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Extractives, important compounds from wood, provide abundant resources for woody medicine. In this study, the three extractives from Cunninghamia lanceolata wood were removed by method of three-stage extraction with alcohol, petroleum ether, and alcohol/petroleum ether and their chemical components were analyzed by gas chromatography-mass spectrometry (GC-MS). Thirteen chemical components were discovered in the first-stage extractives, including: 4-((1e)-3-hydroxy-1-propenyl)-2-methoxyphenol (36.80%), α-(2-phenylethenyl)-1-piperidineacetonitrile (15.39%). One-hundred chemical components were discovered in the second-stage extractives, including: [1s-(1α,4aα,10aβ)]-1, 2,3,4,4a,9,10,10a-octahydro-1,4a- dimethyl-7-(1-methylethyl)-1- phenanthrenecar-boxylic acid (15.16%), 1,3-dimethoxy-5-[(1e)-2- phenylethenyl]-benzene (6.99%). Seven chemical components were discovered in the third-stage extractives, including: 1,3-dimethoxy -5-[(1E)-2-phenylethenyl]-benzene (32.88%), stigmasta-4,6,22-trien-3α-ol (17.83%). And both the main retention time of the first-stage and which of third-stage extractives are 20-30 minutes, and the main retention time of the second-stage extractives is <10 minutes. Besides, the three extractives contained many biomedical molecular, such as [1s-(1α,4aα,10aβ)]-1,2,3,4,4a,9,10,10a-octahydro-1,4a-dimethyl-7-(1-methylethyl)-1-phenanthrenecar-boxylic acid, squalene, stigmast-4-en-3-one and γ-sitosterol and so on, which means that the three extractives from Cunninghamia lanceolata wood have huge potential in biomedicine.

Scoping review on heat related excess mortality

Prenatal alcohol use is a threat to healthy pregnancy outcomes for many U.S. women. During 1999, approximately 500,000 pregnant women reported having one or more drinks during the preceding month, and approximately 130,000 reported having seven or more alcohol drinks per week or engaging in binge drinking (i.e., five or more drinks in a day). These heavier drinking patterns have been associated with fetal alcohol syndrome (FAS) and alcohol-related neurodevelopmental disorders (ARND). Lower levels of alcohol consumption (i.e., fewer than seven drinks per week) also have been associated with measurable effects on children's development and behavior. Although the majority of women reduce their alcohol use substantially when they realize they are pregnant, a large proportion do not realize they are pregnant until well into the first trimester and, therefore, might continue to drink alcohol during this critical period of fetal development. To reduce alcohol-exposed pregnancies, CDC initiated a multisite pilot study (phase I clinical trial) in 1997 to investigate the use of a dual intervention focused on both alcohol-use reduction and effective contraception among childbearing-aged women at high risk for an alcohol-exposed pregnancy (Project CHOICES). This report describes the association between baseline drinking measures and the success women have achieved in reducing their risk for an alcohol-exposed pregnancy. The analysis compares the impact of the motivational intervention at 6-month follow-up on women drinking at high-, medium-, and low-risk drinking levels. The findings indicate that although 69% of the women in the study reduced their risk for an alcohol-exposed pregnancy, women with the lowest baseline drinking measures achieved the highest rates of outcome success, primarily by choosing effective contraception and, secondarily, by reducing alcohol use. Women with higher baseline drinking measures chose both approaches equally but achieved lower success rates for reducing their risk for an alcohol-exposed pregnancy. A randomized controlled trial of the motivational intervention is under way to further investigate outcomes of the phase I study.

Cholera epidemics have a recorded history in eastern Congo dating to 1971. A study was conducted to find out the linkage between climate variability/change and cholera outbreak and to assess the related economic cost in the management of cholera in Congo.This study integrates historical data (20 years) on temperature and rainfall with the burden of disease from cholera in South-Kivu province, eastern Congo.Analyses of precipitation and temperatures characteristics in South-Kivu provinces showed that cholera epidemics are closely associated with climatic factors variability. Peaks in Cholera new cases were in synchrony with peaks in rainfalls. Cholera infection cases declined significantly (P<0.05) with the rise in the average temperature. The monthly number of new Cholera cases oscillated between 5 and 450. For every rise of the average temperature by 0.35 °C to 0.75 °C degree Celsius, and for every change in the rainfall variability by 10-19%, it is likely cholera infection risks will increase by 17 to 25%. The medical cost of treatment of Cholera case infection was found to be of US$50 to 250 per capita. The total costs of Cholera attributable to climate change were found to fall in the range of 4 to 8% of the per capita in annual income in Bukavu town.It is likely that high rainfall favor multiplication of the bacteria and contamination of water sources by the bacteria (Vibrio cholerae). The consumption of polluted water, promiscuity, population density and lack of hygiene are determinants favoring spread and infection of the bacteria among human beings living in over-crowded environments.

Great part of the History of mankind is registered in the form of documents or works of art on paper support. Paper can be deteriorated due to physical, chemical and biological agents. Within microorganisms, fungi are the major paper biodeteriogens. Throughout history, several toxic methods have been used to prevent and stop fungal deterioration on paper based materials. More recently, a growing concern about environmental and health issues has led to the research on new antifungal alternatives, with lower toxicity. However, the existent antifungal methods and compounds still have drawbacks in terms of efficacy, health hazards, damaging effects on paper, or lack of thorough testing. In this context, the present thesis focused on testing and developing accessible antifungal treatments with low toxicity, which could prevent the long term paper deterioration. The selection of antifungal compounds was made taking into account the results from a literature review on antifungals used on paper conservation, a survey to paper conservators, and a review of antifungals used in cosmetics and pharmaceutical industries, having as a basic premise their low toxicity. Aspergillus niger, Chaetomium globosum, Cladosporium cladosporioides, Penicillium chrysogenum and Penicillium corylophilum were selected as test fungal species. Fungal growth on paper was evaluated by measuring colonization areas and biomass dry weight determination. A formulation containing parabens and calcium propionate (PBs+CP) presented the best antifungal activity on paper samples, followed by a formulation containing clotrimazole and calcium hydroxide nanoparticles (CLT+NPs), and ultimately 70% ethanol (70%EtOH). Before application on cultural heritage materials, conservation treatments have to be thoroughly tested to assess if they can cause any damage on the treated materials in the short and long term. The effects of the tested formulations on paper were evaluated in terms of pH, colourimetry, folding endurance and molecular alterations, using moist heat artificial ageing. Besides plain paper, paper previously biodeteriorated by A. niger was tested in order to evaluate the potential of each compound to prevent further deterioration caused by fungal metabolites. The obtained results on biodeteriorated samples illustrate how tremendously damaging the products excreted by fungi can be in the long term. PBs+CP formulation was the only one capable of preventing long term acidification, loss of folding endurance, and discoloration caused by fungal metabolites, but on the other hand, on plain samples, this formulation caused paper discoloration. CLT+NPs formulation significantly prevented the acidification and loss of folding endurance, although causing a minor discoloration on paper at a long term. 70%EtOH had a mild positive impact in the chemical stabilization of paper and did not cause any paper discoloration. The information provided in this thesis contributes to a deeper understanding on safer options for preventing and treating paper deterioration by fungi and opens the way for further research in this challenging field of heritage conservation.

Health diseases have a vital significance affecting human being's life and life quality. Sudden death events can be prevented owing to early diagnosis and treatment methods. Electrical signals, taken from the human being's body using non-invasive methods and showing the heart activity is called Electrocardiogram (ECG). The ECG signal is used for following daily activity of the heart by clinicians. Heart Rate Variability (HRV) is a physiological parameter giving the variation between the heart beats. ECG data taken from MITBIH Arrhythmia Database is used in the model employed in this study. The detection of arrhythmic heart beats is aimed utilizing the features extracted from the HRV time domain parameters. The developed model provides a satisfactory performance with ~89% accuracy, 91.7 % sensitivity and 85% specificity rates for the detection of arrhythmic beats.

Obesity is common and related to many health problems including various forms of cancer. The condition arises from the imbalance between food intake and energy expenditure, and is strongly influenced by genetic factors. Weight loss has several health benefits, but for many of the obesity-related diseases such as cancer, the impact of obesity treatment is not clarified. Unfortunately, weight loss is in most cases difficult to sustain, and obesity treatment today is insufficient. The adipose tissue and the gastrointestinal tract play active roles in the regulation of whole-body energy balance, and therapeutic targets for the treatment of obesity may be found within these sites. Also, these organs may be responsible for mediating some of the adverse effects of obesity. Special attention has been drawn to visceral adipose tissue, i.e. the fat surrounding the intestines, as being particularly harmful. The aim of this thesis was to increase our understanding of the mechanisms behind human obesity and the consequences of obesity treatment. We used population-based cross-sectional studies, as well as longitudinal intervention studies with short- and long-term weight loss. CIDEA and CIDEC are two genes with putative functions in adipose tissue, and we therefore studied their transcriptional regulation in relation to energy balance and body composition as an attempt to elucidate their role in human obesity. The genes were predominantly expressed in adipose tissue as compared to other human tissues, both CIDEA and CIDEC gene transcription were highly responsive to changes in energy availability, and CIDEA correlated with body fat and insulin levels. CIDEA expression also correlated with basal metabolic rate and uncoupling protein 1, suggesting a role in the regulation of energy expenditure. In gene silencing experiments in cultured adipocytes, we showed that CIDEC is involved in the regulation of basal as well as stimulated lipolysis, and mitochondrial fatty acid oxidation. Together, our results support a role of CIDEC and CIDEA in human obesity. There are indications that impaired intestinal barrier with increased passage of gut-derived antigens may drive visceral adipose tissue accumulation, and we therefore investigated if increased intestinal permeability is associated with visceral obesity in humans. Study subjects were recruited from a population-based cohort of Swedish women. Intestinal permeability was assessed using the urinary excretion of orally ingested sucralose and mannitol. We used computed tomography to measure visceral and liver fat. Intestinal permeability of the large intestine correlated with visceral fat area (P=0.0003) and liver fat content (P=0.004). The results indicate that gut leakiness should be further explored as a possible cause of visceral fat accumulation. The Swedish Obese Subjects (SOS) study in combination with the Swedish National Cancer Register makes it possible to, for the first time, study the effects of bariatric surgery on cancer incidence in a prospective, controlled study setting. The SOS study started in 1987 and involves severely obese subjects, 2010 of which underwent bariatric surgery, and 2037 contemporaneously matched obese controls who received conventional treatment. Bariatric surgery resulted in a sustained weight reduction, whereas the average weight change in the control group was minimal. In women, the number of first-time cancers during on average 11 years after inclusion was lower in the surgery group compared to the control group (HR= 0.58, 95% CI: 0.44-0.77, p<0.001). In men, we could not detect any difference between treatment groups (HR=0.97, p=0.91). In summary, the results of this thesis suggest that the CIDEA and CIDEC genes play a role in obesity, impaired intestinal barrier function contributes to visceral fat accumulation, and bariatric surgery reduces the risk of developing cancer in severely obese women.

We have used NMR spectroscopy to test the direct in vitro effects of ethanol and its metabolite acetaldehyde on a human leukemic T cell line (Molt-4) and normal murine spleen cells. The metabolic status of phosphate metabolites (phosphomonoesters including sugar phosphate, inorganic phosphate and ATP's) in cell suspension was monitored by 31P NMR spectroscopy. Spectral changes were observed in the intensity of inorganic phosphate and ATP. Addition of high concentrations of ethanol (400-1600 mM) to Molt-4 cells resulted in very little spectral change. However, the addition of 40 microM acetaldehyde resulted in substantially increased inorganic phosphate (Pi) signals, and decreased phosphomonoesters and ATP signals. Similar changes, but to a lesser degree, were observed with normal mouse spleen cells.

Effects of intravenous cimetidine, ranitidine and intragastric prostaglandin E1 (alprostadil) treatments on the transmucosal potential difference (PD) of the stomach were compared. It was also investigated whether the above-mentioned drugs influenced the decrease of PD which followed both intragastric administration of 30% alcohol or Ca++ solution in 5 Mm final concentration and intravenous administration of pentagastrin. Both cimetidine and ranitidine treatments led to significant (p < 0.05) increase of PD, the effect of ranitidine was dose dependent. Prostaglandin E1 in a dose of 40 micrograms/kg led to significant decrease of PD (< 0.05). Both intragastric administration of prostaglandin E1 in a dose of 40 micrograms/kg and intravenous administration of ranitidine in a dose of 10 mg/kg significantly diminish the effect of Ca++ and alcohol to decrease PD. Neither prostaglandin E1, nor ranitidine pretreatment had any effect on the rapid and highly significant (p < 0.01) decrease of PD following i.v. pentagastrin administration. It is hypothesized that transmucosal PD of the stomach provides information not only on the actual condition of the mucosal barrier but on the electrophysiology of gastric secretion as well.