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1.
Sci Total Environ ; : 173060, 2024 May 07.
Artigo em Inglês | MEDLINE | ID: mdl-38723962

RESUMO

Soil organic carbon (SOC) is a dynamic soil property (DSP) that represents the largest portion of terrestrial carbon. Its relevance to carbon sequestration and the potential effects of land use on SOC storage, make it imperative to map across both space and time. Most regional-scale studies mapping SOC give static estimates and train different models for different periods with varying accuracies. We developed a flexible modeling approach called DSP-Scale to map SOC in both space and time. DSP-Scale uses ecological concepts and empirical data to predict DSP dynamics using inherent soil properties (static factors) and land cover changes (dynamic factors). We compiled SOC20 data from 1441 points spanning a 25 million ha study area in the southeastern U.S. Coastal Plain, incorporating data from the Rapid Carbon Assessment, National Cooperative Soil Survey Soil Characterization database, and other regional studies. We developed a random forest model using climate, topography, soil survey, and land cover changes to predict SOC20 dynamics for five-year periods between 2001 and 2019. Our model explained 66 % and 59 % of the variation for the training and test data, respectively. Top predictors included mean annual precipitation, slope, and soil erosion class. Land cover 10 years before measurements of SOC20 was more important than current land cover for estimating SOC20. We estimated total SOC stocks of 207.1 and 208.3 Tg for 2001 and 2019, respectively. Highest gains of total SOC stock (0.9 Tg from 2001 to 2019) were associated with land cover change from mixed to evergreen forest. The greatest loss of total SOC stock (0.2 Tg) in the same period was associated with land cover change from pasture/hay to evergreen forest. We concluded that the DSP-Scale approach provides a flexible way to use dynamic and static factors affecting SOC stocks to predict changes in space and time at regional scales.

2.
ACS Med Chem Lett ; 15(4): 486-492, 2024 Apr 11.
Artigo em Inglês | MEDLINE | ID: mdl-38628796

RESUMO

Neuropsychiatric disorders such as major depressive disorders and schizophrenia are often associated with disruptions to the normal 24 h sleep wake cycle. Casein kinase 1 (CK1δ) is an integral part of the molecular machinery that regulates circadian rhythms. Starting from a cluster of bicyclic pyrazoles identified from a virtual screening effort, we utilized structure-based drug design to identify and reinforce a unique "hinge-flip" binding mode that provides a high degree of selectivity for CK1δ versus the kinome. Pharmacokinetics, brain exposure, and target engagement as measured by ex vivo autoradiography are described for advanced analogs.

3.
ACS Earth Space Chem ; 8(4): 630-653, 2024 Apr 18.
Artigo em Inglês | MEDLINE | ID: mdl-38654896

RESUMO

Colloid generation, stability, and transport are important processes that can significantly influence the fate and transport of nutrients and contaminants in environmental systems. Here, we critically review the existing literature on colloids in redox-dynamic environments and summarize the current state of knowledge regarding the mechanisms of colloid generation and the chemical controls over colloidal behavior in such environments. We also identify critical gaps, such as the lack of universally accepted cross-discipline definition and modeling infrastructure that hamper an in-depth understanding of colloid generation, behavior, and transport potential. We propose to go beyond a size-based operational definition of colloids and consider the functional differences between colloids and dissolved species. We argue that to predict colloidal transport in redox-dynamic environments, more empirical data are needed to parametrize and validate models. We propose that colloids are critical components of element budgets in redox-dynamic systems and must urgently be considered in field as well as lab experiments and reactive transport models. We intend to bring further clarity and openness in reporting colloidal measurements and fate to improve consistency. Additionally, we suggest a methodological toolbox for examining impacts of redox dynamics on colloids in field and lab experiments.

4.
J Occup Rehabil ; 34(1): 251-264, 2024 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-37878157

RESUMO

PURPOSE: Workplace support needs for women and men living with mental health conditions are not well understood. This study examined workplace accommodation and support needs among women and men with and without mental health or cognitive conditions and individual and workplace factors associated with having unmet needs. METHODS: A cross-sectional survey of 3068 Canadian workers collected information on disability, gender, gendered occupations, job conditions, work contexts, and workplace accommodations. Multivariable logistic regression analyses examined gender- and disability-based differences in unmet needs for workplace flexibility, work modifications, and health benefits, and the association of work context (i.e., work schedule, job sector) and job conditions (i.e., precarious work) on the likelihood of unmet accommodation needs. The additive (i.e., super- or sub-additive) and multiplicative effects of disability, gender, and occupational gender distribution on the probability of unmet accommodation needs were also assessed. RESULTS: The most common unmet workplace accommodation was work modifications reported by 35.9% of respondents with mental/cognitive disability and workplace flexibility reported by 19.6% of individuals without a mental/cognitive disability. Women, employees in female dominant occupations, and participants with mental/cognitive disabilities were more likely to report unmet needs compared with men, employees in non-female dominant occupations, and participants without disabilities but these findings were largely explained by differences in job conditions and work contexts. No interacting effects on the likelihood of reporting unmet needs for workplace accommodations were observed. CONCLUSIONS: To support employee mental health, attention is needed to address work contexts and job conditions, especially for people working with mental/cognitive disabilities, women, and workers in female-dominated occupations where unmet accommodation needs are greatest.


Assuntos
Pessoas com Deficiência , Emprego , Masculino , Humanos , Feminino , Estudos Transversais , Canadá/epidemiologia , Local de Trabalho , Cognição
5.
Proc Natl Acad Sci U S A ; 120(51): e2313487120, 2023 Dec 19.
Artigo em Inglês | MEDLINE | ID: mdl-38096416

RESUMO

This study investigates mechanisms that generate regularly spaced iron-rich bands in upland soils. These striking features appear in soils worldwide, but beyond a generalized association with changing redox, their genesis is yet to be explained. Upland soils exhibit significant redox fluctuations driven by rainfall, groundwater changes, or irrigation. Pattern formation in such systems provides an opportunity to investigate the temporal aspects of spatial self-organization, which have been heretofore understudied. By comparing multiple alternative mechanisms, we found that regular iron banding in upland soils is explained by coupling two sets of scale-dependent feedbacks, the general principle of Turing morphogenesis. First, clay dispersion and coagulation in iron redox fluctuations amplify soil Fe(III) aggregation and crystal growth to a level that negatively affects root growth. Second, the activation of this negative root response to highly crystalline Fe(III) leads to the formation of rhythmic iron bands. In forming iron bands, environmental variability plays a critical role. It creates alternating anoxic and oxic conditions for required pattern-forming processes to occur in distinctly separated times and determines durations of anoxic and oxic episodes, thereby controlling relative rates of processes accompanying oxidation and reduction reactions. As Turing morphogenesis requires ratios of certain process rates to be within a specific range, environmental variability thus modifies the likelihood that pattern formation will occur. Projected changes of climatic regime could significantly alter many spatially self-organized systems, as well as the ecological functioning associated with the striking patterns they present. This temporal dimension of pattern formation merits close attention in the future.

6.
Bioorg Med Chem Lett ; 96: 129492, 2023 11 15.
Artigo em Inglês | MEDLINE | ID: mdl-37778428

RESUMO

Natural killer group 2D (NKG2D) is a homodimeric activating immunoreceptor whose function is to detect and eliminate compromised cells upon binding to the NKG2D ligands (NKG2DL) major histocompatibility complex (MHC) molecules class I-related chain A (MICA) and B (MICB) and UL16 binding proteins (ULBP1-6). While typically present at low levels in healthy cells and tissue, NKG2DL expression can be induced by viral infection, cellular stress or transformation. Aberrant activity along the NKG2D/NKG2DL axis has been associated with autoimmune diseases due to the increased expression of NKG2D ligands in human disease tissue, making NKG2D inhibitors an attractive target for immunomodulation. Herein we describe the discovery and optimization of small molecule PPI (protein-protein interaction) inhibitors of NKG2D/NKG2DL. Rapid SAR was guided by structure-based drug design and accomplished by iterative singleton and parallel medicinal chemistry synthesis. These efforts resulted in the identification of several potent analogs (14, 21, 30, 45) with functional activity and improved LLE.


Assuntos
Proteínas de Transporte , Subfamília K de Receptores Semelhantes a Lectina de Células NK , Humanos , Subfamília K de Receptores Semelhantes a Lectina de Células NK/metabolismo , Proteínas de Transporte/metabolismo , Antígenos de Histocompatibilidade Classe I/metabolismo , Ligação Proteica , Células Matadoras Naturais/metabolismo , Ligantes
7.
Environ Sci Technol ; 57(29): 10696-10707, 2023 07 25.
Artigo em Inglês | MEDLINE | ID: mdl-37449758

RESUMO

Despite substantial experimental evidence of electron transfer, atom exchange, and mineralogical transformation during the reaction of Fe(II)aq with synthetic Fe(III) minerals, these processes are rarely investigated in natural soils. Here, we used an enriched Fe isotope approach and Mössbauer spectroscopy to evaluate how soil organic matter (OM) influences Fe(II)/Fe(III) electron transfer and atom exchange in surface soils collected from Luquillo and Calhoun Experimental Forests and how this reaction might affect Fe mineral composition. Following the reaction of 57Fe-enriched Fe(II)aq with soils for 33 days, Mössbauer spectra demonstrated marked electron transfer between sorbed Fe(II) and the underlying Fe(III) oxides in soils. Comparing the untreated and OM-removed soils indicates that soil OM largely attenuated Fe(II)/Fe(III) electron transfer in goethite, whereas electron transfer to ferrihydrite was unaffected. Soil OM also reduced the extent of Fe atom exchange. Following reaction with Fe(II)aq for 33 days, no measurable mineralogical changes were found for the Calhoun soils enriched with high-crystallinity goethite, while Fe(II) did drive an increase in Fe oxide crystallinity in OM-removed LCZO soils having low-crystallinity ferrihydrite and goethite. However, the presence of soil OM largely inhibited Fe(II)-catalyzed increases in Fe mineral crystallinity in the LCZO soil. Fe atom exchange appears to be commonplace in soils exposed to anoxic conditions, but its resulting Fe(II)-induced recrystallization and mineral transformation depend strongly on soil OM content and the existing soil Fe phases.


Assuntos
Compostos Férricos , Ferro , Ferro/química , Compostos Férricos/química , Solo , Elétrons , Oxirredução , Minerais/química , Óxidos , Compostos Ferrosos
8.
PLoS One ; 18(5): e0285092, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-37141332

RESUMO

Variation in the electrical conductivity (EC) of water can reveal environmental disturbance and natural dynamics, including factors such as anthropogenic salinization. Broader application of open source (OS) EC sensors could provide an inexpensive method to measure water quality. While studies show that other water quality parameters can be robustly measured with sensors, a similar effort is needed to evaluate the performance of OS EC sensors. To address this need, we evaluated the accuracy (mean error, %) and precision (sample standard deviation) of OS EC sensors in the laboratory via comparison to EC calibration standards using three different OS and OS/commercial-hybrid (OS/C) EC sensors and data logger configurations and two commercial (C) EC sensors and data logger configurations. We also evaluated the effect of cable length (7.5 m and 30 m) and sensor calibration on OS sensor accuracy and precision. We found a significant difference between OS sensor mean accuracy (3.08%) and all other sensors combined (9.23%). Our study also found that EC sensor precision decreased across all sensor configurations with increasing calibration standard EC. There was also a significant difference between OS sensor mean precision (2.85 µS/cm) and the mean precision of all other sensors combined (9.12 µS/cm). Cable length did not affect OS sensor precision. Furthermore, our results suggest that future research should include evaluating how performance is impacted by combining OS sensors with commercial data loggers as this study found significantly decreased performance in OS/commercial-hybrid sensor configurations. To increase confidence in the reliability of OS sensor data, more studies such as ours are needed to further quantify OS sensor performance in terms of accuracy and precision across different settings and OS sensor and data collection platform configurations.


Assuntos
Reprodutibilidade dos Testes , Calibragem , Condutividade Elétrica
9.
Nature ; 617(7961): 513-518, 2023 May.
Artigo em Inglês | MEDLINE | ID: mdl-37076622

RESUMO

Multiprincipal-element alloys are an enabling class of materials owing to their impressive mechanical and oxidation-resistant properties, especially in extreme environments1,2. Here we develop a new oxide-dispersion-strengthened NiCoCr-based alloy using a model-driven alloy design approach and laser-based additive manufacturing. This oxide-dispersion-strengthened alloy, called GRX-810, uses laser powder bed fusion to disperse nanoscale Y2O3 particles throughout the microstructure without the use of resource-intensive processing steps such as mechanical or in situ alloying3,4. We show the successful incorporation and dispersion of nanoscale oxides throughout the GRX-810 build volume via high-resolution characterization of its microstructure. The mechanical results of GRX-810 show a twofold improvement in strength, over 1,000-fold better creep performance and twofold improvement in oxidation resistance compared with the traditional polycrystalline wrought Ni-based alloys used extensively in additive manufacturing at 1,093 °C5,6. The success of this alloy highlights how model-driven alloy designs can provide superior compositions using far fewer resources compared with the 'trial-and-error' methods of the past. These results showcase how future alloy development that leverages dispersion strengthening combined with additive manufacturing processing can accelerate the discovery of revolutionary materials.

10.
Proc Natl Acad Sci U S A ; 120(18): e2216342120, 2023 05 02.
Artigo em Inglês | MEDLINE | ID: mdl-37098070

RESUMO

NKG2D (natural-killer group 2, member D) is a homodimeric transmembrane receptor that plays an important role in NK, γδ+, and CD8+ T cell-mediated immune responses to environmental stressors such as viral or bacterial infections and oxidative stress. However, aberrant NKG2D signaling has also been associated with chronic inflammatory and autoimmune diseases, and as such NKG2D is thought to be an attractive target for immune intervention. Here, we describe a comprehensive small-molecule hit identification strategy and two distinct series of protein-protein interaction inhibitors of NKG2D. Although the hits are chemically distinct, they share a unique allosteric mechanism of disrupting ligand binding by accessing a cryptic pocket and causing the two monomers of the NKG2D dimer to open apart and twist relative to one another. Leveraging a suite of biochemical and cell-based assays coupled with structure-based drug design, we established tractable structure-activity relationships with one of the chemical series and successfully improved both the potency and physicochemical properties. Together, we demonstrate that it is possible, albeit challenging, to disrupt the interaction between NKG2D and multiple protein ligands with a single molecule through allosteric modulation of the NKG2D receptor dimer/ligand interface.


Assuntos
Células Matadoras Naturais , Subfamília K de Receptores Semelhantes a Lectina de Células NK , Ligantes , Linfócitos T CD8-Positivos , Ligação Proteica
11.
Sch Psychol ; 38(3): 148-159, 2023 May.
Artigo em Inglês | MEDLINE | ID: mdl-37023302

RESUMO

The Early Identification System (EIS) was developed to overcome many of the usability challenges of school-based behavior screeners. Several prior studies have documented the technical adequacy of the EIS. The present study expanded this work by examining the use, relevance, values implications, and social consequence of EIS implementation in a sample of 54 K-12 schools and 23,104 students in the Midwestern United States. We found that nearly all schools, teachers, and students completed the EIS as planned. Schools used the data to provide universal, selective, and indicated services to a high percentage of students identified with risks as well as to plan professional development for educators based on the screening data. Seventy-nine percent of schools implemented the EIS system with high fidelity, and fidelity was unrelated to student demographic composition within schools. These findings suggest that the EIS may overcome many of the usability barriers that plague common behavior screeners. Limitations and implications for advancing the science of social consequence evaluation are discussed. (PsycInfo Database Record (c) 2023 APA, all rights reserved).


Assuntos
Comportamento Infantil , Estudantes , Criança , Humanos , Comportamento Infantil/psicologia , Medição de Risco , Estudantes/psicologia , Instituições Acadêmicas , Professores Escolares
12.
J Occup Rehabil ; 33(1): 145-159, 2023 03.
Artigo em Inglês | MEDLINE | ID: mdl-35835885

RESUMO

Purpose Sensibility refers to a tool's comprehensiveness, understandability, relevance, feasibility, and length. It is used in the early development phase to begin assessing a new tool or intervention. This study examined the sensibility of the job demands and accommodation planning tool (JDAPT). The JDAPT identifies job demands related to physical, cognitive, interpersonal, and working conditions to better target strategies for workplace supports and accommodations aimed at assisting individuals with chronic health conditions. Methods Workers with a chronic health condition and workplace representatives were recruited from health charities, workplaces, and newsletters using convenience sampling. Cognitive interviews assessed the JDAPT's sensibility. A 70% endorsement rate was the minimum level of acceptability for sensibility concepts. A short screening tool also was administered, and answers compared to the complete JDAPT. Results Participants were 46 workers and 23 organizational representatives (n = 69). Endorsements highly exceeded the 70% cut-off for understandability, relevance, and length. Congruence between screening questions and the complete JDAPT suggested both workers and organizational representatives overlooked job demands when completing the screener. Participants provided additional examples and three new items to improve comprehensiveness. The JDAPT was rated highly relevant and useful, although not always easy to complete for someone with an episodic condition. Conclusions This study highlights the need for tools that facilitate accommodations for workers with episodic disabilities and provides early evidence for the sensibility of the JDAPT.


Assuntos
Pessoas com Deficiência , Local de Trabalho , Humanos
13.
Artigo em Inglês | MEDLINE | ID: mdl-36407845

RESUMO

With an estimated five million sites worldwide, soil contamination is a global-scale threat to environmental and human health. Humans continuously interact with soil, both directly and indirectly, making soils potentially significant sources of exposure to contaminants. Soil chemists are thus a potentially dynamic part of a collaborative cohort attacking environmental health science problems, yet collaborations between soil chemists and environmental heath scientists remain infrequent. In this commentary, we discuss the unique properties of soils that influence contaminants, as well as ways that soil chemists can contribute to environmental health research. Additionally, we describe barriers to, and needs for, the integration of soil chemistry expertise in environmental health science research with a focus on the future.

14.
Environ Sci Technol ; 56(23): 17443-17453, 2022 12 06.
Artigo em Inglês | MEDLINE | ID: mdl-36417801

RESUMO

Fe(II) clays are common across many environments, making them a potentially significant microbial substrate, yet clays are not well established as an electron donor. Therefore, we explored whether Fe(II)-smectite supports the growth of Sideroxydans lithotrophicus ES-1, a microaerophilic Fe(II)-oxidizing bacterium (FeOB), using synthesized trioctahedral Fe(II)-smectite and 2% oxygen. S. lithotrophicus grew substantially and can oxidize Fe(II)-smectite to a higher extent than abiotic oxidation, based on X-ray near-edge spectroscopy (XANES). Sequential extraction showed that edge-Fe(II) is oxidized before interior-Fe(II) in both biotic and abiotic experiments. The resulting Fe(III) remains in smectite, as secondary minerals were not detected in biotic and abiotic oxidation products by XANES and Mössbauer spectroscopy. To determine the genes involved, we compared S. lithotrophicus grown on smectite versus Fe(II)-citrate using reverse-transcription quantitative PCR and found that cyc2 genes were highly expressed on both substrates, while mtoA was upregulated on smectite. Proteomics confirmed that Mto proteins were only expressed on smectite, indicating that ES-1 uses the Mto pathway to access solid Fe(II). We integrate our results into a biochemical and mineralogical model of microbial smectite oxidation. This work increases the known substrates for FeOB growth and expands the mechanisms of Fe(II)-smectite alteration in the environment.


Assuntos
Compostos Ferrosos , Ferro , Ferro/química , Argila , Oxirredução , Compostos Ferrosos/metabolismo
15.
Environ Sci Technol ; 56(23): 17462-17470, 2022 12 06.
Artigo em Inglês | MEDLINE | ID: mdl-36342198

RESUMO

Mountain floodplain soils often show spatiotemporal variations in redox conditions that arise due to changing hydrology and resulting biogeochemistry. Under oxygen-depleted conditions, solid phase terminal electron acceptors (TEAs) can be used in anaerobic respiration. However, it remains unclear to what degree the redox properties of solid phases limit respiration rates and hence organic matter degradation. Here, we assess such limitations in soils collected across a gradient in native redox states from the Slate River floodplain (Colorado, U.S.A.). We incubated soils under anoxic conditions and quantified CO2 production and microbial Fe(III) reduction, the main microbial metabolic pathway, as well as the reactivity of whole-soil solid phase TEAs toward mediated electrochemical reduction. Fe(III) reduction occurred together with CO2 production in native oxic soils, while neither Fe(II) nor CO2 production was observed in native anoxic soils. Initial CO2 production rates increased with increasing TEA redox reactivity toward mediated electrochemical reduction across all soil depths. Low TEA redox reactivity appears to be caused by elevated Fe(II) concentrations rather than crystallinity of Fe(III) phases. Our findings illustrate that the buildup of Fe(II) in systems with long residence times limits the thermodynamic viability of dissimilatory Fe(III) reduction and thereby limits the mineralization of organic carbon.


Assuntos
Microbiologia do Solo , Solo , Anaerobiose , Dióxido de Carbono/metabolismo , Elétrons , Compostos Ferrosos , Ferro/química , Oxirredução , Oxigênio/química , Solo/química , Inundações
16.
Environ Sci Technol ; 56(19): 14120-14132, 2022 10 04.
Artigo em Inglês | MEDLINE | ID: mdl-36151962

RESUMO

Iron (Fe) minerals constitute a major control on organic carbon (OC) storage in soils and sediments. While previous research has mainly targeted Fe (oxyhydr)oxides, the impact of Fe sulfides and their subsequent oxidation on OC dynamics remains unresolved in redox-fluctuating environments. Here, we investigated the impact of dissolved organic matter (DOM) on FeS oxidation and how FeS and its oxidation may alter the retention and nature of DOM. After the anoxic reaction of DOM with FeS, FeS preferentially removed high-molecular-weight and nitrogen-rich compounds and promoted the formation of aqueous sulfurized organic molecules, according to Fourier transform-ion cyclotron resonance-mass spectrometry (FT-ICR-MS) analysis. When exposed to O2, FeS oxidized to nanocrystalline lepidocrocite and additional aqueous sulfurized organic compounds were generated. The presence of DOM decreased the particle size of the resulting nano-lepidocrocite based on Mössbauer spectroscopy. Following FeS oxidation, most solid-phase OC remained associated with the newly formed lepidocrocite via a monodentate chelating mechanism (based on FTIR analysis), and FeS oxidation caused only a slight increase in the solubilization of solid-phase OC. Collectively, this work highlights the under-appreciated role of Fe sulfides and their oxidation in driving OC transformation and preservation.


Assuntos
Carbono , Matéria Orgânica Dissolvida , Carbono/análise , Compostos Férricos , Ferro , Minerais , Nitrogênio/análise , Compostos de Nitrogênio , Oxirredução , Óxidos/análise , Solo , Sulfetos , Água
17.
Proc Natl Acad Sci U S A ; 119(40): e2204673119, 2022 Oct 04.
Artigo em Inglês | MEDLINE | ID: mdl-36161900

RESUMO

Nanoparticles often exhibit size-dependent redox reactivities, with smaller particles being more reactive in some cases, while less reactive in others. Predicting trends between redox reaction rates and particle sizes is often complicated because a particle's dimensions can simultaneously influence its aggregation state, reactive surface area, and thermodynamic properties. Here, we tested the hypothesis that interfacial redox reaction rates for nanoparticles with different sizes can be described with a single linear free-energy relationship (LFER) if size-dependent reactive surface areas and thermodynamic properties are properly considered. We tested this hypothesis using a well-known interfacial redox reaction: the reduction of nitrobenzene to aniline by iron-oxide-bound Fe2+. We measured the reduction potential (EH) values of nano-particulate hematite suspensions containing aqueous Fe2+ using mediated potentiometry and characterized the size and aggregation states of hematite samples at circumneutral pH values. We used the measured EH values to calculate surface energies and reactive surface areas using thermodynamic relationships. Nitrobenzene reduction rates were lower for smaller particles, despite their larger surface areas, due to their higher surface energies. When differences in surface areas and thermodynamic properties were considered, nitrobenzene reduction kinetics for all particle sizes was described with a LFER. Our results demonstrate that when Fe2+ serves as a reductant, an antagonistic effect exists, with smaller particles having larger reactive surface areas but also more positive reduction potentials. When Fe3+ serves as an oxidant, however, these two effects work in concert, which likely explains past discrepancies regarding how iron oxide particle sizes influence redox reaction rates.

18.
Hosp Pediatr ; 12(9): 760-783, 2022 09 01.
Artigo em Inglês | MEDLINE | ID: mdl-35670605

RESUMO

OBJECTIVES: To describe coronavirus disease 2019 (COVID-19)-related pediatric hospitalizations during a period of B.1.617.2 (Δ) variant predominance and to determine age-specific factors associated with severe illness. METHODS: We abstracted data from medical charts to conduct a cross-sectional study of patients aged <21 years hospitalized at 6 United States children's hospitals from July to August 2021 for COVID-19 or with an incidental positive severe acute respiratory syndrome coronavirus 2 test. Among patients with COVID-19, we assessed factors associated with severe illness by calculating age-stratified prevalence ratios (PR). We defined severe illness as receiving high-flow nasal cannula, positive airway pressure, or invasive mechanical ventilation. RESULTS: Of 947 hospitalized patients, 759 (80.1%) had COVID-19, of whom 287 (37.8%) had severe illness. Factors associated with severe illness included coinfection with respiratory syncytial virus (RSV) (PR 3.64) and bacteria (PR 1.88) in infants; RSV coinfection in patients aged 1 to 4 years (PR 1.96); and obesity in patients aged 5 to 11 (PR 2.20) and 12 to 17 years (PR 2.48). Having ≥2 underlying medical conditions was associated with severe illness in patients aged <1 (PR 1.82), 5 to 11 (PR 3.72), and 12 to 17 years (PR 3.19). CONCLUSIONS: Among patients hospitalized for COVID-19, factors associated with severe illness included RSV coinfection in those aged <5 years, obesity in those aged 5 to 17 years, and other underlying conditions for all age groups <18 years. These findings can inform pediatric practice, risk communication, and prevention strategies, including vaccination against COVID-19.


Assuntos
COVID-19 , Coinfecção , Infecções por Vírus Respiratório Sincicial , COVID-19/epidemiologia , COVID-19/terapia , Criança , Estudos Transversais , Hospitalização , Humanos , Lactente , Obesidade , Infecções por Vírus Respiratório Sincicial/epidemiologia , SARS-CoV-2 , Estados Unidos/epidemiologia
19.
J Occup Environ Med ; 64(6): 458-464, 2022 06 01.
Artigo em Inglês | MEDLINE | ID: mdl-35761423

RESUMO

OBJECTIVE: To examine the impact of timing of mental health interventions in workers' compensation claims for mild traumatic brain injury (MTBI). METHODS: A 10-year matched retrospective cohort study of MTBI claims. Cases who started treatment within 3 months of the date of injury were hard matched to cases who started treatment more than 3 months after the date of injury. Outcomes were incremental cost difference and loss of earnings benefit duration 1 year after first intervention. RESULTS: Seventeen percent (17%) of patients received mental health interventions. The early mental health intervention group had lower mean costs (incremental difference$1580 [95% CI: $5718 to $2085]) and shorter durations of disability (off loss of earnings) (59.2% versus 46.6%, NS). Sensitivity and stratified analyses demonstrated the same trend. CONCLUSIONS: Early mental health interventions for MTBI patients may lead to reduced health care costs and shorter durations of disability.


Assuntos
Concussão Encefálica , Indenização aos Trabalhadores , Estudos de Coortes , Humanos , Saúde Mental , Estudos Retrospectivos
20.
Heliyon ; 8(12): e12392, 2022 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-36590518

RESUMO

Malic enzymes (ME1, ME2, and ME3) are involved in cellular energy regulation, redox homeostasis, and biosynthetic processes, through the production of pyruvate and reducing agent NAD(P)H. Recent studies have implicated the third and least well-characterized isoform, mitochondrial NADP+-dependent malic enzyme 3 (ME3), as a therapeutic target for pancreatic cancers. Here, we utilized an integrated structure approach to determine the structures of ME3 in various ligand-binding states at near-atomic resolutions. ME3 is captured in the open form existing as a stable tetramer and its dynamic Domain C is critical for activity. Catalytic assay results reveal that ME3 is a non-allosteric enzyme and does not require modulators for activity while structural analysis suggests that the inner stability of ME3 Domain A relative to ME2 disables allostery in ME3. With structural information available for all three malic enzymes, the foundation has been laid to understand the structural and biochemical differences of these enzymes and could aid in the development of specific malic enzyme small molecule drugs.

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