103 research outputs found

    Association between preterm brain injury and exposure to chorioamnionitis during fetal life

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    Preterm infants are susceptible to inflammation-induced white matter injury but the exposures that lead to this are uncertain. Histologic chorioamnionitis (HCA) reflects intrauterine inflammation, can trigger a fetal inflammatory response, and is closely associated with premature birth. In a cohort of 90 preterm infants with detailed placental histology and neonatal brain magnetic resonance imaging (MRI) data at term equivalent age, we used Tract-based Spatial Statistics (TBSS) to perform voxel-wise statistical comparison of fractional anisotropy (FA) data and computational morphometry analysis to compute the volumes of whole brain, tissue compartments and cerebrospinal fluid, to test the hypothesis that HCA is an independent antenatal risk factor for preterm brain injury. Twenty-six (29%) infants had HCA and this was associated with decreased FA in the genu, cingulum cingulate gyri, centrum semiovale, inferior longitudinal fasciculi, limbs of the internal capsule, external capsule and cerebellum (p < 0.05, corrected), independent of degree of prematurity, bronchopulmonary dysplasia and postnatal sepsis. This suggests that diffuse white matter injury begins in utero for a significant proportion of preterm infants, which focuses attention on the development of methods for detecting fetuses and placentas at risk as a means of reducing preterm brain injury

    A next generation, pilot-scale continuous sterilization system for fermentation media

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    A new continuous sterilization system was designed, constructed, started up, and qualified for media sterilization for secondary metabolite cultivations, bioconversions, and enzyme production. An existing Honeywell Total Distributed Control 3000-based control system was extended using redundant High performance Process Manager controllers for 98 I/O (input/output) points. This new equipment was retrofitted into an industrial research fermentation pilot plant, designed and constructed in the early 1980s. Design strategies of this new continuous sterilizer system and the expanded control system are described and compared with the literature (including dairy and bio-waste inactivation applications) and the weaknesses of the prior installation for expected effectiveness. In addition, the reasoning behind selection of some of these improved features has been incorporated. Examples of enhancements adopted include sanitary heat exchanger (HEX) design, incorporation of a “flash” cooling HEX, on-line calculation of F(o) and R(o), and use of field I/O modules located near the vessel to permit low-cost addition of new instrumentation. Sterilizer performance also was characterized over the expected range of operating conditions. Differences between design and observed temperature, pressure, and other profiles were quantified and investigated

    Archival search for historical atypical scrapie in sheep reveals evidence for mixed infections

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    Flaviviruses are arthropod-borne viruses found worldwide and are responsible for significant human and veterinary diseases, including dengue, Zika, and West Nile fever. Some flaviviruses are insect specific and replicate only in mosquitoes. We report a genetically divergent group of insect-specific flaviviruses from Anopheles mosquitoes that do not replicate in arthropod cell lines or heterologous Anopheles species, exhibiting unprecedented specialization for their host species. Determination of the complete sequences of the RNA genomes of three of these viruses, Karumba virus (KRBV), Haslams Creek virus, and Mac Peak virus (McPV), that are found in high prevalence in some Anopheles mosquito populations and detection of virus-specific proteins, replicative double-stranded RNA, and small interfering RNA responses in the host mosquito species provided strong evidence of a functional replicating virus in the mosquito midgut. Analysis of nucleotide composition in the KRBV and McPV sequences also revealed a pattern consistent with the virus evolving to replicate only in insects. These findings represent a significant advance in our knowledge of mosquito-borne flavivirus ecology, host restriction, and evolution

    Grand Challenges in global eye health: a global prioritisation process using Delphi method

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    Background We undertook a Grand Challenges in Global Eye Health prioritisation exercise to identify the key issues that must be addressed to improve eye health in the context of an ageing population, to eliminate persistent inequities in health-care access, and to mitigate widespread resource limitations. Methods Drawing on methods used in previous Grand Challenges studies, we used a multi-step recruitment strategy to assemble a diverse panel of individuals from a range of disciplines relevant to global eye health from all regions globally to participate in a three-round, online, Delphi-like, prioritisation process to nominate and rank challenges in global eye health. Through this process, we developed both global and regional priority lists. Findings Between Sept 1 and Dec 12, 2019, 470 individuals complete round 1 of the process, of whom 336 completed all three rounds (round 2 between Feb 26 and March 18, 2020, and round 3 between April 2 and April 25, 2020) 156 (46%) of 336 were women, 180 (54%) were men. The proportion of participants who worked in each region ranged from 104 (31%) in sub-Saharan Africa to 21 (6%) in central Europe, eastern Europe, and in central Asia. Of 85 unique challenges identified after round 1, 16 challenges were prioritised at the global level; six focused on detection and treatment of conditions (cataract, refractive error, glaucoma, diabetic retinopathy, services for children and screening for early detection), two focused on addressing shortages in human resource capacity, five on other health service and policy factors (including strengthening policies, integration, health information systems, and budget allocation), and three on improving access to care and promoting equity. Interpretation This list of Grand Challenges serves as a starting point for immediate action by funders to guide investment in research and innovation in eye health. It challenges researchers, clinicians, and policy makers to build collaborations to address specific challenge

    Agent-Based Simulation modeling Approach for Tenure Security Dynamics

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    Urbanization process governs by the market mechanism tend to marginalize the poor into squatter settlements (Davis, 2006, pp. 1-19). UN-HABITAT report in 2003 shows that 30% of the urban population lived in such settlements and trend becomes severe in coming decades (UNHABITAT, 2003). An inherent characteristic of squatter settlements is lack of tenure security. Insecure tenure lands being underutilized and less economically viable and hence, lands with tenure insecurity become dead capital to a nation (Soto, 2000, p. 29). Tenure security is one of the main goal of land administration Domain Modelling (LADM) (Lemmen, Ostroterom, and Bennett, 2015). However, land tenure security, unlike other economic indices, is very difficult in quantifying. This is mainly due to the fact that it is mainly depending on human perception (Deininger 2003, p. 36). According to some, development of tenure security is simply a matter of formalizing the title (Soto 2000). However, others argue that such formalization without focusing the possible environmental repercussions (mainly through the land market) may cause market eviction of the tenants. According to them, gradual enhancement of the tenure security, by calculating the possible environmental repercussions, would be the ideal mean of enhancement of the tenure security. However, the practical implication of such an approach may obstruct by the inability to quantify the true impact of tenure enhancement measures on the right holder. The research hypothesis that Land tenure security is not only cognitive based but also communicational structural. Hence, statistical approaches and other linear approaches for studying tenure security development do not provide accurate feedback. The objective of the research is, therefore, to identify the role of cognitive and social communicational structures in defining the land tenure security. In order to test the hypothesis, the researchers utilized the TUUD simulation model developed by Piyasena (2015). Accordingly, a framework for defining the tenant interactions as well the limiting environmental factors have decided through a literature review. Different cases have been build-up by changing the learning capacity of randomly selected agent (a land tenant). The results shows that tenure security conditions of the agents within the selected community is not only depending on the individual cognitive structures but also resulting communicational structures as well. In conclusion, there is a non-linear relation between tenure security and feedback structures as well as communication structure. This highlights the fact that land policies directions towards tenure security enhancement need be based on localized conditions and needs to avoid blue print solutions
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