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A significant reduction in the total column density of NO2, CO and ground-level pollution load of PM10, PM2.5, NO2, and SO2 have been observed. In contrast, an increase in total column density of SO2 across all the cities (except Kanpur) and ground-level concentration of CO (in Noida and Greater Noida) and O3 (in Noida) was evident. The improvement in air quality (with respect to particulate matter) can primarily be attributed to the restrictions on construction and demolition activities, reduced re-suspension of roadside dust, and the restrictions on the movement of vehicles. A significant decline in the average summer temperature was recorded, and it can plausibly be attributed to lower radiative forcing due to reduced pollutant load in the atmosphere.An increasing production and use of titanium dioxide nanoparticles (TiO2 NPs) pose a huge threat to phytoplankton since they are largely released into aquatic environments, which represent a sink for TiO2 NPs. However, toxicity and protective mechanisms of cyanobacteria in response to TiO2 NPs remain elusive. Here we investigated toxic effects of two sizes of TiO2 NPs (50 and 10 nm) and one bulk TiO2 (200 nm) on a cyanobacterium, Synechocystis sp. and their possible protective mechanisms. We found that 10 nm TiO2 NPs caused significant growth and photosynthesis inhibition in Synechocystis sp. cells, largely reflected in decreased growth rate (38%), operational PSII quantum yields (40%), phycocyanin (51%) and allophycocyanin (63%), and increased reactive oxygen species content (245%), superoxide dismutase activity (46%). Also, transcriptomic analysis of Synechocystis sp. exposure to 10 nm TiO2 NPs showed the up-regulation of D1 and D2 protein genes (psbA and psbD), ferredoxin gene (petF) and F-type ATPase genes (e.g., atpB), and the down-regulation of psbM and psb28-2 in PS II. We further proposed a conceptual model to explore possible toxic and protective mechanisms for Synechocystis sp. under TiO2 nanoparticle exposure. This study provides mechanistic insights into our understanding of Synechocystis sp. responses to TiO2 NPs. This is essential for more accurate environmental risk assessment approaches of nanoparticles in aquatic ecosystems by governmental environmental agencies worldwide.Severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) infects the nasopharynx and lungs and causes coronavirus disease-2019 (COVID-19). It may impact the heart, brain, kidney, and liver.1 Although functional impairment of the liver has been correlated with worse clinical outcomes, little is known about the pathophysiology of hepatic injury and repair in COVID-19.2,3 Histologic evaluation has been limited to small numbers of COVID-19 cases with no control subjects2,4 and demonstrated largely heterogeneous patterns of pathology.2,3.
Alcoholic hepatitis (AH) is a severe condition with poor short-term prognosis. Specific treatment with corticosteroids slightly improves short-term survival but is associated with infection and is not used in many centers. A reliable method to identify patients who will recover spontaneously will minimise the numbers of patients who experience side effects of available treatments.
We analysed the trajectory of serum bilirubin concentration over the course of hospital admissions in patients with AH to predict spontaneous survival and the need for treatment.
data from 426 patients were analysed. Based on bilirubin trajectory, patients were categorized into three groups 'fast fallers' (bilirubin <0.8 x admission value at day 7), 'static' (bilirubin of >0.9 - <1.2 x admission value) and 'rapid risers' (bilirubin of ≥1.2 x admission bilirubin). Fast fallers had significantly better 90-day survival compared to other groups (log rank p < .001), and showed no benefit of corticosteroid therapy (OR for survival at 28 days of treatment, 0.94, 95% CI 0.06 - 8.41). These findings remained even amongst patients with severe disease based on initial DF, GAHS or MELD scores.
We present an intuitive method of classifying patients with AH based on the trajectory of bilirubin over the first week of admission. It is complimentary to existing scores that identify candidates for corticosteroid treatment or assess response to treatment. This method identifies a group of patients with AH who recover spontaneously and can avoid corticosteroid therapy.
We present an intuitive method of classifying patients with AH based on the trajectory of bilirubin over the first week of admission. It is complimentary to existing scores that identify candidates for corticosteroid treatment or assess response to treatment. This method identifies a group of patients with AH who recover spontaneously and can avoid corticosteroid therapy.
We designed an automatic, computationally efficient, and interpretable algorithm for detecting ventricular ectopic beats in long-term, single-lead electrocardiogram recordings.
We built five simple, interpretable, and computationally efficient features from each cardiac cycle, including a novel morphological feature which described the distance to the median beat in the recording. After an unsupervised subject-specific normalization procedure, we trained an ensemble binary classifier using the AdaBoost algorithm RESULTS After our classifier was trained on subset DS1 of the Massachusetts Institute of Technology-Beth Israel Hospital (MIT-BIH) Arrhythmia database, our classifier obtained an F1 score of 94.35% on subset DS2 of the same database. The same classifier achieved F1 scores of 92.06% on the St. Petersburg Institute of Cardiological Technics (INCART) 12-lead Arrhythmia database and 91.40% on the MIT-BIH Long-term database. A phenotype-specific analysis of model performance was afforded by the annotatr achieved F1 scores of 92.06% on the St. mTOR inhibitor Petersburg Institute of Cardiological Technics (INCART) 12-lead Arrhythmia database and 91.40% on the MIT-BIH Long-term database. A phenotype-specific analysis of model performance was afforded by the annotations included in the St. Petersburg INCART Arrhythmia database CONCLUSION The five features this novel algorithm employed allowed our ventricular ectopy detector to obtain high precision on previously unseen subjects and databases SIGNIFICANCE Our ventricular ectopy detector will be used to study the relationship between premature ventricular contractions and adverse patient outcomes such as congestive heart failure and death.
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