1,311 research outputs found
A new chapter of healthy indoor air: antiviral air treatments
Aerosol transmission remains a major challenge for the control of respiratory viruses. To date, prevention strategies include masks, vaccinations, physical distancing, travel restrictions, and lockdowns. Such measures are effective but come with heavy societal burdens and rely on public compliance. Additionally, most are simply not suitable as long-term measures. Other strategies evolve around the concept of improved indoor air quality and involve ventilation, relative humidity (RH) control, and air filtration. Unfortunately, natural ventilation increases exposure to airborne pollutants and vector-borne diseases, and incurs substantial energy losses in colder months. Mechanical ventilation concepts, including regular air changes and filtration, are effective but costly, and often require expensive engineering solutions and widespread renovations. Alternative options to reduce the spread of emerging and seasonal infections are sorely needed. In this issue of EMBO Molecular Medicine, Styles et al (2023) describe the use of propylene glycol (PG) to inactivate infectious bioaerosols and virus-containing droplets deposited on surfaces
Inflammatory bowel disease-specific autoantibodies in HLA-B27-associated spondyloarthropathies: Increased prevalence of ASCA and pANCA
Aims: An association between inflammatory bowel disease (IBD) and spondyloarthropathies (SpA) has repeatedly been reported. The aim of the present study was to investigate whether serologic markers of IBD, e. g. antibodies against Saccharomyces cerevisiae (ASCA), antibodies against exocrine pancreas (PAB) and perinuclear antineutrophil cytoplasmic antibodies (pANCA) are present in HLA-B27-associated SpA. Methods: 87 patients with HLA-B27-positive SpA and 145 controls were tested for ASCA, PAB and pANCA employing ELISA or indirect immunofluorescence, respectively. Antibody-positive patients were interviewed regarding IBD-related symptoms using a standardized questionnaire. Results/Conclusion: When compared to the controls, ASCA IgA but not ASCA IgG levels were significantly increased in patients with SpA, in particular in ankylosing spondylitis (AS) and undifferentiated SpA (uSpA). pANCA were found in increased frequency in patients with SpA whereas PAB were not detected. The existence of autoantibodies was not associated with gastrointestinal symptoms but sustains the presence of a pathophysiological link between bowel inflammation and SpA. Copyright (C) 2004 S. Karger AG, Basel
Response to combination therapy with interferon alfa-2a and ribavirin in chronic hepatitis C according to a TNF-alpha promoter polymorphism
Background. Tumor necrosis factor-alpha (TNF-alpha) is involved in the pathogenesis of chronic active hepatitis C. Polymorphisms in the promoter region of the TNF-alpha gene can alter the TNF-alpha expression and modify the host immune response. The present study aimed at the correlation of the G308A TNF-alpha polymorphism with the response to antiviral combination therapy in chronic hepatitis C. Patients and Methods: 62 patients with HCV and 119 healthy unrelated controls were genotyped for the G308A TNF-alpha promoter polymorphism. The patients received 3 x 3 million units of interferon alfa-2a and 1,0001,200 mg ribavirin daily according to their body weight. A response was defined as absence of HCV-RNA and normalization of S-ALT after 6 months of combination therapy. Results:With respect to the allele and genotype frequency, a significant difference was not observed between controls and patients with chronic hepatitis C. Furthermore, such a difference was also not observed if responders and non-responders to antiviral therapy were compared. Conclusions: The promoter polymorphism of the TNF-alpha gene investigated herein is equally distributed in healthy individuals and patients with hepatitis C and does not seem to predict the response to therapy with interferon alfa-2a and ribavirin. Copyright (C) 2003 S. Karger AG, Basel
Serum antibodies in first-degree relatives of patients with IBD: A marker of disease susceptibility? A follow-up pilot-study after 7 years
Introduction: Various disease-specific serum antibodies were described in patients with inflammatory bowel disease and their yet healthy first-degree relatives. In the latter, serum antibodies are commonly regarded as potential markers of disease susceptibility. The present long-term follow-up study evaluated the fate of antibody-positive first-degree relatives. Patients and Methods: 25 patients with Crohn's disease, 19 patients with ulcerative colitis and 102 first-degree relatives in whom presence of ASCA, pANCA, pancreatic- and goblet-cell antibodies had been assessed were enrolled. The number of incident cases with inflammatory bowel disease was compared between antibody-positive and antibody-negative first-degree relatives 7 years after storage of serum samples. Results: 34 of 102 (33%) first-degree relatives were positive for at least one of the studied serum antibodies. In the group of first-degree relatives, one case of Crohn's disease and one case of ulcerative colitis were diagnosed during the follow-up period. However, both relatives did not display any of the investigated serum antibodies (p = 1). Discussion: The findings of our pilot study argue against a role of serum antibodies as a marker of disease susceptibility in first-degree relatives of patients with inflammatory bowel disease. However, these data have to await confirmation in larger ideally prospective multicenter studies before definite conclusions can be drawn
Serum antibodies in first-degree relatives of patients with IBD: A marker of disease susceptibility? A follow-up pilot-study after 7 years
Introduction: Various disease-specific serum antibodies were described in patients with inflammatory bowel disease and their yet healthy first-degree relatives. In the latter, serum antibodies are commonly regarded as potential markers of disease susceptibility. The present long-term follow-up study evaluated the fate of antibody-positive first-degree relatives. Patients and Methods: 25 patients with Crohn's disease, 19 patients with ulcerative colitis and 102 first-degree relatives in whom presence of ASCA, pANCA, pancreatic- and goblet-cell antibodies had been assessed were enrolled. The number of incident cases with inflammatory bowel disease was compared between antibody-positive and antibody-negative first-degree relatives 7 years after storage of serum samples. Results: 34 of 102 (33%) first-degree relatives were positive for at least one of the studied serum antibodies. In the group of first-degree relatives, one case of Crohn's disease and one case of ulcerative colitis were diagnosed during the follow-up period. However, both relatives did not display any of the investigated serum antibodies (p = 1). Discussion: The findings of our pilot study argue against a role of serum antibodies as a marker of disease susceptibility in first-degree relatives of patients with inflammatory bowel disease. However, these data have to await confirmation in larger ideally prospective multicenter studies before definite conclusions can be drawn
Reduced basis isogeometric mortar approximations for eigenvalue problems in vibroacoustics
We simulate the vibration of a violin bridge in a multi-query context using
reduced basis techniques. The mathematical model is based on an eigenvalue
problem for the orthotropic linear elasticity equation. In addition to the nine
material parameters, a geometrical thickness parameter is considered. This
parameter enters as a 10th material parameter into the system by a mapping onto
a parameter independent reference domain. The detailed simulation is carried
out by isogeometric mortar methods. Weakly coupled patch-wise tensorial
structured isogeometric elements are of special interest for complex geometries
with piecewise smooth but curvilinear boundaries. To obtain locality in the
detailed system, we use the saddle point approach and do not apply static
condensation techniques. However within the reduced basis context, it is
natural to eliminate the Lagrange multiplier and formulate a reduced eigenvalue
problem for a symmetric positive definite matrix. The selection of the
snapshots is controlled by a multi-query greedy strategy taking into account an
error indicator allowing for multiple eigenvalues
Acceptance of new technology: a usability test of a computerized adaptive test for fatigue in rheumatoid arthritis
Background: Little is known about the acceptance and usability of computerized adaptive tests
(CATs) among patients with rheumatoid arthritis (RA). The main difference between completing a CAT and a traditional questionnaire concerns item presentation. CATs only provide one item at a time on the screen, and skipping forward or backward to review and change already given answers is often not possible.
Objective: The objective of this study was to examine how patients with RA experience a Web-based
CAT for fatigue.
Methods: In individual sessions, participants filled in the CAT while thinking aloud, and were
subsequently interviewed about their experience with the new instrument. The technology acceptance model (TAM) was used to structure the results.
Results: The participants were 15 patients with RA. They perceived the CAT as clear, brief, and
easy to use. They were positive about answering one question per screen, the changing response
options, layout, progress bar, and item number. There were 40% (6/15) of the participants that also
mentioned that they experienced the completion of the CAT as useful and pleasant, and liked the
adaptive test mechanism. However, some participants noted that not all items were applicable to
everybody, and that the wordings of questions within the severity dimension were often similar.
Conclusions: Participants perceived the âCAT Fatigue RAâ as easy to use, and also its usefulness
was expressed. A 2.0 version has been improved according to the participantsâ comments, and is
currently being used in a validation study before it will be implemented in daily clinical
practice. Our results give a first indication that CAT methodology may outperform traditional
questionnaires not merely on measurement precision, but also on usability and acceptance valuation
On composite likelihood in bivariate meta-analysis of diagnostic test accuracy studies
The composite likelihood (CL) is amongst the computational methods used for estimation of the generalized linear mixed model (GLMM) in the context of bivariate meta-analysis of diagnostic test accuracy studies. Its advantage is that the likelihood can be derived conveniently under the assumption of independence between the random effects, but there has not been a clear analysis of the merit or necessity of this method. For synthesis of diagnostic test accuracy studies, a copula mixed model has been proposed in the biostatistics literature. This general model includes the GLMM as a special case and can also allow for flexible dependence modelling, different from assuming simple linear correlation structures, normality and tail independence in the joint tails. A maximum likelihood (ML) method, which is based on evaluating the bi-dimensional integrals of the likelihood with quadrature methods has been proposed, and in fact it eases any computational difficulty that might be caused by the double integral in the likelihood function. Both methods are thoroughly examined with extensive simulations and illustrated with data of a published meta-analysis. It is shown that the ML method has non-convergence issues or computational difficulties and at the same time allows estimation of the dependence between study-specific sensitivity and specificity and thus prediction via summary receiver operating curves
Local structure study of In_xGa_(1-x)As semiconductor alloys using High Energy Synchrotron X-ray Diffraction
Nearest and higher neighbor distances as well as bond length distributions
(static and thermal) of the In_xGa_(1-x)As (0<x<1) semiconductor alloys have
been obtained from high real-space resolution atomic pair distribution
functions (PDFs). Using this structural information, we modeled the local
atomic displacements in In_xGa_(1-x)As alloys. From a supercell model based on
the Kirkwood potential, we obtained 3-D As and (In,Ga) ensemble averaged
probability distributions. This clearly shows that As atom displacements are
highly directional and can be represented as a combination of and
displacements. Examination of the Kirkwood model indicates that the standard
deviation (sigma) of the static disorder on the (In,Ga) sublattice is around
60% of the value on the As sublattice and the (In,Ga) atomic displacements are
much more isotropic than those on the As sublattice. The single crystal diffuse
scattering calculated from the Kirkwood model shows that atomic displacements
are most strongly correlated along directions.Comment: 10 pages, 12 figure
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