Correlation of SOFA Score and Hormone Value for Predicting 28-days Mortality for Septic Patients

Introduction. Sepsis is a group of symptoms of organ dysfunction that can be life-threatening because of dysregulation of body response toward ongoing infection. Organ dysfunction in sepsis can be measured by Sequential Organ Failure Assessment (SOFA) and T3 hormone. The study was aimed to identify the correlation of T3 in predicting mortality of 28 days patients in Intensive Care Unit RSMH Palembang. Method. This study design is cohort prospective. The inclusion criteria consist of a patient diagnosed with sepsis and septic shock in the Intensive Care Unit, 18-64 years old. Patients with a history of thyroid disease, pregnant or post-pregnancy, the patient admitted in referral from other hospitals, and patients with a history of psychiatry medication and thyroid medication were excluded. Data collected is the patient whose stay in Intensive Care Unit RSMH followed in 28 days from January 2021 until the sample was fulfilled (39 samples). Analyzing data was SPSS version 23 with chi-square analysis and Fisher's Exact to identify the relationship. Pearson correlation to identify correlation coefficient, and Medical application to measure AUC, cutoff value, sensitivity, and specificity. Result. The result showed that age (p=0,445). gender (p=1,00), need of ICU (p=0,228), isolation-nonisolation ward (p=0,437) didn't have any significant relationship toward mortality. SOFA score correlate statistically with positive correlation and medium strength (0,633) toward mortality of sepsis patient (p=0,000). T3 hormon correlate positively with medium strength (0,514) toward mortality of sepsis patient (p=0,001). T3 hormone toward SOFA correlate negatively (-0,365) with significant correlation (p=0,22). T3 hormone has AUC 0,291 with sensitivity 3,3% and specificity 67,7%. Conclusion. T3 hormone has a significant negative correlation to mortality in sepsis patients but cannot be used to predict mortality with a low AUC value (0,291).

Interaction of a conical carbon scaffold with the thio-substituted model of fluorouracil towards approaching the drug delivery purposes

A representative FeN4-doped conical carbon (C) scaffold was investigated for participating in interactions with the thio-substituted fluorouracil (SFU) anticancer drug by performing density functional theory (DFT) calculations. In this regard, all possible relaxation configurations of SFU at the doped tip of C scaffold were examined, in which three models were obtained including one horizontal relaxation configuration (FC1) and two vertical relaxation configurations (FC2 and FC3). The results indicate the highest stability and strength for FC1 model. Examining formations and strengths of interactions showed two medium strength interactions in each of FC1, FC2, and FC3 models. Moreover, the evaluated electronic molecular orbitals features indicated availability of sensor function for the proposed C scaffold towards the interacting SFU substance. As a consequence, the models were determined to work in dual functions of sensor and carrier towards drug delivery purpose of SFU anticancer drug.

The evidence of after-death survival of human consciousness according to the winners of the Bigelow contest: a scientific examination

The aim of this study was to examine the strength of scientific evidence, reproducibility and replicability of the 29 essays of the winners of the Bigelow contest.Six essays (20.5%) were included in the category with the high strength of scientific evidence. Four essays (14%) were included in the category with medium strength of scientific evidence and the remaining 19 essays (65.5%) in the category with low strength of scientific evidence. The overall agreement between our strength of scientific evidence categories and the Bigelow ones, was only 48.8%, sufficient to demonstrate a clear difference between our scientific criteria and those adopted by the judges of the Bigelow contest.The essays that obtained the highest strength of scientific evidence level were related to near-death experiences and mental mediumship.For other phenomena, more studies with refined experimental designs are necessary to increase the evidence of the survival of human consciousness.

Influence of early spring feeding on the development of bee families in the natural lands of Polissya

To ensure intensive early spring development of bee colonies in the natural lands of Polissya Zhytomyr region in the winter-spring period it is necessary to feed stimulating food. Therefore, the aim of the work is to study the influence of spring feeding with sugar-honey dough on the development and honey productivity of bee families of Ukrainian breed in conditions of clean and radioactively contaminated natural lands of Zhytomyr Polissya. The influence of feeding bee colonies with sugar-honey dough (powdered sugar, centrifuged honey, water) using pure and radioactively contaminated honey on the intensity of development and honey productivity was studied. To do this, two groups were created with experimental families of Ukrainian bee breeds, selected on the principle of analogs, one of which was in a radioactively clean area, and the other in radioactively contaminated soils 137 Cs within 15 Ki/km² and above. A comparative assessment of the early spring development of families was made: from March 16 to May 20, with an interval of 21 days, the number of open and sealed brood, egg production of queens during the honey harvest season was determined. Honey productivity at the honey harvest from natural lands was determined by the amount of honey obtained in spring and summer. Early spring feeding with sugar-honey dough promotes intensive development of families, and the content of radioactively contaminated honey does not have a negative impact on their development. After the end of the season of honey collection from natural lands, bee families of Ukrainian breed, both in the radioactively contaminated and clean zone, had a medium strength and could successfully overwinter.

MАR-test and Spermiological Research Indices

Antisperm antibodies are detected in 3% to 25% of cases in men and women diagnosed with infertility. They can also be diagnosed in 1–10% of healthy fertile men. The presence of a high titer of AST is one of the factors of male infertility, which can be «hidden», i. e. not cause symptoms and deterioration of the overall spermogram. The objective: to analyze the results of sperm testing in men with antisperm antibodies, which were detected by MAR-test. Material and methods. A retrospective analysis of the examination results of 555 men was conducted on the basis of the Medical Center for Infertility Treatment in Chernivtsi. Spermograms were examined according to WHO recommendations in 2000, using an inverted microscope Olympus CKX41 in a Broker chamber. Determination of the percentage of sperm coated with antisperm antibodies was performed using the MAR-test (MAR-test, MAR-mixed antiglobulin reaction). Results. If we calculate the percentage of patients in whom we assume the connection between the presence of antisperm antibodies and undertaken surgery, genital infections and allergy history, we get only 48.3% of cases. It has been found that most changes in sperm counts correlate with the percentage of sperm that are coated with IgG. These data indicate that increased IgG levels play an important role in the development of pathospermia. A negative medium-strength correlation was found between the percentage of Category A sperm and the percentage of IgG-coated sperm. Persistence of IgG in semen is accompanied by a probable decrease in the morphological quality of sperm. Conclusion. In 52% of patients it was not possible to establish the etiological factor for the presence of Ig in the ejaculate. It has been found that most changes in sperm counts correlate with the percentage of sperm that are coated with IgG. It has been determined that an increase in the level of IgA and IgG leads to a probable increase in the percentage of pathological sperm forms and decrease in sperm motility. In the presence of 30% of sperm that are coated with IgG, with a probability of 95%, the ejaculate of patients will have 100% of pathologicoalr mf s of sperm.

Control of differential diagenesis of tight sandstone reservoirs on the gas–water distribution: A case study on the Upper Paleozoic He 8 Member in the northern Tianhuan depression of the Ordos Basin

The sandstone reservoirs in the Upper Paleozoic He 8 Member in the northern Tianhuan depression of the Ordos Basin are vastly different and feature particularly complex gas–water distributions. Scanning electron microscopy, fluorescence, Raman spectroscopy inclusions, relative permeability analysis, and nuclear magnetic resonance were utilized in this study based on core data, identification statistics, and various thin-section microscope measurements. Samples from the Upper Paleozoic He 8 Member in the northern Tianhuan depression were collected to study the characteristics of reservoir heterogeneity and gas–water distribution, which were controlled by differential diagenesis. The results indicate that compaction and dissolution are the two most important factors controlling reservoir heterogeneity. Large differences in diagenesis–accumulation sequences and pore structure characteristics affect reservoir wettability, irreducible water saturation, and gas displacement efficiency, thereby controlling the gas–water distribution. The He 8 Member is a gas reservoir that is densified because of accumulation. Reservoirs can be divided into three types based on the relationship between diagenetic facies and gas–water distribution. Type I is characterized by weak compaction, precipitate or altered kaolinite cementation, strong dissolution of diagenetic facies, and high porosity and permeability. This type is dominated by grain-mold pores and intergranular dissolution pores and produces gas reservoirs with high gas yield. Type II is characterized by medium-strength compaction, altered kaolinite or chlorite cementation, weak dissolution of diagenetic facies, and medium porosity and permeability. This type is dominated by residual intergranular pores, a few residual intergranular pores, and dispersed dissolution pores, producing gas reservoirs with low gas yield. Type III is characterized by medium-strength compaction, altered kaolinite cementation, and medium-strength dissolution of diagenetic facies. This type is dominated by kaolinite intercrystal pores and dispersed dissolution pores, producing gas reservoirs with high water yield.

Analysis of Reinforcement System (Rock Bolt and Shotcrete) Effect on The Pillars Strength in Underground Mining Using Physical Models Testing in Laboratory

The effects of reinforcement system on pillars were tested in laboratory, using three types of pillars with different strengths. The tests were performed using the UCS machine, to test pillar without reinforcement, pillar with rock bolt reinforcement, pillar with shotcrete reinforcement and pillar with the combination of both rock bolt and shotcrete reinforcement. Uniaxial compressive strength (UCS) testing aims to determine the effects of the reinforcement system on pillar strength. The results of this study indicate that the reinforcement system on high strength pillars causes a strength increase of 14.93% on pillar with rock bolt reinforcement, 21.45% on pillar with shotcrete reinforcement and 34.67% on pillar with combination of rock bolt and shotcrete reinforcement. On medium strength pillars, reinforcement installation shows a strength increase of 16.27% on pillar with reinforced rock bolt, 19.83% on pillar with reinforced shotcrete and 44.40% on pillar with combination of rock bolt and shotcrete reinforcement. Likewise, on low strength pillars, reinforcement installation causes a strength increase of 13.13% on pillar with reinforced rock bolt, 36.21% on pillar with reinforced shotcrete and 53.85% on pillar with combination of rock bolt and shotcrete reinforcement. The results of laboratory testing and numerical modeling indicate that the increase in strength occurs because the horizontal displacement on the surface of the pillar wall is detained by shotcrete and faceplate on rock bolt, so that the pillar seems to have confining pressure throughout the pillar wall surface, which is called as equivalent confining pressure.

A simulation chamber for absorption spectroscopy in planetary atmospheres

A novel simulation chamber PASSxS (Planetary Atmosphere Simulation System for Spectroscopy) has been developed for absorption measurements performed with a Fourier Transform Spectrometer (FTS) and, possibly, a cavity ring down (CRD) spectrometer, with a sample temperature ranging from 100 K up to 550 K, while the pressure of the gas can be varied from 10 mbar up to 60 bar. These temperature and pressure ranges cover a significant part of the planetary atmospheres in the solar system and the absorption chamber can thus be used to simulate planetary atmospheres of solar planets and extra solar planets with similar atmospheres. The optical absorption path for the FTS absorption measurements is 3.2 m, due to the implementation of a multipass setup inside the chamber. The FTS measurements cover a wide spectral range, from the visible to the mid-infrared with a sensitivity sufficient for medium strength absorption bands. The FTS has been used previously to measure high pressure atmospheres, including collision induced absorption bands and continuum absorption at ambient temperatures. PASSxS allows to measure the temperature dependence of collision induced bands and continuum absorption, which is important both for the modelling of planetary atmospheres as well as for fundamental processes involving collisions between molecules and atoms.

Study on the Performance of Synergistic Preparation of Sulphoaluminate Based Recycled Concrete by RP and RCA

In this paper, the properties of sulphoaluminate based recycled concrete, with high workability and low and medium strength, prepared by recycled powder (RP), recycled coarse aggregate (RCA), and high belite sulphoaluminate cement (HBSAC), were systematically studied. Under the condition of a water binder ratio of 0.45, sulphoaluminate based recycled concrete, with different mix proportions, was prepared by replacing sulphoaluminate cement with RP and natural coarse aggregate (NCA) with RCA. The workability, mechanical properties, durability, and hydration products of the prepared concrete were analyzed. The results showed that when RP and RCA were used together, the workability of recycled concrete could fully meet the pumping demand in actual construction. When the mass replacement rate of RP was less than 30% and that of RCA was less than 20%, the strength of recycled concrete could completely reach the design strength grade, while those that did not reach the design strength grade could reach the next grade. The durability performance was also good.