handle: 10641/2814 , 10261/254505 , 11588/855085 , 11370/2639f05d-c3bf-41eb-a691-dc77ad4cc19d , 11564/765957 , 11541.2/25933 , 2434/844005 , 10281/307774 , 11388/248298 , 2078.1/243680 , 21.11116/0000-000D-4E66-A , 21.11116/0000-000D-4E68-8 , 11562/1037826 , 10067/1756630151162165141 , 20.500.11770/313778 , 10807/173406 , 10807/302259 , 10831/111029 , 11576/2685604 , 11577/3390116 , 11383/2112326 , 11379/542024 , 2108/279773 , 11590/385750 , 11380/1244073 , 11573/1486108 , 11581/450344 , 11392/2442540 , 11567/1041084 , 11568/1104102 , 11591/444669 , 11570/3242430 , 11391/1490255 , 11587/453716 , 11585/826687 , 20.500.12327/1601 , 2318/1785276 , 11343/274618 , 11563/190505 , 11571/1399314 , 10023/24885 , 11449/210183 , 20.500.12876/nrQBkMAz , 11579/121706 , 20.500.11750/13868 , 10072/404489
handle: 10641/2814 , 10261/254505 , 11588/855085 , 11370/2639f05d-c3bf-41eb-a691-dc77ad4cc19d , 11564/765957 , 11541.2/25933 , 2434/844005 , 10281/307774 , 11388/248298 , 2078.1/243680 , 21.11116/0000-000D-4E66-A , 21.11116/0000-000D-4E68-8 , 11562/1037826 , 10067/1756630151162165141 , 20.500.11770/313778 , 10807/173406 , 10807/302259 , 10831/111029 , 11576/2685604 , 11577/3390116 , 11383/2112326 , 11379/542024 , 2108/279773 , 11590/385750 , 11380/1244073 , 11573/1486108 , 11581/450344 , 11392/2442540 , 11567/1041084 , 11568/1104102 , 11591/444669 , 11570/3242430 , 11391/1490255 , 11587/453716 , 11585/826687 , 20.500.12327/1601 , 2318/1785276 , 11343/274618 , 11563/190505 , 11571/1399314 , 10023/24885 , 11449/210183 , 20.500.12876/nrQBkMAz , 11579/121706 , 20.500.11750/13868 , 10072/404489
In 2008, we published the first set of guidelines for standardizing research in autophagy. Since then, this topic has received increasing attention, and many scientists have entered the field. Our knowledge base and relevant new technologies have also been expanding. Thus, it is important to formulate on a regular basis updated guidelines for monitoring autophagy in different organisms. Despite numerous reviews, there continues to be confusion regarding acceptable methods to evaluate autophagy, especially in multicellular eukaryotes. Here, we present a set of guidelines for investigators to select and interpret methods to examine autophagy and related processes, and for reviewers to provide realistic and reasonable critiques of reports that are focused on these processes. These guidelines are not meant to be a dogmatic set of rules, because the appropriateness of any assay largely depends on the question being asked and the system being used. Moreover, no individual assay is perfect for every situation, calling for the use of multiple techniques to properly monitor autophagy in each experimental setting. Finally, several core components of the autophagy machinery have been implicated in distinct autophagic processes (canonical and noncanonical autophagy), implying that genetic approaches to block autophagy should rely on targeting two or more autophagy-related genes that ideally participate in distinct steps of the pathway. Along similar lines, because multiple proteins involved in autophagy also regulate other cellular pathways including apoptosis, not all of them can be used as a specific marker for bona fide autophagic responses. Here, we critically discuss current methods of assessing autophagy and the information they can, or cannot, provide. Our ultimate goal is to encourage intellectual and technical innovation in the field. ispartof: Autophagy vol:17 issue:1 pages:1-382 doi: 10.1080/15548627.2020.1797280 ispartof: location:United States status: published
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handle: 11562/1053228
In this paper we propose a new methodology to model surgical procedures that is specifically tailored to semi-autonomous robotic surgery. We propose to use a restricted version of statecharts to merge the bottom-up approach, based on data-driven techniques (e.g., machine learning), with the top-down approach based on knowledge representation techniques. We consider medical knowledge about the procedure and sensing of the environment in two concurrent regions of the statecharts to facilitate re-usability and adaptability of the modules. Our approach allows producing a well defined procedural model exploiting the hierarchy capability of the statecharts, while machine learning modules act as soft sensors to trigger state transitions. Integrating data driven and prior knowledge techniques provides a robust, modular, flexible and re-configurable methodology to define a surgical procedure which is comprehensible by both humans and machines. We validate our approach on the three surgical phases of a Robot-Assisted Radical Prostatectomy (RARP) that directly involve the assistant surgeon: bladder mobilization, bladder neck transection, and vesicourethral anastomosis, all performed on synthetic manikins.
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citations | 6 | |
popularity | Top 10% | |
influence | Average | |
impulse | Top 10% |
views | 13 | |
downloads | 22 |
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AbstractA pilot scale biorefinery platform for the treatment of agro-waste and the production of hydrogen, methane and volatile fatty acids was studied in real environment. The system adopted was a two stage anaerobic process where hydrogen and volatile fatty acids were produced in the first phase (fermentation) and methane in the second one (digestion). The study demonstrated the possibility to produce a biogas composed by hydrogen and methane (10% and 55%, respectively) while recovering volatile fatty acids. The yield for acids production was equivalent to 0.13 gVFA/gTVS (as COD) with acetate and butyrate as dominant observed species.Graphic Abstract
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citations | 31 | |
popularity | Top 10% | |
influence | Average | |
impulse | Top 10% |
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pmid: 37262334
pmc: PMC10265700
handle: 11562/1126011 , 11390/1254844 , 11568/1220172 , 11585/933413 , 11381/2949894
pmid: 37262334
pmc: PMC10265700
handle: 11562/1126011 , 11390/1254844 , 11568/1220172 , 11585/933413 , 11381/2949894
The complexes [Eu(bpcd)(tta)], [Eu(bpcd)(Coum)], and [Tb(bpcd)(Coum)] [tta = 2-thenoyltrifluoroacetyl-acetonate, Coum = 3-acetyl-4-hydroxy-coumarin, and bpcd = N,N'-bis(2-pyridylmethyl)-trans-1,2-diaminocyclohexane-N,N'-diacetate] have been synthesized and characterized from photophysical and thermodynamic points of view. The optical and chiroptical properties of these complexes, such as the total luminescence, decay curves of the Ln(III) luminescence, electronic circular dichroism, and circularly polarized luminescence, have been investigated. Interestingly, the number of coordinated solvent (methanol) molecules is sensitive to the nature of the metal ion. This number, estimated by spectroscopy, is >1 for Eu(III)-based complexes and <1 for Tb(III)-based complexes. A possible explanation for this behavior is provided via the study of the minimum energy structure obtained by density functional theory (DFT) calculations on the model complexes of the diamagnetic Y(III) and La(III) counterparts [Y(bpcd)(tta)], [Y(bpcd)(Coum)], and [La(bpcd)(Coum)]. By time-dependent DFT calculations, estimation of donor-acceptor (D-A) distances and of the energy position of the S1 and T1 ligand excited states involved in the antenna effect was possible. These data are useful for rationalizing the different sensitization efficiencies (ηsens) of the antennae toward Eu(III) and Tb(III). The tta ligand is an optimal antenna for sensitizing Eu(III) luminescence, while the Coum ligand sensitizes better Tb(III) luminescence {ϕovl = 55%; ηsens ≥ 55% for the [Tb(bpcd)(Coum)] complex}. Finally, for the [Eu(bpcd)(tta)] complex, a sizable value of glum (0.26) and a good quantum yield (26%) were measured.
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citations | 20 | |
popularity | Top 10% | |
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impulse | Top 10% |
views | 7 | |
downloads | 9 |
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handle: 11562/1150187
En el trabajo se estudian algunos elementos eróticos relacionados con la comicidad en el Tirante el Blanco, traducido del catalán al castellano en 1511. En el marco del corpus caballeresco, esta novela destaca precisamente por su explícita carga erótica, que juega con-y se burla de-los tópicos del amor cortesano.
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influence | Average | |
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In 2019, the Innovative Medicines Initiative (IMI) funded the ConcePTION project—Building an ecosystem for better monitoring and communicating safety of medicines use in pregnancy and breastfeeding: validated and regulatory endorsed workflows for fast, optimised evidence generation—with the vision that there is a societal obligation to rapidly reduce uncertainty about the safety of medication use in pregnancy and breastfeeding. The present paper introduces the set of concepts used to describe the European data sources involved in the ConcePTION project and illustrates the ConcePTION Common Data Model (CDM), which serves as the keystone of the federated ConcePTION network. Based on data availability and content analysis of 21 European data sources, the ConcePTION CDM has been structured with six tables designed to capture data from routine healthcare, three tables for data from public health surveillance activities, three curated tables for derived data on population (e.g., observation time and mother‐child linkage), plus four metadata tables. By its first anniversary, the ConcePTION CDM has enabled 13 data sources to run common scripts to contribute to major European projects, demonstrating its capacity to facilitate effective and transparent deployment of distributed analytics, and its potential to address questions about utilization, effectiveness, and safety of medicines in special populations, including during pregnancy and breastfeeding, and, more broadly, in the general population.
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citations | 40 | |
popularity | Top 10% | |
influence | Top 10% | |
impulse | Top 1% |
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Understanding antibody persistence concerning multimorbidity is crucial for vaccination policies. Our goal is to assess the link between multimorbidity and serological response to SARS-CoV-2 nine months post-first vaccine. We analyzed Healthcare Workers (HCWs) from three cohorts from Italy, and one each from Germany, Romania, Slovakia, and Spain. Seven groups of chronic diseases were analyzed. We included 2941 HCWs (78.5% female, 73.4% ≥ 40 years old). Multimorbidity was present in 6.9% of HCWs. The prevalence of each chronic condition ranged between 1.9% (cancer) to 10.3% (allergies). Two regression models were fitted, one considering the chronic conditions groups and the other considering whether HCWs had diseases from ≥2 groups. Multimorbidity was present in 6.9% of HCWs, and higher 9-months post-vaccine anti-S levels were significantly associated with having received three doses of the vaccine (RR = 2.45, CI = 1.92–3.13) and with having a prior COVID-19 infection (RR = 2.30, CI = 2.15–2.46). Conversely, lower levels were associated with higher age (RR = 0.94, CI = 0.91–0.96), more time since the last vaccine dose (RR = 0.95, CI = 0.94–0.96), and multimorbidity (RR = 0.89, CI = 0.80–1.00). Hypertension is significantly associated with lower anti-S levels (RR = 0.87, CI = 0.80–0.95). The serological response to vaccines is more inadequate in individuals with multimorbidity.
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citations | 6 | |
popularity | Top 10% | |
influence | Average | |
impulse | Top 10% |
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Abstract Objective SSc is a complex disease characterized by vascular abnormalities and inflammation culminating in hypoxia and excessive fibrosis. Previously, we identified chemokine (C-X-C motif) ligand 4 (CXCL4) as a novel predictive biomarker in SSc. Although CXCL4 is well-studied, the mechanisms driving its production are unclear. The aim of this study was to elucidate the mechanisms leading to CXCL4 production. Methods Plasmacytoid dendritic cells (pDCs) from 97 healthy controls and 70 SSc patients were cultured in the presence of hypoxia or atmospheric oxygen level and/or stimulated with several toll-like receptor (TLR) agonists. Further, pro-inflammatory cytokine production, CXCL4, hypoxia-inducible factor (HIF) -1α and HIF-2α gene and protein expression were assessed using ELISA, Luminex, qPCR, FACS and western blot assays. Results CXCL4 release was potentiated only when pDCs were simultaneously exposed to hypoxia and TLR9 agonist (P < 0.0001). Here, we demonstrated that CXCL4 production is dependent on the overproduction of mitochondrial reactive oxygen species (mtROS) (P = 0.0079) leading to stabilization of HIF-2α (P = 0.029). In addition, we show that hypoxia is fundamental for CXCL4 production by umbilical cord CD34 derived pDCs. Conclusion TLR-mediated activation of immune cells in the presence of hypoxia underpins the pathogenic production of CXCL4 in SSc. Blocking either mtROS or HIF-2α pathways may therapeutically attenuate the contribution of CXCL4 to SSc and other inflammatory diseases driven by CXCL4.
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citations | 13 | |
popularity | Top 10% | |
influence | Average | |
impulse | Top 10% |
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Nonalcoholic fatty liver disease (NAFLD) has become the most common cause of chronic liver disease worldwide, affecting up to ~30% of adult populations. NAFLD defines a spectrum of progressive liver conditions ranging from simple steatosis to nonalcoholic steatohepatitis (NASH), cirrhosis, and hepatocellular carcinoma, which often occur in close and bidirectional associations with metabolic disorders. Chronic kidney disease (CKD) is characterized by anatomic and/or functional renal damage, ultimately resulting in a reduced glomerular filtration rate. The physiological axis linking the liver and kidneys often passes unnoticed until clinically significant portal hypertension, as a major complication of cirrhosis, becomes apparent in the form of ascites, refractory ascites, or hepatorenal syndrome. However, the extensive evidence accumulated since 2008 indicates that noncirrhotic NAFLD is associated with a higher risk of incident CKD, independent of obesity, type 2 diabetes, and other common renal risk factors. In addition, subclinical portal hypertension has been demonstrated to occur in noncirrhotic NAFLD, with a potential adverse impact on renal vasoregulation. However, the mechanisms underlying this association remain unexplored to a substantial extent. With this background, in this review we discuss the current evidence showing a strong association between NAFLD and the risk of CKD, and the putative biological mechanisms underpinning this association. We also discuss in depth the potential pathogenic role of the hepatorenal reflex, which may be triggered by subclinical portal hypertension and is a poorly investigated but promising research topic. Finally, we address emerging pharmacotherapies for NAFLD that may also beneficially affect the risk of developing CKD in individuals with NAFLD.
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citations | 34 | |
popularity | Top 10% | |
influence | Top 10% | |
impulse | Top 1% |
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pmid: 37208725
pmc: PMC10198022
AbstractBackgroundThe COVID-19 pandemic has had major and potentially long-lasting effects on mental health and wellbeing across populations worldwide. However, these impacts were not felt equally, leading to an exacerbation of health inequalities, especially affecting vulnerable populations such as migrants, refugees and asylum seekers. Aiming to inform the adaptation and implementation of psychological intervention programmes, the present study investigated priority mental health needs in this population group.MethodsParticipants were adult asylum seekers, refugees and migrants (ARMs) and stakeholders with experience in the field of migration living in Verona, Italy, and fluent in Italian and English. A two-stage process was carried out to examine their needs using qualitative methods including free listing interviews and focus group discussions, according to Module One of the DIME (Design, Implementation, Monitoring, and Evaluation) manual. Data were analyzed using an inductive thematic analyses approach.ResultsA total of 19 participants (12 stakeholders, 7 ARMs) completed the free listing interviews and 20 participants (12 stakeholders and 8 ARMs) attended focus group discussions. Salient problems and functions that emerged during free listing interviews were discussed during the focus group discussions. During the COVID-19 pandemic, ARMs struggled with many everyday living difficulties in their resettlement country due to social and economic issues, revealing a strong influence of contextual factors in determining mental health. Both ARMs and stakeholders highlighted a mismatch between needs, expectations and interventions as factors that may hamper proper implementation of health and social programmes.ConclusionsThe present findings could help in the adaptation and implementation of psychological interventions targeting the needs of asylum seekers, refugees and migrants aiming to find a match between needs, expectations, and the corresponding interventions.Trial registrationRegistration number 2021-UNVRCLE-0106707, February 11 2021.
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citations | 4 | |
popularity | Top 10% | |
influence | Average | |
impulse | Average |
views | 27 | |
downloads | 3 |
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handle: 10641/2814 , 10261/254505 , 11588/855085 , 11370/2639f05d-c3bf-41eb-a691-dc77ad4cc19d , 11564/765957 , 11541.2/25933 , 2434/844005 , 10281/307774 , 11388/248298 , 2078.1/243680 , 21.11116/0000-000D-4E66-A , 21.11116/0000-000D-4E68-8 , 11562/1037826 , 10067/1756630151162165141 , 20.500.11770/313778 , 10807/173406 , 10807/302259 , 10831/111029 , 11576/2685604 , 11577/3390116 , 11383/2112326 , 11379/542024 , 2108/279773 , 11590/385750 , 11380/1244073 , 11573/1486108 , 11581/450344 , 11392/2442540 , 11567/1041084 , 11568/1104102 , 11591/444669 , 11570/3242430 , 11391/1490255 , 11587/453716 , 11585/826687 , 20.500.12327/1601 , 2318/1785276 , 11343/274618 , 11563/190505 , 11571/1399314 , 10023/24885 , 11449/210183 , 20.500.12876/nrQBkMAz , 11579/121706 , 20.500.11750/13868 , 10072/404489
handle: 10641/2814 , 10261/254505 , 11588/855085 , 11370/2639f05d-c3bf-41eb-a691-dc77ad4cc19d , 11564/765957 , 11541.2/25933 , 2434/844005 , 10281/307774 , 11388/248298 , 2078.1/243680 , 21.11116/0000-000D-4E66-A , 21.11116/0000-000D-4E68-8 , 11562/1037826 , 10067/1756630151162165141 , 20.500.11770/313778 , 10807/173406 , 10807/302259 , 10831/111029 , 11576/2685604 , 11577/3390116 , 11383/2112326 , 11379/542024 , 2108/279773 , 11590/385750 , 11380/1244073 , 11573/1486108 , 11581/450344 , 11392/2442540 , 11567/1041084 , 11568/1104102 , 11591/444669 , 11570/3242430 , 11391/1490255 , 11587/453716 , 11585/826687 , 20.500.12327/1601 , 2318/1785276 , 11343/274618 , 11563/190505 , 11571/1399314 , 10023/24885 , 11449/210183 , 20.500.12876/nrQBkMAz , 11579/121706 , 20.500.11750/13868 , 10072/404489
In 2008, we published the first set of guidelines for standardizing research in autophagy. Since then, this topic has received increasing attention, and many scientists have entered the field. Our knowledge base and relevant new technologies have also been expanding. Thus, it is important to formulate on a regular basis updated guidelines for monitoring autophagy in different organisms. Despite numerous reviews, there continues to be confusion regarding acceptable methods to evaluate autophagy, especially in multicellular eukaryotes. Here, we present a set of guidelines for investigators to select and interpret methods to examine autophagy and related processes, and for reviewers to provide realistic and reasonable critiques of reports that are focused on these processes. These guidelines are not meant to be a dogmatic set of rules, because the appropriateness of any assay largely depends on the question being asked and the system being used. Moreover, no individual assay is perfect for every situation, calling for the use of multiple techniques to properly monitor autophagy in each experimental setting. Finally, several core components of the autophagy machinery have been implicated in distinct autophagic processes (canonical and noncanonical autophagy), implying that genetic approaches to block autophagy should rely on targeting two or more autophagy-related genes that ideally participate in distinct steps of the pathway. Along similar lines, because multiple proteins involved in autophagy also regulate other cellular pathways including apoptosis, not all of them can be used as a specific marker for bona fide autophagic responses. Here, we critically discuss current methods of assessing autophagy and the information they can, or cannot, provide. Our ultimate goal is to encourage intellectual and technical innovation in the field. ispartof: Autophagy vol:17 issue:1 pages:1-382 doi: 10.1080/15548627.2020.1797280 ispartof: location:United States status: published
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citations | 0 | |
popularity | Average | |
influence | Average | |
impulse | Average |
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handle: 11562/1053228
In this paper we propose a new methodology to model surgical procedures that is specifically tailored to semi-autonomous robotic surgery. We propose to use a restricted version of statecharts to merge the bottom-up approach, based on data-driven techniques (e.g., machine learning), with the top-down approach based on knowledge representation techniques. We consider medical knowledge about the procedure and sensing of the environment in two concurrent regions of the statecharts to facilitate re-usability and adaptability of the modules. Our approach allows producing a well defined procedural model exploiting the hierarchy capability of the statecharts, while machine learning modules act as soft sensors to trigger state transitions. Integrating data driven and prior knowledge techniques provides a robust, modular, flexible and re-configurable methodology to define a surgical procedure which is comprehensible by both humans and machines. We validate our approach on the three surgical phases of a Robot-Assisted Radical Prostatectomy (RARP) that directly involve the assistant surgeon: bladder mobilization, bladder neck transection, and vesicourethral anastomosis, all performed on synthetic manikins.
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citations | 6 | |
popularity | Top 10% | |
influence | Average | |
impulse | Top 10% |
views | 13 | |
downloads | 22 |
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AbstractA pilot scale biorefinery platform for the treatment of agro-waste and the production of hydrogen, methane and volatile fatty acids was studied in real environment. The system adopted was a two stage anaerobic process where hydrogen and volatile fatty acids were produced in the first phase (fermentation) and methane in the second one (digestion). The study demonstrated the possibility to produce a biogas composed by hydrogen and methane (10% and 55%, respectively) while recovering volatile fatty acids. The yield for acids production was equivalent to 0.13 gVFA/gTVS (as COD) with acetate and butyrate as dominant observed species.Graphic Abstract
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citations | 31 | |
popularity | Top 10% | |
influence | Average | |
impulse | Top 10% |
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pmid: 37262334
pmc: PMC10265700
handle: 11562/1126011 , 11390/1254844 , 11568/1220172 , 11585/933413 , 11381/2949894
pmid: 37262334
pmc: PMC10265700
handle: 11562/1126011 , 11390/1254844 , 11568/1220172 , 11585/933413 , 11381/2949894
The complexes [Eu(bpcd)(tta)], [Eu(bpcd)(Coum)], and [Tb(bpcd)(Coum)] [tta = 2-thenoyltrifluoroacetyl-acetonate, Coum = 3-acetyl-4-hydroxy-coumarin, and bpcd = N,N'-bis(2-pyridylmethyl)-trans-1,2-diaminocyclohexane-N,N'-diacetate] have been synthesized and characterized from photophysical and thermodynamic points of view. The optical and chiroptical properties of these complexes, such as the total luminescence, decay curves of the Ln(III) luminescence, electronic circular dichroism, and circularly polarized luminescence, have been investigated. Interestingly, the number of coordinated solvent (methanol) molecules is sensitive to the nature of the metal ion. This number, estimated by spectroscopy, is >1 for Eu(III)-based complexes and <1 for Tb(III)-based complexes. A possible explanation for this behavior is provided via the study of the minimum energy structure obtained by density functional theory (DFT) calculations on the model complexes of the diamagnetic Y(III) and La(III) counterparts [Y(bpcd)(tta)], [Y(bpcd)(Coum)], and [La(bpcd)(Coum)]. By time-dependent DFT calculations, estimation of donor-acceptor (D-A) distances and of the energy position of the S1 and T1 ligand excited states involved in the antenna effect was possible. These data are useful for rationalizing the different sensitization efficiencies (ηsens) of the antennae toward Eu(III) and Tb(III). The tta ligand is an optimal antenna for sensitizing Eu(III) luminescence, while the Coum ligand sensitizes better Tb(III) luminescence {ϕovl = 55%; ηsens ≥ 55% for the [Tb(bpcd)(Coum)] complex}. Finally, for the [Eu(bpcd)(tta)] complex, a sizable value of glum (0.26) and a good quantum yield (26%) were measured.
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citations | 20 | |
popularity | Top 10% | |
influence | Average | |
impulse | Top 10% |
views | 7 | |
downloads | 9 |
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handle: 11562/1150187
En el trabajo se estudian algunos elementos eróticos relacionados con la comicidad en el Tirante el Blanco, traducido del catalán al castellano en 1511. En el marco del corpus caballeresco, esta novela destaca precisamente por su explícita carga erótica, que juega con-y se burla de-los tópicos del amor cortesano.
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citations | 0 | |
popularity | Average | |
influence | Average | |
impulse | Average |
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In 2019, the Innovative Medicines Initiative (IMI) funded the ConcePTION project—Building an ecosystem for better monitoring and communicating safety of medicines use in pregnancy and breastfeeding: validated and regulatory endorsed workflows for fast, optimised evidence generation—with the vision that there is a societal obligation to rapidly reduce uncertainty about the safety of medication use in pregnancy and breastfeeding. The present paper introduces the set of concepts used to describe the European data sources involved in the ConcePTION project and illustrates the ConcePTION Common Data Model (CDM), which serves as the keystone of the federated ConcePTION network. Based on data availability and content analysis of 21 European data sources, the ConcePTION CDM has been structured with six tables designed to capture data from routine healthcare, three tables for data from public health surveillance activities, three curated tables for derived data on population (e.g., observation time and mother‐child linkage), plus four metadata tables. By its first anniversary, the ConcePTION CDM has enabled 13 data sources to run common scripts to contribute to major European projects, demonstrating its capacity to facilitate effective and transparent deployment of distributed analytics, and its potential to address questions about utilization, effectiveness, and safety of medicines in special populations, including during pregnancy and breastfeeding, and, more broadly, in the general population.
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citations | 40 | |
popularity | Top 10% | |
influence | Top 10% | |
impulse | Top 1% |
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Understanding antibody persistence concerning multimorbidity is crucial for vaccination policies. Our goal is to assess the link between multimorbidity and serological response to SARS-CoV-2 nine months post-first vaccine. We analyzed Healthcare Workers (HCWs) from three cohorts from Italy, and one each from Germany, Romania, Slovakia, and Spain. Seven groups of chronic diseases were analyzed. We included 2941 HCWs (78.5% female, 73.4% ≥ 40 years old). Multimorbidity was present in 6.9% of HCWs. The prevalence of each chronic condition ranged between 1.9% (cancer) to 10.3% (allergies). Two regression models were fitted, one considering the chronic conditions groups and the other considering whether HCWs had diseases from ≥2 groups. Multimorbidity was present in 6.9% of HCWs, and higher 9-months post-vaccine anti-S levels were significantly associated with having received three doses of the vaccine (RR = 2.45, CI = 1.92–3.13) and with having a prior COVID-19 infection (RR = 2.30, CI = 2.15–2.46). Conversely, lower levels were associated with higher age (RR = 0.94, CI = 0.91–0.96), more time since the last vaccine dose (RR = 0.95, CI = 0.94–0.96), and multimorbidity (RR = 0.89, CI = 0.80–1.00). Hypertension is significantly associated with lower anti-S levels (RR = 0.87, CI = 0.80–0.95). The serological response to vaccines is more inadequate in individuals with multimorbidity.
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citations | 6 | |
popularity | Top 10% | |
influence | Average | |
impulse | Top 10% |
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Abstract Objective SSc is a complex disease characterized by vascular abnormalities and inflammation culminating in hypoxia and excessive fibrosis. Previously, we identified chemokine (C-X-C motif) ligand 4 (CXCL4) as a novel predictive biomarker in SSc. Although CXCL4 is well-studied, the mechanisms driving its production are unclear. The aim of this study was to elucidate the mechanisms leading to CXCL4 production. Methods Plasmacytoid dendritic cells (pDCs) from 97 healthy controls and 70 SSc patients were cultured in the presence of hypoxia or atmospheric oxygen level and/or stimulated with several toll-like receptor (TLR) agonists. Further, pro-inflammatory cytokine production, CXCL4, hypoxia-inducible factor (HIF) -1α and HIF-2α gene and protein expression were assessed using ELISA, Luminex, qPCR, FACS and western blot assays. Results CXCL4 release was potentiated only when pDCs were simultaneously exposed to hypoxia and TLR9 agonist (P < 0.0001). Here, we demonstrated that CXCL4 production is dependent on the overproduction of mitochondrial reactive oxygen species (mtROS) (P = 0.0079) leading to stabilization of HIF-2α (P = 0.029). In addition, we show that hypoxia is fundamental for CXCL4 production by umbilical cord CD34 derived pDCs. Conclusion TLR-mediated activation of immune cells in the presence of hypoxia underpins the pathogenic production of CXCL4 in SSc. Blocking either mtROS or HIF-2α pathways may therapeutically attenuate the contribution of CXCL4 to SSc and other inflammatory diseases driven by CXCL4.
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citations | 13 | |
popularity | Top 10% | |
influence | Average | |
impulse | Top 10% |
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Nonalcoholic fatty liver disease (NAFLD) has become the most common cause of chronic liver disease worldwide, affecting up to ~30% of adult populations. NAFLD defines a spectrum of progressive liver conditions ranging from simple steatosis to nonalcoholic steatohepatitis (NASH), cirrhosis, and hepatocellular carcinoma, which often occur in close and bidirectional associations with metabolic disorders. Chronic kidney disease (CKD) is characterized by anatomic and/or functional renal damage, ultimately resulting in a reduced glomerular filtration rate. The physiological axis linking the liver and kidneys often passes unnoticed until clinically significant portal hypertension, as a major complication of cirrhosis, becomes apparent in the form of ascites, refractory ascites, or hepatorenal syndrome. However, the extensive evidence accumulated since 2008 indicates that noncirrhotic NAFLD is associated with a higher risk of incident CKD, independent of obesity, type 2 diabetes, and other common renal risk factors. In addition, subclinical portal hypertension has been demonstrated to occur in noncirrhotic NAFLD, with a potential adverse impact on renal vasoregulation. However, the mechanisms underlying this association remain unexplored to a substantial extent. With this background, in this review we discuss the current evidence showing a strong association between NAFLD and the risk of CKD, and the putative biological mechanisms underpinning this association. We also discuss in depth the potential pathogenic role of the hepatorenal reflex, which may be triggered by subclinical portal hypertension and is a poorly investigated but promising research topic. Finally, we address emerging pharmacotherapies for NAFLD that may also beneficially affect the risk of developing CKD in individuals with NAFLD.
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citations | 34 | |
popularity | Top 10% | |
influence | Top 10% | |
impulse | Top 1% |
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pmid: 37208725
pmc: PMC10198022
AbstractBackgroundThe COVID-19 pandemic has had major and potentially long-lasting effects on mental health and wellbeing across populations worldwide. However, these impacts were not felt equally, leading to an exacerbation of health inequalities, especially affecting vulnerable populations such as migrants, refugees and asylum seekers. Aiming to inform the adaptation and implementation of psychological intervention programmes, the present study investigated priority mental health needs in this population group.MethodsParticipants were adult asylum seekers, refugees and migrants (ARMs) and stakeholders with experience in the field of migration living in Verona, Italy, and fluent in Italian and English. A two-stage process was carried out to examine their needs using qualitative methods including free listing interviews and focus group discussions, according to Module One of the DIME (Design, Implementation, Monitoring, and Evaluation) manual. Data were analyzed using an inductive thematic analyses approach.ResultsA total of 19 participants (12 stakeholders, 7 ARMs) completed the free listing interviews and 20 participants (12 stakeholders and 8 ARMs) attended focus group discussions. Salient problems and functions that emerged during free listing interviews were discussed during the focus group discussions. During the COVID-19 pandemic, ARMs struggled with many everyday living difficulties in their resettlement country due to social and economic issues, revealing a strong influence of contextual factors in determining mental health. Both ARMs and stakeholders highlighted a mismatch between needs, expectations and interventions as factors that may hamper proper implementation of health and social programmes.ConclusionsThe present findings could help in the adaptation and implementation of psychological interventions targeting the needs of asylum seekers, refugees and migrants aiming to find a match between needs, expectations, and the corresponding interventions.Trial registrationRegistration number 2021-UNVRCLE-0106707, February 11 2021.
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citations | 4 | |
popularity | Top 10% | |
influence | Average | |
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views | 27 | |
downloads | 3 |
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