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Background: Pregnancy-associated spontaneous coronary artery dissection (SCAD) and reversible cerebral vasoconstriction syndrome (RCVS) are rare conditions that may occur during pregnancy and the postpartum period. The coexistence of both diseases may pose a risk to patients, potentially resulting in a variety of complications and clinical manifestations. This is considered the first case of a patient who successfully recovered from a critical condition in the postpartum period, with contemporaneous SCAD and RCVS. Case presentation: A 33-year-old female with no known medical history was referred to the emergency department after experiencing cardiac arrest, which occurred 1 week after giving birth to her third child. She complained of sudden anterior squeezing chest pain, accompanied by a headache, and eventually collapsed due to ventricular fibrillation with seizure. She was successfully resuscitated after receiving basic life support. She showed an alert mentality and did not experience any further seizure events or additional neurological symptoms. Although vital sign remained stable, the level of highly sensitive troponin I was significantly elevated. Electrocardiography revealed sinus rhythm with T-wave inversion at V1-4, while chest computed tomography (CT) demonstrated severe aspiration pneumonia. The patient was admitted to the intensive care unit due to a high requirement of O2 supply. A consultation with the neurologic department and a brain magnetic resonance angiography (MRA) were conducted for the thunderclap headache. The brain MRA demonstrated stenosis in the basilar artery, the right M2 segment, and bilateral A1 segments, along with sulcal hyperintensity on post-contrast fluid-attenuated inversion recovery (FLAIR) suggesting blood–brain barrier breakdown due to vasoconstriction. Formal echocardiography showed regional wall motion abnormality in the left anterior descending artery (LAD) territory. After the improvement of pneumonia, a coronary angiography was performed, revealing diffuse luminal narrowing from the mid to distal LAD due to a long segmental, extensive dissection. We decided to maintain the medical therapy. A follow-up coronary CT angiography performed 6 months later revealed complete remission of the dissected coronary vessel, and a brain MRA checked 3 months later showed resolved vasoconstriction of the relevant cerebral vessels. Conclusions: The physicians must be aware of pregnancy-associated complications in certain patients. Clear diagnoses and proper treatments are required in pregnant patients who may be exposed to multiple acute conditions, in order to reduce complications and achieve favorable outcomes. [ABSTRACT FROM AUTHOR]

Since the main flow blades of gas turbines are in high temperature and high pressure condition, their life span depends on the performance of the cooling system. A pre-swirl system is a device that minimizes the flow loss that occurs when the cooling air is introduced into the rotating part from the stationary part by imposing the rotation component in advance. System performance depends on the shape of the pre-swirl nozzle and receiver hole. In this study, the performance trend according to the shape change of a direct injection type pre-swirl system was numerically investigated. First, the performance was examined by varying the system inlet/outlet pressure ratio, from which the optimum flow rate of the system was determined. When a study was conducted by changing the fillet radius of the receiver hole inlet, the larger radius results in greater discharge coefficient, but there was no significant difference for radius ratio greater than 0.13. Rather interestingly, the outlet of the receiver hole without a fillet that does not spread the cooling air produced a high value of temperature drop efficiency. [ABSTRACT FROM AUTHOR]

Maize straw- and rice husk-derived biochars were produced in a simple metal kiln without automated control. Their characteristics and effects on crop productivity were investigated in three fields in Nepal. The maximum temperature inside the kiln reached ~ 450 °C; the charring reaction was maintained for 90 min and 10 h for maize straw- and rice husk-derived biochars, respectively, until 30 °C was reached. The physicochemical properties of the biochars were similar to those of biochars manufactured previously in electric furnaces with automated control. Compared with control soil, incorporation of maize straw- and/or rice husk-derived biochars into soil significantly (p < 0.05) increased spinach biomass, onion bulb, millet and maize yields. The increase in crop productivity varied from 12.8% (millet yield at 10 t ha−1 maize straw-derived biochar addition) to 220% (spinach biomass production at 10 t ha−1 rice husk-derived biochar addition). Further research is needed to standardize the operating conditions of biochar manufacturing in a kiln to optimize crop productivity. [ABSTRACT FROM AUTHOR]

We investigated the effects of stent generation on 2-year clinical outcomes between prediabetes and diabetes patients after acute myocardial infarction (AMI). A total of 13,895 AMI patients were classified into normoglycemia (group A: 3673), prediabetes (group B: 5205), and diabetes (group C: 5017). Thereafter, all three groups were further divided into first-generation (1G)-drug-eluting stent (DES) and second-generation (2G)-DES groups. Patient-oriented composite outcomes (POCOs) defined as all-cause death, recurrent myocardial infarction (Re-MI), and any repeat revascularization were the primary outcome. Stent thrombosis (ST) was the secondary outcome. In both prediabetes and diabetes groups, the cumulative incidences of POCOs, any repeat revascularization, and ST were higher in the 1G-DES than that in the 2G-DES. In the diabetes group, all-cause death and cardiac death rates were higher in the 1G-DES than that in the 2G-DES. In both stent generations, the cumulative incidence of POCOs was similar between the prediabetes and diabetes groups. However, in the 2G-DES group, the cumulative incidences of Re-MI and all-cause death or MI were significantly higher in the diabetes group than that in the prediabetes group. To conclude, 2G-DES was more effective than 1G-DES in reducing the primary and secondary outcomes for both prediabetes and diabetes groups. [ABSTRACT FROM AUTHOR]

The dendritic planarity of Purkinje cells is critical for cerebellar circuit formation. In the absence of Crk and CrkL, the Reelin pathway does not function resulting in partial Purkinje cell migration and defective dendritogenesis. However, the relationships among Purkinje cell migration, dendritic development and Reelin signaling have not been clearly delineated. Here, we use synchrotron X-ray microscopy to obtain 3-D images of Golgi-stained Purkinje cell dendrites. Purkinje cells that failed to migrate completely exhibited conical dendrites with abnormal 3-D arborization and reduced dendritic complexity. Furthermore, their spines were fewer in number with a distorted morphology. In contrast, Purkinje cells that migrated successfully displayed planar dendritic and spine morphologies similar to normal cells, despite reduced dendritic complexity. These results indicate that, during cerebellar formation, Purkinje cells migrate into an environment that supports development of dendritic planarity and spine formation. While Reelin signaling is important for the migration process, it does not make a direct major contribution to dendrite formation. [ABSTRACT FROM AUTHOR]

Ilex latifolia (Aquifoliaceae), one of the primary components of 'Ku-ding-cha', has been used in Chinese folk medicine to treat headaches and various inflammatory diseases. A previous study demonstrated that the ethanol extract of I. latifolia could protect against ischemic apoptotic brain damage in rats. The present study investigated the protective activity of I. latifolia against glutamate-induced neurotoxicity using cultured rat cortical neurons in order to explain a possible mechanism related to its inhibitory effect on ischemic brain damage and identified potentially active compounds from it. Exposure of cultured cortical neurons to 500 μM glutamate for 12 h triggered neuronal cell death. I. latifolia (10-100 μg/mL) inhibited glutamate-induced neuronal death, elevation of intracellular calcium ([Ca]), generation of reactive oxygen species (ROS), the increase of a pro-apoptotic protein, BAX, and the decrease of an anti-apoptotic protein, BcL-2. Hypoxia-induced neuronal cell death was also inhibited by I. latifolia. 3,4-Dicaffeoylquinic acid (diCQA), 3,5-diCQA, and 3,5-diCQA methyl ester isolated from I. latifolia also inhibited the glutamate-induced increase in [Ca], generation of ROS, the change of apoptosis-related proteins, and neuronal cell death; and hypoxia-induced neuronal cell death. These results suggest that I. latifolia and its active compounds prevented glutamate-induced neuronal cell damage by inhibiting increase of [Ca], generation of ROS, and resultantly apoptotic pathway. In addition, the neuroprotective effects of I. latifolia on ischemia-induced brain damage might be associated with the anti-excitatory and anti-oxidative actions and could be attributable to these active compounds, CQAs. [ABSTRACT FROM AUTHOR]

Toxic heavy metals such as cadmium (Cd) accumulate in cultured fish from solid-form feed mixtures. In this paper, two natural ingredients, supposed to inhibit accumulation of heavy metals in the fish body, were investigated to develop a functional feed mixture for healthy fish. Three test diets: (i) ♯1, regular diet as negative control; (ii) ♯2, ♯1 + 2% lyophilized Chinese parsley Coriandrum sativum (CP); and (iii) ♯3, ♯1 + 3% chitosan (CT), were each fed to 50 rainbow trout Oncorhynchus mykiss once a day, at the constant rate of 1.0–1.2% of body weight for 12 weeks. No undesirable effect on fish growth was observed by an addition of either CP or CT to regular feed. Then, 10 mg Cd was added to 1 kg each of the three test diets and they were named as: (i) ♯4, ♯1 + Cd; (ii) ♯5, ♯2 + Cd; and (iii) ♯6, ♯3 + Cd, respectively. The fish given positive a control feed (diet ♯4) for 3 weeks accumulated Cd in the liver and kidney at approximately 0.52 mg/kg. However, Cd in ordinary muscle was found to be just above the detection limit. Upon accumulation of Cd, three groups of 50 fish were each fed test diets ♯4, ♯5, and ♯6 for 12 weeks at the same feed rate described above. The concentrations of Cd accumulated in the liver, kidney, and ordinary muscle of the fish were measured every 3 weeks. Contrary to the positive control fish fed diet ♯4, those fish fed test diets ♯5 and ♯6 accumulated 20–30% and 25–40% less Cd in the liver, respectively. Test diets were a little less effective for inhibition of Cd uptake in the kidney than that observed in the liver. These results suggest that addition of CP or CT to fish feed might be used to decrease toxic heavy metal accumulation in fish. [ABSTRACT FROM AUTHOR]

Major depressive disorder (MDD) is a common psychiatric disorder and the leading cause of disability worldwide. However, current methods used to diagnose depression mainly rely on clinical interviews and self-reported scales of depressive symptoms, which lack objectivity and efficiency. To address this challenge, we present a machine learning approach to screen for MDD using electrodermal activity (EDA). Participants included 30 patients with MDD and 37 healthy controls. Their EDA was measured during five experimental phases consisted of baseline, mental arithmetic task, recovery from the stress task, relaxation task, and recovery from the relaxation task, which elicited multiple alterations in autonomic activity. Selected EDA features were extracted from each phase, and differential EDA features between two distinct phases were evaluated. By using these features as input data and performing feature selection with SVM-RFE, 74% accuracy, 74% sensitivity, and 71% specificity could be achieved by our decision tree classifier. The most relevant features selected by SVM-RFE included differential EDA features and features from the stress and relaxation tasks. These findings suggest that automatic detection of depression based on EDA features is feasible and that monitoring changes in physiological signal when a subject is experiencing autonomic arousal and recovery may enhance discrimination power. [ABSTRACT FROM AUTHOR]