18 research outputs found

    Immune-inflammatory, metabolic and hormonal biomarkers are associated with the clinical forms and disability progression in patients with multiple sclerosis: A follow-up study

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    The objective of this study was to evaluate the role of immune-inflammatory, metabolic, hormonal, and oxidative stress biomarkers in disability progression (DP) and clinical forms of multiple sclerosis (MS). The study evaluated 140 MS patients at admission (T0), and eight (T8) and 16 months (T16) later. The Expanded Disability Status Score (EDSS) and biomarkers were determined at T0, T8, and T16. A DP index (DPI) defined as an increase of ≥1 rank on the EDSS score indicated that 39.3% of the patients had significant DP. Quantification of the ordinal EDSS rank score was performed using optimal scaling methods. Categorical regression showed that the quantitative T16 EDSS score was predicted by T0 homocysteine (Hcy), T0 parathormone (PTH), T0 advanced oxidized protein products (AOPP) (all positively), low T0 vitamin D (<18.3 ng/mL) and T8 folic acid (<5 ng/mL) concentrations while higher T8 calcium concentrations (≥8.90 mg/dL) had protective effects. Linear Mixed Models showed that the change in EDSS from T0 to T16 was significantly associated with changes in IL-17 (positively) and IL-4 (inversely) independently from the significant effects of clinical MS forms, treatment modalities, smoking, age and systemic arterial hypertension. Hcy, PTH, IL-6, and IL-4 were positively associated with progressive versus relapsing-remitting MS while 25(OH)D was inversely associated. In conclusion, the ordinal EDSS scale is an adequate instrument to assess DP after category value estestimation. Aberrations in immune-inflammatory, metabolic and hormonal biomarkers are associated with DP and with the progressive form of MS

    Comparison of Canadian air quality forecast models with tropospheric ozone profile measurements above midlatitude North American during the IONS/ICARTT campaign: Evidence for stratospheric input

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    During July and August, 2004, balloon-borne ozonesondes were released daily at 12 sites in the eastern USA and Canada, producing the largest single set of free tropospheric ozone measurements ever compiled for this region. At the same time, a number of air quality forecast models were run daily as part of a larger field experiment. In this paper, we compare these ozonesonde profiles with predicted ozone profiles from several versions of two of these forecast models, the Environment Canada CHRONOS and AURAMS models. We find that the models show considerable skill at predicting ozone in the planetary boundary layer and immediately above. Individual station biases are variable, but often small. Standard deviations of observation-forecast differences are large, however. Ozone variability in the models is somewhat higher than observed. Most strikingly, none of the model versions is able to reproduce the typical tropospheric ozone profile of increasing mixing ratio with altitude. Results from a sensitivity test suggest that the form of the ozone lateral boundary condition used by all model versions contributes significantly to the large ozone underpredictions in the middle and upper troposphere. The discrepancy could be reduced further by adding a downward flux of ozone from the model lid and by accounting for in situ production of ozone from lightning-generated NOx
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