Specialized pro-resolving mediators (SPMs) are lipid mediators derived from poly-unsaturated fatty acids (PUFAs) which have been demonstrated to have an important role in the inflammation environment, preventing an overreaction of the organism and promoting the resolution of inflammation. Our purpose was to point out the current evidence for specialized pro-resolving mediators, focusing on their role in neuroinflammation and in major neurological diseases.
Seawater intrusion is one of the major threats to freshwater resources in coastal areas, often exacerbated by groundwater overexploitation. Mitigation measures are needed to properly manage aquifers, and to restore groundwater quality. This study integrates three computational tools into a unified framework to investigate seawater intrusion in coastal areas and to assess strategies for managing groundwater resources under natural and human-induced stresses. The three components are a three-dimensional hydrogeological model for density-dependent variably saturated flow and miscible salt transport, an automatic calibration procedure that uses state variable outputs from the model to estimate selected model parameters, and an optimization module that couples a genetic algorithm with the simulation model. The computational system is used to rank alternative strategies for mitigation of seawater intrusion, taking into account conflicting objectives and problem constraints. It is applied to the Gaza Strip (Palestine) coastal aquifer to identify a feasible groundwater management strategy for the period 2011–2020. The optimized solution is able to: (1) keep overall future abstraction from municipal groundwater wells close to the user-defined maximum level, (2) increase the average groundwater heads, and (3) lower both the total mass of salt extracted and the extent of the areas affected by seawater intrusion
Purpose of reviewIn recent years, there has been an intense debate in literature regarding the definition of the individual variants of chronic inflammatory demyelinating polyradiculoneuropathy (CIDP), their possible pathogenetic mechanisms, and impact in the diagnosis of CIDP.Recent findingsThe 2021 European Federation of Neurological Societies/Peripheral Nerve Society (EFNS/PNS) guidelines revised the definition of the individual CIDP variants and implemented their diagnostic criteria. Diagnosis of atypical CIDP is challenging and misdiagnosis is frequent, leading to diagnostic delay and consequent greater accumulation of disability and treatment dependency. Recent studies suggest that patients with typical CIDP have an antibody-mediated mechanism of neuropathy whereas in those with Lewis--Sumner syndrome (LSS) neuropathy is preferentially mediated by macrophages and T cells.SummaryAlthough the validity of the 2021 EFNS/PNS diagnostic criteria for atypical CIDP is unknown, they will hopefully lead to greater uniformity in the selection of patients to be enrolled in future studies and to a greater diagnostic accuracy. New data are emerging on the possible pathological mechanisms of individual variants and this could result in the discovery of specific diagnostic biomarkers and new therapies.
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