Dissolved Oxygen Research Articles

Changes in central venous-to-arterial PCO2 difference and central venous oxygen saturation as markers to define fluid responsiveness in critically ill patients: a pot-hoc analysis of a multi-center prospective study

BackgroundThe main aim of the study whether changes in central venous-to-arterial CO2 difference (ΔP(v–a)CO2) and central venous oxygen saturation (ΔScvO2) induced by volume expansion (VE) are reliable parameters to define fluid responsiveness (FR) in sedated and mechanically ventilated septic patients. We also sought to determine whether the degree of FR was related to baseline ScvO2 and P(v–a)CO2 levels.MethodsThis was a post-hoc analysis of a multicenter prospective study. We included 205 mechanically ventilated patients with acute circulatory failure. Cardiac index (CI), P(v–a)CO2, ScvO2, and other hemodynamic variables were measured before and after VE. A VE-induced increase in CI > 15% defined fluid responders. Areas under the receiver operating characteristic curves (AUCs) and the gray zones were determined for ΔP(v–a)CO2 and ΔScvO2.ResultsOne hundred fifteen patients (56.1%) were classified as fluid responders. The AUCs for ΔP(v–a)CO2 and ΔScvO2 to define FR were 0.831 (95% CI 0.772–0.880) (p < 0.001) and 0.801 (95% CI 0.739–0.853) (p < 0.001), respectively. ΔP(v–a)CO2 ≤ 2.1 mmHg and ΔScvO2 ≥ 3.4% after VE allowed the categorization between responders and non-responders with positive predictive values of 90% and 86% and negative predictive values of 58% and 64%, respectively. The gray zones for ΔP(v–a)CO2 (− 2 to 0 mmHg) and ΔScvO2 (− 1 to 5%) included 22% and 40.5% of patients, respectively. ΔP(v–a)CO2 and ΔScvO2 were independently associated with FR in multivariable analysis. No significant relationships were found between pre-infusion ScvO2 and P(v–a)CO2 levels and FR.ConclusionIn mechanically critically ill patients, ΔP(v–a)CO2 and ΔScvO2 are reliable parameters to define FR and can be used in the absence of CI measurement. The response to VE was independent of baseline ScvO2 and P(v–a)CO2 levels.Clinical trial registration The study was registered in the ClinicalTrials.gov registry: NCT03225378, date: July 20, 2017.

Evaluation of Physicochemical Parameters of Water in Three Lakes of Dindigul District, Tamil Nadu, India

The investigator's goal was to evaluate the effects of pesticide pollution brought on by the vegetable market's wastewater outflow from nearby ponds in and around Dindigul town, Tamilnadu, India. The surrounding research area's ponds have been greatly impacted by the ongoing use of pesticides in these vegetable wastes. Three sampling sites were chosen for this study such as Sadayan, Lakshmi Puram and Nagammal pondss and samples were taken in the summer to examine critical parameters like total hardness, pH, dissolved carbon dioxide (CO2), dissolved oxygen (DO), chemical oxygen demand (COD), biological oxygen demand (BOD), chloride, total alkalinity, and total dissolved solids (TDS), as well as heavy metals. The results indicate that Sadayan Ponds is classified as severely polluted while compared other ponds. This investigation leads to the conclusion that the ponds's water is not appropriate for agriculture or for sustaining wildlife.

Lightweight and Low-Parametric Network for Hardware Inference of Obstructive Sleep Apnea

Background: Obstructive sleep apnea is a sleep disorder that is linked to many health complications and can even be lethal in its severe form. Overnight polysomnography is the gold standard for diagnosing apnea, which is expensive, time-consuming, and requires manual analysis by a sleep expert. Artificial intelligence (AI)-embedded wearable device as a portable and less intrusive monitoring system is a highly desired alternative to polysomnography. However, AI models often require substantial storage capacity and computational power for edge inference which makes it a challenging task to implement the models in hardware with memory and power constraints. Methods: This study demonstrates the implementation of depth-wise separable convolution (DSC) as a resource-efficient alternative to spatial convolution (SC) for real-time detection of apneic activity. Single lead electrocardiogram (ECG) and oxygen saturation (SpO2) signals were acquired from the PhysioNet databank. Using each type of convolution, three different models were developed using ECG, SpO2, and model fusion. For both types of convolutions, the fusion models outperformed the models built on individual signals across all the performance metrics. Results: Although the SC-based fusion model performed the best, the DSC-based fusion model was 9.4, 1.85, and 11.3 times more energy efficient than SC-based ECG, SpO2, and fusion models, respectively. Furthermore, the accuracy, precision, and specificity yielded by the DSC-based fusion model were comparable to those of the SC-based individual models (~95%, ~94%, and ~94%, respectively). Conclusions: DSC is commonly used in mobile vision tasks, but its potential in clinical applications for 1-D signals remains unexplored. While SC-based models outperform DSC in accuracy, the DSC-based model offers a more energy-efficient solution with acceptable performance, making it suitable for AI-embedded apnea detection systems.

Dysfunction of exhausted T cells is enforced by MCT11-mediated lactate metabolism

AbstractCD8+ T cells are critical mediators of antitumor immunity but differentiate into a dysfunctional state, known as T cell exhaustion, after persistent T cell receptor stimulation in the tumor microenvironment (TME). Exhausted T (Tex) cells are characterized by upregulation of coinhibitory molecules and reduced polyfunctionality. T cells in the TME experience an immunosuppressive metabolic environment via reduced levels of nutrients and oxygen and a buildup of lactic acid. Here we show that terminally Tex cells uniquely upregulate Slc16a11, which encodes monocarboxylate transporter 11 (MCT11). Conditional deletion of MCT11 in T cells reduced lactic acid uptake by Tex cells and improved their effector function. Targeting MCT11 with an antibody reduced lactate uptake specifically in Tex cells, which, when used therapeutically in tumor-bearing mice, resulted in reduced tumor growth. These data support a model in which Tex cells upregulate MCT11, rendering them sensitive to lactic acid present at high levels in the TME.

Rapid Shallow Breathing Index and Ultrasonographic Diaphragmatic Parameters as Predictors of Weaning Outcome in Critically Ill Patients on Mechanical Ventilation.

Successful weaning is a crucial element in care toward critically ill patients on mechanical ventilation. An attempt was made to propose and assess a reliable predictor of weaning outcome. A prospective observational study was conducted on 76 patients on mechanical ventilation, assessed by Acute Physiology and Chronic Health Evaluation II (APACHE II) score. For all these patients we calculate Rapid shallow breathing index (RSBI), Ultrasonographic diaphragmatic parameters namely diaphragmatic excursion (DEx), diaphragmatic thickening fraction (DTF) and diaphragmatic contraction velocity (DCV). Values were compared among patients with two groups of successful and failed weaning outcomes, respectively, and statistically analyzed. Of 76 patients included in the study, with ultrasonographic diaphragmatic parameters being measured 30 min into SBT, 71 patients tolerated spontaneous breathing test (SBT) for 2 h and were extubated. Of these, 61 patients did not require reintubation or any form of ventilatory support within 48 h after extubation. There was a statistically significant difference in APACHE II scores, duration of ventilation, oxygen saturation levels, RSBI, DEx, DTF, and DCV between groups of patients who showed successful and failed weaning from mechanical ventilation. There were a significant positive correlation between the duration of ventilation and the RSBI and a significant negative correlation between DEx, DCV, DTF, and duration of ventilation. As predictors of weaning outcome, RSBI showed the best validity, followed by DCV, DTF, and DEx. RSBI can be reliably used as a predictor of weaning outcome in critically ill patients on mechanical ventilation.

Advances in Brain-Computer Interface Technology for Depression Diagnosis: A Focus on EEG, MEG, and fNIRS

Abstract. With the acceleration of the pace of modern social life, the psychological pressure on individuals has also increased. Consequently, a series of problems brought about by depression are increasingly recognized, such as its impact on mental health, social functioning, and overall quality of life, and the demand for accurate depression diagnosis has gradually increased. This has led to the exploration of innovative Brain-Computer Interface (BCI)-based diagnostic methods that leverage brain-machine interface technology. The application of related technologies for depression diagnosis is introduced from the aspects of Electroencephalography (EEG), Magnetoencephalography (MEG), and Near-infrared (NIR) imaging technology. These three technologies represent emerging approaches in depression diagnosis, adopting concepts that differ from traditional diagnostic methods. During the diagnostic process, they rely on electrocardiac and brain magnetic field patterns to provide important information related to brain activity. These methods enable non-invasive monitoring of cerebral blood oxygen levels, which is crucial for understanding the physiological underpinnings of depressive symptoms.

Machine learning reveals biological activities as the dominant factor in controlling deoxygenation in the South Yellow Sea

Dissolved oxygen (DO) is a crucial element for both biotic and abiotic processes in marine ecosystems, but has declined globally in recent decades. Therefore, there is an urgent need for solid large-scale and continuous estimation of DO concentration in vital ecosystems, such as coastal areas. A random forest (RF) model for DO in South Yellow Sea (SYS) was developed by integrating satellite data and simulation data during 2011–2019. The root mean squared error (RMSE) for the training and test sets were 0.514 mg/L and 0.732 mg/L, respectively. Spatiotemporal distributions of DO of multiple layers in the study area during 2011–2019 were very well reproduced by the RF model and showed a slight decline trend in most SYS areas, while more intense decline occurred in the deep central SYS. The analysis of the mechanisms of DO decline in the South Yellow Sea cold water mass (SYSCWM), located in the deep central SYS, indicates that the deoxygenation here is largely due to biological activities. This finding may have implications for studies on drivers of deoxygenation in coastal areas. Furthermore, integrating satellite data with machine learning models can offer a powerful approach to capturing the continuous spatiotemporal characteristics of ocean parameters over large spatial scales.

Advanced nitrate removal in sulfur autotrophic denitrification biofilter under dissolved oxygen shock and low temperature enhanced by boron oxide and magnesium oxide: Hydrogen sulfide accumulation and regulation

Strengthening nitrate removal stability of sulfur autotrophic denitrification (SAD) under environmental stress is of great urgency. This study established a biofilter filled with S0-based filter material modified by boron oxide and magnesium oxide (FMSBMg). Hydrogen sulfide (H2S) accumulation reached 18.89 ± 4.51 mg/L and 7.28 ± 2.03 mg/L in summer and winter. Air and water backwash flow rates of 3 m3/h and 150 L/h could reduce H2S accumulation to below 0.16 mg/L under dissolved oxygen (DO) of 4.4 ± 0.1 mg/L 0.4 ± 0.1 mg/L B3+ and 15.9 ± 0.3 mg/L Mg2+ released from FMSBMg enhanced nitrate removal stability under DO shock and temperature drop. NO3−-Neff reached 5.2 ± 2.2 mg/L at 12.1 ± 0.8 °C. Coexistence of NH4+-N and NO2−-N provided substrates for in situ enrichment of Anammox bacteria. Thiobacillus, Lysobacter and Brocadia abundances accounted for 53.9%, 2.5% and 1.8% in biofilter, respectively. This study could provide theoretical basis for SAD biofilter application and H2S regulation.

Hypoxia influences the extent and dynamics of suitable fish habitat in Chesapeake Bay, USA

Intra-annual patterns of hypoxia in Chesapeake Bay have been recorded since the mid-1900s, but anthropogenic inputs and climate change have exacerbated the volume and extent of hypoxic waters, which mobile marine fishes avoid. This estuary provides important habitat for many seasonally resident species but declines in relative abundance and relative habitat usage have been documented. An understanding of the relationship between environmental conditions and habitat suitability could assist in evaluating the stock status of these species. To characterize baseline habitat associations for Micropogonias undulatus, Leiostomus xanthurus, Paralichthys dentatus, and Cynoscion regalis, ecological niche models were developed relating catch-per-unit-effort data from a fisheries-independent trawl survey conducted within Chesapeake Bay to environmental covariates. Model output indicated that impacts of climate change on the environmental conditions, including continued increases in temperature and decreases in dissolved oxygen (DO) concentration, will likely further the decline in estuarine utilization of these species. The niche envelopes were then paired with hindcasts from an estuarine-carbon-biogeochemical regional model to derive estimates of spatiotemporal habitat suitability. The patterns in habitat suitability do not match those of declining abundance, indicating that dynamics outside of Chesapeake Bay are likely driving the shift. An auxiliary model was used to replace hypoxic DO concentrations with normoxic concentrations to evaluate the influence of hypoxia on habitat suitability. Both hypoxic severity and extent displayed significant associations with the quantity of suitable habitat available to each species in the bay. Results characterize the complexity of the dynamics underpinning observed trends in habitat utilization.

Cerebral near-infrared spectroscopy guided neonatal intensive care management for the preterm infant.

Infants requiring admission to the neonatal intensive care unit (NICU) are particularly vulnerable to developing brain injury. The severity of the underlying clinical conditions and the complexity of care call for continuous, cot-side, non-invasive monitoring tools. Near-infrared spectroscopy (NIRS) measures the regional tissue oxygen saturation of hemoglobin (rStO2) and provides continuous information on the net-result of several factors. Cerebral rStO2 correlates with echocardiography-derived measures of blood flow. Cerebral fractional tissue oxygen extraction provides information on the balance between oxygen supply and demand and can be continuously derived from the combined use of cerebral rStO2 and arterial oxygen saturation. Information on cerebral blood flow autoregulatory capacity can be obtained from combining cerebral rStO2 and invasive blood pressure monitoring by appropriate software. Cerebral rStO2 provides real-time, end-organ information on perfusion-oxygenation, and when interpreted in the clinical context based on pathophysiological principles may be used as a help to guide interventions in the NICU. In this review we will discuss how to optimize NIRS monitoring for application in the NICU, with a particular focus on the preterm infant. IMPACT: Near-infrared spectroscopy (NIRS) provides cot-side, real-time information on blood and oxygen supply to the brain. Therefore, it is a valuable tool to better understand the pathophysiology underlaying disease processes. Current evidence suggests that NIRS-guided treatment in extremely preterm infants during transitional circulation does not improve clinical outcomes. Specific training is needed to maximize potential performance. Pathophysiological interpretation of cerebral NIRS data in the given clinical context may help in decision-making. Appropriate use of this monitoring technique, interpreted concurrently with other routine parameters, is a potential clinical tool to guide interventions in the NICU setting.

Effect of Lidocaine on Ciprofol Dosage and Efficacy in Patients Who Underwent Gastroscopy Sedation.

BACKGROUND Intravenous ciprofol is a short-acting sedative with minimal respiratory and circulatory suppression and limited analgesia. Intravenous lidocaine provides analgesia during surgical procedures. This study included 70 patients who underwent gastroscopy with analgesia and aimed to evaluate the effects of intravenous lidocaine on the dose of ciprofol required to produce 50% of the maximal effect (ED50). MATERIAL AND METHODS Seventy patients scheduled for elective painless gastroscopy were randomly assigned into 2 groups: group L (n=35, received ciprofol and 1.5 mg/kg lidocaine) and group S (n=35, received ciprofol and normal saline). The primary outcomes measured were the ED50 and the 95% effective dose (ED95) of ciprofol, determined using the modified up-down sequential method and Probit analysis. Secondary outcomes included induction, operation, and recovery times; monitoring of vital signs such as mean arterial pressure, heart rate, and oxygen saturation; and evaluation of postoperative adverse reactions, including sore throat, nausea, vomiting, abdominal pain, and satisfaction scores from endoscopists and anesthesiologists. RESULTS The ED50 of ciprofol in group L was 0.315 mg/kg (95% CI, 0.291-0.342 mg/kg), which was significantly lower than that in group S, 0.42 mg/kg (95% CI, 0.371-0.491 mg/kg). Additionally, group L exhibited shorter induction and recovery times, a lower incidence of postoperative sore throat, and a temporary drop in blood pressure following induction. CONCLUSIONS Intravenous lidocaine during painless gastroscopy reduces the required ciprofol dose, shortens induction and recovery times, and lowers the incidence of postoperative complications, such as sore throat. These findings support its effective role in improving sedation quality and patient outcomes during gastroscopy.

Effect of reduced saturation and elevated D-dimer and interleukin 6 levels on vessel density and foveal avascular zone in patients with COVID-19 bilateral pneumonia.

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection can affect multiple organs, including the eyes. This study aimed to identify associations between vascular density (VD) and the foveal avascular zone (FAZ), assessed using optical coherence tomography angiography (OCTA), and baseline levels of D-dimers and interleukin 6 (IL-6) in patients with bilateral COVID-19 pneumonia, depending on oxygen saturation (SpO2) on admission. The study included patients with COVID-19 bilateral pneumonia due to SARS-CoV-2 infection who were hospitalized between March and May 2021. Ophthalmological examination was performed 2 months after hospitalization. Optical coherence tomography angiography was used for the automatic assessment of the central retinal VD and the manual assessment of FAZ. A significant monotonic negative relationship was observed between SpO2 . 90% and VD in some areas of the superficial capillary plexus (SCP) (p = 0.048) and choriocapillaris (p = 0.021), and the mean VD in the deep capillary plexus (DCP) (p = 0.048). No significant monotonic negative relationship was noted between SpO2 . 90% and the FAZ in the SCP (p = 0.075). However, there was a significant monotonic positive relationship between VD in the nasal choriocapillaris and D-dimer levels in patients with SpO2 . 90% (p = 0.003, respectively). Finally, a monotonic negative relationship was identified between foveal VD in the DCP and IL-6 levels in patients with SpO2 . 90% (p = 0.027). An OCTA study conducted 2 months after hospitalization for COVID-19 bilateral pneumonia showed reduced VD in those with SpO2 . 90% and elevated levels of D-dimers and IL-6 during hospitalization. Optical coherence tomography angiography testing can provide monitoring of ocular status in patients following SARS-CoV-2 infection, especially those who report visual disturbances.

Prospective randomized evaluation of transcutaneous carbon dioxide monitoring during complex electrophysiological procedures under deep sedation: the TRACES trial.

The field of interventional electrophysiology is rapidly growing. For safe and efficient procedures sedation is needed for patient comfort and immobility. However, sedative and analgesic agents can induce respiratory depression, risking hypercapnia, hypoxia, and hypotension. This study evaluates the impact of adding transcutaneous carbon-dioxide (CO2) monitoring to standard monitoring practices in electrophysiological procedures under deep sedation. This prospective, randomized study at Ulm University Heart Center included 726 patients undergoing treatment under deep sedation between August 2019 and October 2023. Patients were randomly assigned to standard monitoring or standard monitoring with continuous transcutaneous CO2 monitoring (TCM-group). Standard monitoring involved non-invasive blood pressure, oxygen saturation (SpO2), and frequent peripheral venous blood gas analysis. The primary composite endpoint was SpO2 dips below 90% and pathological changes in venous blood gas analysis. The TCM-group included 357 patients, and the standard group had 348. The primary composite endpoint was reached by 195 patients (54.8%) in the TCM-group and 195 patients (56.5%) in the standard group (p = 0.642). However, peripheral venous CO2 partial pressure increased by more than 30% from baseline more often in the standard group than in the TCM-group (p = 0.005). Additionally, a venous pH below 7.25 was more common in the standard group (p = 0.047). While transcutaneous CO2 monitoring offers no significant benefit for the primary combined endpoint over standard monitoring during electrophysiological procedures, it helps mitigate significant CO2 elevations and respiratory acidosis. ClinicalTrials.gov, NCT04038476, 29 July 2019.

The Use of Diuretics in Infants with Established or Evolving Bronchopulmonary Dysplasia and Its Impact on the Duration of Home Oxygen Therapy.

Bronchopulmonary dysplasia (BPD), defined according to the level of respiratory support and supplemental oxygen administered at 36 weeks postmenstrual age, has multi-factorial causes. Diuretics have been used to prevent or treat established BPD and are the most frequently prescribed medication for the management of severe BPD. There is significant variation in the use of diuretics, and there is limited evidence showing improvement in medium to long term outcomes. We explored whether the use of diuretics in infants with BPD reduced the duration of HoT in a service that uses a unified protocol-driven pathway to monitor and wean HoT. A retrospective cohort study of 281 infants with BPD discharged home with oxygen therapy between 2001 and 2018. Of the 281 infants, 154 had complete data sets and were included in the study population. Forty-nine infants (31.8%) were exposed to at least one diuretic, and 105 infants (68.2%) were not exposed to any. There was no difference in the duration of HoT in infants exposed to diuretics compared to those who were unexposed. Infants exposed to diuretics had a significantly longer length of stay (LoS) in the hospital compared to unexposed infants (P < .001). We conclude that in a setting of a service in which diuretics are actively discontinued post-discharge and in which weaning of HoT is driven by a unified protocol, the use of diuretics pre-discharge does not reduce the duration of HoT.

Evaluation of the cell death markers for aberrated cell free DNA release in high altitude pulmonary edema.

The effect of high altitude (HA, altitude >2500 m) can trigger a maladaptive response in unacclimatized individuals, leading to various HA illnesses such as high altitude pulmonary edema (HAPE). The present study investigates circulating cell free (cf) DNA, a minimally invasive biomarker that can elicit a pro-inflammatory response. Our earlier study observed altered cfDNA fragment patterns in HAPE patients and the significant correlation of these patterns with peripheral oxygen saturation levels. However, the unclear release mechanisms of cfDNA in circulation limit its characterization and clinical utility. The present study not only observed a significant increase in cfDNA levels in HAPE patients (27.03 ± 1.37 ng/ml; n = 145) compared to healthy HA sojourners (controls, 14.57 ± 0.74 ng/ml; n = 65) and highlanders (HLs, 15.50 ± 0.8 ng/ml; n = 34) but also assayed the known cell death markers involved in cfDNA release at HA. The study found significantly elevated levels of the apoptotic marker, annexin A5, and secondary necrosis or late apoptotic marker, High mobility group box 1, in HAPE patients. In addition, we observed ahigher oxidative DNA damage marker, 8-hydroxy-2'-deoxyguanosine, in HAPE compared to controls, suggestive of the role of oxidative DNA status in promoting the inflammatory potential of cfDNA fragments and their plausible role in manifesting HAPE pathophysiology. Extensive in vitro future assays can confirm theimmunogenic role of cfDNA fragments that may act as a danger-associated molecular pattern and associate with markers of cellular stresses in HAPE.

Agreement and comparative accuracy of instability criteria at discharge for predicting adverse events in patients with community-acquired pneumonia

ObjectiveFive definitions of clinical instability have been published to assess the appropriateness and safety of discharging patients hospitalised for pneumonia. This study aimed to quantify the level of agreement between...

Effect of remimazolam on oxygen reserve compared with propofol during upper gastrointestinal endoscopy: Randomized controlled study.

Propofol is commonly used for endoscopic sedation. However, it can induce adverse hemodynamic effects. Remimazolam is known to have a fast onset and short duration comparable to that of propofol, but with fewer effects on hemodynamics. We assessed the Oxygen Reserve Index to verify whether a sedative dose of remimazolam would better preserve oxygenation in the mild hyperoxic range than propofol in sedated patients undergoing diagnostic upper gastrointestinal endoscopy. Patients scheduled for diagnostic upper gastrointestinal endoscopy were enrolled. Patients were randomly assigned to either the remimazolam or propofol groups and received 0.1 mg/kg remimazolam or 0.5 mg/kg propofol, respectively. Bolus injections of either 0.05 mg/kg remimazolam or 0.25 mg/kg propofol were added if required. The primary outcome was the prevalence of oxygen reserve depletion, defined as the Oxygen Reserve Index decreasing to 0.00, and hypoxia defined as peripheral oxygen saturation falling to <94%. Among 69 patients, the incidence of oxygen reserve depletion was significantly higher in the propofol group (65.7% vs. 38.2%, P = 0.022). Hypoxia was frequently observed in the propofol group, whereas none was observed in the remimazolam group (11.4% vs. 0%, P = 0.042). Additional sedative injections were frequently required to complete endoscopy in the propofol group. None of the patients in the remimazolam group required airway interventions. Nausea was frequent in the propofol group in the recovery room. Our results indicate that remimazolam is a safe and useful sedative for upper gastrointestinal endoscopy.

Predicting analog intrusions from neural correlates of immediate and lasting effects of cognitive reappraisal.

Emotional dysregulation is considered as an etiologically relevant factor for posttraumatic stress disorder. The relevance of immediate and lasting effects of cognitive reappraisal, a prominent emotion regulation strategy, and its habitual use for the development of posttraumatic stress symptoms in response to an experimental trauma are therefore investigated in our study. Eighty-five healthy women participated in a functional magnetic resonance imaging study, which included an emotion regulation paradigm prior to the conduction of the trauma film paradigm, which was used to assess the development of analog intrusions. During the first phase of the emotion regulation paradigm, participants were instructed to use two reappraisal tactics (reinterpretation and distancing) to reduce negative feelings toward aversive pictures or to passively watch aversive and neutral pictures. One week later, these pictures were presented again during a passive reexposure phase. Ratings of negative feelings and blood oxygen level dependent responses in regions of interest served as main outcome variables. The habitual use of cognitive reappraisal was assessed by questionnaire. Reduced habitual use and stronger lasting effects of cognitive reappraisal, as indicated by reduced insula activation during reexposure to pictures previously reinterpreted and distanced from, predicted the development of long-term analog intrusions. Stronger lasting effects of both reappraisal tactics for women with long-term analog intrusions seem to result from stronger emotional reactivity processes. Women with long-term analog intrusions in response to an experimental trauma seem to benefit to a greater extent from a cognitive reappraisal training than women without long-term intrusions. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Validity of a Consumer-Based Wearable to Measure Clinical Parameters in Patients With Chronic Obstructive Pulmonary Disease and Healthy Controls: Observational Study.

Consumer-based wearables are becoming more popular and provide opportunities to track individual's clinical parameters remotely. However, literature about their criterion and known-groups validity is scarce. This study aimed to assess the validity of the Fitbit Charge 4, a wrist-worn consumer-based wearable, to measure clinical parameters (ie, daily step count, resting heart rate [RHR], heart rate variability [HRV], respiratory rate [RR], and oxygen saturation) in patients with chronic obstructive pulmonary disease (COPD) and healthy controls in free-living conditions in Belgium by comparing it with medical-grade devices. Participants wore the Fitbit Charge 4 along with three medical-grade devices: (1) Dynaport MoveMonitor for 7 days, retrieving daily step count; (2) Polar H10 for 5 days, retrieving RHR, HRV, and RR; and (3) Nonin WristOX2 3150 for 4 nights, retrieving oxygen saturation. Criterion validity was assessed by investigating the agreement between day-by-day measures of the Fitbit Charge 4 and the corresponding reference devices. Known-groups validity was assessed by comparing patients with COPD and healthy controls. Data of 30 patients with COPD and 25 age- and gender-matched healthy controls resulted in good agreement between the Fitbit Charge 4 and the corresponding reference device for measuring daily step count (intraclass correlation coefficient [ICC2,1]=0.79 and ICC2,1=0.85, respectively), RHR (ICC2,1=0.80 and ICC2,1=0.79, respectively), and RR (ICC2,1=0.84 and ICC2,1=0.77, respectively). The agreement for HRV was moderate (healthy controls: ICC2,1=0.69) to strong (COPD: ICC2,1=0.87). The agreement in measuring oxygen saturation in patients with COPD was poor (ICC2,1=0.32). The Fitbit device overestimated the daily step count and underestimated HRV in both groups. While RHR and RR were overestimated in healthy controls, no difference was observed in patients with COPD. Oxygen saturation was overestimated in patients with COPD. The Fitbit Charge 4 detected significant differences in daily step count, RHR, and RR between patients with COPD and healthy controls, similar to those identified by the reference devices, supporting known-groups validity. Although the Fitbit Charge 4 shows mainly moderate to good agreement, measures of clinical parameters deviated from the reference devices, indicating that monitoring patients remotely and interpreting parameters requires caution. Differences in clinical parameters between patients with COPD and healthy controls that were measured by the reference devices were all detected by the Fitbit Charge 4.

Bacteriology and Physicochemical Analysis of Borehole Water in Some Hostels of a Tertiary Institution in Port Harcourt, Nigeria

Several factors influence the quality of water for human consumption. Most of these factors are more of anthropogenic origin than nature and thus exercises an untold health effect on the end-users of such water body. Bacteriology and Physicochemical Analysis of Borehole Water in Some Hostels of a Tertiary Institution in Port Harcourt, Nigeria. Water samples were collected from six (6) hostels for each study period, and subjected to standard laboratory procedures to analyze for parameters such as pH, nitrite, nitrate, dissolved oxygen (DO), electrical conductivity (EC), Phosphate, as well as standard procedures for antibiotics susceptibility and molecular characterization. Result of the physicochemical parameters showed that the parameters ranged from 5.26±3.53 mg/L to 7.61±0.01 mg/L forpH; 0.61±0.01 to 2.56±0.01 mg/L for Dissolved Oxygen (DO); 96±1.41 μS/cm to 503.5±0.71μS/cm for electrical conductivity; 4.56±0.03 mg/L to 20.3±0.01 mg/L for nitrate; 0.003±0mg/L to 0.03±0mg/L for nitrite; 0.12±0mg/L to 0.17±0mg/L for phosphate. Statistical evaluation showed there was a significant difference (p &lt; 0.05) between the mean values of physicochemical parameters studied, except for pH that recorded no statistical difference (p &gt; 0.05). From the study, 5.6% of Staphylococcus species were resistant to Pefloxacin and Rocephin, while 5.9% of Bacillus species were resistant to Ampiclox. Similarly, 3.33% of Salmonella species were resistant to Augmentin, while the rest of the gram negative isolates were either susceptible or within an intermediate range of susceptibility to the antibiotics tested. Molecular characterization of some bacterial species isolated had pairwise identity with Klebsiella pneumonia strain CP27 and Escherichia coli strain RIZHAO 498.1, Staphylococcus haemolyticus strain SH1. The study has shown that the physicochemical water quality variables were all within the WHO limits, with bacterial species having high percentage susceptibility to the antibiotics tested. Regular water quality monitoring is however recommended to ensure continuous access to water of good quality in hostels within the university community.