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90-62.74%). The difference between the two groups was 5.65% with a 95% CI of - 2.48 to 13.74. ACR50 response was 37.12% for GB242 and 32.86% for INF at week 30. ACR70 response was 19.79% for GB242 and 16.96% for INF at week 30, respectively. The incidence of treatment-emergent adverse events was comparable (77.4% in GB242 vs. 80.2% in INF) and detection of antidrug antibodies (ADA) to infliximab up to week 30 (60.8% in GB242 vs. 59.4% in INF) was comparable.
GB242 demonstrated equivalent efficacy to INF at week 30. Moreover, GB242 was well tolerated, with a similar immunogenicity and safety profile comparable to INF.
GB242 demonstrated equivalent efficacy to INF at week 30. Moreover, GB242 was well tolerated, with a similar immunogenicity and safety profile comparable to INF.Facial masks have become and may remain ubiquitous. Though important for preventing infection, they may also serve as a reminder of the risks of disease. Thus, they may either act as cues for threat, priming avoidance-related behavior, or as cues for a safe interaction, priming social approach. To distinguish between these possibilities, we assessed implicit and explicit evaluations of masked individuals as well as avoidance bias toward relatively unsafe interactions with unmasked individuals in an approach-avoidance task in an online study. We further assessed Covid19 anxiety and specific attitudes toward mask-wearing, including mask effectiveness and desirability, hindrance of communication from masks, aesthetic appeal of masks, and mask-related worrying. Across one sample of younger (18-35 years, N = 147) and one of older adults (60+ years, N = 150), we found neither an average approach nor avoidance bias toward mask-wearing compared to unmasked individuals in the indirect behavior measurement task. However, across the combined sample, self-reported mask-related worrying correlated with reduced avoidance tendencies toward unmasked individuals when Covid19 anxiety was low, but not when it was high. This relationship was specific to avoidance tendencies and was not observed in respect to explicit or implicit preference for mask-wearing individuals. We conclude that unsafe interaction styles may be reduced by targeting mask-related worrying with public interventions, in particular for populations that otherwise have low generalized Covid19 anxiety.Air pollution is a crucial risk factor for respiratory infection. However, the relationships between air pollution and respiratory infection based on pathogen detection are scarcely explored in the available literature. We detected respiratory infections through patient-based bacterial culture in sputum, obtained hourly data of all six pollutants (PM2.5, PM10, SO2, NO, CO, and O3) from four air quality monitoring stations, and assessed the relationships of air pollutants and respiratory bacterial infection and multi-drug-resistant bacteria. Air pollution remains a challenge for Mianyang, China, especially PM2.5 and PM10, and there are seasonal differences; pollution is the heaviest in winter and the lowest in summer. A total of 4237 pathogenic bacteria were detected, and the positive rate of multi-drug-resistant bacteria was 0.38%. Similar seasonal differences were found with respect to respiratory infection. In a single-pollutant model, all pollutants were significantly associated with respiratory bacterial infection, but only O3 was significantly associated with multi-drug-resistant bacteria. In multi-pollutant models (adjusted for one pollutant), the relationships of air pollutants with respiratory bacterial infection remained significant, while PM2.5, PM10, and O3 were significantly associated with the risk of infection with multi-drug-resistant bacteria. When adjusted for other five pollutants, only O3 was significantly associated with respiratory bacterial infection and the risk of infection with multi-drug-resistant bacteria, showing that O3 is an independent risk factor for respiratory bacterial infection and infection with multi-drug-resistant bacteria. In summary, this study highlights the adverse effects of air pollution on respiratory infection and the risk of infection with multi-drug-resistant bacteria, which may provide a basis for the formulation of environmental policy to prevent respiratory infections.This study is the first attempt to assess the presence of 16 priority polycyclic aromatic hydrocarbons (PAHs) enlisted by the US Environmental Protection Agency in PM2.5 and PM10 from industrial areas of Odisha State, India. During 2017-2018, bimonthly sampling of PM10 and PM2.5 was carried out for 24 h in the industrial and mining areas of Jharsuguda and Angul in Odisha during the pre-monsoon, monsoon, and post monsoon seasons. Highest mean concentration of ∑16PAHs in PM2.5 was observed during the post monsoon (170 ng/m3) period followed by pre-monsoon (48 ng/m3) and monsoon (16 ng/m 3) periods, respectively. A similar trend of ∑16PAHs was also observed in PM10 with higher levels observed during post monsoon (286 ng/m3) followed by pre-monsoon (81 ng/m3) and monsoon (27 ng/m3) seasons. Diagnostic ratios and principal component analysis suggested diesel, gasoline and coal combustion as the major contributors of atmospheric PAH pollution in Odisha. Back trajectory analysis revealed that PAH concentration was affected majorly by air masses originating from the northwest direction traversing through central India. Toxic equivalents ranged between 0.24 and 94.13 ng TEQ/m3. In our study, the incremental lifetime cancer risk ranged between 10-5 and 10-3, representing potential cancer risk.The health catastrophe originated by COVID-19 pandemic construed profound impact on a global scale. However, a plethora of research studies corroborated convincing evidence conferring severity of infection of SARS-CoV-2 with the aberrant gut microbiome that strongly speculated its importance for development of novel therapeutic modalities. The intense exploration of probiotics has been envisaged to promote the healthy growth of the host, and restore intestinal microecological balance through various metabolic and physiological processes. The demystifying effect of probiotics cannot be defied, but there exists a strong skepticism related to their safety and efficacy. Therefore, molecular signature of probiotics termed as "postbiotics" are of paramount importance and there is continuous surge of utilizing postbiotics for enhancing health benefits, but little is explicit about their antiviral effects. Therefore, it is worth considering their prospective role in post-COVID regime that pave the way for exploring the pastoral vistas of postbiotics. Based on previous research investigations, the present article advocates prospective role of postbiotics in alleviating the health burden of viral infections, especially SARS-CoV-2. The article also posits current challenges and proposes a futuristic model describing the concept of "precision postbiotics" for effective therapeutic and preventive interventions that can be used for management of this deadly disease.While there are enormous studies on climate change in stable countries, climate policy perspectives from conflict-prone regions including Somalia are limited. It is noteworthy that environmental degradation is an alarming issue that fuels the vulnerability of Somalia to climate change. To this end, this study investigates the asymmetric impact of energy and economic growth on environmental degradation in Somalia-by employing nonlinear autoregressive distributed lag model (NARDL) and causal techniques from 1985 to 2017. We find asymmetric long-term cointegration among the variables, whereas energy consumption and economic growth asymmetrically affect environmental degradation. Besides, the causal inferences reveal unidirectional causality from environmental pollution to positive change in energy consumption. Additionally, a bidirectional causality is observed between population growth and negative change in economic growth. A unidirectional causality is confirmed from positive shock in economic growth to population growth-from a negative change in economic growth to negative shock in energy consumption-from positive change in economic growth to positive shock in energy consumption-and from a negative change in energy consumption to population growth. This calls for the implementation of clean energy investment and modern environmental strategies including good farming methods and improved grazing land policies. The adoption of these policies will improve both environmental quality and sustained economic development.Microplastics (MPs) released into aquatic environment interact with other pollutants that already exist in water, potentially altering their toxicity, which poses a new problem for aquatic ecosystems. In the present study, we first evaluated the effects of polystyrene MPs (mPS) on copper (Cu) toxicity to the protozoan Euglena gracilis using three methods based on 96-h acute toxicity, orthogonal test and 12-d sub-acute toxicity data. Thereafter, the 12-d sub-acute exposure was employed to investigate protozoan growth, photosynthetic parameters and pigments, soluble protein, total antioxidant capacity and trace metal accumulation in E. gracilis after exposure to either 1.5 mg/L of Cu, 75-nm mPS (1 and 5 mg/L) or a combination therein, with the objective to understand the underlined mechanisms. The results show that the concentration and exposure time are key factors influencing the effects of the mPS on Cu toxicity. A mPS concentration of 5 mg/L caused significantly more dissipation energy, which is used for photosynthesis and thus decreased photosynthetic efficiency, but this effect weakened after 12 d of exposure. Exposure to Cu alone resulted in significantly high Cu accumulation in the cells and inhibited uptake of manganese and zinc. The presence of mPS did not influence the effects of Cu on trace metal accumulation. Our result suggests that application of multiple methods and indices could provide more information for a comprehensive understanding of the effects of mPS on toxicity of other pollutants. In addition, long-term exposure seems necessary for evaluating mPS toxicity.Noise has been reported as one of the most important risk factors for asthma, but there are some disagreements. This study aimed to investigate the effect of road noise on asthma prevalence in adults. In the current study, 3172 adults were interviewed through the ECRHS standardized questionnaire in Tehran, the capital of Iran. Exposure to road noise was assessed considering distance of individual participants from the noise monitoring stations via the spatial analysis in GIS software. Logistic regression was used to assess the effect of noise on the symptoms of asthma. Findings showed a significant positive association between wheezing with dyspnea as the best marker for asthma and noise levels at daytime (OR 1.03; 0.98-1.05) and nighttime (OR 1.05; 0.84-1.09). Also, a significant positive association was obtained between daytime and nighttime noise levels and other asthma symptoms including wheezing, nocturnal chest tightness, nocturnal dyspnea, wheezing without cold, nocturnal cough, and asthma medication. Association between current asthma and noise level was not significant.