28 research outputs found

    Anhedonia as a potential risk factor of alzheimer’s disease in a community-dwelling elderly sample: Results from the zarademp project

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    (1) Introduction: Dementia is a major public health problem, and Alzheimer’s disease (AD) is the most frequent subtype. Clarifying the potential risk factors is necessary in order to improve dementia-prevention strategies and quality of life. Here, our purpose was to investigate the role of the absence of hedonic tone; anhedonia, understood as the reduction on previous enjoyable daily activities, which occasionally is underdetected and underdiagnosed; and the risk of developing AD in a cognitively unimpaired and non-depressed population sample. (2) Method: We used data from the Zaragoza Dementia and Depression (ZARADEMP) project, a longitudinal epidemiological study on dementia and depression. After excluding subjects with dementia, a sample of 2830 dwellers aged =65 years was followed for 4.5 years. The geriatric mental state examination was used to identify cases of anhedonia. AD was diagnosed by a panel of research psychiatrists according to Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) criteria. A multivariate survival analysis and Cox proportional hazards regression model were performed, and the analysis was controlled by an analysis for the presence of clinically significant depression. (3) Results: We found a significant association between anhedonia cases and AD risk in the univariate analysis (hazard ratio (HR): 2.37; 95% CI: 1.04–5.40). This association persisted more strongly in the fully adjusted model. (4) Conclusions: Identifying cognitively intact individuals with anhedonia is a priority to implement preventive strategies that could delay the progression of cognitive and functional impairment in subjects at risk of AD

    Dynamics of the B and A states of chlorine by laser induced fluorescence

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    Chlorine B 3(0u +) state lifetimes have been measured by laser-induced fluorescence in several predissociated (v = 14-19, 21) and non-predissociated (v = 5-12) levels. Trial and error Franck-Condon calculations have been performed to check the nature and position of the predissociating state. The results have been used to give a value of Re for the A 3(1u) state responsible for predissociation, Re = 2.48 ± 0.01 angstrom. The obtained data show that interference effects due to crossing between B and A states modify the lifetimes of the B state appreciably. The inadequacy of the low-lying vibrational levels region, i.e. v < 8, to measure the radiative lifetime of the B state (R(B)) is shown. Previous values for R(B) can therefore be affected by considerable errors

    Biomass fuel production from cellulosic sludge through biodrying : Aeration strategies, quality of end-products, gaseous emissions and techno-economic assessment

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    This study assesses the technological, environmental and economic feasibility of biodrying to valorise cellulosic sludge as a renewable energy source. Specifically, three different aeration strategies were compared in terms of biodrying performance, energetic consumption, gaseous emissions, quality of end-products and techno-economic analysis. These strategies were based on different combinations of convective drying with biogenic heat produced. Two innovative biodrying performance indicators (Energetic Biodrying Index and Biodrying Performance Index) were proposed to better assess the initial and operational conditions that favour the maximum energy process efficiency and the highest end-product quality. The end-products obtained consistently presented moisture contents below 40% and lower heating values above 9.4 MJ·kg-1. However, the best values achieved were 32.6% and 10.4 MJ·kg-1 for moisture content and lower heating value, respectively. Low N2O and CH4 emissions confirmed the effective aeration of all three strategies carried out, while NH4 and tVOCs were related either to temperature or biological phenomena. A techno-economic analysis proved the economic viability and attractiveness of the biodrying technology for cellulosic sludge in all the strategies applied

    Trends in Targeted Therapy Usage in Inflammatory Bowel Disease : TRENDY Study of ENEIDA

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    Markers that allow for the selection of tailored treatments for individual patients with inflammatory bowel diseases (IBD) are yet to be identified. Our aim was to describe trends in real-life treatment usage. For this purpose, patients from the ENEIDA registry who received their first targeted IBD treatment (biologics or tofacitinib) between 2015 and 2021 were included. A subsequent analysis with Machine Learning models was performed. The study included 10,009 patients [71% with Crohn's disease (CD) and 29% with ulcerative colitis (UC)]. In CD, anti-TNF (predominantly adalimumab) were the main agents in the 1st line of treatment (LoT), although their use declined over time. In UC, anti-TNF (mainly infliximab) use was predominant in 1st LoT, remaining stable over time. Ustekinumab and vedolizumab were the most prescribed drugs in 2nd and 3rd LoT in CD and UC, respectively. Overall, the use of biosimilars increased over time. Machine Learning failed to identify a model capable of predicting treatment patterns. In conclusion, drug positioning is different in CD and UC. Anti-TNF were the most used drugs in IBD 1st LoT, being adalimumab predominant in CD and infliximab in UC. Ustekinumab and vedolizumab have gained importance in CD and UC, respectively. The approval of biosimilars had a significant impact on treatment
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