Changes In Most Parameters Research Articles

Evaluation of Hematological and Biochemical Effects of Kabuuti Herbal Cough Syrup: A Sub-acute Study in Wistar Rats

Herbal medicines, including Kabuuti cough syrup, have gained popularity in treating various ailments, yet their safety and efficacy require scientific scrutiny. This study aimed to evaluate the hematological and biochemical effects of Kabuuti herbal cough syrup after 28 days of oral administration in Wistar rats. The herbal extracts, containing secondary metabolites like terpenes, alkaloids, steroids, and phenols, were administered at different doses to rats, with distilled water as a control. Hematological and biochemical parameters were assessed, showing no statistically significant changes in most parameters. However, there were decreases in mean corpuscular volume (MCV) levels and lymphocyte percentage and increases in hemoglobin (HB) levels and gamma glutamyl transferase (GGT) levels observed in certain dosage groups. Despite these variations, the overall findings suggest that Kabuuti herbal cough syrup is safe for liver and kidney function in the short term, with no significant adverse effects observed. Keywords: Kabuuti Cough Herbal Preparation; Haematological Effects; Biochemical Effects; Oral Administration; Wistar Rats.

Biological and histological changes and DNA damage in Oreochromis niloticus exposed to oxytetracycline: a potential amelioratory role of ascorbic acid

Antibiotics are crucial in the control of bacterial infections on fish farms. However, the influence of licensed antibiotics on DNA damage, histological changes, and protein differentiation in some farmed fish species is unidentified. The current study aimed to investigate the effect of therapeutic (80 mg/kg body weight/day) and high doses (160 mg/kg body weight/day) of oxytetracycline (OTC) on some biological indices, protein differentiation, histological changes, and DNA damage in Oreochromis niloticus (n = 360; 40 ± 3.5 g) and the potential positive effects of dietary ascorbic acid (AA) and whether it is capable of reducing the deleterious impacts of OTC and working synergistically to increase fish disease resistance and decrease morbidity and mortality rates. In the current study, fish were fed diets with or without OTC (80 or 160 mg/kg body weight/day) and AA (100 mg/kg diet/day) for 28 days, followed by a bacterial stress test with two different virulent strains for 14 days. Treatments include CTR (control; without additives), AA, OTC80, OTC160, OTC80 + AA, and OTC160 + AA. The results revealed that the AA group had the best antioxidative (significant increase in SOD, CAT, and GPx) and immunomodulatory effects (an increase in IgM, nitroblue tetrazolium, and total leucocytic count). Furthermore, the hematological parameters, immune indices (NBT), and antioxidant enzymes were significantly reduced by OTC160 (p ≤ 0.05). The results also showed that OTC160 notably augmented the activity of liver (ALT, AST, and LDH) and kidney (creatinine and urea) damage markers (p ≤ 0.05). OTC160 revealed considerable hepatic and renal tissue damage and significantly higher hepatocyte DNA damage. Pathological changes and DNA damage were directly correlated to the dosage of OTC exposure, where they were more severe in OTC160. OTC80 showed insignificant changes in most parameters. Compared to CTR, the inclusion of AA in the O. niloticus diet significantly restored the biological indices, histological changes, and DNA damage in OTC-treated groups. The morbidity and mortality percentages after bacterial challenge were significantly lower in the OTC80 + AA group, followed by the OTC160 + AA group than in the CTR. These results corroborate the use of AA as a potent antioxidant and immune stimulant and a potential co-adjuvant to OTC in the diet of O. niloticus to reach optimal resistance to disease.

Differences in Nasal Shapes and the Degree of Changes Over a Decade or More: A Paired Analysis.

This study investigated age-related differences in nasal morphometry and the degree of changes within an individual over at least a 10-year period by pairing previous and recent three-dimensional reconstructed computed tomography (CT) images. Forty-eight adult Korean patients who underwent at least two CT scans of the nasal region with an interval of at least 10 years were selected. Patients were categorized into six subgroups according to sex and age (20-39 years, 40-49 years, and ≥50 years) at the time of initial imaging. Eight nasal parameters were measured on the initial and recent images, and paired comparisons between the two images were performed based on the data. The differences in the degree of change by age were also analyzed. Over an average image interval of 12 years, men exhibited an increase in the nasofrontal angle (3.2°±5.4°, P=0.041), profile nasal length (1.7±1.7 mm, P=0.002), and nasal bridge height (1.2±1.6 mm, P=0.002). Conversely, they showed a decrease in the nasofacial angle (-2.3°±2.9°, P=0.010). Women also demonstrated an increase in the nasofrontal angle (2.5°±5.2°, P=0.010), profile nasal length (1.4±1.9 mm, P<0.001), and nasal bridge height (1.3±1.6 mm, P<0.001). However, they exhibited a decrease in the nasofacial angle (-2.0°±2.1°, P<0.001), glabella angle (-9.1°±9.8°, P<0.001), and pyriform angle (-8.5°±10.1°, P<0.001). With the exception of the nasal bridge height (P=0.036) and pyriform angle (P=0.022), the degree of changes in most parameters did not show significant differences across age groups. Our findings indicate that the aging nose exhibits a greater nasal length with inferior angulation of the nasal tip, with an increase in the nasofrontal angle, profile nasal length, and nasal bridge height, along with a decrease in the nasofacial angle. The degree of most nasal morphologic changes demonstrated no significant differences by specific age group.

Mechanical weakening behavior and energy evolution characteristics of shale with different bedding angles after microwave irradiation

Microwave irradiation, as a novel, clean, and efficient rock-breaking technology, can be employed in shale gas exploitation to address the challenges of low fracture efficiency and environmental pollution. Therefore, it is essential to investigate the physico-mechanical properties of shale under microwave irradiation. Firstly, samples with different bedding angles (0°, 30°, 60°, and 90°) were subjected to microwave irradiation at a power of 1 kW and frequency of 2.45 GHz for durations of 0, 20, 40, 60, and 80 s. Additionally, measurements of mass, P-wave velocity, and porosity were taken before and after microwave irradiation, followed by uniaxial compression testing using acoustic emission (AE). The results demonstrated that with increasing microwave irradiation duration, the P-wave velocity and mass of shale gradually decreased, exhibiting anisotropic behavior for the P-wave velocity. The highest degree of weakening (24.75%) was observed for shale at 0°, while the lowest (7.03%) occurred at 90°. Both uniaxial compressive strength and elastic modulus weakened gradually. Notably, USC displayed more significant weakening at 30° and 60°. The energy evolution pattern revealed increasing dissipated energy and decreasing brittleness index, enhancing anisotropy with duration, particularly at 60°. Moreover, AE captured the transition of failure mode from tensile splitting to tensile-shear failure. The results indicated the significant and anisotropic weakening effect of microwave irradiation on shale. The increase in porosity and permeability also provided preliminary evidence for the enhanced permeability ability of shale, resulting in reduced hydraulic fracturing pressures and decreased environmental pollution. Furthermore, the changes of most parameters revealed threshold effect of microwave irradiation duration, which can be classified as weak or strong depending on whether it occurs before or after 40 s. Therefore, attention should be paid to the threshold conditions of microwave irradiation duration to achieve efficient extraction. This research provided initial theoretical support for microwave-assisted shale gas exploitation.

Age features of the microscopic structure of the intestines of the budgerigar (Melopsittacus undulatus)

Information about the morphology of the budgerigar intestines is a necessary condition for the preparation of diets for feeding, prevention and treatment of diseases of the digestive system, the state of which determines the intensity of growth and development of the bird’s body. The features of the histological structure of the intestines of the budgerigar (Melopsittacus undulatus) of 9 ages: 1, 3, 7, 14, 21, 30, 60, 180 and 365 days of age were studied. Histological preparations were made according to the classical method with hematoxylin and eosin staining of sections, according to Mallory and Grimelius. Morphometric parameters of microstructures were determined on preparations from a transverse section of the middle section of the duodenum, jejunum, ileum and rectum. In the intestinal wall of the budgerigar, three membranes were identified: mucous, muscular and serous. Three layers were found in the mucosa: epithelial, lamina propria, and muscular lamina. The predominant type of epitheliocytes were rim enterocytes, goblet cells were found in a smaller number, the number of which increased towards the rectum, as well as enteroendocrine cells, which were located mainly in the crypts. The muscularis mucosa consists of several layers of cells of smooth muscle tissue, which delimits the lamina propria from the muscle membrane, encircles the crypts, and accompanies the blood capillaries of the villi. The submucosa was not found. The muscular coat consists of two layers formed by smooth muscle tissue: the inner circular and the outer longitudinal. The enteric nervous system is represented by two nerve plexuses: the submucosal, located between the muscularis mucosa, and the myenteric, located in the outer layer of the muscular membrane. There was a general pattern of increase in changes in most parameters with age : the diameter of the intestine, wall thickness, mucous membrane and muscle membrane, height, width and surface area of the villi, the depth of the crypts. Changes in the size of the microstructures of the intestines were asynchronous. The most intensive changes in the size of microstructures occurred in the first month after hatching, especially in the first week. They corresponded to the values of an adult bird mainly at 21–30 days of age. A decrease in the thickness of the wall, mucosa, height of the villi, and their surface area in the direction from the duodenum to the rectum was established.

Effects for barley growth and development of single exposure to low-temperature argon plasma at different organogenesis stages

The paper presents the vegetation experiments results on the low-temperature argon plasma effect on barley plants ( Hordeum vulgare L.) of the Vladimir cultivar and its influence on morphophysiological parameters and yield. Plasma treatment was once at three organogenesis stages of barley plants: 3rd leaf, tillering and booting. Plasma exposure was 15 and 30 min. The barley plants were grown to full maturity. Analysis of barley yield structure did not reveal clear patterns in the change in most parameters resulted from the plasma treatment. However, 15 min plasma exposure on barley plants in the critical development stage (3rd leaf) increased by 77.8 % (p 0.05) the root weight of plants compared with control. After treatment at the tillering stage, the number of spikelets per main stem ear increased by 18.5 % (p 0.001) after 15 min plasma exposure, and by 11.17 % (p 0.05) after 30 min exposure. An increase in the number of productive stems and the number of grains per lateral stem ear was observed. At the same time, 30 min exposure in the 3rd leaf stage reduced by 7 % (p 0.05) the plant height. And the treatment in the tillering stage reduced by 39 % (p 0.01) the root weight of barley plants. The effect of low-temperature plasma on barley plants at the booting stage was less expressed to the plasma effect at earlier development stages. This can be explained by the lower sensitivity of this stage of organogenesis. The obtained effects of single exposure to low-temperature argon plasma at different organogenesis stages of barley plants can be useful to increase barley yields.

Handling missing data in rest-activity time series measured by actimetry

ABSTRACT A handling procedure of off-wrist episodes in actimetry time series of motor activity is presented using two records (regular vs. irregular sleep-wake cycle and daytime activity) of 14 consecutive days sampled in 1-minute epochs. We generated single missing value (NA) intervals of 1 h, 2 h, 4 h, 6 h, 12 h, and 24 h as well as random NA episodes following probabilistic rules to simulate real-life off-wrist episodes. Then, we replaced these episodes with “zeroes” (i.e., the default of immobility records), mean or median of the remaining 13 days corresponding to the missing bins. Single missing episodes of up to 12 h resulted in less than 5% variation from the original values. The irregular series showed higher variability in acrophase, MESOR, L5, M10 and RA compared to the regular series. Random missing allocation simulating real-life off-wrist episodes resulted in significant changes in most parameters, and the imputation of zeroes significantly increased the variance; however, replacing NA with mean or median resulted in patterns similar to those of NA. We recommend replacing ‘zeroes’ with NA whenever possible, given the risk of inflating invariance using zeroes. If the parameters cannot be computed in the presence of NA, we recommend using the weekly mean of corresponding timepoints.

ZnO and TiO2 Nanocolloids: State of Mechanisms that Regulating the Motility of the Gastrointestinal Tract and the Hepatobiliary System.

Using the transmission electron microscopy (TEM)/high-resolution TEM (HRTEM) and selected area electron diffraction (SAED) methods, it was shown that the nanocolloids of ZnO contain hydrolyzed ZnO nanoparticles (NPs). Typically, the nanocrystalline ZnO/Zn(OH)2 core is covered by an amorphous shell of zinc hydroxides, preventing the encapsulated crystal core from dissolving. Similar studies were carried out with TiO2 nanocolloids. It was found that burdening of rats for 30 days with a ZnO aqueous nanocolloid (AN) was accompanied by a narrowing of the amplitude range, a decrease (increase) in the frequency of spontaneous contractions (SCs), and an inhibition of the efficiency indices for smooth muscles (SMs) of the antrum and cecum. Under longer (100 days) burdening of rats with AN of ZnO, there was a tendency toward restoring the above parameters. In terms of the value and the direction of changes in most parameters for SCs of SMs, the effects (30 days) of TiO2 AN differed from those for ZnO AN and were almost the same in the case of their long-term impact. It was found that mostly M2-cholinoreceptor-dependent mechanisms of regulating the intracellular concentration of Ca2+ were sensitive to the effect of ZnO and TiO2 ANs. The molecular docking demonstrated that ZnO and TiO2 NPs did not compete with acetylcholine for the site of binding to M3 and M2 cholinoreceptors but may impact the affinity of orthosteric ligands to M2 cholinoreceptors. The studies showed that burdening rats with ZnO and TiO2 ANs was also accompanied by changes in the activity state of both intracellular enzymes and the ion transport systems for Na+, K+, and Ca2+, related to the processes of bile secretion, via the plasma membrane of hepatocytes.

Changes in pain profile of patients with haemophilia during 1‐year follow‐up

Patients with haemophilia (PwH) may experience increased sensitivity to pain. Based on the assessment of the somatosensory system, a recent study showed a specific pain profile in PwH when compared to controls by using Quantitative Sensory Testing (QST). This study aimed to evaluate the pain profile of affected joints (knee or ankle joints) and a non-affected site (dominant hand) in adult PwH over a 1-year period. Twenty-four PwH (severe haemophilia A=19, B=3; moderate haemophilia A=1, B=1; age: 52±8 years) and 21 healthy controls (age: 52±12 years) were examined by QST. Both knee or ankle joints and the hand as reference were examined twice with an interval of 1year in order to assess several detection (DT) and pain thresholds (PT). Statistically significant altered mechanical (P<.001) and pressure (P<.05) PT were found at affected joints and at a non-affected site in PwH when compared to controls. Mechanical DT showed a significant increase at all assessed sites (e.g., at ankle joints PwH vs. controls at baseline/follow up in mN: 13.9±9.8vs. 12.0±8.2/19.4±12.4vs. 13.7±11.1; P<.01) in both cohorts. Nevertheless, changes in most parameters within 1year occurred similarly in both groups. The statistically significant different QST profile between PwH and controls does not seem to deteriorate further over the course of the year. Thus, under prophylactic treatment, the existing difference in the pain profile between PwH and controls at baseline does not appear to be a progressive process within 1year.

Aging-related changes in the sensitivity of behavioral effects of the neonicotinoid pesticide clothianidin in male mice

Neonicotinoids, which act as agonists of the nicotinic acetylcholine receptors of insects, are widely used pesticides worldwide. Although epidemiological studies revealed that the detection amounts of neonicotinoids in urine are higher in the elderly population than other age-groups, there is no available information regarding the risks of neonicotinoids to older mammals. This study was aimed to investigate aging-related differences in the behavioral effects of the neonicotinoid pesticide clothianidin (CLO). We acutely administered a sub-NOAEL level (5 mg/kg) of CLO to adult (12-week-old) and aging (90-week-old) mice and conducted four behavioral tests focusing on the emotional behavior. In addition, we measured the concentrations of CLO and its metabolites in blood, brain and urine. There were age-related changes in most parameters in all behavioral tests, and CLO significantly decreased the locomotor activity in the open field test and elevated plus-maze test in the aging group, but not in the adult group. The concentrations of most CLO and its metabolites were significantly higher in the blood and brain and were slightly lower in the urine in the aging group compared to the adult group. These findings should contribute to our understanding of age-related differences in the adverse effects of neonicotinoids in mammals.

Stability of serum biochemical markers during standard long-term storage and with a single thawing

Aim. To study the effect of standard serum long-term storage at -70О C and with a single thawing on the biochemical markers by comparing the results of studies carried out in 2013-2014 and 2020.Material and methods. The material was the blood serum of participants in the ESSE-RF study, which was stored in a specialized biobank from 2013-2014 at -70О C either continuously (n=149) or with a single thawing (n=20). Initially and in 2020, the quantitative determination of serum biochemical parameters was carried out using same equipment and standard techniques.Results. Long-term storage at -70О C led to mild, but significant changes in almost all analyzed parameters: low density lipoprotein cholesterol (LDL-C) and apolipoprotein A1 levels decreased; levels of highdensity lipoprotein cholesterol (HDL-C), triglycerides, apolipoprotein B, glucose, and high-sensitivity C-reactive protein increased. Insulin and thyroid-stimulating hormone levels did not change during storage. The revealed strong positive relationships between the initial concentrations and those measured in 2020 in samples that were stored continuously indicate the relevance of such storage. In samples with single thawing, changes in most parameters were more pronounced.Conclusion. The results of a prospective cohort study aimed at studying the stability of human serum samples during storage indicate the validity of long-term storage at -70О C without thawing. Freeze-thawing cycle of samples (even once) is unacceptable, since it leads to a pronounced LDL-C decrease. Given the fact that it is the LDL-C levels that is the target of lipid-lowering therapy, continuous low-temperature (not &gt;-70О C) storage of blood serum samples is recommended.

Inferring a simple mechanism for alpha-blocking by fitting a neural population model to EEG spectra.

Alpha blocking, a phenomenon where the alpha rhythm is reduced by attention to a visual, auditory, tactile or cognitive stimulus, is one of the most prominent features of human electroencephalography (EEG) signals. Here we identify a simple physiological mechanism by which opening of the eyes causes attenuation of the alpha rhythm. We fit a neural population model to EEG spectra from 82 subjects, each showing a different degree of alpha blocking upon opening of their eyes. Though it has been notoriously difficult to estimate parameters by fitting such models, we show how, by regularizing the differences in parameter estimates between eyes-closed and eyes-open states, we can reduce the uncertainties in these differences without significantly compromising fit quality. From this emerges a parsimonious explanation for the spectral differences between states: Changes to just a single parameter, pei, corresponding to the strength of a tonic excitatory input to the inhibitory cortical population, are sufficient to explain the reduction in alpha rhythm upon opening of the eyes. We detect this by comparing the shift in each model parameter between eyes-closed and eyes-open states. Whereas changes in most parameters are weak or negligible and do not scale with the degree of alpha attenuation across subjects, the change in pei increases monotonically with the degree of alpha blocking observed. These results indicate that opening of the eyes reduces alpha activity by increasing external input to the inhibitory cortical population.

Characterization and validation of an in vivo confocal Raman spectroscopy led tri-method approach in the evaluation of the lip barrier.

Background/AimIt was the aim to establish and validate in vivo confocal Raman spectroscopy for characterization of the lip barrier in conjunction with transepidermal water loss (TEWL) and skin capacitance assessments. For the first time in vivo, barrier‐relevant components of the lip (derived, natural moisturizing factors (NMFs) and ceramides are described.MethodsIn 32 healthy volunteers, a dental tongue fixation device was inserted to prevent both voluntary and involuntary lip moisturization during measurements. Seventeen individual parameters relating to water, ceramide, and NMF content were assessed via Raman spectroscopy. Additionally, corneometry and TEWL were measured. To give a guidance for the required volunteer group size of future lip barrier studies for all test parameters, coefficients of variation (CV) were calculated and plots showing the required sample size for a given percentage treatment effect.ResultsRaman spectroscopy assessed parameters on the lower lip comprehensively characterized the state of the lip barrier. Parameter variability was sufficiently low to corroborate changes in most parameters using relatively small study populations.ConclusionsLip skin is comparatively well hydrated. Biophysical measurement of the lip barrier function is a challenge, as unconscious licking of the lower lip has to be prevented. In vivo confocal Raman spectroscopy provides insightful parameters for the characterization of the lip barrier and sufficiently low inter‐individual variability to assess relatively small parameter changes employing relatively few study subjects. Differences at the molecular level and at a high spatial resolution are detectable, and these insights might provide a breakthrough in the evaluation of lip barrier function and developing solutions for lip care.

Role of follicle-stimulating hormone and estradiol benzoate in recovering spermatogenesis in tamoxifen-injured rats

Objective: To evaluate the effects of follicle-stimulating hormone (FSH) and estradiol benzoate (EB) on the recovery of spermatogenesis, histology, sexual hormones levels and testicular gene expression in testes of tamoxifen-injured rats. Methods: Forty adult rats were divided into eight groups in a factorial arrangement of tamoxifen and hormonal treatments. Half of the groups orally received 0.6 mg/kg tamoxifen, and 30 d later tamoxifen and notamoxifen groups (controls) were paired and assigned into four hormonal treatments with daily intramuscular injections for 10 consecutive days: 1 mL saline (control); 7.5 IU FSH; 12 μg/kg EB; and 7.5 IU FSH+12 μg/kg EB. One day after the last treatment, spermatozoa were recovered from epididymis, blood was processed for sex hormones concentration (testosterone, FSH and luteinizing hormone) and testes were processed for histology and RNA extraction for expression of genes related to apoptosis [caspase 3, inducible nitric oxide synthase (iNOS) and B-cell lymphoma-2 (Bcl-2)]. Results: Control groups did not show significant changes in most parameters, but hormonal treatments decreased caspase 3 and iNOS and increased Bcl-2 expression. Tamoxifen significantly decreased counts, motility and viability of spermatozoa, Bcl-2 expression and sex hormones. It increased intertubular space, caspase 3 and iNOS expression, and induced seminiferous tubular atrophy. The hormonal treatments reverted spermatogenesis, hormonal levels and histology compared with controls, however not attaining the same sperm quality as controls. Conclusions: Tamoxifen is clearly detrimental to spermatogenesis and overall testicular structure and function, whereas hormonal therapy with FSH and EB can improve testicular function and revert tamoxifen-induced azoospermia.

Diabetes Mellitus Type 2 and Yoga: Electro Photonic Imaging Perspective.

Background:Yoga is the most popular form of alternative medicine for the management of diabetes mellitus type 2. The electro-photonic imaging (EPI) is another contribution from alternative medicine in health monitoring.Aim:To evaluate diabetes from EPI perspective.Objectives:(1) Compare various EPI parameters in normal, prediabetic and diabetic patients. (2) Find difference in controlled and uncontrolled diabetes. (3) Study the effect of 7 days diabetes-specific yoga program.Materials and Methods:For the first objective, there were 102 patients (normal 29, prediabetic 13, diabetic 60). In the second study, there were 60 patients (controlled diabetes 27, uncontrolled diabetes 33). The third study comprised 37 patients. EPI parameters were related to general health as well to specific organs.Results:In the first study, significant difference was observed between (1) Diabetics and normal: average intensity 5.978, form coefficient 3.590, immune organs 0.281 all P < 0.001; (2) Diabetics and prediabetics: average intensity 6.676, form coefficient 4.158, immune organs 5.890 P < 0.032; (3) Normal and prediabetes: immune organs (−6.171 P = 000). In the second study, remarkable difference was in the immune organs (0.201, P = 0.031). In the pre- and post-study, the mean difference was: area 630.37, form coefficient 1.78, entropy 0.03, liver 0.24, pancreas 0.17, coronary vessels 0.11, and left kidney 29, with all P < 0.02.Conclusion:There is a significant difference in EPI parameters between normal, prediabetics and diabetics, the prominent being average intensity, form coefficient, and immune organs. Between controlled and uncontrolled diabetes, immune organs show significant change. Intervention of yoga results in change in most parameters.

Location of care for people with serious mental illness (LOCAPE): implications for service use and costs using a mixed-methods approach

Background This study focuses on health care received by people with serious mental illness (SMI). The aim is to examine the economic implications of different locations of management of care and the views of service users and staff regarding services set up as alternatives to secondary care. Objectives Specific objectives are to (1) identify people with SMI managed in primary or secondary care; (2) identify those who could be potentially transferred to primary care; (3) compare the characteristics of these groups; (4) compare service use and costs; (5) generate models to estimate cost changes following transfer between settings; (6) identify characteristics associated with time to transition to secondary care; (7) investigate experiences of patients receiving support from community-based interventions; and (8) assess the economic impact of interventions to facilitate transfer of care management. Methods (1) Quantitative component – using linked primary and secondary care data we examined differences between those discharged to primary care (n = 1410) and those still in secondary care (n = 1629). Service use and costs were compared and predictors of costs were identified using regression models. (2) Qualitative component – interviews following a topic guide were conducted at two time points with 31 people using and 10 people working in services set up as alternatives to secondary care. (3) Economic modelling – an analysis of the health-care costs of the above services compared with usual care was conducted using decision modelling. Data were obtained from local services where possible, and the time horizon was 12 months. Results (1) Quantitative component – characteristics of those discharged to primary care (n = 1410) were similar to those still in secondary care (n = 1629). Costs for those discharged to primary care were 48% lower than for those remaining in secondary care. Other variables strongly associated with costs were a history of violence and a diagnosis of schizophrenia or bipolar disorder. Few patients in secondary care had a high probability of primary care management and, therefore, excess costs were only around £150,000 across the sample. (2) Qualitative component – service users’ views about a community options team and a primary care support service were positive and compared favourably to services used previously. Views about peer support were slightly less consistent. Staff had concerns with regard to caseload sizes and staff turnover. (3) Economic modelling – services to help transition had costs that were 40% of those for standard care. The results of this showed that triaging patients into these services would save £1578 over a 1-year period and that the results were robust to changes in most parameters. Limitations Analysis was hindered by the extent to which data were available. Qualitative analyses were limited by the fact that most of the participants did not have a SMI as usually defined and that many had been out of contact with secondary services for a long period of time. Conclusions Costs are substantially lower in primary care than secondary care, even after controlling for service-user patient differences. Generally, there is satisfaction with services to help facilitate primary care provision and these appear to be cost saving. Future work should continue the analysis of linked data and involve a more comprehensive evaluation of the specific services investigated here. Funding The National Institute for Health Research Health Services and Delivery Research programme.

An HIV model with age-structured latently infected cells

ABSTRACTHIV latency remains a major obstacle to viral elimination. The activation rate of latently infected cells may depend on the age of latent infection. In this paper, we develop a model of HIV infection including age-structured latently infected cells. We mathematically analyse the model and use numerical simulations with different activation functions to show that the model can explain the persistence of low-level viremia and the latent reservoir stability in patients on therapy. Sensitivity tests suggest that the model is robust to the changes of most parameters but is sensitive to the relative magnitude of the net generation rate and the long-term activation rate of latently infected cells. To reduce the sensitivity, we extend the model to include homeostatic proliferation of latently infected cells. The new model is robust in reproducing the long-term dynamics of the virus and latently infected cells observed in patients receiving prolonged combination therapy.

A study of treated municipal waste leachate and Zeolite effects on soils

ABSTRACT- As the world's population has grown and become more urban and affluent, waste production has raised drastically. Wastewater reuse has been identified as a way to alleviate water scarcity and improve crop productivity and environmental sustainability. To address the issue, a soil column experiment was carried out in a 3 × 3 factorial randomized block design including three treatments of adsorbents (non-pretreated leachate (L1), rice husk filtered leachate (L2), activated carbon filtered leachate (L3)) and three levels of zeolite (0, 5 and 10% by soil weight).A decrease in drainage water volume through the experiment period was observed. Application of zeolite at 5% level could improve soil removal efficiency and had a positive impact on the quality of the wastewater, as indicated by changes in EC, Na+, Ca2++Mg2+, Cl- (decreased by 22%, 15%, 24%, 15% respectively) and total P (increased by 12%) for treatment of leachate. However, adding 10% zeolite did not make a significant difference (p<0.05). Adsorbents used in the experiment had a significant effect (p<0.05) on the parameters such as N-NH4+, SAR, total P and Na+ content. Changes in most parameters for the L3 treatment were statistically significant (p<0.05) compared to other leachates (less N-NH4+ (40%), total P (33%) and more Ca2++Mg2+ (14.3%), Na+ (14%)) indicating an increase in adsorbent efficiency due to rice husk activation. Therefore, it can be concluded that application of zeolite can improve soil removal efficiency for treatment of leachate, but the rates of application can be case sensitive depending on the soil and the type of zeolite.

Quality of Life After Kidney Transplantation: A Prospective Study

BackgroundThe purpose of renal transplantation is to achieve a maximal improvement in quality of life (QoL) and life expectancy in patients with end-stage renal disease (ESRD) while minimizing the potential side effects of this procedure. It is important to achieve an optimal balance between graft function and the patient's QoL. This study was designed to assess the changes in the QoL after kidney transplantation (KTx) in patients with ESRD previously treated with hemodialysis (HD) or peritoneal dialysis (PD). MethodsQoL was prospectively analyzed in 69 patients after kidney transplantation in a single-center study. Patients with ESRD were divided into 2 groups: those previously treated with HD (n = 44 patients; group 1) or PD (n = 25 patients; group 2). Both groups were asked to complete the KDQOL-SFtm questionnaire before and 12 months after kidney transplantation. ResultsWe observed significant differences in many parameters of QoL in both groups after KTx but more positive changes of most parameters in question exhibited by patients previously treated by means of HD than PD. Patients treated with HD and PD demonstrated improvement after KTx in 74% of dimensions. There were no statistical differences in the QoL between group 1 and group 2 before or after KTx. ConclusionsThe study demonstrated post- to pre-transplant improvements of QoL independently of previous treatment.

Responses of hematological parameters, beta-endorphin, cortisol, reactive oxygen metabolites, and biological antioxidant potential in horses participating in a traditional tournament.

Several concerns have been raised over the health of animals used in equestrian games that have their origins in historical or religious events and are currently held in many countries. This study investigated physiological stress response and health status of horses participating in the Sartiglia, a historical horse tournament held in the city of Oristano, Italy, which is principally based on the attempts of masked horsemen at a gallop to run a sword through a hole in a suspended silver star. Blood samples were collected from 21 horses the day before the tournament (D0), during the tournament (D1), and the day after the tournament (D2). Samples were analyzed for complete blood count and biochemical, hormonal, and oxidative stress assays. Data were analyzed using the mixed effect model with sampling session as one of the fixed effects. On the whole, blood parameters evidenced an optimal health status of horses at D0. Significant dehydration and increase of circulating glucose, enzymes, cortisol, and β-endorphin were registered at D1 (P < 0.001) with a complete recovery of physiological values just at D2. The reactive oxygen metabolites (d-ROM), from which the prooxidant activity can be evaluated, showed an increase from D0 to D1 and D2. Concentration of biological antioxidant potential, which measured the antioxidant capacity, was characterized by the maximum level registered during the tournament and counteracted the simultaneous increase of d-ROM. It can be hypothesized that the tournament played an important role in causing high levels of oxidant markers not only because of the physical exercise represented by the gallop but also because the emotional stressors. In conclusion, the tournament caused significant changes of most parameters, which rapidly recovered to baseline values within the day after. These data will certainly be useful for a future implementation of tests in equine medicine and for the improvements of knowledge of changes of blood parameters and health of horses in similar tournaments.