EPMA
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sv.
- MeSH
- diagnostické techniky a postupy MeSH
- individualizovaná medicína metody MeSH
- služby preventivní péče * MeSH
- Publikační typ
- periodika MeSH
- Konspekt
- Lékařské vědy. Lékařství
- NLK Obory
- veřejné zdravotnictví
- MeSH
- individualizovaná medicína MeSH
- kongresy jako téma MeSH
- preventivní lékařství MeSH
- Publikační typ
- zprávy MeSH
- MeSH
- individualizovaná medicína * MeSH
- kongresy jako téma MeSH
- lidé MeSH
- mezinárodní spolupráce MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- zprávy MeSH
Worldwide stroke is the second leading cause of death and the third leading cause of death and disability combined. The estimated global economic burden by stroke is over US$891 billion per year. Within three decades (1990-2019), the incidence increased by 70%, deaths by 43%, prevalence by 102%, and DALYs by 143%. Of over 100 million people affected by stroke, about 76% are ischemic stroke (IS) patients recorded worldwide. Contextually, ischemic stroke moves into particular focus of multi-professional groups including researchers, healthcare industry, economists, and policy-makers. Risk factors of ischemic stroke demonstrate sufficient space for cost-effective prevention interventions in primary (suboptimal health) and secondary (clinically manifested collateral disorders contributing to stroke risks) care. These risks are interrelated. For example, sedentary lifestyle and toxic environment both cause mitochondrial stress, systemic low-grade inflammation and accelerated ageing; inflammageing is a low-grade inflammation associated with accelerated ageing and poor stroke outcomes. Stress overload, decreased mitochondrial bioenergetics and hypomagnesaemia are associated with systemic vasospasm and ischemic lesions in heart and brain of all age groups including teenagers. Imbalanced dietary patterns poor in folate but rich in red and processed meat, refined grains, and sugary beverages are associated with hyperhomocysteinaemia, systemic inflammation, small vessel disease, and increased IS risks. Ongoing 3PM research towards vulnerable groups in the population promoted by the European Association for Predictive, Preventive and Personalised Medicine (EPMA) demonstrates promising results for the holistic patient-friendly non-invasive approach utilising tear fluid-based health risk assessment, mitochondria as a vital biosensor and AI-based multi-professional data interpretation as reported here by the EPMA expert group. Collected data demonstrate that IS-relevant risks and corresponding molecular pathways are interrelated. For examples, there is an evident overlap between molecular patterns involved in IS and diabetic retinopathy as an early indicator of IS risk in diabetic patients. Just to exemplify some of them such as the 5-aminolevulinic acid/pathway, which are also characteristic for an altered mitophagy patterns, insomnia, stress regulation and modulation of microbiota-gut-brain crosstalk. Further, ceramides are considered mediators of oxidative stress and inflammation in cardiometabolic disease, negatively affecting mitochondrial respiratory chain function and fission/fusion activity, altered sleep-wake behaviour, vascular stiffness and remodelling. Xanthine/pathway regulation is involved in mitochondrial homeostasis and stress-driven anxiety-like behaviour as well as molecular mechanisms of arterial stiffness. In order to assess individual health risks, an application of machine learning (AI tool) is essential for an accurate data interpretation performed by the multiparametric analysis. Aspects presented in the paper include the needs of young populations and elderly, personalised risk assessment in primary and secondary care, cost-efficacy, application of innovative technologies and screening programmes, advanced education measures for professionals and general population-all are essential pillars for the paradigm change from reactive medical services to 3PM in the overall IS management promoted by the EPMA.
- Publikační typ
- časopisecké články MeSH
The investigation of solid speciation of metals and metalloids is required for accurate assessment of the hazardous properties of solid waste materials from high-temperature technologies (slag, bottom ash, fly ash, air-pollution-control residues). This paper deals with the problem of reliability of microanalyses using a combination of electron microprobe analysis (EPMA) and scanning electron microscopy (SEM) only. These methods do not permit to detect nanophases in host-crystals and lead to erroneous interpretation of analytical results, considering the elements of nanophases as belonging to the crystal structure of the main phase. More detailed analysis using transmission electron microscopy (TEM) on foils prepared by focused ion beam (FIB) can be used to solve this analytical problem. In this study, lamellar aggregates of potassium-rich clinopyroxenes were detected in copper smelting slags by a combination of SEM and EPMA. However, FIB-TEM indicated the presence of leucite inclusions (tens to hundreds nm in size) within the clinopyroxene lamellae. Based on examples from smelting slags and other solid waste materials, recommendations for standard SEM and EPMA applications and the need for methods with higher resolution for mineralogical investigation of waste materials are discussed.
Topsoils near active and abandoned mining and smelting sites are highly polluted by metal(loid) contaminants, which are often bound to particulates emitted from ore processing facilities and/or windblown from waste disposal sites. To quantitatively determine the contaminant partitioning in the soil particulates, we tested an automated mineralogy approach on the heavy mineral fraction extracted from the mining- and smelting-polluted topsoils exhibiting up to 1920 mg/kg As, 5840 mg/kg Cu, 4880 mg/kg Pb and 3310 mg/kg Zn. A new generation of automated scanning electron microscopy (autoSEM) was combined and optimized with conventional mineralogical techniques (XRD, SEM/EDS, EPMA). Parallel digestions and bulk chemical analyses were used as an independent control of the autoSEM-calculated concentrations of the key elements. This method provides faster data acquisition, the full integration of the quantitative EDS data and better detection limits for the elements of interest. We found that As was mainly bound to the apatite group minerals, slag glass and metal arsenates. Copper was predominantly hosted by the sulfides/sulfosalts and the Cu-bearing secondary carbonates. The deportment of Pb is relatively complex: slag glass, Fe and Mn (oxyhydr)oxides, metal arsenates/vanadates and cerussite were the most important carriers for Pb. Zinc is mainly bound to the slag glass, Fe (oxyhydr)oxides, smithsonite and sphalerite. Limitations exist for the less abundant contaminants, which cannot be fully quantified by autoSEM due to spectral overlaps with some major elements (e.g., Sb vs. Ca, Cd vs. K and Ca in the studied soils). AutoSEM was found to be a useful tool for the determination of the modal phase distribution and element partitioning in the metal(loid)-bearing soil particulates and will definitely find more applications in environmental soil sciences in the future.
... Rebalancování 137 -- 6.2 Měření výnosů 138 -- 6.3 Kdy pokračovat a kdy realizovat ztráty 143 -- RAPITOLA $EPMÁ ...
1. elektronické vydání 1 online zdroj (176 stran)
Čtivá a srozumitelná kniha o investičním portfoliu je určena jak široké veřejnosti, tak odborníkům. Naleznete v ní praktický návod, jak vhodně sestavit a udržovat své portfolio. Autorem je uznávaný investiční analytik a autor knihy „Průvodce úspěšného investora“.
In the case of cancer, death is usually not due to the primary tumor itself but due to dissemination. Analysis of the circulating tumor cells (CTCs), i.e., cells responsible for a formation of metastases, should provide information useful for the management of cancer patients, fulfilling the objectives of predictive, preventive, and personalized medicine (PPPM). Despite promising results, the decisions on stage of disease and how to guide the adjuvant treatment still do not include results of CTC assessment. We want to describe two major reasons why the recent diagnostic value of CTC analysis is not sufficient for clinical use. The first reason arises from the biological nature of the tumor itself and the second reason is associated with an interdisciplinary status of CTC diagnostics in the sense that it is neither a theme purely for pathologists nor for haemato-oncologists nor clinical biochemists. We anticipate that there are at least three areas where CTCs can be useful for clinical practice. The first is monitoring of treatment efficacy of cancer patients. The second is a molecular characterization of captured CTCs for targeted treatment, and the third is a cultivation of captured CTCs for drug sensitivity testing. All of these approaches allow researchers recognize and respond to changes of phenotype of cancer cells during disease progression and introduce PPPM into clinical practice.
- Publikační typ
- časopisecké články MeSH