Search

Background: Disorientation is an early indicator of developing postoperative delirium (POD), which is associated with increased mortality and cognitive decline. The well-established "Confusion-Assessment-Method-for-Intensive-Care-Unit" (CAM-ICU) for diagnosing POD in intubated patients cannot make use of the feature 'disorientation', as this requires verbal communication. Other tools such as the 4AT test for disorientation but are not established in ICU settings. We therefore combined test-variables of the CAM-ICU (level of consciousness, fluctuating mental status and inattention) with verbal testing for disorientation to develop and enhance diagnostic accuracy of the "Confusion Assessment Method for Intermediate Care Unit" (CAM-IMC). In the present study we describe the development and the evaluation of the diagnostic accuracy of the CAM-IMC. Methods: We conducted a prospective cohort-study to develop and evaluate the diagnostic accuracy of the CAM-IMC and disorientation for diagnosing POD in non-intubated patients undergoing elective cardiac surgery. All patients were eligible during data collection period. Exclusion criteria were preexisting brain-organic disease, age < 50 years, preoperative intubation, and insufficient language skills. Patients were assessed for POD using the CAM-IMC as the index-test by two independent examiners over three postoperative days. Reference-testing was conducted by experienced reference-raters. The primary outcome was the diagnostic test-performance. Results: Among 178 eligible patients, 624 paired observations were completed with 155 patients. Of these, 9% experienced POD. Sensitivity and specificity were 0.96 (CI-95%: 0.87-1.00) and 0.94 (CI-95%: 0.92–0.96), respectively. Area-Under-the-Receiver-Operating-Characteristic-Curve (AUROC; equivalent to c-statistic) for CAM-IMC with a cut-off at three points was 0.95 (CI-95%: 0.93–0.98). The interrater reliability was 0.80 (CI-95%: 0.69–0.91). Conclusion: The CAM-IMC demonstrates excellent test performance for diagnosing POD in non-intubated patients by combining features of the CAM-ICU with 'disorientation'. Given an aging community with an increasing delirium risk, the CAM-IMC provides a highly structured assessment tool for POD. It enables early and accurate detection of delirium, which is critical for timely intervention and improved patient outcomes. The CAM-IMC appears to be a useful tool to be implemented in units for not-intubated patients and seems to be the perfect match where the CAM-ICU is already in use for monitoring POD. Trial registration: DRKS00026980 (German registry of clinical studies). [ABSTRACT FROM AUTHOR]

Studies of community assembly often explore the role of niche selection in limiting the diversity of functional traits (underdispersion) or increasing the diversity of functional traits (overdispersion) within local communities. While these patterns have primarily been explored with morphological functional traits related to environmental tolerances and resource acquisition, plant metabolomics may provide an additional functional dimension of community assembly to expand our understanding of how niche selection changes along environmental gradients. Here, we examine how the functional diversity of leaf secondary metabolites and traditional morphological plant traits changes along local environmental gradients in three temperate forest ecosystems across North America. Specifically, we asked whether co‐occurring tree species exhibit local‐scale over‐ or underdispersion of metabolomic and morphological traits, and whether differences in trait dispersion among local communities are associated with environmental gradients of soil resources and topography. Across tree species, we find that most metabolomic traits are not correlated with morphological traits, adding a unique dimension to functional trait space. Within forest plots, metabolomic traits tended to be overdispersed while morphological traits tended to be underdispersed. Additionally, local environmental gradients had site‐specific effects on metabolomic and morphological trait dispersion patterns. Taken together, these results show that different suites of traits can result in contrasting patterns of functional diversity along environmental gradients and suggest that multiple community assembly mechanisms operate simultaneously to structure functional diversity in temperate forest ecosystems. [ABSTRACT FROM AUTHOR]

Lead (Pb) is a neurotoxicant with early life exposure linked to long-term health effects. Piwi-interacting RNAs (piRNAs) are small non-coding RNAs that associate with PIWIL proteins to induce DNA methylation. It remains unknown whether Pb exposure influences piRNA expression. This study evaluated how perinatal Pb exposure (32 ppm in drinking water) impacts piRNA expression in adult mice and assessed piRNA dysregulation as a potential mechanism for Pb-induced toxicity. Pb exposure effects on piRNA expression and associated gene repression in the germline (testis/ovary) and soma (liver and brain) were evaluated. Small RNA sequencing was used to determine differentially expressed piRNAs, RT-qPCR to examine piRNA target expression, and whole genome bisulfite sequencing to evaluate target DNA methylation status. Three piRNAs (mmpiR-1500602, mmpiR-0201406, and mmpiR-0200026) were significant after multiple testing correction (all downregulated in the male Pb-exposed brain in comparison to control; FDR < 0.05). Within piOxiDB, TAO Kinase 3 was identified as a downstream mRNA target for one of the three Pb-sensitive piRNA. The Pb-exposed male brain exhibited increased Taok3 expression (p < 0.05) and decreased DNA methylation (FDR < 0.01). The results demonstrate that perinatal Pb exposure stably influences longitudinal piRNA expression in a tissue- and sex-specific manner, potentially via DNA methylation-directed mechanisms. [ABSTRACT FROM AUTHOR]

Since the success of solid organ transplants, such as human kidneys, livers and hearts, from the 50s to the 60s in the last century, the field of organ transplantation has progressed rapidly. Mainly due to modifications in surgical operation techniques and improvements in immunosuppressive therapy regimes, organ survival time can now be greatly prolonged. This progress has also been dependent upon the availability of appropriate animal models for organ transplantation. Therefore, the mouse heart transplantation model has developed into an irreplaceable research model for solid organ transplantation, providing indelible contributions to the field. In this review, we will provide an overview of the technical developments in murine heart transplantation, as well as its historical and current role for alloimmune research. Further, we will describe its current fields of application and its scientific achievements before we discuss potential future applications. [ABSTRACT FROM AUTHOR]

Purpose: This study aimed to address the underexplored domain of organisational vulnerability, with a specific focus on understanding how vulnerability is understood in organisations and the underlying pathways leading to vulnerability. Design/methodology/approach: This study utilised a narrative literature review methodology, using Google Scholar as the primary source, to analyse the concepts of organisational vulnerability in the context of disaster risk studies. The review focused on relevant documents published between the years 2000 and 2022. Findings: The analysis highlights the multifaceted nature of organisational vulnerability, which arises from both inherent weaknesses within the organisation and external risks that expose it to potential hazards. The inherent weaknesses are rooted in internal vulnerability pathways such as organisational culture, managerial ignorance, human resources, and communication weaknesses that compromise the organisation's resilience. The external dimension of vulnerability is found in cascading vulnerability pathways, e.g. critical infrastructure, supply chains, and customer relationships. Originality/value: As the frequency and severity of disasters continue to increase, organisations of all sizes face heightened vulnerability to unforeseen disruptions and potential destruction. Acknowledging and comprehending organisational vulnerability is a crucial initial step towards enhancing risk management effectiveness, fostering resilience, and promoting sustainable success in an interconnected global environment and an evolving disaster landscape. [ABSTRACT FROM AUTHOR]

Myotonic Dystrophy type 1 (DM1), a highly prevalent form of muscular dystrophy, is caused by (CTG)n repeat expansion in the DMPK gene. Much of DM1 research has focused on the effects within the muscle and neurological tissues; however, DM1 patients also suffer from various metabolic and liver dysfunctions such as increased susceptibility to metabolic dysfunction-associated fatty liver disease (MAFLD) and heightened sensitivity to certain drugs. Here, we generated a liver-specific DM1 mouse model that reproduces molecular and pathological features of the disease, including susceptibility to MAFLD and reduced capacity to metabolize specific analgesics and muscle relaxants. Expression of CUG-expanded (CUG)exp repeat RNA within hepatocytes sequestered muscleblind-like proteins and triggered widespread gene expression and RNA processing defects. Mechanistically, we demonstrate that increased expression and alternative splicing of acetyl-CoA carboxylase 1 drives excessive lipid accumulation in DM1 livers, which is exacerbated by high-fat, high-sugar diets. Together, these findings reveal that (CUG)exp RNA toxicity disrupts normal hepatic functions, predisposing DM1 livers to injury, MAFLD, and drug clearance pathologies that may jeopardize the health of affected individuals and complicate their treatment. Liver dysfunctions are understudied in myotonic dystrophy (DM1) but impact metabolic health, drug sensitivity and treatment paradigms for the affected population. Here, Dewald et al. generated liver-specific DM1 mice to demonstrate that CUG-repeat RNA toxicity predisposes the liver to MAFLD and drug metabolism defects. [ABSTRACT FROM AUTHOR]

The budget of reactive nitrogen species, which play a central role in atmospheric chemistry (e.g. in photochemical O3 production), is poorly understood in forested regions. In this study, through observations of NO, NO2 , NOy , and O3 in the Rambouillet Forest near Paris, France, we have examined nighttime processes controlling NOx in an anthropogenically impacted forest environment. The O3 mixing ratios displayed a strong diel profile at the site that was driven by a variable but generally rapid deposition to soil and foliar surfaces. The O3 diel profile was strongly influenced by relative humidity and temperature inversion. Only when the O3 mixing ratio was sufficiently low (and thus the NO lifetime sufficiently long) were sustained NO peaks observed above the instrumental detection limit, enabling the derivation of average NO emission rates of ∼1.4 ppbvh-1 from the soil. Observations of the lack of increase in NO2 at night, despite a significant production rate from the reaction of NO with O3 , enabled an effective lifetime of NO2 of ∼0.5 –3 h to be derived. As the loss of NO2 was not compensated for by the formation of gas- or particle-phase reactive nitrogen species, it was presumably either driven by deposition to soil and foliar surfaces or any products formed were themselves short-lived with respect to deposition. By comparison, the daytime lifetime of NO2 with respect to loss by reaction with OH is about 1 d. Our results indicate that the nighttime deposition of NO2 is a major sink of boundary layer NOx in this temperate forest environment. [ABSTRACT FROM AUTHOR]

We describe our current understanding of the variability and degradation mechanisms observed through a series of five indirectly driven inertial fusion implosions fielded at the National Ignition Facility in the fall of 2021, four of which attempted to reproduce the first experiment to achieve Lawson's criterion for ignition with a thermonuclear yield of 1.35 MJ on August 8, 2021. A large number of absolutely calibrated (imaging, time-resolved, and spectrally resolved) x-ray and neutron diagnostics are fielded on the NIF along multiple lines of sight for each experiment. This allows for a reconstruction of the DT fuel and ablator mix injected into the hotspot around peak burn. We show that nuclear yield variations are well reproduced by numerical modeling when the measured low mode asymmetries and mix mass are included. Furthermore, these observed perturbations during burn are linked to small variations in laser delivery and capsule defects. Stringent specifications are then set to achieve robust ignition with the implosion design studied in this paper. [ABSTRACT FROM AUTHOR]

This work presents the integration of an elemental analyzer (EA) and an isotope ratio mass spectrometer (IRMS) into the 6 MV AMS system at the Institute for Nuclear Physics, University of Cologne. The AMS measurement of δ13C values for IAEA-C6 reference material resulted in –11.39(226)‰, compared to –10.28(32)‰ obtained by IRMS. The EA-IRMS system was also tested with IAEA-C3, IAEA-C5, and IAEA-C7 reference materials, yielding –24.79(9), –25.18(15), and –14.76(18)‰ respectively. Compared to the IAEA information values given as –24.91(49), –25.49(72) and –14.48(21)‰ respectively. To investigate an observed sample mass dependency, environmental samples from Spitzbergen were examined, showing δ13C values of –25.17(55), –25.80(31), and –26.17‰ in Cologne, while Hamburg recorded –24.8(1), –25.5(1), and –26.2(13)‰. In summary, this new setup could enable online analysis and quasi-simultaneous measurements of 14C, δ13C, and δ15N for ultra-small samples, utilizing precise δ13C values from IRMS for fractionation correction of the 14C/14C isotopic ratio. [ABSTRACT FROM AUTHOR]

Countersink inspection is crucial in various automated assembly lines, especially in the aerospace and automotive sectors. Advancements in machine vision introduced automated robotic inspection of countersinks using laser scanners and monocular cameras. Nevertheless, the aforementioned sensing pipelines require the robot to pause on each hole for inspection due to high latency and measurement uncertainties with motion, leading to prolonged execution times of the inspection task. The neuromorphic vision sensor, on the other hand, has the potential to expedite the countersink inspection process, but the unorthodox output of the neuromorphic technology prohibits utilizing traditional image processing techniques. Therefore, novel event-based perception algorithms need to be introduced. We propose a countersink detection approach on the basis of event-based motion compensation and the mean-shift clustering principle. In addition, our framework presents a robust event-based circle detection algorithm to precisely estimate the depth of the countersink specimens. The proposed approach expedites the inspection process by a factor of 10 × compared to conventional countersink inspection methods. The work in this paper was validated for over 50 trials on three countersink workpiece variants. The experimental results show that our method provides a standard deviation of 0.025 mm and an accuracy of 0.026 mm for countersink depth inspection despite the low resolution of commercially available neuromorphic cameras. Video Link: https://www.dropbox.com/s/pateqqwh4d605t3/final_video_new.mp4?dl=0. [ABSTRACT FROM AUTHOR]

Copyright of Zeitschrift für Herz-, Thorax- und Gefaesschirurgie is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Background: Control of humeral torsion can present a challenge, especially intraoperatively during closed reduction and fixation of humeral shaft fractures or 2-part surgical neck fractures of the proximal humerus. The objective of this study is to develop and validate an indirect method for the assessment of humeral torsion using an index that is linearly correlated with rotational arm position and can be derived from only a single plain radiographic image of the proximal humerus. Methods: The Humeral Head Offset Index (HHOI) is calculated as the ratio of the medial and lateral offset of the humeral head measured from the outer cortices of the shaft on a plain radiographic or fluoroscopic image. The relationship of HHOI with humeral torsion was first verified on a sawbone model with radiopaque characteristics under fluoroscopic control. Different degrees of retroversion were simulated through manual rotation of the humerus with a digital protractor in 5° increments until 40° internally rotated and then in 5° increments until 40° externally rotated from the neutral position. The same procedure was subsequently performed digitally on Digitally Reconstructed Radiographs (DRRs) from computed tomography (CT) dataset of the sawbone. Next, the HHOI index was applied to eight randomly selected patients with total humerus CT using the same method. Spearman's rho was calculated for the bivariate analysis of correlation between the simulated degree of retroversion and the HHOI. Strength of correlation was classified according to Koo and Li. Interrater and intrarater reliability of three blinded observers with repetition of measurement after three months were analyzed by assessing the intraclass correlation coefficient (ICC). Results: Both in the sawbone model and in DRRs, we demonstrated a high to very high significant linear correlation between simulated retroversion and the HHOI. ICC values demonstrated excellent interrater reliability and excellent intrarater reliability for measurement of the HHOI. Conclusions: The HHOI is a new, simple, reliable index that has a linear relationship to the rotation of the humerus and can therefore allow an indirect control of humeral torsion in comparison to the contralateral side. [ABSTRACT FROM AUTHOR]

This article explores the potential contribution that security risk assessments and a security programme on commercial private game reserves in the Limpopo Province of South Africa can make to ensure the safety and security, not only of their visitors, but also of the wildlife and natural assets of a game reserve. Not all commercial private game reserves can afford an extensive security programme and the person in charge may not be a security and/or a risk management expert, therefore the need arises for the development of a fundamental and straightforward security programme. [ABSTRACT FROM AUTHOR]

Frustraums have a higher laser-to-capsule x-ray radiation coupling efficiency and can accommodate a large capsule, thus potentially generating a higher yield with less laser energy than cylindrical Hohlraums for a given Hohlraum volume [Amendt et al., Phys. Plasmas 26, 082707 (2019]. Frustraums are expected to have less m = 4 azimuthal asymmetries arising from the intrinsic inner-laser-beam geometry on the National Ignition Facility. An experimental campaign at Lawrence Livermore National Laboratory to demonstrate the high-coupling efficiency and radiation symmetry tuning of the Frustraum has been under way since 2021. Simulations benchmarked against experimental data show that implosions using Frustraums can achieve more yield with higher ignition margins than cylindrical Hohlraums using the same laser energy. Hydrodynamic jets in capsules along the Hohlraum axis, driven by radiation-flux asymmetries in a Hohlraum with a gold liner on a depleted uranium (DU) wall, are present around stagnation, and these "polar" jets can cause severe yield degradation. The early-time Legendre mode P4 < 0 radiation-flux asymmetry is a leading cause of these jets, which can be reduced by using an unlined DU Hohlraum because the shape of the shell is predicted to be more prolate. Magnetization can increase the implosion robustness and reduce the required hotspot ρ R for ignition; therefore, magnetizing the Frustraum can maintain the same yield while reducing the required laser energy or increase the yield using the same laser energy—all under the constraint that the ignition margin is preserved. Reducing polar jets is particularly important for magnetized implosions because of the intrinsic toroidal hotspot ion temperature topology. [ABSTRACT FROM AUTHOR]

We present direct measurements of biogenic volatile organic compound (BVOC)-induced nitrate radical (NO3) reactivity (kVOC) through the diel cycle in the suburban, temperate forest of Rambouillet near Paris (France). The data were obtained in a 6-week summer period in 2022 as part of the Atmospheric ChemistRy Of the Suburban foreSt (ACROSS) campaign. kVOC was measured in a small (700 m2) clearing mainly at a height of 5.5 m above ground level but also at 40 m (for 5 d and nights). At nighttime, mean values (and 25th–75th percentile ranges) of knightVOC(5.5m) = (0.24-0.06+0.32) s-1 and knightVOC(40m) = (0.016-0.007+0.018) s-1 indicate a significant vertical gradient and low NO3 reactivity above the canopy, whereas knightVOC (5.5 m) showed peak values of up to 2 s-1 close to the ground. The strong vertical gradient in NO3 reactivity could be confirmed by measurements between 0 and 24 m on one particular night characterized by a strong temperature inversion and is a result of the decoupling of air masses aloft from the ground- and canopy-level sources of BVOCs (and nitric oxide, NO). No strong vertical gradient was observed in the mean daytime NO3 reactivity, with kdayVOC(5.5m) = (0.12±0.04) s-1 for the entire campaign and kdayVOC(40m) = (0.07±0.02) s-1 during the 5 d period. Within the clearing, the fractional contribution of VOCs to the total NO3 loss rate coefficient (ktot , determined by photolysis, reaction with NO and VOCs) was 80 %–90 % during the night and ∼ 50 % during the day. In terms of chemical losses of α -pinene below canopy height in the clearing, we find that at nighttime hydroxyl radicals (OH) and ozone (O3) dominate, with NO3 contributing "only" 17 %, which decreases further to 8.5 % during the day. Based on measured OH, measured O3 , and calculated NO3 concentrations, the chemical lifetime of BVOCs at noon is about 1 h and is likely to be longer than timescales of transport out of the canopy (typically of the order of minutes), thus significantly reducing the importance of daytime in-canopy processing. Clearly, in forested regions where sufficient nitric oxide and nitrogen dioxide (NOx) is available, the role of NO3 and OH as initiators of BVOC oxidation is not strictly limited to nighttime and daytime, respectively, as often implied in e.g. atmospheric chemistry textbooks. [ABSTRACT FROM AUTHOR]

There are currently no prophylactic vaccines licensed to protect against Lassa fever caused by Lassa virus (LASV) infection. The Emergent BioSolutions (EBS) vaccine candidate, EBS-LASV, is being developed for the prevention of Lassa fever. EBS-LASV is a live-attenuated recombinant Vesicular Stomatitis Virus (rVSV)-vectored vaccine encoding the surface glycoprotein complex (GPC) from LASV and has two attenuating vector modifications: a gene shuffle of the VSV N gene and a deletion of the VSV G gene. Preclinical studies were performed to evaluate EBS-LASV's neurovirulence potential following intracranial (IC) injection and to determine the biodistribution and vector replication following intramuscular (IM) inoculation in mice. In addition, the potential EBS-LASV toxicity was assessed using repeated-dose IM EBS-LASV administration to rabbits. All mice receiving the IC injection of EBS-LASV survived, while mice administered the unattenuated control vector did not. The vaccine was only detected in the muscle at the injection site, draining lymph nodes, and the spleen over the first week following IM EBS-LASV injection in mice, with no detectable plasma viremia. No toxicity was observed in rabbits receiving a three-dose regimen of EBS-LASV. These studies demonstrate that EBS-LASV is safe when administered to animals and supported a first-in-human dose-escalation, safety, and immunogenicity clinical study. [ABSTRACT FROM AUTHOR]

Introduction: Hand opening is reduced by abnormal wrist and finger flexor activity in many individuals with stroke. This flexor activity also limits hand opening produced by functional electrical stimulation (FES) of finger and wrist extensor muscles. Recent advances in electrical nerve block technologies have the potential to mitigate this abnormal flexor behavior, but the actual impact of nerve block on hand opening in stroke has not yet been investigated. Methods: In this study, we applied the local anesthetic ropivacaine to the median and ulnar nerve to induce a complete motor block in 9 individuals with stroke and observed the impact of this block on hand opening as measured by hand pentagonal area. Volitional hand opening and FES-driven hand opening were measured, both while the arm was fully supported on a haptic table (Unloaded) and while lifting against gravity (Loaded). Linear mixed effect regression (LMER) modeling was used to determine the effect of Block. Results: The ropivacaine block allowed increased hand opening, both volitional and FES-driven, and for both unloaded and loaded conditions. Notably, only the FES-driven and Loaded condition's improvement in hand opening with the block was statistically significant. Hand opening in the FES and Loaded condition improved following nerve block by nearly 20%. Conclusion: Our results suggest that many individuals with stroke would see improved hand-opening with wrist and finger flexor activity curtailed by nerve block, especially when FES is used to drive the typically paretic finger and wrist extensor muscles. Such a nerve block (potentially produced by aforementioned emerging electrical nerve block technologies) could thus significantly address prior observed shortcomings of FES interventions for individuals with stroke. [ABSTRACT FROM AUTHOR]

A decades-long quest to achieve fusion energy target gain and ignition in a controlled laboratory experiment, dating back to 1962, has been realized at the National Ignition Facility (NIF) on December 5, 2022 [Abu-Shawareb et al., Phys. Rev. Lett. 132, 065102 (2024)] where an imploded pellet of deuterium and tritium (DT) fuel generated more fusion energy (3.15 MJ) than laser energy incident on the target (2.05 MJ). In these experiments, laser beams incident on the inside of a cylindrical can (Hohlraum) generate an intense ∼ 3 × 106 million degree x-ray radiation bath that is used to spherically implode ∼ 2 mm diameter pellets containing frozen deuterium and tritium. The maximum fusion energy produced in this configuration to date is 3.88 MJ using 2.05 MJ of incident laser energy and 5.2 MJ using 2.2 MJ of incident laser energy, producing a new record target gain of ∼ 2.4×. This paper describes the physics (target and laser) design of this platform and follow-on experiments that show increased performance. We show robust megajoule fusion energy output using this design as well as explore design modification using radiation hydrodynamic simulations benchmarked against experimental data, which can further improve the performance of this platform. [ABSTRACT FROM AUTHOR]

In Wire Arc Additive Manufacturing (WAAM), variable layer heights enable the non-parallel or non-planar slicing of parts. In researching variable layer heights, this paper documents printing strategies for a reference geometry whose key features are non-orthogonal growth and unsupported overhangs. The complexity of 3D printing with welding requires parameter optimization to control the deposition of molten material. Thus, 3D printing with welding requires the precise deposition of molten material. Currently, there is no standard solution for the customization of process parameters and intelligent collection of data from sensors. To address this gap in technology, this research develops an Internet of Things (IoT)-enabled, distributed communication protocol to control process parameters, synchronize commands, and integrate device data. To intelligently collect sensor information, this research creates a query-able database during pre-planning and production. This contributes to fundamental research in WAAM by documenting strategies for printing variable layer heights, the customization of control parameters, and the collection of data through a WAAM Information Model (WIM). [ABSTRACT FROM AUTHOR]

Copyright of Current Sociology is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Despite the importance of a diversity of backgrounds and perspectives in biological research, women, racial and ethnic minorities, and students from non-traditional academic backgrounds remain underrepresented in the composition of university faculty. Through a study on doctoral students at a research-intensive university, we pinpoint advising from faculty as a critical component of graduate student experiences and productivity. Graduate students from minority backgrounds reported lower levels of support from their advisors and research groups. However, working with an advisor from a similar demographic background substantially improved productivity and well-being of these students. Several other aspects of mentoring practices positively predicted student success and belonging, including frequent one-on-one meetings, empathetic and constructive feedback, and relationships with other peer or faculty mentors. Our study highlights the need to renovate graduate education with a focus on retention–not just recruitment–to best prepare students for success in scientific careers. [ABSTRACT FROM AUTHOR]

Purpose: The aim was to characterize the framework conditions in academic interventional radiology (IR) in Germany with focus on differences between genders. Materials and methods: After IRB approval, all members of The German Society for Interventional Radiology and Minimally Invasive Therapy (n = 1,632) were invited to an online survey on work and research. Statistical comparisons were undertaken with the Fisher's exact test, Wilcoxon rank sum test or Pearson's Chi-squared test. Results: From 267 available questionnaires (general response rate 16.4%), 200 were fully completed. 40% of these (78/200) were involved in research (71% men vs. 29% women, p < 0.01) and eligible for further analysis. Of these, 6% worked part-time (2% vs. 17%, p < 0.05). 90% of the respondents spent less than 25% of their research during their paid working hours, and 41% performed more than 75% of their research during. leisure time. 28% received exemption for research. 88% were (rather) satisfied with their career. One in two participants successfully applied for funding, with higher success rates among male applicants (90% vs. 75%) and respondents with protected research time (93% vs. 80%). Compared to men, women rated their entrance in research as harder (p < 0.05), their research career as more important (p < 0.05), felt less noticed at congresses (93% vs. 53%, p < 0.01), less confident (98% vs. 71%, p < 0.01), and not well connected (77% vs. 36%, p < 0.01). Conclusion: Women and men did research under the same circumstances; however, women were underrepresented. Future programs should generally focus on protected research time and gather female mentors to advance academic IR in Germany. [ABSTRACT FROM AUTHOR]

Graded metal pushered single shells (PSS) are a viable alternative to low-Z capsules (Z is the atomic number) for indirect drive inertial confinement fusion implosions due to enhanced core tamping and radiation trapping, but they can be compromised by the pusher mixing with the fuel. We compare 2-shock and 3-shock laser pulses for Be/Cr PSS capsules filled with deuterium–tritium gas fuel at 6 mg/cc density. 1D radiation-hydrodynamic simulations predict higher core compression and, hence, ∼2× higher fusion yield for the 3-shock drive than for 2-shock. Nevertheless, we observe similar core ion temperatures and fusion yields for both drives. The implosion burn duration is 25% shorter and the core volume is ∼2.5× smaller for the 3-shock drive than for 2-shock, consistent with a higher compression. 1D LASNEX mix simulations using a buoyancy-drag model matching the measured yields also agree with the observed core sizes and burn durations and suggest ∼40% and ∼70% yield degradations for 2-shock and 3-shock drives due to hydrodynamic instabilities and atomic mix at the pusher–fuel interface. At the same time, 2D HYDRA simulations show that mid-mode (2–250) instability degradations are negligible for the 2-shock implosion (9%) and significant (45%) for 3-shock. Subtracting these from the 1D mix simulations, we infer similar degradations from high-mode instabilities and atomic mix for both drives. Due to its robustness to mid-mode instabilities, future pusher–gas mix studies will use the 2-shock drive. [ABSTRACT FROM AUTHOR]

We present direct measurements of BVOC-induced nitrate radical (NO3) reactivity (kVOC) through the diel cycle in the suburban, temperate forest of Rambouillet near Paris (France). The data were obtained in a six-week summer period in 2022 as part of the ACROSS campaign (Atmospheric ChemistRy Of the Suburban foreSt). kVOC was measured in a small (700 m²) clearing mainly at a height of 5.5 m above ground level, but also at 40 m (for 5 days/nights). At nighttime, mean values of kVOCnight (5.5 m) = (0.24 ± 0.27) s-1 and kVOCnight (40 m) = (0.016 ± 0.007) s-1 indicate a significant vertical gradient and low NO3 reactivity above the canopy, whereas kVOCnight (5.5 m) showed peak values of up to 2 s-1 close to the ground. The strong vertical gradient in NO3 reactivity could be confirmed by measurements between 0 and 24 m on one particular night characterised by a strong temperature inversion, and is a result of the decoupling of air masses aloft from the ground- and canopy-level sources of BVOCs (and NO). No strong vertical gradient was observed in the mean daytime NO3 reactivity with kVOCnight(5.5 m) = (0.12 ± 0.04) s-1 for the entire campaign and kVOCnight(40 m) = (0.07 ± 0.02) s-1 during the 5-day period. Within the clearing, the fractional contribution of VOCs to the total NO3 loss rate (LNO3, determined by photolysis, reaction with NO and VOCs) was 80-90 % during the night and ~50 % during the day. In terms of chemical losses of α-pinene below canopy height in the clearing, we find that at nighttime OH and O3 dominate with NO3 contributing "only" 17 %, which decreases further to 8.5 % during the day. Based on OH, O3 and NO3 concentrations, the chemical lifetime of BVOCs at noon is about one hour and is likely to be longer than timescales of transport out of the canopy (typically in the order of minutes), thus significantly reducing the importance of daytime, in-canopy processing. Clearly, in forested regions where sufficient NOX is available, the role of NO3 and OH as initiators of BVOC oxidation are not strictly limited to the night and to the day, respectively, as often implied in e.g. atmospheric chemistry text-books. [ABSTRACT FROM AUTHOR]

Background: Hole drilling is a measurement technique used to determine near surface residual stresses and has been codified in ASTM E837-20. In ASTM E837-20, the minimum allowable distance to a free edge is prescribed as 1.5 times the gauge circle diameter. Objective: This work examines the effect arising from the distance from a free edge on a hole drilling measurement and provides an approach to determine residual stress for measurements where the edge distance is closer than that currently permitted by ASTM E837-20. Methods: Numerical experiments were performed to understand how the compliance matrices change when the distance from a hole drilling measurement to a free edge varies. In addition, a series of hole drilling measurements were performed at various distances from a free edge using a shot peened aluminum plate with a nominally equibiaxial stress state to demonstrate the approach. Results: The numerical experiments determined that the use of corrected compliance matrices is appropriate when the edge distance is as small as 0.35 times the gauge circle diameter. Physical measurements supported the use of custom compliance matrices for a given free edge distance and specimen thicknesses. [ABSTRACT FROM AUTHOR]

Open in new tab Download slide OBJECTIVES Decellularized aortic homografts (DAH) were introduced in 2008 as a further option for paediatric aortic valve replacement (AVR). METHODS Prospective, multicentre follow-up of all paediatric patients receiving DAH for AVR in 8 European centres. RESULTS A total of 143 DAH were implanted between February 2008 and February 2023 in 137 children (106 male, 74%) with a median age of 10.8 years (interquartile range 6.6–14.6). Eighty-four (59%) had undergone previous cardiac operations and 24 (17%) had undergone previous AVR. The median implanted DAH diameter was 21 mm (interquartile range 19–23). The median operation duration was 348 min (227–439) with a median cardiopulmonary bypass time of 212 min (171–257) and a median cross-clamp time of 135 min (113–164). After a median follow-up of 5.3 years (3.3–7.2, max. 15.2 years), the primary efficacy end-points peak gradient (median 14 mmHg, 9–28) and regurgitation (median 0.5, interquartile range 0–1, grade 0–3) showed good results but an increase over time. Freedom from death/explantation/endocarditis/bleeding/thromboembolism at 5 years were 97.8 ± 1.2/88.7 ± 3.3/99.1 ± 0.9/100 and 99.2 ± 0.8%, respectively. Freedom from death/explantation/endocarditis/bleeding/thromboembolism at 10 years were 96.3 ± 1.9/67.1 ± 8.0/93.6 ± 3.9/98.6 ± 1.4 and 86.9 ± 11.6%, respectively. In total, 21 DAH were explanted. Seven were replaced by a mechanical AVR, 1 Ross operation was performed and a re-do DAH was implanted in 13 patients with no redo mortality. The calculated expected adverse events were lower for DAH compared to cryopreserved homograft patients (mean age 8.4 years), and in the same range as for Ross patients (9.2 years) and mechanical AVR (13.0 years). CONCLUSIONS This large-scale prospective analysis demonstrates excellent mid-term survival using DAH with adverse event rates comparable to paediatric Ross procedures. [ABSTRACT FROM AUTHOR]

Amidst the increased exposure of vulnerable communities to disaster risks in recent years, the optimal use of Social Impact Assessment (SIA) for effective risk reduction, enhanced social resilience, and a more sustainable human environment is essential. The limited flexibility of SIA methodological guidance is a potential obstacle to optimal practice, particularly in developing countries with complex social contexts, such as South Africa. In this article, the potential integration of SIA with aspects of Disaster Risk Assessment (DRA) for improved practice is explored by evaluating commonalities and differences in South African SIA and DRA methodological guidelines in comparison with international good practice guidelines. While South African SIA guidance is in line with international good practice, definite shortcomings were observed, such as the absence of risk assessment guidance. The findings suggest that the incorporation of DRA has the potential to strengthen risk assessment in SIA practice through an integrated approach to social risk baseline studies. SIA and DRA practice communities will benefit from this integrated approach, and thereby contribute to improved social resilience, all of which should contribute to sustainable development outcomes, especially in hazard influenced contexts. [ABSTRACT FROM AUTHOR]

Background: Heart rate variability (HRV) is an established, non-invasive parameter for the assessment of cardiac autonomic nervous activity and the health status in general cardiology. However, there are few studies on HRV in adults with congenital heart defects (CHDs). The aim of the present study was to evaluate the use of long-term continuous HRV measurement for the assessment of global health status in adults with cyanotic CHD. Methods: This prospective study included 45 adults (40% female, mean age = 35.2 ± 9.2 [range: 19–58] years) after cardiac surgical repair. HRV parameters were calculated from continuous 24 h measurements using a Bittium Faros 180 sensor (Bittium Corp., Oulu, Finland). Results: Postoperative patients with transposition of the great arteries (TGA) (n = 18) achieved significantly higher values of standard deviation of NN intervals (SDNN) (175.4 ± 59.9 ms vs. 133.5 ± 40.6 ms; p = 0.013) compared with patients with other conotruncal anomalies (n = 22). Comparing patients with TGA after a Senning–Brom or Mustard operation (n = 13) with all other heart surgery patients (n = 32), significantly higher HRV parameters were found after atrial switch (root mean square of successive RR interval differences: 53.6 ± 20.7 ms vs. 38.4 ± 18.3 ms; p = 0.019; SDNN: 183.5 ± 58.4 ms vs. 136.3 ± 45.3 ms; p = 0.006). A higher SDNN was also measured after Senning–Brom or Mustard operations than after a Rastelli operations (n = 2) (SDNN: 183.5 ± 58.4 ms vs. 84.5 ± 5.2 ms; p = 0.037). When comparing atrial switch operations (n = 3) with Rastelli operations, the SDNN value was significantly shorter in the Rastelli group (p = 0.004). Conclusions: Our results suggest that continuous HRV monitoring may serve as a marker of cardiac autonomic dysfunction in adults with cyanotic CHD after surgical repair. Impaired cardiac autonomic nervous activity may be associated with an increased risk of adverse reactions in patients with repaired CHD. Therefore, a longitudinal assessment of HRV patterns and trends may provide a deeper insight into dynamic changes in their autonomic regulation and disease progression, lifestyle changes, or treatments. As each person has individual variability in heart rate, HRV may be useful in assessing intra-individual disease progression and may help to improve personalized medicine. Further studies are needed to better understand the underlying mechanisms and to explore the full potential of HRV analysis to optimize medical care for ACHDs. [ABSTRACT FROM AUTHOR]

Background: Ideally, suspected airway compression in symptomatic children with lymphobronchial tuberculosis (TB) would be diagnosed using modern computed tomography (CT) assisted by coronal minimum intensity projection (MinIP) reconstructions. However, in TB-endemic regions with limited resources, practitioners rely on conventional radiography for diagnosing TB and its complications. Furthermore, airway compression detected on conventional radiographs would upgrade a patient into the severe category according to the new World Health Organization guidelines, precluding the patient from shorter treatment protocols. The accuracy of conventional radiographs in the context of detecting airway compression in children with TB has not been specifically evaluated against an imaging gold standard. Objective: We aimed to compare frontal chest radiographs against thick-slab angled coronal CT MinIP in identifying airway stenosis at ten specific sites and to determine observer agreement between the modalities regarding the degree of stenosis. Materials and methods: This retrospective cross-sectional study compared chest radiographs with standardized angled coronal CT MinIP in children with symptomatic lymphobronchial TB at ten predetermined airway locations. Chest radiographs were evaluated by one pediatric radiologist and CT MinIP reconstructions were independently interpreted by three readers. Sensitivity and specificity were calculated using CT MinIP as the gold standard. Stenosis was graded as 1 for mild (1–50%), 2 for moderate (51–75%), 3a for severe (76–99%), and 3b for total occlusion (100%). Agreement between the two modalities regarding severity of stenosis was calculated using the kappa coefficient for each affected site. Results: A total of 37 patients were included in the study. The median age of patients was 14.3 months (interquartile range 8.0–23.2). Three hundred and seventy individual bronchi (10 from each of the 37 patients) were evaluated for stenosis. Chest radiographs showed that 31 out of 37 (84%) patients had stenosis in at least one of ten evaluated sites, most commonly the left main bronchus and bronchus intermedius, and this was confirmed via CT MinIP. The gold standard (CT MinIP) demonstrated stenosis in at least one of ten sites in all 37 patients (100%). Left main bronchus stenosis was detected by chest radiography with a 92.9% sensitivity and 100% specificity. Sensitivity and specificity for bronchus intermedius stenosis were 80% and 75%, respectively. There was substantial agreement for grade of stenosis between chest radiographs and CT (kappa=0.67) for the left main bronchus and moderate agreement (kappa=0.58) for the bronchus intermedius. Severe stenosis was found in 78 bronchi on CT compared to 32 bronchi (Grade 3a: 9, Grade 3b: 23) on chest radiographs. Conclusion: The diagnosis of pulmonary TB in children continues to rely heavily on imaging, and we have shown that in young children, chest radiographs had a high sensitivity and specificity for detecting airway stenosis at certain anatomical sites, when adequately visualized, resulting from tuberculous lymph node compression at left main bronchus and bronchus intermedius. For most sites, the interobserver agreement was poor. Stenosis of the left main bronchus and bronchus intermedius should be the focus of chest radiograph interpretation and can assist both diagnosis and classification of patients for treatment. [ABSTRACT FROM AUTHOR]

Despite being a well-established economic activity in numerous countries in the world, domestic tourism has received relatively little academic exploration, particularly in Namibia. While this study acknowledges the significance of work already done in this field, there remains a general lack of understanding of the factors motivating domestic tourists’ decisions to travel in the study area. As a result, this study aims to understand the key push and pull factors for domestic tourists, using the Erongo region of Namibia as a case study. The study adopts a quantitative research approach through a survey of 400 domestic tourists in the study area. Relaxation and escapism, seeking participatory experiences, and seeking enriching experiences emerged as the three main push factors, while destination attributes, events and activities, safety and familiarity, and variety of experiences were identified as dominant pull factors. The study recommends that tourism planners and marketers tailor tourism offerings to the asserted domestic tourists’ motivations to induce more domestic tourism demand and consumption among domestic tourists. [ABSTRACT FROM AUTHOR]

Background: Adults with congenital heart defects (ACHD) globally constitute a notably medically underserved patient population. Despite therapeutic advancements, these individuals often confront substantial physical and psychosocial residua or sequelae, requiring specialized, integrative cardiological care throughout their lifespan. Heart failure (HF) is a critical challenge in this population, markedly impacting morbidity and mortality. Aims: The primary aim of this study is to establish a comprehensive, prospective registry to enhance understanding and management of HF in ACHD. Named PATHFINDER-CHD, this registry aims to establish foundational data for treatment strategies as well as the development of rehabilitative, prehabilitative, preventive, and health-promoting interventions, ultimately aiming to mitigate the elevated morbidity and mortality rates associated with congenital heart defects (CHD). Methods: This multicenter survey will be conducted across various German university facilities with expertise in ACHD. Data collection will encompass real-world treatment scenarios and clinical trajectories in ACHD with manifest HF or at risk for its development, including those undergoing medical or interventional cardiac therapies, cardiac surgery, inclusive of pacemaker or ICD implantation, resynchronization therapy, assist devices, and those on solid organ transplantation. Design: The study adopts an observational, exploratory design, prospectively gathering data from participating centers, with a focus on patient management and outcomes. The study is non-confirmatory, aiming to accumulate a broad spectrum of data to inform future hypotheses and studies. Processes: Regular follow-ups will be conducted, systematically collecting data during routine clinical visits or hospital admissions, encompassing alterations in therapy or CHD-related complications, with visit schedules tailored to individual clinical needs. Assessments: Baseline assessments and regular follow-ups will entail comprehensive assessments of medical history, ongoing treatments, and outcomes, with a focus on HF symptoms, cardiac function, and overall health status. Discussion of the design: The design of the PATHFINDER-CHD Registry is tailored to capture a wide range of data, prioritizing real-world HF management in ACHD. Its prospective nature facilitates longitudinal data acquisition, pivotal for comprehending for disease progression and treatment impacts. Conclusion: The PATHFINDER-CHD Registry is poised to offer valuable insights into HF management in ACHD, bridging current knowledge gaps, enhancing patient care, and shaping future research endeavors in this domain. [ABSTRACT FROM AUTHOR]

Collaborative partnerships between criminal justice agencies and universities offer several benefits for all involved. This article describes an interdisciplinary researcher-practitioner partnership between the Will County Problem-Solving Courts and the University of St. Francis's Departments of Criminal & Social Justice and Social Work. Collaborators reflect on the mutually beneficial relationship that produced policy-informed research, new internships, and enriched classroom experiences. The collaboration also encountered challenges such as staff turnover, COVID-19, and access to data. Finally, we encourage others to engage in collaborative efforts and provide recommendations to inform future partnerships on building and sustaining researcher-practitioner collaborations. [ABSTRACT FROM AUTHOR]

Background: Amidst the COVID-19 pandemic, vaccination has been a crucial strategy for mitigating transmission and disease severity. However, vaccine-effectiveness may be influenced by various factors, including booster vaccination, as well as personal factors such as age, sex, BMI, smoking, and comorbidities. To investigate the potential effects of these factors on SARS-CoV-2 infection and disease severity, we analyzed data from the third round of the Cologne Corona Surveillance (CoCoS) project, a large cross-sectional survey. Methods: The study was conducted mid-February to mid-March 2022 in Cologne, Germany. A random sample of 10,000 residents aged 18 years and older were invited to participate in an online survey. Information on participants' demographics (age, sex), SARS-CoV-2 infections, vaccination status, smoking, and preexisting medical conditions were collected. The outcomes of the study were: (1) the occurrence of SARS-CoV-2 infection despite vaccination (breakthrough infection) and (2) the occurrence of moderate-to-severe disease as a result of a breakthrough infection. Cox proportional-hazards regression was used to investigate possible associations between the presence/absence of booster vaccination, personal factors and the occurrence of SARS-CoV-2 infection. Associations with moderate-to-severe infection were analyzed using the Fine and Gray subdistribution hazard model. Results: A sample of 2,991 residents responded to the questionnaire. A total of 2,623 primary immunized participants were included in the analysis of breakthrough infection and 2,618 in the analysis of SARS-CoV-2 infection severity after exclusions due to incomplete data. The multivariable results show that booster vaccination (HR = 0.613, 95%CI 0.415–0.823) and older age (HR = 0.974, 95%CI 0.966–0.981) were associated with a reduced hazard of breakthrough infection. Regarding the severity of breakthrough infection, older age was associated with a lower risk of moderate-to-severe breakthrough infection (HR = 0.962, 95%CI0.949–0.977). Female sex (HR = 2.570, 95%CI1.435–4.603), smoking (HR = 1.965, 95%CI1.147–3.367) and the presence of chronic lung disease (HR = 2.826, 95%CI1.465–5.450) were associated with an increased hazard of moderate-to-severe breakthrough infection. Conclusion: The results provide a first indication of which factors may be associated with SARS-CoV-2 breakthrough infection and moderate-to-severe course of infection despite vaccination. However, the retrospective nature of the study and risk of bias in the reporting of breakthrough infection severity limit the strength of the results. Trial registration: DRKS.de, German Clinical Trials Register (DRKS), Identifier: DRKS00024046, Registered on 25 February 2021. [ABSTRACT FROM AUTHOR]

Quercus alba L., also known as white oak, eastern white oak, or American white oak, is a quintessential North American species within the white oak section (Quercus) of the genus Quercus, subgenus Quercus. This species plays a vital role as a keystone species in eastern North American forests and plays a significant role in local and regional economies. As a long-lived woody perennial covering an extensive natural range, Q. alba's biology is shaped by a myriad of adaptations accumulated throughout its natural history. Populations of Q. alba are crucial repositories of genetic, genomic, and evolutionary insights, capturing the essence of successful historical adaptations and ongoing responses to contemporary environmental challenges in the Anthropocene. This intersection offers an exceptional opportunity to integrate genomic knowledge with the discovery of climate-relevant traits, advancing tree improvement, forest ecology, and forest management strategies. This review provides a comprehensive examination of the current understanding of Q. alba's biology, considering past, present, and future research perspectives. It encompasses aspects such as distribution, phylogeny, population structure, key adaptive traits to cyclical environmental conditions (including water use, reproduction, propagation, and growth), as well as the species' resilience to biotic and abiotic stressors. Additionally, this review highlights the state-of-the-art research resources available for the Quercus genus, including Q. alba, showcasing developments in genetics, genomics, biotechnology, and phenomics tools. This overview lays the groundwork for exploring and elucidating the principles of longevity in plants, positioning Q. alba as an emerging model tree species, ideally suited for investigating the biology of climate-relevant traits. [ABSTRACT FROM AUTHOR]

Purpose: To determine the sensitivity profiles of probabilistic and deterministic DTI tractography methods in estimating geometric properties in arm muscle anatomy. Methods: Spin‐echo diffusion‐weighted MR images were acquired in the dominant arm of 10 participants. Both deterministic and probabilistic tractography were performed in two different muscle architectures of the parallel‐structured biceps brachii (and the pennate‐structured flexor carpi ulnaris. Muscle fascicle geometry estimates and number of fascicles were evaluated with respect to tractography turning angle, polynomial fitting order, and SNR. The DTI tractography estimated fascicle lengths were compared with measurements obtained from conventional cadaveric dissection and ultrasound modalities. Results: The probabilistic method generally estimated fascicle lengths closer to ranges reported by conventional methods than the deterministic method, most evident in the biceps brachii (p > 0.05), consisting of longer, arc‐like fascicles. For both methods, a wide turning angle (50º–90°) generated fascicle lengths that were in close agreement with conventional methods, most evident in the flexor carpi ulnaris (p > 0.05), consisting of shorter, feather‐like fascicles. The probabilistic approach produced at least two times more fascicles than the deterministic approach. For both approaches, second‐order fitting yielded about double the complete tracts as third‐order fitting. In both muscles, as SNR decreased, deterministic tractography produced less fascicles but consistent geometry (p > 0.05), whereas probabilistic tractography produced a consistent number but altered geometry of fascicles (p < 0.001). Conclusion: Findings from this study provide best practice recommendations for implementing DTI tractography in skeletal muscle and will inform future in vivo studies of healthy and pathological muscle structure. [ABSTRACT FROM AUTHOR]

Copyright of Zeitschrift für Herz-, Thorax- und Gefaesschirurgie is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Young children with visual impairment and their families often require specialized assistance through early intervention to develop adaptive routines, cues, and environmental settings during mealtimes and other daily tasks. There is little empirical data in the area of mealtime routines available to support families of young children with visual impairment, and the need for research-based interventions is great. The purpose of this initial needs assessment survey was to gather information as little is already known about what teachers of students with visual impairment trained in early intervention (TSVI-EIs) and other early interventionists who work with infants and toddlers with visual impairment already know about the development of independent mealtime skills. The results of this survey indicate that early intervention professionals would like additional opportunities to learn about mealtime routine strategies for young children with visual impairment, confirm their current experiences and knowledge, and identify additional training and resources. [ABSTRACT FROM AUTHOR]

Through observations of NO, NO2, NOY and O3 in the Rambouillet forest near Paris, France, (as part of the ACROSS campaign, 2022) we have gained insight into nighttime processes controlling NOX in an anthropogenically impacted forest environment. O3 mixing ratios displayed a strong diel profile at the site, which was driven by a variable but generally rapid deposition to soil and foliar surfaces. The O3 diel profile was strongly influenced by relative humidity, which impacted the surface resistance to uptake, and temperature inversion, which influenced the rate of entrainment of O3 from above the canopy. Only when the O3 mixing ratio was sufficiently low (and thus the NO lifetime sufficiently long), were sustained NO peaks observed above the instrumental detection limit, enabling derivation of average NO emission rates from the soil of -1.4 ppbv h-1. Observations of the lack of increase in NO2 at night, despite a significant production rate from the reaction of NO with O3, enabled an effective lifetime of NO2 of -0.5-3 h to be derived. As the loss of NO2 was not compensated by the formation of gas- or particle-phase reactive nitrogen species it was presumably driven by deposition to soil and foliar surfaces, or any products formed were themselves short-lived with respect to deposition. By comparison, the daytime lifetime of NO2 with respect to loss by reaction with OH is about 1 day. We conclude that the nighttime deposition of NO2 is a major sink of boundary layer NOX in this temperate forest environment. [ABSTRACT FROM AUTHOR]

Through observations of NO, NO2, NOY and O3 in the Rambouillet forest near Paris, France, (as part of the ACROSS campaign, 2022) we have gained insight into nighttime processes controlling NOX in an anthropogenically impacted forest environment. O3 mixing ratios displayed a strong diel profile at the site, which was driven by a variable but generally rapid deposition to soil and foliar surfaces. The O3 diel profile was strongly influenced by relative humidity, which impacted the surface resistance to uptake, and temperature inversion, which influenced the rate of entrainment of O3 from above the canopy. Only when the O3 mixing ratio was sufficiently low (and thus the NO lifetime sufficiently long), were sustained NO peaks observed above the instrumental detection limit, enabling derivation of average NO emission rates from the soil of ~1.4 ppbv h‑1. Observations of the lack of increase in NO2 at night, despite a significant production rate from the reaction of NO with O3, enabled an effective lifetime of NO2 of ⁓0.5–3 h to be derived. As the loss of NO2 was not compensated by the formation of gas- or particle-phase reactive nitrogen species it was presumably driven by deposition to soil and foliar surfaces, or any products formed were themselves short-lived with respect to deposition. By comparison, the daytime lifetime of NO2 with respect to loss by reaction with OH is about 1 day. We conclude that the nighttime deposition of NO2 is a major sink of boundary layer NOX in this temperate forest environment. [ABSTRACT FROM AUTHOR]

This article discusses the case of a 3.5 kg infant who underwent a transcatheter device closure of a large muscular ventricular septum defect (VSD) at the age of 19 days. The infant had previously undergone aortic arch patch plastic surgery due to critical coarctation of the aorta. The surgical repair of the VSD was considered high-risk, so an interventional closure using a device was chosen as an opt-out strategy. The procedure was successful, with a small residual pressure and no device-related obstruction observed. The infant's condition improved, and they were eventually discharged from the hospital. The article concludes that transcatheter device closure of a large VSD is feasible in neonates and can be a successful alternative in certain cases. [Extracted from the article]