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Enhancing SARS-CoV-2 Lineage Surveillance through the Integration of a Simple and Direct qPCR-Based Protocol Adaptation with Established Machine Learning Algorithms. 通过将基于 qPCR 的简单直接方案调整与成熟的机器学习算法相结合,加强 SARS-CoV-2 世系监测。
IF 5.3 2区 材料科学 Q2 MATERIALS SCIENCE, MULTIDISCIPLINARY Pub Date : 2024-11-19 Epub Date: 2024-11-04 DOI: 10.1021/acs.analchem.4c04492
Cleber Furtado Aksenen, Debora Maria Almeida Ferreira, Pedro Miguel Carneiro Jeronimo, Thais de Oliveira Costa, Ticiane Cavalcante de Souza, Bruna Maria Nepomuceno Sousa Lino, Allysson Allan de Farias, Fabio Miyajima

Emerging and evolving Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) lineages, adapted to changing epidemiological conditions, present unprecedented challenges to global public health systems. Here, we introduce an adapted analytical approach that complements genomic sequencing, applying a cost-effective quantitative polymerase chain reaction (qPCR)-based assay. Viral RNA samples from SARS-CoV-2 positive cases detected by diagnostic laboratories or public health network units in Ceará, Brazil, were tracked for genomic surveillance and analyzed by using paired-end sequencing combined with integrative genomic analysis. Validation of a key structural variation was conducted with gel electrophoresis for the presence of a specific open reading frame 7a(ORF7a) gene deletion within the "BE.9" lineages tracked. The analytical innovation of our method is the optimization of a simple intercalating dye-based qPCR assay through repositioning primers from the ARTIC v4.1 amplicon panel to detect large molecular patterns. This assay distinguishes between "BE.9" and "non-BE.9" lineages, particularly BQ.1, without the need for expensive probes or sequencing. The protocol was validated against lineage predictions from next-generation sequencing (NGS) using 525 paired samples, achieving 93.3% sensitivity, 95.1% specificity, and 92.4% agreement, as measured by Cohen's Kappa coefficient. Machine learning (ML) models were trained using the melting curves from intercalating dye-based qPCR of 1724 samples, enabling highly accurate lineage assignment. Among them, the support vector machine (SVM) model had the best performance and after fine-tuning showed ∼96.52% (333/345) accuracy in comparison to the test data set. Our integrated approach provides an adapted analytical method that is both cost-effective and scalable, suitable for rapid assessment of emerging variants, especially in resource-limited settings. In this work, the protocol is applied to improve the monitoring of SARS-CoV-2 sublineages but can be extended to track any key molecular signature, including large insertions and deletions (indels) commonly observed in pathogenic agent subtypes. By offering a complement to traditional sequencing methods and utilizing easily trainable machine learning algorithms, our methodology contributes to enhanced molecular surveillance strategies and supports global efforts in pandemic control.

新出现和不断演变的严重急性呼吸系统综合征冠状病毒 2(SARS-CoV-2)病毒系适应了不断变化的流行病学条件,给全球公共卫生系统带来了前所未有的挑战。在这里,我们介绍了一种经过调整的分析方法,它是对基因组测序的补充,应用了一种基于定量聚合酶链反应(qPCR)的经济有效的检测方法。我们对巴西塞阿拉州诊断实验室或公共卫生网络单位检测到的 SARS-CoV-2 阳性病例的病毒 RNA 样本进行了基因组监测跟踪,并使用成对端测序结合综合基因组分析进行了分析。通过凝胶电泳验证了在所追踪的 "BE.9 "系中是否存在特定开放阅读框 7a(ORF7a)基因缺失的关键结构变异。我们的方法在分析上的创新之处在于,通过重新定位 ARTIC v4.1 扩增片段面板上的引物,优化了一种基于插层染料的简单 qPCR 检测方法,以检测大分子模式。这种检测方法可区分 "BE.9 "和 "非 BE.9 "血系,尤其是 BQ.1,而无需昂贵的探针或测序。根据科恩卡帕系数(Cohen's Kappa coefficient)的测量结果,该方法的灵敏度为 93.3%,特异性为 95.1%,一致性为 92.4%。利用基于插层染料的 qPCR 对 1724 个样本的熔解曲线训练了机器学习(ML)模型,从而实现了高精度的血缘分配。其中,支持向量机(SVM)模型性能最佳,经过微调后,与测试数据集相比,准确率达到 96.52%(333/345)。我们的综合方法提供了一种既经济又可扩展的分析方法,适用于快速评估新出现的变异体,尤其是在资源有限的环境中。在这项工作中,该方案被用于改进对 SARS-CoV-2 亚系的监测,但也可扩展用于追踪任何关键的分子特征,包括在致病剂亚型中常见的大插入和缺失(indels)。通过对传统测序方法的补充和利用易于训练的机器学习算法,我们的方法有助于加强分子监测战略,支持全球大流行病控制工作。
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引用次数: 0
Fully Integrated Microfluidic Digital Chip for Simple and Highly Quantitative Detection of Norovirus. 用于简单、高定量检测诺罗病毒的全集成微流控数字芯片
IF 5.3 2区 材料科学 Q2 MATERIALS SCIENCE, MULTIDISCIPLINARY Pub Date : 2024-11-19 Epub Date: 2024-11-05 DOI: 10.1021/acs.analchem.4c03152
Li Liu, Tom Kasputis, Juhong Chen, Matthew D Moore, Ke Du

The prevalence of foodborne illnesses is a significant global concern, resulting in numerous illnesses, deaths, and substantial economic losses annually. Traditional detection methods for foodborne pathogens are often slow, limited, and impractical for field use, underscoring the need for rapid, sensitive, and portable assays. Microfluidic technology has emerged as a promising solution for sample preparation, reaction, and detection on a small scale. Our study introduces a novel microfluidic digital loop-mediated isothermal amplification (LAMP) assay platform, which employs digital microfluidic chips for absolute quantitative analysis of nucleic acids. This portable chip utilizes LAMP technology to achieve ultrasensitive detection of target nucleic acids within 30 min and reduces the detection limit to 1 fM without the need for complex instrumentation. By digitizing amplification signals directly from the target sample, our platform offers simplicity, affordability, portability, and quantitative molecular readouts. This innovation represents a crucial step toward the on-site detection of foodborne pathogens, thereby enhancing food safety and mitigating disease outbreaks.

食源性疾病的流行是全球关注的一个重要问题,每年都会导致大量疾病、死亡和重大经济损失。食源性病原体的传统检测方法通常速度慢、局限性大,而且不适合现场使用,因此需要快速、灵敏和便携的检测方法。微流控技术已成为小规模样品制备、反应和检测的理想解决方案。我们的研究介绍了一种新型微流控数字环介导等温扩增(LAMP)检测平台,它采用数字微流控芯片对核酸进行绝对定量分析。这种便携式芯片利用 LAMP 技术在 30 分钟内实现对目标核酸的超灵敏检测,并将检测限降至 1 fM,而无需复杂的仪器。通过直接将目标样本的扩增信号数字化,我们的平台具有简便、经济、便携和定量分子读数的特点。这一创新是现场检测食源性病原体的关键一步,从而提高了食品安全,减少了疾病爆发。
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引用次数: 0
A Novel Cell- and Virus-Free SARS-CoV-2 Neutralizing Antibody ELISA Based on Site-Specific Labeling Technology. 基于位点特异性标记技术的新型无细胞和病毒 SARS-CoV-2 中和抗体 ELISA。
IF 5.3 2区 材料科学 Q2 MATERIALS SCIENCE, MULTIDISCIPLINARY Pub Date : 2024-11-19 Epub Date: 2024-11-07 DOI: 10.1021/acs.analchem.4c03574
Hongliang Liu, Tiantian Liu, Aiping Wang, Chao Liang, Xifang Zhu, Jingming Zhou, Yumei Chen, Yankai Liu, Yanhua Qi, Wenjing Chen, Gaiping Zhang

The emergence of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) led to the global spread of coronavirus disease 2019 (COVID-19), creating an urgent need for updated methods to evaluate immune responses to vaccines and therapeutic strategies. In this study, we introduce a novel cell-free, virus-free SARS-CoV-2 neutralizing antibody ELISA (NAb-ELISA), which is based on competitive inhibition of the receptor binding domain (RBD) of spike protein binding to the angiotensin-converting enzyme 2 (ACE2) receptor. In this method, site-specific biotinylated hACE2-Fc-Avi recombinant protein is immobilized onto a 96-well plate for capture, and the RBD-Fc-vHRP recombinant proteins serve as detection probes. Evaluation of sera from wild type (WT) or Delta RBD-immunized mice using the NAb-ELISA and pseudovirus neutralization tests (pVNTs) demonstrated strong correlations between assays (R2 = 0.91 and 0.90 for the WT and Delta groups, respectively). Additionally, the NAb-ELISA successfully detected cross-neutralizing activity in sera, though with slightly lower correlation to pVNT (R2 = 0.70-0.83). By employing NAb-ELISA instead of an indirect ELISA for hybridoma screening, five monoclonal antibodies (mAbs) with neutralizing activities against WT, Delta, and BA.2 pseudoviruses were obtained. This assay offers a straightforward, rapid, and safe approach to characterizing vaccine-induced antibody responses and mAb neutralization activity. Notably, the NAb-ELISA platform can be quickly adapted to assess neutralizing antibody responses against emerging mutant strains, addressing the rapid mutation of the virus.

严重急性呼吸系统综合征冠状病毒 2(SARS-CoV-2)的出现导致了 2019 年冠状病毒病(COVID-19)的全球蔓延,因此迫切需要更新方法来评估对疫苗和治疗策略的免疫反应。在这项研究中,我们介绍了一种新型的无细胞、无病毒 SARS-CoV-2 中和抗体 ELISA(NAb-ELISA),它是基于竞争性抑制尖峰蛋白的受体结合域(RBD)与血管紧张素转换酶 2(ACE2)受体的结合。在这种方法中,位点特异性生物素化的 hACE2-Fc-Avi 重组蛋白被固定在 96 孔板上进行捕获,RBD-Fc-vHRP 重组蛋白则作为检测探针。使用 NAb-ELISA 和伪病毒中和试验(pVNTs)对野生型(WT)或德尔塔 RBD 免疫小鼠的血清进行评估,结果表明两种检测方法之间有很强的相关性(WT 组和德尔塔组的 R2 分别为 0.91 和 0.90)。此外,NAb-ELISA 还能成功检测血清中的交叉中和活性,但与 pVNT 的相关性略低(R2 = 0.70-0.83)。通过使用 NAb-ELISA 代替间接 ELISA 进行杂交瘤筛选,获得了五种对 WT、Delta 和 BA.2 伪病毒具有中和活性的单克隆抗体(mAbs)。这种检测方法为鉴定疫苗诱导的抗体反应和 mAb 中和活性提供了一种直接、快速和安全的方法。值得注意的是,NAb-ELISA 平台可迅速用于评估针对新出现的变异株的中和抗体反应,以应对病毒的快速变异。
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引用次数: 0
Empirical Modal Decomposition Combined with Deep Learning for Photoacoustic Spectroscopy Detection of Mixture Gas Concentrations. 经验模态分解与深度学习相结合,用于光声光谱学检测混合气体浓度。
IF 5.3 2区 材料科学 Q2 MATERIALS SCIENCE, MULTIDISCIPLINARY Pub Date : 2024-11-19 Epub Date: 2024-11-07 DOI: 10.1021/acs.analchem.4c04479
Zhenfeng Gong, Yeming Fan, Yuchen Guan, Guojie Wu, Liang Mei

In photoacoustic spectroscopy based multicomponent gas analysis, the overlap of the absorption spectra among different gases can affect the measurement accuracy of gas concentrations. We report a multicomponent gas analysis method based on empirical modal decomposition (EMD), convolutional neural networks (CNN), and long short-term memory (LSTM) networks that can extract the exact concentrations of mixed gases from the overlapping wavelength-modulated spectroscopy with second harmonic (WMS-2f) detection. The WMS-2f signals of 25 different concentration combinations of acetylene-ammonia mixtures are detected using a single distributed feedback laser (DFB) at 1531.5 nm. The acetylene concentrations range from 2.5 to 7.5 ppm and the ammonia concentrations from 12.5 to 37.5 ppm. The data set is enhanced by cyclic shifting and adding Gaussian noise. The classification accuracy of the test set reaches 99.89% after tuning. The mean absolute errors of the five additional sets of data measured under different conditions are 0.092 ppm for acetylene and 1.902 ppm for ammonia, within the above concentration ranges.

在基于光声光谱的多组分气体分析中,不同气体之间吸收光谱的重叠会影响气体浓度的测量精度。我们报告了一种基于经验模态分解(EMD)、卷积神经网络(CNN)和长短期记忆(LSTM)网络的多组分气体分析方法,该方法可以从重叠波长调制光谱二次谐波(WMS-2f)检测中提取混合气体的准确浓度。利用波长为 1531.5 nm 的单个分布式反馈激光器 (DFB) 检测了 25 种不同浓度组合的乙炔-氨气混合物的 WMS-2f 信号。乙炔浓度范围为 2.5 至 7.5 ppm,氨浓度范围为 12.5 至 37.5 ppm。数据集通过循环移动和添加高斯噪声得到增强。经过调整后,测试集的分类准确率达到 99.89%。在上述浓度范围内,在不同条件下测量的另外五组数据的平均绝对误差分别为乙炔 0.092 ppm 和氨 1.902 ppm。
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引用次数: 0
DNA Conformation-Regulated Hemin Switch for Lab-on-Chip Chemiluminescent Detection of an Antibody Secreted from Hybridoma Cells. DNA 构象调控血红素开关用于片上实验室化学发光检测杂交瘤细胞分泌的抗体。
IF 5.3 2区 材料科学 Q2 MATERIALS SCIENCE, MULTIDISCIPLINARY Pub Date : 2024-11-19 Epub Date: 2024-11-06 DOI: 10.1021/acs.analchem.4c04122
Hang Ao, Wencheng Xiao, Wenrui Hu, Jie Wu, Huangxian Ju

This work designed a DNA conformation-regulated hemin switch for rapid chemiluminescent (CL) detection of a monoclonal antibodies. This switch was performed with an affinity probe and an inhibition probe, which were conveniently prepared by hybridizing hemin-labeled DNA1 with KHL peptide-labeled DNA2 and binding biotin-labeled DNA3 to streptavidin, respectively. In the absence of the target antibody, streptavidin-DNA3 could hybridize with hemin-DNA1/KHL-DNA2 to release KHL-DNA2, which led to the loss of hemin activity due to the affinity hindrance of streptavidin-DNA3. After the KHL peptide was recognized by the target antibody, the strand replacement hybridization could be inhibited by the bound antibody, which retained the high catalytic activity of hemin overhung on the antibody-bound affinity probe for a CL reaction, leading to a "signal-on" process for CL antibody detection. Using a KHL-specific antibody, anti-proprotein convertase subtilisin/kexin type 9 antibody (PCSK9-Ab), as a target model and common L012-1,2,4-triazole-H2O2 CL system, the designed switch showed a detection range of 10 ng mL-1 to 1 μg mL-1 with a detection limit of 4.16 ng mL-1 (56.2 pM) and a short analytical time of 6.5 min. The proposed quick method could simply be used for lab-on-chip CL detection of PCSK9-Ab in situ-secreted from PCSK9-6E3 hybridoma cells, which showed an accuracy of 90.2% compared with the statistical results from general fluorescence imaging, providing a potential technique for screening specific hybridoma cells.

这项研究设计了一种 DNA 构象调控hemin开关,用于快速化学发光(CL)检测单克隆抗体。亲和探针和抑制探针分别通过将hemin标记的DNA1与KHL肽标记的DNA2杂交,以及将生物素标记的DNA3与链霉亲和素结合而制备。在没有目标抗体的情况下,链霉亲和素-DNA3可以与hemin-DNA1/KHL-DNA2杂交,释放出KHL-DNA2,由于链霉亲和素-DNA3的亲和性阻碍,导致hemin活性丧失。当 KHL 肽被目标抗体识别后,结合的抗体可以抑制链置换杂交,从而保留了悬浮在抗体结合的亲和探针上的 hemin 的高催化活性,以进行 CL 反应,从而实现了 CL 抗体检测的 "信号开启 "过程。该方法以KHL特异性抗体--抗前列腺素转化酶亚基酶/前列腺素9型抗体(PCSK9-Ab)为靶标模型,采用常见的L012-1,2,4-三唑-H2O2 CL体系,检测范围为10 ng mL-1 至1 μg mL-1,检测限为4.16 ng mL-1 (56.2 pM),分析时间短,仅需6.5 min。所提出的快速方法可简单地用于 PCSK9-6E3 杂交瘤细胞原位分泌 PCSK9-Ab 的实验室芯片 CL 检测,与一般荧光成像的统计结果相比,准确率达 90.2%,为筛选特定的杂交瘤细胞提供了一种潜在的技术。
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引用次数: 0
Scabies: a clinical update. 疥疮:临床更新。
IF 5.3 2区 材料科学 Q2 MATERIALS SCIENCE, MULTIDISCIPLINARY Pub Date : 2024-11-18 Epub Date: 2024-10-25 DOI: 10.5694/mja2.52505
Laxmi Iyengar, Alvin H Chong, Andrew C Steer

Scabies is the most common neglected tropical disease with cutaneous manifestations, disproportionately affecting socially disadvantaged populations living in overcrowded settings. Scabies infestation is characterised by a generalised intractable pruritus, and is often complicated by secondary bacterial infection, which can lead to a range of complications. Scabies is a clinical diagnosis and requires an adequate degree of suspicion. The use of dermoscopy may improve diagnostic accuracy. In Australia, the first-line treatment recommended for scabies is topical permethrin 5% cream, applied to the whole body and repeated in one week. Oral ivermectin is subsidised by the Pharmaceutical Benefits Scheme with streamlined authority for patients who have completed and failed treatment with topical therapy, have a contraindication to topical treatment or have crusted scabies. Early identification and prompt initiation of treatment is key to minimise the disease burden of scabies.

疥疮是最常见的被忽视的热带疾病,以皮肤表现为主,严重影响生活在拥挤环境中的社会弱势群体。疥虫感染的特点是全身性难治性瘙痒,通常会继发细菌感染,从而导致一系列并发症。疥疮是一种临床诊断,需要充分的怀疑。使用皮肤镜可以提高诊断的准确性。在澳大利亚,推荐的疥疮一线治疗方法是外用 5%氯菊酯乳膏,涂抹全身,一周后重复使用。口服伊维菌素由 "药品福利计划"(Pharmaceutical Benefits Scheme)提供补贴,对于已完成局部治疗但治疗失败、有局部治疗禁忌症或疥疮结痂的患者,可简化审批。早期识别和及时开始治疗是将疥疮疾病负担降至最低的关键。
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引用次数: 0
Neuroendocrine contribution to sex-related variations in adverse air pollution health effects. 神经内分泌对空气污染不良健康影响的性别差异的影响。
IF 6.4 2区 材料科学 Q2 MATERIALS SCIENCE, MULTIDISCIPLINARY Pub Date : 2024-11-16 Epub Date: 2024-07-29 DOI: 10.1080/10937404.2024.2383637
Devin I Alewel, Urmila P Kodavanti

Air pollution exposure is ranked as a leading environmental risk factor for not only cardiopulmonary diseases but also for systemic health ailments including diabetes, reproductive abnormalities, and neuropsychiatric disorders, likely mediated by central neural stress mechanisms. Current experimental evidence links many air pollution health outcomes with activation of neuroendocrine sympathetic-adrenal-medullary and hypothalamic-pituitary-adrenal (HPA) stress axes associated with resultant increases in adrenal-derived hormone levels acting as circulating mediators of multi-organ stress reactions. Epidemiological and experimental investigations also demonstrated sex-specific responses to air pollutant inhalation, which may be attributed to hormonal interactions within the stress and reproductive axes. Sex hormones (androgens and estrogens) interact with neuroendocrine functions to influence hypothalamic responses, subsequently augmenting stress-mediated metabolic and immune changes. These neurohormonal interactions may contribute to innate sex-specific responses to inhaled irritants, inducing differing individual susceptibility. The aim of this review was to: (1) examine neuroendocrine co-regulation of the HPA axis by gonadal hormones, (2) provide experimental evidence demonstrating sex-specific respiratory and systemic effects attributed to air pollutant inhalation exposure, and (3) postulate proposed mechanisms of stress and sex hormone interactions during air pollution-related stress.

空气污染不仅是心肺疾病的主要环境风险因素,也是糖尿病、生殖异常和神经精神障碍等全身性疾病的主要环境风险因素,这可能是由中枢神经应激机制介导的。目前的实验证据表明,许多空气污染对健康的影响与神经内分泌交感-肾上腺-髓质和下丘脑-垂体-肾上腺(HPA)应激轴的激活有关,其结果是作为多器官应激反应循环介质的肾上腺衍生激素水平增加。流行病学和实验研究也表明,吸入空气污染物会对不同性别产生不同的反应,这可能归因于压力轴和生殖轴中激素的相互作用。性激素(雄性激素和雌性激素)与神经内分泌功能相互作用,影响下丘脑的反应,进而增强压力介导的新陈代谢和免疫变化。这些神经荷尔蒙的相互作用可能会导致对吸入性刺激物的先天性性别特异性反应,从而诱发不同的个体易感性。本综述旨在:(1) 研究性腺激素对 HPA 轴的神经内分泌共同调节作用;(2) 提供实验证据,证明吸入空气污染物对呼吸系统和全身系统的影响具有性别特异性;(3) 提出与空气污染有关的应激过程中应激和性激素相互作用的拟议机制。
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引用次数: 0
Local and systemic effects of microplastic particles through cell damage, release of chemicals and drugs, dysbiosis, and interference with the absorption of nutrients. 微塑料微粒通过细胞损伤、释放化学物质和药物、菌群失调以及干扰营养物质的吸收,对局部和全身产生影响。
IF 6.4 2区 材料科学 Q2 MATERIALS SCIENCE, MULTIDISCIPLINARY Pub Date : 2024-11-16 Epub Date: 2024-09-26 DOI: 10.1080/10937404.2024.2406192
Eleonore Fröhlich

Microplastic particles (MPs) have been detected in a variety of environmental samples, including soil, water, food, and air. Cellular studies and animal exposures reported that exposure to MPs composed of different polymers might result in adverse effects at the portal of entry (local) or throughout the body (systemic). The most relevant routes of particle uptake into the body are oral and respiratory exposure. This review describes the various processes that may contribute to the adverse effects of MPs. Only MPs up to 5 µm were found to cross epithelial barriers to a significant extent. However, MPs may also exert a detrimental impact on human health by acting at the epithelial barrier and within the lumen of the orogastrointestinal and respiratory tract. The potential for adverse effects on human health resulting from the leaching, sorption, and desorption of chemicals, as well as the impact of MPs on nutritional status and dysbiosis, are reviewed. In vitro models are suggested as a means of (1) assessing permeation, (2) determining adverse effects on cells of the epithelial barrier, (3) examining influence of digestive fluids on leaching, desorption, and particle properties, and (4) role of microbiota-epithelial cell interactions. The contribution of these mechanisms to human health depends upon exposure levels, which unfortunately have been estimated very differently.

在各种环境样本(包括土壤、水、食物和空气)中都检测到了微塑料颗粒(MPs)。细胞研究和动物接触报告显示,接触由不同聚合物组成的微塑料颗粒可能会对进入人体的入口(局部)或全身(全身)造成不良影响。颗粒摄入人体的最相关途径是口腔和呼吸道接触。本综述介绍了可能导致 MPs 负面影响的各种过程。研究发现,只有 5 微米以下的微粒能在很大程度上穿过上皮屏障。不过,MPs 也可能通过作用于上皮屏障以及口腔胃肠道和呼吸道内腔而对人体健康产生不利影响。本文综述了化学品的浸出、吸附和解吸可能对人体健康造成的不利影响,以及多孔质物质对营养状况和菌群失调的影响。建议将体外模型作为以下方面的一种手段:(1) 评估渗透性;(2) 确定对上皮屏障细胞的不利影响;(3) 检查消化液对浸出、解吸和颗粒特性的影响;(4) 微生物群-上皮细胞相互作用的作用。这些机制对人体健康的影响取决于暴露水平,遗憾的是,对暴露水平的估计却大相径庭。
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引用次数: 0
Value tensions and actionable knowledge in grassroots innovation: a study of invitational ambiguity and implementation challenges 基层创新中的价值张力和可操作知识:关于邀请模糊性和实施挑战的研究
IF 7 2区 材料科学 Q2 MATERIALS SCIENCE, MULTIDISCIPLINARY Pub Date : 2024-11-15 DOI: 10.1108/jkm-04-2024-0385
Gabriella Esposito, Paola De Bernardi, Alberto Bertello, Demetris Vrontis

Purpose

This research paper explores how grassroots innovation initiatives address and resolve the challenges of translating broad and inviting values such as sustainability, inclusiveness and aesthetics into practical and actionable structures. This study examines the tensions and difficulties projects face in operationalizing these values, revealing the gap between idealistic goals and real-world implementation. Moreover, this paper analyzes how role expectations and the concept of invitation ambiguity affect top down and bottom up approaches, offering insights for improving mechanisms to support grassroots innovations.

Design/methodology/approach

This study uses an exploratory qualitative methodology with an embedded case study design, focusing on the New European Bauhaus (NEB) and its award-winning projects. Data were collected through online self-assessment surveys, secondary data analysis, and semi-structured interviews with project owners and NEB Unit representatives.

Findings

The findings reveal significant challenges in translating broad and inviting values (sustainability, inclusion and aesthetics) into actionable outcomes for grassroots projects. Key issues include the need for clearer role definitions, tailored support, and adaptability. Conflicts between those values and a mismatch between expectations about stakeholders’ contributions highlight the need for designing more flexible and robust frameworks and robust frameworks.

Originality/value

This research explores the effects of invitational ambiguity within grassroots innovation, revealing how broad values ‐ like sustainability, inclusion and aesthetics ‐ are operationalized in real-world settings. By applying collective action theoretical frameworks to the unique case study of NEB projects, this study provides fresh insights into the dynamics between top-down European policies and bottom-up grassroots practices.

本研究论文探讨了基层创新倡议如何应对和解决将可持续发展、包容性和美学等广泛而诱人的价值观转化为实际可行的结构所面临的挑战。本研究探讨了项目在落实这些价值观时所面临的紧张关系和困难,揭示了理想化目标与实际执行之间的差距。此外,本文还分析了角色期望和邀请模糊性概念如何影响自上而下和自下而上的方法,为改进支持基层创新的机制提供了启示。 设计/方法/途径 本研究采用探索性定性方法和嵌入式案例研究设计,重点关注新欧洲包豪斯(NEB)及其获奖项目。通过在线自我评估调查、二手数据分析以及与项目所有者和新欧洲包豪斯单位代表的半结构式访谈收集了数据。关键问题包括需要更明确的角色定义、有针对性的支持和适应性。这些价值观之间的冲突以及对利益相关者贡献的预期之间的不匹配,凸显了设计更灵活、更稳健的框架和稳健框架的必要性。原创性/价值这项研究探讨了邀请模糊性在草根创新中的影响,揭示了广泛的价值观(如可持续性、包容性和美学)在现实世界环境中的可操作性。通过将集体行动理论框架应用于独特的国家环境局项目案例研究,本研究为自上而下的欧洲政策与自下而上的基层实践之间的动态关系提供了新的见解。
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引用次数: 0
Telemedicine networks for acute stroke: An analysis of global coverage, gaps, and opportunities. 治疗急性中风的远程医疗网络:对全球覆盖范围、差距和机遇的分析。
IF 6.3 2区 材料科学 Q2 MATERIALS SCIENCE, MULTIDISCIPLINARY Pub Date : 2024-11-15 DOI: 10.1177/17474930241298450
Christine Tunkl, Ayush Agarwal, Emily Ramage, Faddi Saleh Velez, Tamer Roushdy, Teresa Ullberg, Linxin Li, Leonardo A Carbonera, Abdul Hanif Khan Yusof Khan, Bogdan Ciopleias, Zhe Kang Law, Aristeidis H Katsanos, Mirjam R Heldner, Maria Khan, Sarah Matuja, Matias J Alet, Javier Lagos-Servellón, Jatinder S Minhas, Susanna M Zuurbier, Maria Giulia Mosconi, Radhika Lotlikar, Ahmed Elkady, Stefan T Gerner, Shirsho Shreyan, Alexandra Krauss, Christoph Gumbinger, Padma Srivastava, Pawel Kiper, Robin Ohannessian, Anne Berberich, Gisele Sampaio Silva, Anna Ranta

Background: Despite the proven efficacy of telestroke in improving clinical outcomes by providing access to specialized expertise and allowing rapid expert hyperacute stroke management and decision-making, detailed operational evidence is scarce, especially for less developed or lower income regions.

Aim: We aimed to map the global telestroke landscape and characterize existing networks.

Methods: We employed a four-tiered approach to comprehensively identify telestroke networks, primarily involving engagement with national stroke experts, stroke societies, and international stroke authorities. A carefully designed questionnaire was then distributed to the leaders of all identified networks to assess these networks' structures, processes, and outcomes.

Results: We identified 254 telestroke networks distributed across 67 countries. High-income countries (HICs) concentrated 175 (69%) of the networks. No evidence of telestroke services was found in 58 (30%) countries. From the identified networks, 88 (34%) completed the survey, being 61 (71%) located in HICs. Network setup was highly heterogeneous, ranging from 17 (22%) networks with more than 20 affiliated hospitals, providing thousands of annual consultations using purpose-built highly specialized technology, to 11 (13%) networks with fewer than 120 consultations annually using generic videoconferencing equipment. Real-time video and image transfer was employed in 64 (75%) networks, while 62 (74%) conducting quality monitoring. Most networks established in the past 3 years were located in low- and middle-income countries (LMICs).

Conclusion: This comprehensive global survey of telestroke networks found significant variation in network coverage, setup, and technology use. Most services are in HICs, and a few services are in LMICs, although an emerging trend of new networks in these regions marks a pivotal moment in global telestroke care. The wide variation in quality monitoring practices across networks, with many failing to report key performance metrics, underscores the urgent need for standardized, resource-appropriate, quality assurance measures that can be adapted to diverse settings.

背景:目的:我们旨在绘制全球远程卒中地图并描述现有网络的特征:方法:我们采用了四层方法来全面识别远程卒中网络,主要涉及国家卒中专家、卒中协会和国际卒中权威机构。然后,我们向所有已确定网络的领导者发放了一份精心设计的调查问卷,以评估这些网络的结构、流程和结果:结果:我们确定了分布在 67 个国家的 254 个远程卒中网络。高收入国家(HICs)集中了 175 个网络(69%)。58个国家(30%)没有发现远程卒中服务。在已确定的网络中,有 88 个(34%)完成了调查,其中 61 个(71%)位于高收入国家。网络设置的差异很大,有 17 个(22%)网络拥有 20 多家附属医院,使用专门设计的高度专业化技术,每年提供数千次会诊;也有 11 个(13%)网络使用普通视频会议设备,每年提供少于 120 次会诊。有 64 个(75%)网络采用了实时视频和图像传输技术,62 个(74%)网络进行了质量监控。过去三年中建立的大多数网络都位于中低收入国家(LMICs):这项关于远程卒中网络的全球综合调查发现,在网络覆盖、设置和技术使用方面存在很大差异。大多数服务在高收入国家,很少有服务在低收入国家,尽管这些地区新网络的出现标志着全球远程卒中医疗的关键时刻。不同网络的质量监测方法差异很大,许多网络没有报告关键的绩效指标,这突出表明迫切需要标准化的、适合资源的质量保证措施,以适应不同的环境。
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