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Childhood vaccines and antibiotic use in low- and middle-income countries 期刊论文
NATURE, 2020, 581 (7806) : 94-+
作者:  Louca, Stilianos;  Pennell, Matthew W.
收藏  |  浏览/下载:9/0  |  提交时间:2020/07/03

Vaccines may reduce the burden of antimicrobial resistance, in part by preventing infections for which treatment often includes the use of antibiotics(1-4). However, the effects of vaccination on antibiotic consumption remain poorly understood-especially in low- and middle-income countries (LMICs), where the burden of antimicrobial resistance is greatest(5). Here we show that vaccines that have recently been implemented in the World Health Organization'  s Expanded Programme on Immunization reduce antibiotic consumption substantially among children under five years of age in LMICs. By analysing data from large-scale studies of households, we estimate that pneumococcal conjugate vaccines and live attenuated rotavirus vaccines confer 19.7% (95% confidence interval, 3.4-43.4%) and 11.4% (4.0-18.6%) protection against antibiotic-treated episodes of acute respiratory infection and diarrhoea, respectively, in age groups that experience the greatest disease burden attributable to the vaccine-targeted pathogens(6,7). Under current coverage levels, pneumococcal and rotavirus vaccines prevent 23.8 million and 13.6 million episodes of antibiotic-treated illness, respectively, among children under five years of age in LMICs each year. Direct protection resulting from the achievement of universal coverage targets for these vaccines could prevent an additional 40.0 million episodes of antibiotic-treated illness. This evidence supports the prioritization of vaccines within the global strategy to combat antimicrobial resistance(8).


Pneumococcal and rotavirus vaccines have reduced antibiotic consumption substantially among children under five years old in low- and middle-income countries  however, this effect could be doubled if all countries were to implement vaccination programmes and meet universal vaccine coverage targets.


  
Aerodynamic analysis of SARS-CoV-2 in two Wuhan hospitals 期刊论文
NATURE, 2020
作者:  Grishin, Evgeni;  Malamud, Uri;  Perets, Hagai B.;  Wandel, Oliver;  Schaefer, Christoph M.
收藏  |  浏览/下载:24/0  |  提交时间:2020/07/03

The ongoing outbreak of coronavirus disease 2019 (COVID-19) has spread rapidly on a global scale. Although it is clear that severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is transmitted through human respiratory droplets and direct contact, the potential for aerosol transmission is poorly understood(1-3). Here we investigated the aerodynamic nature of SARS-CoV-2 by measuring viral RNA in aerosols in different areas of two Wuhan hospitals during the outbreak of COVID-19 in February and March 2020. The concentration of SARS-CoV-2 RNA in aerosols that was detected in isolation wards and ventilated patient rooms was very low, but it was higher in the toilet areas used by the patients. Levels of airborne SARS-CoV-2 RNA in the most public areas was undetectable, except in two areas that were prone to crowding  this increase was possibly due to individuals infected with SARS-CoV-2 in the crowd. We found that some medical staff areas initially had high concentrations of viral RNA with aerosol size distributions that showed peaks in the submicrometre and/or supermicrometre regions  however, these levels were reduced to undetectable levels after implementation of rigorous sanitization procedures. Although we have not established the infectivity of the virus detected in these hospital areas, we propose that SARS-CoV-2 may have the potential to be transmitted through aerosols. Our results indicate that room ventilation, open space, sanitization of protective apparel, and proper use and disinfection of toilet areas can effectively limit the concentration of SARS-CoV-2 RNA in aerosols. Future work should explore the infectivity of aerosolized virus.


Aerodynamic analysis of SARS-CoV-2 RNA in two hospitals in Wuhan indicates that SARS-CoV-2 may have the potential to be transmitted through aerosols, although the infectivity of the virus RNA was not established in this study.


  
A reference map of the human binary protein interactome 期刊论文
NATURE, 2020, 580 (7803) : 402-+
作者:  Fan, Chen;  Sukomon, Nattakan;  Flood, Emelie;  Rheinberger, Jan;  Allen, Toby W.;  Nimigean, Crina M.
收藏  |  浏览/下载:6/0  |  提交时间:2020/07/03

Global insights into cellular organization and genome function require comprehensive understanding of the interactome networks that mediate genotype-phenotype relationships(1,2). Here we present a human '  all-by-all'  reference interactome map of human binary protein interactions, or '  HuRI'  . With approximately 53,000 protein-protein interactions, HuRI has approximately four times as many such interactions as there are high-quality curated interactions from small-scale studies. The integration of HuRI with genome(3), transcriptome(4) and proteome(5) data enables cellular function to be studied within most physiological or pathological cellular contexts. We demonstrate the utility of HuRI in identifying the specific subcellular roles of protein-protein interactions. Inferred tissue-specific networks reveal general principles for the formation of cellular context-specific functions and elucidate potential molecular mechanisms that might underlie tissue-specific phenotypes of Mendelian diseases. HuRI is a systematic proteome-wide reference that links genomic variation to phenotypic outcomes.


  
Local and global consequences of reward-evoked striatal dopamine release 期刊论文
NATURE, 2020, 580 (7802) : 239-+
作者:  Wagner, Felix R.;  Dienemann, Christian;  Wang, Haibo;  Stuetzer, Alexandra;  Tegunov, Dimitry;  Urlaub, Henning;  Cramer, Patrick
收藏  |  浏览/下载:9/0  |  提交时间:2020/07/03

The neurotransmitter dopamine is required for the reinforcement of actions by rewarding stimuli(1). Neuroscientists have tried to define the functions of dopamine in concise conceptual terms(2), but the practical implications of dopamine release depend on its diverse brain-wide consequences. Although molecular and cellular effects of dopaminergic signalling have been extensively studied(3), the effects of dopamine on larger-scale neural activity profiles are less well-understood. Here we combine dynamic dopamine-sensitive molecular imaging(4) and functional magnetic resonance imaging to determine how striatal dopamine release shapes local and global responses to rewarding stimulation in rat brains. We find that dopamine consistently alters the duration, but not the magnitude, of stimulus responses across much of the striatum, via quantifiable postsynaptic effects that vary across subregions. Striatal dopamine release also potentiates a network of distal responses, which we delineate using neurochemically dependent functional connectivity analyses. Hot spots of dopaminergic drive notably include cortical regions that are associated with both limbic and motor function. Our results reveal distinct neuromodulatory actions of striatal dopamine that extend well beyond its sites of peak release, and that result in enhanced activation of remote neural populations necessary for the performance of motivated actions. Our findings also suggest brain-wide biomarkers of dopaminergic function and could provide a basis for the improved interpretation of neuroimaging results that are relevant to learning and addiction.


Molecular and functional magnetic resonance imaging in the rat reveals distinct neuromodulatory effects of striatal dopamine that extend beyond peak release sites and activate remote neural populations necessary for performing motivated actions.


  
Importance and vulnerability of the world's water towers 期刊论文
NATURE, 2020, 577 (7790) : 364-+
作者:  Krebs, John R.;  Hassell, Michael
收藏  |  浏览/下载:49/0  |  提交时间:2020/04/16

Mountains are the water towers of the world, supplying a substantial part of both natural and anthropogenic water demands(1,2). They are highly sensitive and prone to climate change(3,4), yet their importance and vulnerability have not been quantified at the global scale. Here we present a global water tower index (WTI), which ranks all water towers in terms of their water-supplying role and the downstream dependence of ecosystems and society. For each water tower, we assess its vulnerability related to water stress, governance, hydropolitical tension and future climatic and socioeconomic changes. We conclude that the most important (highest WTI) water towers are also among the most vulnerable, and that climatic and socio-economic changes will affect them profoundly. This could negatively impact 1.9 billion people living in (0.3 billion) or directly downstream of (1.6 billion) mountainous areas. Immediate action is required to safeguard the future of the world'  s most important and vulnerable water towers.


  
Water-use efficiency in a semi-arid woodland with high rainfall variability 期刊论文
GLOBAL CHANGE BIOLOGY, 2019
作者:  Tarin, Tonantzin;  Nolan, Rachael H.;  Medlyn, Belinda E.;  Cleverly, James;  Eamus, Derek
收藏  |  浏览/下载:8/0  |  提交时间:2019/11/27
Acacia  Australia  carbon flux  eddy covariance  optimal stomatal behaviour  photosynthesis  stable isotopes  
Spatial heterogeneity in climate change effects decouples the long-term dynamics of wild reindeer populations in the high Arctic 期刊论文
GLOBAL CHANGE BIOLOGY, 2019, 25 (11) : 3656-3668
作者:  Hansen, Brage Bremset;  Pedersen, Ashild Onvik;  Peeters, Bart;  Le Moullec, Mathilde;  Albon, Steve D.;  Herfindal, Ivar;  Saether, Bernt-Erik;  Grotan, Vidar;  Aanes, Ronny
收藏  |  浏览/下载:10/0  |  提交时间:2019/11/27
Arctic  caribou and reindeer  climate change  meta-population  population dynamics  spatial heterogeneity  spatial synchrony  ungulate  
The brighter side of climate change: How local oceanography amplified a lobster boom in the Gulf of Maine 期刊论文
GLOBAL CHANGE BIOLOGY, 2019, 25 (11) : 3906-3917
作者:  Goode, Andrew G.;  Brady, Damian C.;  Steneck, Robert S.;  Wahle, Richard A.
收藏  |  浏览/下载:9/0  |  提交时间:2019/11/27
American lobster  biological thresholds  climate change  ocean warming  regional oceanography  thermal habitat  
Limitations of trait-based approaches for stressor assessment: The case of freshwater invertebrates and climate drivers 期刊论文
GLOBAL CHANGE BIOLOGY, 2019
作者:  Hamilton, Anna T.;  Schaefer, Ralf B.;  Pyne, Matthew I.;  Chessman, Bruce;  Kakouei, Karan;  Boersma, Kate S.;  Verdonschot, Piet F. M.;  Verdonschot, Ralf C. M.;  Mims, Meryl;  Khamis, Kieran;  Bierwagen, Britta;  Stamp, Jen
收藏  |  浏览/下载:7/0  |  提交时间:2019/11/27
bioassessment  climate stressor responses  freshwater invertebrates  invertebrate traits  stressor assessment  trait-based assessment  
Gap-filling approaches for eddy covariance methane fluxes: A comparison of three machine learning algorithms and a traditional method with principal component analysis 期刊论文
GLOBAL CHANGE BIOLOGY, 2019
作者:  Kim, Yeonuk;  Johnson, Mark S.;  Knox, Sara H.;  Black, T. Andrew;  Dalmagro, Higo J.;  Kang, Minseok;  Kim, Joon;  Baldocchi, Dennis
收藏  |  浏览/下载:16/0  |  提交时间:2019/11/27
artificial neural network  comparison of gap-filling techniques  eddy covariance  machine learning  marginal distribution sampling  methane flux  random forest  support vector machine