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To optimize the permethrin-based therapies for scabies infestations in infants and young children, the efficacies of 3 different regimens were evaluated.The retrospective analysis encompassed 85 infants and children aged4 years with scabies. The children had received either topical permethrin 5% on the entire body on days 1/8, on days 1/8/15, on days 1/8/15 plus interim applications restricted to hands and feet on days 2/3/4//9/10/11, or alternative treatments.The intensified regimen, consisting of full-body permethrin applied on days 1/8/15 and hands/feet on days 2/3/4//9/10/11, resulted in cure of scabies in 73.5% of the cases. The cure rates were significantly greater compared with full-body permethrin given on days 1/8, which led to eradication in 44%, and were greater compared with the clearance in children who had received full-body permethrin on days 1/8/15 (53.8%) or alternative treatments (60%). For patients in whom permethrin had previously been applied, the intensified regimen resulted in eradication of scabies in 71.4% of the cases, compared with 30% and 55.6% after full-body permethrin on days 1/8 and 1/8/15, respectively.The intensified regimen of full-body permethrin plus interim applications on hands/feet, which aims at reducing the number of mites present on the frequently heavily infested palmoplantar sites in addition to the standard entire body application, appears efficacious in curing scabies in young children.

There are various approaches to the distal humerus when managing a distal humeral fracture, and controversy exists regarding which approach is optimal. The purpose of this study was to report the outcomes of the triceps tongue (TT) approach when used for osteosynthesis of AO type 13-A, B, and C distal humeral fractures. Secondarily, we aimed to compare the outcomes of the TT approach vs. olecranon osteotomy (OO) when used for osteosynthesis of AO type 13-C distal humeral fractures.We performed a retrospective review of patients with distal humeral fractures treated with open reduction-internal fixation by either a TT or OO approach between 2007 and 2019 at 2 separate institutions. TT patients with AO type 13-C fractures were matched to OO patients at a 1:1 ratio based on age, sex, and fracture characteristics. Surgical time, intraoperative blood loss, elbow motion, fracture union, complications, and Disabilities of the Arm, Shoulder and Hand scores were compared.A total of 28 patients treated with the TT approach were assessed, and the matched TT and OO cohorts each comprised 15 patients. The TT group showed less blood loss (119.3 mL vs. 268.5 mL, P = .03), had greater maximal flexion (126° vs. 116°, P = .03), and achieved a larger flexion-extension arc (108° vs. 93°, P = .05) than the OO group. In the OO cohort, 27% of patients had complications directly related to the OO, and OO patients had a higher rate of postoperative ulnar nerve neuritis (33% vs. 0%, P = .04). There was no difference in Disabilities of the Arm, Shoulder and Hand score (P = .08), procedure time (P = .2), total number of patients with ≥1 complication (P = .5), difficulty with union (P = .7), or number of patients requiring revision surgery (P = .7).The TT approach is a safe and effective approach for the treatment of distal humeral fractures. When compared with the OO approach for AO type 13-C fractures, the TT approach did not differ regarding functional outcomes but showed increased range of motion, decreased intraoperative blood loss, and a lower rate of postoperative ulnar nerve neuritis. The TT approach should be considered as a safe and reliable first-line approach for intra-articular distal humeral fractures because it allows adequate visualization of the articular surface, eliminates complications related to osteotomy including delayed union or nonunion and hardware failure or irritation, and allows for easy conversion to total elbow arthroplasty.

Biological soil crusts (biocrusts) cover similar to 12% of the global land surface. They are formed by an intimate association between soil particles, photoautotrophic and heterotrophic organisms, and they effectively stabilize the soil surface of drylands. Quantitative information on the impact of biocrusts on the global cycling and climate effects of aeolian dust, however, is not available. Here, we combine the currently limited experimental data with a global climate model to investigate the effects of biocrusts on regional and global dust cycling under current and future conditions. We estimate that biocrusts reduce the global atmospheric dust emissions by similar to 60%, preventing the release of similar to 0.7 Pg dust per year. Until 2070, biocrust coverage is expected to be severely reduced by climate change and land-use intensification. The biocrust loss will cause an increased dust burden, leading to a reduction of the global radiation budget of around 0.12 to 0.22W m(-2), corresponding to about 50% of the total direct forcing of anthropogenic aerosols. This biocrust control on dust cycling and its climate impacts have important implications for human health, biogeochemical cycling and the functioning of the ecosystems, and thus should be considered in the modelling, mitigation and management of global change., Nature Geoscience, 15 (6), ISSN:1752-0908, ISSN:1752-0894

Light-driven electronic excitation is a cornerstone for energy and information transfer. In the interaction of intense and ultrafast light fields with solids, electrons may be excited irreversibly, or transiently during illumination only. As the transient electron population cannot be observed after the light pulse is gone it is referred to as virtual, while the population remaining excited is called real. Virtual charge carriers have recently been associated with high-harmonic generation and transient absorption, while photocurrent generation may stem from real as well as virtual charge carriers. Yet, a link between the carrier types in their generation and importance for observables up to technological relevance is missing. Here we show that real and virtual carriers can be excited and disentangled in the optical generation of currents in a gold-graphene-gold heterostructure using few-cycle laser pulses. Depending on the waveform used for photoexcitation, real carriers receive net momentum and propagate to the gold electrodes, while virtual carriers generate a polarization response read out at the gold-graphene interfaces. Based on these insights, we further demonstrate a proof of concept of a logic gate for future lightwave electronics. Our results offer a direct means to monitor and excite real and virtual charge carriers. Individual control over each type will dramatically increase the integrated circuit design space and bring closer to reality petahertz signal processing.

Flexible behavior requires gating mechanisms that encode only task-relevant information in working memory. Extant literature supports a theoretical division of labor whereby lateral frontoparietal interactions underlie information maintenance and the striatum enacts the gate. Here, we reveal neocortical gating mechanisms in intracranial EEG patients by identifying rapid, within-trial changes in regional and inter-regional activities that predict subsequent behavioral outputs. Results first demonstrate information accumulation mechanisms that extend prior fMRI (i.e., regional high-frequency activity) and EEG evidence (inter-regional theta synchrony) of distributed neocortical networks in working memory. Second, results demonstrate that rapid changes in theta synchrony, reflected in changing patterns of default mode network connectivity, support filtering. Graph theoretical analyses further linked filtering in task-relevant information and filtering out irrelevant information to dorsal and ventral attention networks, respectively. Results establish a rapid neocortical theta network mechanism for flexible information encoding, a role previously attributed to the striatum.

ZusammenfassungDas Ulcus cruris venosum entsteht im Rahmen einer fortgeschrittenen chronisch-venösen Insuffizienz und stellt die häufigste Entität chronischer Ulzerationen der unteren Extremität dar. Da die Prävalenz im Alter deutlich ansteigt, stellen venöse Ulzera in einer alternden Gesellschaft ein zunehmend relevantes Gesundheitsproblem dar, welches mit einer signifikanten Morbidität und einer hohen sozioökonomischen Belastung verbunden ist. Die Behandlung stellt aufgrund der niedrigen Heilungsrate, der häufigen Chronifizierung und der hohen Rezidivrate eine Herausforderung dar. Die Therapie umfasst in der Regel mehrere Modalitäten, wobei stets die Reduktion der venösen Hypertension in den zuführenden Gefäßen im Vordergrund steht. Bezüglich konservativer Therapieoptionen stehen die Kompressionstherapie, die pharmakologische Therapie sowie ergänzend die lokale Wundpflege zur Verfügung. Im Rahmen der kausalen, invasiven Therapie der dem Ulkus zugrunde liegenden Varkositas finden vor allem endoluminal-ablative Verfahren, die offene chirurgische Sanierung und die Schaumsklerotherapie ihre Anwendung. Neben einer Optimierung der invasiven Verfahren, liegt vor allem in der Entwicklung adjuvanter Therapiemodalitäten noch großes Potenzial.

This presentation describes the progress in the development of two domain specific languages for weather and climate applications, PSyclone and gt4py (formerly dusk/dawn). Several models ofESiWACE-2 have been ported and adapted to use the DSLs: NEMO, ICON, LFric and IFS.&nbsp

This paper presents the design and the results of a novel approach to predict air pollutants in urban environments. The objective is to create an artificial intelligence (AI)-based system to support planning actors in taking effective and adequate short-term measures against unfavourable air quality situations. In general, air quality in European cities has improved over the past decades. Nevertheless, reductions of the air pollutants particulate matter (PM), nitrogen dioxide (NO2) and ground-level ozone (O3), in particular, are essential to ensure the quality of life and a healthy life in cities. To forecast these air pollutants for the next 48 hours, a sequence-to-sequence encoder-decoder model with a recurrent neural network (RNN) was implemented. The model was trained with historic in situ air pollutant measurements, traffic and meteorological data. An evaluation of the prediction results against historical data shows high accordance with in situ measurements and implicate the system’s applicability and its great potential for high quality forecasts of air pollutants in urban environments by including real time weather forecast data.

20 pages, 3 tables, 5 figures.-- Samantha Andrzejaczek ... et al.-- Distributed under a Creative Commons Attribution NonCommercial License 4.0 (CC BY-NC), Knowledge of the three-dimensional movement patterns of elasmobranchs is vital to understand their ecological roles and exposure to anthropogenic pressures. To date, comparative studies among species at global scales have mostly focused on horizontal movements. Our study addresses the knowledge gap of vertical movements by compiling the first global synthesis of vertical habitat use by elasmobranchs from data obtained by deployment of 989 biotelemetry tags on 38 elasmobranch species. Elasmobranchs displayed high intra- and interspecific variability in vertical movement patterns. Substantial vertical overlap was observed for many epipelagic elasmobranchs, indicating an increased likelihood to display spatial overlap, biologically interact, and share similar risk to anthropogenic threats that vary on a vertical gradient. We highlight the critical next steps toward incorporating vertical movement into global management and monitoring strategies for elasmobranchs, emphasizing the need to address geographic and taxonomic biases in deployments and to concurrently consider both horizontal and vertical movements, Data analysis was funded by the Bertarelli Foundation through the Marine Science program through grants to D.J.C., B.A.B., and S.A. D.J.C. is also funded through Research England, UK. S.A. and B.A.B. thank the Moore Foundation and the Packard Foundation. F.G.-M. thanks the Instituto Politecnico Nacional for fellowships (COFAA, EDI). S.B.W. thanks funding from the Darwin Initiative (DPLUS046). A.D.M.D. acknowledges funding from the Research and Conservation Budget at Georgia Aquarium, including philanthropic gifts from several anonymous donors. K.F. acknowledges funding from the Rolex Awards for Enterprise and the Whitley Fund for Nature

The sequential vertical polyfunctionalization of 2D addend‐patterned graphene is still elusive. Here, we report a practical realization of this goal via a “molecular building blocks” approach, which is based on a combination of a lithography‐assisted reductive functionalization approach and a post‐functionalization step to sequentially and controllably link the molecular building blocks ethylpyridine, cis‐dichlorobis(2,2′‐bipyridyl)ruthenium, and triphenylphosphine (4‐methylbenzenethiol, respectively) on selected lattice regions of a graphene matrix. The assembled 2D hetero‐architectures are unambiguously characterized by various spectroscopic and microscopic measurements, revealing the stepwise stacking of the molecular building blocks on the graphene surface. Our method overcomes the current limitation of a one‐layer‐only binding to the graphene surface and opens the door for a vertical growth in the z‐direction.

The speed of an active electronic semiconductor device is limited by RC timescale, i.e., the time required for its charging and discharging. To circumvent this ubiquitous limitation of conventional electronics, we investigate diodes under intense mid-infrared light-field pulses. We choose epitaxial graphene on silicon carbide as a metal/semiconductor pair, acting as an ultrarobust and almost-transparent Schottky diode. The usually dominant forward direction is suppressed, but a characteristic signal occurs in reverse bias. For its theoretical description, we consider tunneling through the light-field–modulated Schottky barrier, complemented by a dynamical accumulation correction. On the basis only of the DC parametrization of the diode, the model provides a consistent and accurate description of the experimentally observed infrared phenomena. This allows the conclusion that cycle-by-cycle dynamics determines rectification. As the chosen materials have proven capabilities for transistors, circuits, and even a full logic, we see a way to establish light-field-driven electronics with rapidly increasing functionality.

The speed of an active electronic semiconductor device is limited by