Spectroscopic assessments on Sm3+ ions doped phospho-borate glasses mixed with fluoride modifiers for the applications of reddish-orange visible light.

Sm3+ions doped Phospho-Borate glasses were synthesized and their physical and spectroscopic parameters were studied to evaluate its potential reddish-orange emission for photonic applications. Structural investigation made through XRD analysis confirms the amorphous nature. The evaluated bonding parameters from the absorption spectral analysis confirm the ionic bonding of the Sm-O network in the prepared glasses. Four emission bands were observed from the luminescence spectra, and the HT 4G5/2 → 6H7/2 is observed at 601 nm. The oscillator strength values elucidate the intensity of the absorption bands, and the PBKZnF:Sm sample exhibits a higher oscillator strength value. The Judd-Ofelt intensity parameters were observed to trail the trend Ω4 > Ω6. > Ω2 for the majority of the samples. The CIE 1931 color chromaticity investigation confirms that the present glass samples are suitable for reddish-orange media. Barium and strontium-incorporated glasses exhibit outstanding lasing potential, which was confirmed through the efficiency of the quantum yield and some of the radiative parameters like effective bandwidth, transition probability and stimulated emission cross-section. Radiative parameters have been calculated from the luminescence spectra. Amid all transitions, 4G5/2 →6H7/2 transition has higher transition probability and higher stimulated emission cross-section values for all the prepared glass samples. Barium-incorporated glass exhibits a higher emission cross-section of 30.55 × 10-22 cm2 and a transition probability of 30.89 s-1 compared to all other glasses. The non-exponential decay profiles of the fabricated samples were plotted by examining the excitation wavelength at 402 nm and emission wavelength at 600 nm. Of all the prepared glasses, the quantum efficiency is found to be higher for the glass sample PBKSrF:Sm (65 %).

Multi-confinement structured carbon dots with long room temperature phosphorescence lifetime and efficiency for sensing thiram residues assisted by copper ions.

Room temperature phosphorescent carbon dots (NCCDs@SiO2) were obtained by encapsulating hydrothermally synthesized CDs in a dense Si-O network structure after high-temperature calcination using silica as the matrix. This can avoid the quenching effect of dissolved oxygen in water and has a phosphorescence lifetime of up to 2.41 s. Using the phosphorescence property of NCCDs@SiO2, a phosphorescence quenching sensor was developed for the sensitive and selective detection of thiram with the assistance of Cu2+. Cu2+-thiram complexes led to a rapid phosphorescence quenching of NCCDs@SiO2 within 30 s through the inner filter effect. The linear range of phosphorescence for thiram was 0.5-100 µM with a detection limit of 0.121 µM. The proposed method was able to detect thiram in real samples and was validated by high-performance liquid chromatography (HPLC) confirming the potential of this phosphorescence sensing method for thiram detection. This work opens up a new avenue for the detection of thiram residues in fruits and vegetables and also provides a new idea for the design of a rapid detection platform using other room temperature phosphorescent materials.

Impact of Graphene Oxide Nanoparticles on In Vitro Development of a Mouse Preimplantation Embryo and Interaction With the Zona Pellucida.

The development of assisted reproductive technologies increases the likelihood of nanoparticles' (NPs) direct contact with gametes and embryos in in vitro conditions. Analyzing the influence of nanomaterials on the early mammalian embryo becomes increasingly relevant. This work is devoted to the effect of graphene oxide (GO) NPs on the in vitro development of mammalian embryos. Mouse 2-cell embryos were preincubated with GO NPs. The interaction of GO with the Zona Pellucida (ZP) of the embryo was investigated using fluorescence lifetime imaging with two-photon excitation (2p-FLIM). During embryo development, the NPs penetration into ZP (blastocyst stage) and perivitelline space (blastocyst hatching stage) was observed. Despite this, GO did not affect the embryo's ability to develop till late and hatching blastocysts. The mechanism of the NPs getting into the perivitelline space and the consequences of NP-embryo direct contact are discussed. The 2p-FLIM efficiency for studying NP interaction with mammalian embryos is evaluated.

Mechanosensitive fluorescence lifetime probes for investigating the dynamic mechanism of ferroptosis.

Deciphering the dynamic mechanism of ferroptosis can provide insights into pathogenesis, which is valuable for disease diagnosis and treatment. However, due to the lack of suitable time-resolved mechanosensitive tools, researchers have been unable to determine the membrane tension and morphology of the plasma membrane and the nuclear envelope during ferroptosis. With this research, we propose a rational strategy to develop robust mechanosensitive fluorescence lifetime probes which can facilitate simultaneous fluorescence lifetime imaging of the plasma membrane and nuclear envelope. Fluorescence lifetime imaging microscopy using the unique mechanosensitive probes reveal a dynamic mechanism for ferroptosis: The membrane tension of both the plasma membrane and the nuclear envelope decreases during ferroptosis, and the nuclear envelope exhibits budding during the advanced stage of ferroptosis. Significantly, the membrane tension of the plasma membrane is always larger than that of the nuclear envelope, and the membrane tension of the nuclear envelope is slightly larger than that of the nuclear membrane bubble. Meanwhile, the membrane lesions are repaired in the low-tension regions through exocytosis.

Radionuclides distribution in soils and radon level assessment in dwellings of Mungo and Nkam Divisions, Cameroon.

Radionuclide and radon levels have been investigated in soil samples and residential environments within the Mungo and Nkam Divisions of the Littoral Region. These analyses employed gamma spectrometry facilitated by a NaI (Tl) detector for soil samples, yielding average activity concentrations of 226Ra, 232Th, and 40 K at 23.8, 72, and 105 Bq kg-1, respectively. Various radiological parameters were calculated to evaluate radiological hazards. Additionally, the indoor radon concentrations were quantified utilizing the CR-39 solid-state nuclear track detector (Radtrack), revealing an average concentration of 25 Bq m-3 and an associated inhalation dose of 0.66 mSv y-1. Risk assessments for lung cancer attributable to indoor radon exposure incorporated models such as the Harley model. An observed moderate correlation between indoor radon levels and external 226Ra concentrations implies that radon intrusion indoors might be substantially influenced by the 226Ra present in the subjacent soil, considering the construction of residential structures directly upon these terrains.

Simultaneous assessment of NAD(P)H and flavins with multispectral fluorescence lifetime imaging microscopy at a single excitation wavelength of 750 nm.

Significance: Autofluorescence characteristics of the reduced nicotinamide adenine dinucleotide and oxidized flavin cofactors are important for the evaluation of the metabolic status of the cells. The approaches that involve a detailed analysis of both spectral and time characteristics of the autofluorescence signals may provide additional insights into the biochemical processes in the cells and biological tissues and facilitate the transition of spectral fluorescence lifetime imaging into clinical applications. Aim: We present the experiments on multispectral fluorescence lifetime imaging with a detailed analysis of the fluorescence decays and spectral profiles of the reduced nicotinamide adenine dinucleotide and oxidized flavin under a single excitation wavelength aimed at understanding whether the use of multispectral detection is helpful for metabolic imaging of cancer cells. Approach: We use two-photon spectral fluorescence lifetime imaging microscopy. Starting from model solutions, we switched to cell cultures treated by metabolic inhibitors and then studied the metabolism of cells within tumor spheroids. Results: The use of a multispectral detector in combination with an excitation at a single wavelength of 750 nm allows the identification of fluorescence signals from three components: free and bound NAD(P)H, and flavins based on the global fitting procedure. Multispectral data make it possible to assess not only the lifetime but also the spectral shifts of emission of flavins caused by chemical perturbations. Altogether, the informative parameters of the developed approach are the ratio of free and bound NAD(P)H amplitudes, the decay time of bound NAD(P)H, the amplitude of flavin fluorescence signal, the fluorescence decay time of flavins, and the spectral shift of the emission signal of flavins. Hence, with multispectral fluorescence lifetime imaging, we get five independent parameters, of which three are related to flavins. Conclusions: The approach to probe the metabolic state of cells in culture and spheroids using excitation at a single wavelength of 750 nm and a fluorescence time-resolved spectral detection with the consequent global analysis of the data not only simplifies image acquisition protocol but also allows to disentangle the impacts of free and bound NAD(P)H, and flavin components evaluate changes in their fluorescence parameters (emission spectra and fluorescence lifetime) upon treating cells with metabolic inhibitors and sense metabolic heterogeneity within 3D tumor spheroids.

Lifetime healthcare expenditures across socioeconomic groups.

BACKGROUND: A socioeconomic gradient affects healthcare expenditures and longevity in opposite directions as less affluent individuals have higher current healthcare expenditures but simultaneously enjoy shorter lives. Yet, it is unclear whether this cross-sectional healthcare expenditure gradient persists from a lifetime perspective. This paper analyzes lifetime healthcare expenditures across socioeconomic groups using detailed individual-level healthcare expenditure data for the entire Danish population. METHOD: Using full population healthcare expenditures from Danish registries, we estimate lifetime healthcare expenditures as age-specific mean healthcare expenditures times the probability of being alive at each age. Our data enables the estimation of lifetime healthcare expenditures by sex, socioeconomic status, and by various types of healthcare expenditure. RESULTS: Once we account for mortality differences and all types of healthcare expenditures, all socioeconomic groups spend an almost equal amount on healthcare throughout a lifetime. Lower socioeconomic groups incur the lowest lifetime hospital expenditures, whereas higher socioeconomic groups experience the highest lifetime expenditures on long-term care services. Our findings remain robust across various socioeconomic measures and alternative estimation methodologies. CONCLUSION: Improving the health status of lower socioeconomic groups to align with that of higher socioeconomic groups is costly but may ultimately reduce current healthcare expenditures. Enhanced health outcomes likely increase lifespan, leading to extended periods of healthcare consumption. However, since all socioeconomic groups tend to have similar lifetime healthcare expenditures, this prolonged consumption has limited impact on overall lifetime healthcare costs. Additionally, a significant benefit is the deferment of healthcare expenditures into the future. Overall, our results diminish concerns about socially inequitable utilization of healthcare resources while socioeconomic differences in health and longevity persist, even in a universal healthcare system.

Suppression of Initial Degradation via an Interfacial Charge-Induced Overshooting Effect in Solution-Processed Organic Light-Emitting Diodes.

As the chemical stability of organic materials in organic light-emitting diodes (OLEDs) greatly impacts devices' lifetime, a thoughtful and advanced design of materials and device structures is necessary. In our work, we have achieved lifetime enhancement at its initial stage for solution-processed OLEDs. This improvement was realized through the implementation of a double electron transporting layer (dETL) composed of 2-[4-(9,10-dinaphthalen-2-yl-anthracen-2-yl)-phenyl]-1-phenyl-1H-benzoimidazole (ET) and hydroxyquinolinolato-lithium (Liq). A giant surface potential was generated at the surface of a constituent electron transport layer (ETL) that contained a higher concentration of Liq with high polarity. This giant surface potential simultaneously promoted the injection of trapped/accumulated electrons through the interface within dETL and the injection of holes from the anode, generating more exciton recombination events and ultimately enhancing efficiency by 133.0% and lifetime LT95 (luminance dropped by 5%) by 300% with an overshooting effect. Additionally, the degradation at the emitting layer was mitigated by shifting the degradation zone to the dETL, which was evidenced by laser desorption/ionization-time-of-flight (LDI-TOF) mass spectroscopy.

Transfer factors of naturally occurring radionuclides from soil-to-rice cultivated in Bangladesh and associated health implications.

This study investigates the uptake of naturally occurring radionuclides (226Ra, 232Th, and 40K) from soil by rice plants in extensively cultivated regions in Bangladesh. It also evaluates the potential radiation risks associated with rice consumption by the Bangladeshi populace. High purity germanium (HPGe) gamma-ray spectrometry was employed to measure the concentrations of radionuclides in both soil and rice samples. For 40K, our results agree with the International Atomic Energy Agency's (IAEA) published value; however, the transfer factors (TF) for the other two radionuclides differ considerably. Despite the fact that the IAEA based its publication of TFs for 226Ra and 232Th on clay soil, the majority of the soil profile in the present study was silty clay with a little alkalinity. Moreover, the data obtained may have been impacted by the growing seasons, cultivation methods, and soil fertility. Additionally, the annual effective dose due to the ingestion of radioactivity resulting from rice consumption was evaluated and the results agree with UNSCEAR (United Nations Scientific Committee on the Effects of Atomic Radiation), 2000. With a few exceptions, the excess lifetime cancer risk (ELCR) values for 226Ra, 232Th, and 40K were below the globally average permissible level (1 × 10-3). In light of this, the current study indicates that consuming rice does not pose an immediate health risk to the general public. By studying TFs among various rice varieties and geographical areas, scientists can develop models to forecast the possible radiation exposure from rice consumption and pinpoint activities or areas that require additional attention.

Investigation of the emission and leaching behavior of characteristic heavy metals in sintered bricks prepared from oil-based drill cutting residues.

Oil-based drill cutting residues (OBDCR) are hazardous waste generated by the thermal desorption of oil-based drill cuttings. Recently, the utilization of OBDCR as building materials has attracted extensive attention, but the environmental risks during preparation and long-term usage remained unclear. In this study, OBDCR with a 40 % (wt./wt.) mixing ratio was used to prepare sintered bricks, and the emission and leaching behaviors of Ba, Mn, Zn, Ni, Cr, and Pb were investigated. The results indicated that the addition of OBDCR in bricks showed insignificant increase in the emission of Ba, Mn, Zn, Ni, and Cr, whereas the emission of Pb slight decreased from 10.5 to 8.6 µg/m3. The volatilization rates of these heavy metals were considerably low, with Ni showed the highest volatilization rate of only 1.45 % in OBDCR bricks. Moreover, the leaching behavior of Ba, Mn, Zn, Ni, Cr, and Pb in bricks were studied. The results indicated that surface wash-off was the main controlling leaching mechanism of Ba and Cr, whereas the leaching of Mn, Zn, Ni, and Pb was controlled by diffusion. The Elovich and second-order kinetic equation were identified as the leaching models for Mn, Zn, Pb, and Ni. The life-time leaching predictions of OBDCR bricks indicated that the leaching of Ni and Mn after 10 and 20 years of leaching were 0.1529, 0.257, 0.1530, and 0.274 mg/L, respectively, exceeding the relevant standards. Therefore, the leaching risks of Ni and Mn should be emphasized when using OBDCR bricks with a 40 % OBDCR mixing ratio.

Differential effects of lifetime stressors on major depressive disorder severity: a longitudinal community-based cohort study.

BACKGROUND: Stressors across the lifespan are associated with the onset of major depressive disorder (MDD) and increased severity of depressive symptoms. However, it is unclear how lifetime stressors are related to specific MDD subtypes. The present study aims to examine the relationships between MDD subtypes and stressors experienced across the lifespan while considering potential confounders. METHODS: Data analyzed were from the Zone d'Épidémiologie Psychiatrique du Sud-Ouest de Montréal (N = 1351). Lifetime stressors included childhood maltreatment, child-parent bonding, and stressful life events. Person-centered analyses were used to identify the clusters/profiles of the studied variables and multinomial logistic regression analyses were performed to examine the relationships between stressors and identified MDD subtypes. Intersectional analysis was applied to further examine how distal stressors interact with proximal stressors to impact the development of MDD subtypes. RESULTS: There was a significant association between proximal stressors and melancholic depression, whereas severe atypical depression and moderate depression were only associated with some domains of stressful life events. Additionally, those with severe atypical depression and melancholic depression were more likely to be exposed to distal stressors such as childhood maltreatment. The combinations of distal and proximal stressors predicted a greater risk of all MDD subtypes except for moderate atypical depression. CONCLUSIONS: MDD was characterized into four subtypes based on depressive symptoms and severity. Different stressor profiles were linked with various MDD subtypes. More specific interventions and clinical management are called to provide precision treatment for MDD patients with unique stressor profiles and MDD subtypes.

Modeling Chronic Disease Mortality by Methods From Accelerated Life Testing.

We propose a parametric model for describing chronic disease mortality from cohort data and illustrate its use for Type 2 diabetes. The model uses ideas from accelerated life testing in reliability theory and conceptualizes the occurrence of a chronic disease as putting the observational unit to an enhanced stress level, which is supposed to shorten its lifetime. It further addresses the issue of semi-competing risk, that is, the asymmetry of death and diagnosis of disease, where the disease can be diagnosed before death, but not after. With respect to the cohort structure of the data, late entry into the cohort is taken into account and prevalent as well as incident cases inform the analysis. We finally give an extension of the model that allows age at disease diagnosis to be observed not exactly, but only partially within an interval. Model parameters can be straightforwardly estimated by Maximum Likelihood, using the assumption of a Gompertz distribution we show in a small simulation study that this works well. Data of the Cardiovascular Disease, Living and Ageing in Halle (CARLA) study, a population-based cohort in the city of Halle (Saale) in the eastern part of Germany, are used for illustration.

Crystal Structure and Photoluminescence of Two Terbium Compounds with Bromobenzoic Acid and Phenanthroline.

Two novel Tb(III) ternary complexes, [Tb2(Phen)2(p-BrBA)6] and [TbY(Phen)2(p-BrBA)6], have been synthesized with p-bromobenzoic acid(p-BrBA) as the primary ligand and 1,10-phenanthroline(Phen) as the secondary ligand. The structures of these complexes are characterized by elemental analysis, IR spectroscopy, UV-vis absorption spectroscopy, thermal analysis (TGA) and single-crystal X-ray diffraction. The crystal structures of the compounds are similar because of similar radii of Tb3+ ion and Y3+ ion. Both the homobimetallic single crystal and the heterobimetallic single crystal belong to the monoclinic system. The results show that both complexes have excellent luminescence properties, including luminescent intensity, luminescent lifetime and quantum yield. The two compounds have an excited state lifetime of milliseconds and the photoluminescence quantum efficiencies of the two terbium complexes can exceed 100% upon excitation to their 5d states in theory, which is attributed to luminescent lifetime and quantum cutting (QC). Furthermore, the luminescent properties of [TbY(Phen)2(p-BrBA)6] are actually superior to those of [Tb2(Phen)2(p-BrBA)6].

Association Between Cannabis Use and Brain Structures: A Mendelian Randomization Study.

Background  Observational studies suggested that cannabis use was associated with alternation of brain structures; however, as subjected to confounding factors, they were difficult to make causal inferences and direction determinations. In this study, a two-sample Mendelian randomization (MR) analysis was employed to examine the potential causal association between cannabis use and brain structures. Methods The genome-wide association studies (GWAS) data for lifetime cannabis use (LCU), cannabis use disorder (CUD), and brain cortical and subcortical structures were utilized in this study. Cortical structures were divided into 34 distinct gyral-defined regions with surface area (SA) and thickness (TH) measured. Subcortical structures encompassed volumes from seven specified regions. The primary estimator used in our analysis was inverse-variance weighted (IVW), complemented by MR-Egger and weighted median methods to enhance the robustness of the results. The Cochran's Q test, funnel plots, and MR-Egger intercept tests were used to detect heterogeneity and pleiotropy. Results  No causal relationship was detected between LCU and global cortical SA or TH. However, at the regional cortex level, LCU was associated with decreased TH in the fusiform (ß = -0.0168 mm, SE = 0.00581, P = 0.0039) and lateral occipital (ß = -0.0141 mm, SE = 0.00531, P = 0.0079) regions, while increasing TH in the postcentral region (ß = 0.0093 mm, SE = 0.00445, P = 0.0374). At the subcortical level, LCU was found to increase the brainstem volume (ß = 0.224 mm3, SE = 0.09, P = 0.0128). CUD did not show any causal association with brain structure at either cortical or subcortical levels. Nonetheless, after applying multiple comparison corrections, the P values for the MR analysis of causal relationships between cannabis use and these brain structures did not meet the significance threshold. Conclusion  The evidence for cannabis use causally influencing brain structures is insufficient.

Carcinoma basocelular: incidencia y tendencias en Valencia (España).

BACKGROUND: there is a need for epidemiological and incidence data on the occurrence of basal cell carcinoma (BCC) in Spain. OBJECTIVES: our study was designed to retrospectively retrieve cases from our computer databases from 2010 through 2016 to provide updated data on the actual incidence of BCC in Valencia, eastern Spain. METHODS: this was an epidemiological study on basal cell carcinoma conducted in Valencia, eastern Spain. We analyzed a total of 2171 patients and 4047 tumors, and gathered data to estimate the actual incidence of BBC in our region. RESULTS AND CONCLUSIONS: our study confirmed that the incidence of BCC is much higher than previously reported. We calculated a crude incidence of 410.38 BCCs/100 000 person-years, an adjusted rate for the European population of 256.98 BCCs/100 000 person-years, and an adjusted rate for the world population of 196.26 BCCs/100 000 person-years.Risk is up to 29.49% higher for men (464.07 cases/100 000 person-years vs 358.40 cases/100 000 person-years for women).Incidence also increases by an annual 3.91% (a significantly higher annual incidence of 8.28% in women vs a 0.92% annual incidence in men).Overall, the lifetime risk for developing a BCC is 5.8% (5.02% in women and 7% in men).

Time as a Category in Survivors' Reports About Child Sexual Abuse: An Explorative Approach to Lifetime Abuse.

Since the 1990s, cases of serious violence and abuse, particularly sexual abuse in educational and social institutions of the Catholic Church, have been reported in numerous countries, including Ireland, the United States, and Australia. In many countries, commissions have been set up to investigate the widespread cases of abuse that could not be prosecuted under criminal law. The testimonies of survivors and other witnesses are used by the commissions of inquiry in their work. Since 2016 the Independent Inquiry into Child Sexual Abuse in Germany has collected more than 2,500 reports from survivors of child sexual abuse. Forty-four testimonies were analyzed in a study seeking to understand more about lifetime abuse. In an explorative analysis, aspects of time as a key category in the reports were identified using the structured content analysis method. The results highlight the importance of time in the reports and during all phases of the survivors' lives. Overall, four themes are relevant: (a) the identification of turning points, (b) time to make sense of what happened, (c) the practice of waiting, and (d) time-bound experiences of testifying.

Node Role Selection and Rotation Scheme for Energy Efficiency in Multi-Level IoT-Based Heterogeneous Wireless Sensor Networks (HWSNs).

The emergence of Internet of Things (IoT)-based heterogeneous wireless sensor network (HWSN) technology has become widespread, playing a significant role in the development of diverse human-centric applications. The role of efficient resource utilisation, particularly energy, becomes further critical in IoT-based HWSNs than it was in WSNs. Researchers have proposed numerous approaches to either increase the provisioned resources on network devices or to achieve efficient utilisation of these resources during network operations. The application of a vast proportion of such methods is either limited to homogeneous networks or to a single parameter and limited-level heterogeneity. In this work, we propose a multi-parameter and multi-level heterogeneity model along with a cluster-head rotation method that balances energy and maximizes lifetime. This method achieves up to a 57% increase in throughput to the base station, owing to improved intra-cluster communication in the IoT-based HWSN. Furthermore, for inter-cluster communication, a mathematical framework is proposed that first assesses whether the single-hop or multi-hop inter-cluster communication is more energy efficient, and then computes the region where the next energy-efficient hop should occur. Finally, a relay-role rotation method is proposed among the potential next-hop nodes. Results confirm that the proposed methods achieve 57.44%, 51.75%, and 17.63% increase in throughput of the IoT-based HWSN as compared to RLEACH, CRPFCM, and EERPMS, respectively.

Self-reported exposure to blood and body fluids and serological evidence of lifetime exposure to hepatitis B virus among health care workers in Ghana: a cross-sectional study.

INTRODUCTION: In Sub-Saharan Africa alone, about 40-65% of Hepatitis B Virus infections among HCWs were a result of percutaneous occupational exposures to contaminated blood and body fluids of patients. Occupational exposure to blood and body fluids among healthcare workers is on the rise in Ghana. However, the relationship between self-reported exposures to blood and body fluids suspected to be contaminated with the hepatitis B virus and actual serological evidence of exposure remains unknown. The aim of the study however was to assess the self-reported exposure to HBV as against the serological evidence of lifetime exposure to HBV and associated factors among Ghanaian HCWs. METHODS: The study was a cross-sectional analytical survey that involved 340 HCWs who were recruited using a simple random sampling procedure from six cadres of staff from five districts in Greater Accra. The participants were surveyed using a validated instrument and 5mls of venous blood was aseptically withdrawn for qualitative detection of Anti-HBc. SPSS version 23.0 was used to analyze the data to obtain proportions, odds ratios and their corresponding confidence intervals with the level of significance set at 0.05. RESULTS: The response rate was 94% with Nurses and Doctors in the majority with a mean age of 35.6 ± 7.2. Self-reported exposure to HBV was 63% whereas lifetime exposure to HBV (Anti-HBc) prevalence was 8.2% (95% CI = 5.0-11.0%). Females were 60% less likely to be exposed to HBV (aOR = 0.4; 95% CI = 0.1-0.9) than their male counterparts. HCWs without training in the prevention of blood-borne infections had almost three times higher odds of being exposed to HBV in their lifetime (aOR = 2.6; 95% CI = 1.0-6.4). CONCLUSIONS: The findings of this study suggest that self-reported exposure to HBV-contaminated biological materials was high with a corresponding high lifetime exposure to HBV. The female gender was protective of anti-HBc acquisition. Apart from direct interventions for preventing occupational exposures to HBV in the healthcare setting, periodic training of all categories of healthcare workers in infection prevention techniques could significantly reduce exposure to the Hepatitis B virus.

Cost-effectiveness of diagnostic imaging modalities in symptomatic patients with lower limb peripheral arterial disease: discrete event simulation model.

Objective: Lower limb peripheral arterial disease in the symptomatic stage has a significant effect on patients´ functional disability. Before an intervention, an imaging diagnostic examination is necessary to determine the extent of the disability. This study evaluates cost-effectiveness of duplex ultrasonography (DUS), digital subtraction angiography (DSA), computed tomography angiography (CTA) and magnetic resonance angiography (MRA) in the diagnostics of symptomatic patients with lower limb peripheral arterial disease indicated for endovascular or surgical intervention. Methods: Discrete event simulation was used to capture lifetime costs and effects. Costs were calculated from the perspective of the health care payer, and the effects were calculated as quality-adjusted life year's (QALY's). The cost-effectiveness analysis was performed to pairwise compare CTA, MRA and DSA with DUS as the baseline diagnostic modality. A scenario analysis and probabilistic sensitivity analysis were carried out to evaluate the robustness of the results. Results: In the basic case, the DUS diagnostic was the least expensive modality, at a cost of EUR 10,778, compared with EUR 10,804 for CTA, EUR 11,184 for MRA, and EUR 11,460 for DSA. The effects of DUS were estimated at 5.542 QALYs compared with 5.554 QALYs for both CTA and MRA, and 5.562 QALYs for DSA. The final incremental cost-effectiveness ratio (ICER) value of all evaluated modalities was below the cost-effectiveness threshold whereas CTA has the lowest ICER of EUR 2,167 per QALY. However, the results were associated with a large degree of uncertainty, because iterations were spread across all cost-effectiveness quadrants in the probabilistic sensitivity analysis. Conclusion: For imaging diagnosis of symptomatic patients with lower limb peripheral arterial disease, CTA examination appears to be the most cost-effective strategy with the best ICER value. Baseline diagnostics of the DUS modality has the lowest costs, but also the lowest effects. DSA achieves the highest QALYs, but it is associated with the highest costs.

Imaging immunometabolism in situ in live animals.

Immunometabolism is a rapidly developing field that holds great promise for diagnostic and therapeutic benefits to human diseases. The field has emerged based on seminal findings from in vitro and ex vivo studies that established the fundamental role of metabolism in immune cell effector functions. Currently, the field is acknowledging the necessity of investigating cellular metabolism within the natural context of biological processes. Examining cells in their native microenvironment is essential not only to reveal cell-intrinsic mechanisms but also to understand how cross-talk between neighboring cells regulates metabolism at the tissue level in a local niche. This necessity is driving innovation and advancement in multiple imaging-based technologies to enable analysis of dynamic intracellular metabolism at the single-cell level, with spatial and temporal resolution. In this review, we tally the currently available imaging-based technologies and explore the emerging methods of Raman and autofluorescence lifetime imaging microscopy, which hold significant potential and offer broad applications in the field of immunometabolism.