2,969 research outputs found
Slightly generalized Generalized Contagion: Unifying simple models of biological and social spreading
We motivate and explore the basic features of generalized contagion, a model
mechanism that unifies fundamental models of biological and social contagion.
Generalized contagion builds on the elementary observation that spreading and
contagion of all kinds involve some form of system memory. We discuss the three
main classes of systems that generalized contagion affords, resembling: simple
biological contagion; critical mass contagion of social phenomena; and an
intermediate, and explosive, vanishing critical mass contagion. We also present
a simple explanation of the global spreading condition in the context of a
small seed of infected individuals.Comment: 8 pages, 5 figures; chapter to appear in "Spreading Dynamics in
Social Systems"; Eds. Sune Lehmann and Yong-Yeol Ahn, Springer Natur
Evaluation of the efficacy and safety of text messages targeting adherence to cardiovascular medications in secondary prevention: the txt2heart Colombia randomised controlled trial (Preprint)
Background:
Atherosclerotic cardiovascular disease (ASCVD) is the leading cause of mortality in the world. Prevalence is estimated at around 100 million patients worldwide. There is evidence that antiplatelet agents and antihypertensive medication reduce the risk of new vascular events in this population, but treatment adherence is very low.
Objective:
We developed an intervention based on behavioral modification techniques delivered via mobile short message services (SMS) to increase the adherence to pharmacologic treatment on patients with prior history of ASCVD.
Methods:
We conducted a randomized controlled clinical trial for patients with a prior diagnosis of cardiovascular event such as acute myocardial infarction, unstable angina, cerebrovascular disease or peripheral artery disease in one centre in Colombia. Patients randomized to the intervention arm were assigned to receive SMS daily for the first 4 weeks, five SMS on week 5: three SMS per week from week 6, and one SMS from 8th week until 52nd week. Patients in the control arm received a monthly SMS reminding them of the next study appointment, requesting information about changes in phone number, thanking them for participating in the study and reminding them of the importance of the study. Primary endpoint was change in Low Density Lipoprotein-Cholesterol (LDL-C) and the secondary endpoints were change in thromboxane B2 levels, heart rate, systolic and diastolic blood pressure. Medication adherence was measured with the Medication Adherence Report Scale (MARS 5), mortality and new cardiac hospitalization were assessed at one year end point. A logistic regression analysis and bivariate testing was performed.
Results:
Nine hundred and thirty patients were randomized, 805 (87%) completed follow up, and were analyzed for the primary endpoint. There was no difference between arms in change of LDL-C at 12 months (P=.41). or for any of the secondary outcomes. No adverse events were reported.
Conclusions:
In our study we did not find evidence that a behavior modification intervention delivered by SMS improved LDL-C, blood pressure levels or adherence at 12 months. More research is needed to evaluate whether different SMS strategies including personalized messages and with different timing are effective; future studies should include mixed methods to understand better why, for whom and in which context (e.g. health system, social environment) SMS interventions work (or not) to improve adherence in patients with ASCVD. Clinical Trial: Clinicaltrial.gov NCT03098186. Date of registration: March 31st 201
Omnidirectional acoustic absorber with a porous core and a metamaterial matching layer
An omnidirectional sound absorber based on the acoustic analogy of the electromagnetic metamaterial
“black hole” has been developed and tested. The resulting structure is composed of a hollow
cylindrical porous absorbing core and a graded index matching layer which employs multiple rods of
varying size and spacing to gradually adjust the impedance of the air to that of the porous absorbing
core. A semi-analytical model is developed, and the practical challenges and their implications with
respect to performance are considered. A full size device is built and tested in an anechoic chamber
and the semi-analytical model used in the design process is validated. Finally, the theory is extended
to allow for losses in the metamaterial matching layer, and it is shown that improved performance may
be achieved with a dual purpose layer which acts as an absorber whilst also providing the required
impedance matching condition
At the end of cosmic noon: Short gas depletion times in unobscured quasars at z ~ 1
2024 EDP Sciences. All rights reserved. Unobscured quasars (QSOs) are predicted to be the final stage in the evolutionary sequence from gas-rich mergers to gas-depleted, quenched galaxies. Studies of this population, however, find a high incidence of far-infrared-luminous sources-suggesting significant dust-obscured star formation-but direct observations of the cold molecular gas fuelling this star formation are still necessary. We present a NOEMA study of CO(2-1) emission, tracing the cold molecular gas, in ten lensed z = 1-1.5 unobscured QSOs. We detected CO(2-1) in seven of our targets, four of which also show continuum emission (λrest = 1.3 mm). After subtracting the foreground galaxy contribution to the photometry, spectral energy distribution fitting yielded stellar masses of 109-11 M⊙, with star formation rates of 25-160 M⊙ yr-1 for the host galaxies. These QSOs have lower L′CO than star-forming galaxies with the same LIR, and show depletion times spanning a large range (50-900 Myr), but with a median of just 90(αCO/4) Myr. We find molecular gas masses in the range ≤2-40
7 109(αCO/4) M⊙, which suggest gas fractions above ~50% for most of the targets. Despite the presence of an unobscured QSO, the host galaxies are able to retain significant amounts of cold gas. However, with a median depletion time of ~90 Myr, the intense burst of star formation taking place in these targets will quickly deplete their molecular gas reservoirs in the absence of gas replenishment, resulting in a quiescent host galaxy. The non-detected QSOs are three of the four radio-loud QSOs in the sample, and their properties indicate that they are likely already transitioning into quiescence. Recent cosmological simulations tend to overestimate the depletion times expected for these z ~ 1 QSO-host galaxies, which is likely linked to their difficulty producing starbursts across the general high-redshift galaxy population
Feasibility, drug safety, and effectiveness of etiological treatment programs for Chagas disease in Honduras, Guatemala, and Bolivia: 10-year experience of Médecins Sans Frontières
BACKGROUND: Chagas disease (American trypanosomiasis) is a zoonotic or anthropozoonotic disease caused by the parasite Trypanosoma cruzi. Predominantly affecting populations in poor areas of Latin America, medical care for this neglected disease is often lacking. Médecins Sans Frontières/Doctors Without Borders (MSF) has provided diagnostic and treatment services for Chagas disease since 1999. This report describes 10 years of field experience in four MSF programs in Honduras, Guatemala, and Bolivia, focusing on feasibility protocols, safety of drug therapy, and treatment effectiveness. METHODOLOGY: From 1999 to 2008, MSF provided free diagnosis, etiological treatment, and follow-up care for patients <18 years of age seropositive for T. cruzi in Yoro, Honduras (1999-2002); Olopa, Guatemala (2003-2006); Entre Ríos, Bolivia (2002-2006); and Sucre, Bolivia (2005-2008). Essential program components guaranteeing feasibility of implementation were information, education, and communication (IEC) at the community and family level; vector control; health staff training; screening and diagnosis; treatment and compliance, including family-based strategies for early detection of adverse events; and logistics. Chagas disease diagnosis was confirmed by testing blood samples using two different diagnostic tests. T. cruzi-positive patients were treated with benznidazole as first-line treatment, with appropriate counseling, consent, and active participation from parents or guardians for daily administration of the drug, early detection of adverse events, and treatment withdrawal, when necessary. Weekly follow-up was conducted, with adverse events recorded to assess drug safety. Evaluations of serological conversion were carried out to measure treatment effectiveness. Vector control, entomological surveillance, and health education activities were carried out in all projects with close interaction with national and regional programs. RESULTS: Total numbers of children and adolescents tested for T. cruzi in Yoro, Olopa, Entre Ríos, and Sucre were 24,471, 8,927, 7,613, and 19,400, respectively. Of these, 232 (0.9%), 124 (1.4%), 1,475 (19.4%), and 1,145 (5.9%) patients, respectively, were diagnosed as seropositive. Patients were treated with benznidazole, and early findings of seroconversion varied widely between the Central and South American programs: 87.1% and 58.1% at 18 months post-treatment in Yoro and Olopa, respectively; 5.4% by up to 60 months in Entre Ríos; and 0% at an average of 18 months in Sucre. Benznidazole-related adverse events were observed in 50.2% and 50.8% of all patients treated in Yoro and Olopa, respectively, and 25.6% and 37.9% of patients in Entre Ríos and Sucre, respectively. Most adverse events were mild and manageable. No deaths occurred in the treatment population. CONCLUSIONS: These results demonstrate the feasibility of implementing Chagas disease diagnosis and treatment programs in resource-limited settings, including remote rural areas, while addressing the limitations associated with drug-related adverse events. The variability in apparent treatment effectiveness may reflect differences in patient and parasite populations, and illustrates the limitations of current treatments and measures of efficacy. New treatments with improved safety profiles, pediatric formulations of existing and new drugs, and a faster, reliable test of cure are all urgently needed
Screening for coping style increases the power of gene expression studies
Background: Individuals of many vertebrate species show different stress coping styles and these have a striking influence on how gene expression shifts in response to a variety of challenges. Principal Findings: This is clearly illustrated by a study in which common carp displaying behavioural predictors of different coping styles (characterised by a proactive, adrenaline-based or a reactive, cortisol-based response) were subjected to inflammatory challenge and specific gene transcripts measured in individual brains. Proactive and reactive fish differed in baseline gene expression and also showed diametrically opposite responses to the challenge for 80% of the genes investigated. Significance: Incorporating coping style as an explanatory variable can account for some the unexplained variation that is common in gene expression studies, can uncover important effects that would otherwise have passed unnoticed and greatly enhances the interpretive value of gene expression data
Phenoloxidase activity acts as a mosquito innate immune response against infection with semliki forest virus
Several components of the mosquito immune system including the RNA interference (RNAi), JAK/STAT, Toll and IMD pathways have previously been implicated in controlling arbovirus infections. In contrast, the role of the phenoloxidase (PO) cascade in mosquito antiviral immunity is unknown. Here we show that conditioned medium from the Aedes albopictus-derived U4.4 cell line contains a functional PO cascade, which is activated by the bacterium Escherichia coli and the arbovirus Semliki Forest virus (SFV) (Togaviridae; Alphavirus). Production of recombinant SFV expressing the PO cascade inhibitor Egf1.0 blocked PO activity in U4.4 cell- conditioned medium, which resulted in enhanced spread of SFV. Infection of adult female Aedes aegypti by feeding mosquitoes a bloodmeal containing Egf1.0-expressing SFV increased virus replication and mosquito mortality. Collectively, these results suggest the PO cascade of mosquitoes plays an important role in immune defence against arboviruses
Toxoplasma gondii infection and liver disease: a case-control study in a Northern Mexican population
<p>Abstract</p> <p>Background</p> <p>Infection with the protozoan parasite <it>Toxoplasma gondii </it>may cause liver disease. However, the impact of the infection in patients suffering from liver disease is unknown. Therefore, through a case-control study design, 75 adult liver disease patients attending a public hospital in Durango City, Mexico, and 150 controls from the general population of the same region matched by gender, age, and residence were examined with enzyme-linked immunoassays for the presence of anti-<it>Toxoplasma </it>IgG and anti-<it>Toxoplasma </it>IgM antibodies. Socio-demographic, clinical and behavioral characteristics from the study subjects were obtained.</p> <p>Results</p> <p>Seroprevalence of anti-<it>Toxoplasma </it>IgG antibodies and IgG titers did not differ significantly in patients (10/75; 13.3%) and controls (16/150; 10.7%). Two (2.7%) patients and 5 (3.3%) controls had anti-<it>Toxoplasma </it>IgM antibodies (<it>P </it>= 0.57). Seropositivity to <it>Toxoplasma </it>did not show any association with the diagnosis of liver disease. In contrast, seropositivity to <it>Toxoplasma </it>in patients was associated with consumption of venison and quail meat. <it>Toxoplasma </it>seropositivity was more frequent in patients with reflex impairment (27.8%) than in patients without this impairment (8.8%) (<it>P </it>= 0.05). Multivariate analysis showed that <it>Toxoplasma </it>seropositivity in patients was associated with consumption of sheep meat (OR = 8.69; 95% CI: 1.02-73.71; <it>P </it>= 0.04) and rabbit meat (OR = 4.61; 95% CI: 1.06-19.98; <it>P </it>= 0.04).</p> <p>Conclusions</p> <p>Seropositivity to <it>Toxoplasma </it>was comparable among liver disease patients and controls. Further studies with larger sample sizes are needed to elucidate the association of <it>Toxoplasma </it>with liver disease. Consumption of venison, and rabbit, sheep, and quail meats may warrant further investigation.</p
Deep Group-wise Variational Diffeomorphic Image Registration
Deep neural networks are increasingly used for pair-wise image registration.
We propose to extend current learning-based image registration to allow
simultaneous registration of multiple images. To achieve this, we build upon
the pair-wise variational and diffeomorphic VoxelMorph approach and present a
general mathematical framework that enables both registration of multiple
images to their geodesic average and registration in which any of the available
images can be used as a fixed image. In addition, we provide a likelihood based
on normalized mutual information, a well-known image similarity metric in
registration, between multiple images, and a prior that allows for explicit
control over the viscous fluid energy to effectively regularize deformations.
We trained and evaluated our approach using intra-patient registration of
breast MRI and Thoracic 4DCT exams acquired over multiple time points.
Comparison with Elastix and VoxelMorph demonstrates competitive quantitative
performance of the proposed method in terms of image similarity and reference
landmark distances at significantly faster registration
An E2F1-Mediated DNA Damage Response Contributes to the Replication of Human Cytomegalovirus
DNA damage resulting from intrinsic or extrinsic sources activates DNA damage responses (DDRs) centered on protein kinase signaling cascades. The usual consequences of inducing DDRs include the activation of cell cycle checkpoints together with repair of the damaged DNA or induction of apoptosis. Many DNA viruses elicit host DDRs during infection and some viruses require the DDR for efficient replication. However, the mechanism by which DDRs are activated by viral infection is poorly understood. Human cytomegalovirus (HCMV) infection induces a DDR centered on the activation of ataxia telangiectasia mutated (ATM) protein kinase. Here we show that HCMV replication is compromised in cells with inactivated or depleted ATM and that ATM is essential for the host DDR early during infection. Likewise, a downstream target of ATM phosphorylation, H2AX, also contributes to viral replication. The ATM-dependent DDR is detected as discrete, nuclear γH2AX foci early in infection and can be activated by IE proteins. By 24 hpi, γH2AX is observed primarily in HCMV DNA replication compartments. We identified a role for the E2F1 transcription factor in mediating this DDR and viral replication. E2F1, but not E2F2 or E2F3, promotes the accumulation of γH2AX during HCMV infection or IE protein expression. Moreover, E2F1 expression, but not the expression of E2F2 or E2F3, is required for efficient HCMV replication. These results reveal a novel role for E2F1 in mediating an ATM-dependent DDR that contributes to viral replication. Given that E2F activity is often deregulated by infection with DNA viruses, these observations raise the possibility that an E2F1-mediated mechanism of DDR activation may be conserved among DNA viruses
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