Background and purpose
GLORIA, a registry conducted with 375 advanced Parkinson's disease patients treated with levodopa‐carbidopa intestinal gel (LCIG) for 24 months in routine clinical care, ...demonstrated significant reductions from baseline in ‘off’ time and ‘on’ time with dyskinesia and improvements in the Non‐Motor Symptom Scale (NMSS) total and individual domain scores, and in Parkinson's Disease Questionnaire 8 item (PDQ‐8) total score.
Methods
Associations between baseline NMSS burden (NMSB), the multi‐domain NMSS total score and the PDQ‐8 total score were investigated for 233 patients. Baseline NMSB was assigned to five numerical categories defined by the NMSS total cutoff scores (0–20, 21–40, 41–60, 61–80 and >80). Pearson and Spearman correlations were calculated at month 24.
Results
The response of LCIG was assessed using validated criteria after 24 months. The proportion of patients decreasing ≥ 30 NMSS score points was 47% in the most affected NMSB category (NMSS total score > 80). A positive association was noted between baseline NMSB and NMSS total score (0.57, P < 0.0001), as well as between NMSS total score and PDQ‐8 total score (0.46, P < 0.0001). Associations between improvements of the NMSS domain sleep/fatigue and PDQ‐8 total score (0.32, P = 0.0001) as well as between the NMSS domain mood/cognition and PDQ‐8 total score (0.37, P < 0.0001) were also shown.
Conclusions
This analysis demonstrated positive associations between NMSS baseline burden and improvements of non‐motor symptoms. Improvements of non‐motor symptoms were associated with improved quality of life in advanced parkinsonian patients during a 2‐year treatment with LCIG and reflect the long‐term non‐motor efficacy of this treatment.
Stress is a prevailing risk factor for mood-related illnesses, wherein women represent the majority of those affected by major depression. Despite the growing literature suggesting that affective ...disorders can arise after a traumatic event is vicariously experienced, this relationship remains understudied in female subjects at the preclinical level. Thus, the objective of the current investigation was to examine whether exposure to emotional and/or psychological stress (ES) mediates depression-related outcomes in female mice.
Female C57BL/6 mice (8 weeks old, null parity) vicariously experienced the defeat bout of a male conspecific, by a male CD1 aggressor, for 10 consecutive days. Twenty-four hours after the last stress exposure, female mice were tested in the social interaction, sucrose preference, tail suspension, or elevated plus maze tests. Furthermore, we examined whether ketamine and chlordiazepoxide, pharmacological agents used to treat mood-related disorders in the clinical population, would reverse the ES-induced social dysfunction.
When compared with control mice, female mice exposed to ES displayed decreased social behavior and preference for sucrose, along with increased immobility in the tail suspension test. Also, they displayed higher levels of blood serum corticosterone, as well as decreased body weight. Lastly, the ES-induced avoidance-like phenotype was ameliorated by both ketamine and chlordiazepoxide.
Our data indicate that female mice exposed to ES display a behavioral and physiologic profile that mimics symptoms of depression in the clinical population. As such, this experimental model may be adopted to examine vicarious stress-induced mood-related disorders, as well as pharmacological antidepressant response, in a sex-specific manner.
The study aimed to develop evidence-based recommendations for the treatment of rapidly progressive interstitial lung disease (RPILD) associated with the anti-Melanoma Differentiation-Associated Gene ...5-positive dermatomyositis (DM) syndrome.
The task force comprised an expert panel of specialists in rheumatology, intensive care medicine, pulmonology, immunology, and internal medicine. The study was carried out in two phases: identifying key areas in the management of DM-RPILD syndrome and developing a set of recommendations based on a review of the available scientific evidence. Four specific questions focused on different treatment options were identified. Relevant publications in English, Spanish or French up to April 2018 were searched systematically for each topic using PubMed (MEDLINE), EMBASE, and Cochrane Library (Wiley Online). The experts used evidence obtained from these studies to develop recommendations.
A total of 134 studies met eligibility criteria and formed the evidentiary basis for the recommendations regarding immunosuppressive therapy and complementary treatments. Overall, there was general agreement on the initial use of combined immunosuppressive therapy. Combination of high-dose glucocorticoids and calcineurin antagonists with or without cyclophosphamide is the first choice. In the case of calcineurin antagonist contraindication or treatment failure, switching or adding other immunosuppressants may be individualized. Plasmapheresis, polymyxin B hemoperfusion and/or intravenous immunoglobulins may be used as rescue options. ECMO should be considered in life-threatening situations while waiting for a clinical response or as a bridge to lung transplant.
Thirteen recommendations regarding the treatment of the anti-MDA5 positive DM-RPILD were developed using research-based evidence and expert opinion.
Jatropha curcas (jatropha) is an oil crop cultivated in (sub)tropical regions around the world, and holds great promise as a renewable energy source. However, efforts to fully commercialize jatropha ...are currently hampered by the lack of genetic diversity in the extant breeding germplasm, and by the toxicity of its seeds meaning that its seed cake cannot be used as a protein source in animal feed, among other constraints. In Mexico, the species' native range, there are jatropha plants whose seeds are used to prepare traditional meals. This non-toxic jatropha 'type' is considered to harbour low genetic variation due to a presumed domestication bottleneck and therefore to be of limited breeding value; yet, very little is known regarding its origin and genetic diversity.
Using genotyping-by-sequencing (GBS), we extensively genotyped both indigenous toxic and non-toxic jatropha collected along roads and home gardens throughout southern Mexico.
Single nucleotide polymorphism diversity in non-toxic jatropha is relatively high, particularly in northern Veracruz state, the probable origin of this germplasm. Genetic differences between toxic and non-toxic indigenous genotypes are overall quite small. A a genome-wide association study supported a genomic region (on LG 8, scaffold NW_012130064), probably involved in the suppression of seed toxicity.
Conservation actions are urgently needed to preserve this non-toxic indigenous, relatively wild germplasm, having potential as a fuel feedstock, animal feed and food source among other uses. More generally, this work demonstrates the value of conservation genomic research on the indigenous gene pool of economically important plant species.
The Colombian government has defined the use of bioethanol as a gasoline enhancer to reduce greenhouse gases, gasoline imports, and to boost the rural economy. To meet the projected fuel ethanol ...demand needed to oxygenate the gasoline in the whole country, the construction of about five additional ethanol production plants is required. For this, a comparative analysis of the technological options using different feedstocks should be performed. In this work, a comparison of the economical and environmental performance of the ethanol production process from sugarcane and corn under Colombian conditions has been carried out. Net present value and total output rate of potential environmental impact were used as the economical and environmental indicators, respectively. Through the integration of these indicators into one index by using the analytical hierarchy process (AHP) approach, sugarcane ethanol process was determined as the best choice for Colombian ethanol production facilities. AHP scores obtained in this study for sugarcane and corn ethanol were 0.571 and 0.429, respectively. However, starchy crops like corn, cassava or potatoes used as feedstock for ethanol production could potentially cause a higher impact on the rural communities and boost their economies if social matters are considered.
While previous research helped to identify and prioritize the sources of error in air-quality modeling due to anthropogenic emissions and spatial scale effects, our knowledge is limited on how these ...uncertainties affect climate-forced air-quality assessments. Using as reference a 10-year model simulation over the greater Paris (France) area at 4 km resolution and anthropogenic emissions from a 1 km resolution bottom-up inventory, through several tests we estimate the sensitivity of modeled ozone and PM2.5 concentrations to different potentially influential factors with a particular interest over the urban areas. These factors include the model horizontal and vertical resolution, the meteorological input from a climate model and its resolution, the use of a top-down emission inventory, the resolution of the emissions input and the post-processing coefficients used to derive the temporal, vertical and chemical split of emissions. We show that urban ozone displays moderate sensitivity to the resolution of emissions (~ 8 %), the post-processing method (6.5 %) and the horizontal resolution of the air-quality model (~ 5 %), while annual PM2.5 levels are particularly sensitive to changes in their primary emissions (~ 32 %) and the resolution of the emission inventory (~ 24 %). The air-quality model horizontal and vertical resolution have little effect on model predictions for the specific study domain. In the case of modeled ozone concentrations, the implementation of refined input data results in a consistent decrease (from 2.5 up to 8.3 %), mainly due to inhibition of the titration rate by nitrogen oxides. Such consistency is not observed for PM2.5. In contrast this consistency is not observed for PM2.5. In addition we use the results of these sensitivities to explain and quantify the discrepancy between a coarse (~ 50 km) and a fine (4 km) resolution simulation over the urban area. We show that the ozone bias of the coarse run (+9 ppb) is reduced by ~ 40 % by adopting a higher resolution emission inventory, by 25 % by using a post-processing technique based on the local inventory (same improvement is obtained by increasing model horizontal resolution) and by 10 % by adopting the annual emission totals of the local inventory. The bias of PM2.5 concentrations follows a more complex pattern, with the positive values associated with the coarse run (+3.6 mu g m-3), increasing or decreasing depending on the type of the refinement. We conclude that in the case of fine particles, the coarse simulation cannot selectively incorporate local-scale features in order to reduce its error.
Electrospinning technique has been used to prepare TiO2 nanofibres. The crystalline phase transformation occurred due to thermal treatments in the temperature range of 100–1000 °C, from anatase to ...rutile through the anatase-rutile mixed, which was verified by X-ray diffraction, high-resolution transmission electronic microscopy and Raman scattering. The effects of the annealing temperature on the surface morphology and the chemical stoichiometry of titanium dioxide nanofibres were determined by scanning electron microscopy and energy dispersion spectrometry. The nanofibres diameter was in the range of 115–137 nm in the investigated temperature range. Clear evidence of structural phase transformation from pure anatase to pure rutile structures including the anatase-rutile mixed phase have been obtained by ultraviolet–visible and photoluminescence spectroscopy. TiO2 nanofibres band gap energy could be tuned from 3.59 to 2.42 eV by varying the annealing temperature estimated by room temperature absorbance. The photoluminescent emission ranged in the 2.36–1.47 eV region as a function of the thermal treatment temperature, which is a consequence of the TiO2 nanofibres crystalline phase transformation and reduction of the band gap energy.
•TiO2 nanofibres were successfully synthesised by electrospinning technique.•Crystal phase transformation through high-temperature annealing of TiO2 nanofibres.•Study of crystal phase transformation of annealed TiO2 nanofibres by Raman scattering.•The optical properties of TiO2 nanofibres were modulated by thermal treatments.
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