Objective:Non-pharmacological treatments of traditional medical systems are becoming recognized in management of respiratory diseases,especially COVID-19.This study was designed to evaluate the effec-tiveness of acupu...Objective:Non-pharmacological treatments of traditional medical systems are becoming recognized in management of respiratory diseases,especially COVID-19.This study was designed to evaluate the effec-tiveness of acupuncture as an adjuvant therapy in hospitalized patients with COVID-19.Methods:This randomized controlled trial was performed on 70 moderate to severe hospitalized patients with COVID-19.Patients were randomized into two groups,receiving conventional treatment alone or in combination with acupuncture for 7 days.Both groups were followed up for 28 days.Respiratory rate and SpO_(2)were considered as primary outcomes.Additionally,respiratory symptoms(cough,dyspnea,chest tightness,and oxygen demand)and duration of hospitalization,ICU admission,intubation,and mortality rate were evaluated.The outcome assessor and data analyst were blinded.Results:Acupuncture significantly improved respiratory rate and SpO_(2)after 3 days(v.s.7 days in con-trol group).SpO_(2)reached 93%from the third day of conducting acupuncture.Respiratory symptoms were relieved after 7 days in the both groups,but were significant from day 3 in the acupuncture group(P<0.001).Duration of hospitalization was less in the acupuncture group(3 days v.s.11 days),with no ICU admission,intubation or death.In contrast,8 patients in the control group were admitted to ICU,of whom 4 were intubated and died.No adverse effect was reported.Conclusion:Acupuncture can play a significant role as a safe and effective complementary treatment in the management of COVID-19.展开更多
Endometriosis is an estrogen-dependent inflammatory disease,defined by the presence of functional endometrial tissue outside of the uterine cavity.This disease is one of the main gynecological diseases,affecting aroun...Endometriosis is an estrogen-dependent inflammatory disease,defined by the presence of functional endometrial tissue outside of the uterine cavity.This disease is one of the main gynecological diseases,affecting around 10%-15%women and girls of reproductive age,being a common gynecologic disorder.Although endometriosis is a benign disease,it shares several characteristics with invasive cancer.Studies support that it has been linked with an increased chance of developing endometrial ovarian cancer,representing an earlier stage of neoplastic processes.This is particularly true for women with clear cell carcinoma,low-grade serous carcinoma and endometrioid.However,the carcinogenic pathways between both pathologies remain poorly understood.Current studies suggest a connection between endometriosis and endometriosis-associated ovarian cancers(EAOCs)via pathways associated with oxidative stress,inflammation,and hyperestrogenism.This article aims to review current data on the molecular events linked to the development of EAOCs from endometriosis,specifically focusing on the complex relationship between the immune response to endometriosis and cancer,including the molecular mechanisms and their ramifications.Examining recent developments in immunotherapy and their potential to boost the effectiveness of future treatments.展开更多
Diphtheria is a fulminant bacterial disease caused by toxigenic strains of Corynebacterium diphtheriae whose local and systemic manifestations are due to the action of the diphtheria toxin (DT). The vaccine which is u...Diphtheria is a fulminant bacterial disease caused by toxigenic strains of Corynebacterium diphtheriae whose local and systemic manifestations are due to the action of the diphtheria toxin (DT). The vaccine which is used to prevent diphtheria worldwide is a toxoid obtained by detoxifying DT. Although associated with high efficacy in the prevention of disease, the current anti-diphtheria vaccine, one of the components of DTP (diphtheria, tetanus and pertussis triple vaccine), may present post vaccination effects such as toxicity and reactogenicity resulting from the presence of contaminants in the vaccine that originated during the process of production and/or detoxification. Therefore, strategies to develop a less toxic and at the same time economically viable vaccine alternatives are needed to improve existing vaccines in use worldwide. In this study, the Moreau substrain of BCG which is used in Brazil as a live vaccine against human tuberculosis was genetically modified to carry and express the gene encoding for the diphtheria toxin fragment B (DTB). As such, the DNA sequence encoding the dtb gene was cloned into the pUS977 shuttle vector for cytoplasmic expression and successfully introduced into BCG cells by electroporation. Mice immunized with recombinant BCG expressing DTB showed seroconversion with the detection of specific antibodies against DTB. Also, rBCGs stably expressing DTB persisted up to 60 days in the absence of selective pressure in mice and cell viability did not change significantly during the period tested. Finally, immune sera from BALB/c mice vaccinated with rBCGpUS977dtbPW8 were preliminarily tested for their capacity of neutralizing the diphtheria toxin in the Vero Cells assay.展开更多
AIM: To explore the usefulness of magnetic resonance imaging(MRI) and spectroscopy(MRS) for assessment of non-alcoholic fat liver disease(NAFLD) as compared with liver histological and metabolomics findings. METHODS: ...AIM: To explore the usefulness of magnetic resonance imaging(MRI) and spectroscopy(MRS) for assessment of non-alcoholic fat liver disease(NAFLD) as compared with liver histological and metabolomics findings. METHODS: Patients undergoing bariatric surgery following procedures involved in laparoscopic sleeve gastrectomy were recruited as a model of obesityinduced NAFLD in an observational, prospective, singlesite, cross-sectional study with a pre-set duration of 1 year. Relevant data were obtained prospectively and surrogates for inflammation, oxidative stress and lipid and glucose metabolism were obtained through standard laboratory measurements. To provide reliable data from MRI and MRS, novel procedures were designed to limit sampling variability and other sources of error using a 1.5T Signa HDx scanner and protocols acquired from the 3D or 2D Fat SAT FIESTA prescription manager. We used our previously described 1H NMRbased metabolomics assays. Data were obtained immediately before surgery and after a 12-mo period including histology of the liver and measurement of metabolites. Values from 1H NMR spectra obtained after surgery were omitted due to technical limitations.RESULTS: MRI data showed excellent correlation with the concentration of liver triglycerides, other hepatic lipid components and the histological assessment, w h i c h e xc l u d e d t h e p r e s e n c e o f n o n-a l c o h o l i c steatohepatitis(NASH). MRI was sufficient to follow up NAFLD in obese patients undergoing bariatric surgery and data suggest usefulness in other clinical situations. The information provided by MRS replicated that obtained by MRI using the-CH3 peak(0.9 ppm), the-CH2- peak(1.3 ppm, mostly triglyceride) and the-CH=CH- peak(2.2 ppm). No patient depicted NASH. After surgery all patients significantly decreased their body weight and steatosis was virtually absent even in patients with previous severe disease. Improvement was also observed in the serum concentrations of selected variables. The most relevant findings using metabolomics indicate increased levels of triglyceride and monounsaturated fatty acids in severe steatosis but those results were accompanied by a significant depletion of diglycerides, polyunsaturated fatty acids, glucose-6-phosphate and the ATP/AMP ratio. Combined data indicated the coordinated action on mitochondrial fat oxidation and glucose transport activity and may support the consideration of NAFLD as a likely mitochondrial disease. This concept may helpto explain the dissociation between excess lipid storage in adipose tissue and NAFLD and may direct the search for plasma biomarkers and novel therapeutic strategies. A limitation of our study is that data were obtained in a relatively low number of patients.CONCLUSION: MRI is sufficient to stage NAFLD in obese patients and to assess the improvement after bariatric surgery. Other data were superfluous for this purpose.展开更多
AIM To assess the relationship between the presence of toll-like receptor 4(TLR4) polymorphisms and bacterial infections in cirrhotic patients with ascites. METHODS We prospectively included consecutive patients with ...AIM To assess the relationship between the presence of toll-like receptor 4(TLR4) polymorphisms and bacterial infections in cirrhotic patients with ascites. METHODS We prospectively included consecutive patients with cirrhosis and ascites hospitalized during a 6-year period. Patients with human immunodeficiency virus(HIV) infection or any other immunodeficiency, patients with advanced hepatocellular carcinoma(beyond Milan's criteria) or any other condition determining poor short-term prognosis, and patients with a permanent urinary catheter were excluded. The presence of D299 G and/or T399 I TLR4 polymorphisms was determined by sequencing and related to the incidence and probability of bacterial infections, other complications of cirrhosis, hepatocellular carcinoma, and mortality during follow-up. A multivariate analysis to identify predictive variables of mortality in the whole series was performed. RESULTS We included 258 patients: 28(10.8%) were carriers of D299G and/or T399I TLR4 polymorphisms(polymorphism group) and 230 patients were not(wildtype group). The probability of developing any bacterial infection at one-year follow-up was 78% in the polymorphism group and 69% in the wild-type group(P = 0.54). The one-year probability of presenting infections caused by gram-negative bacilli(51% vs 44%, P = 0.68), infections caused by gram-positive cocci(49% vs 40%, P = 0.53), and spontaneous bacterial peritonitis(29% vs 34%, respectively, P = 0.99) did not differ between the two groups. The oneyear probability of transplant-free survival was 55% in the polymorphism group and 66% in the wild-type group(P = 0.15). Multivariate analysis confirmed that age, Child-Pugh score, active alcohol intake, previous hepatic encephalopathy, hepatocellular carcinoma and serum creatinine were associated with a higher risk of death during follow-up. CONCLUSION Genetic polymorphisms D299 G and/or T399 I of TLR4 do not seem to play a relevant role in the predisposition of cirrhotic patients with ascites to bacterial infections.展开更多
This paper presents the earth’s magnetic field variations on quiet days using data from 2011 to 2014 provided by the AMBER station located at the University of Yaoundé 1 (Cameroon), whose geographic and geomagne...This paper presents the earth’s magnetic field variations on quiet days using data from 2011 to 2014 provided by the AMBER station located at the University of Yaoundé 1 (Cameroon), whose geographic and geomagnetic coordinates are respectively: (3.87°N, 11.52°E) and (5.8°S, 83.1°E). The variability of the H horizontal component of the Earth’s magnetic field was examined using the North (X) and East (Y) components of the earth’s magnetic field. The H component is then used to calculate and analyze the diurnal, monthly and seasonal Solar quiet variations Sq (H) observed in Yaoundé-Cameroon during quiet magnetic days. The results obtained show that the Sq (H) variations are seasonal. e.g., in Spring the Sq (H) amplitude (~72 nT) is larger than that of Autumn (~69 nT). The maximum values of Sq (H) vary from 48.8 nT to 57.12 nT in summer and from 41 nT to 60 nT in winter from the years 2011 to 2014. In general, these maximum values are observed around 12:00 and 13:00 in local time. These results show that the morphology of Sq (H) in Yaoundé is presented as a function of seasons. Moreover, the Sq (H) values are negative during morning hours (01:00 - 06:00) and afternoon hours (18:00 - 24:00) in local time throughout all months and all seasons. This significant negative excursion of Sq (H) in Yaoundé during the night time might be due to other physical processes such as storms or thunderclouds or to the existence of a strong induced current in Yaoundé which can affect the ground-based instruments. By referring to the solar cycle 24, our results show that the Sq (H) amplitude varies with the solar activity. The aim of this work is to analyze the diurnal, monthly and seasonal variations of Sq (H) observed in Yaoundé from 2011 to 2014.展开更多
The objective of this study is to determine the influence of soil physico-chemical factors on the spatial distribution of matorrals in the plain from Remchi to Béni-Saf located in the western region of Algeria. T...The objective of this study is to determine the influence of soil physico-chemical factors on the spatial distribution of matorrals in the plain from Remchi to Béni-Saf located in the western region of Algeria. This study informs us of the relationships that soil can have on the diversity of matorrals. On the bioclimatic level, the region is characterized by semi-aridity accentuating the phenomena of thérophysation. Soil analyzes carried out using known methods (Stokes Particle Size Method, Electrometric Method for pH, 1/5 Extract Method for Electrical Conductivity, Bernard Calcium Method for CaCO3, Anne Method for Organic Carbon). The results show a textural diversity;sandy-muddy “Remchi”, sandy “Rachgoun 1 and Rechgoun 2”, not far from Béni-Saf. The low clay content (Remchi: Profile 1: Horizon 1: Clays 10%, Profile 2: Horizon 1: Clays 16%, Profile 3: Horizon 1: Clays 5%, Rechgoun: Profile 1: Horizon 1: Clays 3%, Profile 3: Horizon 1: 2% Clays and Horizon 2: 3% Clays) leads to poor structural stability leading to degradation of the soil surface through erosion. The latter is revealed by the presence of small erosion claws visible on these rough slopes or almost.展开更多
Copper-based composites strengthened by ceria nanoparticles were processed by conventional powder metallurgy: mixing (30 min and 46 rpm), compaction (cold, uniaxial, 1080 MPa for 10 s) and sintering (800°C for 6 ...Copper-based composites strengthened by ceria nanoparticles were processed by conventional powder metallurgy: mixing (30 min and 46 rpm), compaction (cold, uniaxial, 1080 MPa for 10 s) and sintering (800°C for 6 h in vacuum atmosphere of 10−5 torr). It was studied the microstructure (optical microscopy, scanning electron microscopy), X-ray diffraction with Rietveld refinement and some properties (electrical conductivity, Vickers hardness and fracture analysis) of the compositions 92 wt% Cu - 8 wt% CeO2 and 80 wt% Cu - 20 wt% CeO2. The results showed uniform phase distribution, low porosity and ceria disperse inside copper grain. In despite of properties, the composites had electrical conductivity of 38% IACS and 15% IACS and hardness of 69 and 88 HV5, respectively. The results of 92 wt% Cu - 8 wt% CeO2 composites were promising, and they are in according with actual literature.展开更多
Radar Absorbing Materials(RAM)are a class of composites that can attenuate incident electromagnetic waves to avoid radar detection.Most carbon allotropes that have the potential to be used as RAM are either carbon nan...Radar Absorbing Materials(RAM)are a class of composites that can attenuate incident electromagnetic waves to avoid radar detection.Most carbon allotropes that have the potential to be used as RAM are either carbon nano-tubes(CNTs),graphene,carbon black(CB)and ultimately,sustainable porous carbon(SPC).Here,black wattle bark waste(following tannin extraction)was used as a sustainable source to produce SPC made from biomass waste.It was characterized and used as afiller for a silicone rubber matrix to produce aflexible RAM.The elec-tromagnetic performance of this composite was compared with composites made with commercial CB and CNT through reflection loss(RL),where-10 dB is equivalent to 90%of attenuation.These composites were evaluated in single-layer,double-layer,and as radar absorbing structures(RAS)with the aim of improving their effective absorption bandwidth(EAB)performances and a reduction in costs.The CNT composite presented a RL of-26.85 dB at 10.89 GHz and an EAB of 2.6 GHz with a 1.9 mm thickness,while the double-layer structures using CNT and SPC provided a RL of-19.74 dB at 10.75 GHz and an EAB of 2.51 GHz.Furthermore,the double-layer structures are~42%cheaper than the composite using only CNT since less material is used.Finally,the largest EAB was achieved with a RAS using SPC,reaching~2.8 GHz and a RL of-49.09 dB at 10.4 GHz.Summarizing,SPC made of black wattle bark waste can be a competitive,alternative material for use as RAM and RAS since it is cheaper,sustainable,and suitable for daily life uses such as absorbers for anechoic chambers,sensors,and elec-tromagnetic interference shields for electronics,wallets,vehicles,and others.展开更多
Objective: To assess emergency department utilization at a semi-urban (resource-limited) Nigerian hospital. Methods: A systematic random sampling technique was adopted. A proforma was used to obtain general informatio...Objective: To assess emergency department utilization at a semi-urban (resource-limited) Nigerian hospital. Methods: A systematic random sampling technique was adopted. A proforma was used to obtain general information such as age, gender, mode of transfer, time of presentation, symptom duration, diagnoses, treatment duration, treatment outcome (transfer to the ward, referral to another hospital, discharge or death) and date and time of discharge. Chi-square test and logistic regression analysis were used to determine the association of variables with mortality and predictors, respectively. Results: Patients were predominantly male (62.2%) with a mean age of (36.0±19.0) years. Most visits occurred in September (49.1%). The median symptom duration was 24 h (interquartile range: 4.0, 72.0 ). More incidences were caused by non-surgical (61.9%) than surgical reasons. Infectious diseases (predominantly malaria, 34.5%) and injuries from road traffic accidents (mostly head injuries, 9.4%) were the commonest non-surgical and surgical cause, respectively. The mortality rate was 9.2%. Typhoid-intestinal-perforation and sepsis contributed 45.2% of overall mortality. Age (x2=16.44, P<0.001), symptom duration (x2=22.57, P<0.001), and visiting month (Fishers exact, P=0.002) were associated with mortality. Moreover, age ( 37 years) (OR=4.60, 95%CI=1.96-10.82, P<0.001) and visiting in September/October (OR=4.01, 95%CI=1.47-10.93, P=0.007) were the predictors of mortality. Conclusions: Though most patients in emergency department survive, the mortality is still high. Appropriate hospital and community interventions should be implemented to reduce mortality.展开更多
The family farm of the Upper Solim?es region has maintained the great genetic variability of the pumpkin (Cucurbita maxima Duchesne) by the in situ conservation of the landraces which are widely used as human food. Th...The family farm of the Upper Solim?es region has maintained the great genetic variability of the pumpkin (Cucurbita maxima Duchesne) by the in situ conservation of the landraces which are widely used as human food. The aim of this study was to estimate the current level of genetic variability of pumpkin landraces by means of estimation techniques of genetic parameters. Landraces areas samples were the family farming production units located in floodplains ecosystems of Benjamin Constant (Upper Solim?es River) and Iranduba (Lower Solim?es River), Amazonas. The split-plot designs were adopted at the treatments where the main plots were the five pumpkin landraces and one commercial cultivar. Each landrace was obtained six half sib families distributed in the sub-plots. Among the results of this study, it can be concluded that the genetic variation within the each landrace is greater than the genetic variation among the landraces. The qualitative morphological characteristics bring together half-sib families collected in geographically distant locations. It can be concluded that, through the estimation of genetic parameters, there is genetic variability among local cultivars collected in family farming of Benjamin Constant and Iranduba, Amazonas.展开更多
Virgin olive oil is obtained from the fruit of the olive tree, and only using physical processes, without resorting to refining steps, the absence of the latter allows the olive oil to retain all its antioxidants. Thi...Virgin olive oil is obtained from the fruit of the olive tree, and only using physical processes, without resorting to refining steps, the absence of the latter allows the olive oil to retain all its antioxidants. This work is a contribution to the characterization of the properties of olive oil in the region of Tlemcen. They relate more particularly to the comparison of the physicochemical properties of two oils, one from traditional extraction and the other from industrial extraction. To do this, the first objective of studies of the two chains of transformation (traditional and industrial) was made followed by a physicochemical and organoleptic comparison of these two oils of olives, to conclude on the advantages and disadvantages of each of the two processes.展开更多
This study has allowed to classify the marine macroalgae from the intertidal zone on the Atlantic side of Cap Estérias (Gabon). This area has a rich biodiversity but very few studies in the knowledge of benthic m...This study has allowed to classify the marine macroalgae from the intertidal zone on the Atlantic side of Cap Estérias (Gabon). This area has a rich biodiversity but very few studies in the knowledge of benthic macroalgae have been done. The first study on the knowledge of the algae of the Gabonese coast was made in February 1974 by John and Lawson. This article has been revised to transcribe books and our study would aim to update the existing collection. The algae census is spread over a year from August 2020 to August 2021 and is the first detailed study carried out over a year, with regard to this part of the Gabonese coast. This study has allowed to know the specific diversity, to determine the structure of the flora and its spread out over time. The results show a significant algal diversity of thirty five (35) identified species. Three classes of macroalgae were determined and the percentage of species in the class (%EC): Floridaophyceae at 50% EC, Phaeophyceae at 30% EC and Ulvophyceae at 20% EC. The red algae are the most common in the area with sixteen (16) species determined against twelve (12) species of brown algae and seven (7) species of green algae. The Phaeophyceae class presents the Dictyotaceae family which is the most diverse with 7 species found. Some species seen appear in the collection of John et al., but others are new species encountered in Gabon such as Caulerpa sertularioides, Bryopsis plumosa (two Ulvophytes), Padina arborescens which is a Pheophyte and Galaxaura filamentosa, Digenea simplex,Hildenbrandia rubra, Asparagopsis armata and Caulacanthus ustulatus which are Rhodophytes. Some species are permanently present, they are found in all seasons but with significant abundance from July to September.展开更多
Lithium-ion batteries(LIBs)containing graphite as anode material and LiCoO_(2),LiMn_(2)O_(4),and LiNi_(x)Mn_(y)Co_(z)O_(2) as cathode materials are the most used worldwide because of their high energy density,capacita...Lithium-ion batteries(LIBs)containing graphite as anode material and LiCoO_(2),LiMn_(2)O_(4),and LiNi_(x)Mn_(y)Co_(z)O_(2) as cathode materials are the most used worldwide because of their high energy density,capacitance,durability,and safety.However,such widespread use implies the generation of large amounts of electronic waste.It is estimated that more than 11 million ton of LIBs waste will have been generated by 2030.Battery recycling can contribute to minimizing environmental contamination and reducing production costs through the recovery of high-value raw materials such as lithium,cobalt,and nickel.The most common processes used to recycle spent LIBs are pyrometallurgical,biometallurgical,and hydrometallurgical.Given the current scenario,it is necessary to develop environmentally friendly methods to recycle batteries and synthesize materials with multiple technological applications.This study presents a review of industrial and laboratory processes for recycling spent LIBs and producing materials that can be used in new batteries,energy storage devices,electrochemical sensors,and photocatalytic reactions.展开更多
Urban populations today are exposed to high levels of noise, which may cause discomfort and lead to health problems. Most of these noises are traffic-generated;therefore, this study focuses on evaluating the soundscap...Urban populations today are exposed to high levels of noise, which may cause discomfort and lead to health problems. Most of these noises are traffic-generated;therefore, this study focuses on evaluating the soundscapes of urban open spaces to determine its importance for the health of the citizen, since such spaces can function as noise attenuators. The methodology of this study involved a literature review, computer simulations and interviews with users of the aforementioned open spaces. The case study was conducted in an urban area in the city of Vitória, state of Espírito Santo, Brazil. The results indicate that, in the period of this study, traffic noise dissipated through open spaces but noise levels still exceeded the maximum allowable levels established by regulations. Nevertheless, the population proved to be largely unaware of the noise. It should be pointed out that the areas under study are used predominantly as recreational spaces for health and wellbeing activities. The findings of this study may serve to underpin urban planning policies that encourage the inclusion of open spaces, especially in areas of high urban density where the transport system consists of motor vehicles, in order to help control urban noise.展开更多
With probable center of origin in Brazil, the species Jatropha curcas L., known as physic nut, is a tropical oilseed with potential for cultivation aiming at the production of biodiesel. This study was conducted with ...With probable center of origin in Brazil, the species Jatropha curcas L., known as physic nut, is a tropical oilseed with potential for cultivation aiming at the production of biodiesel. This study was conducted with the objective of investigating the genetic variability regarding the morphology of seeds of physic nut, using biometric analyses to identify variables that have potential for the study of the diversity of the species and the classification of genotypes. Seeds of 22 genotypes of physic nut, from the germplasm bank of Embrapa Agroenergia (Brazil) were evaluated regarding characteristics of size and mass. The genotypes of Jatropha curcas L. selected by the Brazilian breeding program presented high diversity for characteristics of the seeds, allowing the exploration of this genetic variability to classify genotypes in different groups. In addition, variables related to the biomass of the seeds present high relative contributions to the diversity observed in the genotypes.展开更多
In order to preserve the environment, various treatment processes of wastewater discharges are used. Anaerobic digestion is part and allows among other things the production of sludge. The use of sewage sludge in semi...In order to preserve the environment, various treatment processes of wastewater discharges are used. Anaerobic digestion is part and allows among other things the production of sludge. The use of sewage sludge in semi arid, characterized by a binding climate, anthropozoogenic pressure and erosion, more increasingly important, is a solution for the restoration of degraded forest lands. In this study, the effect of an intake of composts from urban sewage sludge on soil quality has been studied in-situ soils degraded in semi arid area. The research followed in this work methodology is the first to evaluate the effectiveness of contribution of compost over time on the restoration of the physico-chemical quality of forest soils, then to evaluate the effectiveness of compost quality depending on the state of disturbance of the ecosystem to restore the chemical quality of these soils. Our results show a significant effect of sewage sludge on soil’s physical and chemical characters that have been processed. This effect was delivered by the holding capacity increase, ammonium ions, inorganic phosphorus, total nitrogen, the carbon and the organic matter in these soils. This research is to show that sewage sludge are rich in easily mineralizable organic matter and are supposed to be the most suitable for the restoration of soil most impacted by the antropozoogene action. These contributions would quickly revitalize these soils by labile resource inputs.展开更多
文摘Objective:Non-pharmacological treatments of traditional medical systems are becoming recognized in management of respiratory diseases,especially COVID-19.This study was designed to evaluate the effec-tiveness of acupuncture as an adjuvant therapy in hospitalized patients with COVID-19.Methods:This randomized controlled trial was performed on 70 moderate to severe hospitalized patients with COVID-19.Patients were randomized into two groups,receiving conventional treatment alone or in combination with acupuncture for 7 days.Both groups were followed up for 28 days.Respiratory rate and SpO_(2)were considered as primary outcomes.Additionally,respiratory symptoms(cough,dyspnea,chest tightness,and oxygen demand)and duration of hospitalization,ICU admission,intubation,and mortality rate were evaluated.The outcome assessor and data analyst were blinded.Results:Acupuncture significantly improved respiratory rate and SpO_(2)after 3 days(v.s.7 days in con-trol group).SpO_(2)reached 93%from the third day of conducting acupuncture.Respiratory symptoms were relieved after 7 days in the both groups,but were significant from day 3 in the acupuncture group(P<0.001).Duration of hospitalization was less in the acupuncture group(3 days v.s.11 days),with no ICU admission,intubation or death.In contrast,8 patients in the control group were admitted to ICU,of whom 4 were intubated and died.No adverse effect was reported.Conclusion:Acupuncture can play a significant role as a safe and effective complementary treatment in the management of COVID-19.
文摘Endometriosis is an estrogen-dependent inflammatory disease,defined by the presence of functional endometrial tissue outside of the uterine cavity.This disease is one of the main gynecological diseases,affecting around 10%-15%women and girls of reproductive age,being a common gynecologic disorder.Although endometriosis is a benign disease,it shares several characteristics with invasive cancer.Studies support that it has been linked with an increased chance of developing endometrial ovarian cancer,representing an earlier stage of neoplastic processes.This is particularly true for women with clear cell carcinoma,low-grade serous carcinoma and endometrioid.However,the carcinogenic pathways between both pathologies remain poorly understood.Current studies suggest a connection between endometriosis and endometriosis-associated ovarian cancers(EAOCs)via pathways associated with oxidative stress,inflammation,and hyperestrogenism.This article aims to review current data on the molecular events linked to the development of EAOCs from endometriosis,specifically focusing on the complex relationship between the immune response to endometriosis and cancer,including the molecular mechanisms and their ramifications.Examining recent developments in immunotherapy and their potential to boost the effectiveness of future treatments.
基金The authors gratefully acknowledge supported by Bio-Manguinhos/FIOCRUZ,PAPESII/FIOCRUZ,FAPERJ,CNPq,CAPES,Programa de Nucleo de Excelencia(PRONEX/MCT/CNPq)We thank Fundacao Ataulfo de Paiva for the strain of BCG.
文摘Diphtheria is a fulminant bacterial disease caused by toxigenic strains of Corynebacterium diphtheriae whose local and systemic manifestations are due to the action of the diphtheria toxin (DT). The vaccine which is used to prevent diphtheria worldwide is a toxoid obtained by detoxifying DT. Although associated with high efficacy in the prevention of disease, the current anti-diphtheria vaccine, one of the components of DTP (diphtheria, tetanus and pertussis triple vaccine), may present post vaccination effects such as toxicity and reactogenicity resulting from the presence of contaminants in the vaccine that originated during the process of production and/or detoxification. Therefore, strategies to develop a less toxic and at the same time economically viable vaccine alternatives are needed to improve existing vaccines in use worldwide. In this study, the Moreau substrain of BCG which is used in Brazil as a live vaccine against human tuberculosis was genetically modified to carry and express the gene encoding for the diphtheria toxin fragment B (DTB). As such, the DNA sequence encoding the dtb gene was cloned into the pUS977 shuttle vector for cytoplasmic expression and successfully introduced into BCG cells by electroporation. Mice immunized with recombinant BCG expressing DTB showed seroconversion with the detection of specific antibodies against DTB. Also, rBCGs stably expressing DTB persisted up to 60 days in the absence of selective pressure in mice and cell viability did not change significantly during the period tested. Finally, immune sera from BALB/c mice vaccinated with rBCGpUS977dtbPW8 were preliminarily tested for their capacity of neutralizing the diphtheria toxin in the Vero Cells assay.
基金Supported by Universitat Rovira I Virgili and the Hospital de Sant Joan de ReusSome aspects have been funded by grantsfrom the Carlos III Health Institute,Madrid,Spain and the European Fund for Regional Development,No.PI08/1381 and No.PI11/00130
文摘AIM: To explore the usefulness of magnetic resonance imaging(MRI) and spectroscopy(MRS) for assessment of non-alcoholic fat liver disease(NAFLD) as compared with liver histological and metabolomics findings. METHODS: Patients undergoing bariatric surgery following procedures involved in laparoscopic sleeve gastrectomy were recruited as a model of obesityinduced NAFLD in an observational, prospective, singlesite, cross-sectional study with a pre-set duration of 1 year. Relevant data were obtained prospectively and surrogates for inflammation, oxidative stress and lipid and glucose metabolism were obtained through standard laboratory measurements. To provide reliable data from MRI and MRS, novel procedures were designed to limit sampling variability and other sources of error using a 1.5T Signa HDx scanner and protocols acquired from the 3D or 2D Fat SAT FIESTA prescription manager. We used our previously described 1H NMRbased metabolomics assays. Data were obtained immediately before surgery and after a 12-mo period including histology of the liver and measurement of metabolites. Values from 1H NMR spectra obtained after surgery were omitted due to technical limitations.RESULTS: MRI data showed excellent correlation with the concentration of liver triglycerides, other hepatic lipid components and the histological assessment, w h i c h e xc l u d e d t h e p r e s e n c e o f n o n-a l c o h o l i c steatohepatitis(NASH). MRI was sufficient to follow up NAFLD in obese patients undergoing bariatric surgery and data suggest usefulness in other clinical situations. The information provided by MRS replicated that obtained by MRI using the-CH3 peak(0.9 ppm), the-CH2- peak(1.3 ppm, mostly triglyceride) and the-CH=CH- peak(2.2 ppm). No patient depicted NASH. After surgery all patients significantly decreased their body weight and steatosis was virtually absent even in patients with previous severe disease. Improvement was also observed in the serum concentrations of selected variables. The most relevant findings using metabolomics indicate increased levels of triglyceride and monounsaturated fatty acids in severe steatosis but those results were accompanied by a significant depletion of diglycerides, polyunsaturated fatty acids, glucose-6-phosphate and the ATP/AMP ratio. Combined data indicated the coordinated action on mitochondrial fat oxidation and glucose transport activity and may support the consideration of NAFLD as a likely mitochondrial disease. This concept may helpto explain the dissociation between excess lipid storage in adipose tissue and NAFLD and may direct the search for plasma biomarkers and novel therapeutic strategies. A limitation of our study is that data were obtained in a relatively low number of patients.CONCLUSION: MRI is sufficient to stage NAFLD in obese patients and to assess the improvement after bariatric surgery. Other data were superfluous for this purpose.
基金Supported by(partially)from the Instituto de Salud CarlosⅢ,Madrid,Spain,No.PI0900357cofinanced by Fondos FEDER(Fondo Europeo de Desarrollo Regional)+3 种基金“Una manera de hacer Europa”,European Union,and CERCA Programme,Generalitat de CatalunyaSilvia Vidal was supported by Fondo de Investigaciones Sanitarias(FIS)a participant in the Program for Stabilization of Investigators of the Direcciód’Estrategia i Coordinaciódel Departament de Salut,Generalitat de CatalunyaEdilmar Alvarado-Tapias is a recipient of a“Río Hortega”fellowship grant from the Instituto de Salud CarlosⅢ,No.CM16/00133
文摘AIM To assess the relationship between the presence of toll-like receptor 4(TLR4) polymorphisms and bacterial infections in cirrhotic patients with ascites. METHODS We prospectively included consecutive patients with cirrhosis and ascites hospitalized during a 6-year period. Patients with human immunodeficiency virus(HIV) infection or any other immunodeficiency, patients with advanced hepatocellular carcinoma(beyond Milan's criteria) or any other condition determining poor short-term prognosis, and patients with a permanent urinary catheter were excluded. The presence of D299 G and/or T399 I TLR4 polymorphisms was determined by sequencing and related to the incidence and probability of bacterial infections, other complications of cirrhosis, hepatocellular carcinoma, and mortality during follow-up. A multivariate analysis to identify predictive variables of mortality in the whole series was performed. RESULTS We included 258 patients: 28(10.8%) were carriers of D299G and/or T399I TLR4 polymorphisms(polymorphism group) and 230 patients were not(wildtype group). The probability of developing any bacterial infection at one-year follow-up was 78% in the polymorphism group and 69% in the wild-type group(P = 0.54). The one-year probability of presenting infections caused by gram-negative bacilli(51% vs 44%, P = 0.68), infections caused by gram-positive cocci(49% vs 40%, P = 0.53), and spontaneous bacterial peritonitis(29% vs 34%, respectively, P = 0.99) did not differ between the two groups. The oneyear probability of transplant-free survival was 55% in the polymorphism group and 66% in the wild-type group(P = 0.15). Multivariate analysis confirmed that age, Child-Pugh score, active alcohol intake, previous hepatic encephalopathy, hepatocellular carcinoma and serum creatinine were associated with a higher risk of death during follow-up. CONCLUSION Genetic polymorphisms D299 G and/or T399 I of TLR4 do not seem to play a relevant role in the predisposition of cirrhotic patients with ascites to bacterial infections.
文摘This paper presents the earth’s magnetic field variations on quiet days using data from 2011 to 2014 provided by the AMBER station located at the University of Yaoundé 1 (Cameroon), whose geographic and geomagnetic coordinates are respectively: (3.87°N, 11.52°E) and (5.8°S, 83.1°E). The variability of the H horizontal component of the Earth’s magnetic field was examined using the North (X) and East (Y) components of the earth’s magnetic field. The H component is then used to calculate and analyze the diurnal, monthly and seasonal Solar quiet variations Sq (H) observed in Yaoundé-Cameroon during quiet magnetic days. The results obtained show that the Sq (H) variations are seasonal. e.g., in Spring the Sq (H) amplitude (~72 nT) is larger than that of Autumn (~69 nT). The maximum values of Sq (H) vary from 48.8 nT to 57.12 nT in summer and from 41 nT to 60 nT in winter from the years 2011 to 2014. In general, these maximum values are observed around 12:00 and 13:00 in local time. These results show that the morphology of Sq (H) in Yaoundé is presented as a function of seasons. Moreover, the Sq (H) values are negative during morning hours (01:00 - 06:00) and afternoon hours (18:00 - 24:00) in local time throughout all months and all seasons. This significant negative excursion of Sq (H) in Yaoundé during the night time might be due to other physical processes such as storms or thunderclouds or to the existence of a strong induced current in Yaoundé which can affect the ground-based instruments. By referring to the solar cycle 24, our results show that the Sq (H) amplitude varies with the solar activity. The aim of this work is to analyze the diurnal, monthly and seasonal variations of Sq (H) observed in Yaoundé from 2011 to 2014.
文摘The objective of this study is to determine the influence of soil physico-chemical factors on the spatial distribution of matorrals in the plain from Remchi to Béni-Saf located in the western region of Algeria. This study informs us of the relationships that soil can have on the diversity of matorrals. On the bioclimatic level, the region is characterized by semi-aridity accentuating the phenomena of thérophysation. Soil analyzes carried out using known methods (Stokes Particle Size Method, Electrometric Method for pH, 1/5 Extract Method for Electrical Conductivity, Bernard Calcium Method for CaCO3, Anne Method for Organic Carbon). The results show a textural diversity;sandy-muddy “Remchi”, sandy “Rachgoun 1 and Rechgoun 2”, not far from Béni-Saf. The low clay content (Remchi: Profile 1: Horizon 1: Clays 10%, Profile 2: Horizon 1: Clays 16%, Profile 3: Horizon 1: Clays 5%, Rechgoun: Profile 1: Horizon 1: Clays 3%, Profile 3: Horizon 1: 2% Clays and Horizon 2: 3% Clays) leads to poor structural stability leading to degradation of the soil surface through erosion. The latter is revealed by the presence of small erosion claws visible on these rough slopes or almost.
文摘Copper-based composites strengthened by ceria nanoparticles were processed by conventional powder metallurgy: mixing (30 min and 46 rpm), compaction (cold, uniaxial, 1080 MPa for 10 s) and sintering (800°C for 6 h in vacuum atmosphere of 10−5 torr). It was studied the microstructure (optical microscopy, scanning electron microscopy), X-ray diffraction with Rietveld refinement and some properties (electrical conductivity, Vickers hardness and fracture analysis) of the compositions 92 wt% Cu - 8 wt% CeO2 and 80 wt% Cu - 20 wt% CeO2. The results showed uniform phase distribution, low porosity and ceria disperse inside copper grain. In despite of properties, the composites had electrical conductivity of 38% IACS and 15% IACS and hardness of 69 and 88 HV5, respectively. The results of 92 wt% Cu - 8 wt% CeO2 composites were promising, and they are in according with actual literature.
文摘Radar Absorbing Materials(RAM)are a class of composites that can attenuate incident electromagnetic waves to avoid radar detection.Most carbon allotropes that have the potential to be used as RAM are either carbon nano-tubes(CNTs),graphene,carbon black(CB)and ultimately,sustainable porous carbon(SPC).Here,black wattle bark waste(following tannin extraction)was used as a sustainable source to produce SPC made from biomass waste.It was characterized and used as afiller for a silicone rubber matrix to produce aflexible RAM.The elec-tromagnetic performance of this composite was compared with composites made with commercial CB and CNT through reflection loss(RL),where-10 dB is equivalent to 90%of attenuation.These composites were evaluated in single-layer,double-layer,and as radar absorbing structures(RAS)with the aim of improving their effective absorption bandwidth(EAB)performances and a reduction in costs.The CNT composite presented a RL of-26.85 dB at 10.89 GHz and an EAB of 2.6 GHz with a 1.9 mm thickness,while the double-layer structures using CNT and SPC provided a RL of-19.74 dB at 10.75 GHz and an EAB of 2.51 GHz.Furthermore,the double-layer structures are~42%cheaper than the composite using only CNT since less material is used.Finally,the largest EAB was achieved with a RAS using SPC,reaching~2.8 GHz and a RL of-49.09 dB at 10.4 GHz.Summarizing,SPC made of black wattle bark waste can be a competitive,alternative material for use as RAM and RAS since it is cheaper,sustainable,and suitable for daily life uses such as absorbers for anechoic chambers,sensors,and elec-tromagnetic interference shields for electronics,wallets,vehicles,and others.
文摘Objective: To assess emergency department utilization at a semi-urban (resource-limited) Nigerian hospital. Methods: A systematic random sampling technique was adopted. A proforma was used to obtain general information such as age, gender, mode of transfer, time of presentation, symptom duration, diagnoses, treatment duration, treatment outcome (transfer to the ward, referral to another hospital, discharge or death) and date and time of discharge. Chi-square test and logistic regression analysis were used to determine the association of variables with mortality and predictors, respectively. Results: Patients were predominantly male (62.2%) with a mean age of (36.0±19.0) years. Most visits occurred in September (49.1%). The median symptom duration was 24 h (interquartile range: 4.0, 72.0 ). More incidences were caused by non-surgical (61.9%) than surgical reasons. Infectious diseases (predominantly malaria, 34.5%) and injuries from road traffic accidents (mostly head injuries, 9.4%) were the commonest non-surgical and surgical cause, respectively. The mortality rate was 9.2%. Typhoid-intestinal-perforation and sepsis contributed 45.2% of overall mortality. Age (x2=16.44, P<0.001), symptom duration (x2=22.57, P<0.001), and visiting month (Fishers exact, P=0.002) were associated with mortality. Moreover, age ( 37 years) (OR=4.60, 95%CI=1.96-10.82, P<0.001) and visiting in September/October (OR=4.01, 95%CI=1.47-10.93, P=0.007) were the predictors of mortality. Conclusions: Though most patients in emergency department survive, the mortality is still high. Appropriate hospital and community interventions should be implemented to reduce mortality.
文摘The family farm of the Upper Solim?es region has maintained the great genetic variability of the pumpkin (Cucurbita maxima Duchesne) by the in situ conservation of the landraces which are widely used as human food. The aim of this study was to estimate the current level of genetic variability of pumpkin landraces by means of estimation techniques of genetic parameters. Landraces areas samples were the family farming production units located in floodplains ecosystems of Benjamin Constant (Upper Solim?es River) and Iranduba (Lower Solim?es River), Amazonas. The split-plot designs were adopted at the treatments where the main plots were the five pumpkin landraces and one commercial cultivar. Each landrace was obtained six half sib families distributed in the sub-plots. Among the results of this study, it can be concluded that the genetic variation within the each landrace is greater than the genetic variation among the landraces. The qualitative morphological characteristics bring together half-sib families collected in geographically distant locations. It can be concluded that, through the estimation of genetic parameters, there is genetic variability among local cultivars collected in family farming of Benjamin Constant and Iranduba, Amazonas.
文摘Virgin olive oil is obtained from the fruit of the olive tree, and only using physical processes, without resorting to refining steps, the absence of the latter allows the olive oil to retain all its antioxidants. This work is a contribution to the characterization of the properties of olive oil in the region of Tlemcen. They relate more particularly to the comparison of the physicochemical properties of two oils, one from traditional extraction and the other from industrial extraction. To do this, the first objective of studies of the two chains of transformation (traditional and industrial) was made followed by a physicochemical and organoleptic comparison of these two oils of olives, to conclude on the advantages and disadvantages of each of the two processes.
文摘This study has allowed to classify the marine macroalgae from the intertidal zone on the Atlantic side of Cap Estérias (Gabon). This area has a rich biodiversity but very few studies in the knowledge of benthic macroalgae have been done. The first study on the knowledge of the algae of the Gabonese coast was made in February 1974 by John and Lawson. This article has been revised to transcribe books and our study would aim to update the existing collection. The algae census is spread over a year from August 2020 to August 2021 and is the first detailed study carried out over a year, with regard to this part of the Gabonese coast. This study has allowed to know the specific diversity, to determine the structure of the flora and its spread out over time. The results show a significant algal diversity of thirty five (35) identified species. Three classes of macroalgae were determined and the percentage of species in the class (%EC): Floridaophyceae at 50% EC, Phaeophyceae at 30% EC and Ulvophyceae at 20% EC. The red algae are the most common in the area with sixteen (16) species determined against twelve (12) species of brown algae and seven (7) species of green algae. The Phaeophyceae class presents the Dictyotaceae family which is the most diverse with 7 species found. Some species seen appear in the collection of John et al., but others are new species encountered in Gabon such as Caulerpa sertularioides, Bryopsis plumosa (two Ulvophytes), Padina arborescens which is a Pheophyte and Galaxaura filamentosa, Digenea simplex,Hildenbrandia rubra, Asparagopsis armata and Caulacanthus ustulatus which are Rhodophytes. Some species are permanently present, they are found in all seasons but with significant abundance from July to September.
基金the Brazilian Federal Agency for Support and Evaluation of Graduate Education(CAPES)the Brazilian National Council for Scientific and Technological Development(CNPq,306239/2019-1)for their financial support。
文摘Lithium-ion batteries(LIBs)containing graphite as anode material and LiCoO_(2),LiMn_(2)O_(4),and LiNi_(x)Mn_(y)Co_(z)O_(2) as cathode materials are the most used worldwide because of their high energy density,capacitance,durability,and safety.However,such widespread use implies the generation of large amounts of electronic waste.It is estimated that more than 11 million ton of LIBs waste will have been generated by 2030.Battery recycling can contribute to minimizing environmental contamination and reducing production costs through the recovery of high-value raw materials such as lithium,cobalt,and nickel.The most common processes used to recycle spent LIBs are pyrometallurgical,biometallurgical,and hydrometallurgical.Given the current scenario,it is necessary to develop environmentally friendly methods to recycle batteries and synthesize materials with multiple technological applications.This study presents a review of industrial and laboratory processes for recycling spent LIBs and producing materials that can be used in new batteries,energy storage devices,electrochemical sensors,and photocatalytic reactions.
文摘Urban populations today are exposed to high levels of noise, which may cause discomfort and lead to health problems. Most of these noises are traffic-generated;therefore, this study focuses on evaluating the soundscapes of urban open spaces to determine its importance for the health of the citizen, since such spaces can function as noise attenuators. The methodology of this study involved a literature review, computer simulations and interviews with users of the aforementioned open spaces. The case study was conducted in an urban area in the city of Vitória, state of Espírito Santo, Brazil. The results indicate that, in the period of this study, traffic noise dissipated through open spaces but noise levels still exceeded the maximum allowable levels established by regulations. Nevertheless, the population proved to be largely unaware of the noise. It should be pointed out that the areas under study are used predominantly as recreational spaces for health and wellbeing activities. The findings of this study may serve to underpin urban planning policies that encourage the inclusion of open spaces, especially in areas of high urban density where the transport system consists of motor vehicles, in order to help control urban noise.
文摘With probable center of origin in Brazil, the species Jatropha curcas L., known as physic nut, is a tropical oilseed with potential for cultivation aiming at the production of biodiesel. This study was conducted with the objective of investigating the genetic variability regarding the morphology of seeds of physic nut, using biometric analyses to identify variables that have potential for the study of the diversity of the species and the classification of genotypes. Seeds of 22 genotypes of physic nut, from the germplasm bank of Embrapa Agroenergia (Brazil) were evaluated regarding characteristics of size and mass. The genotypes of Jatropha curcas L. selected by the Brazilian breeding program presented high diversity for characteristics of the seeds, allowing the exploration of this genetic variability to classify genotypes in different groups. In addition, variables related to the biomass of the seeds present high relative contributions to the diversity observed in the genotypes.
文摘In order to preserve the environment, various treatment processes of wastewater discharges are used. Anaerobic digestion is part and allows among other things the production of sludge. The use of sewage sludge in semi arid, characterized by a binding climate, anthropozoogenic pressure and erosion, more increasingly important, is a solution for the restoration of degraded forest lands. In this study, the effect of an intake of composts from urban sewage sludge on soil quality has been studied in-situ soils degraded in semi arid area. The research followed in this work methodology is the first to evaluate the effectiveness of contribution of compost over time on the restoration of the physico-chemical quality of forest soils, then to evaluate the effectiveness of compost quality depending on the state of disturbance of the ecosystem to restore the chemical quality of these soils. Our results show a significant effect of sewage sludge on soil’s physical and chemical characters that have been processed. This effect was delivered by the holding capacity increase, ammonium ions, inorganic phosphorus, total nitrogen, the carbon and the organic matter in these soils. This research is to show that sewage sludge are rich in easily mineralizable organic matter and are supposed to be the most suitable for the restoration of soil most impacted by the antropozoogene action. These contributions would quickly revitalize these soils by labile resource inputs.
