73 research outputs found

    Particulate Matter Sampling Techniques and Data Modelling Methods

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    Particulate matter with 10 μm or less in diameter (PM10) is known to have adverse effects on human health and the environment. For countries committed to reducing PM10 emissions, it is essential to have models that accurately estimate and predict PM10 concentrations for reporting and monitoring purposes. In this chapter, a broad overview of recent empirical statistical and machine learning techniques for modelling PM10 is presented. This includes the instrumentation used to measure particulate matter, data preprocessing, the selection of explanatory variables and modelling methods. Key features of some PM10 prediction models developed in the last 10 years are described, and current work modelling and predicting PM10 trends in New Zealand—a remote country of islands in the South Pacific Ocean—are examined. In conclusion, the issues and challenges faced when modelling PM10 are discussed and suggestions for future avenues of investigation, which could improve the precision of PM10 prediction and estimation models are presented

    The Effect of Pilates Training on Isoprostane, Fasting Glucose and Body Composition in Women with Breast Cancer

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    Introduction: Addressing physical activities is one of the important pillars of the health management of patients with breast cancer. The purpose of this study was to investigate the effect of Pilates training on isoprostane, fasting glucose and body composition in women with breast cancer. Methods: In this quasi-experimental study, 24 women with breast cancer who referred to health and therapy centers and private clinics of Shiraz were selected and divided into two groups: Pilates training and control. Pilates training group performed exercises for 10 weeks, 3 sessions per week and 60 minutes each session. The control group performed only their daily activities during this period. Blood sampling and physical examination were performed before and after the training period. For statistical analysis of data Kolmogorov- Smirnov, paired sample t-test and independent sample t- tests (p≤0.05) were used. Results: The results showed that ten weeks of pilates training had no significant effect on isoprostane (p=0.35), weight (p=0.09), body mass index (p=0.09) and WHR (p=0.07) in women with breast cancer. Also, Pilates training had a significant effect on the reduction of fasting glucose (p=0.03) in women with breast cancer. Conclusion: According to the findings of the present study, although 10-week Pilates training are not effective in improving the isoprostane and body composition of women with breast cancer, it can improve the fasting glucose in these patients

    A sustainable approach for site selection of underground hydrogen storage facilities using fuzzy-delphi methodology

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    One of the consequences of rapid global population growth is the increase in the energy demand. Currently, the main source of energy for various applications is fossil fuels, which are not renewable and their utilization at large scales have caused a number of environmental issues such as global warming. Hydrogen is one of the main renewable energy sources; however, its utilization has not yet been sufficiently commercialized due to some existing technical issues. For large-scale underground Hydrogen storage facilities, selecting the most suitable set-up location is accounted to be a crucial factor in order to use Hydrogen as a promising and environmentally friendly energy carrier. This study aims to develop an expert judgment approach for the prioritization of criteria involving site selection of large-scale Hydrogen storage facilities to support development of modern cities and industries. In this regard, Fuzzy-Delphi methodology was used to prioritize the criteria and sub-criteria, which seemed to be most relevant for the underground Hydrogen storage site selection process. A comprehensive screening was performed in the literature and eighteen criteria from technical, economic, health, safety and environment (HST) and social points of view were extracted. A professional questionnaire was designed for the criteria prioritization and SPSS 25.0 was employed to analyse the achieved results. According to the gained results, the most important sub-criteria were identified as legal restrictions, reservoir permeability and porosity, and regional risks. Also, the findings demonstrated that HSE and technical issues of sustainability for the site selection of H2 underground storage were more underscored in comparison to economic and social criteria. It is concluded that more in-depth studies are still needed to cover more aspects of sustainability regarding site selection for underground gas storages with special focus on social dimensions.publishersversionpublishe

    Common Aeroallergens in Patients with Asthma and Allergic Rhinitis Living in Southwestern Part of Iran: Based on Skin Prick Test Reactivity

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    Aeroallergens continue to have a key role in the pathogenesis of asthma and allergic diseases and have recently received increased attention in medical research throughout the world. The prevalence of aeroallergens vary in different regions, depending on the type of climate. The aim of the present study was to determine prevalence of the sensitivity to aeroallergens among patients with asthma and allergic rhinitis (AR), based on skin prick test (SPT) reactivity in the province of Bushehr, Iran. In this cross-sectional study, 743 patients were enrolled. The participants had asthma and AR and reacted to at least one allergen with SPT. Skin prick test with standard extracts including house dust mites (HDMs), animal dander, molds and pollens were performed on patients according to the herbal geography of the area. The male to female ratio and mean age of the patients were 1.03 and 27.6± 15.4 year, respectively. Out of 567 patients with AR, the common aeroallergens were HDMs (88.5%), molds (82.9%), animal dander (79.5%), weeds (77.6%), trees (75.5%) and grass pollen (71.5%). Moreover, among 176 patients with asthma, the prevalence of aeroallergens were HDMs (90.5 %), molds (80.7%), animal dander (77.5%), weeds (73.3%), trees (73.3%) and grass pollen (67.9%). The sensitivity to animal dander, Chenopodium album and Russian thistle pollens were significantly associated with the severity of AR. Moreover, sensitivity to animal dander such as cat and feather of birds, cockroach, Bermuda grass and Chenopodium album pollens were significantly associated with the severity of asthma. The results of this study revealed that HDM was the most common sensitizing aeroallergen in patients with asthma and AR. Molds and animal dander as indoor allergens were also common aeroallergens. We suggest that the hot weather and ambient humidity in the region may be the main cause of the change in the pattern of SPT reactivity

    Evaluation of H.pylori infection and IL23R gene polymorphism in dyspeptic subjects

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    CagA strains of H.pylori (Hp) are known to be associated with gastroduodenal diseases. Polymorphisms in inflammation related genes, such as cytokines and their receptors, were thought to partly determine the outcome of Hp infection and the progression of gastritis. It is supposed that interleukin 23 receptor (IL23R), a basic cytokine receptor in the inflammatory IL-17/IL-23 axis, may be related to gastritis. In the present study, we evaluated the association of IL23R +2199 rs10889677 polymorphism and cagA positivity with chronic gastritis. In addition, we studied the infiltration of polymorphonuclear (PMN) and mononuclear (MN) Leukocytes into surrounding tissues of corpus. Biopsies taken from the corpus of the patients were classified as two groups: Hp-infected and Hpuninfected. The severity of gastritis was graded from normal to severe, chronic gastritis and chronic active gastritis. Virulence factor, cagA, was evaluated using PCR and the polymorphism in IL23R was investigated by polymerase chain reaction-restriction fragment length polymorphism (PCR-RFLP). AA and AC carriers of IL23R +2199 polymorphism, but not CC genotype in Hp-uninfected patients, were not associated with cellular infiltration and gastritis in both groups (p > 0.05). CagA positivity was significantly associated with increased risk of PMN (P= 0.013), but not with MN infiltration (P= 0.069). Also gastritis was found to be associated with cagA positivity (P= 0.044). Our results show decreased Hp infection probability in patients with CC genotype of 2199 +IL23R. According to the clinical and pathological features in Hp-infected group, IL23R polymorphism doesn't influence chronic gastritis and chronic active gastritis

    A Comparative Analysis of Clinical Characteristics and Laboratory Findings of COVID-19 between Intensive Care Unit and Non-Intensive Care Unit Pediatric Patients: A Multicenter, Retrospective, Observational Study from Iranian Network for Research in Viral

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    Introduction: To date, little is known about the clinical features of pediatric COVID-19 patients admitted to intensive care units (ICUs). Objective: Herein, we aimed to describe the differences in demographic characteristics, laboratory findings, clinical presentations, and outcomes of Iranian pediatric COVID-19 patients admitted to ICU versus those in non-ICU settings. Methods: This multicenter investigation involved 15 general and pediatrics hospitals and included cases with confirmed severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection based on positive real-time reverse transcription polymerase chain reaction (RT-PCR) admitted to these centers between March and May 2020, during the initial peak of the COVID-19 pandemic in Iran. Results: Overall, 166 patients were included, 61 (36.7%) of whom required ICU admission. The highest number of admitted cases to ICU were in the age group of 1–5 years old. Malignancy and heart diseases were the most frequent underlying conditions. Dyspnea was the major symptom for ICU-admitted patients. There were significant decreases in PH, HCO3 and base excess, as well as increases in creatinine, creatine phosphokinase (CPK), lactate dehydrogenase (LDH), and potassium levels between ICU-admitted and non-ICU patients. Acute respiratory distress syndrome (ARDS), shock, and acute cardiac injury were the most common features among ICU-admitted patients. The mortality rate in the ICU-admitted patients was substantially higher than non-ICU cases (45.9% vs. 1.9%, respectively; p<0.001). Conclusions: Underlying diseases were the major risk factors for the increased ICU admissions and mortality rates in pediatric COVID-19 patients. There were few paraclinical parameters that could differentiate between pediatrics in terms of prognosis and serious outcomes of COVID-19. Healthcare providers should consider children as a high-risk group, especially those with underlying medical conditions

    miR-18b overexpression identifies mantle cell lymphoma patients with poor outcome and improves the MIPI-B prognosticator

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    Recent studies show that mantle cell lymphoma (MCL) express aberrant miRNA profiles, however, the clinical effect of miRNA expression has not previously been examined and validated in prospective, large, homogenously treated cohorts. We analyzed diagnostic MCL samples from the Nordic MCL2 and MCL3 clinical trials, in which all patients had received Rituximab-high-dose cytarabin alternating with Rituximab-maxiCHOP, followed by BEAM and autologous stem cell support. We performed genome-wide miRNA microarray profiling of 74 diagnostic MCL samples from the MCL2 trial (screening cohort). Differentially expressed miRNAs were re-analyzed by qRT-PCR. Prognostic miRNAs were validated by qRT-PCR in diagnostic MCL samples from 94 patients of the independent MCL3 trial (validation cohort). Three miRNAs (miR-18b, miR-92a, miR-378d) were significantly differentially expressed in patients who died from MCL in both the screening- and the validation cohort. MiR-18b was superior to miR-92a and miR-378d in predicting high risk. Thus, we generated a new MIPI-B-miR prognosticator, combining expression-levels of miR-18b with MIPI-B data. This prognosticator improved identification of high risk patients compared to MIPI-B with regard to cause-specific survival (P=0.015), overall survival (P=0.006) and progression-free survival (P<0.001). Transfection of two MCL cell lines with miR-18b decreased their proliferation rate without inducing apoptosis, suggesting miR-18b may render MCL cells resistant to chemotherapy by decelerating cell proliferation. Thus, we conclude that overexpression of miR-18b identifies patients with poor prognosis in two large prospective MCL cohorts and adds prognostic information to MIPI-B. MiR-18b may reduce the proliferation rate of MCL cells as a mechanism of chemoresistance

    Focal adhesion is associated with lithium response in bipolar disorder: evidence from a network-based multi-omics analysis

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    Lithium (Li) is one of the most effective drugs for treating bipolar disorder (BD), however, there is presently no way to predict response to guide treatment. The aim of this study is to identify functional genes and pathways that distinguish BD Li responders (LR) from BD Li non-responders (NR). An initial Pharmacogenomics of Bipolar Disorder study (PGBD) GWAS of lithium response did not provide any significant results. As a result, we then employed network-based integrative analysis of transcriptomic and genomic data. In transcriptomic study of iPSC-derived neurons, 41 significantly differentially expressed (DE) genes were identified in LR vs NR regardless of lithium exposure. In the PGBD, post-GWAS gene prioritization using the GWA-boosting (GWAB) approach identified 1119 candidate genes. Following DE-derived network propagation, there was a highly significant overlap of genes between the top 500- and top 2000-proximal gene networks and the GWAB gene list (Phypergeometric = 1.28E–09 and 4.10E–18, respectively). Functional enrichment analyses of the top 500 proximal network genes identified focal adhesion and the extracellular matrix (ECM) as the most significant functions. Our findings suggest that the difference between LR and NR was a much greater effect than that of lithium. The direct impact of dysregulation of focal adhesion on axon guidance and neuronal circuits could underpin mechanisms of response to lithium, as well as underlying BD. It also highlights the power of integrative multi-omics analysis of transcriptomic and genomic profiling to gain molecular insights into lithium response in BD.publishedVersio

    Genomic Relationships, Novel Loci, and Pleiotropic Mechanisms across Eight Psychiatric Disorders

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    Genetic influences on psychiatric disorders transcend diagnostic boundaries, suggesting substantial pleiotropy of contributing loci. However, the nature and mechanisms of these pleiotropic effects remain unclear. We performed analyses of 232,964 cases and 494,162 controls from genome-wide studies of anorexia nervosa, attention-deficit/hyper-activity disorder, autism spectrum disorder, bipolar disorder, major depression, obsessive-compulsive disorder, schizophrenia, and Tourette syndrome. Genetic correlation analyses revealed a meaningful structure within the eight disorders, identifying three groups of inter-related disorders. Meta-analysis across these eight disorders detected 109 loci associated with at least two psychiatric disorders, including 23 loci with pleiotropic effects on four or more disorders and 11 loci with antagonistic effects on multiple disorders. The pleiotropic loci are located within genes that show heightened expression in the brain throughout the lifespan, beginning prenatally in the second trimester, and play prominent roles in neurodevelopmental processes. These findings have important implications for psychiatric nosology, drug development, and risk prediction.Peer reviewe

    Analysis of shared heritability in common disorders of the brain

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    ience, this issue p. eaap8757 Structured Abstract INTRODUCTION Brain disorders may exhibit shared symptoms and substantial epidemiological comorbidity, inciting debate about their etiologic overlap. However, detailed study of phenotypes with different ages of onset, severity, and presentation poses a considerable challenge. Recently developed heritability methods allow us to accurately measure correlation of genome-wide common variant risk between two phenotypes from pools of different individuals and assess how connected they, or at least their genetic risks, are on the genomic level. We used genome-wide association data for 265,218 patients and 784,643 control participants, as well as 17 phenotypes from a total of 1,191,588 individuals, to quantify the degree of overlap for genetic risk factors of 25 common brain disorders. RATIONALE Over the past century, the classification of brain disorders has evolved to reflect the medical and scientific communities' assessments of the presumed root causes of clinical phenomena such as behavioral change, loss of motor function, or alterations of consciousness. Directly observable phenomena (such as the presence of emboli, protein tangles, or unusual electrical activity patterns) generally define and separate neurological disorders from psychiatric disorders. Understanding the genetic underpinnings and categorical distinctions for brain disorders and related phenotypes may inform the search for their biological mechanisms. RESULTS Common variant risk for psychiatric disorders was shown to correlate significantly, especially among attention deficit hyperactivity disorder (ADHD), bipolar disorder, major depressive disorder (MDD), and schizophrenia. By contrast, neurological disorders appear more distinct from one another and from the psychiatric disorders, except for migraine, which was significantly correlated to ADHD, MDD, and Tourette syndrome. We demonstrate that, in the general population, the personality trait neuroticism is significantly correlated with almost every psychiatric disorder and migraine. We also identify significant genetic sharing between disorders and early life cognitive measures (e.g., years of education and college attainment) in the general population, demonstrating positive correlation with several psychiatric disorders (e.g., anorexia nervosa and bipolar disorder) and negative correlation with several neurological phenotypes (e.g., Alzheimer's disease and ischemic stroke), even though the latter are considered to result from specific processes that occur later in life. Extensive simulations were also performed to inform how statistical power, diagnostic misclassification, and phenotypic heterogeneity influence genetic correlations. CONCLUSION The high degree of genetic correlation among many of the psychiatric disorders adds further evidence that their current clinical boundaries do not reflect distinct underlying pathogenic processes, at least on the genetic level. This suggests a deeply interconnected nature for psychiatric disorders, in contrast to neurological disorders, and underscores the need to refine psychiatric diagnostics. Genetically informed analyses may provide important "scaffolding" to support such restructuring of psychiatric nosology, which likely requires incorporating many levels of information. By contrast, we find limited evidence for widespread common genetic risk sharing among neurological disorders or across neurological and psychiatric disorders. We show that both psychiatric and neurological disorders have robust correlations with cognitive and personality measures. Further study is needed to evaluate whether overlapping genetic contributions to psychiatric pathology may influence treatment choices. Ultimately, such developments may pave the way toward reduced heterogeneity and improved diagnosis and treatment of psychiatric disorders
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