Environmental enteric dysfunction (EED) is an enigmatic disorder of the small intestine that is postulated to play a role in childhood undernutrition, a pressing global health problem. Defining the ...incidence of this disorder, its pathophysiological features, and its contribution to impaired linear and ponderal growth has been hampered by the difficulty in directly sampling the small intestinal mucosa and microbial community (microbiota).
In this study, among 110 young children (mean age, 18 months) with linear growth stunting who were living in an urban slum in Dhaka, Bangladesh, and had not benefited from a nutritional intervention, we performed endoscopy in 80 children who had biopsy-confirmed EED and available plasma and duodenal samples. We quantified the levels of 4077 plasma proteins and 2619 proteins in duodenal biopsy samples obtained from these children. The levels of bacterial strains in microbiota recovered from duodenal aspirate from each child were determined with the use of culture-independent methods. In addition, we obtained 21 plasma samples and 27 fecal samples from age-matched healthy children living in the same area. Young germ-free mice that had been fed a Bangladeshi diet were colonized with bacterial strains cultured from the duodenal aspirates.
Of the bacterial strains that were obtained from the children, the absolute levels of a shared group of 14 taxa (which are not typically classified as enteropathogens) were negatively correlated with linear growth (length-for-age z score, r = -0.49; P = 0.003) and positively correlated with duodenal proteins involved in immunoinflammatory responses. The representation of these 14 duodenal taxa in fecal microbiota was significantly different from that in samples obtained from healthy children (P<0.001 by permutational multivariate analysis of variance). Enteropathy of the small intestine developed in gnotobiotic mice that had been colonized with cultured duodenal strains obtained from children with EED.
These results provide support for a causal relationship between growth stunting and components of the small intestinal microbiota and enteropathy and offer a rationale for developing therapies that target these microbial contributions to EED. (Funded by the Bill and Melinda Gates Foundation and others; ClinicalTrials.gov number, NCT02812615.).
In the early months of the COVID-19 pandemic with no designated cure or vaccine, the only way to break the infection chain is self-isolation and maintaining the physical distancing. In this article, ...we present a potential application of the Internet of Things (IoT) in healthcare and physical distance monitoring for pandemic situations. The proposed framework consists of three parts: a lightweight and low-cost IoT node, a smartphone application (app), and fog-based Machine Learning (ML) tools for data analysis and diagnosis. The IoT node tracks health parameters, including body temperature, cough rate, respiratory rate, and blood oxygen saturation, then updates the smartphone app to display the user health conditions. The app notifies the user to maintain a physical distance of 2 m (or 6 ft), which is a key factor in controlling virus spread. In addition, a Fuzzy Mamdani system (running at the fog server) considers the environmental risk and user health conditions to predict the risk of spreading infection in real time. The environmental risk conveys from the virtual zone concept and provides updated information for different places. Two scenarios are considered for the communication between the IoT node and fog server, 4G/5G/WiFi, or LoRa, which can be selected based on environmental constraints. The required energy usage and bandwidth (BW) are compared for various event scenarios. The COVID-SAFE framework can assist in minimizing the coronavirus exposure risk.
Blood dynamically and richly supplies the cerebral tissue via microvessels invested in pia matter perforating the cerebral substance. Arteries penetrating the cerebral substance derive an investment ...from one or two successive layers of pia mater, luminally apposed to the pial-glial basal lamina of the microvasculature and abluminally apposed to a series of aquaporin IV-studded astrocytic end feet constituting the soi-disant glia limitans. The full investment of successive layers forms the variably continuous walls of the periarteriolar, pericapillary, and perivenular divisions of the perivascular fluid compartment. The pia matter disappears at the distal periarteriolar division of the perivascular fluid compartment. Plasma from arteriolar blood sequentially transudates into the periarteriolar division of the perivascular fluid compartment and subarachnoid cisterns in precession to trickling into the neural interstitium. Fluid from the neural interstitium successively propagates into the venules through the subarachnoid cisterns and perivenular division of the perivascular fluid compartment. Fluid fluent within the perivascular fluid compartment flows gegen the net direction of arteriovenular flow. Microvessel oscillations at the central tendency of the cerebral vasomotion generate corresponding oscillations of within the surrounding perivascular fluid compartment, interposed betwixt the abluminal surface of the vessels and internal surface of the pia mater. The precise microanatomy of this most fascinating among designable spaces has eluded the efforts of various investigators to interrogate its structure, though most authors non-consensusly concur the investing layers effectively and functionally segregate the perivascular and subarachnoid fluid compartments. Enlargement of the perivascular fluid compartment in a variety of neurological disorders, including senile dementia of the Alzheimer’s type and cerebral small vessel disease, may alternately or coordinately constitute a correlative marker of disease severity and a possible cause implicated in the mechanistic pathogenesis of these conditions. Venular pressures modulating oscillatory dynamic flow within the perivascular fluid compartment may similarly contribute to the development of a variety among neurological disorders. An intimate understanding of subtle features typifying microanatomy and microphysiology of the investing structures and spaces of the cerebral microvasculature may powerfully inform mechanistic pathophysiology mediating a variety of neurovascular ischemic, neuroinfectious, neuroautoimmune, and neurodegenerative diseases.
•The public good game literature omits uncertain heterogeneous productivity.•Heterogeneous, uncertain and ambiguous productivity is present in the field.•We test contributions in the lab using a ...linear voluntary contribution design.•Heterogeneous productivity stabilizes contribution levels, led by high types.•This novel result holds when introducing uncertainty or ambiguity.
Typically, a linear public goods game with a voluntary contribution mechanism (VCM) sees declining contributions over repeated one-shot periods of play. However, contributions under uncertainty or ambiguity over heterogeneous productivity on individual contributions have yet to be investigated. We compare contributions under homogenous productivity of 0.6; and certain, uncertain (for future periods only and all periods) or ambiguous heterogeneity in productivity, which can be either a high (0.9) or a low (0.3) type. Certain heterogeneity unexpectedly stabilizes contributions over homogenous, led by high productivity types. Uncertain or ambiguous heterogeneity in productivity weakly lowers contributions, but they remain stable. Thus, in a novel finding that is replicated across our treatments, heterogeneous productivity appears to support stable contributions over time, even when productivity is unknown at time of contribution. This finding suggests uncertain and heterogeneous productivity are an important characteristic of public goods that needs to be considered when modelling them in the field, and reinforces the role of productivity itself in driving voluntary public good contributions.
SURGERY OF INTRAVENTRICULAR TUMORS GAZI YAGARGIL, M; ABDULRAUF, Saleem I; FIGUEIREDO, Eberval G ...
Neurosurgery,
06/2008, Letnik:
62, Številka:
6
Journal Article
Recenzirano
The deep location and eloquent surroundings of the ventricular system within the brain have historically posed significant and often formidable challenges for the optimal resection of tumors in these ...locations. The evolution and advances in microsurgical techniques and neuroanatomic knowledge have led to a general paradigm shift from transcerebral trajectories to transcisternal corridor strategies. The essence of microsurgery of the ventricular system has evolved around the concept of circumnavigating eloquent cortical and white matter structures to achieve minimally invasive access and resection while optimizing functional and cognitive outcomes.
Abstract Object To describe the topographic anatomy of the surgically accessible surfaces of the human thalamus as a guide to surgical exploration of this sensitive area. Methods Using the operating ...microscope, we applied the fiber microdissection technique to study 10 brain specimens. Step by step dissections in superior-inferior, medial-lateral and posterior-anterior directions were conducted in order to expose the surfaces and nuclei of the thalamus and to investigate the relevant anatomic relationships and visible connections. Results Four distinct free surfaces of the thalamus could be identified: lateral ventricle surface, velar surface, cisternal surface, and third ventricle surface. Each is described with reference to recognizable anatomic landmarks and to the underlying thalamic nuclei. The neural structures most commonly encountered during the surgical approach to each individual surface are highlighted and described. Conclusion Our study offers observations that supplement our current knowledge, thus advancing our capabilities to define the exact topographic location of thalamic lesions. This improved understanding of anatomy is valuable when designing the most appropriate and least traumatic surgical approach to thalamic lesions. These proposed surface divisions, based on recognizable anatomic landmarks, are of importance because our focus and purpose is intent on providing more reliable surgical orientation
Water, one of the most valuable resources, is underutilized in irrigated rice production. The yield of rice, a staple food across the world, is highly dependent on having proper irrigation systems. ...Alternate wetting and drying (AWD) is an effective irrigation method mainly used for irrigated rice production. However, unattended, manual, small-scale, and discrete implementations cannot achieve the maximum benefit of AWD. Automation of large-scale (over 1000 acres) implementation of AWD can be carried out using wide-area wireless sensor network (WSN). An automated AWD system requires three different WSNs: one for water level and environmental monitoring, one for monitoring of the irrigation system, and another for controlling the irrigation system. Integration of these three different WSNs requires proper dimensioning of the AWD edge elements (sensor and actuator nodes) to reduce the deployment cost and make it scalable. Besides field-level monitoring, the integration of external control parameters, such as real-time weather forecasts, plant physiological data, and input from farmers, can further enhance the performance of the automated AWD system. Internet of Things (IoT) can be used to interface the WSNs with external data sources. This research focuses on the dimensioning of the AWD system for the multilayer WSN integration and the required algorithms for the closed loop control of the irrigation system using IoT. Implementation of the AWD for 25,000 acres is shown as a possible use case. Plastic pipes are proposed as the means to transport and control proper distribution of water in the field, which significantly helps to reduce conveyance loss. This system utilizes 250 pumps, grouped into 10 clusters, to ensure equal water distribution amongst the users (field owners) in the wide area. The proposed automation algorithm handles the complexity of maintaining proper water pressure throughout the pipe network, scheduling the pump, and controlling the water outlets. Mathematical models are presented for proper dimensioning of the AWD. A low-power and long-range sensor node is developed due to the lack of cellular data coverage in rural areas, and its functionality is tested using an IoT platform for small-scale field trials.
Gel-based materials have garnered significant interest in recent years, primarily due to their remarkable structural flexibility, ease of modulation, and cost-effective synthesis methodologies. ...Specifically, polymer-based conductive gels, characterized by their unique conjugated structures incorporating both localized sigma and pi bonds, have emerged as materials of choice for a wide range of applications. These gels demonstrate an exceptional integration of solid and liquid phases within a three-dimensional matrix, further enhanced by the incorporation of conductive nanofillers. This unique composition endows them with a versatility that finds application across a diverse array of fields, including wearable energy devices, health monitoring systems, robotics, and devices designed for interactive human-body integration. The multifunctional nature of gel materials is evidenced by their inherent stretchability, self-healing capabilities, and conductivity (both ionic and electrical), alongside their multidimensional properties. However, the integration of these multidimensional properties into a single gel material, tailored to meet specific mechanical and chemical requirements across various applications, presents a significant challenge. This review aims to shed light on the current advancements in gel materials, with a particular focus on their application in various devices. Additionally, it critically assesses the limitations inherent in current material design strategies and proposes potential avenues for future research, particularly in the realm of conductive gels for energy applications.
Intensified aquaculture includes the use of antimicrobials for disease control. In contrast to the situation in livestock, Escherichia coli and enterococci are not part of the normal gastrointestinal ...flora of fish and shrimp and therefore not suitable indicators of antimicrobial resistance in seafood. In this study, the diversity and phenotypic characteristics of the bacterial flora in raw frozen cultured and wild-caught shrimp and fish were evaluated to identify potential indicators of antimicrobial resistance. The bacterial flora cultured on various agar media at different temperatures yielded total viable counts of 4.0 × 10(4) to 3.0 × 10(5) CFU g-1. Bacterial diversity was indicated by 16S rRNA sequence analysis of 84 isolates representing different colony types; 24 genera and 51 species were identified. Pseudomonas spp. (23% of isolates), Psychrobacter spp. (17%), Serratia spp. (13%), Exiguobacterium spp. (7%), Staphylococcus spp. (6%), and Micrococcus spp. (6%) dominated. Disk susceptibility testing of 39 bacterial isolates to 11 antimicrobials revealed resistance to ampicillin, amoxicillin-clavulanic acid, erythromycin, and third generation cephalosporins. Resistance to third generation cephalosporins was found in Pseudomonas, a genus naturally resistant to most β-lactam antibiotics, and in Staphylococcus hominis. Half of the isolates were susceptible to all antimicrobials tested. Results indicate that identification of a single bacterial resistance indicator naturally present in seafood at point of harvest is unlikely. The bacterial flora found likely represents a processing rather than a raw fish flora because of repeated exposure of raw material to water during processing. Methods and appropriate indicators, such as quantitative PCR of resistance genes, are needed to determine how antimicrobials used in aquaculture affect resistance of bacteria in retailed products.
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