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1.
J Air Waste Manag Assoc ; 74(1): 39-51, 2024 01.
Article in English | MEDLINE | ID: mdl-37921558

ABSTRACT

This paper focuses on the impact of solid barriers located upwind of a highway in reducing vehicle related concentrations that occur downwind of the roadway, compared to a highway without barriers. Measurements made in the United States Environmental Protection Agency's meteorological wind tunnel show that the mitigating impact of an upwind barrier is comparable to that of a downwind barrier. Upwind barriers lead to reductions in pollution concentrations by drawing emissions in from the highway toward the barrier. The emissions are then entrained into the flow above the recirculation zone and dispersed vertically as they are advected downwind. This upwind transport of vehicle emissions leads to concentrations at the center of the roadways that are roughly 200-300% higher than those measured on roadways with downwind barriers. This difference between on-road concentrations indicates that although both types of barriers mitigate the impact of vehicle emissions downwind of a roadway, the upwind barrier may create adverse air quality impacts for the people on the road.We have formulated a semiempirical dispersion model that incorporates the physics revealed by the wind tunnel measurements. This model improves upon a model proposed by Ahangar et al. (2017) by adjusting the wind speed to get a more realistic plume dispersion just downwind of the upwind barrier and also by providing vertical profiles of concentrations in addition to ground-level concentrations. The upwind barrier model proposed in this paper and the downwind barrier model described in Francisco et al. (2022) have been incorporated into AERMOD (version 21112) as a nonregulatory option, including the new two-barrier option when modeling both barriers on the same roadway.Implications: Our paper presents an air dispersion model algorithm for modeling the effect of upwind noise barriers on dispersion of traffic-related emissions from roadways, which was incorporated into EPA's AERMOD and then evaluated using observations from a wind tunnel experiment. The results are compared and contrasted with results from both a no-barrier case and downwind barrier cases. This manuscript expands on previously published work analyzing the effect of barrier height and source-to-barrier distance on downwind dispersion (Atmos. Pollut. Res., 13:101385, 2022, https://doi.org/10.1016/j.apr.2022.101385). The current manuscript uses the same wind tunnel setup as reported there, but focuses on a different subset of cases, namely the upwind barrier cases, when developing dispersion model algorithms to simulate the observed effects. We believe the evaluations of the vertical profiles from the wind tunnel study, development, and incorporation of the upwind barrier algorithms into AERMOD, and model evaluation of these new algorithms are significant contributions to understanding the effects of these commonly used roadside barriers.


Subject(s)
Air Pollutants , Air Pollution , Humans , Air Pollutants/analysis , Vehicle Emissions/analysis , Particulate Matter/analysis , Environmental Monitoring/methods , Air Pollution/prevention & control , Air Pollution/analysis
2.
BMJ Open ; 13(4): e070096, 2023 04 17.
Article in English | MEDLINE | ID: mdl-37068889

ABSTRACT

INTRODUCTION: Millions of patients receive general anaesthesia for surgery annually. Crucial gaps in evidence exist regarding which technique, propofol total intravenous anaesthesia (TIVA) or inhaled volatile anaesthesia (INVA), yields superior patient experience, safety and outcomes. The aim of this pilot study is to assess the feasibility of conducting a large comparative effectiveness trial assessing patient experiences and outcomes after receiving propofol TIVA or INVA. METHODS AND ANALYSIS: This protocol was cocreated by a diverse team, including patient partners with personal experience of TIVA or INVA. The design is a 300-patient, two-centre, randomised, feasibility pilot trial. Patients 18 years of age or older, undergoing elective non-cardiac surgery requiring general anaesthesia with a tracheal tube or laryngeal mask airway will be eligible. Patients will be randomised 1:1 to propofol TIVA or INVA, stratified by centre and procedural complexity. The feasibility endpoints include: (1) proportion of patients approached who agree to participate; (2) proportion of patients who receive their assigned randomised treatment; (3) completeness of outcomes data collection and (4) feasibility of data management procedures. Proportions and 95% CIs will be calculated to assess whether prespecified thresholds are met for the feasibility parameters. If the lower bounds of the 95% CI are above the thresholds of 10% for the proportion of patients agreeing to participate among those approached and 80% for compliance with treatment allocation for each randomised treatment group, this will suggest that our planned pragmatic 12 500-patient comparative effectiveness trial can likely be conducted successfully. Other feasibility outcomes and adverse events will be described. ETHICS AND DISSEMINATION: This study is approved by the ethics board at Washington University (IRB# 202205053), serving as the single Institutional Review Board for both participating sites. Recruitment began in September 2022. Dissemination plans include presentations at scientific conferences, scientific publications, internet-based educational materials and mass media. TRIAL REGISTRATION NUMBER: NCT05346588.


Subject(s)
Propofol , Humans , Adolescent , Adult , Propofol/adverse effects , Pilot Projects , Feasibility Studies , Anesthesia, General , Administration, Intravenous , Anesthesia, Intravenous/adverse effects
3.
Pharmacol Res Perspect ; 11(1): e01056, 2023 02.
Article in English | MEDLINE | ID: mdl-36708179

ABSTRACT

The antiplatelet effect of polyunsaturated fatty acids is primarily attributed to its metabolism to bioactive metabolites by oxygenases, such as lipoxygenases (LOX). Platelets have demonstrated the ability to generate 15-LOX-derived metabolites (15-oxylipins); however, whether 15-LOX is in the platelet or is required for the formation of 15-oxylipins remains unclear. This study seeks to elucidate whether 15-LOX is required for the formation of 15-oxylipins in the platelet and determine their mechanistic effects on platelet reactivity. In this study, 15-HETrE, 15-HETE, and 15-HEPE attenuated collagen-induced platelet aggregation, and 15-HETrE inhibited platelet aggregation induced by different agonists. The observed anti-aggregatory effect was due to the inhibition of intracellular signaling including αIIbß3 and protein kinase C activities, calcium mobilization, and granule secretion. While 15-HETrE inhibited platelets partially through activation of peroxisome proliferator-activated receptor ß (PPARß), 15-HETE also inhibited platelets partially through activation of PPARα. 15-HETrE, 15-HETE, or 15-HEPE inhibited 12-LOX in vitro, with arachidonic acid as the substrate. Additionally, a 15-oxylipin-dependent attenuation of 12-HETE level was observed in platelets following ex vivo treatment with 15-HETrE, 15-HETE, or 15-HEPE. Platelets treated with DGLA formed 15-HETrE and collagen-induced platelet aggregation was attenuated only in the presence of ML355 or aspirin, but not in the presence of 15-LOX-1 or 15-LOX-2 inhibitors. Expression of 15-LOX-1, but not 15-LOX-2, was decreased in leukocyte-depleted platelets compared to non-depleted platelets. Taken together, these findings suggest that 15-oxylipins regulate platelet reactivity; however, platelet expression of 15-LOX-1 is low, suggesting that 15-oxylipins may be formed in the platelet through a 15-LOX-independent pathway.


Subject(s)
Fatty Acids , Oxylipins , Arachidonate 15-Lipoxygenase , Eicosanoids , Lipoxygenase Inhibitors/pharmacology , Scavenger Receptors, Class E
4.
Arch Biochem Biophys ; 727: 109317, 2022 09 30.
Article in English | MEDLINE | ID: mdl-35709965

ABSTRACT

Human 15-lipoxygenases (LOX) are critical enzymes in the inflammatory process, producing various pro-resolution molecules, such as lipoxins and resolvins, but the exact role each of the two 15-LOXs in these biosynthetic pathways remains elusive. Previously, it was observed that h15-LOX-1 reacted with 5S-HETE in a non-canonical manner, producing primarily the 5S,12S-diHETE product. To determine the active site constraints of h15-LOX-1 in achieving this reactivity, amino acids involved in the fatty acid binding were investigated. It was observed that R402L did not have a large effect on 5S-HETE catalysis, but F414 appeared to π-π stack with 5S-HETE, as seen with AA binding, indicating an aromatic interaction between a double bond of 5S-HETE and F414. Decreasing the size of F352 and I417 shifted oxygenation of 5S-HETE to C12, while increasing the size of these residues reversed the positional specificity of 5S-HETE to C15. Mutants at these locations demonstrated a similar effect with 7S-HDHA as the substrate, indicating that the depth of the active site regulates product specificity for both substrates. Together, these data indicate that of the three regions proposed to control positional specificity, π-π stacking and active site cavity depth are the primary determinants of positional specificity with 5S-HETE and h15-LOX-1. Finally, the altered reactivity of h15-LOX-1 was also observed with 5S-HEPE, producing 5S,12S-diHEPE instead of 5S,15S-diHEPE (aka resolvin E4 (RvE4). However, h15-LOX-2 efficiently produces 5S,15S-diHEPE from 5S-HEPE. This result is important with respect to the biosynthesis of the RvE4 since it obscures which LOX isozyme is involved in its biosynthesis. Future work detailing the expression levels of the lipoxygenase isoforms in immune cells and selective inhibition during the inflammatory response will be required for a comprehensive understanding of RvE4 biosynthesis.


Subject(s)
Arachidonate 15-Lipoxygenase , Docosahexaenoic Acids , Lipoxygenase , Humans , Arachidonate 12-Lipoxygenase/genetics , Arachidonate 15-Lipoxygenase/chemistry , Arachidonate 15-Lipoxygenase/genetics , Docosahexaenoic Acids/metabolism , Fatty Acids , Hydroxyeicosatetraenoic Acids/chemistry , Lipoxygenase/genetics , Scavenger Receptors, Class E
5.
Atmos Pollut Res ; 13(4): 1-101385, 2022 Mar 16.
Article in English | MEDLINE | ID: mdl-35450153

ABSTRACT

New results are presented from wind tunnel studies performed at the United States Environmental Protection Agency (U.S. EPA), which include cases with solid roadside barriers of varying heights and cases with varying distances between the line source (roadway) and a 6-m-tall barrier. The Source-to-Barrier Distance cases include seven lanes of traffic with each lane acting as an independent source of continuous emissions along a line (i.e., line source). A mixed-wake algorithm that accounts for barrier effects within a steady-state air dispersion model was updated based on the recent wind tunnel studies. To study the effects of a solid roadside barrier, varying barrier heights and varying distances between the line source and barrier were modeled with the U.S. EPA regulatory air dispersion model AERMOD (v. 21112) using the line-source option that includes an experimental barrier option (RLINEXT). The mixed-wake algorithm reproduced the shape of the vertical concentration profiles observed in the wind tunnel data, including the uniform concentration profile from the ground vertically to a height somewhat greater than the height of the barrier. The algorithm responded appropriately to changes in barrier height and source-to-barrier distance, producing greater reductions in ground-level concentrations for taller barriers and for shorter source-to-barrier distances. Additionally, a rule of thumb that approximates the effect of a downwind barrier was formulated by converting an estimated vertical dispersion into an additional travel distance. The wind tunnel results, the update to the mixed-wake algorithm, and a comparison of the two data sets are described in this paper.

7.
Bioorg Med Chem ; 46: 116349, 2021 09 15.
Article in English | MEDLINE | ID: mdl-34500187

ABSTRACT

Human epithelial 15-lipoxygenase-2 (h15-LOX-2, ALOX15B) is expressed in many tissues and has been implicated in atherosclerosis, cystic fibrosis and ferroptosis. However, there are few reported potent/selective inhibitors that are active ex vivo. In the current work, we report newly discovered molecules that are more potent and structurally distinct from our previous inhibitors, MLS000545091 and MLS000536924 (Jameson et al, PLoS One, 2014, 9, e104094), in that they contain a central imidazole ring, which is substituted at the 1-position with a phenyl moiety and with a benzylthio moiety at the 2-position. The initial three molecules were mixed-type, non-reductive inhibitors, with IC50 values of 0.34 ±â€¯0.05 µM for MLS000327069, 0.53 ±â€¯0.04 µM for MLS000327186 and 0.87 ±â€¯0.06 µM for MLS000327206 and greater than 50-fold selectivity versus h5-LOX, h12-LOX, h15-LOX-1, COX-1 and COX-2. A small set of focused analogs was synthesized to demonstrate the validity of the hits. In addition, a binding model was developed for the three imidazole inhibitors based on computational docking and a co-structure of h15-LOX-2 with MLS000536924. Hydrogen/deuterium exchange (HDX) results indicate a similar binding mode between MLS000536924 and MLS000327069, however, the latter restricts protein motion of helix-α2 more, consistent with its greater potency. Given these results, we designed, docked, and synthesized novel inhibitors of the imidazole scaffold and confirmed our binding mode hypothesis. Importantly, four of the five inhibitors mentioned above are active in an h15-LOX-2/HEK293 cell assay and thus they could be important tool compounds in gaining a better understanding of h15-LOX-2's role in human biology. As such, a suite of similar pharmacophores that target h15-LOX-2 both in vitro and ex vivo are presented in the hope of developing them as therapeutic agents.


Subject(s)
Arachidonate 15-Lipoxygenase/metabolism , Lipoxygenase Inhibitors/pharmacology , Dose-Response Relationship, Drug , Humans , Kinetics , Lipoxygenase Inhibitors/chemical synthesis , Lipoxygenase Inhibitors/chemistry , Molecular Structure , Structure-Activity Relationship
8.
Atmos Environ (1994) ; 2582021 Aug 01.
Article in English | MEDLINE | ID: mdl-34526852

ABSTRACT

Following the release of a harmful substance within an urban environment, buildings and street canyons create complex flow regimes that affect dispersion and localized effluent concentrations. While some fast-response dispersion models can capture the effects caused by individual buildings, further research is required to refine urban characterizations such as plume channeling and spreading, and initial dispersion, especially within the presence of a nonhomogeneous array of structures. Field, laboratory, and modeling experiments that simulate urban or industrial releases are critical in advancing current dispersion models. This project leverages the configuration of buildings used in a full-scale, mock urban field study to examine the concentrations of a neutrally buoyant tracer in a series of wind tunnel and Embedded Large Eddy Simulation (ELES) experiments. The behavior, propagation, and magnitude of the plumes were examined and compared to identify microscale effects. After demonstrating excellent quantitative and qualitative comparisons between the wind tunnel and ELES via lateral and vertical concentration profiles, we show that a nonlinear least squares fit of the Gaussian plume equation well represents these profiles, even within the array of buildings and network of street canyons. The initial plume dispersion depended strongly on the structures immediately adjacent to the release, and consequently, the near-surface plume spread very rapidly in the first few street canyons downwind of the source. The ELES modeling showed that under slightly oblique incoming wind directions of 5° and 15°, an additional 5° and 14° off-axis channeling of the plume occurred at ground level, respectively. This indicates how building structures can cause considerable plume drift from the otherwise expected centerline axis, especially with greater wind obliquity. Additionally, AERMOD was used to represent the class of fast-running, Gaussian dispersion models to inform where these types of models may be usefully applied within urban areas or groups of buildings. Using an urban wind speed profile and other parameters that may be locally available after a release, AERMOD was shown to qualitatively represent the ground-level plume while somewhat underestimating peak concentrations. It also overestimated the lateral plume spread and was challenged in the very near-field to the source. Adding a turbulence profile from the ELES data into AERMOD's meteorological input improved model estimates of lateral plume spread and centerline concentrations, although peak concentration values were still underestimated in the far field. Finally, we offer some observations and suggestions for Gaussian dispersion modeling based on this mock urban modeling exercise.

9.
West J Emerg Med ; 22(5): 1045-1050, 2021 Aug 17.
Article in English | MEDLINE | ID: mdl-34546879

ABSTRACT

INTRODUCTION: The coronavirus 2019 (COVID-19) pandemic has reinforced the importance of facial protection against droplet transmission of diseases. Healthcare workers wear personal protection equipment (PPE), including face shields and masks. Plastic face shields may have advantages over regular medical masks. Although many designs of face shields exist, there is a paucity of evidence regarding the efficacy of shield designs against droplet transmissions. There is even less published evidence comparing various face shields. Due to the urgency of the pandemic and the health and safety of healthcare workers, we aimed to study the efficacy of various face shields against droplet transmission. METHODS: We simulated droplet transmission via coughing using a heavy-duty chemical spray bottle filled with fluorescein. A standard-adult sized mannequin head was used. The mannequin head wore various face shields and was positioned to face the spray bottle at either a 0°, 45°, or 90° angle. The spray bottle was positioned at and sprayed from 30 centimeters (cm), 60 cm, or 90 cm away from the head. These steps were repeated for all face shields used. Control was a mannequin that wore no PPE. A basic mask was also tested. We collected data for particle count, total area of particle distribution, average particle size, and percentage area covered by particles. We analyzed percent covered by particles using a repeated measures mixed-model regression with Tukey-Kramer pairwise comparison. RESULTS: We used least square means to estimate the percentage area covered by particles. Wearing PPE regardless of the design reduced particle transmission to the mannequin compared to the control. The LCG mask had the lowest square means of 0.06 of all face-shield designs analyzed. Tukey-Kramer pairwise comparison showed that all PPEs had a decrease in particle contamination compared to the control. LCG shield was found to have the least contamination compared to all other masks (P < 0.05). CONCLUSION: Results suggest the importance of wearing a protective covering against droplet transmission. The LCG shield was found to decrease facial contamination by droplets the most of any tested protective equipment.


Subject(s)
Aerosols/analysis , COVID-19/prevention & control , Infection Control , Infectious Disease Transmission, Patient-to-Professional/prevention & control , Inhalation Exposure/prevention & control , Masks/statistics & numerical data , Personal Protective Equipment/statistics & numerical data , COVID-19/epidemiology , Cough , Delivery of Health Care , Humans , Manikins , Masks/standards , Particle Size , Personal Protective Equipment/standards , SARS-CoV-2
10.
Atmos Pollut Res ; 12(2): 367-374, 2021 Feb 05.
Article in English | MEDLINE | ID: mdl-33746529

ABSTRACT

This paper presents an analysis of data from a wind tunnel study conducted to examine the dispersion of emissions at the edges of near-road noise barriers. The study is motivated by the concern that a barrier positioned downwind of a roadway may guide highly polluted plumes along the barrier leading to heightened concentrations as the plume spills around and downwind of the barrier end. The wind tunnel database consists of measurements of dispersion around a simulated roadway segment with various noise barrier configurations. Each roadway segment simulated in the wind tunnel had full-scale equivalent dimensions of 135 m long. Barrier segments, 135 m long with a height (H) of 6 m, were located on the downwind side of the source at a distance of 18 m from it (measured perpendicularly from the line source). Examination of the concentration patterns associated with the cases indicates that 1) vertical mixing induced by barriers persists at crosswind distances up to the edge (lateral end) of the barrier and downwind distances of x/H = 10, 2) concentration levels at all heights below z/H = 1 increase towards the edge of the barrier at downwind distances less than x/H = 7, and 3) concentration is well mixed in the vertical at the edge of the barrier, and the levels can be higher than in the middle of the barrier even when the source ends at the edge of the barrier. We have formulated a parameterization that captures the major features of these observations and can be incorporated in models such as RLINE.

11.
Biochemistry ; 59(42): 4118-4130, 2020 10 27.
Article in English | MEDLINE | ID: mdl-33048542

ABSTRACT

The oxylipins, 5S,12S-dihydroxy-6E,8Z,10E,14Z-eicosatetraenoic acid (5S,12S-diHETE) and 5S,15S-dihydroxy-6E,8Z,11Z,13E-eicosatetraenoic acid (5S,15S-diHETE), have been identified in cell exudates and have chemotactic activity toward eosinophils and neutrophils. Their biosynthesis has been proposed to occur by sequential oxidations of arachidonic acid (AA) by lipoxygenase enzymes, specifically through oxidation of AA by h5-LOX followed by h12-LOX, h15-LOX-1, or h15-LOX-2. In this work, h15-LOX-1 demonstrates altered positional specificity when reacting with 5S-HETE, producing 90% 5S,12S-diHETE, instead of 5S,15S-diHETE, with kinetics 5-fold greater than that of h12-LOX. This is consistent with previous work in which h15-LOX-1 reacts with 7S-HDHA, producing the noncanonical, DHA-derived, specialized pro-resolving mediator, 7S,14S-diHDHA. It is also determined that oxygenation of 5S-HETE by h15-LOX-2 produces 5S,15S-diHETE and its biosynthetic kcat/KM flux is 2-fold greater than that of h15-LOX-1, suggesting that h15-LOX-2 may have a greater role in lipoxin biosynthesis than previously thought. In addition, it is shown that oxygenation of 12S-HETE and 15S-HETE by h5-LOX is kinetically slow, suggesting that the first step in the in vitro biosynthesis of both 5S,12S-diHETE and 5S,15S-diHETE is the production of 5S-HETE.


Subject(s)
Arachidonate 15-Lipoxygenase/metabolism , Lipoxins/metabolism , Arachidonic Acid/metabolism , Arachidonic Acids/metabolism , Humans , Hydroxyeicosatetraenoic Acids/metabolism
12.
Atmos Environ (1994) ; 243: 117871, 2020 Dec 01.
Article in English | MEDLINE | ID: mdl-32982566

ABSTRACT

The Jack Rabbit II Special Sonic Anemometer Study (JRII-S), a field project designed to examine the flow and turbulence within a systematically arranged mock-urban environment constructed from CONEX shipping containers, is described in detail. The study involved the deployment of 35 sonic anemometers at multiple heights and locations, including a 32 m tall, unobstructed tower located about 115 m outside the building array to document the approach wind flow characteristics. The purpose of this work was to describe the experimental design, analyze the sonic data, and report observed wind flow patterns within the urban canopy in comparison to the approaching boundary layer flow. We show that the flow within the building array follows a tendency towards one of three generalized flow regimes displaying channeling over a wide range of wind speeds, directions, and stabilities. Two or more sonic anemometers positioned only a few meters apart can have vastly different flow patterns that are dictated by the building structures. Within the building array, turbulence values represented by normalized vertical velocity variance ( σ w 2 ) are at least two to three times greater than that in the approach flow. There is also little evidence that σ w 2 measured at various heights or locations within the JRII array is a strong function of stability type in contrast to the approach flow. The results reinforce how urban areas create complicated wind patterns, channeling effects, and localized turbulence that can impact the dispersion of an effluent release. These findings can be used to inform the development of improved wind flow algorithms to better characterize pollutant dispersion in fast-response models.

13.
Urology ; 145: 106-112, 2020 11.
Article in English | MEDLINE | ID: mdl-32739310

ABSTRACT

OBJECTIVE: To assess the feasibility of a prehabilitation program for cystectomy patients and to determine the effectiveness of the program in improving strength and functional capacity in the peri-operative period. MATERIALS AND METHODS: This phase I/II study accrued patients ≥60 years old from January 2013 to October 2017 with biopsy-proven bladder cancer, Karnofsky performance score ≥70 and a sedentary baseline lifestyle to participate in a 4-week supervised preoperative exercise training program. Primary outcomes were feasibility and safety; secondary outcomes included changes in fitness, patient-reported QOL, peri-operative complications and readmissions. Student's ttests and Wilcoxon signed-rank test were performed. RESULTS: Fifty-four patients enrolled in the program. Successful completion, defined as patients who began the program and adhered to >70% of the sessions, was attained by 41 of 51 patients (80.4%, 90% CI [71%-90%]). There were no adverse events. Fitness and patient-reported QOL improved postintervention, with sustained improvements in general and mental health 90-days postsurgery. The primary limitation is no control group. CONCLUSION: Prehabilitation prior to cystectomy is feasible, safe, and results in improvements in patient strength, endurance and sustained improvements in patient-reported QOL from baseline. Efforts to further evaluate the impact of prehabilitation in this population in an expanded and randomized fashion are warranted.


Subject(s)
Cystectomy/adverse effects , Physical Fitness/physiology , Preoperative Exercise/physiology , Quality of Life , Urinary Bladder Neoplasms/surgery , Aged , Feasibility Studies , Female , Humans , Male , Treatment Outcome
14.
J Lipid Res ; 61(7): 1087-1103, 2020 07.
Article in English | MEDLINE | ID: mdl-32404334

ABSTRACT

The two oxylipins 7S,14S-dihydroxydocosahexaenoic acid (diHDHA) and 7S,17S-diHDHA [resolvin D5 (RvD5)] have been found in macrophages and infectious inflammatory exudates and are believed to function as specialized pro-resolving mediators (SPMs). Their biosynthesis is thought to proceed through sequential oxidations of DHA by lipoxygenase (LOX) enzymes, specifically, by human 5-LOX (h5-LOX) first to 7(S)-hydroxy-4Z,8E,10Z,13Z,16Z,19Z-DHA (7S-HDHA), followed by human platelet 12-LOX (h12-LOX) to form 7(S),14(S)-dihydroxy-4Z,8E,10Z,12E,16Z,19Z-DHA (7S,14S-diHDHA) or human reticulocyte 15-LOX-1 (h15-LOX-1) to form RvD5. In this work, we determined that oxidation of 7(S)-hydroperoxy-4Z,8E,10Z,13Z,16Z,19Z-DHA to 7S,14S-diHDHA is performed with similar kinetics by either h12-LOX or h15-LOX-1. The oxidation at C14 of DHA by h12-LOX was expected, but the noncanonical reaction of h15-LOX-1 to make over 80% 7S,14S-diHDHA was larger than expected. Results of computer modeling suggested that the alcohol on C7 of 7S-HDHA hydrogen bonds with the backbone carbonyl of Ile399, forcing the hydrogen abstraction from C12 to oxygenate on C14 but not C17. This result raised questions regarding the synthesis of RvD5. Strikingly, we found that h15-LOX-2 oxygenates 7S-HDHA almost exclusively at C17, forming RvD5 with faster kinetics than does h15-LOX-1. The presence of h15-LOX-2 in neutrophils and macrophages suggests that it may have a greater role in biosynthesizing SPMs than previously thought. We also determined that the reactions of h5-LOX with 14(S)-hydroperoxy-4Z,7Z,10Z,12E,16Z,19Z-DHA and 17(S)-hydroperoxy-4Z,7Z,10Z,13Z,15E,19Z-DHA are kinetically slow compared with DHA, suggesting that these reactions may be minor biosynthetic routes in vivo. Additionally, we show that 7S,14S-diHDHA and RvD5 have anti-aggregation properties with platelets at low micromolar potencies, which could directly regulate clot resolution.


Subject(s)
Arachidonate 15-Lipoxygenase/metabolism , Docosahexaenoic Acids/biosynthesis , Blood Platelets/metabolism , Docosahexaenoic Acids/chemistry , Humans
15.
Mhealth ; 4: 54, 2018.
Article in English | MEDLINE | ID: mdl-30596078

ABSTRACT

BACKGROUND: Telemedicine utilization, including use of video visits, is growing rapidly. While much enthusiasm surrounds telemedicine, the successful implementation of video visits within health systems requires providers to evaluate patient's experience with the implemented technology and workflow. METHODS: Twenty patients who completed a video visit in the Department of Urology at Michigan Medicine were contacted and asked if they would be willing to share their experience. Patients underwent a semi-structured telephone interview. Using an interview guide, patients were asked questions about the enrollment process, their overall impression of the visit, and feedback to improve the visit. Interview comments were categorized into three primary themes: usability, quality of the visit, and comparison to a traditional in-clinic visit. RESULTS: Most patients who underwent a urological video visit were highly satisfied with their experience. Most patients also reported being able to join the video visit with minimal issues. However, some patients expressed issues downloading the application and interpreting our educational materials. In regard to quality of the visit, most patients were impressed and pleased. While there was no criticism regarding the picture-quality of the video visit, a few patients reported issues with the audio. It was apparent that quality of video was dependent on quality of the patient's internet connection. When comparing the video visit to a traditional in-clinic visit, patients-especially parents with children at home-found the video visit to be more efficient. CONCLUSIONS: Our study found that patients were pleased with their urological video visit experience, and there were details about our workflow that would not have been evident without interviews. These findings suggest that while video visits are suitable alternatives to in-clinic appointments at academic medical centers, it is important for providers to obtain direct feedback from patients to identify workflow and technical issues.

16.
Atmos Environ (1994) ; 186: 189-197, 2018.
Article in English | MEDLINE | ID: mdl-31534415

ABSTRACT

This paper presents an analysis of data from a wind tunnel (Heist et al., 2009) conducted to study dispersion of emissions from three depressed roadway configurations; a 6 m deep depressed roadway with vertical sidewalls, a 6 m deep depressed roadway with 30° sloping sidewalls, and a 9 m deep depressed roadway with vertical sidewalls. The width of the road at the bottom of the depression is 36 m for all cases. All these configurations induce complex flow fields, increase turbulence levels, and decrease surface concentrations downwind of the depressed road compared to those of the at-grade configuration. The parameters of flat terrain dispersion models are modified to describe concentrations measured downwind of the depressed roadways. In the first part of the paper, a flat terrain model proposed by van Ulden (1978) is adapted. It turns out that this model with increased initial vertical dispersion and friction velocity is able to explain the observed concentration field. The results also suggest that the vertical concentration profiles of all cases under neutral conditions are best explained by a vertical distribution function with an exponent of 1.3. In the second part of the paper, these modifications are incorporated into a model based on the RLINE (Snyder et al., 2013) line-source dispersion model. While this model can be adapted to yield acceptable estimates of near-surface concentrations (z< 6m) measured in the wind tunnel, the Gaussian vertical distribution in RLINE, with an exponent of 2, cannot describe the concentration at higher elevations. Our findings suggest a simple method to account for depressed highways in models such as RLINE and AERMOD through two parameters that modify vertical plume spread.

17.
Article in English | MEDLINE | ID: mdl-31595141

ABSTRACT

A laboratory study of the influence of complex terrain on the interface between a well-mixed boundary layer and an elevated stratified layer was conducted in the towing-tank facility of the U.S. Environmental Protection Agency. The height of the mixed layer in the daytime boundary layer can have a strong influence on the concentration of pollutants within this layer. Deflections of streamlines at the height of the interface are primarily a function of hill Froude number (Fr), the ratio of mixed-layer height (z i ) to terrain height (h), and the crosswind dimension of the terrain. The magnitude of the deflections increases as Fr increases and z i /h decreases. For mixing-height streamlines that are initially below the terrain top, the response is linear with Fr; for those initially above the terrain feature the response to Fr is more complex. Once Fr exceeds about 2, the terrain-related response of the mixed layer interface decreases somewhat with increasing Fr (toward more neutral flow). Deflections are also shown to increase as the crosswind dimensions of the terrain increase. Comparisons with numerical modeling, limited field data, and other laboratory measurements reported in the literature are favorable. Additionally, visual observations of dye streamers suggest that the flow structure exhibited for our elevated inversions passing over three dimensional hills is similar to that reported in the literature for continuously stratified flow over two-dimensional hills.

18.
Atmos Environ (1994) ; 155: 137-10, 2017.
Article in English | MEDLINE | ID: mdl-31632181

ABSTRACT

We propose a dispersion model to estimate the impact of a solid noise barrier upwind of a highway on air pollution concentrations downwind of the road. The model, based on data from wind tunnel experiments conducted by Heist et al. (2009), assumes that the upwind barrier has two main effects: 1) it creates a recirculation zone behind the barrier that sweeps the emissions from the highway back towards the wall, and 2) it enhances vertical dispersion and initial mixing. By combining the upwind barrier model with the mixed wake model for a downwind barrier described in Schulte et al. (2014), we are able to model dispersion of emissions from a highway with noise barriers on both sides. The model provides a good description of measurements made in the wind tunnel. The presence of an upwind barrier causes reductions in concentrations relative to those measured downwind of a road with no barriers. The reduction can be as large as that caused by a downwind barrier if the recirculation zone covers the width of the highway. Barriers on both sides of the highway result in larger reductions downwind of the barriers than those caused by a single barrier either upwind or downwind. As expected, barrier effects are small beyond 10 barrier heights downwind of the highway. We also propose a tentative model to estimate on-road concentrations within the recirculation zone induced by the upwind barrier.

19.
Ann N Y Acad Sci ; 1385(1): 3-20, 2016 12.
Article in English | MEDLINE | ID: mdl-27859325

ABSTRACT

The origin of the diaphragm remains a poorly understood yet crucial step in the evolution of terrestrial vertebrates, as this unique structure serves as the main respiratory motor for mammals. Here, we analyze the paleobiology and the respiratory apparatus of one of the oldest lineages of mammal-like reptiles: the Caseidae. Combining quantitative bone histology and functional morphological and physiological modeling approaches, we deduce a scenario in which an auxiliary ventilatory structure was present in these early synapsids. Crucial to this hypothesis are indications that at least the phylogenetically advanced caseids might not have been primarily terrestrial but rather were bound to a predominantly aquatic life. Such a lifestyle would have resulted in severe constraints on their ventilatory system, which consequently would have had to cope with diving-related problems. Our modeling of breathing parameters revealed that these caseids were capable of only limited costal breathing and, if aquatic, must have employed some auxiliary ventilatory mechanism to quickly meet their oxygen demand upon surfacing. Given caseids' phylogenetic position at the base of Synapsida and under this aquatic scenario, it would be most parsimonious to assume that a homologue of the mammalian diaphragm had already evolved about 50 Ma earlier than previously assumed.


Subject(s)
Biological Evolution , Diaphragm/anatomy & histology , Extinction, Biological , Animals , Diaphragm/physiology , Phylogeny
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