A time-stratified, case-crossover study of heat exposure and perinatal mortality from 16 hospitals in sub-Saharan Africa.

Growing evidence suggests that extreme heat events affect both pregnant women and their infants, but few studies are available from sub-Saharan Africa. Using data from 138,015 singleton births in 16 hospitals in Benin, Malawi, Tanzania and Uganda, we investigated the association between extreme heat and early perinatal deaths, including antepartum and intrapartum stillbirths, and deaths within 24 h after birth using a time-stratified case-crossover design. We observed an association between an increase from the 75th to the 99th percentile in mean temperature 1 week (lag 0-6 d) before childbirth and perinatal mortality (odds ratio (OR) = 1.34 (95% confidence interval (CI) 1.01-1.78)). The estimates for stillbirths were similarly positive, but CIs included unity: OR = 1.29 (95% CI 0.95-1.77) for all stillbirths, OR = 1.18 (95% CI 0.71-1.95) for antepartum stillbirths and OR = 1.64 (95% CI 0.74-3.63) for intrapartum stillbirths. The cumulative exposure-response curve suggested that the steepest slopes for heat for intrapartum stillbirths and associations were stronger during the hottest seasons. We conclude that short-term heat exposure may increase mortality risks, particularly for intrapartum stillbirths, raising the importance of improved intrapartum care

Glatiramer acetate reduces the risk for experimental cerebral malaria: a pilot study

<p>Abstract</p> <p>Background</p> <p>Cerebral malaria (CM) is associated with high mortality and morbidity caused by a high rate of transient or persistent neurological sequelae. Studies on immunomodulatory and neuroprotective drugs as ancillary treatment in murine CM indicate promising potential. The current study was conducted to evaluate the efficacy of glatiramer acetate (GA), an immunomodulatory drug approved for the treatment of relapsing remitting multiple sclerosis, in preventing the death of C57Bl/6J mice infected with <it>Plasmodium berghei </it>ANKA.</p> <p>Methods and Results</p> <p>GA treatment led to a statistically significant lower risk for developing CM (57.7% versus 84.6%) in treated animals. The drug had no effect on the course of parasitaemia. The mechanism of action seems to be an immunomodulatory effect since lower IFN-gamma levels were observed in treated animals in the early course of the disease (day 4 post-infection) which also led to a lower number of brain sequestered leukocytes in treated animals. No direct neuro-protective effect such as an inhibition of apoptosis or reduction of micro-bleedings in the brain was found.</p> <p>Conclusion</p> <p>These findings support the important role of the host immune response in the pathophysiology of murine CM and might lead to the development of new adjunctive treatment strategies.</p

Adding Rare Earth Oxide Markers to Polyoxymethylene to Improve Plastic Recycling through Tracer-Based Sorting

Engineering plastics, such as polyoxymethylene (POM), are high-performance thermoplastics designed to withstand high temperature or mechanical stress and are used in electronic equipment, the automotive industry, construction, or specific household utensils. POM is immiscible with other plastics but due to a low volume of production, no methods were developed to separate it from the residual plastic waste stream. Therefore, POM recycling is minimal despite its high market value. This paper provides a proof of concept for tracer-based sorting (TBS) as a potential solution for increasing the separation efficiency of low-volume, high-quality polymers. For this purpose, yttrium oxide (Y2O3) and cerium (IV) oxide (CeO2) have been embedded into the POM matrix. Mechanical tests of samples at varying concentrations (0.1 to 1000 ppm) of both tracers were conducted, followed by an analysis of detectability and dispersibility using a portable X-ray fluorescence spectrometer (p-XRF), subsequently optimizing detection time and tracer concentration. Finally, an experimental scenario was developed to test the fate and potential recovery of the tracer material after the thermal treatment of plastics. A low detectable concentration, short measurement time, low influence on mechanical parameters of the compound, and low loss ratio after simulated recycling prove Y2O3 to be a suitable tracer for the industrial implementation of TBS

Doping Method Determines Para- or Superparamagnetic Properties of Photostable and Surface-Modifiable Quantum Dots for Multimodal Bioimaging

Semiconductor quantum dots (QDs) are widely used for optical applications and bioimaging. In comparison to organic dyes used for fluorescent labeling, QDs exhibit very high photostability and can be further surface modified. Equipping QDs with magnetic properties (mQDs) makes it possible to combine fluorescence and magnetic resonance imaging analyses. For this purpose, we have prepared water-dispersible and magnetic CdTe/ZnS mQDs, whereby ferrous ions are selectively incorporated in either their cores or their shells. This study aims at understanding the differences in optical, structural, and magnetic properties between these core- and shell-doped mQDs. Field-dependent isothermal magnetic susceptibility measurements show that shell-doped mQDs exhibit paramagnetic and their core-doped equivalents superparamagnetic behavior near room temperature. Shell doping results in about 1.7 times higher photoluminescence quantum yields and 1.4 times higher doping efficiency than core doping. X-ray diffraction patterns reveal that core doping leads to defects in the lattice and hence to a severe decrease in crystallinity, whereas shell doping has no significant impact on the crystal structure and consequently fewer disadvantages regarding the mQD's quantum yield. These selective doping approaches, particularly shell doping, allow for the tailored design of paramagnetic QDs having modifiable and biocompatible particle surfaces. The organic ligands--in this study N-acetyl-L-cysteine--sufficiently prevent leakage of toxic metal ions, as shown by cytotoxicity assays with HepG2 cells. Confocal laser scanning microscopy shows that mQDs are internalized by these cells and accumulated near their nuclei. This study shows that biocompatible, fluorescent, and paramagnetic QDs are promising photostable labels for multimodal bioimaging

Heat exposure and perinatal mortality: A time- stratied, case-crossover study from 16 hospitals in Benin, Malawi, Tanzania and Uganda

Extreme heat events affect both pregnant women and their infants. We applied a time-stratied case- crossover design including 124,819 singleton births in a prospective observational study in 16 hospitals in Benin, Malawi, Tanzania, and Uganda to investigate the association between extreme heat and timing of perinatal death. We observed weak associations between heat exposure and perinatal mortality with an odds ratio of 1.22 (95%CI 0.85-1.73) for stillbirths; 1.10 (95%CI 0.51-2.34) for antepartum and 1.54 (95%CI 0.63-3.73) for intrapartum stillbirths; and 1.17 (95%CI 0.84-2.61) for perinatal deaths with an increase from 75th to 99th percentile in mean temperature one week (lag 0-6 days) before childbirth. The cumulative exposure- response curve suggested the steepest slope for heat was in intrapartum stillbirths, and stronger associations during the hottest seasons. We conclude that higher temperatures may have short-term effects on mortality risks, particularly for intrapartum stillbirths, raising the importance of improved intrapartum care