Addition Effects Research Articles

Effectiveness of Noble Gas Addition for Plasma Synthesis of Ammonia in a Dielectric Barrier Discharge Reactor

Non-thermal plasma driven ammonia synthesis has great potential for future industrial applications due to its low theoretical energy requirements. To achieve technological advancement and environmental sustainability, it is crucial to boost the energy yield in plasma-assisted ammonia synthesis. Therefore, optimizing energy transfer and utilization are key strategies for enhancing energy efficiency. In this study, dielectric barrier discharge driven by a nanosecond pulsed power supply is used to enhance plasma-assisted ammonia synthesis by controlling the energy transfer through the addition of noble gases. It was found that the addition of noble gases changed the plasma characteristics, significantly improved the uniformity of the discharge, and achieved a high energy yield for ammonia synthesis. The effects of additive amounts of argon (Ar) and helium (He), as well as the pulse parameters including the pulse voltage, pulse repetition frequency, pulse width, and pulse rise time on the energy yield of ammonia synthesis are discussed. The inclusion of noble gases expanded the pathway for gas-phase reactions, with the active components of critical reactions examined through optical emission spectra. This analysis revealed an increased presence of both N2+ and N2* particles in the reaction’s rate-limiting step, attributed to the addition of noble gases. Finally, a zero-dimensional (0D) plasma chemical kinetic model was established to investigate the influence of Ar addition on the reaction mechanism of ammonia synthesis.

CAPE ameliorates vascular damage caused by sepsis

parameters of vascular and oxidative damage caused by sepsis and to evaluated the effects of caffeic acid phenethyl ester (CAPE) on these damages.
 Materials and Methods: Wistar-Albino male rats were used for this study. Rats were divided into 4 groups (n = 10). Group 1 animals were intraperitoneally (i.p) injected with sterile saline (Control Group). Group 2 animals were i.p injected with lipopolysaccharide (LPS), 20 mg / kg-weight dose (Sepsis Group). Group 3 animals were i.p injected with lipopolysaccharide, 20 mg / kg-weight dose. Immediately after LPS injection, CAPE was i.p injected at single dose, 10 µmol / kg-body weight (Treatment Group). A single dose of CAPE, 10 µmol / kg-body weight / day, was injected i.p to Group 4 animals for 5 days. After 5th day CAPE injection, a single dose of LPS 20 mg / kg-weight was injected (Protective Group). At the 6th hour after the injections applied to all groups, blood sample were taken intracardiac and their serum were separated for the studies. Homocysteine (Hcy), asymmetric dimethyl arginine (ADMA), endothelin-1 (ET-1) and vascular cellular adhesion molecule-1 (VCAM-1) were measured by enzyme-linked immunosorbent assay (ELISA). In addition, the protective and therapeutic effects of CAPE on these parameters was investigated.
 Results: Control group Hcy, ADMA, ET-1 and VCAM-1 levels were found to be 4.987 ± 0.096 µmol/l, 0.803 ± 0.020 nmol/ml, 21.123 ± 2.575 ng/l, 3.155 ± 0.078 ng/ml, respectively. Sepsis group Hcy, ADMA, ET-1 and VCAM-1 levels were found to be 8.975 ± 0.160 µmol/l, 3.953 ± 0.678 nmol/ml, 52.446 ± 2.546 ng/l, 10.783 ± 1.068 ng/ml, respectively. Treatment group Hcy, ADMA, ET-1 and VCAM-1 levels were found to be 5.286 ± 0.037 µmol/l, 1.304 ± 0.040 nmol/ml, 27.995 ± 1.299 ng/l, 3.72 ± 0.073 ng/ml, respectively. Protective group Hcy, ADMA, ET-1 and VCAM-1 levels were found to be 5.401 ± 0.042 µmol/l, 1.431 ± 0.056 nmol/ml, 32.708 ± 1.326 ng/l, 4.058 ± 0.069 ng/ml, respectively. It was observed that the Hcy, ADMA, ET-1 and VCAM-1 levels of the sepsis group increased significantly compared to the control group (p0.05). It was observed that CAPE treatment significantly decreased these parameters levels. However, the use of CAPE as a protective was not as effective as its treatment effect.
 Conclusion: Our results demonstrated that sepsis resulted in increase Hcy, ADMA, ET-1, VCAM-1 levels. All these changes indicate that sepsis-mediated vascular damage is increased. Our results demonstrated that CAPE is more effective in preventing sepsis-mediated damages when given as a treatment.

Geographical patterns and environmental influencing factors of variations in Asterothamnus centraliasiaticus seed traits on Qinghai-Tibetan plateau.

Seed traits related to recruitment directly affect plant fitness and persistence. Understanding the key patterns and influencing factors of seed trait variations is conducive to assessing plant colonization and habitat selection. However, the variation patterns of the critical seed traits of shrub species are usually underrepresented and disregarded despite their vital role in alpine desert ecosystems. This study gathered seeds from 21 Asterothamnus centraliasiaticus populations across the Qinghai-Tibetan Plateau, analyzing geographical patterns of seed traits to identify external environmental influences. Additionally, it explored how seed morphology and nutrients affect germination stress tolerance, elucidating direct and indirect factors shaping seed trait variations. The results present substantial intraspecific variations in the seed traits of A. centraliasiaticus. Seed traits except seed length-to-width ratio (LWR) all vary significantly with geographic gradients. In addition, the direct and indirect effects of climatic variables and soil nutrients on seed traits were verified in this study. Climate mainly influences seed nutrients, and soil nutrients significantly affect seed morphology and seed nutrients. Furthermore, climate directly impacts seed germination drought tolerance index (GDTI) and germination saline-alkali tolerance index (GSTI). Seed germination cold tolerance index (GCTI) is influenced by climate and soil nutrients (mostly SOC). GDTI and GSTI are prominently influenced by seed morphology (largely the seed thousand-grain weight (TGW)), and GCTI is evidently affected by seed nutrients (mainly the content of soluble protein (CSP)). The findings of this study amply explain seed trait variation patterns of shrubs in alpine desert ecosystems, possessing significant importance for understanding the mechanism of shrub adaptation to alpine desert ecosystems, predicting the outcomes of environmental change, and informing conservation efforts. This study can be a valuable reference for managing alpine desert ecosystems on the Qinghai-Tibetan Plateau.

Properties of Basalt Fiber-reinforced Lightweight Geopolymer Mortars Produced with Expanded Glass Aggregate

Geopolymers are new-generation construction materials that have attracted attention recently and can be an alternative to cement. In the production of these materials, aluminosilicate powder materials are used together with alkali or acid solutions. Geopolymers have different types of superiorities, such as rapid strength gain, high mechanical properties and good durability. This experimental study investigated the properties of expanded glass aggregate-bearing Class F fly ash-based lightweight geopolymer mortars. The fresh unit weight, water absorption capacity, compressive strength and high-temperature resistance (upon exposure to 900°C) of the mortars were determined. In addition, basalt fiber addition's effects on these properties were investigated. The inclusion ratios of basalt fiber were 0.1%, 0.2% and 0.4% by volume. The compressive strengths of fiber-free lightweight mixture and mixtures, including 0.1%, 0.2% and 0.4% basalt fiber, were found to be 8.2, 8.9, 9.0 and 8.0 MPa, respectively. The compressive strength of all lightweight mortars increased between 61.3% and 76.4% after the high-temperature effect. The results proved that it is possible to produce expanded glass aggregate-bearing lightweight geopolymer mortars with acceptable mechanical properties.

Inoculum density-dependent, additive effectiveness of fungicides or biofungicides with cultivar resistance for integrated management of Cercospora leaf spot on beet greens

Cercospora leaf spot, caused primarily by Cercospora beticola, is common on red beet wherever this vegetable crop is grown. The effectiveness of a conventional (propiconazole rotated with azoxystrobin) and an organic biofungicide (Bacillus amyloliquefaciens mixed with copper octanoate) program were tested on four cultivars of beet that differed in susceptibility. Three inoculum densities were established by inoculating a 1-m portion of one row, allowing conidia to splash to the adjacent row, and not inoculating the remainer of the plot. Foliar severity was reduced by both fungicide programs compared to the water-treated control, but the conventional fungicides were more effective in the high inoculum area than the organic fungicides. The conventional fungicides also increased the fresh weight of healthy leaves compared to the water control, but the organic fungicides did not differ from the other two treatments. All cultivars except the most resistant one, Bull's Blood, had greater healthy weights in 2022 when the inoculum density was lower than in 2021. Cultivars sorted in the same order of susceptibility regardless of fungicide program. In all treatments, mean weight of diseased individual leaves was greater than healthy leaves. Partial cultivar resistance and fungicides or biofungicides had additive effects for integrated management of Cercospora leaf spot on red beet.

CAR T-cell Therapy for Diffuse Large B-cell Lymphoma in Canada: A Cost-Utility Analysis.

Chimeric antigen receptor (CAR) T-cell therapy is a novel cell therapy for treating non-Hodgkin lymphoma. The development of CAR T-cell therapy has transformed oncology treatment by offering a potential cure. However, due to the high cost of these therapies, and the large number of eligible patients, decision makers are faced with difficult funding decisions. Our objective was to assess the cost-effectiveness of tisagenlecleucel for adults with relapsed/refractory diffuse large B-cell lymphoma in Canada using updated survival data from the recent JULIET trial. We developed an individual-simulated discrete event simulation model to assess the costs and quality-adjusted life-years (QALY) of tisagenlecleucel compared with salvage chemotherapy. Survival estimates were obtained from a published clinical trial and retrospective analysis. If patients remained progression free for 5 y, they were assumed to be in long-term remission. Costing and utility data were obtained from reports and published sources. A Canadian health care payer perspective was used, and outcomes were modeled over a lifetime horizon. Costs and outcomes were discounted at 1.5% annually, with costs reported in 2021 Canadian dollars. A probabilistic analysis was used, and model parameters were varied in 1-way sensitivity analyses and scenario analyses. After we incorporated the latest clinical evidence, tisagenlecleucel led to an additional cost of $503,417 and additional effectiveness of 2.48 QALYs, with an incremental cost-effectiveness ratio of $202,991 compared with salvage chemotherapy. At a willingness-to-pay threshold of $100,000/QALY, tisagenlecleucel had a 0% likelihood of being cost-effective. At the current drug price, tisagenlecleucel was not found to be a cost-effective option. These results heavily depend on assumptions regarding long-term survival and the price of CAR T. Real-world evidence is needed to reduce uncertainty. For patients with diffuse large B-cell lymphoma who failed 2 or more lines of systemic therapy, CAR T was not found to be a cost-effective treatment option at a willingness-to-pay threshold of $100,000.These results heavily depend on the expected long-term survival. The uncertainty in the model may be improved using real-world evidence reported in the future.

Nighttime warming and nitrogen addition effects on the microclimate of a freshwater wetland dominated by Phragmites australis

The critical impacts of microclimate on carbon (C) cycling have been widely reported. However, the potential effects of global change on wetland microclimate remain unclear, primarily because of the absence of field manipulative experiment in inundated wetland. This study was designed to examine the effects of nighttime warming and nitrogen (N) addition on air, water, and sediment temperature and also reveal the controlling factors in a Phragmites australis dominated freshwater wetland on the North China Plain. Nighttime warming increased daily air, water, and sediment temperature by 0.24 °C, 0.27 °C, and 0.36 °C, respectively. The diurnal temperature range of water was decreased by 0.44 °C under nighttime warming, whereas warming had no effect on diurnal temperature range of air and sediment. In addition, N addition caused a reduction of 0.20 °C and 0.14 °C in daily water and sediment temperature by increasing vegetation coverage. There was a significant interaction between nighttime warming and N addition on water temperature. Furthermore, the vapor pressure deficit is the main factor affecting the extent of the warming-induced increases in air temperature. The changes of height and leaf area index of Phragmites australis are responsible for the cooling effects in the N addition plots. This study provides empirical evidence for the positive climate warming – microclimate feedback in freshwater wetland. However, N deposition leads to decreased water and sediment temperature. Our findings highlight the importance of incorporating the differential impacts of nighttime warming and N addition on air, water, and sediment temperature into the predictions of wetland C cycling responses to climate change.

The Innovation Behaviour of Turkish Manufacturing Firms: An Analysis of Additionality

Innovation and R&D activities have significant effects on economic development and firm success. Innovation is a key factor in economic development through productivity gains. However, firms do not perform the socially optimal level of innovation due to market failures. Therefore, innovation activity is largely supported by governments for both developed and developing countries with the aim of creating additionality. While additionality effects from government supports are widely discussed for developed countries, there is scarce evidence for developing countries. The aim of this article is to analyse innovation behaviour of Turkish firms based on firm characteristics. Further, the behavioural additionality of government support is also analysed in order to provide a full picture. For this aim, the innovation structure is analysed using a multinomial logit model and the additionality effects are analysed using the propensity score matching (PSM) technique. Results indicate that firms that are profit-oriented, produce for the internal market and have an internal R&D unit, are more likely to implement organization and/or marketing innovation in comparison with product innovation. In addition, the same pattern is observed in companies that received government support. The results additionality indicate positive effects on behavioural additionality; however, this effect is evaluated to be limited.

Harnessing RNA Interference for Cholesterol Lowering: The Bench-to-Bedside Story ofInclisiran.

Lowering low-density lipoprotein cholesterol (LDL-C) is a cornerstone of reducing risk for atherosclerotic cardiovascular disease. Despite the approval of nonstatin therapies for LDL-C lowering over the past 2 decades, these medications are underused, and most patients are still not at guideline-recommended LDL-C goals. Barriers include poor adherence, clinical inertia, concern for side effects, cost, and complex prior authorization processes. With atherosclerotic cardiovascular disease-related mortality increasing globally, there remains a need for additional therapeutic options for lowering LDL-C as part of an atherosclerotic cardiovascular disease prevention strategy. Following the identification of PCSK9 (proprotein convertase subtilisin/kexin type 9) as a promising therapeutic target, inclisiran was developed using the natural process of RNA interference for robust, sustained prevention of hepatic PCSK9 synthesis. Twice-yearly maintenance subcutaneous inclisiran (following initial loading doses at Day 1 and Day 90) reduces circulating LDL-C levels by ≈50% versus placebo when added to maximally tolerated statins. Long-term safety and tolerability of inclisiran have been assessed, with studies underway to evaluate the effects of inclisiran on cardiovascular outcomes and to provide additional safety and effectiveness data. In 2021, <20 years after the discovery of PCSK9, inclisiran became the first RNA interference therapeutic approved in the United States for LDL-C lowering in patients with established atherosclerotic cardiovascular disease or familial hypercholesterolemia and has since been approved for use in patients with primary hyperlipidemia. This article reviews the journey of inclisiran from bench to bedside, including early development, the clinical trial program, key characteristics of inclisiran, and practical points for its use in the clinic.

Investigation on lubricity effectiveness Ficus carica lubricant modified with PTFE and TBHQ as additives for steel-steel contact application

The application of additives to the bio-lubricants is essential to improve the base oil tribological properties. A high-frequency reciprocating rig and different operating conditions were used to test the effects of tert-butylhydroquinone (TBHQ) and polytetrafluoroethylene (PTFE) polymer on the tribological performance of Ficus carica oil as a base oil for machine lubrication. The viscosity and Fourier transform infrared spectroscopy (FT-IR) evaluations were carried out to ascertain the additive's effectiveness. A scanning electron microscope was used to analyse the morphologies and the substrate-worn surfaces. When additives were applied separately, 1 wt% of PTFE produced a superior coefficient of friction (COF) and better wear reduction than other examined samples. In terms of wear resistance, commercial lubricant oil (CLO) SAE 5 W-30 performed better than the optimal 1 wt% PTFE + 0.3 wt% TBHQ blended with Ficus carica oil (FCO/L). At an increased frequency of 5 Hz, CLO outperformed FCO/L on COF and wear resistance. When examining the worn surfaces, less iron (Fe) was discovered on the FCO/L than the base Ficus carica oil, demonstrating the mending effect of the used additive as the underlying mechanism of wear reaction. The results show promising potential for the new formulation of a green lubricant since the tribological characteristics of Ficus carica oil were improved by the addition of the selected additives.

Investigation of the interaction between lactones and ketones in a Cheddar cheese matrix using Feller's additive model, σ-τ plots, U-models, and aroma addition experiments

The objective of this study was to examine the sensory interactions between lactones and ketones in a Cheddar simulation matrix through perceptual interaction analysis. The olfactory thresholds of 6 key lactones had values ranging from 8.32 to 58.88 μg/kg, whereas those of the 4 key ketones ranged from 6.61 to 660.69 μg/kg. Both Feller's additive model and σ-τ plots demonstrated complex interactions in 24 binary mixtures composed of the 6 lactones and 4 ketones, including synergy, addition, and masking effects. Specifically, we found that 6 binary mixtures exhibited aroma synergistic effects using both methods. Moreover, the σ-τ plot showed a synergistic effect of aroma in 3 ternary mixtures. The U-model further confirmed the synergistic effects of the 6 groups of binary systems and 3 groups of ternary systems on aroma at actual cheese concentrations. In an aroma addition experiment, the combination of δ-octalactone and diacetyl in binary mixtures had the most pronounced effect on enhancing milk flavor. In ternary mixtures, 2 combinations, namely δ-octalactone/δ-dodecalactone/diacetyl and γ-dodecalactone/δ-dodecalactone/acetoin, significantly enhanced the milky and sweet aroma properties of cheese, while also enhancing the overall acceptability of the cheese aroma.

Nitrogen deposition suppresses soil respiration by reducing global belowground activity

Soil respiration (Rs) indicates below-ground biological activities. Previous studies have suggested that higher nitrogen (N) deposition due to human activities exerts an increasingly negative effect on Rs. However, the mechanisms underlying this negative effect remain highly uncertain on a global scale. Using a global dataset of 262 N addition experiments, here we show the overall N addition effects on Rs changed from positive to negative with increasing N addition rate and duration. By constructing a structural equation model (SEM) that explained 41 % variation in the responses of Rs to N addition, we revealed that Rs under increasing N addition was simultaneously associated with decreases in soil pH, root biomass and microbial biomass, with the strongest influence by root biomass. Decreasing soil pH had cascading effects on root and microbial biomass, while N-addition-induced root biomass reduction further manifested a decrease in microbial biomass. Across global variations in the environment, lower background soil pH amplified the negative impacts of N addition on root and microbial biomass, which consequently exhilarated the negative impact of high N on Rs. Our results highlight that predicting the response of belowground biological activities to global changes is complex with the essence of integrative understanding for the multivariate pathways through soil physical properties, plants and microorganisms.

Development of an UPLC-MS/MS method for quantitative analysis of abexinostat levels in rat plasma and application of pharmacokinetics

Broad-spectrum histone deacetylase inhibitors (HDACi) have excellent anti-tumor effects, such as abexinostat, which was a novel oral HDACi that was widely used in clinical treatment. The purpose of this study was to establish a rapid and reliable method for the detection of abexinostat concentrations in rat plasma using ultra-performance liquid chromatography tandem mass spectrometry (UPLC-MS/MS). The mobile phase we used was acetonitrile and 0.1% formic acid, and the internal standard (IS) was givinostat. Selective reaction monitoring (SRM) was used for detection with ion transitions at m/z 397.93 → 200.19 for abexinostat and m/z 422.01 → 186.11 for givinostat, respectively. The intra-day and inter-day precision of abexinostat were less than 11.5% and the intra-day and inter-day accuracy ranged from − 10.7% to 9.7% using this method. During the analysis process, the stability of the test sample was reliable. In addition, the recovery and matrix effects of this method were within acceptable limits. Finally, the method presented in this paper enabled accurate and quick determination of abexinostat levels in rat plasma from the pharmacokinetic study following gavage at a dose of 8.0 mg/kg abexinostat.

The Effects of Bevacizumab in Augmenting Trabeculectomy for Glaucoma : Systematic Review and Meta-Analysis

Introduction &amp; Objectives : Anti-vascular endothelial growth factor (VEGF) agents have been used to slow the healing response and postoperative scar tissue formation. To determine the effectiveness of adding Anti VEGF bevacizumab to the results of trabeculectomy in glaucoma.&#x0D; Methods : Searches were conducted in a structured way using keywords across several data sources, including Pubmed, Proquest and Cochrane library. The keywords used for searching were “Bevacizumab”, “Trabeculectomy” and “Glaucoma”. The reviewed articles are Randomized Control Trial in english, conducted on humans in the last 15 years. The review was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines.&#x0D; Results : From a total of 353 articles, there were 6 studies with 362 eyes of 352 patients been evaluated for the effectiveness of bevacizumab addition to trabeculectomy. The primary outcome of all articles was the assessment of Intra Ocular Pressure (IOP). No significant difference in IOP was found between the subconjunctival bevacizumab + Mytomycin-c group and mytomycin-c alone group (MD 0.11 ; 95% CI -0.10 to 0.33), as well as subconjunctival comparison with mytomycin-c (MD 0.11 ; 95% CI -0.29 to 0.50). Similar results were also found in the intracameral and placebo groups (MD 0.08 ; -0.22 to 0.38). However, 3 articles reported significant differences in peripheral vascularity of the bleb both by the Moorfields Bleb Grading System and by the Indiana Bleb Appearance System.&#x0D; Conclusion : The addition of bevacizumab to trabeculectomy did not show any benefit in reducing IOP when compared with MMC. But it gives better peripheral vascularity of the bleb.

Ways to Improve the Effectiveness of Depressant Additives for the Production of Winter and Arctic Diesel Fuels

Diesel fuel is the main fuel for transport and power generation for remote areas, especially the Arctic. For these territories, it is important to produce low-freezing fuel grades. The most effective way to improve the low-temperature properties of diesel fuels (cloud point, pour point, and cold filter plugging point) is the use of depressant additives. Existing research shows that the depressant additives’ effectiveness is influenced by many factors. The most important factors are diesel fuel composition, additive concentration, and the temperature of additive introduction into the fuel (adding temperature). The purpose of this work is to find ways to increase the efficiency of depressant additives for the production of low-freezing diesel fuels by choosing the most effective additive concentration and adding temperature for fuels of various compositions. During the work, low-temperature properties were determined and the effectiveness of three depressant additives was assessed on four samples of diesel fuel at four concentrations (0.5, 1.0, 2.0, and 5.0 c.u., where c.u. (conditional unit) is the concentration recommended by the manufacturer of the additives). In addition, low-temperature properties for blends of six depressant additives and two samples of diesel fuel at five adding temperatures (15, 25, 35, 45, and 55 °C) were determined. In this work, in contrast to existing works, it was established for the first time that the composition of the fuel affects not only the depressant additives effectiveness, but also the dependence of the additive effectiveness on the concentration in which it is used. It is shown that the higher the content of paraffins in the composition of the diesel fuel, the less the depressant additive’s effectiveness in relation to cold filter plugging point depends on the concentration and the more the depressant additive’s effectiveness in relation to the power point depends on the concentration. An inverse relationship was revealed for the content of aromatic hydrocarbons in diesel fuel. It was also found for the first time that an increase in the adding temperature of depressant additives up to 35–55 °C enhances the effectiveness of their action in relation to the cold filter plugging point (maximum at 6–7 °C). It is shown that the greater additive effect on the cold filter plugging point of the diesel fuel, the more strongly the depressant effectiveness depends on the adding temperature. The work provides recommendations for obtaining the most low-freezing classes of fuel based on the samples considered. The regularities identified in the work will make it possible, depending on the composition of the fuel, to select the optimal concentration of the additive and the temperature of its adding, which will increase the efficiency of the additives, as well as the volume of low-freezing grades of diesel fuel production.

Safety and Effectiveness of Antidysrhythmic Drugs for Pharmacologic Cardioversion of Recent-Onset Atrial Fibrillation: a Systematic Review and Bayesian Network Meta-analysis.

The available evidence to determine which antidysrhythmic drug is superior for pharmacologic cardioversion of recent-onset (onset within 48h) atrial fibrillation (AF) is uncertain. We aimed to identify the safest and most effective agent for pharmacologic cardioversion of recent-onset AF in the emergency department. We searched MEDLINE, Embase, and Web of Science from inception to February 21, 2023 (PROSPERO: CRD42018083781). Eligible studies were randomized controlled trials that enrolled adult participants with AF ≤ 48h, compared a guideline-recommended antidysrhythmic drug with another antidysrhythmic drug or a different formulation of the same drug or placebo and reported specific adverse events. The primary outcome was immediate, serious adverse event - cardiac arrest, sustained ventricular tachydysrhythmia, atrial flutter 1:1 atrioventricular conduction, hypotension, and bradycardia. Additional analyses included the outcomes of conversion to sinus rhythm within 4h and 24h. We extracted data according to PRISMA-NMA and appraised trials using Cochrane RoB 2. We performed Bayesian network meta-analysis (NMA) using a Markov Chain Monte Carlo method with random-effect model and vague prior distribution to calculate odds ratios with 95% credible intervals. We assessed confidence using CINeMA. We used surface under the cumulative ranking curve (SUCRA) to rank agent(s). The systematic review initially identified 5545 studies. Twenty-five studies met eligibility criteria, and 22 studies (n = 3082) provided data for NMA, which demonstrated that vernakalant (SUCRA = 70.9%) is most likely to be safest. Additional effectiveness NMA demonstrated that flecainide (SUCRA = 89.0%) is most likely to be superior for conversion within 4h (27 studies; n = 2681), and ranolazine-amiodarone IV (SUCRA 93.7%) is most likely to be superior for conversion within 24h (24 studies; n = 3213). Confidence in the NMA estimates is variable and limited mostly by within-study bias and imprecision. Among guideline-recommended antidysrhythmic drugs, the combination of digoxin IV and amiodarone IV is definitely among the least safe for cardioversion of recent onset AF; flecainide, vernakalant, ibutilide, propafenone, and amiodarone IV are definitely among the most effective for cardioversion within 4h; flecainide is definitely among the most effective for cardioversion within 24h. Further, randomized controlled trials with predetermined and strictly defined, hemodynamic adverse event outcomes are recommended.

Abstract WMP32: Effect of Immersive Motor-Cognitive Training on Executive Function in Patients With Vascular Mild Cognitive Impairment: Aquasi-Experimental Study

Background: Cerebrovascular disease is a common cause of vascular cognitive impairment (VCI) and may progress to vascular dementia at a relatively fast rate. Strengthening intervention in patients with mild VCI can delay cognitive decline and prevent vascular dementia. Purpose: To investigate the effect of an immersive motor-cognitive training program on executive function in patients with mild VCI. Methods: A total of 60 patients with mild VCI were divided into two groups: the intervention group (n=30) and control group (n=30). The participants were recruited from an outpatient Neurology clinic between May 2021 and January 2022. The intervention group was received immersive motor-cognitive training for 2 months, while the control group was received traditional motor-cognitive training during the same duration. Before the intervention and at the end of the first and second months of the intervention, executive function was assessed as the primary outcome using the Trail-Making Test (TMT)-A/B. General cognitive, speech function and balance function were evaluated as secondary outcomes using the Mini-Mental State Examination (MMSE)/Montreal Cognitive Assessment (MoCA), Boston Naming Test, and Berg Balance Scale, respectively. Data analysis was performed using independent sample t-test, Chi-Square test, nonparametric test, and generalized estimation equation model. Results: Among 60 patients, 54 were completed the 2 month-follow-up. Our results showed that there is a significant time effect ( F =14.36, P =0.001) regarding the TMT-A score. In addition, significant time (F=7.28, P =0.001) and interaction effects (F=7.43, P =0.001) on the TMT-B score were noted. The MMSE score showed significant time (F=64.66, P =0.001) and interaction effects (F=12.01, P =0.002), and similar results were observed for the MoCA score with significant time (F=38.29, P=0.001) and interaction effects (F=22.89, P =0.001). The time effect of the Boston Naming Test score was also found to be statistically significant ( F =2.92, P =0.003). However, no significant differences were observed in the Berg Balance Scale score. Conclusion: Immersive motor-cognitive training may improve the executive function and general cognitive function in patients with mild VCI.

Additivity Effect on Properties of Cemented Ultra-Fine Tailings Backfill Containing Sodium Silicate and Calcium Chloride

Tailings from gold mines gradually approach ultra-fine, making mine backfill costs higher and strength lower, which poses a serious threat to the safety of underground personnel and equipment. It is well known that suitable chemical admixtures can enhance the working properties of mortar materials. Therefore, in order to achieve the purpose of reducing the cost of ultra-fine tailings backfill and improving the working performance of ultra-fine tailings filling slurry, this paper provides a study on the effect of sodium silicate and calcium chloride on the properties of ultra-fine tailings cemented backfill materials. The results of experimental studies through rheology, strength, and microstructural tests, etc., showed that the optimal proportioning parameters of cementitious materials are 76.92% blast furnace slag, 19.24% carbide slag, and admixtures of 2.88% sodium silicate and 0.96% calcium chloride. The 3, 7, and 28-day uniaxial compressive strength of the ultra-fine tailings cemented paste backfill with the newly formulated blast furnace slag-based cementitious material increased by 124%, 142%, and 14%, respectively, compared to that of the ultra-fine tailings cemented paste backfill with the P. O42.5 cement. The setting time for ultra-fine tailings cemented backfill slurry is shortened by the addition of admixtures, and the shear stress of the slurry is correlated with the amount of hydration product generation and its formation of flocculating structure. Moreover, the cost of the newly prepared cementitious material is much lower than that of traditional cement, which lays a good foundation for the cemented filling of ultra-fine tailings.

Radiative effect of thin cirrus clouds in the extratropical lowermost stratosphere and tropopause region

Abstract. Cirrus clouds play an important role in the radiation budget of the Earth; nonetheless, the radiative effect of ultra-thin cirrus clouds in the tropopause region and in the lowermost stratosphere remains poorly constrained. These clouds have a small vertical extent and optical depth and are frequently neither observed even by sensitive sensors nor considered in climate model simulations. In addition, their short-wave (cooling) and long-wave (warming) radiative effects are often in approximate balance, and their net effect strongly depends on the shape and size of the cirrus particles. However, the CRyogenic Infrared Spectrometers and Telescopes for the Atmosphere instrument (CRISTA-2) allows ultra-thin cirrus clouds to be detected. Here we use CRISTA-2 observations in summer 1997 in the Northern Hemisphere midlatitudes together with the Suite Of Community RAdiative Transfer codes based on Edwards and Slingo (SOCRATES) radiative transfer model to calculate the radiative effect of observed ultra-thin cirrus. Using sensitivity simulations with different ice effective particle size and shape, we provide an estimate of the uncertainty in the radiative effect of ultra-thin cirrus in the extratropical lowermost stratosphere and tropopause region during summer and – by extrapolation of the summer results – for winter. Cloud top height and ice water content are based on CRISTA-2 measurements, while the cloud vertical thickness was predefined to be 0.5 or 2 km. Our results indicate that if the ice crystals of these thin cirrus clouds are assumed to be spherical, their net cloud radiative effect is generally positive (warming). In contrast, assuming aggregates or a hexagonal shape, their net radiative effect is generally negative (cooling) during summer months and very likely positive (warming) during winter. The radiative effect is in the order of ±(0.1–0.01) W m−2 for a realistic global cloud coverage of 10 %, similar to the magnitude of the contrail cirrus radiative forcing (of ∼ 0.1 W m−2). The radiative effect is also dependent on the cloud vertical extent and consequently the optically thickness and effective radius of the particle size distribution (e.g. effective radius increase from 5 to 30 µm results in a factor ∼ 6 smaller long- and short-wave effects, respectively). The properties of ultra-thin cirrus clouds in the lowermost stratosphere and tropopause region need to be better observed, and ultra-thin cirrus clouds need to be evaluated in climate model simulations.

Contrasting roles of fungal and oomycete pathogens in mediating nitrogen addition and winter grazing effects on biomass.

Both bottom-up and top-down processes modulate plant communities. Fungal and oomycete pathogens are most common in global grasslands, and due to differences in their physiology, function, host range, and life cycles, they may differentially affect plants (in both intensity and direction). However, how fungal and oomycete pathogens regulate bottom-up and top-down effects on plant community biomass remains unclear. To this end, we conducted a 3-year field experiment in an alpine meadow incorporating mammalian herbivore exclosure, fungicide/oomyceticide application, and nitrogen addition treatments. We arranged 12 blocks with half randomly assigned to be mammalian herbivore exclosures (fenced to exclude grazing sheep), and the other half were fenced most of the year but not in winter (winter grazing control). Six 2.5 × 2.5 m square plots were established in each block, with each of the six plots assigned as control, nitrogen addition, fungicide application, oomyceticide application, nitrogen addition + fungicide application, and nitrogen addition + oomyceticide application. We found that fungicide application significantly increased plant community biomass (mainly Poaceae species) under nitrogen addition and promoted the bottom-up effect of nitrogen addition on plant community biomass by altering the community-weighted mean of plant height (via species turnover). Meanwhile, oomyceticide application significantly increased plant community biomass (mainly Poaceae species) when mammalian herbivores were excluded and weakened the top-down effect of winter grazing on plant community biomass by driving intraspecific variation in plant height. Our results highlight that fungal and oomycete pathogens play important (but differing) roles in mediating the effects of nutrient availability and higher trophic levels on plant community biomass. Mechanistically, we demonstrated that plant pathogen-related modulation of plant community biomass is achieved by alterations to plant height. Overall, this study combines both community and disease ecology to reveal complex interactions among higher trophic levels and their potential impacts on terrestrial ecosystem functioning under human disturbance.