but measurable effect on peptide conformation. Secondary structure analysis shows large uncertainties and dependence on the reference data set and, in our system, cannot be used to accurately determine the secondary structure motifs of the peptide in membrane environments. Nevertheless, the spectra can be used to assess the relative changes in secondary structure propensities of the peptide depending on the solvent environment and disulphide bond. In POPC-POPG vesicles, the peptide transitions from a random coil towards a more structured conformation, which is even more pronounced in negatively charged SDS micelles. In vesicles, the effect depends on the peptide-lipid ratio, likely resulting from vesicle surface saturation. Further experiments with zwitterionic POPC vesicles and DPC micelles show that both curvature and negatively charged lipids can induce a change in conformation, with the two effects being cumulative. Electrostatic screening from Na+ ions reduced this effect. The oxidised form of the peptide shows a slightly lower propensity for secondary structure and retains a more random coil conformation even in the presence of PG-PC vesicles.


Subject(s)
Circular Dichroism , Ebolavirus , Micelles , Protein Structure, Secondary , Ebolavirus/chemistry , Phosphatidylcholines/chemistry , Solutions , Phosphatidylglycerols/chemistry , Peptides/chemistry , Water/chemistry , Viral Proteins/chemistry , Amino Acid Sequence
13.
Ann Clin Biochem ; : 45632241287135, 2024 Sep 24.
Article in English | MEDLINE | ID: mdl-39261111

ABSTRACT

BACKGROUND: To determine delta check limits for immunoglobulins and complements in outpatients and inpatients based on patient data and biological variation due to the lack of relevant studies. METHODS: Patient data for IgA, IgG, IgM, IgE, C3, and C4 from 1 January 2022 to 31 December 2023 was collected from laboratory information system (LIS) in our clinical laboratory of Wuhan Union Hospital, which includes both outpatients and inpatients. The delta difference (DD), delta percent change (DPC), and reference change value (RCV) were calculated based on patient data and biological variation. RESULTS: For DDs, there are significant differences between outpatients and inpatients in C4, IgE, IgG, and IgM. For DPCs, the corresponding analytes which are significantly different are C3, C4, IgE, IgG, and IgM. Two sources of CVI to calculate the RCV of IgA, IgG, IgM, C3, and C4 were applied in this study, which revealed that two kinds of RCVs based on different biological variation databases are similar to each other, but both were smaller than delta check limits based on patient data, except for C4. CONCLUSIONS: The delta check is a useful tool to monitor potential errors which may occur in total testing process. We hope our findings could be helpful for future studies focused on delta checks in immunological analytes.

14.
Ecol Evol ; 14(9): e70315, 2024 Sep.
Article in English | MEDLINE | ID: mdl-39318533

ABSTRACT

Studies have shown that the microbiome of saline-tolerant plants plays a significant role in promoting salt stress in non-saline-tolerant plants, but the microorganisms are still unclear. In the present study, the microbial diversity changes in Suaeda salsa (L.) Pall. in the Yellow River Delta region were investigated. In the bacterial community, the dominant bacteria in the rhizosphere soil of the low-saline soil (YDL), moderate-saline soil (YDM), and high-saline soil (YDH) groups were Proteobacteria, Chloroflexi, Bacteroidota, and Actinobacteriota (at the phylum level), while Ascomycota and Basidiomycota were the dominant fungi in the fungal community. At the family level, with the increase of salinity, the relative abundance of Rhodobacteraceae (bacterial community), Thermoascaceae, and Phaffomycetaceae (fungal community) gradually increased; and to the best of our knowledge, there are no reports on the relationship between Thermoascaceae and Phaffomycetaceae families with salt stress. At the genus level, Salinimicrobium (bacterial community) was the dominant bacterium in the rhizosphere soil of the YDL, YDM, and YDH groups, while with the increase of salinity, the relative abundance of Byssochlamys and Wickerhamomyces (fungal community) gradually increased, and to the best of our knowledge there are no reports on the relationship between Byssochlamys and salt stress. Salinity mainly affected the bacterial community abundance, but it had little effect on the fungi community abundance. The bacterial community of the YDH group was dominated by bacteria of unknown origin (52.76%), while bacteria of unknown origin accounted for 26.46% and 20.78% of the bacterial communities in the YDM and YDL groups, respectively. The fungi community of the YDH group was dominated by YDL group fungi (relative abundance of 44.44%), followed by YDM group fungi (29.42%) and fungi of unknown origin (26.14%). These results provide a better understanding of the rhizosphere microbial diversity of saline-alkali-tolerant plants, laying a foundation for developing a saline-alkali-tolerant plant microbiome.

15.
Psychon Bull Rev ; 2024 Sep 26.
Article in English | MEDLINE | ID: mdl-39327400

ABSTRACT

Often our expectations are set by sampling many times from the same distribution. When that distribution changes, so should our expectations. If we want to decide whether to take our umbrella today we need to have tracked, and updated, our estimate of the probability of rain by reference to recent temperatures and precipitation. Under debate is whether we update our mental estimates of probabilities given each new incoming piece of evidence or whether we stick with a current estimate until it becomes clearly in need of change. Previous research has suggested that participant estimates of running probabilities are not updated on every trial, but only intermittently. This has been used to support change-point models of probability updating. However, such a pattern could also be explained by the way common laboratory procedures impose a motor cost to update the probability report. This study was designed to remove the motor confound. Our procedure required similar motor actions for both changing and maintaining one's probability estimate. At a group level, motor cost did affect updating frequency and removing the default response option encouraged more frequent updating. However, intermittent updating response patterns did not disappear completely. Despite this equivalence in response effort, some participants, even when forced to make a new estimate on every trial, continued to update rarely while other participants meticulously updated every trial. We conclude deliberate updating frequency is heterogenous but intermittent updating is not simply an artifact of motor cost.

16.
Cell Rep ; 43(9): 114705, 2024 Sep 24.
Article in English | MEDLINE | ID: mdl-39264810

ABSTRACT

The "innate-like" T cell compartment, known as Tinn, represents a diverse group of T cells that straddle the boundary between innate and adaptive immunity. We explore the transcriptional landscape of Tinn compared to conventional T cells (Tconv) in the human thymus and blood using single-cell RNA sequencing (scRNA-seq) and flow cytometry. In human blood, the majority of Tinn cells share an effector program driven by specific transcription factors, distinct from those governing Tconv cells. Conversely, only a fraction of thymic Tinn cells displays an effector phenotype, while others share transcriptional features with developing Tconv cells, indicating potential divergent developmental pathways. Unlike the mouse, human Tinn cells do not differentiate into multiple effector subsets but develop a mixed type 1/type 17 effector potential. Cross-species analysis uncovers species-specific distinctions, including the absence of type 2 Tinn cells in humans, which implies distinct immune regulatory mechanisms across species.


Subject(s)
Immunity, Innate , Phenotype , Humans , Animals , Mice , T-Lymphocytes/immunology , T-Lymphocytes/metabolism , Thymus Gland/immunology , Thymus Gland/cytology , Single-Cell Analysis , Cell Differentiation , Mice, Inbred C57BL
17.
Huan Jing Ke Xue ; 45(9): 5451-5463, 2024 Sep 08.
Article in Chinese | MEDLINE | ID: mdl-39323162

ABSTRACT

To assess the impact of human activities on regional nitrogen (N) flow, based on the statistical data of 27 cities in the Yangtze River Delta Region (YRD), N flow characteristics of the agricultural production and consumption system (APC) in the YRD from 2011 to 2020 were analyzed using substance flow analysis, and driving factors for N flow were analyzed using scenario analysis. The results showed that from 2011 to 2020, the mean N input intensity of the APC in the YRD was 194.6 kg·ï¼ˆhm2·a)-1, which was more than five times the national average value; thus, the YRD was a hotspot of N input intensity in China. Chemical N fertilizer was the largest component of N input, and the YRD changed from a net export area of grain and animal products to a net import area due to the rapid growth of food consumption demand. The N output of the system was mainly N loss to the environment, accounting for 53.2% on average. The N use efficiency (NUE) of cropland and the N recycling ratio of the APC ranged from 38.7-42.2% and 15.8-21.5%, respectively, which were both at a low level. In addition, the total amount of N input and output of the APC both showed a parabolic decline trend, decreasing by 11.3% and 10.0%, respectively. Spatially, the overall N input intensity showed a pattern of "high in the north and low in the south," and the spatial heterogeneity of N input intensity among cities was significant. Cities with high input intensity were mainly located in the north and east of Jiangsu, Shanghai, and northeast of Zhejiang. A significant positive spatial autocorrelation of the distribution of mean N input intensity was observed. The uncertainty of N flows was estimated using the error propagation equation. The uncertainty interval of N input and output ranged from 4.5% to 34.6%, which was roughly equivalent to the results of related studies, indicating that the model results were reliable. Based on the scenario analysis method, the decrease of the livestock scale led to a decrease of -0.27%-7.53% in the N input, making it the main reason for the decrease of total N input in the APC. Improving the NUE of cropland and re-establishing the linkage between cropland and livestock will help reduce N loss to the environment.


Subject(s)
Crops, Agricultural , Fertilizers , Nitrogen , Rivers , China , Nitrogen/analysis , Crops, Agricultural/growth & development , Agriculture/methods , Environmental Monitoring
18.
Gastroenterol Hepatol ; : 502241, 2024 Sep 07.
Article in English, Spanish | MEDLINE | ID: mdl-39251019

ABSTRACT

BACKGROUND/AIMS: Bulevirtide (Hepcludex®) is the first drug approved for the treatment of chronic hepatitis D (CHD), unlike the current off-label treatment (PEG-IFN-α), limited in clinical practice and associated with post-treatment relapses. In a hypothetical cohort of CHD patients in Spain, the study aim was to compare the efficiency of bulevirtide with PEG-IFN-α in terms of clinical events avoided and associated cost savings. METHODS: A validated economic model reflecting the natural history of the disease was used to project lifetime liver complications and costs for two hypothetical cohorts treated with bulevirtide or PEG-IFN-α. The model considered progression to complications such as decompensated cirrhosis (DCC), hepatocellular carcinoma (HCC), liver transplantation (LT), and death. The efficacy rates used at 24 and 48 weeks were defined as the combined response rate for bulevirtide and undetectable HDV RNA to PEG-IFN-α. The numbers of clinic events and associated costs were evaluated from the perspective of the National Healthcare System. RESULTS: In a hypothetical cohort of 3882 patients, bulevirtide reduced the numbers of complications events in comparison to PEG-IFN-α (152 DCC, 113 HCC, 11 LT, and 321 deaths over a lifetime). This was associated with a reduction of event-related costs of €11,837,044 (DCC €1,138,059; HCC €1,503,583; LT €7,834,291; and death €1,361,111). CONCLUSION: In patients with CHD, bulevirtide could prevent a significant number of clinical events compared to PEG-IFN-α and contribute to cost savings through these reduction in liver complications. Further testing for hepatitis D virus is needed so that more patients can benefit from bulevirtide.

19.
Brain Lang ; 256: 105463, 2024 Sep.
Article in English | MEDLINE | ID: mdl-39243486

ABSTRACT

We investigated how neural oscillations code the hierarchical nature of stress rhythms in speech and how stress processing varies with language experience. By measuring phase synchrony of multilevel EEG-acoustic tracking and intra-brain cross-frequency coupling, we show the encoding of stress involves different neural signatures (delta rhythms = stress foot rate; theta rhythms = syllable rate), is stronger for amplitude vs. duration stress cues, and induces nested delta-theta coherence mirroring the stress-syllable hierarchy in speech. Only native English, but not Mandarin, speakers exhibited enhanced neural entrainment at central stress (2 Hz) and syllable (4 Hz) rates intrinsic to natural English. English individuals with superior cortical-stress tracking capabilities also displayed stronger neural hierarchical coherence, highlighting a nuanced interplay between internal nesting of brain rhythms and external entrainment rooted in language-specific speech rhythms. Our cross-language findings reveal brain-speech synchronization is not purely a "bottom-up" but benefits from "top-down" processing from listeners' language-specific experience.


Subject(s)
Speech Perception , Humans , Female , Male , Speech Perception/physiology , Adult , Electroencephalography , Brain/physiology , Young Adult , Speech/physiology , Language , Acoustic Stimulation
20.
Sci Rep ; 14(1): 21961, 2024 09 20.
Article in English | MEDLINE | ID: mdl-39304686

ABSTRACT

The rapid spread of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has triggered global difficulties for both individuals and economies, with new variants continuing to emerge. The Delta variant of SARS-CoV-2 remains most prevalent worldwide, and it affects the efficacy of coronavirus disease 2019 (COVID-19) vaccination. Expedited testing to detect the Delta variant of SARS-CoV-2 and monitor viral transmission is necessary. This study aimed to develop and evaluate a colorimetric reverse-transcription loop-mediated isothermal amplification (RT-LAMP) technique targeting the L452R mutation in the S gene for the specific detection of the Delta variant. In the test, positivity was indicated as a color change from purple to yellow. The assay's 95% limit of detection was 57 copies per reaction for the L452R (U1355G)-specific standard plasmid. Using 126 clinical samples, our assay displayed 100% specificity, 97.06% sensitivity, and 98.41% accuracy in identifying the Delta variant of SARS-CoV-2 compared to real-time RT-PCR. To our knowledge, this is the first colorimetric RT-LAMP assay that can differentiate the Delta variant from its generic SARS-CoV-2, enabling it as an approach for studying COVID-19 demography and facilitating proper effective control measure establishment to fight against the reemerging variants of SARS-CoV-2 in the future.


Subject(s)
COVID-19 , Colorimetry , Mutation , Nucleic Acid Amplification Techniques , SARS-CoV-2 , SARS-CoV-2/genetics , Humans , Nucleic Acid Amplification Techniques/methods , Colorimetry/methods , COVID-19/virology , COVID-19/diagnosis , COVID-19/genetics , Sensitivity and Specificity , Molecular Diagnostic Techniques/methods , Spike Glycoprotein, Coronavirus/genetics , RNA, Viral/genetics , COVID-19 Nucleic Acid Testing/methods
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