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1.
BMC Plant Biol ; 24(1): 638, 2024 Jul 06.
Article in English | MEDLINE | ID: mdl-38971728

ABSTRACT

BACKGROUND: Drought periods are major evolutionary triggers of wood anatomical adaptive variation in Lower Tropical Montane Cloud Forests tree species. We tested the influence of historical drought events on the effects of ecological stress memory on latewood width and xylem vessel traits in two relict hickory species (Carya palmeri and Carya myristiciformis) from central-eastern Mexico. We hypothesized that latewood width would decrease during historical drought years, establishing correlations between growth and water stress conditions, and that moisture deficit during past tree growth between successive drought events, would impact on wood anatomical features. We analyzed latewood anatomical traits that developed during historical drought and pre- and post-drought years in both species. RESULTS: We found that repeated periods of hydric stress left climatic signatures for annual latewood growth and xylem vessel traits that are essential for hydric adaptation in tropical montane hickory species. CONCLUSIONS: Our results demonstrate the existence of cause‒effect relationships in wood anatomical architecture and highlight the ecological stress memory linked with historical drought events. Thus, combined time-series analysis of latewood width and xylem vessel traits is a powerful tool for understanding the ecological behavior of hickory species.


Subject(s)
Droughts , Wood , Mexico , Wood/anatomy & histology , Wood/physiology , Wood/growth & development , Stress, Physiological , Xylem/physiology , Xylem/anatomy & histology , Tropical Climate , Trees/physiology , Trees/anatomy & histology , Trees/growth & development , Fagales/anatomy & histology , Fagales/physiology , Adaptation, Physiological
2.
Carbon Balance Manag ; 19(1): 4, 2024 Feb 05.
Article in English | MEDLINE | ID: mdl-38315265

ABSTRACT

BACKGROUND: This article describes a new procedure to estimate the mean and variance of greenhouse gases (GHG) emission factors based on different, possibly conflicting, estimates for these emission factors. The procedure uses common information such as mean and standard deviation usually reported in IPCC (Intergovernmental Panel on Climate Change) database and other references in the literature that estimate emission factors. Essentially, it is a procedure in the class of meta-analysis, based on the computation of [Formula: see text], a new estimator for the variance of the emission factor. RESULTS: We discuss the quality of this estimator in terms of its probability distribution and show that it is unbiased. The resulting confidence interval for the mean emission factor is tighter than those that would have resulted from using other estimators such as pooled variance and thus, the new procedure improves the accuracy in estimating GHG emissions. The application of the procedure is illustrated in a case study involving the estimation of methane emissions from rice cultivation. CONCLUSIONS: The estimation of emission factors using [Formula: see text] was demonstrated to be more accurate because it is not biased and more precise than alternative methods.

3.
Eur J Phys Rehabil Med ; 59(6): 754-762, 2023 Dec.
Article in English | MEDLINE | ID: mdl-37847246

ABSTRACT

BACKGROUND: Fibromyalgia is a syndrome characterized by generalized chronic pain and tenderness in specific areas. Photobiomodulation therapy (PBMT) using low-level laser therapy and/or light emitting diode therapy is an electrophysical agent that can be used alone or together with a static magnetic field (PBMT-sMF) to promote analgesia in several health conditions. Little evidence exists regarding the effects of using PBMT and PBMT-sMF in patients with fibromyalgia; this evidence is conflicting. AIM: We aimed to investigate the effects of using PBMT-sMF versus a placebo on reduction of the degree-of-pain rating, impact of fibromyalgia, pain intensity, and satisfaction with treatment in patients with fibromyalgia. DESIGN: A prospectively registered, monocentric, randomized placebo-controlled trial, with blinding of patients, therapists, and assessors, was performed. SETTING: The study was conducted at the Laboratory of Phototherapy and Innovative Technologies in Health (LaPIT) in Brazil, between March and October 2020. POPULATION: Ninety female patients with fibromyalgia were randomized to undergo either PBMT-sMF (N.=45) or placebo (N.=45) treatment. METHODS: Patients from both groups received nine treatment sessions, three times a week, for 3 weeks. Clinical outcomes were collected at baseline, the end of treatment, and at the follow-up appointment 4 weeks post-treatment. The primary outcome was the degree-of-pain rating, measured by the reduction of the tender point count. RESULTS: A decrease in the degree-of-pain rating was observed in patients allocated to the PBMT-sMF group, decreasing the number of tender points when compared to placebo group at the end of treatment (P<0.0001) and at the follow-up assessment (P<0.0001). Patients did not report any adverse events. CONCLUSIONS: PBMT-sMF is superior to placebo, supporting its use in patients with fibromyalgia. CLINICAL REHABILITATION IMPACT: PBMT-sMF might be considered an important adjuvant to the treatment regimens of patients with fibromyalgia.


Subject(s)
Chronic Pain , Fibromyalgia , Low-Level Light Therapy , Humans , Female , Fibromyalgia/radiotherapy , Clinical Protocols , Magnetic Fields
4.
PeerJ ; 11: e15415, 2023.
Article in English | MEDLINE | ID: mdl-37250721

ABSTRACT

Background: Soil microenvironmental variables showed an important key in α and ß-tree diversity in Neotropical montane oak forest. Thus, understanding the microenvironment fluctuation at small-fragment effects on tree diversity is crucial in maintaining the montane oak ecosystems. In this study, we hypothesized that within a relatively small-fragment (151.63 ha), tree α and ß-diversity fluctuate and specific soil microenvironmental factors could influence tree species diversity to answer three questions: Do tree α and ß-diversity differ among transects, even in a short-distance between them? Do microenvironmental variables influence tree diversity composition that occurs within a relict Neotropical montane oak forest? Is there a particular microenvironmental variable influencing tree species-specific? Methods: We established four permanent transects during a year in a relict Neotropical montane oak forest, we assessed tree diversity and specific microenvironmental variables (soil moisture, soil temperature, pH, depth litterfall and light incidence). This allowed us to evaluate how microenvironmental variables at small-fragment influence α and ß-tree diversity and tree species-specific. Results: Our results showed that α-diversity was not different among transects; however, ß-diversity of tree species was mostly explained by turnover and soil moisture, soil temperature, and light incidence were the microenvironmental variables that triggered the replacement (i.e., one species by another). Those variables also had effect on tree species-specific: Mexican beech (Fagus mexicana), Quebracho (Quercus delgadoana), Pezma (Cyathea fulva), Aguacatillo (Beilschmiedia mexicana), Pezma (Dicksonia sellowiana var. arachneosa), and Mountain magnolia (Magnolia schiedeana). Discussion: Our results confirm our hypothesis related to ß-diversity but not with α-diversity; however, the tree community structure of the diversity was similar among transects. Our study represents the first effort to evaluate and link the soil microenvironmental effect on tree α and ß-diversity, finding a high replacement in a small-fragment of Neotropical montane oak forest from eastern Mexico.


Subject(s)
Quercus , Trees , Soil/chemistry , Ecosystem , Forests
5.
Environ Res ; 219: 115054, 2023 02 15.
Article in English | MEDLINE | ID: mdl-36521534

ABSTRACT

In the last decades, the growth of world agricultural activity has significantly contributed to the increased presence of emerging pollutants such as atrazine (ATZ) in aquatic ecosystems. Due to its high stability to the natural or artificial degradation processes, the ATZ environmental remediation by adsorption has been investigated. In this study, a graphitic-porous-carbon- (GPC) based material with magnetic domains was applied to remove ATZ from aqueous solution. ATZ high adsorption efficiency in a reduced time was achieved in the presence of the GPC adsorbent, leading to a detailed investigation of the mechanisms involved in the adsorption processes. Pseudo-first-order (PFO), pseudo-second-order (PSO), Ritchie, Elovich, and Weber-Morris models were applied to calculate the kinetic process efficiency. Likewise, adsorption isotherms based on Langmuir, Freundlich, Temkin, and Redlich-Peterson models were applied for a detailed understanding of the adsorption mechanisms. GPC was successfully applied for ATZ remediation in natural waters, confirming its high potential for treating natural waters contaminated by ATZ using adsorption process. The material can also be recovered and reused for up to 4 application cycles due to its magnetic properties, showing that in addition to ATZ adsorption efficiency, its sustainable use can be achieved.


Subject(s)
Atrazine , Environmental Restoration and Remediation , Graphite , Water Pollutants, Chemical , Carbon , Adsorption , Water , Porosity , Ecosystem , Water Pollutants, Chemical/analysis , Iron , Kinetics , Hydrogen-Ion Concentration
6.
J. inborn errors metab. screen ; 11: e20220012, 2023. tab, graf
Article in English | LILACS-Express | LILACS | ID: biblio-1440459

ABSTRACT

ABSTRACT In Cuba, newborn screening (NBS) for cystic fibrosis (CF) was introduced in January 2019. The results from the first three years of the CF NBS program are presented. An IRT/IRT protocol was followed using a cut-off value of 50 ng/mL. In this period 281,717 neonates were screened, 2,197 samples had increased IRT values, and a second sample was necessary (recall rate=0.78%). In 686 (0.24%) neonates, IRT was still elevated, and they were referred for clinical evaluation. Twenty-one children were confirmed by sweat test and molecular biology. Eighteen newborns presented variant F508del. A false negative case was reported. Demographic data of 32,764 neonates were collected. The average age of sampling was six days with results available at 11 days of life, but 1.7% of the samples were collected 20 days after birth. The mean IRT value was 12.7±11.7 ng/mL (ranging 0-283 ng/mL) with a calculated 98.5 percentile value of 42.4 ng/mL. On average, the samples were processed five days after collection and two days after they were received at the laboratory. Although CF NBS program in Cuba is just beginning, it can be predicted that CF will be one of the most frequent inherited-metabolic diseases in the Cuban population.

7.
Sci Rep ; 12(1): 21112, 2022 12 07.
Article in English | MEDLINE | ID: mdl-36477152

ABSTRACT

Cedrela species occur within the Tropical montane cloud forest (TMCF) and rainforest in North America (Mexico), Central and South America. We assessed the hypothesis that functional xylem hydraulic architecture might be influenced by specific climatic variations. We investigated the effect of climate on tree-ring width and vessel traits (diameter, vessel density, vulnerability index and hydraulic diameter) of three relict-endemic and threatened Cedrela species (Cedrela fissilis, C. nebulosa and C. angustifolia) inhabiting Peruvian Tropical Andean cloud forests. All Cedrela species showed a significant reduction in radial growth and adjusted vessel trait linked with temperature, precipitation, and evapotranspiration. Ring-width and vessel traits showed adaptation within Cedrela species, crucial to understanding a rough indication of the plant's ability to withstand drought-induced embolism or cavitation. Our results provide evidence for hydraulic mechanisms that determine specific wood anatomical functionality to climatic variation and drought responses. Therefore, changing the frequency or intensity of future drought events might exceed the adaptive limits of TMCF tree species, resulting in a substantial reduction of hydraulic functionality in Peruvian Cedrela species.


Subject(s)
Cedrela , Plastics , Peru , South America , Mexico
8.
Respir Res ; 23(1): 221, 2022 Aug 28.
Article in English | MEDLINE | ID: mdl-36031619

ABSTRACT

BACKGROUND: Mid-Regional pro-Adrenomedullin (MR-proADM) is an inflammatory biomarker that improves the prognostic assessment of patients with sepsis, septic shock and organ failure. Previous studies of MR-proADM have primarily focussed on bacterial infections. A limited number of small and monocentric studies have examined MR-proADM as a prognostic factor in patients infected with SARS-CoV-2, however there is need for multicenter validation. An evaluation of its utility in predicting need for hospitalisation in viral infections was also performed. METHODS: An observational retrospective analysis of 1861 patients, with SARS-CoV-2 confirmed by RT-qPCR, from 10 hospitals across Europe was performed. Biomarkers, taken upon presentation to Emergency Departments (ED), clinical scores, patient demographics and outcomes were collected. Multiclass random forest classifier models were generated as well as calculation of area under the curve analysis. The primary endpoint was hospital admission with and without death. RESULTS: Patients suitable for safe discharge from Emergency Departments could be identified through an MR-proADM value of ≤ 1.02 nmol/L in combination with a CRP (C-Reactive Protein) of ≤ 20.2 mg/L and age ≤ 64, or in combination with a SOFA (Sequential Organ Failure Assessment) score < 2 if MR-proADM was ≤ 0.83 nmol/L regardless of age. Those at an increased risk of mortality could be identified upon presentation to secondary care with an MR-proADM value of > 0.85 nmol/L, in combination with a SOFA score ≥ 2 and LDH > 720 U/L, or in combination with a CRP > 29.26 mg/L and age ≤ 64, when MR-proADM was > 1.02 nmol/L. CONCLUSIONS: This international study suggests that for patients presenting to the ED with confirmed SARS-CoV-2 infection, MR-proADM in combination with age and CRP or with the patient's SOFA score could identify patients at low risk where outpatient treatment may be safe.


Subject(s)
Adrenomedullin , COVID-19 , Hospitalization , Adrenomedullin/analysis , Biomarkers , C-Reactive Protein , COVID-19/mortality , Hospital Mortality , Humans , Prognosis , Protein Precursors , Retrospective Studies , SARS-CoV-2
9.
Ecol Evol ; 12(8): e9228, 2022 Aug.
Article in English | MEDLINE | ID: mdl-36016823

ABSTRACT

Fagus mexicana Martínez (Mexican beech) is an endangered Arcto-Tertiary Geoflora tree species that inhabit isolated and fragmented tropical montane cloud forests in eastern Mexico. Exploring past, present, and future climate change effects on the distribution of Mexican beech involves the study of spatial ecology and temporal patterns to develop conservation plans. These are key to understanding the niche conservatism of other forest communities with similar environmental requirements. For this study, we used species distribution models by combining occurrence records, to assess the distribution patterns and changes of the past (Last Glacial Maximum), present (1981-2010), and future (2040-2070) periods under two climate scenarios (SSP 3-7.0 & SSP 5-8.5). Next, we determined the habitat suitability and priority conservation areas of Mexican beech as associated with topography, land cover use, distance to the nearest town, and environmental variables. By considering the distribution of Mexican beech during different periods and under different climate scenarios, our study estimated that high-impact areas of Mexican beech forests were restricted to specific areas of the Sierra Madre Oriental that constitute refugia from the Last Glacial Maximum. Regrettably, our results exhibited that Mexican beech distribution has decreased 71.3% since the Last Glacial Maximum and this trend will for the next 50 years, migrating to specific refugia at higher altitudes. This suggests that the states of Hidalgo, Veracruz, and Puebla will preserve the habitat suitability features as ecological refugia, related to high moisture and north-facing slopes. For isolated and difficult-to-access areas, the proposed methods are powerful tools for relict-tree species, which deserve further conservation.

10.
Telemed J E Health ; 28(5): 654-665, 2022 05.
Article in English | MEDLINE | ID: mdl-34382821

ABSTRACT

Background: There is currently little scientific evidence on the usefulness of implementing strategies against COVID-19 remotely with the help of telemedicine. Objective: Evaluate whether teleconsultation is helpful as an instrument of mediated care in the monitoring and follow-up of individuals with high suspicion of COVID-19 through early detection by the Call Center COVID-19 of the Ministry of Health and Sports, Bolivia. Methodology: Descriptive and cross-sectional observational study of patients captured by the Call Center-COVID-19, who were monitored and followed up in their homes through teleconsultations carried out by the National TeleHealth Program, remotely through information and communication technologies throughout the Bolivian territory during the first 100 days of its implementation. Results: A total of 3,278 patients were studied, recruited between March 16 and June 23, 2020; 49.4% were women, with an overall mean age of 37.5 years (standard deviation [SD] 15.2). The mean detection time was 7.6 days (SD 6.92); 93.8% required home isolation, and only 6.2% were transferred for hospitalization. The mean follow-up time for all patients was 6.7 days (SD 4.87; range 2-38). A total of 75.6% were discharged as recovered patients, and 1.9% died. Conclusions: Early detection of individuals with suspected COVID-19 was achieved, knowing their clinical evolution until their recovery or death. Teleconsultations showed good outcomes at discharge and low fatal outcomes. From these results, it can be inferred that teleconsultation is a valuable tool in the monitoring, evaluation, and follow-up of patients. The Ministry of Health and Sports through Call Center-COVID-19 reinforced the Epidemiological Surveillance System as a passive search tool for possible suspected cases at the national level and decongesting other services in charge of this task.


Subject(s)
COVID-19 , Call Centers , Remote Consultation , Telemedicine , Adult , Bolivia/epidemiology , COVID-19/epidemiology , Cross-Sectional Studies , Female , Humans , Male
11.
Environ Sci Pollut Res Int ; 29(16): 24010-24023, 2022 Apr.
Article in English | MEDLINE | ID: mdl-34820752

ABSTRACT

In this study, a spectrophotometric-chemometric (Spec-Chem) approach was applied as an alternative to chromatography to monitor ATZ and by-products after photolytic and photocatalytic oxidation aiming to unveil the ATZ degradation mechanism. Spec-Chem is an accessible, easy-to-operate, low-cost analytical approach to monitor atrazine (ATZ) and by-products, and its applicability was validated by HPLC, the reference technique for the evaluation of pollutant degradation mechanisms. The chromatographic (DChro) and spectrophotometric (DSpec) data found 95% and 57% ATZ removal after 30 min, respectively, proving that the DSpec erroneously induces a 38% loss in removal efficiency. When DSpec was treated by multivariate curve resolution (MCR) analysis for providing chemometric data (DChem), it found ATZ removal and hydroxyatrazine (HAT) formation statistically equal to DChro (t-test, p = 0.05). After unraveling the ATZ degradation mechanism using Spec-Chem, a new hypothesis for the kinetic calculation of ATZ degradation was presented, where the concentrations of ATZ and HAT were used to find k and R2 values representative for the ATZ degradation mechanism. The values found for k were compatible with the literature under similar conditions of ATZ degradation, and the linear correlation coefficients (R2 = 0.99) showed an optimal fit for the proposed hypothesis. Thus, Spec-Chem was successfully applied to unravel the mechanism of photocatalytic degradation of ATZ in the presence of TiO2, while k was obtained by the new hypothesis proposed that considered ATZ and HAT concentration as parameters of kinetic interest. Therefore, the importance of monitoring quantitatively ATZ and HAT were provided in this study, providing new information for the scientific community.


Subject(s)
Atrazine , Water Pollutants, Chemical , Atrazine/analysis , Chemometrics , Photolysis , Spectrophotometry , Water Pollutants, Chemical/analysis
12.
Eur J Phys Rehabil Med ; 58(2): 282-289, 2022 Apr.
Article in English | MEDLINE | ID: mdl-34913330

ABSTRACT

Pain is the most common reason for physician consultations and the number one reason for missed work or school days is musculoskeletal pain. Pain management is utilized for easing the suffering and improving the Quality of Life of those living with chronic pain. Over the past several decades, physicians have become increasingly willing to prescribe opioids to manage pain. However, the opioid use can cause side effects as poor coordination, sedation, mood swings, depression, and anxiety combined with a dependence on the drugs. In the rehabilitation setting, patients benefit most when their health providers utilize a multimodal approach combining different types of therapies and when patients take on a significant role in optimal management of their own pain. The use of light as a therapeutic alternative form of medicine to manage pain and inflammation has been proposed to fill this void. Photobiomodulation therapy applied in the form of low-intensity Light Amplification by Stimulated Emission of Radiation (LASER) and light-emitting diode (LED) has been shown to reduce inflammation and swelling, promote healing, and reduce pain for an array of musculoskeletal conditions. There is evidence that photobiomodulation therapy reduces pain intensity in non-specific knee pain, osteoarthritis, pain post-total hip arthroplasty, fibromyalgia, temporomandibular diseases, neck pain, and low back pain. Therefore, the purpose of this paper was to present the up-to-dated evidence about the effects of low-intensity LASER and LED (photobiomodulation therapy) on pain control of the most common musculoskeletal conditions. We observed that the photobiomodulation therapy offers a non-invasive, safe, drug-free, and side-effect-free method for pain relief of both acute and chronic musculoskeletal conditions as well as fibromyalgia.


Subject(s)
Chronic Pain , Fibromyalgia , Low-Level Light Therapy , Musculoskeletal Pain , Chronic Pain/therapy , Fibromyalgia/therapy , Humans , Inflammation , Lasers , Low-Level Light Therapy/methods , Musculoskeletal Pain/radiotherapy , Pain Management , Quality of Life
13.
Plants (Basel) ; 10(12)2021 Nov 26.
Article in English | MEDLINE | ID: mdl-34961066

ABSTRACT

Climatic variations influence the adaptive capacity of trees within tropical montane cloud forests species. Phenology studies have dominated current studies on tree species. Leaf vein morphology has been related to specific climatic oscillations and varies within species along altitudinal gradients. We tested that certain Neotropical broad leaf Magnolia species might be more vulnerable to leaf vein adaptation to moisture than others, as they would be more resilient to the hydric deficit. We assessed that leaf vein trait variations (vein density, primary vein size, vein length, and leaf base angle) among four Magnolia species (Magnolia nuevoleonensis, M. alejandrae, M. rzedowskiana, and Magnolia vovidesii) through the Mexican Tropical montane cloud forest with different elevation gradient and specific climatic factors. The temperature, precipitation, and potential evaporation differed significantly among Magnolia species. We detected that M. rzedowskiana and M. vovidesii with longer leaves at higher altitude sites are adapted to higher humidity conditions, and that M. nuevoleonensis and M. alejandrae inhabiting lower altitude sites are better adjusted to the hydric deficit. Our results advance efforts to identify the Magnolia species most vulnerable to climate change effects, which must focus priorities for conservation of this ecosystem, particularly in the Mexican tropical montane cloud forests.

14.
J Chem Phys ; 155(17): 174903, 2021 Nov 07.
Article in English | MEDLINE | ID: mdl-34742193

ABSTRACT

Although macromolecules such as polymers are in widespread industrial use, pure formulations rarely have precisely the properties new applications demand. Pure polymer is often too brittle and inflexible, necessitating plasticizers to soften or toughen films and bulk polymer materials. In practice, new formulations are developed by extensive trial-and-error methods, as no general molecular explanations exist for the mechanism of plasticization to aid in determining the optimal structure and concentration of plasticizers. Here, through atomistic molecular simulations augmented with advanced sampling techniques, we develop an atomic-level picture of the processes in plasticization by directly calculating free energies that govern the interaction between polymers and small-molecule plasticizers. This work focuses on the influence of two common plasticizer molecules-glycerol and sorbitol-interacting with polyvinyl alcohol (PVA), a frequently used component of polymer films. In particular, we focus on conformational and hydrogen bond structure changes induced in globules of PVA by the plasticizer molecules, with the hypothesis that hydrogen bonding plays a role in the incorporation of these plasticizers into PVA and, thus, in the observed mechanical properties. While we focus on nanoscopic systems, we observe distinct preferences in the conformational free energy that can be connected to the performance of polymer materials at laboratory and industrial scales. This work presents a new molecular perspective from which effective plasticizers can be developed and presents a firm basis from which important analyses of plasticization in complex chemical environments relevant to industry may be developed.

15.
J Phys Condens Matter ; 34(8)2021 Dec 08.
Article in English | MEDLINE | ID: mdl-34798621

ABSTRACT

The recently developed non-equilibrium self-consistent generalized Langevin equation theory of the dynamics of liquids of non-spherically interacting particles [2016J. Phys. Chem. B1207975] is applied to the description of the irreversible relaxation of a thermally and mechanically quenched dipolar fluid. Specifically, we consider a dipolar hard-sphere liquid quenched (attw= 0) from full equilibrium conditions towards different ergodic-non-ergodic transitions. Qualitatively different scenarios are predicted by the theory for the time evolution of the system after the quench (tw> 0), that depend on both the kind of transition approached and the specific features of the protocol of preparation. Each of these scenarios is characterized by the kinetics displayed by a set of structural correlations, and also by the development of two characteristic times describing the relaxation of the translational and rotational dynamics, allowing us to highlight the crossover from equilibration to aging in the system and leading to the prediction of different underlying mechanisms and relaxation laws for the dynamics at each of the glass transitions explored.

16.
Comput Methods Programs Biomed ; 201: 105950, 2021 Apr.
Article in English | MEDLINE | ID: mdl-33540328

ABSTRACT

BACKGROUND AND OBJECTIVE: Heart Failure (HF) is mostly a lifestyle-related disease that is suited to telemonitoring since patients' signs and symptoms can be assessed remotely by healthcare providers. Today, non-invasive telemonitoring programs are increasingly used in HF care to detect patients' deterioration. This study aims to review and assess the distinctive characteristics of the different telemonitoring systems (TMS) tested in HF patients through clinical trials (CTs). Discussing the impact of the evaluation results of these systems is also another objective of this work. METHODS: The search for CTs studies related to non-invasive home TMS in HF patients has been made in Cochrane Library. Research works of interest were limited to those articles published between 2005 and March 2019. RESULTS: A total of 24 CTs that fully met the inclusion criteria were included in the final review. The main functionalities of these TMS were analyzed and compared among them. Also, the monitored parameters and significant findings of each trial were described. CONCLUSIONS: This review shows a wide difference among available functionalities deployed by the reviewed systems. Most of them did not take into account the recommendations of HF management specialists, detailed in the evidence-based Clinical Practice Guidelines (CPGs) of the most relevant cardiology associations. Due to this, there is a wide variety of TMS, which makes a comparison among them difficult. However, the few systems that comply with the CPGs recommendations found promising results, suggesting that the design of TMS for the HF management should take into account the recommendations of specialists (CPGs).


Subject(s)
Cardiology , Heart Failure , Telemedicine , Heart Failure/diagnosis , Heart Failure/therapy , Humans , Monitoring, Physiologic
17.
J Telemed Telecare ; 27(9): 553-561, 2021 Oct.
Article in English | MEDLINE | ID: mdl-31973633

ABSTRACT

INTRODUCTION: The low quality of life in heart failure patients is related to low self-care and treatment adherence. Consequently, innovative strategies are needed to improve them. The objective of this work is to determine the effectiveness of the use of a home telemonitoring system to improve the self-care and treatment adherence of heart failure patients. METHODS: A randomized clinical trial that compares the efficacy of a home telemonitoring system -intervention group versus usual care control group - among heart failure outpatients over a 90-day monitoring period was carried out. The home telemonitoring system consists of an application that collects measurements of different parameters on a daily basis and provides health education to patients. The home telemonitoring system processes data gathered and generates an alert if a risky situation arises. The outcomes observed were significant changes in patients' self-care (European Heart Failure Self-care Behaviour Scale), treatment adherence (Morisky Modified Scale) and re-hospitalizations over the follow-up period. RESULTS: 104 heart failure patients were screened; 40 met the inclusion criteria; only 30 completed the study. After the follow-up, intragroup analysis of the control group indicated a decrease in treatment adherence (p = 0.02). The mean European Heart Failure Self-care Behaviour Scale overall score indicated an improved self-care in the intervention group patients (p = 0.03) and a worsened self-care in the control group (p = 0.04) with a p value of 0.004 in the intergroup analysis. Thanks to the home telemonitoring system alerts, two re-hospitalizations were avoided. DISCUSSION: This study demonstrated that the proposed home telemonitoring system improves patient self-care when compared to usual care and has the potential to avoid re-hospitalizations, even considering patients with low literacy levels.Trial Registration: Home Telemonitoring System for Patients with Heart Failure. clinicaltrials.gov Identifier: NCT04071093.


Subject(s)
Heart Failure , Telemedicine , Heart Failure/therapy , Hospitalization , Humans , Quality of Life , Self Care
18.
Clin Transl Sci ; 14(3): 898-907, 2021 05.
Article in English | MEDLINE | ID: mdl-33306235

ABSTRACT

Currently, few evidences have shown the possible involvement of autoimmunity in patients affected by coronavirus disease 2019 (COVID-19). In this study, we elucidate whether severe acute respiratory syndrome coronavirus disease 2 (SARS-CoV-2) stimulates autoantibody production and contributes to autoimmunity activation. We enrolled 40 adult patients (66.8 years mean age) admitted to Alessandria Hospital between March and April 2020. All the patients had a confirmed COVID-19 diagnosis and no previously clinical record of autoimmune disease. Forty blood donors were analyzed for the same markers and considered as healthy controls. Our patients had high levels of common inflammatory markers, such as C reactive protein, lactate dehydrogenase, ferritin, and creatinine. Interleukin-6 concentrations were also increased, supporting the major role of this interleukin during COVID-19 infection. Lymphocyte numbers were generally lower compared with healthy individuals. All the patients were also screened for the most common autoantibodies. We found a significant prevalence of antinuclear antibodies, antineutrophil cytoplasmic antibodies, and ASCA immunoglobulin A antibodies. We observed that patients having a de novo autoimmune response had the worst acute viral disease prognosis and outcome. Our results sustain the hypothesis that COVID-19 infection correlates with the autoimmunity markers. Our study might help clinicians to: (a) better understand the heterogeneity of this pathology and (b) correctly evaluate COVID-19 clinical manifestations. Our data explained why drugs used to treat autoimmune diseases may also be useful for SARS-CoV-2 infection. In addition, we highly recommend checking patients with COVID-19 for autoimmunity markers, mainly when deciding on whether to treat them with plasma transfer therapy. Study Highlights WHAT IS THE CURRENT KNOWLEDGE ON THE TOPIC? ☑ Recent data sustain the idea that autoimmune phenomena exist in patients with coronavirus disease 2019 (COVID-19), but other investigations are necessary to define the possible link between severe acute respiratory syndrome coronavirus disease 2 (SARS-CoV-2) infection and autoimmune disease onset. WHAT QUESTION DID THIS STUDY ADDRESS? ☑ In this monocentric study, we demonstrated how SARS-CoV-2 infection could be associated with an autoimmune response and development of autoantibodies. WHAT DOES THIS STUDY ADD TO OUR KNOWLEDGE? ☑ Patients with COVID-19 having an increased level of inflammatory markers and strong autoantibodies positivity (i.e., antinuclear antibodies and antineutrophil cytoplasmic antibodies) presented the worst clinical outcome. HOW MIGHT THIS CHANGE CLINICAL PHARMACOLOGY OR TRANSLATIONAL SCIENCE? ☑ These results suggest that the drugs normally used to treat autoimmune diseases should also be considered during SARS-CoV-2, improving public health. In addition, before starting a transfer plasma therapy, it is important to also evaluate the autoimmunity conditions of the patients with COVID-19. Transferring antibodies or trying to neutralize them should be done with precaution. It is possible that the risk of developing or increasing the autoimmune response may enhance.


Subject(s)
Autoimmunity , COVID-19/immunology , SARS-CoV-2 , Adult , Aged , Aged, 80 and over , Autoantibodies/blood , Autoimmune Diseases/etiology , COVID-19/diagnostic imaging , Female , Humans , Inflammation/etiology , Male , Middle Aged
19.
Anal Chem ; 92(23): 15412-15419, 2020 Dec 01.
Article in English | MEDLINE | ID: mdl-33174737

ABSTRACT

In this paper, we study theoretically and experimentally the effect of induced charging currents on the fast-scan cyclic voltammetry. As explained in this paper, the phenomenon originates from the coupling between faradaic and capacitive currents in the presence of uncompensated resistance. Due to the existence of induced charging currents, the capacitive contribution to the total current is different from the capacitive current measured in the absence of electroactive species. In this paper, we show that this effect is particularly important when the ratio of the capacitive current and the total current is close to unity, even for a relatively low cell time constant. Consequently, the conventional background subtraction method may be inaccurate in these situations. In this work, we develop a method that separates the faradaic and capacitive currents, combining simulation and experimental data. The method is applicable even in the presence of potential-dependent capacitance. The theoretical results are compared with some previously reported results and with experiments carried out on the potassium ferrocyanide/ferricyanide redox couple. Platinum disk electrodes of different diameters and NaClO4 support electrolyte of different concentrations were used to obtain different cell time constants. The proposed method allowed us to separate the real capacitive current even in the situations where the conventional background subtraction used in many published papers is clearly inappropriate.

20.
J Chem Phys ; 152(20): 204501, 2020 May 29.
Article in English | MEDLINE | ID: mdl-32486667

ABSTRACT

We investigate the static correlations of a dipolar fluid in terms of the irreducible coefficients of the spherical harmonic expansion of the static structure factor. To this end, we develop a theoretical framework based on a soft-core version of Wertheim's solution of the mean spherical approximation (MSA), which renders the analytical determination of such coefficients possible. The accuracy of this approximation is tested by a comparison against the results obtained with the assistance of extensive molecular dynamics simulations at different regimes of concentration and temperature. Crucial aspects for the comparison of the results provided by the two methods are carefully discussed, concerning the different reference frames used in theory and simulations to describe rotations and orientations, and leading to important differences in the behavior of correlation functions with the same combination of spherical harmonic indices. We find a remarkable agreement between the two approaches in the fluid regime, thus providing a first stringent comparison of the irreducible coefficients of the spherical harmonic expansion of the dipolar fluid's static structure factor, provided by the MSA theory and molecular dynamics simulations.

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