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SummaryFunctions of porcine polymorphonuclear neutrophils are evaluated with in vitro test systems. Results are compared with those from human PMN and the relevance for in vivo conditions is discussed. Ethanol was inhibitory to all porcine PMN functions investigated here. Influex, a combination product, containing extracts of Echinacea, Aconitum, Apis and Lachesis stimulated adherence, chemotaxis, and phagocytosis, but inhibited chemiluminescence. These results suggest an effect of the product in the generation of reactive oxygen species.ZusammenfassungGranulozytenfunktionen beim Schwein: Messung und BeeinflussungVerschiedene Funktionen neutrophiler Granulozyten des Schweines werden mit Hilfe von in vitro‐Systemen gemessen und die Ergebnisse mit entsprechenden Werten verglichen, die für menschliche Neutrophile beschrieben sind. Die Aussagekraft der erhaltenen Ergebnisse für in vivo‐Verhältnisse wird diskutiert. Alle hier beschriebenen Granulozytenfunktionen wurden durch Alkohol gehemmt. Influex, ein Kombinationspräparat, das Extrakte aus Echinacea, Aconitum, Apis und Lachesis enthält, stimulierte Adhärenz, Chemotaxis und Phagozytose, hemmte jedoch die Chemolumineszenz. Die Ergebnisse lassen einen Einfluß des Präparates auf die Bildung von reaktiven Sauerstoffspezies vermuten.

The Pan-African Consortium for the Evaluation of Anti-Tuberculosis Antibiotics (PanACEA) was designed to build tuberculosis (TB) trial capacity whilst conducting clinical trials on novel and existing agents to shorten and simplify TB treatment. PanACEA has now established a dynamic network of 11 sub-Saharan clinical trial sites and four European research institutions.In 2011, a capacity development program, funded by the European & Developing Countries Clinical Trials Partnership (EDCTP), was launched with four objectives, aiming at strengthening collaborating TB research sites to reach the ultimate goal of becoming self-sustainable institutions: networking; training; conducting clinical trials; and infrastructure scaling-up of sites.Assessment in six sub-Saharan TB-endemic countries (Gabon, Kenya, South Africa, Tanzania, Uganda and Zambia) were performed through a structured questionnaire, site visits, discussion with the PanACEA consortium, setting of milestones and identification of priorities and followed-up with evaluations of each site. The results of this needs-based assessment was then translated into capacity development measures.In the initial phase, over a four-year period (March 2011 - June 2014), the programme scaled-up six sites; conducted a monitoring training program for 11 participants; funded five MSc and four PhD students, fostering gender balance; conducted four epidemiological studies; supported sites to conduct five Phase II studies and formed a sustainable platform for TB research (panacea-tb.net).Our experience of conducting TB clinical trials within the PanACEA programme environment of mentoring, networking and training has provided a sound platform for establishing future sustainable research centres. Our goal of facilitating emergent clinical TB trial sites to better initiate and lead research activities has been mostly successful.

Based on a targeted literature review, this vision paper emphasizes the importance of dementia-sensitive built space. The article specifically focuses on supporting spatial orientation and wayfinding for people living with dementia. First, we discuss types of wayfinding challenges, underlying processes, and consequences of spatial disorientation in the context of dementia of the Alzheimer’s type. Second, we focus on current efforts aimed at planning and evaluating dementia-sensitive built space, i.e., environmental design principles, interventions, evaluation tools, strategies, and planning processes. Third, we use our findings as a starting point for developing an interdisciplinary research vision aimed at encouraging further debates and research about: (1) the perspective of a person with dementia, specifically in the context of wayfinding and spatial orientation, and (2) how this perspective supplements planning and design processes of dementia-sensitive built space. We conclude that more closely considering the perspective of people with dementia supports the development of demographically sustainable future cities and care institutions.

Tin (Sn), antimony (Sb), as well as their intermetallic compound SnSb are potential high‐capacity negative electrodes for lithium‐ or sodium‐ion batteries. Starting from bulk Sn and Sb, the effect of ball milling in sodium‐ion half cells with a diglyme‐based electrolyte is studied. Nonreactive ball milling of Sn, Sb, and carbon leads to intimately mixed but largely phase‐separated composites (Sn + Sb) with electrochemical sodiation behavior being the sum of the individual phases. Thereby, Sb shows an unusual and rapid capacity fade in the chosen electrolyte which is unexpected, considering the usually excellent compatibility of diglyme‐based electrolytes with negative electrodes. Reactive ball milling of Sn and Sb using a planetary ball mill leads to the phase‐pure intermetallic compound β‐SnSb. Compared with Sn + Sb, SnSb shows excellent performance with a specific capacity exceeding 400 mAh g−1 after 190 cycles and a high rate capability (around 400 mAh g−1 at 5 C). Hence, herein, Sb is largely inactive as a pure phase but active when bound in the β‐SnSb intermetallic compound. Using in situ electrochemical dilatometry, the “breathing” of the electrodes during charging/discharging is minimized by optimizing ball‐milling time, which improves cycle life.

To improve the durability of dye-sensitized solar cells (DSCs), monolithic DSCs with ionic liquid electrolyte were studied. Deposited by screen printing, a carbon layer was successfully fabricated that did not crack or peel when annealing was employed beforehand. Optimized electrodes exhibited photovoltaic characteristics of 0.608 V open-circuit voltage, 6.90 cm−2 mA short-circuit current, and 0.491 fill factor, yielding 2.06% power conversion efficiency. The monolithic DSC using ionic liquid electrolyte was thermally durable and operated stably for 1000 h at 80°C.

The relative biological effectiveness (RBE) varies along the treatment field. However, in clinical practice, a constant RBE of 1.1 is assumed, which can result in undesirable side effects. This study provides an accurate overview of current clinical practice for considering proton RBE in Europe.A survey was devised and sent to all proton therapy centres in Europe that treat patients. The online questionnaire consisted of 39 questions addressing various aspects of RBE consideration in clinical practice, including treatment planning, patient follow-up and future demands.All 25 proton therapy centres responded. All centres prescribed a constant RBE of 1.1, but also applied measures (except for one eye treatment centre) to counteract variable RBE effects such as avoiding beams stopping inside or in front of an organ at risk and putting restrictions on the minimum number and opening angle of incident beams for certain treatment sites. For the future, most centres (16) asked for more retrospective or prospective outcome studies investigating the potential effect of the effect of a variable RBE. To perform such studies, 18 centres asked for LET and RBE calculation and visualisation tools developed by treatment planning system vendors.All European proton centres are aware of RBE variability but comply with current guidelines of prescribing a constant RBE. However, they actively mitigate uncertainty and risk of side effects resulting from increased RBE by applying measures and restrictions during treatment planning. To change RBE-related clinical guidelines in the future more clinical data on RBE are explicitly demanded.

Background: Sodium oxybate (SMO) has been shown to be effective in the maintenance of abstinence (MoA) in alcohol-dependent patients in a series of small randomized controlled trials (RCTs). These results needed to be confirmed by a large trial investigating the treatment effect and its sustainability after medication discontinuation. Aims: To confirm the SMO effect on (sustained) MoA in detoxified alcohol-dependent patients. Methods: Large double-blind, randomized, placebo-controlled trial in detoxified adult alcohol-dependent outpatients (80% men) from 11 sites in four European countries. Patients were randomized to 6 months SMO (3.3–3.9 g/day) or placebo followed by a 6-month medication-free period. Primary outcome was the cumulative abstinence duration (CAD) during the 6-month treatment period defined as the number of days with no alcohol use. Secondary outcomes included CAD during the 12-month study period. Results: Of the 314 alcohol-dependent patients randomized, 154 received SMO and 160 received placebo. Based on the pre-specified fixed-effect two-way analysis of variance including the treatment-by-site interaction, SMO showed efficacy in CAD during the 6-month treatment period: mean difference +43.1 days, 95% confidence interval (17.6–68.5; p = 0.001). Since significant heterogeneity of effect across sites and unequal sample sizes among sites ( n = 3–66) were identified, a site-level random meta-analysis was performed with results supporting the pre-specified analysis: mean difference +32.4 days, p = 0.014. The SMO effect was sustained during the medication-free follow-up period. SMO was well-tolerated. Conclusions: Results of this large RCT in alcohol-dependent patients demonstrated a significant and clinically relevant sustained effect of SMO on CAD. Trial registration: ClinicalTrials.gov Identifier: NCT04648423

Ambient air pollution and its exposure has been a worldwide issue and can increase the possibility of health risks especially in urban areas of developing countries having the mixture of different air pollution sources. With the increase in population, industrial development and economic prosperity, air pollution is one of the biggest concerns in Pakistan after the occurrence of recent smog episodes. The purpose of this study was to develop a land use regression (LUR) model to provide a better understanding of air exposure and to depict the spatial patterns of air pollutants within the city. Land use regression model was developed for Lahore city, Pakistan using the average seasonal concentration of NO2 and considering 22 potential predictor variables including road network, land use classification and local specific variable. Adjusted explained variance of the LUR models was highest for post-monsoon (77%), followed by monsoon (71%) and was lowest for pre-monsoon (70%). This is the first study conducted in Pakistan to explore the applicability of LUR model and hence will offer the application in other cities. The results of this study would also provide help in promoting epidemiological research in future.

We assess the effect of the COVID-19 pandemic on global fossil fuel consumption and CO2 emissions over the two-year horizon 2020Q1-2021Q4. We apply a global vector autoregressive (GVAR) model, which captures complex spatial-temporal interdependencies across countries associated with the international propagation of economic impact due to the virus spread. The model makes use of a unique quarterly data set of coal, natural gas, and oil consumption, output, exchange rates and equity prices, including global fossil fuel prices for 32 major CO2 emitting countries spanning the period 1984Q1-2019Q4. We produce forecasts of coal, natural gas and oil consumption, conditional on GDP growth scenarios based on alternative IMF World Economic Outlook forecasts that were made before and after the outbreak. We also simulate the effect of a relative price change in fossil fuels, due to global scale carbon pricing, on consumption and output. Our results predict fossil fuel consumption and CO2 emissions to return to their pre-crisis levels, and even exceed them, within the two-year horizon despite the large reductions in the first quarter following the outbreak. Our forecasts anticipate more robust growth for emerging than for advanced economies. The model predicts recovery to the pre-crisis levels even if another wave of pandemic occurs within a year. Our counterfactual carbon pricing scenario indicates that an increase in coal prices is expected to have a smaller impact on GDP than on fossil fuel consumption. Thus, the COVID-19 pandemic would not provide countries with a strong reason to delay climate change mitigation efforts.