Tag: nevin manimala

Sci Total Environ. 2023 Jun 9:164700. doi: 10.1016/j.scitotenv.2023.164700. Online ahead of print.

ABSTRACT

Geographic location and meteorological factors can affect the content of bioaerosol concentrations. This study was conducted to determine the natural background concentrations of culturable fungal spores and dust particles in three different geographical areas. Focus was given to the dominant airborne genera Cladosporium, Penicillium, Aspergillus and the species Aspergillus fumigatus. The influence of weather conditions on the microorganism concentrations in urban, rural and mountain regions were examined. Possible correlations between particle counts and culturable fungal spore concentrations were investigated. 125 measurements of the air were conducted using the air sampler MAS-100NT® and the particle counter Alphasense OPC-N3. The analyses of the collected samples were based on culture methods using different media. The highest median of fungal spore concentrations was detected in the urban region and was of 2.0 × 10³ CFU/m³ for xerophilic fungi and 1.7 × 10³ CFU/m³ for the genus Cladosporium. The concentrations of fine and coarse particles in rural and urban regions were the highest of 1.9 × 10⁷ pa/m³ and 1.3 × 10⁷ pa/m³, respectively. Little cloud cover and slight wind had a positive influence on the concentration of fungal spores. Furthermore, correlations were observed between air temperature and the concentrations of xerophilic fungi as well as the genera Cladosporium. In contrast, relative humidity correlated negatively with total fungi and Cladosporium and no correlation was found with the other fungi. For the region of Styria in summer and early autumn, the natural background concentration for xerophilic fungi ranged between 3.5 × 10² and 4.7 × 10³ CFU/m³ air. No significant differences were detected between the fungal spore concentrations in urban, rural and mountainous regions. The data of this study could be used as a reference to compare the natural background concentrations of airborne culturable fungi in further studies concerning air quality assessment.

PMID:37302594 | DOI:10.1016/j.scitotenv.2023.164700

J Hepatol. 2023 Jun 9:S0168-8278(23)00399-9. doi: 10.1016/j.jhep.2023.05.027. Online ahead of print.

ABSTRACT

BACKGROUND & AIMS: Machine perfusion is increasingly tested in clinical transplantation. Despite this success, the number of large prospective clinical trials remains limited. The aim of this study is therefore to compare the impact of machine perfusion on outcomes after liver transplantation versus static cold storage (SCS).

METHODS: A systematic search of MEDLINE, EMBASE, CINAHL and the Cochrane Central Register of Controlled Trials (CENTRAL) was conducted to identify randomized controlled trials (RCTs) reporting “posttransplant” outcomes of machine perfused livers compared to SCS. Data were pooled using random effect models. Risk ratios (RR) were calculated for relevant outcomes. The quality of evidence was rated using the GRADE-framework. PROSPERO-registration: CRD42022355252.

RESULTS: Seven RCTs were identified with hypothermic oxygenated (HOPE, n=4) and normothermic machine perfusion (NMP, n=3), including a total number of 1017 patients. Both techniques were associated with significantly lower rates of early allograft dysfunction (NMP: n=41/282; SCS: n=74/253; RR:0.50, 95%CI:0.30-0.86, p=0.01, I²:39%; HOPE: n=45/241; SCS: n=97/241, RR:0.48, 95%CI:0.35-0.65, p<0.00001, I²:5%). The HOPE-approach led to a significant reduction of major complications (Clavien Grade ≥IIIb; HOPE: n=90/241; SCS: n=117/241, RR: 0.76, 95%CI: 0.63-0.93, p=0.006, I²:0%), “retransplantation” (HOPE: n=1/163; SCS: n=11/163; RR:0.21, 95%CI: 0.04-0.96, p=0.04; I²:0%) and graft loss (HOPE: n=7/163; SCS: n=19/163; RR:0.40, 95%CI: 0.17-0.95, p=0.04; I²:0%). Both perfusion techniques were found to likely reduce overall biliary complications and non-anastomotic strictures.

CONCLUSIONS: Although this study provides the highest current evidence on the role of machine perfusion, outcomes remain limited to a one-year follow-up after liver transplantation. Comparative RCTs and large real world cohort studies with longer follow-up are required to enhance the robustness of the data further, thereby supporting the introduction of perfusion technologies in routine clinical practice.

PMID:37302578 | DOI:10.1016/j.jhep.2023.05.027

J Pain Symptom Manage. 2023 Jun 9:S0885-3924(23)00529-8. doi: 10.1016/j.jpainsymman.2023.06.002. Online ahead of print.

ABSTRACT

CONTEXT: There is no current standard-of-care follow-up strategy for patients who receive palliative radiotherapy (PRT) for bone metastases. Within our institution there is currently a heterogenous practice in which some providers schedule routine follow up 1-3 months after initial PRT while others do follow up only as needed (PRN).

OBJECTIVES: Our study aims to compare rates of retreatment based on follow-up strategies (planned vs PRN), explore factors that potentially affect retreatment, and evaluate whether provider follow-up strategy correlates with measurable differences in quality of care.

METHODS: In a retrospective chart review, PRT courses for bone metastases at our single institution were divided by follow-up strategies (planned vs. PRN). Demographic, clinical, and PRT data were collected and analyzed via descriptive statistics. The relationship between planned follow-up appointment and subsequent retreatment was studied.

RESULTS: More patients received retreatment within one year of initial PRT in the planned follow-up group than in the PRN follow-up group (40.4% vs. 14.4%, p<0.001). Retreatment was achieved sooner in the planned follow-up group than in the PRN follow-up group (137 days vs. 156 days). When accounting for other variables, having a planned follow-up appointment remains the most important factor in establishing retreatment (OR = 3.32, 2.11-5.29, p<0.001).

CONCLUSION: Having a planned follow-up appointment after the initial course of PRT improves identification of patients who would benefit from additional treatment, thus improving patient experience and quality of care.

PMID:37302534 | DOI:10.1016/j.jpainsymman.2023.06.002

Chemosphere. 2023 Jun 9:139119. doi: 10.1016/j.chemosphere.2023.139119. Online ahead of print.

ABSTRACT

Heavy metals (HMs) pose ecological and resistome risks to aquatic systems. To efficiently develop targeted risk mitigation strategies, apportioning HM sources and assessing their source-oriented risks are essential. Although many studies have reported risk assessment and source apportionment of HMs, yet few have explored source-specific ecological and resistome risks associated with geochemical enrichment of HMs in aquatic environments. Therefore, this study proposes an integrated technological framework to characterize source-oriented ecological and resistome risks in the sediments of a plain river in China. Several geochemical tools quantitatively showed Cd and Hg had the highest pollution levels in the environment, with 19.7 and 7.5 times higher than their background values, respectively. Positive matrix factorization (PMF) and Unmix were comparatively used to apportion sources of HMs. Essentially, the two models were complementary and identified similar sources including industrial discharges, agricultural activities, atmospheric deposition and natural background, with contributions of 32.3-37.0%, 8.0-9.0%, 12.1-15.9% and 42.8-43.0%, respectively. To analyze source-specific ecological risks, the apportionment results were integratively incorporated into a modified ecological risk index. The results showed anthropogenic sources were the most significant contributors to the ecological risks. Particularly, industrial discharges majorly contributed high- (44%) and extremely high (52%) ecological risk for Cd, while agricultural activities posed a greater percentage of considerable-(36%) and high- (46%) ecological risk for Hg. Furthermore, the high-throughput sequencing metagenomic analysis identified abundant and diverse antibiotic resistance genes (ARGs), including some carbapenem-resistance genes and emerging genes such as mcr-type in the river sediments. Network and statistical analyses displayed significant correlations between ARGs and geochemical enrichment of HMs (ρ > 0.8; P-value <0.01), indicating their important impacts on resistome risks in the environment. This study provides useful insights into risk prevention and pollution control of HMs, and the framework can be made applicable to other rivers facing environmental challenges worldwide.

PMID:37302501 | DOI:10.1016/j.chemosphere.2023.139119

Chemosphere. 2023 Jun 9:139184. doi: 10.1016/j.chemosphere.2023.139184. Online ahead of print.

ABSTRACT

Tailings are waste materials left behind after mineral extraction. Giridih district of Jharkhand, India has the second largest ore of mica mines in the country. This study evaluated the forms of potassium (K⁺) and quantity-intensity relationships in soils contaminated by tailings around the abundant mica mines. A total of 63 rice rhizosphere soil samples (8-10 cm depth) were collected from agricultural fields near 21 mica mines in the Giridih district at different distances: 10 m (zone 1), 50 m (zone 2), and 100 m (zone 3). The samples were collected to quantify various forms of potassium in the soil and characterize non-exchangeable K (NEK) reserves and Q/I isotherms. The semi-logarithmic release of NEK with continuous extractions suggests a decrease in release over time. Significant values of threshold K⁺ levels were observed in zone 1 samples. As K⁺ concentrations increased, the activity ratio (AR_e^K) and its corresponding labile K⁺ (K_L) concentrations decreased. The AR_e^K, K_L, and fixed K⁺ (K_X) values were higher in zone 1 [AR_e^K: 3.2 (mol L^-1)^1/2 × 10^-4, K_L: 0.058 cmol kg^-1, and K_X: 0.038 cmol kg^-1), except for readily available K⁺ (K₀) for zone 2 (0.028 cmol kg^-1). The potential buffering capacity and K⁺ potential values were higher in zone 2 soils. In zone 1, Vanselow selectivity coefficients (K_V) and Krishnamoorthy-Davis-Overstreet selectivity coefficients (K_KDO) were higher, while Gapon constants were higher in zone 3. It was found that AR_e^K was significantly correlated with K₀, K_L, K⁺ saturation, -ΔG, K_V, and K_KDO. Different statistical methods such as positive matrix factorization, self-organizing maps, geostatistics, and Monte Carlo simulation approaches were employed to predict soil K⁺ enrichment, source apportionment, distribution patterns, availability for plants, and contribution to soil K⁺ maintenance. Thus, this study significantly contributes to understanding K⁺ dynamics in mica mine soils and operational K⁺ management.

PMID:37302492 | DOI:10.1016/j.chemosphere.2023.139184

Actas Dermosifiliogr. 2023 Jun 9:S0001-7310(23)00482-9. doi: 10.1016/j.ad.2023.06.011. Online ahead of print.

ABSTRACT

BACKGROUND: Basal cell carcinoma (BCC) is the most prevalent cancer. A minority of BCCs have an aggressive behaviour (laBCC) and may require hedgehog pathway inhibitors such as sonidegib as its treatment.

OBJECTIVE: To describe the use of sonidegib in a large number of patients and provide more data on its real-life efficacy and safety profile.

METHODS: We conducted a retrospective and multicentric study that included patients treated with sonidegib. Epidemiological, effectiveness and safety data were collected.

RESULTS: A total of 82 patients with a mean age of 73.9 years were included. Ten patients had Gorlin syndrome. Median treatment duration was 6 months. Median follow-up duration was 34.2 months. Globally, 81.7% of the patients showed clinical improvement (52.4% partial response and 29.3% complete response), 12.2% clinical stability and 6.1% disease progression. There was no statistically significant difference in clinical improvement between the 24 h and 48 h sonidegib posology. After 6 months of treatment, 48.8% of the patients discontinued sonidegib. Prior vismodegib treatment and recurrent primary BCC were associated with a poorer response to sonidegib. At 6 months of treatment, 68.3% of the patients experienced at least one adverse effect.

CONCLUSION: Sonidegib shows good effectiveness and acceptable safety profile in usual clinical practice.

PMID:37302483 | DOI:10.1016/j.ad.2023.06.011

J Theor Biol. 2023 Jun 9:111557. doi: 10.1016/j.jtbi.2023.111557. Online ahead of print.

ABSTRACT

Species-rich communities, such as the microbiota or microbial ecosystems, provide key functions for human health and climatic resilience. Increasing effort is being dedicated to design experimental protocols for selecting community-level functions of interest. These experiments typically involve selection acting on populations of communities, each of which is composed of multiple species. If numerical simulations started to explore the evolutionary dynamics of this complex, multi-scale system, a comprehensive theoretical understanding of the process of artificial selection of communities is still lacking. Here, we propose a general model for the evolutionary dynamics of communities composed of a large number of interacting species, described by disordered generalised Lotka-Volterra equations. Our analytical and numerical results reveal that selection for scalar community functions leads to the emergence, along an evolutionary trajectory, of a low-dimensional structure in an initially featureless interaction matrix. Such structure reflects the combination of the properties of the ancestral community and of the selective pressure. Our analysis determines how the speed of adaptation scales with the system parameters and the abundance distribution of the evolved communities. Artificial selection for larger total abundance is thus shown to drive increased levels of mutualism and interaction diversity. Inference of the interaction matrix is proposed as a method to assess the emergence of structured interactions from experimentally accessible measures.

PMID:37302465 | DOI:10.1016/j.jtbi.2023.111557

Environ Toxicol Pharmacol. 2023 Jun 9:104173. doi: 10.1016/j.etap.2023.104173. Online ahead of print.

ABSTRACT

Bisphenol A (BPA) can be metabolized by metabolic enzymes and may induce abnormal lipid metabolism. We hypothesized that BPA exposure and its interaction with metabolism-related genes might be associated with serum lipid profiles. We performed a two-stage study among 955 middle-aged and elderly participants in Wuhan, China. Urinary BPA level was estimated without (BPA, μg/L) or with (BPA/Cr, μg/g) adjustments for urinary creatinine and ln-transformed values (ln-BPA or ln-BPA/Cr) were used to normalize the asymmetrical distributions. A total of 412 metabolism-related gene variants were selected and used for gene-BPA interaction analysis. Multiple linear regression was used to analyze the interactions between BPA exposure and metabolism-related genes on serum lipid profiles. In the discovery stage, both ln-BPA and ln-BPA/Cr was associated with decreased high-density lipoprotein cholesterol (HDL-C). Gene-urinary BPA interaction for IGFBP7 rs9992658 was observed to associate with HDL-C levels in both discovery and validation stages, with P_interaction equal to 9.87×10^-4 (ln-BPA) and 1.22×10^-3 (ln-BPA/Cr) in combined analyses. In addition, the inverse association of urinary BPA with HDL-C levels was only observed among individuals carrying rs9992658 AA genotype, but not in individuals carrying rs9992658 AC or CC genotypes. The interaction between BPA exposure and metabolism-related gene IGFBP7 (rs9992658) was associated with HDL-C levels. AVAILABILITY OF DATA AND MATERIAL: Not applicable.

PMID:37302441 | DOI:10.1016/j.etap.2023.104173

J Am Soc Echocardiogr. 2023 Jun 9:S0894-7317(23)00300-0. doi: 10.1016/j.echo.2023.05.010. Online ahead of print.

ABSTRACT

BACKGROUND: Fetal echocardiography is widely available but normative data are not robust. In this pilot study, we evaluated 1) the feasibility of pre-specified measurements in a normal fetal echocardiogram to inform study design and 2) measurement variability to assign thresholds of clinical significance and guide analyses in larger fetal echocardiography Z-score initiatives.

METHODS: Images from pre-defined gestational age groups (16-20 weeks; >20-24 weeks; >24-28 weeks; and >28-32 weeks) were retrospectively analyzed. Fetal echocardiography expert raters attended online group training then independently analyzed 73 fetal studies (18 per age group) in a fully crossed design of 53 variables; each observer repeated measures for 12 fetuses. Kruskal-Wallis tests were used to compare measurements across centers and age groups. Coefficients of variation (CoV) were calculated at the subject level for each measurement as the ratio of standard deviation (SD) to mean. Intraclass correlation coefficients (ICC) were used to show inter- and intrarater reliabilities. Cohen’s d>0.8 was used to define clinically important differences. Measurements were plotted against gestational age, biparietal diameter, and femur length.

RESULTS: Expert raters completed each set of measurements in a mean (SD) of 23(9) minutes per fetus. Missingness ranged from 0% to 29%. CoV was similar across age groups for all variables (P<0.05), except ductus arteriosus mean velocity and left ventricular ejection time which were both higher at older gestational age. CoV was >15% for right ventricular systolic and diastolic widths despite fair to good repeatability (ICC>0.5); ductal velocities and 2D measures, left ventricular short axis dimensions, and isovolumic times all had high CoV and high interobserver variability despite good to excellent intraobserver agreement (ICC>0.6). CoV did not improve when ratios (e.g. tricuspid:mitral annulus) were used instead of linear measurements. Overall, 27 variables had acceptable inter- and intraobserver repeatability, while 14 had excessive variability between readers despite good intraobserver agreement.

CONCLUSIONS: There is considerable variability in fetal echocardiographic quantification in clinical practice that may affect the design of multicenter fetal echocardiography Z-score studies, and not all measurements may be feasible for standard normalization. As missingness was substantial, a prospective design will be needed. Data from this pilot study may aid in the calculation of sample sizes and inform thresholds for distinguishing clinically significant from statistically significant effects.

PMID:37302438 | DOI:10.1016/j.echo.2023.05.010

Brain Behav Immun. 2023 Jun 9:S0889-1591(23)00147-2. doi: 10.1016/j.bbi.2023.06.005. Online ahead of print.

ABSTRACT

BACKGROUND: Inflammation and depressed mood constitute clinically relevant vulnerability factors for enhanced interoceptive sensitivity and chronic visceral pain, but their putative interaction remains untested in human mechanistic studies. We tested interaction effects of acute systemic inflammation and sad mood on the expectation and experience of visceral pain by combining experimental endotoxemia with a mood induction paradigm.

METHODS: The double-blind, placebo-controlled, balanced crossover fMRI-trial in N=39 healthy male and female volunteers involved 2 study days with either intravenous administration of low-dose lipopolysaccharide (LPS, 0.4ng/kg body weight; inflammation condition) or saline (placebo condition). On each study, day two scanning sessions were conducted in an experimentally induced negative (i.e., sad) and in a neutral mood state, accomplished in balanced order. As a model of visceral pain, rectal distensions were implemented, which were initially calibrated to be moderately painful. In all sessions, an identical series of visceral pain stimuli was accomplished, signaled by predictive visual conditioning cues to assess pain anticipation. We assessed neural activation during the expectation and experience of visceral pain, along with unpleasantness ratings in a condition combining an inflammatory state with sad mood and in control conditions. All statistical analyses were accomplished using sex as covariate.

RESULTS: LPS administration led to an acute systemic inflammatory response (inflammation X time interaction effects for TNF-α, IL-6, and sickness symptoms, all p<.001). The mood paradigm effectively induced distinct mood states (mood X time interaction, p<.001), with greater sadness in the negative mood conditions (both p<.001) but no difference between LPS and saline conditions. Significant main and interaction effects of inflammation and negative mood were observed for pain unpleasantness (all p<.05). During cued pain anticipation, a significant inflammation X mood interaction emerged for activation of the bilateral caudate nucleus and right hippocampus (all p_FWE<.05). Main effects of both inflammation and mood were observed in multiple regions, including insula, midcingulate cortex, prefrontal gyri, and hippocampus for inflammation, and midcingulate, caudate, and thalamus for mood (all p_FWE<0.05).

CONCLUSIONS: Results support an interplay of inflammation and sad mood on striatal and hippocampal circuitry engaged during visceral pain anticipation as well as on pain experience. This may reflect a nocebo mechanism, which may contribute to altered perception and interpretation of bodily signals. At the interface of affective neuroscience and the gut-brain axis, concurrent inflammation and negative mood may be vulnerability factors for chronic visceral pain.

PMID:37302437 | DOI:10.1016/j.bbi.2023.06.005