Decrease In Rate Research Articles

A study of land use changes and its impacts on flood inundation in the Konkoure River Basin, Republic of Guinea.

Due to rising land development, mitigating the negative effects of land use change is becoming a problem. Understanding how land development affects flood inundation is critical for long-term water resource management. This study evaluates the land use change in the Konkoure River Basin and its impact on flood inundation. The land use changes were assessed using Landsat image (level 1) in August 2006 and August 2021. In addition, we used GIS and remote sensing applications to assess the degree of changes that took place in the Konkoure watershed. According to the findings, 32.16% of the total area became built-up areas, and 35.51% was converted to other land uses in Konkoure watershed. Konkoure's most significant change is that 29.50% of forest area transformed into built-up areas and other land uses. The rainfall-runoff-inundation model (RRI) based inundation of the Konkoure River Basin was compared to the MODIS extent between 31 August 2006 and 30 August 2021 flood events. Flood inundation variations in the Konkoure watershed were studied in terms of inundation area, peak inundation depth, runoff volume, and the infiltration rate. As a result, the flood inundation area increased from 139.98 to 198.72 km2 and the infiltration rate decrease from 7 to 5mm/h. Moreover, we used flow duration curves (FDCs) to fully comprehend the streamflow processes. The result indicates that the Konkoure watershed has experienced flooding partly due to land use change.

Features of the influence of emotional state on the implementation of arbitrary purposeful bimanual movements

The emotional state has a significant impact on the autonomic and somatic nervous systems, which give various manifestations. All external manifestations of emotions are strictly determined and begin to be realized when the cortical areas are activated. The leading role in the realization of the emotional state belongs to the frontal lobes of the cortex and the limbic system. The precentral sulcus is the cortical center of complex purposeful movements. The purpose of this work is to study the influence of the emotional state on the implementation of the motor program of bimanual purposeful voluntary movement. The emotional state was determined using the K scale. Izard. The bimanual motor activity of the hands was measured using the method of supportmetry. As a result of the study, it was found that a negative emotional state leads to a decrease in the reaction rate of the reaction to an error, which may be caused by a change in the initial alignment between the motor cortex and the limbic system.

Effect of neuromuscular electrical stimulation in critically ill adults with mechanical ventilation: a systematic review and network meta-analysis

BackgroundNeuromuscular electrical stimulation (NMES) is widely used as a rehabilitation methods to restore muscle mass and function in prolonged immobilization individuals. However, its effect in mechanically ventilated patients to improve clinical outcomes remains unclear.MethodsA comprehensive search was conducted using PubMed, Embase, Web of Science, PEDro, and the Cochrane Library from their inception until December 24th, 2023. The search targeted randomized controlled trials (RCTs) comparing NMES with physical therapy (PT) or usual ICU care (CG), for improving clinical outcomes in mechanically ventilated patients. We performed a network meta-analysis utilizing Stata version 14.0 and R 4.3.1.ResultsWe included 23 RCTs comprising 1312 mechanically ventilated adults. The treatments analyzed were NMES, PT, NMES combined with PT (NMES+PT), and CG. Network meta-analyses revealed that NMES or NMES+PT significantly improved extubation success rate compared to CG, with ORs of 1.85 (95% CI: 1.11, 3.08) and 5.89 (95% CI: 1.77, 19.65), respectively. Additionally, NMES exhibited a slight decrease in extubation success rate compared with NMES+PT, with OR of 0.31 (95% CI: 0.11, 0.93). Nevertheless, neither NMES nor NMES+PT showed any significant improvement in ICU length of stay (LOS), ventilation duration, or mortality when compared with PT or CG. NMES+PT emerged as the most effective strategy for all considered clinical outcomes according to the ranking probabilities. The evidence quality ranged from “low” to “very low” in this network meta-analysis.ConclusionsNMES appears to be a straightforward and safe modality for critically ill, mechanically ventilated patients. When combined with PT, it significantly improved the extubation success rate against standard ICU care and NMES alone, and showed a better ranking over PT or NMES alone for clinical outcomes. Therefore, NMES combined with PT may be a superior rehabilitation strategy for this patient group.

Evaluating false-positive detection in a computer-aided detection system for colonoscopy.

Computer-aided detection (CADe) systems can efficiently detect polyps during colonoscopy. However, false-positive (FP) activation is a major limitation of CADe. We aimed to compare the rate and causes of FP using CADe before and after an update designed to reduce FP. We analyzed CADe-assisted colonoscopy videos recorded between July 2022 and October 2022. The number and causes of FPs and excessive time spent by the endoscopist on FP (ET) were compared pre- and post-update using 1:1 propensity score matching. During the study period, 191 colonoscopy videos (94 and 97 in the pre- and post-update groups, respectively) were recorded. Propensity score matching resulted in 146 videos (73 in each group). The mean number of FPs and median ET per colonoscopy were significantly lower in the post-update group than those in the pre-update group (4.2±3.7 vs 18.1±11.1; P<0.001 and 0 vs 16s; P<0.001, respectively). Mucosal tags, bubbles, and folds had the strongest association with decreased FP post-update (pre-update vs post-update: 4.3±3.6 vs 0.4±0.8, 0.32±0.70 vs 0.04±0.20, and 8.6±6.7 vs 1.6±1.7, respectively). There was no significant decrease in the true positive rate (post-update vs pre-update: 95.0% vs 99.2%; P=0.09) or the adenoma detection rate (post-update vs pre-update: 52.1% vs 49.3%; P=0.87). The updated CADe can reduce FP without impairing polyp detection. A reduction in FP may help relieve the burden on endoscopists.

Numerical investigation of thermal-mixing characteristics at vertically oriented T-junction pipelines

When hot and cold fluids are mixed at pipeline tees, temperature fluctuations are generated and can lead to thermal fatigue damage in the piping materials. At the University of Stuttgart in Germany, experimental investigations have been performed for understanding the flow mixing mechanism causing thermal fatigue. It was found that the inlet flow rate is one of the decisive factors on the mixing behaviors at a horizontal T-junction.In this study, the influence of the inlet flow rate on the flow mixing behaviors at the vertical T-junction is investigated using the large-eddy simulation (LES) method. The simulations are validated with the previous experiments and provide a good overview of the mixing flow. The LES method shows the advantage of illustrating the collision of two flow streams at the T-junction, which leads to different behaviors of the mixing flow. Generally, the temperature fluctuation in the mixing flow as well as the stability of thermal stratification decreases along the flow direction due to the dissipation of the turbulent kinetic energy in the mixing flow. The decrease in the main flow rate shows the impact of the increase in thermal stratification stability and the reverse flow distance. The decrease in the branch flow leads to a slight increase of the thermal stratification stability downstream of the T-junction and significant turbulent penetration in the branch pipe. The maximum temperature fluctuation at the pipeline inner surface is located at the joint position of the pipelines with a value higher than 30 K. Moreover, the flow collision at the T-junction leads to significant secondary flow in the mixing region, which can be influenced by the variations in the inlet flow rate. In particular, the secondary flow due to cold fluid presents a phenomenon of counter-rotating vortex pair (CRVP), and generates a temperature fluctuation with a frequency of approximately 1.1 Hz, which is recorded by the monitor points at both horizontal sides of the pipeline. In comparison with the previous work at the horizontal T-junction, the complete flow collision at the vertical T-junction is the reason for the totally different mixing phenomenon.

Does expanded disclosure in the audit report involve unintended consequences? Evidence from tax avoidance

PurposeThis study aims to examine how new regulation changes for the auditor’s report, so-called key audit matters (KAMs), influence tax avoidance.Design/methodology/approachThis study uses data from firms listed on the Omani capital market over the period 2012–2019 and analyzes these data using pooled panel data regression with a robust standard error. It uses two common proxies for tax avoidance and two measures for the KAMs disclosure requirement.FindingsThis study finds a sharp decrease in the effective tax rate following the introduction of KAMs disclosure and the issuance of more KAMs in audit reports. This result is supported by several robustness checks. In an additional analysis, the authors observe interesting results, indicating that real earnings management mediates this association, while the audit committee plays a moderating role. The authors do not find a moderating effect of Big4 on this association, but find discrepancies within the Big4 firms in relation to this moderating effect.Originality/valueThe results of this study indicate that although the introduction of the KAMs disclosure requirement may have positive consequences, it may also lead to unintended negative consequences. This conclusion has not been comprehensively reported in literature.

Mechanical properties of rock under uniaxial compression tests of different control modes and loading rates

To study the influence of control mode and loading rate on mechanical property of rock, uniaxial compression tests of four types of rocks (gray sandstone, red sandstone, mudstone and granite) are carried out under axial strain control mode and lateral strain control mode respectively. The characteristics of complete stress and strain curves, strength, brittleness and failure modes are analyzed. The results show that control mode has little influence on the pre-peak deformation, stress thresholds, while it has a greater impact on post-peak stress and strain curve, which makes the post-peak deformation stable and controllable, and shows the feature of Class II behavior. With lateral loading rates decrease, post-peak stress and strain curves appear more and more obvious fluctuations in the post-peak stage, and the time required for rock failure increases sharply, but the lateral control rate has little effect on the brittleness of rock. The failure mode of rock samples under axial strain control mode is mainly splitting failure, while that under lateral strain control is gradually changed to shear failure. The smaller the lateral loading control rate is, the more obvious the characteristics of shear failure is. Compared with uniaxial compression tests, under high confining pressure, the lateral dilation deformation is restricted, so peak strength is larger and stress redistribution can be better adjusted and stress fluctuation reduced accordingly in post-peak stage. The research results are an effective supplement to rate-dependent property of rocks and can provide some reference for deformation and strength characteristics research of brittle rock under lateral control mode.

P955 The effect of appendicectomy on the clinical course of Ulcerative Colitis: Preliminary results

Abstract Background Emerging evidence indicates an immunomodulatory role of the appendix in ulcerative colitis (UC). Previous studies have suggested a beneficial effect of appendicectomy in inducing and maintaining remission. Therefore, appendicectomy may be considered as an alternative or adjunctive treatment in UC. Aim To evaluate the efficacy of appendicectomy in maintaining remission in UC patients. Methods Adult patients with established UC in complete clinical and endoscopic remission (defined as Mayo score &amp;lt;3 with endoscopic subscore of 0 or 1) following medical induction treatment for disease relapse within 12 months prior to randomisation, were enrolled in the Netherlands and United Kingdom. Patients were randomised (1:1) to undergo appendicectomy (intervention group) or continue maintenance medical therapy (control group). The primary outcome was the one-year UC relapse rate (defined as a total Mayo-score score ≥5 with endoscopic subscore of ≥2). To detect a clinically relevant decrease in relapse rate from 40% to 20%, 82 patients per study arm were needed to achieve 80% power. The last patient was included in September 2022, so analysis of the primary outcome parameter is expected to start soon. Trial progress, including the accumulated number of (serious) adverse events (SAE) in both groups, were presented annually to the Data Safety Monitoring Board. Therefore safety data is available. Results In total, 99 patients were included in the intervention group and 99 patients in the control group. There were 86 males and 112 females, with a median age of 41 years (IQR 33-52). Baseline characteristics were comparable in both groups, with the majority of patients having proctitis (38.9%) or left sided colitis (35.9%). Three SAEs were reported in the appendicectomy group, 2 of which were related to the surgical procedure (reintervention for obstructive ileus and postoperative hematoma) and one hospitalisation for clostridium infection. One SAE was reported within the first year in the control group (appendicitis). The one-year reported colitis-associated adverse event rate was significantly lower in the appendicectomy group when compared to the control group (46.4% vs. 63.9%, P=0.02). During follow up there were no colectomies in the appendicectomy group, whereas three patients underwent colectomy for therapy-refractory disease in the control group. Conclusion Appendicectomy in patients with UC has the possibility to decrease the rate of colitis-associated (serious) adverse events. These results suggest that the final analysis of the primary outcome parameter (relapse rate) could demonstrate that appendicectomy is superior to standard medical therapy alone in maintaining remission in these patients.

P1156 Characteristics and outcomes of over a million Inflammatory Bowel Disease patients in seven countries: a multinational cohort study

Abstract Background Population-based studies are crucial for gaining insights into epidemiology, risk factors, and outcomes of IBD. However, studies that characterize patient cohorts typically analyze a single resource, apply diverse eligibility criteria, and extract different sets of attributes. This study aims to address this gap by employing a unified data and analysis framework developed by the Observational Health Data Sciences and Informatics (OHDSI) community to longitudinally describe and compare IBD patient cohorts across multiple geographic regions. Methods Using routinely collected healthcare data harmonized to the OMOP Common Data Model, we longitudinally characterized IBD patient cohorts across diverse geographic regions. Data sources included insurance claims and electronic health records from primary and tertiary settings. IBD cohorts were defined based on diagnoses and medications, and stratified into various groups (e.g. by sex and age at diagnosis). Results We characterized disease trajectory of 462,502 Crohn’s disease (CD) and 589,118 ulcerative colitis (UC) subjects, in 16 databases (DBs) from seven countries worldwide (table 1). There was a noticeable trend toward a decrease in the average age at CD diagnosis in Europe and North America (e.g., 47.5 in 2005-2010 period to 44.3 in 2020-2022 at a US DB) contrasting with more stable patterns in Southeast Asia (e.g., 33.7 to 33.9 respectively in Japan). A similar, though weaker, decrease in diagnosis age has been observed in UC subjects. Prevalence rates of pre-diagnosis symptoms (abdominal pain, diarrhea, and rectal bleeding) were relatively stable over time, with minor differences between DBs. The proportion of females with anxiety was consistently higher across all datasets compared to males. Similarly, depression prevalence ranged between 11% to 46% in females and 0% to 33% in males. Examining surgical outcomes for CD patients, our study uncovered nuanced trends. While there hasn't been a significant decrease in colonic resection rates within one year following diagnosis between the early 2000s and 2020 in US populations, some DBs demonstrated increased resection rates over time (from 11% in 2005 to 14% in 2020 and from 5% to 11% in two different US DBs). A similar trend was observed when examining the colonic resection rate 3 years post diagnosis. Small bowel resection rates were stable along time among most DBs one- and three-years following diagnosis. Conclusion This study, leveraging OHDSI network data and tools, provides a comprehensive characterization of IBD patient cohorts from various areas. It furnishes valuable insights into disease trends, demographic variations, outcome, and pre-diagnosis symptoms in CD and UC contributing to a deeper understanding of IBD epidemiology

Thinner bats to face hibernation as response to climate warming

One of the principal consequences of climate warming on hibernating mammals could be the loss of optimal conditions for hibernation. Although hibernating mammals, like bats, may be particularly vulnerable to climate warming due to a potential reduction of energy saving during the hibernation, there is a lack of knowledge regarding how they will be affected and how they will respond to this impact. Here, we examine the variation in the body condition of Schreiber’s bent-winged bat (Miniopterus schreibersii) to investigate changes in the optimization energy demand. Using a 20-year dataset (1998–2017), we analyse the temporal trends of body condition in three key stages of the hibernation period: onset and end of hibernation and early activity. Our results indicate that body condition at the onset and end of hibernation have decreased significantly over these 20 years. However, despite this lower body condition, the decrease of mass loss rate in the last decade (although not significant) indicate a greater saving of fat reserves. The significant increase in winter temperatures did not affect body condition or reserve depletion, instead, lower body condition was observed with a higher number of days below 0 °C. Unlike other hibernating bat species, the females had lower fat reserves than males in all three periods considered. This study indicates that hibernation energy requirements could be changing as an adaptation to a warmer climate and that hibernating bats can survive the winter by optimizing their lower accumulation of reserves.

P571 The Effect of NLRX1 Activation on Eosinophils in Ulcerative Colitis and Inflammation: Translational Learnings Across Diseases and from Mouse to Human

Abstract Background Although the precise role of eosinophils in IBD is debated, elevated eosinophils may influence response to therapy and clinical outcomes1. Thus, therapeutic agents which affect both neutrophil and eosinophil recruitment may provide more robust clinical improvement in patients with UC. NLRX1 is an immunometabolic protein which reduces oxidative stress, shifts cellular metabolism, and decreases inflammation in multiple cell types implicated in ulcerative colitis (UC). Studies of NLRX1 agonists (gut-selective NX-13 &amp; systemic LABP-73) in diverse disease models identified novel cellular targets of NLRX1 activation. We compared NLRX1’s effect on eosinophils in 2 disease states, UC and the more prototypical eosinophilic disease, asthma, and evaluated the findings. Methods In the 4-week NX-13 Phase 1b, a double-blind trial of 36 patients with active UC (Total Mayo Score 4-10; Mayo endoscopic subscore 2-3) who were randomly assigned to NX-13 250mg Immediate Release (IR), 500mg IR, 500mg Delayed Release (DR) or Placebo QD for 4 weeks, histology was assessed using the Geboes score by a blinded pathologist2. For allergic asthma models, mice were immunized with ovalbumin or house dust mite followed by antigen challenge concurrent with LABP-73 or vehicle. Cells isolated from the lung were analyzed by flow cytometry using the BD FACS Celesta/Diva. Data are represented as means (standard error). Results In the 1b clinical trial, both the Geboes score and neutrophil subscores were reduced in the IR NX-13 group compared to placebo, consistent with the effects seen in preclinical IBD models. Upon examination, eosinophil infiltration was reduced in both the IR dose cohorts compared to placebo (Fig1A). In the subset of patients with active eosinophil infiltration at baseline (defined as Geboes subscore ≥2A.1), eosinophil reduction was seen in all NX-13 doses (Fig1B). Importantly, a numerically increased clinical response rate (decrease in total Mayo score of ≥3 or ≥30%) was seen in patients that demonstrated effective eosinophil reduction, compared to patients without improvement (75% versus 29%; Fisher’s Exact Test, p=0.08). In two allergic asthma models, NLRX1 activation by LABP-73 significantly reduced the fraction of eosinophils within the lung relative to vehicle control (n=7-8; p&amp;lt; 0.05), confirming NLRX1 activation can regulate eosinophilic inflammation in Th2-mediated responses. Conclusion Neutrophil and eosinophil infiltration were reduced in UC patients treated with the gut selective NLRX1 agonist, NX-13, and was coupled with better clinical outcomes. The effect of NX-13 on eosinophils will be evaluated further in the ongoing phase 2 NEXUS trial in patients with UC. 1 A Mookhoek, et al. JCC (16). 2 L Peyrin-Biroulet, et al. JCC (17) Supp

Pituitary disorders in patients with end-stage chronic renal failure

Disorders in the kidneys lead to disturbance of homeostasis. As the glomerular filtration rate decreases, the metabolism of numerous biologically active substances, including pituitary hormones, decreases. The article presents an overview of pituitary dysfunction in patients with chronic kidney disease (CKD) and discusses the possible reasons of the pathogenetic mechanisms. Particular focus is being given to the assessment of changes in the concentration of pituitary hormones in patients with end-stage chronic kidney disease (CKD) and discusses the pathogenetic mechanisms of their formation. Particular attention is paid to the assessment of changes in the concentration of pituitary hormones in patients receiving renal replacement therapy (RRT). CKD leads to an increase in the level of prolactin, luteinizing hormone (LH) and follicle-stimulating hormone (FSH). Concentrations of growth hormone (GH), isulin-like growth factor-1 (IGF-1), thyroid-stimulating hormone (TSH), adrenocorticotropic hormone (ACTH) and vasopressin may remain within normal values or increase in this group of patients. RRT does not reduce the levels of prolactin, LH, FSH, while the concentration of growth hormone, IGF-1, TSH tends to normalize. The content of ACTH and vasopressin may remain unchanged or decrease. Kidney transplantation in most cases corrects hormonal disorders. Correction of hormonal changes can improve the clinical outcome and quality of life of patients with end stage CKD.

Green technology advancement, energy input share and carbon emission trend studies

In order to study the theoretical mechanism of the impact of green technology progress on carbon emissions, this article constructs a theoretical mechanism of the impact of green technology progress on carbon emission growth. Explore the conditions for achieving carbon peak and carbon reduction. Based on the Cobb Douglas production function, construct a three sector model that includes capital, labor, and energy. Empirical methods were used to analyze the quantitative impact of green technology progress on carbon emission growth and the moderating effect of energy input share. This study mainly used provincial panel data from 1995 to 2020. Calculate carbon dioxide emissions based on energy consumption and carbon dioxide emission coefficients of various energy sources in different regions. Using the perpetual inventory method to calculate capital growth rate, green computing progress rate, etc., to provide data support for the green technology carbon reduction model. Empirical analysis of the impact of green technology progress on carbon emissions using the FGLS panel model. Theoretical and empirical analyses show that green technological progress promotes an increase in the carbon emission growth rate through the scale effect, with an impact coefficient of 0.607; it promotes a decrease in the carbon emission growth rate through the technological effect, with an impact coefficient of − 0.667; the combined effect promotes a decrease in growth rate of carbon emissions, with an impact coefficient of − 0.06. The share of energy inputs has a positive regulating effect on the scale effect.

The COVID-19 Pandemic Increased the Incidence of New-Onset Type One Diabetes in Children.

Background: The impact of the COVID-19 pandemic on the incidence rate of childhood type 1 diabetes (T1D) is controversial. Our aim was to analyze the incidence of new-onset T1D among children aged 0-17 before and during the COVID-19 pandemic in Israel. Methods: Data obtained from the national T1D registry for children aged 0-17 were analyzed for the pre-pandemic (1997-2019) and pandemic (2020-2022) periods. In the pre-pandemic period, 7246 children with newly diagnosed T1D were compared with 1490 children diagnosed during the pandemic period. Results: T1D incidence significantly increased in the 0-17 age group from a mean of 12.9/105 (pre-pandemic) to 17.7/105 and 16.7/105 during the first two years of the pandemic (2020 and 2021, respectively) (p = 0.0001). Stratifying by age group (0-4, 5-9, 10-14, and 15-17) revealed a significant increase in the 5-9, 10-14, and 15-17 groups, both in 2020 (p = 0.0001) and in 2021 (p = 0.0001). The incidence rate in the 0-4 age group showed no change in the first year of the pandemic (2020) (p = 0.4). However, in the second year of the pandemic (2021), there was a significant increase from 6.3/105 in the pre-pandemic period to 9.1/105 (p = 0.001). Anti-COVID-19 vaccination in 2022 led to a significant decrease in the incidence rates in the 10-14 and 15-17 age groups (p = 0.03 and p = 0.02, respectively). Conclusion: The COVID-19 pandemic was associated with a significant increase in the incidence of new-onset T1D in prepubertal and pubertal children. Anti-COVID-19 vaccination decreased the incidence rate significantly only in pubertal children.

Assessing the Potential of Adenosine and L-Theanine as Metabolic Suppressants for Improving Shipping of the New Zealand Scampi (Metanephrops challengeri)

Live crustaceans, especially lobsters, crabs, and shrimp, fetch premium prices in many international seafood markets, especially in parts of Asia. To access these market opportunities, live crustaceans frequently need to be transported over long distances, which can involve prolonged air exposure resulting in elevated stress and increased morbidity and mortality. Interventions which deliver metabolic suppression to live crustaceans during their transport have the potential to improve outcomes from live shipping. In this study, the administration of adenosine (Ado) and L-theanine (L-th) were assessed for metabolic suppression in the New Zealand scampi, Metanephrops challengeri, a deep sea lobster which is highly prized as seafood, and with excellent prospects for supply into premium live seafood markets. The administration to scampi of Ado and L-th in isolation or as a mixture (Ado/L-th), caused a significant decrease in heart rate (HR) with a lasting effect for the 4 hr experimental period. However, this depression of HR did not translate into a systemic downregulation of metabolism, as measured by the key metabolites, i.e., glycogen utilization and the accumulation of lactate and ammonia. The lack of systematic metabolic downregulation would preclude the potential use of Ado and L-th for commercial application in live shipping of crustaceans.

Pneumothorax Incidence with Normal Saline Instillation for Sealing the Needle Track After Computed Tomography-Guided Percutaneous Lung Biopsy.

To determine whether instillation of normal saline solution for sealing the needle track reduces incidence of pneumothorax and chest tube placement after computed tomography-guided percutaneous lung biopsy. A total of 242 computed tomography-guided percutaneous lung biopsies performed at a single institution were retrospectively reviewed, including 93 biopsies in which the needle track was sealed by instillation of 3-5ml of normal saline solution during needle withdrawal (water seal group) and 149 biopsies without sealing (control group). Patient and lesion characteristics, procedure-specific variables, pneumothorax and chest tube placement rates were recorded. Baseline characteristics were comparable in both groups. There was a statistically significant decrease in the pneumothorax rate (19.4% [18/93] vs. 40.9% [61/149]; p < 0.001) and a numerically lower chest tube placement rate without significant reduction (4.3% [4/93] vs. 10.7% [16/149]; p = 0.126) with using normal saline instillation for sealing the needle track versus not using sealant material. Using a multiple logistic regression analysis, using normal saline instillation to seal the needle track, having a senior radiologist as operator of the procedure and putting patients in prone position were significantly associated with a decreased risk of pneumothorax. The presence of emphysema along the needle track was significantly associated with an increased risk of pneumothorax. No complication was observed due to normal saline injection. Normal saline solution instillation for sealing the needle track after computed tomography-guided percutaneous lung biopsy is a simple, low-cost and safe technique resulted in significantly decreased pneumothorax occurrence and a numerically lower chest tube placement rate, and might help to reduce both hospitalization risks and costs for the healthcare system. Level of evidence 3 Non-controlled retrospective cohort study.

Modelling Mortality in Kenya

This research work seeks to analysis the mortality trend experienced in Kenya over the sample period 1950 to 2021 using a multidimensional modeling framework. Life table functions, namely; life expectancy, survival function and age at death distribution are applied to depict mortality characteristics. Life expectancy and survival rate have significantly improved. There has been a shift in mortality status from a high mortality population, to an intermediate stage and mortality risk factors have increased across age. Mortality concentration curve and index within the Lorenz curve and Gini coefficient framework are used to analyze the lifespan inequality. Lifespan inequality is high with negligible improvements over time. Gompertz force of mortality is then estimated, which is statistically significant at 5% level. Deaths at exact age 25 is about 35 per ten thousand, with the rate death rate increasing by 6.09% per year starting from age 25. Under the assumptions of stable population, where the mortality and fertility functions are independent of time, Malthusian parameter is estimated which is less than zero for selected years. Kenya is a shrinking population and death rate decrease with increase in Malthusian parameter. Finally, to model long-term mortality rate forecast, Lee-Carter model is estimated. The model is statistically significant at 5% level explaining 78.4% of the variations. Expected life expectancy at a given age is projected to increase, with life expectancy at birth in 2030 and 2071 being 65.6 and 70.5 years respectively.

CoFe2O4 as a source of Co(II) ions for imidacloprid insecticide oxidation using peroxymonosulfate: Influence of process parameters and surface changes

Nanometric cobalt magnetic ferrite (CoFe2O4) synthesized by distinct methods was used for in situ chemical activation of peroxymonosulfate (PMS) under neutral conditions to oxidize imidacloprid (IMD) insecticide. The effect of CoFe2O4 load (0.125–1.0 g L−1) and PMS concentration (250–1000 μM) was investigated as well as the influence of phosphate buffer and Co(II) ions. PMS activation by Co(II) ions, including those leached from CoFe2O4 (>50 μg L−1), exhibited a strong influence on IMD oxidation and, apparently, without substantial contributions from the solid phase. Within the prepared solid materials (i.e., using sol-gel and co-precipitation methods), high oxidation rates (ca. 0.5 min−1) of IMD were attained in ultrapure water. Phosphate buffer had no significant influence on the IMD oxidation rate and level, however, its use and solution pH have shown to be important parameters, since higher PMS consumption was observed in the presence of buffered solutions at pH 7. IMD byproducts resulting from hydroxylation reactions and rupture of the imidazolidine ring were detected by mass spectrometry. At optimum conditions (0.125 g L−1 of CoFe2O4 and 500 μM of PMS), the CoFe2O4 nanoparticles exhibited an increase in the charge transfer resistance and an enhancement in the surface hydroxylation after PMS activation, which led to radical (HO● and SO4●–) and nonradical (1O2) species. The latter specie led to high levels of IMD oxidation, even in a complex water matrix, such as simulated municipal wastewater at the expense of one-order decrease in the IMD oxidation rate.

In vitro analysis of insoluble salt formation mechanism associated with Mg corrosion—variations depending on the diffusion environment in model tissue

Magnesium (Mg) alloys have attracted attention as biodegradable metals, but the details of their corrosion behavior under biological environment have not been elucidated. Previous studies have suggested that diffusion through blood flow may influence Mg corrosion. Therefore, to understand the degradation behaviors of Mg, we analyzed insoluble salt precipitation associated with Mg corrosion in model tissue with different diffusion rates. A pure Mg specimen was immersed into a model tissue prepared with cell culture medium supplemented by a thickener at a different concentration (0.2%–0.5%) to form the gel. Micro-focus x-ray computed tomography of the gel was performed to observe gas cavity formation around the specimen. The insoluble salt layer formed on the specimen surface were analyzed by scanning electron microscopy with energy-dispersive x-ray spectroscopy, and Raman spectroscopy. As results, gas cavity formation was observed for all specimens. At day 7, the gas cavity volume was the highest at 0.5% thickener gel followed by 0.3% thickener gel. The insoluble salts were classified into three types based on their morphology; plate-like, granular-like, and crater-like salts. The crater-like salts were observed to cover 16.8 ± 3.9% of the specimen surface immersed in the 0.5% thickener gel, at the specimen area contacted to the gas cavity. The crater-like salts were composed by Mg hydroxide and carbonate from the deepest to the top layer. In plate-like or granular-like salts, Mg carbonate was formed in the deepest layer, but phosphates and carbonates, mainly containing calcium not Mg, were formed on the surface layer. In conclusion, the increase in the thickener concentration increased the gas cavity volume contacting to the specimen surface, resulting in the increase in precipitation of Mg hydroxide and carbonate, composing crater-like salts. Mg hydroxide and carbonate precipitation suggests the local increase in OH− concentration, which may be attributed to the decrease in diffusion rate.

Advancing sustainable seawater disinfection: Enhanced inactivation and mechanism of pulsed UV-LEDs irradiation on Tetraselmis sp.

Ultraviolet light-emitting diodes (UV-LEDs), as a novel ultraviolet light source with flexible pulse mode, has gained significant attention for applications in water disinfection and food sterilization. This study investigated the comparative inactivation efficiency of Tetraselmis sp. with continuous and pulsed UV-LEDs irradiation, exploring different wavelengths, duty rates and pulse frequencies. The results reveal a significant enhancement in inactivation efficiency (p < 0.05) under pulsed conditions even at the same UV dose, with inactivation efficiency increasing as duty rate or pulse frequency decreases. The optimal conditions for achieving peak inactivation efficacy are identified as a duty rate of 50% and a pulse frequency of 5 Hz. Within this parameter space, pulsed irradiation leads to a remarkable 1.7-fold increase in inactivation efficiency at UV265 nm and a 1.5-fold increase at UV285 nm compared to continuous irradiation, respectively. Additionally, the disruptive impacts on photosynthetic performance are more pronounced with pulsed irradiation, particularly at the 5 Hz pulse frequency. In shed of these findings, the application of pulsed UV-LEDs irradiation emerges as a promising alternative to the conventional continuous UV disinfection methods in the area of seawater disinfection, offering higher disinfection efficacy and energy consumption.