modelling

建模
  • 文章类型: Journal Article
    本工作通过分析扩展了先前研究的范围,As的建模和仿真,Cd,Co,Cu,Fe、MnMo,从Gentoo(Pygoscelispapua)和Chinstrap(Pygoscelisantarcticus)企鹅鸟粪中释放的Ni和Zn到南大洋海水和南极融雪水。实验室实验结果已被建模,考虑到使用鸟粪室中的两个元素池的水和鸟粪之间的动力学过程;它的应用使我们能够解释行为并预测鸟粪中溶解的微量元素的释放浓度,这些微量元素可能有助于作为元素源纳入南大洋应用的生物地球化学模型中。已确定了数量和释放方式的变化,具体取决于接触的鸟粪和水性介质的类型。鸟粪向水性介质的释放百分比,一旦达到稳定状态,根据水介质和鸟粪类型的不同,Mo的范围为100-2.9%;Ni为91.5-68.6%;81.8-22.8%As;52.0-43.9%Cu;26.9-7.4%Mn;Co为24.9-5.4;Zn为4.4-3.2%,Fe为0.94-0.51%。考虑到企鹅的数量为774,000Gentoo和8,000,000Chinstrap,估计每年释放到海水和淡水中的铜质量约为18,500千克,锌约为1710公斤,对于Fe约1944公斤,Mn为1640公斤,对于As约499kg,对于Ni约289公斤,对于Mo约155公斤,Cd约36.7kg,Co约8.1kg。这些贡献在促进浮游植物生长及其作为初级生产力抑制剂的作用方面都具有局部意义。
    The present work extends the scope of prior studies through analysis, modelling and simulation of the As, Cd, Co, Cu, Fe Mn, Mo, Ni and Zn release from Gentoo (Pygoscelis papua) and Chinstrap (Pygoscelis antarcticus) penguin guano to the Southern Ocean seawater and to Antarctic snow meltwater. Laboratory experimental results have been modelled considering kinetic processes between water and guano using two element pools in the guano compartment; its application allows us to interpret behaviours and predict release concentrations of dissolved trace elements from guano which are potentially useful for incorporation as elements source into biogeochemical models applied in the Southern Ocean. Variations in quantities and release patterns depending on the type of guano and aqueous medium in contact have been identified. The release percentages from the guano to the aqueous medium, once the steady state has been reached, vary depending on the water medium and guano type in the ranges of 100-2.9 % for Mo; 91.5-68.6 % for Ni; 81.8-22.8 % As; 52.0-43.9 % Cu; 26.9-7.4 % Mn; 24.9-5.4 for Co; 4.4-3.2 % for Zn and 0.94-0.51 % for Fe. Considering a penguin population of 774,000 Gentoo and 8,000,000 Chinstrap, the estimated annual mass released to the both seawater and freshwater would be ≈18,500 kg for Cu, ≈1710 kg for Zn, ≈1944 kg for Fe, ≈1640 kg for Mn, ≈499 kg for As, ≈289 kg for Ni, ≈155 kg for Mo, ≈36.7 kg for Cd and ≈8.1 kg for Co. These contributions can be locally significant both in promoting phytoplankton growth and in their role as inhibitors of primary productivity.
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  • 文章类型: Journal Article
    农业中氮(N)施肥的管理不善导致氮利用效率低(NUE),因此由于NO3-浸出而污染了水和大气,以及N2O和NH3排放。使用土壤-植物系统的N模拟模型可以帮助改善氮肥管理,增加NUE并减少N污染问题。然而,许多仿真模型在复杂性和不确定性之间缺乏平衡,结果它们没有应用于实际实践。NITIRSOIL是一个具有每月时间步长的一维瞬态模型,旨在解决主要是,干物质产量(DMY),作物氮素吸收(Nupt),土壤矿质N(Nmin),以及农田中的NO3-浸出。根据其对园艺的全球敏感性分析,上述输出的NITIRSOIL模拟主要取决于临界N稀释曲线,收获指数,干物质分数,潜在的新鲜产量和硝化系数。根据其在西班牙东部半干旱地中海气候下对11种蔬菜进行的35项氮肥试验的验证,NITIRSOIL提出了0.87和0.97之间的一致指数,用于预测总干物质,DMY,Nupt,作物季节结束时NO3-淋溶和土壤Nmin。因此,NITIRSOIL模型可用于实际实践中,以提高N管理的可持续性,尤其是园艺,由于它在复杂性和预测不确定性之间的平衡。为了这个目标,NITRISOIL可以单独使用,或与“Nmin”现场氮肥推荐方法相结合,甚至可以实现为决策支持系统的计算核心。
    Mismanagement of the nitrogen (N) fertilization in agriculture leads to low N use efficiency (NUE) and therefore pollution of waters and atmosphere due to NO3- leaching, and N2O and NH3 emissions. The use of N simulation models of the soil-plant system can help improve the N fertilizer management increasing NUE and decreasing N pollution issues. However, many N simulation models lack balance between complexity and uncertainty with the result that they are not applied in actual practice. The NITIRSOIL is a one-dimensional transient-state model with a monthly time step that aims at addressing this lack in the estimation of, mainly, dry matter yield (DMY), crop N uptake (Nupt), soil mineral N (Nmin), and NO3- leaching in agricultural fields. According to its global sensitivity analysis for horticulture, the NITIRSOIL simulations of the aforementioned outputs mostly depend on the critical N dilution curve, harvest index, dry matter fraction, potential fresh yield and nitrification coefficients. According to its validation for 35 nitrogen fertilization trials with 11 vegetables under semi-arid Mediterranean climate in Eastern Spain, the NITIRSOIL presents indices of agreement between 0.87 and 0.97 for the prediction of total dry matter, DMY, Nupt, NO3- leaching and soil Nmin at crop season end. Therefore, the NITIRSOIL model can be used in actual practice to improve the sustainability of the N management in, particularly horticulture, due to the balance it features between complexity and prediction uncertainty. For this aim, the NITRISOIL can be used either on its own, or in combination with \"Nmin\" on-site N fertilization recommendation methods, or even could be implemented as the calculation core of decision support systems.
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  • 文章类型: Journal Article
    背景:这篇综述旨在综合有关功效的文献,进化,以及在心理健康领域实施诊所决策支持系统(CDSS)的挑战,上瘾,和并发疾病。
    方法:遵循PRISMA指南,我们进行了系统评价和荟萃分析.在MEDLINE等数据库中进行的搜索,Embase,CINAHL,PsycINFO,到2023年5月25日,WebofScience产生了27344条记录。在必要的排除之后,69条记录被分配用于详细的合成。在检查患者结果时,重点关注治疗效果等指标,患者满意度,和治疗验收,采用荟萃分析技术综合来自随机对照试验的数据.
    结果:共纳入69项研究,揭示了从2017年前的基于知识的模型到2017年后的数据驱动模型的兴起的转变。发现大多数模型处于成熟的第2或第4阶段。荟萃分析显示,成瘾相关结局的效应大小为-0.11,患者满意度和接受CDSS的效应大小为-0.50。
    结论:结果表明,从基于知识的CDSS方法向数据驱动的CDSS方法转变,与机器学习和大数据的进步相一致。尽管对成瘾结果的直接影响不大,更高的患者满意度表明更广泛使用CDSS的前景。识别的挑战包括警报疲劳和不透明的AI模型。
    结论:CDSS在心理健康和成瘾治疗方面显示出希望,但需要采取微妙的方法来有效和道德地实施。结果强调需要继续研究,以确保在医疗机构中得到优化和公平的使用。
    BACKGROUND: This review aims to synthesise the literature on the efficacy, evolution, and challenges of implementing Clincian Decision Support Systems (CDSS) in the realm of mental health, addiction, and concurrent disorders.
    METHODS: Following PRISMA guidelines, a systematic review and meta-analysis were performed. Searches conducted in databases such as MEDLINE, Embase, CINAHL, PsycINFO, and Web of Science through 25 May 2023, yielded 27,344 records. After necessary exclusions, 69 records were allocated for detailed synthesis. In the examination of patient outcomes with a focus on metrics such as therapeutic efficacy, patient satisfaction, and treatment acceptance, meta-analytic techniques were employed to synthesise data from randomised controlled trials.
    RESULTS: A total of 69 studies were included, revealing a shift from knowledge-based models pre-2017 to a rise in data-driven models post-2017. The majority of models were found to be in Stage 2 or 4 of maturity. The meta-analysis showed an effect size of -0.11 for addiction-related outcomes and a stronger effect size of -0.50 for patient satisfaction and acceptance of CDSS.
    CONCLUSIONS: The results indicate a shift from knowledge-based to data-driven CDSS approaches, aligned with advances in machine learning and big data. Although the immediate impact on addiction outcomes is modest, higher patient satisfaction suggests promise for wider CDSS use. Identified challenges include alert fatigue and opaque AI models.
    CONCLUSIONS: CDSS shows promise in mental health and addiction treatment but requires a nuanced approach for effective and ethical implementation. The results emphasise the need for continued research to ensure optimised and equitable use in healthcare settings.
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  • 文章类型: Journal Article
    在2019年至2020年之间,在玻利维亚的三个田间环境中进行了流行病学研究,以更好地了解小麦瘟疫(WB)的时空模式。与Gompertz和指数模型相比,逻辑模型最好地描述了小麦叶片胚(WLB)和穗胚(WSB)的时间动态。在实验二和实验三的定义接种下,非线性逻辑感染率(rL)高于实验一的未定义接种下,WSB也高于WLB。根据自相关分析和Moran指数(I)值,WLB的开始始于空间聚类模式,在最后一次采样时间之前,与未定义的接种相比,定义的严重程度更高,发病更早。WSB的发作不是以空间集群模式开始的;相反,它后来被检测到,直到实验的最后一次采样日期,与未定义的接种相比,定义的严重程度更高,发病更早。WSB的最大严重程度(Kmax)为1.0,WLB小于1.0。定义的WLB和WSB的聚集高于未定义的接种。WLB和WSB的热点开发方向相似,主要集中发生在定义的接种。我们的结果表明没有同步发育的证据,但表明小麦叶片和穗上疾病症状的时间和空间进展。因此,我们建议在高风险地区种植的小麦的早期生长阶段应考虑对WB的监测和管理。
    Epidemiological studies to better understand wheat blast (WB) spatial and temporal patterns were conducted in three field environments in Bolivia between 2019 and 2020. The temporal dynamics of wheat leaf blast (WLB) and spike blast (WSB) were best described by the logistic model compared to the Gompertz and exponential models. The non-linear logistic infection rates (rL) were higher under defined inoculation in experiments two and three than under undefined inoculation in experiment one, and they were also higher for WSB than for WLB. The onset of WLB began with a spatial cluster pattern according to autocorrelation analysis and Moran\'s Index (I) values, with higher severity and earlier onset for defined than for undefined inoculation until the last sampling time. The WSB onset did not start with a spatial cluster pattern; instead, it was detected later until the last sampling date across experiments, with higher severity and earlier onset for defined than for undefined inoculation. Maximum severity (Kmax) was 1.0 for WSB, and less than 1.0 for WLB. Aggregation of WLB and WSB was higher for defined than for undefined inoculation. The directionality of hotspot development was similar for both WLB and WSB, mainly occurring concentrically for defined inoculation. Our results show no evidence of synchronized development but suggest a temporal and spatial progression of disease symptoms on wheat leaves and spikes. Thus, we recommend that monitoring and management of WB should be considered during early growth stages of wheat planted in areas of high risk.
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  • 文章类型: Journal Article
    害虫的物候模型通常依赖于热反应规范的知识。这些可能在形状上有所不同,具体取决于发育热条件(例如,常数与波动)和其他因素,如生命阶段。这里,我们对侵入性苍蝇的发育和生存能力的热反应规范进行了广泛的比较研究,果蝇,在恒定和波动的热态下。苍蝇,接受15种不同的恒定温度(CT),范围从8到35°C。我们将CT下的响应与15种不同波动温度(FT)方案下观察到的模式进行了比较。我们测试了几个方程的热性能曲线,并比较了各种模型,以获得热极限和度日估计。要验证模型的预测,在春季和冬季,在两种人工野外条件和两种自然条件下在室外笼子中监测物候。从鸡蛋到p的生存力的热反应规范比从鸡蛋到成虫的要宽。FT条件比CT产生了更宽的生存力热宽度,随着表演向更冷的一侧延伸,与我们在冬季的实地观察一致。只要温度保持在发育速率曲线的线性部分内,由CT和FT条件产生的模型就可以准确预测度日。在寒冷的人工和自然冬季条件下,基于FT数据的模型做出了更准确的预测。基于CT的模型无法预测冬季成人的出现。我们还记录了D.suzuki整个冬季的发育和成年出现的第一个记录。suzukii的种群动态模型均基于夏季表型和CT。考虑季节性表型之间的差异,阶段,和热条件(CT与FT)可以提高模型的预测能力。
    Phenological models for insect pests often rely on knowledge of thermal reaction norms. These may differ in shape depending on developmental thermal conditions (e.g. constant vs. fluctuating) and other factors such as life-stages. Here, we conducted an extensive comparative study of the thermal reaction norms for development and viability in the invasive fly, Drosophila suzukii, under constant and fluctuating thermal regimes. Flies, were submitted to 15 different constant temperatures (CT) ranging from 8 to 35 °C. We compared responses under CT with patterns observed under 15 different fluctuating temperature (FT) regimes. We tested several equations for thermal performance curves and compared various models to obtain thermal limits and degree-day estimations. To validate the model\'s predictions, the phenology was monitored in two artificial field-like conditions and two natural conditions in outdoor cages during spring and winter. Thermal reaction norm for viability from egg to pupa was broader than that from egg to adult. FT conditions yielded a broader thermal breadth for viability than CT, with a performance extended towards the colder side, consistent with our field observations in winter. Models resulting from both CT and FT conditions made accurate predictions of degree-day as long as the temperature remained within the linear part of the developmental rate curve. Under cold artificial and natural winter conditions, a model based on FT data made more accurate predictions. Model based on CT failed to predict adult\'s emergence in winter. We also document the first record of development and adult emergence throughout winter in D. suzukii. Population dynamics models in D. suzukii are all based on summer phenotype and CT. Accounting for variations between seasonal phenotypes, stages, and thermal conditions (CT vs. FT) could improve the predictive power of the models.
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  • 文章类型: Journal Article
    人工智能彻底改变了蛋白质结构预测领域。然而,随着更强大、更复杂的软件的开发,它是可访问性和易用性,而不是功能,正在迅速成为最终用户的限制因素。LazyAF是一个基于GoogleColaboratory的管道,它集成了现有的ColabFoldBATCH软件,以简化中等规模的蛋白质-蛋白质相互作用预测过程。LazyAF用于预测在广泛宿主范围的多药抗性质粒RK2上编码的76种蛋白质的相互作用组,证明了管道提供的易用性和可及性。
    Artificial intelligence has revolutionized the field of protein structure prediction. However, with more powerful and complex software being developed, it is accessibility and ease of use rather than capability that is quickly becoming a limiting factor to end users. LazyAF is a Google Colaboratory-based pipeline which integrates the existing ColabFold BATCH software to streamline the process of medium-scale protein-protein interaction prediction. LazyAF was used to predict the interactome of the 76 proteins encoded on the broad-host-range multi-drug resistance plasmid RK2, demonstrating the ease and accessibility the pipeline provides.
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  • 文章类型: Journal Article
    蓖麻是欧洲医学上最相关的蜱物种,因为它传播引起莱姆病和蜱传脑炎的病原体。西班牙北部是其主要欧洲范围的最南端,是该国莱姆病住院率最高的地区。目前,在该地区,蓖麻病毒丰度时空模式的环境决定因素仍然未知,这些因素可能与欧洲该物种高度有利地区的驱动因素不同。因此,我们的研究旨在了解调节调查I.ricinus种群动态的主要因素,以绘制西班牙北部的丰度模式。从2012年到2014年,在西班牙北部两个地区的13个地点进行了每月/每两周的采样,以估算蓖麻的时空变化。通过构建具有零膨胀负二项分布的广义线性混合模型,针对过度分散的数据,将蓖麻的局部丰度与局部生物和非生物环境条件的变化进行了建模。蓖麻的不同发育阶段在一年中的不同时期最为活跃。成年和若虫在春季表现出丰富的高峰,而探查幼虫在夏季更为频繁。影响不同阶段时空丰度的主要决定因素与湿度和温度有关。对于成虫和幼虫,夏天似乎是他们富足最有影响力的时期,而对于若虫来说,冬季和前几个月的条件似乎是决定因素。预计西班牙北部莱姆病住院率最高的地区若虫和成虫的丰度最高。我们的模型可能是建立更准确的预测模型的基础,以确定动物/人类和蓖麻之间最大潜在相互作用的时空窗口。
    Ixodes ricinus is the most medically relevant tick species in Europe because it transmits the pathogens that cause Lyme borreliosis and tick-borne encephalitis. Northern Spain represents the southernmost margin of its main European range and has the highest rate of Lyme borreliosis hospitalisations in the country. Currently, the environmental determinants of the spatiotemporal patterns of I. ricinus abundance remain unknown in this region and these may differ from drivers in highly favourable areas for the species in Europe. Therefore, our study aimed to understand the main factors modulating questing I. ricinus population dynamics to map abundance patterns in northern Spain. From 2012 to 2014, monthly/fortnightly samplings were conducted at 13 sites in two regions of northern Spain to estimate spatiotemporal variation in I. ricinus questing abundance. Local abundance of I. ricinus was modelled in relation to variation in local biotic and abiotic environmental conditions by constructing generalised linear mixed models with a zero-inflated negative binomial distribution for overdispersed data. The different developmental stages of I. ricinus were most active at different times of the year. Adults and nymphs showed a peak of abundance in spring, while questing larvae were more frequent in summer. The main determinants affecting the spatiotemporal abundance of the different stages were related to humidity and temperature. For adults and larvae, summer seemed to be the most influential period for their abundance, while for nymphs, winter conditions and those of the preceding months seemed to be determining factors. The highest abundances of nymphs and adults were predicted for the regions of northern Spain with the highest rate of Lyme borreliosis hospitalisations. Our models could be the basis on which to build more accurate predictive models to identify the spatiotemporal windows of greatest potential interaction between animals/humans and I. ricinus that may lead to the transmission of I. ricinus-borne pathogens.
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  • 文章类型: Journal Article
    针对COVID-19的疫苗接种是控制随着SARS-CoV-2变体的持续出现而持续存在的大流行的不可或缺的一部分。使用描述SARS-CoV-2宿主内感染动力学的数学模型,我们估计由于感染变异因素而导致的病毒和免疫差异,年龄,和疫苗接种史(疫苗接种品牌,接种疫苗后的剂量和时间)。我们在贝叶斯框架中将我们的模型拟合到从新加坡的Delta和Omicron感染病例获得的上呼吸道病毒载量测量,其中大多数人只有一个鼻咽拭子测量。有了这个数据集,我们能够重现在适合纵向患者数据的过去宿主内建模研究中观察到的URT病毒动力学的相似趋势.我们发现Omicron的R0高于Delta,表明宿主内感染的初始细胞间扩散更大。此外,通过将免疫相关参数拟合为疫苗接种史特异性,可以重建患者亚组之间感染动力学的异质性,有或没有年龄的修改。我们的模型结果与老年人SARS-CoV-2感染的免疫衰老的概念一致,以及自上次疫苗接种以来免疫力随着时间的增加而下降的问题。最后,在Omicron感染和Delta感染中,未发现疫苗接种会抑制病毒动力学。这项研究提供了有关疫苗引发的免疫对SARS-CoV-2宿主内动力学的影响的见解。以及年龄和疫苗接种史之间的相互作用。此外,它表明需要解开宿主因素和病原体的变化,以辨别影响病毒动态的因素。最后,这项工作展示了研究宿主内病毒动力学的前进道路,通过使用包括大量患者的病毒载量数据集,无需重复测量。
    Vaccination against COVID-19 was integral to controlling the pandemic that persisted with the continuous emergence of SARS-CoV-2 variants. Using a mathematical model describing SARS-CoV-2 within-host infection dynamics, we estimate differences in virus and immunity due to factors of infecting variant, age, and vaccination history (vaccination brand, number of doses and time since vaccination). We fit our model in a Bayesian framework to upper respiratory tract viral load measurements obtained from cases of Delta and Omicron infections in Singapore, of whom the majority only had one nasopharyngeal swab measurement. With this dataset, we are able to recreate similar trends in URT virus dynamics observed in past within-host modelling studies fitted to longitudinal patient data.We found that Omicron had higher R0,within values than Delta, indicating greater initial cell-to-cell spread of infection within the host. Moreover, heterogeneities in infection dynamics across patient subgroups could be recreated by fitting immunity-related parameters as vaccination history-specific, with or without age modification. Our model results are consistent with the notion of immunosenescence in SARS-CoV-2 infection in elderly individuals, and the issue of waning immunity with increased time since last vaccination. Lastly, vaccination was not found to subdue virus dynamics in Omicron infections as well as it had for Delta infections.This study provides insight into the influence of vaccine-elicited immunity on SARS-CoV-2 within-host dynamics, and the interplay between age and vaccination history. Furthermore, it demonstrates the need to disentangle host factors and changes in pathogen to discern factors influencing virus dynamics. Finally, this work demonstrates a way forward in the study of within-host virus dynamics, by use of viral load datasets including a large number of patients without repeated measurements.
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  • 文章类型: Journal Article
    背景:贫血是一种具有多种病因的公共卫生重要性的疾病。以前的文献表明室内空气污染(IAP)对血红蛋白水平的作用,但由于后勤限制,这方面的研究较少。发展中国家人口比例很高,包括印度,仍然依赖于不清洁的燃料,这加剧了IAP。目的是研究按性别划分的印度老年成年人(≥45岁)中贫血与IAP之间的关系。
    方法:我们的研究分析了印度纵向老龄化研究的全国代表性数据集(LASI2017-18,Wave-1)。我们已经记录了贫血(结果变量)与IAP(解释变量)的关联。为了减少人口统计学和社会经济的混杂效应;健康相关和行为协变量;进行了倾向评分匹配(PSM)。进行嵌套多水平回归建模。州和联邦领土被交叉分类为低,根据贫血和IAP暴露,中度和高度。P值<0.05被认为具有统计学意义。使用SATA版本17进行分析。
    结果:超过一半(52.52%)的参与者暴露于IAP(男性(53.55%)>女性(51.63%))。在使用不清洁/固体燃料的参与者中,贫血的几率显着高出1.19倍(AOR1.19(1.09-1.31))。在暴露于污染源的参与者中,调整后的赔率明显更高(AOR1.30;1.18-1.43),和家庭室内吸烟(AOR1.17(1.07-1.29)。暴露于IAP的参与者患贫血的几率显著较高(AOR1.26;1.15-1.38),男性(AOR1.36;1.15-1.61)高于女性(AOR1.21;1.08-1.35)。授权行动小组(EAG)像北方邦这样的国家,恰蒂斯加尔邦,中央邦,比哈尔邦同时患有高度贫血和IAP暴露。
    结论:本研究通过具有全国代表性的大型数据集,在印度老年人中建立了贫血与室内空气污染的正相关关系。男性的关联较高。建议进一步研究以了解详细的因果关系并建立时间性。现在是在全国范围内实施积极干预以减少固体/不清洁燃料使用的时候了,脆弱的通风,室内吸烟,IAP和与之相关的健康危害以及对EAG州的更集中的行动。
    BACKGROUND: Anaemia is a disease of public health importance with multi-causal pathways. Previous literature suggests the role of indoor air pollution (IAP) on haemoglobin levels, but this has been studied less due to logistic constraints. A high proportion of the population in developing countries, including India, still depends on unclean fuel, which exacerbates IAP. The objective was to study the association between anaemia and IAP among the older Indian adult population (≥ 45 years) as per gender.
    METHODS: Our study analysed the nationally representative dataset of the Longitudinal Ageing Study in India (LASI 2017-18, Wave-1). We have documented the association of anaemia (outcome variable) with IAP (explanatory variable). To reduce the confounding effects of demographic and socioeconomic; health related and behavioural covariates; propensity score matching (PSM) was conducted. Nested multilevel regression modelling was conducted. States and union territories were categorised cross tabulated as low, middle and high as per anaemia and IAP exposure. P value < 0.05 was considered statistically significant. SATA version 17 was used for analysis.
    RESULTS: More than half (52.52%) of the participants were exposed to IAP (male (53.55%) > female (51.63%)). The odds of having anaemia was significantly 1.19 times higher (AOR 1.19 (1.09-1.31)) among participants using unclean/ solid fuel. The adjusted odds were significantly higher among participants exposed to pollution-generating sources (AOR 1.30; 1.18-1.43), and household indoor smoking (AOR 1.17 (1.07-1.29). The odds of having anaemia were significantly higher (AOR 1.26; 1.15-1.38) among participants exposed to IAP, which was higher in males (AOR 1.36; 1.15-1.61) than females (AOR 1.21; 1.08-1.35). Empowered Action Group (EAG) states like Uttar Pradesh, Chhattisgarh, Madhya Pradesh, Bihar had both high anaemia and IAP exposure.
    CONCLUSIONS: This study established the positive association of anaemia with indoor air pollution among older Indian adults through a nationally representative large dataset. The association was higher among men. Further research is recommended to understand detailed causation and to establish temporality. It is a high time to implement positive intervention nationally to decrease solid/ unclean fuel usage, vulnerable ventilation, indoor smoking, IAP and health hazards associated with these with more focused actions towards EAG states.
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  • 文章类型: Journal Article
    髓母细胞瘤(MB)是最常见的儿童恶性脑肿瘤,5年生存率>70%。对整个大脑进行颅骨放射治疗(CRT),后颅窝增强(PFB),支持非婴儿的治疗;然而,对正常大脑的放射治疗会对神经认知和身体功能产生有害影响,并导致加速老化/虚弱。缺乏改善放射治疗引起的后期效应的方法,并且缺乏适当的模型系统阻碍了它们的发展。
    我们开发了一种临床相关的体内模型系统,该系统概括了放疗剂量,瞄准,和儿童期髓母细胞瘤的发育阶段。与人类方案一致,同龄(出生后第35-37天)雄性C57Bl/6J小鼠接受计算机断层扫描图像引导的CRT(人类等效37.5GyEQD2,n=12)±PFB(人类等效48.7GyEQD2,n=12),通过小动物放射研究平台,纵向评估时间>12个月。
    CRT耐受性良好,独立于PFB收据。与假照射组(n=12)相比,照射后的小鼠明显虚弱(虚弱指数;P=.0002),并且身体功能降低;从旋转杆(旋转杆;P=.026)和握力(P=.006)下降的时间显着降低。神经认知缺陷与儿童MB幸存者一致;受照射的小鼠表现出明显更差的工作记忆(Y迷宫;P=.009),并表现出空间记忆缺陷(Barnes迷宫;P=.029)。接受PFB不会引起更严重的后期效应。
    我们的体内模型反映了儿童MB放疗,并概括了MB幸存者后期效应中观察到的特征。我们的临床相关模型将有助于阐明支持MB后期效应的新/靶机制,并有助于开发新的干预措施来改善它们。
    UNASSIGNED: Medulloblastoma (MB) is the most common malignant pediatric brain tumor, with 5-year survival rates > 70%. Cranial radiotherapy (CRT) to the whole brain, with posterior fossa boost (PFB), underpins treatment for non-infants; however, radiotherapeutic insult to the normal brain has deleterious consequences to neurocognitive and physical functioning, and causes accelerated aging/frailty. Approaches to ameliorate radiotherapy-induced late-effects are lacking and a paucity of appropriate model systems hinders their development.
    UNASSIGNED: We have developed a clinically relevant in vivo model system that recapitulates the radiotherapy dose, targeting, and developmental stage of childhood medulloblastoma. Consistent with human regimens, age-equivalent (postnatal days 35-37) male C57Bl/6J mice received computerized tomography image-guided CRT (human-equivalent 37.5 Gy EQD2, n = 12) ± PFB (human-equivalent 48.7 Gy EQD2, n = 12), via the small animal radiation research platform and were longitudinally assessed for > 12 months.
    UNASSIGNED: CRT was well tolerated, independent of PFB receipt. Compared to a sham-irradiated group (n = 12), irradiated mice were significantly frailer following irradiation (frailty index; P = .0002) and had reduced physical functioning; time to fall from a rotating rod (rotarod; P = .026) and grip strength (P = .006) were significantly lower. Neurocognitive deficits were consistent with childhood MB survivors; irradiated mice displayed significantly worse working memory (Y-maze; P = .009) and exhibited spatial memory deficits (Barnes maze; P = .029). Receipt of PFB did not induce a more severe late-effect profile.
    UNASSIGNED: Our in vivo model mirrored childhood MB radiotherapy and recapitulated features observed in the late-effect profile of MB survivors. Our clinically relevant model will facilitate both the elucidation of novel/target mechanisms underpinning MB late effects and the development of novel interventions for their amelioration.
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