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Older candidates for kidney transplantation:Who to refer and what to expect?

World Journal of Transplantation 2016年第4期6卷 650-657页

作者： Beatrice P concepcion rachel c forbes Heidi M Schaefer Department of Medicine Division of Nephrology and Hypertension Vanderbilt University Medical Center Division of Kidney and Pancreas Transplantation Vanderbilt University Medical Center

The number of older end-stage renal disease patients being referred for kidney transplantation continues to increase. This rise is occurring alongside the continually increasing prevalence of older end-stage renal disease patients. Although older kidney transplant recipients have decreased patient and graft survival compared to younger patients, transplantation in this patient population is pursued due to the survival advantage that it confers over remaining on the deceased donor waiting list. The upper limit of age and the extent of comorbidity and frailty at which transplantation ceases to be advantageous is not known. Transplant physicians are therefore faced with the challenge of determining who among older patients are appropriate candidates for kidney transplantation. This is usually achieved by means of an organ systemsbased medical evaluation with particular focus given to cardiovascular health. More recently, global measures of health such as functional status and frailty are increasingly being recognized as potential tools in risk stratifying kidney transplant candidates. For those candidates who are deemed eligible, living donor transplantation should be pursued. This may mean accepting a kidney from an older living donor. In the absence of any living donor, the choice to accept lesser quality kidneys should be made while taking into account the organ shortage and expected waiting times on the deceased donor list. Appropriate counseling of patients should be a cornerstone in the evaluation process and includes a discussion regarding expected outcomes, expected waiting times in the setting of the new Kidney Allocation System, benefits of living donor transplantation and the acceptance of lesser quality kidneys.

关键词： Kidney transplant outcomes Frailty Elderly Expanded criteria donor Quality of life

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Molecular engineering binuclear copper catalysts for selective cO_(2) reduction to c_(2) products

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Journal of Energy chemistry 2024年第6期93卷 166-173,I0005页

作者： Qi Zhao Kai Lei Bao Yu Xia rachel crespo-Otero Devis Di Tommaso Department of chemistry School of Physical and Chemical SciencesQueen Mary University of LondonLondonE14NSUK Key Laboratory of Material chemistry for Energy conversion and Storage(Ministry of Education) Hubei Key Laboratory of Material Chemistry and Service FailureState Key Laboratory of Materials Processing and Die&Mould TechnologySchool of Chemistry and Chemical EngineeringHuazhong University of Science and Technology(HUST)Wuhan 430074HubeiChina Department of chemistry University College LondonLondonWC1H 0AJUK Digital Environment Research Institute Queen Mary University of LondonEmpire HouseLondon E11HHUK

Molecular copper catalysts serve as exemplary models for correlating the structure-reaction-mechanism relationship in the electrochemical cO_(2) reduction(ecO_(2)R),owing to their adaptable environments surrounding the copper metal *** investigation,employing density functional theory calculations,focuses on a novel family of binuclear cu molecular *** modulation of their coordination configuration through the introduction of organic groups aims to assess their efficacy in converting cO_(2) to c_(2)*** findings highlight the crucial role of chemical valence state in shaping the characteristics of binuclear cu catalysts,consequently influencing the ecO_(2)R behaviour,Notably,the cu(Ⅱ)cu(Ⅱ)macrocycle catalyst exhibits enhanced suppression of the hydrogen evolution reaction(HER),facilitating proton trans fer and the ecO_(2)R *** rthermore,we explo re the impact of diverse electro n-withdrawing and electron-donating groups coordinated to the macrocycle(R=-F,-H,and-OcH_3)on the electron distribution in the molecular *** placement of-OcH_3 groups in the macrocycles leads to a favourable oxidation state of the cu centres and subsequent c-c coupling to form c_(2) *** research provides fundamental insights into the design and optimization of binuclear cu molecular catalysts for the electrochemical conversion of cO_(2) to value-added c_(2) products.

关键词： Molecular catalyst design Selective cO_(2)reduction c_(2)products Density functional theory calculations

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Decomposition of dynamic transcriptomic responses during effector-triggered immunity reveals conserved responses in two distinct plant cell populations

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Plant communications 2024年第8期5卷 1-17页

作者： Xiaotong Liu Daisuke Igarashi rachel A.Hillmer Thomas Stoddard You Lu Kenichi Tsuda chad L.Myers Fumiaki Katagiri Department of Plant and Microbial Biology University of Minnesota-Twin CitiesSt PaulMN 55108USA Department of computer Science and Engineering University of Minnesota-Twin CitiesMinneapolisMN 55455USA Bioinformatics and computational Biology Graduate Program University of Minnesota-Twin CitiesMinneapolisMN 55455USA Institute for Innovation Ajinomoto Co.Inc.KawasakiJapan State Key Laboratory of Agricultural Microbiology Hubei Hongshan LaboratoryHubei Key Lab of Plant PathologyCollege of Plant Science and TechnologyHuazhong Agricultural UniversityWuhan 430070China Present address:225 S 6th St MinneapolisMN 55402USA Present address:Biotalys Inc.2520 Meridian Parkway Suite 480DurhamNC 27713USA Present address:Life Sciences Institute and Department of cell and Developmental Biology University of Michigan Medical SchoolAnn ArborMI 48109USA

Rapid plant immune responses in the appropriate cells are needed for effective defense against *** transcriptome analysis is often used to describe overall immune responses,collection of transcriptome data with sufficient resolution in both space and time is *** reanalyzed public Arabidopsis time-course transcriptome data obtained after low-dose inoculation with a Pseudomonas syringae strain expressing the effector AvrRpt2,which induces effector-triggered immunity in ***-peak time-course patterns are prevalent among thousands of upregulated *** implemented a multicompartment modeling approach to decompose the double-peak pattern into two single-peak patterns for each *** decomposed peaks reveal an“echoing”pattern:the peak times of the first and second peaks correlate well across most upregulated *** demonstrated that the two peaks likely represent responses of two distinct cell populations that respond either cell autonomously or indirectly to ***,the peak decomposition has extracted spatial information from the time-course *** echoing pattern also indicates a conserved transcriptome response with different initiation times between the two cell populations despite different elicitor types.A gene set highly overlapping with the conserved gene set is also upregulated with similar kinetics during pattern-triggered *** of a WRKY network via different entry-point WRKYs can explain the similar but not identical transcriptome responses elicited by different elicitor *** discuss potential benefits of the properties of the WRKY activation network as an immune signaling network in light of pressure from rapidly evolving pathogens.

关键词： Arabidopsis Pseudomonas syringae plant immune response multi-compartment model WRKY transcription factors resilient immune signaling network

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Systematic Radio Telescope Alignment Using Portable Fringe Projection Profilometry

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Nanomanufacturing and Metrology 2024年第1期7卷 75-85页

作者： Joel Berkson Justin Hyatt Nathan Julicher Byeongjoon Jeong Isaac Pimienta rachel Ball Wyatt Ellis Jason Voris Diego Torres‑Barajas Daewook Kim James c.Wyant college of Optical Sciences University of Arizona1630 E.University Blvd.TucsonAZ 85721USA Department of Astronomy at Steward Observatory University of Arizona933 N Cherry Ave.TucsonAZ 85721USA

In 2019,the Event Horizon Telescope(EHT)released the first-ever image of a black hole event *** are now aiming for higher angular resolutions of distant targets,like black holes,to understand more about the fundamental laws of gravity that govern our *** achieve this higher resolution and increased sensitivity,larger radio telescopes are needed to operate at higher frequencies and in larger *** like the next-generation Very Large Array(ngVLA)and the Square-Kilometer Array(SKA)require building hundreds of telescopes with diameters greater than 10 ms over the next *** has a twofold *** telescope surfaces need to be more accurate to operate at higher frequencies,and the logistics involved in maintaining a radio telescope need to be simplified to support them properly in large *** of these problems can be solved with improved methods for surface metrology that are faster and more accurate with a higher *** leads to faster and more accurate panel alignment and,therefore,a more productive *** this paper,we present the use of binocular fringe projection profilometry as a solution to this problem and demonstrate it by aligning two panels on a 3-m radio telescope *** measurement takes only 10 min and directly delivers feedback on the tip,tilt,and piston of each panel to create the ideal reflector shape.

关键词： Metrology Fringe projection profilometry Off-axis alignment Radio astronomy Radio antenna

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Modeling and characterization of Fine Particulate Matter Dynamics in Bujumbura Using Low-cost Sensors

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Journal of Applied Mathematics and Physics 2024年第1期12卷 256-267页

作者： Egide Ndamuzi rachel Akimana Paterne Gahungu Elie Bimenyimana Doctorate School of the University of Burundi Bujumbura Burundi Department of Physics University of Burundi Bujumbura Burundi Department of Mathematics Imperial College London London UK climate and Atmosphere Research centre (cARE-c) The Cyprus Institute Nicosia Cyprus

Air pollution is a result of multiple sources including both natural and anthropogenic activities. The rapid urbanization of the cities such as Bujumbura, economic capital of Burundi, is one of these factors. The very first characterization of the spatio-temporal variability of PM2.5 in Bujumbura and the forecasting of PM2.5 concentration have been conducted in this paper using data collected during a year, from August 2022 to August 2023, by low-cost sensors installed in Bujumbura city. For each commune, an hourly, daily and seasonal analysis was carried out and the results showed that the mass concentrations of PM2.5 in the three municipalities differ from one commune to another. The average hourly and annual PM2.5 concentrations exceed the World Health Organization standards. The range is between 28.3 and 35.0 μg/m3. In order to make a prediction of PM2.5 concentration, an investigation of Recurrent Neural Networks with Long Short-Term Memory has been undertaken.

关键词： Particulate Matter Recurrent Neural Networks calibration

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Habitable Land Will Soon Become the World’s Scarcest Resource: Why Appalachia Should choose climate change Havens over Millionaire Estates and Golf courses

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Journal of Environmental Protection 2024年第6期15卷 716-730页

作者： Elizabeth c. Hirschman Devonte Booth Tzu-Wei Huang Kamryn Livingston Kobe McReynolds rachel Six Logan Smith Olivia Toomer Department of Business and Economics University of Virginia-Wise Wise USA

This research advocates for the construction of climate change Haven communities across the Appalachian Region. The proposed development plan can be extended to the northern tier states across the US and also to the northern and mountainous regions of Europe and Asia. We present an analogy to the earlier climate change period of the Last Glacial Maximum/“Ice Age” in which these same northern regions of the planet were covered in ice sheets making them uninhabitable for most humans and many plant and animal species. In some significant ways, the Ice Age scenario can be a reverse-model for our current climate crisis. We also advocate strongly for the prevention of upscale real estate development projects in these same regions of the globe, as these will foreclose the possibility of safely sheltering the millions of persons who will be displaced by climate change over the next 5 to 10 years.

关键词： climate change Appalachia Habitable Land climate change Haven communities Two-caste Economic System Migration Ice Age Analogies

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Incorporating mesopelagic fish into the evaluation of conservation areas for marine living resources under climate change scenarios

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Marine Life Science & Technology 2024年第2期6卷 68-83页

作者： Shuhao Liu Yang Liu Katharina Teschke Mark AHindell rachel Downey Briannyn Woods Bin Kang Shuyang Ma chi Zhang Jianchao Li Zhenjiang Ye Peng Sun Jianfeng He Yongjun Tian Research centre for Deep Sea and Polar Fisheries and Key Laboratory of MaricultureMinistry of EducationOcean University of ChinaQingdao 266003China Frontiers Science center for Deep Ocean Multispheres and Earth System Ocean University of ChinaQingdao 266100China Alfred Wegener Institute Helmholtz Centre for Polar and Marine ResearchAm Handelshafen 1227570 BremerhavenGermany Helmholtz Institute for Functional Marine Biodiversity at the University Oldenburg Ammerländer Heerstraße 23123129 OldenburgGermany Institute for Marine and Antarctic Studies University of TasmaniaHobart 7004Australia Fenner School of Environment and Society Australian National UniversityCanberraACT 2602Australia college of Fisheries Ocean University of ChinaQingdao 266003China Polar Research Institute of china Shanghai 200136China

Mesopelagic fish(meso-fish)are central species within the Southern Ocean(SO).However,their ecosystem role and adaptive capacity to climate change are rarely integrated into protected areas *** is a pity given their importance as crucial prey and predators in food webs,coupled with the impacts of climate ***,we estimate the habitat distribution of nine meso-fish using an ensemble model approach(MAXENT,random forest,and boosted regression tree).Four climate model simulations were used to project their distribution under two representative concentration pathways(RcP4.5 and RcP8.5)for short-term(2006–2055)and long-term(2050–2099)*** addition,we assess the ecological representativeness of protected areas under climate change scenarios using meso-fish as indicator *** models show that all species shift poleward in the ***(family Myctophidae)are predicted to migrate poleward more than other families(Paralepididae,Nototheniidae,Bathylagidae,and Gonostomatidae).In comparison,lanternfishes were projected to increase habitat area in the eastern SO but lose area in the western SO;the opposite was projected for species in other *** areas(IAs)of meso-fish are mainly distributed near the Antarctic Peninsula and East *** protected area cover 23% of IAs at present and 38%of IAs in the future(RcP8.5,long-term future).Many IAs of meso-fish still need to be included in protected areas,such as the Prydz Bay and the seas around the Antarctic *** results provide a framework for evaluating protected areas incorporating climate change adaptation strategies for protected areas management.

关键词： Myctophids Mesopelagic fish Species distribution model Southern Ocean Antarctic Peninsula

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Evaluation of the Antibacterial and Antifungal capacity of Nanoemulsions Loaded with Synthetic chalcone Derivatives Di-Benzyl cinnamaldehyde and Benzyl 4-Aminochalcone

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Journal of Renewable Materials 2024年第2期12卷 285-304页

作者： Flavia Oliveira Monteiro da Silva Abreu Taysse Holanda Joice Farias do Nascimento Henety Nascimento Pinheiro rachel Menezes castelo Hélcio Silva dos Santos Thais Benincá Patrícia da Silva Malheiros Júlio césar Sousa Prado Raquel de Oliveira Fontenelle Maria Madalena de camargo Forte Natural Polymers Laboratory PPGCNState University of CearáFortaleza60.714.903Brazil Polymeric Materials Laboratory PPGE3MFederal University of Rio Grande do SulPorto Alegre91501-970Brazil Natural Product chemistry Laboratory PPGCNState University of CearáFortaleza60.714.903Brazil Food Hygiene and Microbiology Laboratory PPGCTAFederal University of Rio Grande do SulPorto Alegre91501-970Brazil Microbiology Laboratory Medicine SchoolFederal University of CearáSobral62010-560Brazil

With the increase in antimicrobial resistance,it has become necessary to explore alternative approaches for combating and preventing ***-cinnamaldehyde(cNM)and Benzyl4-amino(B4AM)are bioactive compounds derived from chalcones but with restricted solubility in aqueous *** can enhance the solubility of compounds and can be a promising alternative in the development of novel antimicrobials,with reduced side effects and prolonged *** objective of this study was to evaluate the stability of oil-in-water nanoemulsions loaded with two distinct types of chalcones at two different dosages,to propose a stable formulation with antimicrobial *** showed that nanoemulsions presented high encapsulation efficiency,low polydispersity index(PDI)and particle size below 200 nm,indicating that emulsification was a suitable method for nanoemulsion *** with higher dosages exhibited significant antimicrobial effects when compared to free chalcones and positive ***,B4AM nanoemulsions at higher dosages showed expressive activity against Salmonella minnesota,with a 420%greater inhibitory response compared to the free form and showing equivalence to the positive *** nanoemulsions showed excellent inhibitory activity at the highest dosage,equivalent to the positive control against *** and Staphylococcus *** greater number of conjugated bonds in cNM increased the antimicrobial activity in comparison with B4AM,and the formation of nanometric domains enhanced the bioavailability,being a promising alternative for antimicrobial applications.

关键词： Polysaccharide nanoemulsions S.aureus S.minnesota chalcones alginate

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The risk of prostate cancer on incidental finding of an avid prostate uptake on 2-deoxy-2-[^(18)F]fluoro-D-glucose positron emission tomography/computed tomography for non-prostate cancer-related pathology:A single centre retrospective study

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Asian Journal of Urology 2024年第1期11卷 33-41页

作者： Anthony Franklin Troy Gianduzzo Boon Kua David Wong Louise McEwan James Walters rachel Esler Matthew J.Roberts Geoff coughlina John W.Yaxley Department of Urology The Wesley HospitalBrisbaneQLDAustralia Wesley Medical Research BrisbaneQLDAustralia School of Medicine The University of QueenslandBrisbaneQLDAustralia Department of Radiology Wesley Medical ImagingBrisbaneQLDAustralia Department of Urology Royal Brisbane and Women's HospitalBrisbaneQLDAustralia

Objective:To review the risk of prostate cancer(Pca)in men with incidentally reported increased intraprostatic uptake at 2-deoxy-2-[18F]fluoro-d-glucose positron emission tomography/computed tomography(18F-FDG PET/cT)ordered at Department of Urology,The Wesley Hospital,Brisbane,QLD,Australia for non-Pca related ***:Retrospective analysis of consecutive men between August 2014 and August 2019 presenting to a single institution for 18F-FDG PET/cT for non-prostate related conditions was *** were classified as benign,indeterminate,or malignant depending of the results of prostate-specific antigen(PSA),PSA velocity,biopsy histopathology,and three-Tesla(3 T)multiparametric MRI(mpMRI)Prostate Imaging Reporting and Data System score,or gallium-68-prostate-specific membrane antigen(68Ga-PSMA)PET/cT ***:Three percent(273/9122)of men demonstrated 18F-FDG avidity within the ***-five percent(231/273)were further investigated,including with PSA tests(227/231,98.3%),3 T mpMRI(68/231,29.4%),68Ga-PSMA PET/cT(33/231,14.3%),and prostate biopsy(57/231,24.7%).Results were considered benign in 130/231(56.3%),indeterminate in 31/231(13.4%),and malignant in 70/231(30.3%).Pca was identified in 51/57(89.5%)of the men who proceeded to biopsy,including 26/27(96.3%)men with Prostate Imaging Reporting and Data System scores 4-5 mpMRI and six men with a positive 68Ga-PSMA PET/*** most common Gleason score on biopsy was greater than or equal to 4+5(14/51,27.5%).68Ga-PSMA PET/cT was concordant with the 18F-FDG findings in 26/33(78.8%).All 13 men with a positive concordant 18F-FDG,3 T mpMRI,and 68Ga-PSMA PET/cT had Pca on *** was no statistically significant difference in the 18F-FDG maximum standardized uptake value between the benign or malignant groups(5.7 vs.6.1;p=0.580).conclusion:In this study,after an incidental finding of an avid intraprostatic lesion on 18F-FDG PET/cT,70 of the 231 cases(30.3%;0.8%of the entire cohort)had results c

关键词： Prostatecancer Positionemission tomography Multiparametric magneticresonance imaging Prostatebiopsy

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Determinants of Sexual Activity among HIV-Infected Adolescents in cameroon

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Open Journal of Pediatrics 2024年第5期14卷 921-936页

作者： calixte Ida Penda rachel Fotso Yogue Nelly Noubi Kamgaing Sena Mouna Penda Loïc Boupda Francis Atéba Ndongo christian Eyoum Ritha Mbono Betoko Grace Dalle Ngondi Patricia Epee Eboumbou Francisca Monebenimp Essome Henri Faculty of Medicine and Pharmaceutical Sciences University of Douala Douala Cameroon General Hospital of Douala Douala Cameroon Faculty of Medicine and Biomedical Sciences University of Yaound 1 Yaound Cameroon University Hospital centre of Yaound Yaound Cameroon Mokolo Regional Hospital Annex Mokolo Cameroon University of Garoua Garoua Cameroon Mother and child centre of the chantal Biya Foundation in Yaound Yaound Cameroon Douala Laquintinie Hospital Douala Cameroon District Hospital of Bonassama Douala Cameroon

Introduction: Adolescence is a period of transition to adulthood, including for HIV-infected adolescents (HIA), when sexual problems emerge. Few studies have been carried out on the sexuality of HIA. This study aimed to assess the sexual behavior of HIV-infected adolescents in cameroon. Methodology: A cross-sectional study was conducted in three hospitals in the cities of Yaoundé and Douala, from November 2019 to June 2020. All HIA aged 13 to 19 years followed in the study who knew their HIV status were included in the study after obtaining their assent and their parent’s consent. Socio-demographic and clinical characteristics were collected, as well as sexual practices and the determinants of their sexual activity. A multivariate analysis was performed to explore the relationship between the different variables studied and the sexual activity of these adolescents. Results: Of 204 HIA enrolled in the study, 64 (31.7%) were sexually active, the mean age at first sexual intercourse was 15.6 ± 2.8 years and the sex ratio was 0.94. Of the adolescents in the study, 75.7% of girls and 61.2% of boys had regular sexual activity, while 21.3% of girls and 35.4% of boys had multiple sexual relationships in the six months preceding the study. Nearly 16 (25.0%) of the sexually active HIA had more than 2 sexual encounters per month, 6 (9.3%) of these encounters had been paid for and 9 (27.2%) of the girls had already had at least one pregnancy. More than 7 out of 10 HIA (79.6%) had used a condom the last time they had sex. Age less than 18 years [OR = 11.1 (95% cI: 3.1 - 39.4), p = 0.001], lack of remuneration [OR = 9.8 (95% cI: 2.0 - 47.4), p = 0.001] and self-care were significantly associated with sexual activity in HIA, while school attendance was a protective factor. Self-funded HIAs were 21 times more likely to be sexually active [OR = 21.6 (95% cI: 2.3 - 179), p = 0.004]. conclusion: More than a third of HIV-infected adolescents were sexually active and risky sexual practi

关键词： HIV Adolescent Sexual Behavior cameroon

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