Nevin Manimala

Sci Rep. 2021 Oct 12;11(1):20252. doi: 10.1038/s41598-021-99455-x.

ABSTRACT

The transverse momentum spectra of light nuclei (deuteron, triton and helion) produced in various centrality intervals in Gold-Gold (Au-Au), Lead-Lead (Pb-Pb) and proton-Lead (p-Pb) collisions, as well as in inelastic (INEL) proton-proton (p-p) collisions are analyzed by the blast wave model with Boltzmann Gibbs statistics. The model results are nearly in agreement with the experimental data measured by STAR and ALICE Collaborations in special transverse momentum ranges. We extracted the bulk properties in terms of kinetic freezeout temperature, transverse flow velocity and freezeout volume. It is observed that deuteron and anti-deuteron freezeout later than triton and helion as well as their anti-particles due to its smaller mass, while helion and triton, and anti-helion and anti-triton freezeout at the same time due to isospin symmetry at higher energies. It is also observed that light nuclei freezeout earlier than their anti-nuclei due to the large coalescence of nucleons for light nuclei compared to their anti-nuclei. The kinetic freezeout temperature, transverse flow velocity and kinetic freezeout volume decrease from central to peripheral collisions. Furthermore, the transverse flow velocity depends on mass of the particle which decreases with increasing the mass of the particle.

PMID:34642381 | DOI:10.1038/s41598-021-99455-x

Sci Rep. 2021 Oct 12;11(1):20235. doi: 10.1038/s41598-021-99477-5.

ABSTRACT

In these last 25 years, the Neonatal Emergency Transport (NET) service has been widely improved in Italy. To date, all National areas are covered by a NET service; 53 NET centers have been activated in all the Italian territory. Herein, the authors present an observational study to evaluate the rate of infantile mortality after introduction of NET in Sicily, and to study the efficiency of this service in reducing these rates of mortality in vulnerable neonates, transported from primary care birth centers to tertiary facilities to undergo to specialized NICU assistance. All neonates who required an emergency transport by NETS were included. No exclusions criteria were applied. Demographic and regional infantile mortality data, expressed as infant mortality rate, were selected by the official government database (ISTAT- National Statistic Institute- http://www.istat.it ). All data were respectively divided into three groups: data concerning transport, clinical condition, and mortality of the transported patients. We transported by NET 325 neonates. The analysis of the infant mortality rate (per 1.000 live births) in Catania from 2016 to 2018 was reduced compared to the same rate calculated before NETS activation (4.41 index before 2016 vs 4.17 index after 2016). These data showed an increase in other provinces (Enna, Caltanissetta, and Agrigento). 61% of neonates showed a respiratory disease. During the study period the proportion of neonates with a Mortality Index for Neonatal Transportation-MINT < 6 has been reduced, while there was an increase of neonates with higher Transport Risk Index of Physiologic Stability-TRIPS score results. The slight decrease of infantile mortality in Catania during the first three years after introduction of NET follows the same trend of all Italian territories, showing the importance of this service in reducing infantile mortality.

PMID:34642378 | DOI:10.1038/s41598-021-99477-5

Sci Rep. 2021 Oct 12;11(1):20264. doi: 10.1038/s41598-021-99563-8.

ABSTRACT

This study investigated the role of cesarean section (CS) in mortality and morbidity of very-low-birth-weight infants (VLBWIs) weighing less than 1500 g. This nationwide prospective cohort study of the Korean Neonatal Network consisted of 9,286 VLBWIs at 23-34 gestational weeks (GW) of age between 2013 and 2017. The VLBWIs were stratified into 23-24, 25-26, 27-28 and 29-34 GW, and the mortality and morbidity were compared according to the mode of delivery. The total CS rate was 78%, and was directly proportional to gestational age. The CS rate was the lowest at 61% in case of infants born at 23-24 GW and the highest at 84% in VLBWIs delivered at 29-34 GW. Contrary to the significantly lower total mortality (12%) and morbidities including sepsis (21%) associated with CS than vaginal delivery (VD) (16% and 24%, respectively), the mortality in the 25-26 GW (26%) and sepsis in the 27-28 GW (25%) and 29-34 GW (12%) groups were significantly higher in CS than in VD (21%, 20% and 8%, respectively). In multivariate analyses, the adjusted odds ratios (ORs) for mortality (OR 1.06, 95% CI 0.89-1.25) and morbidity including sepsis (OR 1.12, 95% CI 0.98-1.27) were not significantly reduced with CS compared with VD. The adjusted ORs for respiratory distress syndrome (1.89, 95% CI 1.59-2.23) and symptomatic patent ductus arteriosus (1.21, 95% CI 1.08-1.37) were significantly increased with CS than VD. In summary, CS was not associated with any survival or morbidity advantage in VLBWIs. These findings indicate that routine CS in VLBWIs without obstetric indications is contraindicated.

PMID:34642372 | DOI:10.1038/s41598-021-99563-8

Sci Rep. 2021 Oct 12;11(1):20249. doi: 10.1038/s41598-021-98811-1.

ABSTRACT

Few biodiversity indicators are available that reflect the state of broad-sense biodiversity-rather than of particular taxa-at fine spatial and temporal resolution. One such indicator, the Biodiversity Intactness Index (BII), estimates how the average abundance of the native terrestrial species in a region compares with their abundances in the absence of pronounced human impacts. We produced annual maps of modelled BII at 30-arc-second resolution (roughly 1 km at the equator) across tropical and subtropical forested biomes, by combining annual data on land use, human population density and road networks, and statistical models of how these variables affect overall abundance and compositional similarity of plants, fungi, invertebrates and vertebrates. Across tropical and subtropical biomes, BII fell by an average of 1.9 percentage points between 2001 and 2012, with 81 countries seeing an average reduction and 43 an average increase; the extent of primary forest fell by 3.9% over the same period. We did not find strong relationships between changes in BII and countries’ rates of economic growth over the same period; however, limitations in mapping BII in plantation forests may hinder our ability to identify these relationships. This is the first time temporal change in BII has been estimated across such a large region.

PMID:34642362 | DOI:10.1038/s41598-021-98811-1

Sci Rep. 2021 Oct 12;11(1):20242. doi: 10.1038/s41598-021-98517-4.

ABSTRACT

Dravet syndrome (DS) is an uncommon epilepsy syndrome that may negatively affect the patients and their caregivers. However, reliable and valid measures of its impact on caregivers and the characteristics of patients with DS in Taiwan are lacking. This study aimed to describe the characteristics of patients with DS and concerns of their caregivers and establish a baseline frequency of disease characteristics using a cross-sectional survey in Taiwan. We assessed the caregivers of patients with DS using an online anonymous questionnaire. The seizure frequency decreased with age, although lacking statistical significance. Vaccines show no influence on the condition of patients with DS. Our findings revealed the highest impact on the domains affecting the caregivers’ daily life, including additional household tasks, symptom observation, further medical plan, and financial issues. Caregivers also expressed concerns regarding the lack of independence/constant care, seizure control, speech/communication, and impacts on siblings because of long-term care of the patients in parents’ absence. Our findings highlight the significant effects of caring for a child with DS on the lives of their caregivers in Taiwan; these findings will help raise awareness regarding the needs of these families. Furthermore, we discussed the possible pathophysiological mechanisms of associated comorbidities.

PMID:34642351 | DOI:10.1038/s41598-021-98517-4

NPJ Breast Cancer. 2021 Oct 12;7(1):136. doi: 10.1038/s41523-021-00345-2.

ABSTRACT

Breast cancer is heterogeneous in prognoses and drug responses. To organize breast cancers by gene expression independent of statistical methodology, we identified the Breast Cancer Consensus Subtypes (BCCS) as the consensus groupings of six different subtyping methods. Our classification software identified seven BCCS subtypes in a study cohort of publicly available data (n = 5950) including METABRIC, TCGA-BRCA, and data assayed by Affymetrix arrays. All samples were fresh-frozen from primary tumors. The estrogen receptor-positive (ER+) BCCS subtypes were: PCS1 (18%) good prognosis, stromal infiltration; PCS2 (15%) poor prognosis, highly proliferative; PCS3 (13%) poor prognosis, highly proliferative, activated IFN-gamma signaling, cytotoxic lymphocyte infiltration, high tumor mutation burden; PCS4 (18%) good prognosis, hormone response genes highly expressed. The ER- BCCS subtypes were: NCS1 (11%) basal; NCS2 (10%) elevated androgen response; NCS3 (5%) cytotoxic lymphocyte infiltration; unclassified tumors (9%). HER2+ tumors were heterogeneous with respect to BCCS.

PMID:34642313 | DOI:10.1038/s41523-021-00345-2

J Physiol Pharmacol. 2021 Apr;72(2). doi: 10.26402/jpp.2021.2.15. Epub 2021 Jul 10.

ABSTRACT

As in other human tissues, determination of the content of elements in dentition may be of significance in disease diagnostics. Zinc and magnesium are bioelements that play an important role in humans. The tissue and serum concentrations of these elements may be linked to numerous diseases; thus, they may be useful biomarkers in the early detection of diseases. The objective of this study was to compare the content of zinc and magnesium in teeth extracted for clinical reasons from patients of both genders in different age groups, who were diagnosed with the following medical conditions: cardiovascular diseases, digestive diseases, infectious disorders, other chronic diseases, and hereditary diseases. Furthermore, the study attempted to determine the effect of the drugs used by the patients on the content of zinc and magnesium in their teeth. After cleaning and fragmenting, the extracted teeth were mineralized, and subsequently the content of the investigated elements was determined by flame atomic absorption spectrometry. In patients with chronic diseases, who continuously received drugs, a statistically significantly higher level of zinc (p < 0.001) and magnesium (p < 0.001) was observed as compared with the patients who did not take those medicines. People without chronic diseases but having cardiovascular diseases also exhibited a higher level of zinc. The highest zinc level in teeth was determined in people aged above 50 (p = 0.11). Furthermore, the levels of zinc and magnesium in the teeth of the study group were related and an increase in zinc concentration was observed with an increase in the concentration of magnesium (p < 0.001). Moreover, a statistically significant correlation was observed between the age of the examined people and the level of zinc (p > 0.04). The older patient had the higher the level of zinc in teeth. The level of magnesium was statistically significantly higher in the teeth of persons with other chronic diseases (p = 0.01) and those who were on medication (p < 0.001). The accumulation of zinc and magnesium in the teeth of patients is partially a result of the physiological and pathological processes occurring in aged humans. For this reason, determination of the content of these elements in teeth, which are intended for disposal according to standards, could offer diagnostic information and enable restricting the effect of pathological environmental factors on the patient’s health status.

PMID:34642261 | DOI:10.26402/jpp.2021.2.15

J Physiol Pharmacol. 2021 Apr;72(2). doi: 10.26402/jpp.2021.2.13. Epub 2021 Jul 10.

ABSTRACT

Adenosine triphosphate (ATP)-sensitive potassium channels (KATP) link cellular metabolic state and electrical activity of cardiomyocytes. Pharmacological studies indicated the involvement of KATP in pressure overload-induced left ventricular hypertrophy, but the alteration of pore-forming subunits, Kir6.1 and Kir6.2, at membranes and subcellular fractions is unclear. The objective of this study was to investigate the changes in the distribution and levels of Kir6.1 and Kir6.2 in rat cardiomyocytes responding to chronic pressure overload. Male Wistar rats were separated into a sham-operated group (sham) and a pressure overload or transverse aortic constriction (TAC) group. Echocardiography was performed to assess cardiac structure and functions at the 4^th month after operation. Ventricular cardiomyocytes in both groups were isolated and then subjected to extract protein into cytoplasm, organelle membrane, and plasma membrane fractions. Immunoblotting and immunohistochemistry techniques were performed to detect and measure Kir6.1 and Kir6.2 protein levels. Echocardiographic parameters showed left ventricular hypertrophy with hypercontractility in TAC rats. The immunoblotting showed the presence of Kir6.1 and Kir6.2 at plasma membranes and only Kir6.1 at organelle membranes. Significantly, Kir6.1 and Kir6.2 levels were decreased in the plasma membrane fraction of the TAC group (n = 8 and 6 for Kir6.1 and Kir6.2, respectively), whereas Kir6.1 in the organelle membrane fraction tended to be higher in TAC but did not reach statistical significance (n = 7). These results seemed to relate to a left ventricular immunohistochemistry study, which showed the trend of decreased staining of Kir6.1 and Kir6.2 in pressure overload left ventricular tissue. In conclusion, both Kir6.1 and Kir6.2 plasma membrane subunits were decreased significantly in pressure overload-induced left ventricular hypertrophy.

PMID:34642259 | DOI:10.26402/jpp.2021.2.13

Proc Natl Acad Sci U S A. 2021 Oct 19;118(42):e2103420118. doi: 10.1073/pnas.2103420118.

ABSTRACT

This paper empirically examines how the opening of K-12 schools is associated with the spread of COVID-19 using county-level panel data in the United States. As preliminary evidence, our event-study analysis indicates that cases and deaths in counties with in-person or hybrid opening relative to those with remote opening substantially increased after the school opening date, especially for counties without any mask mandate for staff. Our main analysis uses a dynamic panel data model for case and death growth rates, where we control for dynamically evolving mitigation policies, past infection levels, and additive county-level and state-week “fixed” effects. This analysis shows that an increase in visits to both K-12 schools and colleges is associated with a subsequent increase in case and death growth rates. The estimates indicate that fully opening K-12 schools with in-person learning is associated with a 5 (SE = 2) percentage points increase in the growth rate of cases. We also find that the association of K-12 school visits or in-person school openings with case growth is stronger for counties that do not require staff to wear masks at schools. These findings support policies that promote masking and other precautionary measures at schools and giving vaccine priority to education workers.

PMID:34642247 | DOI:10.1073/pnas.2103420118

BMJ Open. 2021 Oct 12;11(10):e052668. doi: 10.1136/bmjopen-2021-052668.

ABSTRACT

OBJECTIVES: Vietnam is an endemic area for hepatitis B virus and hepatitis C virus infection (HBV-HCV), yet its largest city, Ho Chi Minh City (HCMC), has no comprehensive policy to educate, screen, treat and protect healthcare workers (HCWs) from viral hepatitis. We conducted a mixed-methods study to document HBV-HCV infection rates, risk factors, local barriers and opportunities for providing education, screening and medical care for HCWs.

DESIGN: This mixed-methods study involved an HBV and HCV serological evaluation, knowledge, attitude and practice survey about viral hepatitis and many in-depth interviews. Descriptive statistics and thematic content analysis using inductive and deductive approaches were used.

SETTING: HCMC, Vietnam.

PARTICIPANTS: HCWs at risk of viral hepatitis exposure at three hospitals in HCMC.

RESULTS: Of the 210 invited HCWs, 203 were enrolled. Of the 203 HCWs enrolled, 20 were hepatitis B surface antigen-positive, 1 was anti-hepatitis C antibody (anti-HCV Ab)-positive, 57 were anti-hepatitis B core Ab-positive and 152 had adequate anti-hepatitis B surface Ab (anti-HBs Ab) titre (≥10IU/mL). Only 50% of the infected HCWs reported always using gloves during a clinical activity involving handling of blood or bodily fluid. Approximately 50% of HCWs were still not vaccinated against HBV following 1 year of employment. In-depth interviews revealed two major concerns for most interviewees: the need for financial support for HBV-HCV screening and treatment in HCWs and the need for specific HBV-HCV guidelines to be independently developed.

CONCLUSIONS: The high HBV infection rate in HCWs coupled with inadequate preventive occupational practices among the population in HCMC highlight the urgent needs to establish formal policy and rigorous education, screening, vaccination and treatment programmes to protect HCWs from HBV acquisition or to manage those living with chronic HBV in Vietnam.

PMID:34642198 | DOI:10.1136/bmjopen-2021-052668