The peculiarities of osteal system maturation in patients w ith primary estrogenic deficit

In patients with congenital ovarian insufficiency, particularly with gonadal dysgenesis, the retarded bone remodelingprevents the bone tissue from achieving its final, peak density and leads to the lagging of skeletal system maturation. This may result in high risk of limb and backbone fractures.The article analyzes the results of the examination of 142 patients with different forms of gonadal dysgenesis. The treatment included the preparations containing estrogens, which were identical with natural ones (Divina, Divitren, Divigel). The data received substantiate the necessity of eliminating the estrogenic deficit in patients with gonadal dysgenesis earlier than it is usually done.

Role of E×B drift in double-peak density distribution for the new lower tungsten divertor with unfavorable B t on EAST

Doubly peaked density distribution is expected not only to affect the plasma-wetted area at divertor plates, but also to correlate with the upstream density profile and hence characteristics of MHD activities in tokamak plasmas [H. Q. Wang et al., Phys. Rev. Lett. 124, 195002 (2020)]. Clarifying its origination is important to understand the compatibility between power/particle exhausts in divertor and high-performance core plasmas which is required by present-day and future tokamak devices. In this paper, we analyzed the double-peak density profile appeared in the modeling during the physics design phase of the new lower tungsten divertor for EAST by using comprehensive 2D SOLPS-ITER code package including full drifts and currents, with concentrations on unfavorable magnetic field (ion B×∇B drift is directed away from the primary X-point). The results indicate that E×B drift induced by plasma potential gradient near the target, which is closely related to the divertor state, plays essential roles in the formation of double-peak profile at the target: (1) Large enough radial Ep×B drift produces a broadened high-density region; (2) Strong poloidal Er×B drift drives a significant particle sink and creates a valley on the high-density profile. Thus, the simulation results can explain why this kind of doubly peaked density profile is usually observed at the high-recycling divertor regime. In addition, features of the double-peak ion saturation current distribution measured in preliminary experiments testing the new lower tungsten divertor are qualitatively consistent with the simulations.

Self-consistent global transport of metallic ions with WACCM-X

The NCAR Whole Atmosphere Community Climate Model with thermosphere and ionosphere eXtension (WACCM-X) v2.1 has been extended to include the neutral and ion–molecule chemistry and dynamics of three metals (Mg, Na, and Fe), which are injected into the upper mesosphere–lower thermosphere by meteoric ablation. Here we focus on the self-consistent electrodynamical transport of metallic ions in both the E and F regions. The model with full ion transport significantly improves the simulation of global distribution and seasonal variations of Mg+, although the peak density is slightly lower (about 35 % lower in peak density) compared with the SCIAMACHY measurements. Near the magnetic equator, the diurnal variation in upward and downward transport of Mg+ is generally consistent with the “ionosphere fountain effect”. The thermospheric distribution of Fe is shown to be closely coupled to the transport of Fe+. The effect of ion mass on ion transport is also examined: the lighter ions (Mg+ and Na+) are transported above 150 km more easily than the heavy Fe+. We also examine the impact of the transport of major molecular ions, NO+ and O2+, on the distribution of metallic ions.

Computational Modeling of Ultrasound C-Scan Imaging Using Transmitted Signal Peak Density

Ultrasound measurement is a relatively inexpensive and commonly used imaging tool in the health sector. The through-transmission process of ultrasound measurement has been extensively evaluated for detecting abnormalities in tissue pathology. Compared to standard imaging parameters such as amplitude and time of flight, quantitative ultrasound parameters in the frequency domain can provide additional details regarding tissue microstructures. In this study, pressure magnitude or amplitude variation in the frequency spectrum of the received signal was evaluated as a potential imaging technique using the spectral peak density parameter. Computational C-scan imaging analysis was developed through a finite element model. The magnitude variation in the received signal showed different patterns while interacting with and without inclusions. Images were reconstructed based on peak density values that varied with the presence of solid structure. The computational results were verified with the experimental C-scan imaging results from the literature. It was found that magnitude variation can be an effective parameter for C-scan imaging of thin structures. The feasibility of the study was further extended to identify the structure’s relative position along with the sample depth during C-scan imaging. While moving the structure in the direction of the sample depth, the pressure magnitude variation strongly followed a second-degree polynomial trend.

Airway Pseudomonas aeruginosa density in mechanically ventilated patients: clinical impact and relation to therapeutic efficacy of antibiotics

Background The bacterial density of Pseudomonas aeruginosa is closely related to its pathogenicity. We evaluated the effect of airway P. aeruginosa density on the clinical course of mechanically ventilated patients and the therapeutic efficacy of antibiotics. Methods We retrospectively analyzed data of mechanically ventilated ICU patients with P. aeruginosa isolated from endotracheal aspirates. Patients were divided into three groups according to the peak P. aeruginosa density during ICU stay: low (≤ 104 cfu/mL), moderate (105‒106 cfu/mL), and high (≥ 107 cfu/mL) peak density groups. The relationship between peak P. aeruginosa density and weaning from mechanical ventilation, risk factors for isolation of high peak density of P. aeruginosa, and antibiotic efficacy were investigated using multivariate and propensity score-matched analyses. Results Four-hundred-and-sixty-one patients were enrolled. Patients with high peak density of P. aeruginosa had higher inflammation and developed more severe respiratory infections. High peak density of P. aeruginosa was independently associated with few ventilator-free days on day 28 (P < 0.01) and increased ICU mortality (P = 0.047). Risk factors for high peak density of P. aeruginosa were prolonged mechanical ventilation (odd ratio [OR] 3.07 95% confidence interval [CI] 1.35‒6.97), non-antipseudomonal cephalosporins (OR 2.17, 95% CI 1.35‒3.49), hyperglycemia (OR 2.01, 95% CI 1.26‒3.22) during ICU stay, and respiratory diseases (OR 1.9, 95% CI 1.12‒3.23). Isolation of commensal colonizer was associated with lower risks of high peak density of P. aeruginosa (OR 0.43, 95% CI 0.26‒0.73). Propensity score-matched analysis revealed that antibiotic therapy for patients with ventilator-associated tracheobronchitis improved weaning from mechanical ventilation only in the high peak P. aeruginosa group. Conclusions Patients with high peak density of P. aeruginosa had worse ventilator outcome and ICU mortality. In patients with ventilator-associated tracheobronchitis, antibiotic therapy was associated with favorable ventilator weaning only in the high peak P. aeruginosa density group, and bacterial density could be a good therapeutic indicator for ventilator-associated tracheobronchitis due to P. aeruginosa.

Airway Pseudomonas aeruginosa Density in Mechanically Ventilated Patients: Clinical Impact and Relation to Therapeutic Efficacy of Antibiotics

Background: The bacterial density of Pseudomonas aeruginosa is closely related to its pathogenicity. We evaluated the effect of airway P. aeruginosa density on the clinical course of mechanically ventilated patients and the therapeutic efficacy of antibiotics.Methods: We retrospectively analyzed data of mechanically ventilated ICU patients with P. aeruginosa isolated from endotracheal aspirates. Patients were divided into three groups according to the peak P. aeruginosa density during ICU stay: low (≤104 cfu/mL), moderate (105‒106 cfu/mL), and high (≥107 cfu/mL) peak density groups. The relationship between peak P. aeruginosa density and weaning from mechanical ventilation, risk factors for isolation of high peak density of P. aeruginosa, and antibiotic efficacy were investigated using multivariate and propensity score-matched analyses.Results: Four-hundred-and-sixty-one patients were enrolled. Patients with high peak density of P. aeruginosa had higher inflammation and developed more severe respiratory infections. High peak density of P. aeruginosa was independently associated with few ventilator-free days on day 28 (P < 0.01) and increased ICU mortality (P = 0.047). Risk factors for high peak density of P. aeruginosa were prolonged mechanical ventilation (odd ratio [OR] 3.07 95% confidence interval [CI] 1.35‒6.97), non-antipseudomonal cephalosporins (OR 2.17, 95% CI 1.35‒3.49), hyperglycemia (OR 2.01, 95% CI 1.26‒3.22) during ICU stay, and respiratory diseases (OR 1.9, 95% CI 1.12‒3.23). Isolation of commensal colonizer was associated with lower risks of high peak density of P. aeruginosa (OR 0.43, 95% CI 0.26‒0.73). Propensity score-matched analysis revealed that antibiotic therapy for patients with ventilator-associated tracheobronchitis improved weaning from mechanical ventilation only in the high peak P. aeruginosa group.Conclusions: Patients with high peak density of P. aeruginosa had worse ventilator outcome and ICU mortality. In patients with ventilator-associated tracheobronchitis, antibiotic therapy was associated with favorable ventilator weaning only in the high peak P. aeruginosa density group, and bacterial density could be a good therapeutic indicator for ventilator-associated tracheobronchitis due to P. aeruginosa.

Sharing the burden? Earthworms and woodlice show seasonal complementarity in peak abundances in soil in an oak-beech temperate woodland

Complementarity between functional analogues can confer resistance and resilience on ecosystems in the face of environmental change. High biodiversity can lead to increased ecosystem functionality through complementary effects. Earthworms, woodlice and millipedes can have high densities in leaf litter and soils, but little is known about their seasonal patterns. The two groups play important roles in the breakdown and incorporation of organic matter into soils. Differences in peak abundance could affect the rates of litter break down and incorporation in different seasons. We sampled earthworms, woodlice and millipedes from leaf litter soil every month for ten years in a New Forest woodland. We used non-parametric regression to explore monthly and yearly variation in the abundance of decomposer organisms and soil temperature and moisture. Earthworms have a distinct seasonal peak in density different from woodlice and millipedes. Earthworm peak density is in the winter and spring and is correlated with greatest soil moisture. Woodlice (and millipede) have their peak density is in the summer and is correlated with the highest soil temperatures. This means that earthworms, woodlice and millipedes have complementary peaks in abundance. These two groups have similar functional roles in litter decomposition and these data imply ecological complementarity in this important ecological process. This effect is likely to be widespread in lowland woodland in the UK and Europe, with only extreme temperatures and low pH limiting the distribution. Increased summer drought as a result of climate change may lead to changes in the relative abundance of these three groups and in particular local extinctions of earthworms which will in turn affect litter decomposition.