Changing in the profile of a patient with acute coronary syndrome without ST-segment elevation over the years 2015-2020

The article represents an analysis of the dynamics of the main demographic, clinical, laboratory, and instrumental investigations, final diagnoses of patients who were hospitalized with a diagnosis of acute coronary syndrome without ST segment elevation. A distinctive feature of the work is the recruitment of patients in the same medical institution for different periods of time, which makes possible to trace the dynamics of the clinical profile of patients in the population of Dnipro, a large industrial center of Ukraine. The prevalence of arterial hypertension, chronic heart failure and previous myocardial infarction remained at the same level. In the 2017-2020’s group compared with the 2015’s group, electrocardiographic manifestations of acute coronary syndrome without ST-segment elevation upon admission were more often detected. Laboratory indicators such as hemoglobin, creatinine and total cholesterol levels remained the same. Another interesting finding is a statistically significant decrease in the number of patients with a reduced glomerular filtration rate according to MDRD (less than 60 ml/min/1.73 m2) in the 2017-2020’s group compared to patients in 2015’s group, although the clinical course of the disease remained practically unchanged. There was a trend towards a worsening of the clinical status and prognosis, namely, increase in the prevalence of atrial fibrillation and diabetes mellitus, increase in the risk of GRACE, as well as increase in the quantity of verified diagnoses of unstable angina, which is most likely associated with the increased use of high-sensitivity troponin. Noteworthy feature is that increase in the quantity of high-risk patients led to an increase in the mean GRACE score.

The Australian Government’s Use of the Military in an Emergency and the Constitution

Australia has recently endured a very trying bushfire season and is currently enduring a worldwide pandemic with COVID-19. These events raise very significant legal issues, including the powers of the federal government to deal with emergency situations. A particularly noteworthy feature of the federal government’s response to these crises has been the use of Defence Force personnel to implement its policy decisions. This article considers the federal government’s powers to respond to emergency situations, including the use of the military.

Syzygies in equivariant cohomology in positive characteristic

We develop a theory of syzygies in equivariant cohomology for tori as well as p-tori and coefficients in 𝔽 p {\mathbb{F}_{p}} . A noteworthy feature is a new algebraic approach to the partial exactness of the Atiyah–Bredon sequence, which also covers all instances considered so far.

Toplumsal Cinsiyet Rollerinin Televizyon Dizilerine Yansıması Üzerine Sosyolojik Bir Değerlendirme

Television is an easily accessible communication tool and has a significant visual impact. Even though the audience has a heterogeneous structure and unknown defining characteristics, television has the power to transform the semantic world of individuals with its programs. Therewithal, the power to attract the audience with its programs that will allure individuals from all social groups is the most noteworthy feature that distinguishes television from other traditional media types. Particularly, the ability to reach every section with different techniques makes television appealing considering the existence of individuals who are illiterate, hearing, or visually impaired. While the news, TV series, education, or entertainment oriented programs are offered to the taste of the audience, they are affected by the changes in economic, social, and cultural fields. These changes also affect the individual’s worldview, their ability to analyze and interpret cases, and their expectations and perception about the future at different levels. In recent years, it has been noticed that the perception of “the ideal body” is mostly presented through actresses in prime-time Turkish TV series. Besides, scenes about physical appearance and vanity are more salient than the scenes about the forms of domination of men over women in the family and social life, power struggles among women, gender-based roles and responsibilities, dialog, and relationships towards understanding. Through this perspective, this study aims to critically analyze from which points Turkish series, which are presented with similar subject contents on television in recent years, mirror the cultural representations of gender in a sociological context. In this study, while the themes of gender roles in Turkish series are investigated, dialogues emphasizing gender inequality, spatial appearances locating women and men in public and private areas, and visual presentations highlighting aesthetics and physical appearance are inquired through critical discourse.

Ensemble flood simulation for a small dam catchment in Japan using nonhydrostatic model rainfalls – Part 2: Flood forecasting using 1600-member 4D-EnVar-predicted rainfalls

This paper is a continuation of the authors' previous paper (Part 1) on the feasibility of ensemble flood forecasting for a small dam catchment (Kasahori dam; approx. 70 km2) in Niigata, Japan, using a distributed rainfall–runoff model and rainfall ensemble forecasts. The ensemble forecasts were given by an advanced four-dimensional, variational-ensemble assimilation system using the Japan Meteorological Agency nonhydrostatic model (4D-EnVar-NHM). A noteworthy feature of this system was the use of a very large number of ensemble members (1600), which yielded a significant improvement in the rainfall forecast compared to Part 1. The ensemble flood forecasting using the 1600 rainfalls succeeded in indicating the necessity of emergency flood operation with the occurrence probability and enough lead time (e.g., 12 h) with regard to an extreme event. A new method for dynamical selection of the best ensemble member based on the Bayesian reasoning with different evaluation periods is proposed. As the result, it is recognized that the selection based on Nash–Sutcliffe efficiency (NSE) does not provide an exact discharge forecast with several hours lead time, but it can provide some trend in the near future.

Fractionation of Rare Earth Elements in Greisen and Hydrothermal Veins Related to A-Type Magmatism

This study focuses on concentrations and fractionation of rare earth elements (REE) in a variety of minerals and bulk materials of hydrothermal greisen and vein mineralization in Paleoproterozoic monzodiorite to granodiorite related to the intrusion of Mesoproterozoic alkali- and fluorine-rich granite. The greisen consists of coarse-grained quartz, muscovite, and fluorite, whereas the veins mainly contain quartz, calcite, epidote, chlorite, and fluorite in order of abundance. A temporal and thus genetic link between the granite and the greisen/veins is established via high spatial resolution in situ Rb-Sr dating, supported by several other isotopic signatures (δ34S, 87Sr/86Sr, δ18O, and δ13C). Fluid-inclusion microthermometry reveals that multiple pulses of moderately to highly saline aqueous to carbonic solutions caused greisenization and vein formation at temperatures above 200–250°C and up to 430°C at the early hydrothermal stage in the veins. Low calculated ∑REE concentration for bulk vein (15 ppm) compared to greisen (75 ppm), country rocks (173–224 ppm), and the intruding granite (320 ppm) points to overall low REE levels in the hydrothermal fluids emanating from the granite. This is explained by efficient REE retention in the granite via incorporation in accessory phosphates, zircon, and fluorite and unfavorable conditions for REE partitioning in fluids at the magmatic and early hydrothermal stages. A noteworthy feature is substantial heavy REE (HREE) enrichment of calcite in the vein system, in contrast to the relatively flat patterns of greisen calcite. The REE fractionation of the vein calcite is explained mainly by fractional crystallization, where the initially precipitated epidote in the veins preferentially incorporates most of the light REE (LREE) pool, leaving a residual fluid enriched in the HREE from which calcite precipitated. Fluorite occurs throughout the system and displays decreasing REE concentrations from granite towards greisen and veins and different fractionation patterns among all these three materials. Taken together, these features confirm efficient REE retention in the early stages of the system and minor control of the REE uptake by mineral-specific partitioning. REE-fractionation patterns and fluid-inclusion data suggest that chloride complexation dominated REE transport during greisenization, whereas carbonate complexation contributed to the HREE enrichment in vein calcite.

Antennal ultrastructure in Patia (Pieridae, Dismorphiinae)

In our previous work we studied the ultrastructure of the antennae of pierids through a character analysis. In this study we describe the antennal ultrastructure of three species and six subspecies of Patia focused on these traits at the intrageneric level. Patia is a genus of Dismorphiinae with the highest number of scaleless antennomeres (nudum = 11‒15). Therefore, the length of its antennal club is greater than that of any other genus of the subfamily. Several other features differentiate the species of Patia, particularly the number of sulci and pseudosulci and its contour or perimeter. A pattern was observed, especially in P. rhetes, in which the central sulci are disintegrated and surrounded by several pseudosulci in the basal antennomeres and along the club; in the medial and distal antennomeres, the pseudosulci merge to form sulci aggregates. Pseudosulci are uncommon on the distal antennomeres, even in P. rhetes. The central sulci are irregular and have a discontinuous edge when they are disaggregated and accompanied by pseudosulci; those that are elliptical and have a continuous contour, seldom have pseudosulci nearby. Another noteworthy feature is the different shapes of the distal antennomere that occur in the subspecies of P. cordillera and P. orise. In the former, this antennomere is quite elongated and ends at a point, whereas the distal one is less elongated and its apex blunt. Patia rhetes shows the lowest number of scaleless antennomeres (n = 11) while P. cordillera sspp. the largest (n = 14 or 15). The variety of the sensilla present in the Patia species does not provide specific differences, except in P. cordillera sororna where we discovered the presence of a claviform sensillum that does not present in any other species or subspecies. In our small sample size, we did not observe sexual dimorphism.

Trial by Statistics: Is a High Probability of Guilt Enough to Convict?

Suppose one hundred prisoners are in a yard under the supervision of a guard, and at some point, ninety-nine of them collectively kill the guard. If, after the fact, a prisoner is picked at random and tried, the probability of his guilt is 99%. But despite the high probability, the statistical chances, by themselves, seem insufficient to justify a conviction. The question is why. Two arguments are offered. The first, decision-theoretic argument shows that a conviction solely based on the statistics in the prisoner scenario is unacceptable so long as the goal of expected utility maximization is combined with fairness constraints. The second, risk-based argument shows that a conviction solely based on the statistics in the prisoner scenario lets the risk of mistaken conviction surge potentially too high. The same, by contrast, cannot be said of convictions solely based on DNA evidence or eyewitness testimony. A noteworthy feature of the two arguments in the paper is that they are not confined to criminal trials and can in fact be extended to civil trials.

Philolaus (c.470–380/9 BC)

The Greek philosopher Philolaus of Croton, a contemporary of Democritus and Socrates, was a pre-eminent Pythagorean. His book counts as the first written treatise in the history of Pythagoreanism. Surviving in fragments, it constitutes an important source for our knowledge of fifth-century Pythagoreanism and supplements the picture given by Aristotle of Pythagorean doctrine. Like earlier Presocratics Philolaus sought to furnish a comprehensive cosmology. Arguing from logical propositions, he posited two pre-existing principles: ‘unlimited things’ and ‘limiting things’. United by harmony these two principles account for the formation of the cosmos and its phenomena. Since Philolaus also invokes number as an all-powerful explanatory concept, it is likely that he associated his first principles and the things originating from them with numbers. The emphasis on harmony and number accords with early Pythagoreanism. Philolaus also wrote on musical theory and astronomy. A noteworthy feature of his astronomy is the displacement of the earth from the centre of the cosmos by fire, pictured as the ‘hearth’ of the universe. The fragments further attest Philolaus’ interest in embryology, the causes of diseases, and physiology combined with psychological functions. It was not unusual for early Greek philosophers to treat such a wide variety of topics. The distinctive elements of the thought of Philolaus are the logical arguments evinced in the fragments and the epistemological role of number for understanding the structure of reality.

Assimilation of GPS Radio Occultation Data for Tropical Cyclogenesis: A Case Study in the Eastern Atlantic

Aim:This study aimed to investigate the impact of using Global Positioning System Radio Occultation (GPS RO) sounding data (i.e., Constellation Observing System for Meteorology, Ionosphere, and Climate; COSMIC) for Tropical Cyclogenesis (TC-genesis) research.Methods:The Weather Research and Forecasting (WRF-ARW) model and the WRF data assimilation system (i.e., WRF 3DVAR) were employed to simulate Tropical Depression- 8 (TD8) 2006. A noteworthy feature about TD8-genesis was that Saharan dust outbreak was also observed during this period, which made this event more sophisticated. The time frame to be focused on was from 1200 UTC September 09 to 1200 UTC September 12, 2006. The level 2 wetPrf COSMIC data was adopted in this research. A 72-hour integration wasperformed with initial and time-dependent lateral boundary conditions derived from the NCEP final analysis data (FNL). A 2-domain nested simulation was configured with 30 km, and10 km horizontal resolutions, respectively.Results:Simulation results from all the experiments performed with different RO soundings combination showed that the RO sounding 8 has the greatest significant impact on TD8 simulation.Conclusion:Elevation, time, and location are the parameters that made RO sounding 8 the most treasured sounding to analyze TD8.