Variation In Cell Size Research Articles

Correlation between Red Blood Cell Distribution Width (RDW) and Degrees of Severity in Coroner Heart Disease (CHD) Patients Based on Syntax I Score

Coronary heart disease (CHD) is one of the most common causes of death in the world. CHD is caused by the narrowing of the arteries of the heart due to a buildup of fat on the vessel walls (atherosclerosis), therefore inhibiting blood flow to organs. Red blood cell distribution width (RDW) represents the variability of red blood cell size and has been shown to correlate with the incidence of atherosclerosis. RDW is also often used to identify diseases associated with heart failure. The aim of this study was to assess the relationship between the level of RDW and the severity in CHD patients. A cross-sectional study was carried out on 62 patients from July to December 2020 at Dr. Zainoel Abidin Hospital, Banda Aceh. RDW level was obtained from the patients medical record and divided into two categories (group 1 < 13.0295 and group 2 >13.029%). Severity of CHD patients was calculated using the SYNTAX I score and divided into three categories (low, moderate, and high). The correlation between the baseline characteristics, laboratory results, RDW level, and severity of CHD was assessed statistically at a 95% confidence level. The majority of patients with CHD were men aged 56-65 years and had BMI obesity I and hypertension. Patient baseline characteristics (gender, age, body mass index, history of hypertension and diabetes) and laboratory results did not have a significant relationship with the RDW level and the severity of CHD (p>0.05). The correlation value between RDW level and severity of CHD is p=0.435 which indicated no significant relationship between them.

Characteristics of Corneal Endothelium in Axenfeld Rieger Spectrum.

The purpose of this study was to compare the corneal endothelial characteristics in Axenfeld anomaly (AXA), Rieger anomaly (RGA), and Axenfeld-Rieger anomaly/syndrome with age-matched healthy controls. This is a retrospective, comparative case-control study of 52 eyes of 30 patients with AXA/RGA and AXA/S and 36 controls. Median age at endothelial imaging was 21.5 years (interquartile range, 13.8-33.3 years). In the study group, the mean endothelial cell density (ECD) was 2112.4 ± 78.5 cells/mm 2 , the mean cell area (MCA) was 526.9 ± 28.5 μm 2 , and the coefficient of variation of cell size was 41.2 ± 1.8%. The ECD was significantly (all, P < 0.0001) lower than controls, while MCA ( P < 0.0001), SD of cell size ( P < 0.0001), and maximum cell area ( P = 0.0007) were significantly higher than controls. Four eyes of 3 patients had guttae on slitlamp evaluation and endothelial imaging. There were no differences in the corneal endothelial characteristics among the clinical subtypes. Patients with AXA, RGA, and Axenfeld-Rieger anomaly/syndrome have lower ECD and increased MCA compared with normal eyes. The reduced ECD associated with inherent anterior segment alterations can predispose to the risk of postcataract surgery endothelial decompensation in these eyes. The association of guttae in some eyes needs further investigational studies.

High spatial heterogeneity and low connectivity of bacterial communities along a Mediterranean subterranean estuary.

Subterranean estuaries are biogeochemically active coastal sites resulting from the underground mixing of fresh aquifer groundwater and seawater. In these systems, microbial activity can largely transform the chemical elements that may reach the sea through submarine groundwater discharge (SGD), but little is known about the microorganisms thriving in these land-sea transition zones. We present the first spatially-resolved characterization of the bacterial assemblages along a coastal aquifer in the NW Mediterranean, considering the entire subsurface salinity gradient. Combining bulk heterotrophic activity measurements, flow cytometry, microscopy and 16S rRNA gene sequencing we find large variations in prokaryotic abundances, cell size, activity and diversity at both the horizontal and vertical scales that reflect the pronounced physicochemical gradients. The parts of the transect most influenced by freshwater were characterized by smaller cells and lower prokaryotic abundances and heterotrophic production, but some activity hotspots were found at deep low-oxygen saline groundwater sites enriched in nitrite and ammonium. Diverse, heterogeneous and highly endemic communities dominated by Proteobacteria, Patescibacteria, Desulfobacterota and Bacteroidota were observed throughout the aquifer, pointing to clearly differentiated prokaryotic niches across these transition zones and little microbial connectivity between groundwater and Mediterranean seawater habitats. Finally, experimental manipulations unveiled large increases in community heterotrophic activity driven by fast growth of some rare and site-specific groundwater Proteobacteria. Our results indicate that prokaryotic communities within subterranean estuaries are highly heterogeneous in terms of biomass, activity and diversity, suggesting that their role in transforming nutrients will also vary spatially within these terrestrial-marine transition zones.

U-splines: Splines over unstructured meshes

U-splines are a novel approach to the construction of a spline basis for representing smooth objects in Computer-Aided Design (CAD) and Computer-Aided Engineering (CAE). A spline is a piecewise-defined function that satisfies continuity constraints between adjacent cells in a mesh. U-splines differ from existing spline constructions, such as Non-Uniform Rational B-splines (NURBS), subdivision surfaces, T-splines, and hierarchical B-splines, in that they can accommodate local variation in cell size, polynomial degree, and smoothness simultaneously over more varied mesh configurations. Mixed cell types (e.g., triangle and quadrilateral cells in the same mesh) and T-junctions are also supported, although the continuity of interfaces with triangle and tetrahedral cells is limited in the present work. The U-spline algorithm introduces a new technique for using local null space solutions to construct basis functions for the global spline null space problem. The U-spline construction is presented for curves, surfaces, and volumes with higher dimensional generalizations possible. A set of requirements are given to ensure that the U-spline basis is positive, forms a partition of unity, is complete, and is locally linearly independent.

Evaluation and correlation of corneal endothelium parameters with the severity of primary glaucoma.

To evaluate and correlate corneal endothelium parameters with the severity of primary glaucoma. This prospective case-control study was conducted on 150 eyes of 80 newly diagnosed primary open-angle glaucoma (POAG), chronic primary angle-closure glaucoma (cPACG), and normal-tension glaucoma (NTG) patients in a tertiary care center. Endothelial parameters including endothelial cell count (ECC), percentage of hexagonal cells, and coefficient of variation of cell size were analyzed. Glaucoma cases were further sub-grouped into early, moderate, and severe glaucoma and compared for endothelial parameters. Chi-square, Fischer's exact test, independent sample t-test, and analysis of variance were performed using IBM® SPSS® Statistics version 28. The ECC was markedly reduced in cases (2281 cells/mm2) versus controls (2611 cells/mm2) (P < 0.001). The POAG (2251 cells/mm2) and cPACG (2287 cells/mm2) eyes had significantly a lower ECC compared to healthy controls (P < 0.001), whereas NTG eyes had a lower mean ECC (2538 cells/mm2), but it was not statistically significant (P > 0.05) when compared with controls. The ECC decreased with an increase in severity as patients with early glaucoma had an ECC of 2284 cells/mm2, moderate 2261 cells/mm2, and severe 2086 cells/mm2, and the difference was statistically significant. A significant decrease in corneal ECC was observed in POAG and cPACG patients when compared with healthy controls of the same age group. Mechanical damage following an elevated intra-ocular pressure for a longer duration may be attributed to morphological and consequent functional damage to endothelial cells.

P192 Investigating the link between pleomorphism and virulence in Cryptococcus

Poster session 2, September 22, 2022, 12:30 PM - 1:30 PMObjectivesFungal pathogens Cryptococcus neoformans and C. gattii are responsible for hundreds of thousands of annual deaths in immunocompromised individuals. Considerable phenotypic variation is exhibited by strains in response to stresses encountered during host infection, including increased capsule and cell size, the release of shed capsule, and the production of giant (>15 μm), micro (<1 μm), and irregular cells. We aimed to investigate whether the production of these morphological variants is associated with virulence using two sets of strains. The first is a collection of diverse clinical isolates obtained from HIV/AIDS patients in Botswana with accompanying clinical data. The second is a collection of lineages derived from the C. neoformans type strain H99 with high genetic similarity but differing levels of virulence. Some lineages in this set possess a mutation in SGF29, which encodes a component of the SAGA histone acetylation complex that has previously been implicated in their hypervirulence.MethodsIsolates were cultured under conditions that simulate stresses encountered in vivo (DMEM, 5% CO2, 37°C) as these are known to enhance capsule production and induce cell size changes. Cells were counterstained with India Ink, visualized by light microscopy, and phenotypes were scored. For clinical isolates, MLST analysis was performed to determine their relatedness. For H99 strains, Galleria mellonella larval infection assays, growth curves, and antifungal susceptibility testing was performed to confirm their relative virulence and growth profiles. Serial block face and regular scanning electron microscopy were used to investigate the internal morphology of the giant, micro, and irregular cells to confirm that they possess attributes of functional cells.ResultsSubstantial pleomorphism was seen across both collections. In the clinical strain set, phenotypic variables fell into two groups associated with differing symptoms. The production of ‘large’ phenotypes was associated with a higher CD4 count and was negatively correlated with intracranial pressure indicators, suggesting that these are induced in early-stage infection. ‘Small’ phenotypes were associated with lower CD4 counts, negatively correlated with meningeal inflammation indicators, and positively correlated with intracranial pressure indicators, suggesting that they are produced later during infection and may promote proliferation and dissemination. Isolates possessing giant cells, microcells, and shed capsule were rare, but strikingly, they were associated with patient death.In the H99 set, strains from hypervirulent lineages had larger average capsule size, greater variation in cell size, and increased production of microcells and shed capsule. Deletion of SGF29 in an intermediate virulence lineage substantially increased its production of microcells and released capsule, consistent with a switch to hypervirulence. SGF29 loss-of-function mutations were subsequently identified in clinical isolates and were found to be significantly correlated with patient death. Expansion of a TA repeat in the second intron of SGF29 in clinical isolates was positively correlated with cell and capsule size, suggesting it also affects SGF29 function.ConclusionOur results extend the evidence for a link between pleomorphism and virulence, with a likely role for epigenetic mechanisms mediated by SAGA-induced histone acetylation.

S5.3c Investigating the link between pleomorphism and virulence in Cryptococcus

S5.3 Cellular pleomorphism and fungal virulence, September 22, 2022, 3:00 PM - 4:30 PMObjectivesFungal pathogens Cryptococcus neoformans and Cryptococcus gattii are responsible for hundreds of thousands of annual deaths in immunocompromised individuals. Considerable phenotypic variation is exhibited by strains in response to stresses encountered during host infection, including increased capsule and cell size, the release of shed capsule, and the production of giant (> 15 μm), micro (< 1 μm), and irregular cells. We aimed to investigate whether the production of these morphological variants is associated with virulence using two sets of strains. The first is a collection of diverse clinical isolates obtained from HIV/AIDS patients in Botswana with accompanying clinical data. The second is a collection of lineages derived from the C. neoformans type strain H99 with high genetic similarity but differing levels of virulence. Some lineages in this set possess a mutation in SGF29, which encodes a component of the SAGA histone acetylation complex that has previously been implicated in their hypervirulence.MethodsIsolates were cultured under conditions that simulate stresses encountered in vivo (DMEM, 5% CO2, 37°C) as these are known to enhance capsule production and induce cell size changes. Cells were counterstained with india ink, visualized by light microscopy, and phenotypes were scored. For clinical isolates, MLST analysis was performed to determine their relatedness. For H99 strains, Galleria mellonella larval infection assays, growth curves, and antifungal susceptibility testing was performed to confirm their relative virulence and growth profiles. Serial block face and regular scanning electron microscopy were used to investigate the internal morphology of the giant, micro, and irregular cells to confirm that they possess attributes of functional cells.ResultsSubstantial pleomorphism was seen across both collections. In the clinical strain set, phenotypic variables fell into two groups associated with differing symptoms. The production of ‘large’ phenotypes was associated with a higher CD4 count and was negatively correlated with intracranial pressure indicators, suggesting that these are induced in early-stage infection. ‘Small’ phenotypes were associated with lower CD4 counts, negatively correlated with meningeal inflammation indicators, and positively correlated with intracranial pressure indicators, suggesting that they are produced later during infection and may promote proliferation and dissemination. Isolates possessing giant cells, microcells, and shed capsules were rare, but strikingly, they were associated with patient death.In the H99 set, strains from hypervirulent lineages had larger average capsule size, greater variation in cell size, and increased production of microcells and shed capsules. Deletion of SGF29 in an intermediate virulence lineage substantially increased its production of microcells and released capsule, consistent with a switch to hypervirulence. SGF29 loss-of-function mutations were subsequently identified in clinical isolates and were found to be significantly correlated with patient death. Expansion of a TA repeat in the second intron of SGF29 in clinical isolates was positively correlated with cell and capsule size, suggesting it also affects Sgf29 function.ConclusionOur results extend the evidence for a link between pleomorphism and virulence, with a likely role for epigenetic mechanisms mediated by SAGA-induced histone acetylation.

Impact and blast resistance of uniform and graded sandwich panels with TPMS cellular structures

The impact and blast resistance of sandwich panels with uniform and functionally graded Triply Periodical Minimal Surface (TPMS) cellular cores were analysed in this study. The computational models were validated with available experimental compression tests of four different types of TPMS cellular structures (Diamond, Gyroid, IWP and Primitive). The IWP and Primitive structures showed comparable and overall lower critical velocities than Gyroid and Diamond structures, exhibiting a more significant strain-rate hardening effect. Two methods of cellular structure grading were applied: the sheet thickness grading (STG) and the cell size grading (CSG) throughout the structure. The performance of TPMS filled sandwich panels under blast loading was also computationally analysed and compared to the sandwich panels filled with strut-based cellular structures. Overall, the specific energy absorption of TPMS filled sandwich panels is up to 25% higher than in the sandwich panels filled with strut-based core with the same relative density. The introduction of graded porosity using thickness and cell size variation shows that it is possible to tailor the mechanical and deformation response of the TPMS structures and TPMS filled sandwich panels while maintaining comparable energy absorption capabilities.

A Comparative Evaluation of Corneal Endothelium between Diabetic &amp; Non-Diabetic Patients Undergoing Phacoemulsification in a Tertiary Hospital

Objective: To compare changes of corneal endothelium after phacoemulsification in diabetic patient comparison to non-diabetic patient. Methods: This prospective observational study was conducted over 100 patients in a tertiary hospital from 01st January to 30th July 2020. Patients were selected purposively based on specific selection criteria. Patients were allocated into two groups: Group-I: cataract patient without diabetes mellitus and Group-II: cataract patient with diabetes mellitus. Selected patients underwent detailed ophthalmic and systemic examination as well as relevant laboratory investigation. Phacoemulsification was done in every patient by a single experienced surgeon under local anesthesia. Patients were evaluated pre-operatively, 7th POD and after one month post-operatively. In each visit, visual acuity, endothelial cell count, endothelial hexagonality, cell variability and central corneal thickness were recorded. All the relevant data were recorded in a pre-designed data collection sheet. Results: The mean age of patients in group I and II were 54.40+3.22(SD) and 54.86+3.07(SD) years respectively. In group I, 29 (58%) were male and 21(42%) were female whereas in group II, 33 (66%) were male and 17(34%) were female. In Group-I, visual acuity in preoperative period, 7th POD and after one month were 0.734, 0.232 and 0.148 respectively and in Group-II, preoperatively, 7th POD and after one month were - 0.730, 0.260 and 0.148 respectively. In group I, Endothelial cell count per square millimeter in preoperative, 7th POD and after one month were- 2681.76, 2543.62 and 2518.68 respectively and in Group-II, preoperative, 7th POD and after one month were - 2596.62, 2378.84 and 2270.46 respectively. Hexagonality of endothelial cell count in group-I, pre-operative, 7th POD and after one month value were 64.34, 61.08 and 59.12; in group-II, pre-operative, 7th POD and after one month value were 63.80, 56.04 and 53.10 respectively. Cell size variability in group-I, pre-operative, 7th POD and after one month value were 30.76, 33.96 and 35.42; in group-II, pre-operative, 7th POD and after one month value were 29.58, 33.90 and 35.98 respectively. Central corneal thickness in group-I, pre-operative, 7th POD and after one month value were 534.04, 589.12 and 560.68; in group-II, pre-operative, 7th POD and after one month value were 530.12, 630.24 and 569.94 respectively. Conclusion: By analyzing the results and findings, it may be concluded that corneal endothelium was greatly changed after phacoemulsification in diabetic patient in compare to non-diabetic patient. J. Natl. Inst. Ophthalmol. 2022; 5(2):9-15

Corneal Endothelial Characteristics in Normal Chinese Han Children and Youngsters: A Study from the Specular Microscopy Descriptions

Objective To observe the morphological changes of corneal endothelial cells in healthy Chinese children and youngsters and analyze the sensitive and specificity of the endothelial assessments. Methods 14,670 Chinese healthy volunteers enrolled were examined by specular microscopy, and the endothelial descriptive indexes: the central corneal thickness (CCT), endothelial cell density (ECD), coefficient of variation in average cell size (CV), the percentage of regular hexagonal cells (hexagonality, HEX), cell size of minimal cell (Smin), cell size of maximal cell (Smax), average cell size (Savg), and size of standard deviation of cell area (Ssd) as well as sex and age were analyzed. Results The average age of this study is 17.36 ± 7.58 (4–30) years. There is no sex predominance: 7,260 male (49.5%) and 7,410 female (50.5%). The mean CCT, ECD, CV, HEX, Smin/max, Savg, and Ssd are 529.94 ± 31.53 (437–644) μm, 3,051.28 ± 375.49 (2,031–4,074) cells/mm2, 28.34 ± 4.36 (18–40) %, 61.21 ± 10.29 (17–89) %, (147.79 ± 21.94 to 678.29 ± 120.96) μm2, 332.74 ± 44.62 μm2, and 95.02 ± 23.17 μm2, respectively. The CCTs keep consistency. The ECD decreased rate is 1.02%/year. The curve of ECD and hexagonality expresses the same linear tender. The CCT and endothelial evaluation indexes have no sex predominant (p > 0.05); the quantitative indicators: CCT, ECD, and HEX are significant negative associated with age (p = 0.001 or p < 0.001); the variability indexes: the CV, Smin, Smax, Savg, and Ssd are positive correlation (p < 0.001). The coefficients of CCT, HE, and Smin are -0.35, -0.59, and 1.17, respectively. Conclusions The ECD decrease rate is 1.02%/year of the normal Chinese Han childhood to the earlier adulthood. The ages 4 to 12, 13 to 20, and 21 to 30 can be named as the childhood, puberty and adulthood from endothelial biologic identity. The HEX is the sensitivity marks for the polymorphisms while the S min is the specificity indicator CVs upon the Topcon Noncon Specular microscopy results.

Higher red cell distribution width and poorer hospitalization-related outcomes in elderly patients.

Red cell distribution width (RDW), an index for variation of red blood cell (RBC) size, has been proposed as a potential marker for poorer outcomes in several aging-related diseases and conditions. We tested whether greater variability of RBC size, presented as a higher RDW value, predicts poor prognoses among hospitalized patients over 60 years old. We retrospectively collected data from older hospitalized patients aged ≥60 years between January 2013 to December 2017 at Sutter Health, a large integrated health system in Northern California. The RDW was measured during hospital admission and categorized with 1% intervals (≤13.9, 14.0-14.9, 15.0-15.9, 16.0-16.9, 17.0-17.9 and ≥18.0%). The primary outcome was the rate of in-hospital mortality and secondary outcomes included 30-day re-admission rate and length of hospital stay (in days). A total of 167,292 admissions from 94,617 patients were included. The overall in-hospital mortality rate was 6.3%. As the RDW value increased, the rate of in-hospital mortality gradually increased from 2.7% for the lowest RDW category to 12.2% in the highest category (p-trend <0.001). The overall 30-day re-admission rate after discharge was 12.5% and the rate of 30-day re-admission also increased with increasing RDW categories (7.4% in the lowest group vs. 15.8% in the highest group, p-trend <0.001). Patients with the highest RDW values at admission stayed 1.5-2.0 times longer in the hospital than patients with lower RDW values who were admitted for the same causes. Greater variability of RBC size is significantly associated with worse prognosis in hospitalized elderly patients, indicating higher mortality, greater risk of early re-admission, and longer hospital stay days. Risk stratification strategies for hospitalized elderly should include RDW value.

Inhibition of Wnt/β‐catenin Signaling Pathway on Melanogenesis‐ Insights from Zebrafish (Danio rerio)

IntroductionVertebrate color patterns are composed of specialized pigment‐producing cells, the chromatophores. Melanin is the main pigment type that colors the skin and skin appendages in mammals. Melanin is produced by specialized cells called melanocytes. Melanocytes have embryonic neural crest cells origin and their development and functions are ubiquitous across vertebrates, residing in dermal and epidermal skin layers. Studies of melanogenesis have provided experimentalists with a valuable system for understanding pattern formation in the developing embryo. In addition, studying these mechanisms may have important consequences for the clinical sciences. Alcohol is a widely abused teratogenic substance. Fetal alcohol spectrum disorder (FASD) is described as birth defects associated with prenatal alcohol exposure (PAE). PAE is likely one of the leading causes of birth defects but pathophysiology of FASD associated body pigmentation disorders are needed to be investigated further. Zebrafish (Danio rerio) (ZF) is identified as a good model to study FASD and melanocyte biology. Wnt signaling pathway is a conserved signal transduction pathway which is important in embryonic development and it regulates many aspects of melanogenesis. The current study was designed to investigate the effect of Alcohol‐Wnt signaling pathway activity on ZF melanogenesis.Materials and MethodsWild‐type (WT) ZF embryos were treated with Wnt pathway inhibitor (LiCl) and combined chemical treatment (LiCl and 1% alcohol) at 10 hours post fertilization (hpf). The differential effects of above substances on early development, differentiation, patterning of melanocytes were investigated using cell biology and imaging techniques.ResultsMelanocytes of LiCl exposed samples showed defects in migration, arrangement and survival. Ectopic melanocytes and developmental aberrations of eye pigmentation were noticed in both chemical treatments. Significant variation of the melanocyte cell size, shape and body pigmentation patterning was observed among the LiCl and combined treated samples compared to the control.ConclusionEmbryonic LiCl and alcohol exposures affect the development and patterning of the melanocytes in ZF. The molecular mechanisms underlying the above phenotypes will be investigated further to understand the FASD associated pigmentation defects.

Anterior segment structures in dark iris Chinese patients with unilateral Fuchs’ uveitis syndrome

PurposeTo compare binocular anterior segment structures in Chinese patients with dark iris and unilateral Fuchs’ uveitis syndrome (FUS).MethodsThis was a cross-sectional study including 34 phakic eyes (17 patients) with unilateral FUS. Anterior segment parameters were measured by rotating Scheimpflug imaging camera, noncontact specular microscopy, and anterior segment optical coherence tomography.ResultsCorneal volume was higher in FUS eyes compared to unaffected eyes (p < 0.05). The iridocorneal angles were larger in FUS eyes compared to contralateral eyes (p < 0.05). Mean endothelial cell density (ECD) was lower, and the coefficient of variation in endothelial cell size and average cell area of endothelial cells (ACA) were higher, in FUS eyes (p < 0.05). Mean densitometry values of the midstromal cornea (zones with a diameter of 0–2, 2–6, or 10–12 mm), posterior (0–2, 2–6, 10–12, or 0–12 mm), or total thickness (0–2 or 2–6 mm) were higher in FUS eyes compared with unaffected eyes (p < 0.05). ECD, percentage of hexagonal cells, and ACA were strongly related to densitometry values of the midstromal and posterior cornea in the FUS eyes (p < 0.05). Smoothness index of iris was lager in affected eyes (p < 0.05).ConclusionIn Chinese patients with unilateral FUS, loss of endothelial cells, wider iridocorneal angle, thicker cornea, higher corneal densitometry of midstromal and posterior layer, and smoother iris were observed in affected eyes compared to contralateral eyes. These data can help to elucidate anterior segment characteristics of unilateral FUS in this population.

Study of the compression behavior of functionally graded lattice for customized cranial remodeling orthosis

Deformational plagiocephaly is a head deformity that occurs in newborns, treated in severe cases with helmets named cranial remodeling orthoses (CRO). Current CROs can fail to adapt to head growth, causing excessive pressure sores and other complications, and may lead to poor clinical results. In this work, we experimentally and numerically study the compressive behavior of a functionally graded lattice that may be used in future work as a potential inner lining for a CRO with a customized density distribution. This work is divided into five stages. First, we describe the design of all lattices involved in the study. Second, we measure the mechanical properties of the bulk material used in the manufacturing of the lattices. Third, we study the effect of unit cell size variation, testing three homogenous body-centered cubic (BCC) lattices, and creating a numerical model for the prediction of the compressive behavior of various lattices with different unit cell sizes. Fourth, we study the effects of truss diameter variation, designing and testing three homogenous lattices with different truss diameters. Finally, we design a BCC lattice with a truss diameter gradient and analyze compressive deformations in numerical and experimental compression studies. The numerical simulations of the compression of the homogenous and graded lattices agree with the experimental measurements, both in unit cell variation and in truss diameter variation. In the graded lattice, the compression displacements observed in each region are proportional to their density and agree with the numerical simulation. Truss diameter variation was found to have a wider range of compressive responses than unit cell size variation without major changes in the overall geometry of the lattice and found more suitable for the intended application. The studies showed the potential of the functionally graded lattice for use in the CRO.

Constraining uncertainties of diazotroph biogeography from nifH gene abundance

AbstractMarine diazotrophs fix dinitrogen gas into bioavailable nitrogen that drives the ocean nitrogen cycle; yet, efforts to infer global diazotroph distributions have been limited by a sparsity of observations. In situ measurements of nifH gene abundance (essential for nitrogen fixation) are increasingly being used to inform the biogeography of diazotrophs. However, comparing such gene abundances spatially, temporally and between diazotroph species remains difficult. We synthesize existing data on gene‐to‐cell and cell‐to‐biomass conversions for four major diazotroph groups to convert nifH gene counts to abundance‐ and biomass‐based biogeographic “currencies.” Results suggest up to two orders of magnitude uncertainty converting from nifH gene abundance to cell abundance, and up to four orders of magnitude uncertainty from nifH gene abundance to biomass. Uncertainty arises due to large taxonomic variation in cell size and presumed polyploidy, that is, variability in the number of genomes per cell. Such uncertainties hinder comparing biogeographies of different species. Additionally, numerical models need biogeographies for validation, typically in the currency of carbon biomass. Here, we show that conversion uncertainty from nifH gene abundance to biomass overwhelms biomass variability simulated in such models. These results demonstrate a basic currency problem in converting gene abundance observations to biogeographically meaningful quantities for synthesizing studies and modeling approaches. Such issues may also have relevance to other genes and organisms beyond diazotrophs. To avoid biases in interpreting gene counts as a measure of abundance, we suggest converting gene counts to a binary presence/non‐detect metric to map broad biogeographical distributions more robustly.

Hypotonic stress triggers delayed cell volume increase via crosstalk between myosin, calcium signaling, and ion transport

Mammalian cells can maintain a relatively homogeneous cell volume distribution, while tumorigenic cells tend to have large cell size variability. At the short timescale, cell volume is determined by water flow across the membrane, which is driven by osmotic and hydrostatic pressure gradients across the cell surface. During processes such as mitotic swelling, spreading on the substrate, and response to change in media osmolarity, cells are able to dramatically change their volume within minutes or a few hours.

Erythrocytes in COVID-19: Effects on Morphology, Function, and Potential Role in Disease Pathogenesis

Since the SARS CoV-2 virus was first identified in December 2019, huge scientific endeavor has occurred in order to characterize the pathogenesis of this virus and how best to treat it. Early observations noted marked cytokine release, coagulopathy and a prothrombotic phenotype associated with severe disease. The potential contribution of red blood cells to these findings remains an area of ongoing investigation. While there is no evidence of direct infection of red blood cells by the SARS CoV-2 RNA virus, anaemia and increased variability in shape and size of red cells have been shown to be associated with adverse outcomes in COVID-19 infection. This is likely related to the impact of inflammatory cytokine-induced oxidative stress on erythrocytes, where decreased levels of reducing agents have been shown to correlate with disease severity. The consequences of increased oxidative stress on red cells include membrane damage leading to the morphological abnormalities seen in patients, and increased rates of programmed red cell death with resultant anaemia. Production of nitric oxide by red cells is altered, possibly as a means to alleviate tissue hypoxia in these patients, and red cells may also demonstrate enhanced lactate influx, possibly reducing circulating levels at a time of increased glycolysis. In this review we discuss the currently available evidence describing the impact of SARS CoV-2 infection on erythrocytes and the possible roles they play in patients with COVID-19 infection.

Analysis of effect of variation of Honeycomb core cell size and sandwich panel width on the stiffness of a sandwich structure

A sandwich structure consists of three main parts i.e. the facing skins, the core and the adhesive. It acts in a way similar to that of the I- Beam. In this research, a sandwich structure has been designed with a regular hexagon honey-comb core made up of Kevlar® and face sheet of carbon fiber. The design has been modelled and the model has also been validated with the experimental and analytical method. Six different configurations of sandwich structures have been proposed. Out of these six, three configurations have the varying cell size i.e. 3.2 mm, 4 mm and 4.8 mm and the other three configurations have the varying panel width i.e. 40 mm, 45 mm and 50 mm keeping rest of the design parameters unchanged. Using ANSYS, analysis has been performed for all these six configurations and equivalent stiffness has been calculated. It has been observed that the honeycomb core cell size does not have a significant effect on the stiffness properties of a composite sandwich panel. The analysis also reveals that with the increased panel width the stiffness of composite panel increases significantly.

The Effect of Familial Mediterranean Fever Disease on The Cornea

Objective: To investigate corneal structural in patients with Familial Mediterranean Fever (FMF). Methods: This case-control study included 64 patients with FMF and, 49 age and gender similar healthy subjects without any eye disease. Endothelial cell density (ECD), the coefficient of variation in cell size (CV) and percentage of hexagonality were measured by non-contact specular microscopy, central corneal thickness (CCT) was measured by ultrasonic pachymetry. Results: The mean CCT value was 516.89± 32.23 μm in the study group and 545.12±24.56 μm in the control group. The mean ECD, CV, and percentage of hexagonality values were 3402.51±383.84 cells/mm², 26.72±4.55%, and 68.60±8.63%in the study group, respectively and 3339.46±322.60 cells/mm², 27.59± 5.23%, and 67.34± 9.38% in the control group, respectively. Of these parameters, the CCT values were statistically significantly different between the study and control groups (p = 0.011). Conclusion: Compared to healthy individuals, patients with FMF may have significant morphological changes in the structure of the cornea.

Immunohistochemical Expression of MDM2 and p16 in Adipocytic Neoplasms Measuring Ten Centimeters or more in Diameter among Filipino Patients in a Public Tertiary Hospital from 2017 to 2019

Introduction: A size of more than 10 cm suggests that a soft tissue tumor might be malignant. Pertinent ancillary diagnostic testing, such as immunohistochemistry (IHC) and fluorescence in situ hybridization (FISH), may be done to confirm the diagnosis. Several studies have shown that size may be a useful criterion in determining which tumors are candidates for further molecular testing. MDM2 and p16 are IHC markers for atypical lipomatous tumor/well-differentiated liposarcoma (ALT/WDLPS).&nbsp; Objectives: The primary objective of this study is to determine the proportion of tumors signed out as “lipomas” from 2017 to 2019, and measuring at least 10 cm, that express MDM2 and p16 on IHC and warrant revision as ALT/WDLPS. Methodology: This is a descriptive, retrospective cohort study in which all lipomas from 2017 to 2019 that measured at least 10 cm were included. The size, age of the patient, and location of each tumor were documented. The slides of all eligible cases were reviewed and immunohistochemically stained for MDM2 and p16. For each case, the intensity and immunoreactivity of each stain were assessed using a modified, four-tier scoring system. Fisher’s exact test was used to determine if a significant number of tumors expressed MDM2 or p16. Results: Thirty (30) cases satisfied the inclusion and exclusion criteria. The average size of these tumors is 15.10 cm. There is no sex predilection. The most common location of these tumors is the extremities. None of the tumors expressed MDM2, and only one case was p16-positive. The case positive for p16 also showed cytologic atypia and variability in cell size, resulting in the revision of its diagnosis from lipoma to atypical lipomatous tumor. The rate of diagnosis revision after slide review and IHC studies is 3.33%. Conclusion: None of the adipocytic tumors that measured at least 10 cm in diameter and were signed out as lipomas was MDM2 positive, and only one case was p16-positive. Thus, morphology remains the cornerstone in the diagnosis of adipocytic tumors. Careful microscopic evaluation is necessary to establish the diagnosis of malignancy in these tumors. Ancillary tests should only be considered in cases where the pathologic features are equivocal.