Gramfuttrup4988
Identification of MIB(2-methylisoborneol)-producing cyanobacteria in source water has been a big challenge for reservoir authorities because it normally requires isolation of cyanobacteria strains. Here, a protocol based on Pearson's product moment correlation analysis combined with standardized data treatment and expert judgement was developed to sort out the MIB producer(s), mainly based on routine monitoring data from an estuary drinking water reservoir in the Yangtze River, China, and a risk model using quantile regressions was established to evaluate the risk of MIB occurrences. This reservoir has suffered from MIB problems in summer since 2011. Among 323 phytoplankton species, Planktothrix was judged to be the MIB producer in this reservoir because it exhibited the highest correlation coefficient (R = 0.60) as well as the lowest false positive-ratio (FP% = 0) and false-negative rate (FN% = 14). The low false-positive rate is particularly important, since MIB should not detected without detection of the producer. A high light extinction coefficient (k=5.57±2.48 m-1) attributed to high turbidity loading in the river water lowered the subsurface water light intensity, which could protect the low irradiance Planktothrix from excessive solar radiation, and allow them to grow throughout the summer. The risk model shows that the probability of suffering unacceptable MIB concentrations (>15 ng L-1) in water is as high as 90% if the cell density of Planktothrix is >609.0 cell mL-1, while the risk will be significantly reduced to 50% and 10% at cell densities of 37.5 cell mL-1 and 9.6 cell mL-1, respectively. The approach developed in this study, including the protocol for identification of potential producers and the risk model, could provide a reference case for the management of source water suffering from MIB problems using routine monitoring data.
Thyroid hormones (THs) play an important role in both serum uric acid (SUA) excretion and purine nucleotide metabolism. Past research mainly focused on the relationships between thyroid dysfunction and hyperuricemia. Although most subjects at risk for hyperuricemia are euthyroid, few studies have investigated the predictive values of THs on incident hyperuricemia in euthyroid adults. This study aimed to examine how free triiodothyronine, thyroxine, and thyroid-stimulating hormone are related to incident hyperuricemia in euthyroid subjects.
Participants without baseline hyperuricemia were recruited from Tianjin Chronic Low-grade Systemic Inflammation and Health Cohort Study and followed up for ∼6 years. Thyroid function was determined by chemiluminescence immunoassay methods. Hyperuricemia was defined as SUA ≥416.5 μmol/L for males and ≥357.0 μmol/L for females. Thyroid function and SUA were assessed yearly during follow-up. Adjusted Cox proportional hazards regression models were used to assess the relationship between thyroid function and hyperuricemia.
The incidence rates of hyperuricemia were 109 and 50 per 1000 person-years in males and females, respectively. In males, compared with the lowest quartile, the multivariable-adjusted hazards ratios for hyperuricemia in the highest quartiles of triiodothyronine, thyroxine, and thyroid-stimulating hormone were 0.57 (0.50-0.66), 0.63 (0.54-0.73), and 1.03 (0.90-1.19) (P for trend < .0001, < .0001, and .51), respectively. However, no statistically significant correlations between thyroid function and incident hyperuricemia in females were found.
This cohort study is the first to demonstrate that higher THs are related to lower risk of incident hyperuricemia in a male population with euthyroid status.
This cohort study is the first to demonstrate that higher THs are related to lower risk of incident hyperuricemia in a male population with euthyroid status.
Musculoskeletal cone-beam CT (CBCT) recently appeared on the market, with image quality comparable to that of high-resolution CT. It was previously implemented mainly in craniofacial surgery and in orthopedic limb surgery for weight-bearing imaging, but without large-scale assessment in emergency settings. We therefore conducted a retrospective comparative study in an emergency radiology department 1) to assess whether introduction of CBCT dedicated to extremity traumatology reduced radiation dose delivered to the patient undergoing cross-sectional imaging, 2) to assess whether it increased turnover, and 3) to study the feasibility and practical consequences. Study hypothesis Introducing CBCT dedicated to traumatology in an emergency radiology department reduces radiation dose related to cross-sectional imaging in extremity trauma.
Two periods were distinguished in May-November 2016, the only cross-sectional imaging available in our emergency radiology department was multi-detector CT (MDCT); in May-Novem radiology department was feasible. It reduced overall radiation dose and accelerated turnover.
III; comparative case-control study.
III; comparative case-control study.
The impact of surgery on the patient is classically assessed on pre- and post-treatment scores. However, it is increasingly recommended to rank these results according to the minimal clinically important difference (MCID), using either the data distribution method or the anchor method, latter consisting in an extra question specifically targeting the patient's improvement. FRAX597 MCIDs vary between populations and, to the best of our knowledge; there have been no investigations in France regarding this in the context of total hip replacement (THR). Therefore, we conducted a prospective study in a population with THR to determine 1) whether MCID scores in France were comparable to those reported in the data from the international literature; 2) whether a general item taken from a different score could serve as an anchor; and 3) whether an item from the actual questionnaire itself could serve as an anchor.
When pre- and post-treatment scores are available, an item from the questionnaire itself can serve as an anchion 1 and HOOS question Q4), 3 to 5 patients showed deterioration, 5 to 6 were unchanged, 30 to 40 were slightly improved, and 73 to 80 were improved by THR. The mean MCID on both distribution and anchor methods was 9 [5.5-12] for Oxford-12, 20 [12-27] for HOOS symptoms, 26 [10-36] for HOOS pain, 22 [11.5-28] for HOOS function, 26 [13-34] for HOOS sport and 22 [14-28] for HOOS quality of life.
The MCID for the Oxford-12 and HOOS scores in a French population was comparable to data from the past literature. Using a score item as an anchor to define improvement is possible, but only if a general item is used.
IV; prospective study without control group.
NCT04057651.
NCT04057651.