Recent Period Research Articles

Circulation and Hydrography in the Northwestern Barents Sea: Insights From Recent Observations and Historical Data (1950–2022)

AbstractThe Barents Sea is one of the main pathways for warm and saline Atlantic Water (AW) entering the Arctic Ocean. It is an important region where water mass transformation and dense‐water production contribute to the Atlantic meridional overturning circulation. Here, we present data from three cruises and nine glider missions conducted between 2019 and 2022 in the northwestern Barents Sea, and compare them with historical data collected between 1950 and 2009. We present circulation pathways, hydrography and volume transports of Atlantic‐ and Arctic‐origin waters. Our observations show that 0.9 ± 0.1 Sv (1 Sv = 106 m3 s−1) of Atlantic‐origin water reaches the Polar Front (PF) region before splitting into several branches and eventually subducting beneath Polar Water (PW). The amount of Atlantic‐origin water stored in the Olga Basin north of the PF is controlled by the density difference between AW and PW, and reached a maximum in the 90s when PW was particularly fresh. In the recent period from 2019 to 2022, the inflow of AW into the Barents Sea freshened by up to 0.1 g kg−1 compared to previous decades. This led to a reduction in the production of dense water, an increased temperature gradient across the PF, and a reduced poleward transport of warm water.

REVISITING PRIBUMI – NONPRIBUMI DISCOURSES IN THE POST-SUHARTO INDONESIA

This study explores the ideological shifts surrounding the terms pribumi (native Indonesian) and nonpribumi (non-indigenous people) in the post-Suharto era (1998-2020). The data source are 173 news articles from the Indonesian press containing the term ‘pribumi.’ By employing Van Dijk’s ‘Ideological Square’ Critical Discourse Analysis (CDA) the study portrays groups in terms of dominance, inequality, difference, and victimization to understand power dynamics and ideological constructions in the language. The findings reveal that pribumi are portrayed positively as rooted in ethnic origin, cultural heritage, and mainly Muslim identity in recent periods, but also as economically disadvantaged landowners. Conversely, nonpribumi are depicted negatively as foreign, racially distinct, and economically dominant. Negative representations of pribumi as oppressors and politically dominant are de-emphasized, while positive portrayals of nonpribumi as passive victims are mitigated. The study suggests that evolving nuances stem from democratic transitions and heightened identity politics tensions. Economic perceptions linked to these terms persist across periods. These insights might help scholars and policymakers understand mobilization patterns and potential identity-related conflicts, prompting further research into using dichotomous terms within specific social and cultural contexts.

Equity in the Early Pain Management of Long Bone Fractures in Black vs White Patients: We Have Closed the Gap.

Patients with long bone fractures often present to the emergency department (ED) with severe pain and are typically treated with opioid and non-opioid analgesics. Historical data reveals racial disparities in analgesic administration, with White patients more likely to receive analgesics. With the diversifying US population, health equity is increasingly crucial. In this study we aimed to evaluate the early administration of opioid and non-opioid analgesia among Black and White patients with long bone and femur fractures in EDs over different time frames using a substantial database. We retrospectively extracted Information from 57 US healthcare organizations within the TriNetX database, encompassing 95 million patients. The ED records from 2003-2023 were subjected to propensity score matching for age and gender. We focused on four cohorts: two comprising Black and White patients diagnosed with long bone fractures, and another two with Black and White patients diagnosed solely with femur fractures. We examined analgesic administration rates over 20years (2003-2023) at five-year intervals (2003-2008; 2008-2013; 2013-2018; 2018-2023), and further analyzed the rates for the most recent two-year period (2021-2023). Disparities in analgesic administration significantly diminished over the study period. For patients with long bone fractures (1,095,052), the opioid administration gap narrowed from 6.3% to 1.1%, while non-opioid administration disparities reduced from 4.4% to 0.3%. Similar trends were noted for femur fractures (265,181). By 2021-2023, no significant differences in analgesic administration were observed between racial groups. Over the past 20years, the gap in early administration of opioid and non-opioid analgesics for Black and White patients presenting with long bone fractures or femur fractures has been disappearing.

Trends in hospital capacity and utilization in Puerto Rico by health regions, 2010–2020

Like many under resourced, island communities, most of the municipalities in Puerto Rico are medically underserved. However, there is limited information about changes in hospital capacity and any regional disparities in availability of hospital services in Puerto Rico, especially given the multiple public health emergencies the island has faced in recent years (e.g. hurricanes, earthquakes, and COVID-19). This study described the trends in hospital capacity and utilization for the Island of Puerto Rico and by health regions from 2010 to 2020. We analyzed the 2021–22 Area Health Resource File (AHRF) and aggregated the data by seven health regions, which are groupings of municipalities defined by the Puerto Rico Department of Health. Ten-year estimates for hospital utilization were adjusted for population size by health region. During the more recent five-year period, there were decreases in hospitals, hospital beds, and surgeries, which represent a shift from the earlier five-year period. Over the 10 years of the study period, there was an overall decrease in population-adjusted measures of hospital utilization on the island of Puerto Rico—despite multiple disasters that would, theoretically, increase need for health care services. We also found variation in hospital capacity and utilization by health regions indicating the rate of change was not uniform across Puerto Rico. The capacity of Puerto Rico’s hospital system has shrunk over the past decade which may pose a challenge when responding to recurrent major public health emergencies, especially within specific health regions.

Effects of climate change on the availability of non-timber forest products (NTFPs) in the Kavonge and Museve hilltop forests in Kenya

The study evaluated the effects of climate change on the availability of NTFPS in Kavonge and Museve hilltop forests in Kitui County, Kenya. The specific study objective was to assess local community perception on rainfall and temperature patterns on NTFPs availability. A sample size of 120 respondents were selected for the study using the Yamane formula. A purposive sampling method was used to select villages within 5 kilometer radius to both hilltop forests and a systematic transect line design of 1km by 1km was used to select households for data collections. Data were collected by employing structured questionnaires, key informant interviews and focus groups discussions. The data was analyzed using descriptive statistics (frequencies, percentages, bar charts), chi-square test and logistic regression. The result revealed that majority 83.0% of respondents strongly agreed that climatic conditions of the area has changed. The results submit that 96% of the respondents perceived an increase in temperature pattern during this recent period of 2018-2023 while, 100% perceived a decrease in rainfall pattern during this recent period of 2018-2023. The logistic regression model results revealed that, age, education, occupation and residency period significantly (p < 0.05) influenced community perception of climate change (rainfall and temperature) patterns on NTFPs availability in the study area. It is ascertained that the Kavonge and Museve forests edge communities still rely on the available NTFPs as a safety net when faced with unfavorable circumstances, such as crop failure due to climate change. However, it was reported that the available quantities of NTFP are declining due to climate change. I conclude that, available NTFPs will continue to decrease if stringent sustainable utilization and management measures are not implemented.

The manipulation of identity politics in Indonesian electoral democracy today: Between regulations and practices

Electoral contestation in recent Indonesian election periods is faced with the challenge of polarization linked to identity politics, where initially assigned identity is leveraged as tools for political competition. This is a qualitative research, using interviews, observations, and direct group discussion methods to collect data from five different regions in Indonesia. The research focused on the presence of governing regulations and how they develop in complex dynamics. The results showed that identity politics was prevalent in all regions due to mobilization through identity manipulation to gain electoral political advantage. Furthermore, electoral characteristics showed a growing tendency toward polarization, primarily in terms of religion and ethnicity, with some issues related to regionalism, gender, religious affiliations, and family history networks. It was also found that weak regulations on identity manipulation led to increasing permissiveness among political actors, the state, and voters. This made identity issues become natural electoral problems, despite weakening the developing democracy in Indonesia. In this context, future contests in Indonesia are expected to consistently intensify identity politics, with the lack of regulations, permissiveness, and social media serving as the main driving factors.

Efficient detection and analysis of shunt faults in electric power distribution systems (EPDS) using DCFC and EFDC algorithm: a modeling and simulation approach

ABSTRACT The electrical power distribution system (EPDS) is an essential component of the power system. Electricity and its services have risen enormously in the recent period, and the primary task of EPDS is to distribute uninterrupted electricity to the consumer. The EPDS comprises numerous intricate, unpredictable, and interlinked components that are frequently susceptible to disruption or malfunction. Faults on EPDS are intended to be appropriately recognized and categorized before being eliminated as quickly as feasible. An efficient fault recognition mechanism makes relaying operations realistic, fast, safe, and dependable. In this article, we introduce a MATLAB simulation model based on the Electrical Fault Detection and Classification (EFDC) algorithm for shunt fault analysis in the EPDS and distinguish among heterogeneous types of shunt fault based on current and voltage waveform throughout the fault. The recommended fault scrutiny and isolation framework might aid in segregating malfunctioning sections from healthy EPDS. Numerous electrical shunt faults are modeled and simulated to detect such deficient behaviors. The suggested EFDC algorithm’s efficacy, including Digital Comparative Fault Classifier (DCFC), is examined by simulating different kinds of shunt faults throughout ring-main EPDS’s source and load regions to evaluate the proposed technique’s adaptability, as well as the outcomes are promising.

Recent insights into trends of thyroid cancer incidence in Lithuanian population exposed to Chernobyl fallout early in life

In the last three decades, an increase in thyroid cancer incidence has been observed worldwide, as well as in Lithuania. Although the rise was linked to overdiagnosis, the role of lifestyle and environmental factors, including exposure to ionizing radiation, cannot be excluded. In our retrospective study, we aimed to assess the association between the average age-specific thyroid dose due to the radioactive iodine uptake during childhood and adolescence from the Chernobyl fallout in Lithuania, and the trends of incidence of thyroid cancer from 1991 to 2015 in different regions. Averaged age-dependent thyroid doses were estimated for every municipality based on radioiodine activity in milk, reconstructed from available 131I activity measurements in the grass. Thyroid cancer incidence rates were calculated for the entire population and for two age at the time of exposure groups: 0–19 years and 0–9 years. Thyroid cancer relative risk (RR) was estimated for three municipality-specific thyroid dose (for 0-year-old babies) categories: less than 100 mGy (reference group), 100–199 mGy, and ≥200 mGy. Over the study period (1991–2015), a total of 5664 cases of thyroid cancer were registered in the entire Lithuanian population; 817 cases in the age group from 0 to 19 years at the time of the Chernobyl accident, and 266 cases in the age group from 0 to 9 years. Age-standardized thyroid cancer incidence rates have notably increased since 2000, peaked in 2009 (especially in females), and then slightly decreased and stabilized. The estimated average municipality-specific age-dependent thyroid doses ranged from 270 mGy in western Lithuania to 1.5 mGy in central and northern Lithuania. For the age group of 0–19 years at the time of the accident, in the period 1991–1995, the thyroid cancer relative risk was significantly increased (RR 3.91; 95 % CI: 1.27–10.29, p=0.01) in the highest dose category, compared to the lowest (although based on a small number of cases). For the age group 0–9 years at the time of the accident, a tendency of increased RR in the highest dose category appeared in the most recent period, 2011–2015. Our observations need to be confirmed by further following trends of thyroid cancer incidence in the cohort of 0–19-year-old Lithuanians at the time of the Chernobyl accident.

The Digital Atlas of Ancient Rare Diseases (DAARD) and its relevance for current research

BackgroundThe history of rare diseases is largely unknown. Research on this topic has focused on individual cases of prominent (historical) individuals and artistic (e.g., iconographic) representations. Medical collections include large numbers of specimens that exhibit signs of rare diseases, but most of them date to relatively recent periods. However, cases of rare diseases detected in mummies and skeletal remains derived from archaeological excavations have also been recorded. Nevertheless, this direct evidence from historical and archaeological contexts is mainly absent from academic discourse and generally not consulted in medical research on rare diseases.ResultsThis desideratum is addressed by the Digital Atlas of Ancient Rare Diseases (DAARD: https://daard.dainst.org), which is an open access/open data database and web-based mapping tool that collects evidence of different rare diseases found in skeletons and mummies globally and throughout all historic and prehistoric time periods. This easily searchable database allows queries by diagnosis, the preservation level of human remains, research methodology, place of curation and publications. In this manuscript, the design and functionality of the DAARD are illustrated using examples of achondroplasia and other types of stunted growth.ConclusionsAs an open, collaborative repository for collecting, mapping and querying well-structured medical data on individuals from ancient times, the DAARD opens new avenues of research. Over time, the number of rare diseases will increase through the addition of new cases from varied backgrounds such as museum collections and archaeological excavations. Depending on the research question, phenotypic or genetic information can be retrieved, as well as information on the general occurrence of a rare disease in selected space–time intervals. Furthermore, for individuals diagnosed with a rare disease, this approach can help them to build identity and reveal an aspect of their condition they might not have been aware of. Thus, the DAARD contributes to the understanding of rare diseases from a long-term perspective and adds to the latest medical research.

A Population-based Study Investigating the Incidence of Human Papillomavirus-Associated and Human Papillomavirus-Independent Cervical Adenocarcinomas.

Cervical adenocarcinomas are now classified as human papillomavirus (HPV)-associated and HPV-independent types with the former being more common. However, population-based studies regarding the relative incidences of the 2 types are few. This study investigates the incidence of cervical adenocarcinomas in Northern Ireland (a country with a relatively stable population of ~1.8 million) over a recent 9-year period (2015-2023). Overall, there were 146 primary cervical adenocarcinomas, 130 HPV-associated (89%) and 16 HPV-independent (11%). The median age was 43 years (range: 24-82) for HPV-associated and 62.5 years (range: 31-84) for HPV-independent neoplasms; this was statistically significant (P < 0.001). The calculated age-adjusted incidence of the patients with HPV-associated and HPV-independent neoplasms was 1.68 and 0.20 per 100,000 person-years, respectively. The HPV-independent neoplasms were more often advanced stage at diagnosis; 97 of 130 (75.4%) of the HPV-associated cases were diagnosed at Stage I compared with 5 of 16 (31.3%) of the HPV-independent cases. The HPV-independent neoplasms were mostly gastric-type (56.3%) with smaller numbers of clear cells and mesonephric. Despite the relatively short follow-up, the mortality of patients with HPV-independent adenocarcinomas was significantly higher than patients with HPV-associated neoplasms (56.3% vs 5.4%) with a median survival of just over a year (13.2mo) in the former for those who died.

Central American climate extreme trends: A statistical analysis of CLIMDEX indices

AbstractPrecipitation and temperature extremes from daily data indexed using the CLIMDEX methodology were calculated over the Central American region. The data comprises the coarsened versions of the Climate Hazards and Infrared Precipitation with stations (CHIRPs) and the corresponding data set for temperature (CHIRTs) from the year 1981 to 2020 and 1983 to 2016, respectively. The objective is to detect trend patterns in extremes in recent periods, use novel statistical techniques for assessing the trend significance and study the monthly and annual trends for each of the indices. Trends of extreme temperature indices show more consistent, robust and widespread significant results according with the observed warming of the region. Significant extreme precipitation indices trends are more localized, and therefore harder to analyse, but it seems that one robust result from several indices is the trend toward more intense extreme precipitation events in Costa Rica. The findings of this work suggest possible impacts in human and environmental systems across the region.

Single-grain luminescence dating of Manas Lake paleoshorelines reveals late quaternary glacial meltwater forced lake level highstand in arid Central Asia

The spatiotemporal patterns of late Quaternary lake evolution, along with their responses to climatic changes and glacial meltwater in the westerlies-dominated Central Asia, remain unclear primarily due to the lack of well-dated records spanning across glacial and interglacial cycles. In this study, we investigated five well-preserved paleolake shoreline sequences, 15–27 m above the modern lake basin of the now-dry Manas Lake, a representative terminal lake in the Junggar Basin of arid Central Asia. Both single aliquot and single-grain K-feldspar post-infrared infrared stimulated luminescence (pIRIR) dating protocols were applied to 26 shoreline samples to reconstruct a lake level variation for Manas Lake over the past 90 kyr. The reliability of the K-feldspar pIRIR dating was tested through assessment of luminescence characteristics and comparison of single-grain and single-aliquot K-feldspar pIRIR Des. The results indicate that the highest water levels (∼25 m deep) occurred during late Marine Isotope Stage (MIS) 5 (∼80 ka) and MIS 3 (31–27 ka). A lake level 20 m above modern lake basin (a.m.l.b.) occurred from the last deglaciation to the early Holocene (14–10 ka) and again in the late Holocene (3.4–0.3 ka). The lake level changes of Manas Lake are decoupled from observed Westerlies precipitation changes over the past 90 kyr. This decoupling suggests enhanced glacial meltwater sourced from the high Tianshan Mountains, triggered by higher mean summer temperatures, worked together with Westerlies precipitation drove periods of lake level highstand in Manas Lake during late MIS 5, late MIS 3, and early Holocene periods.

Seismic characteristics of the 2022-2023 unrest episode at Taupō volcano, Aotearoa New Zealand

Taupō is a large caldera volcano located beneath a lake in the centre of the North Island of New Zealand and most recently erupted ~1800 years ago. The volcano has experienced at least 16 periods of unrest since 1872, each of which were characterised by increased seismic activity. Here we detail seismic activity during the most recent period of unrest from May 2022 to May 2023. The unrest was notable for the highest number of earthquakes detected during instrumented unrest episodes, and for one of the largest magnitude earthquakes detected beneath the lake for at least 50 years (ML 5.7). Relocated earthquakes indicate seismic activity was focused around an area hosting overlapping caldera structures and a hydrothermal system. Moment tensor inversion for the largest earthquake includes a non-negligible inflationary isotropic component. We suggest the seismic unrest was caused by the reactivation of faults due to an intrusion of magma at depth.

Genetic diversity and population structure of Pacific abalone (Haliotis discus hannai) using SNP genotyping data

The Pacific abalone Haliotis discus hannai is one of the most valuable mollusks in China. It also supports an important fishery in the northern coast of China, which has shown a declining tendency. The conservation of this species is attracting attentions under the potential threats of alien stocks and hybrid varieties disseminated in aquaculture. However, population genetics information on whole-genome level is lacking. The present study analyzed the genetic diversity, population structure, and inbreeding coefficient of nine populations collected from China and Japan using single nucleotide polymorphism (SNP) genotyping data from 214 samples. The results showed higher observed heterozygosity (Ho) than expected heterozygosity (He), and negative inbreeding coefficient (Fis) values indicating an excess of heterozygotes, and highlighting medium to high genetic diversity within the population. The genetic structures of the nine populations were categorized into three distinct subgroups. Pairwise Fst values based on all SNP loci and those for neutral markers were consistently low, indicating an overall genetic homogeneity between the populations. The distribution of runs of homozygosity (ROH) lengths suggests the potential occurrence of kinship relationships in various historical periods, including both distant and recent periods. The TreeMix and shared haplotypes suggested strong gene flow from Japanese populations of Pacific abalone to Chinese populations. These findings establish the stock status of the Pacific abalone in China, providing a basis for conservation, fishery management and utilization of the stocks in aquaculture.

On What Topics Does the Scientific Community Cooperate in Defense Economics? A Science Mapping of the First 30 Years of the Journal Defence and Peace Economics

ABSTRACT The academic journal Defence and Peace Economics, which celebrated its pearl jubilee in 2024, is acknowledged as the leading journal in defense economics, bringing together a scientific community of authors from a diverse array of countries. We conduct a bibliometric study using science mapping to analyze the evolution of author networks and research themes within the journal from 1994 to 2023. Analyzing 1069 articles, our findings reveal a growing internationalization of the journal, alongside an increasing diversification of topics. However, we observe a decrease in the rate of international co-authorship during the most recent period of our analysis, i.e. 2019-2023. The core of the publications remains focused on military spending and its interconnection with economic growth. Moreover, our analysis points to themes related to technology, innovation, and R&D in the defense industry as research opportunities.

Unravelling factors influencing demand for modern contraception and evaluating coverage progress since 2015 in Ethiopia, Kenya, and Nigeria: insights from multilevel and geostatistical modelling

IntroductionThe United Nations established the Sustainable Development Goals (SDGs) in 2015 to enhance global development. In this study, we examine an SDG indicator: the percentage of women aged 15–49 whose family planning needs are met by modern contraception (mDFPS). We evaluate both the factors influencing its coverage and its progress since 2015.MethodsWe used nationally representative surveys data (Demographic and Health Surveys (DHS) and Performance Monitoring for Action (PMA)) from Ethiopia, Kenya, and Nigeria. We assessed predictors of mDFPS. We also computed mDFPS coverage across countries and subnational areas, assessing coverage changes from the SDGs onset to the most recent period, using a Bayesian model-based geostatistical approach. We assessed whether the subnational areas exceeded the minimum recommended WHO mDFPS coverage of 75%.ResultsVaried individual and community-level determinants emerged, highlighting the countries’ uniqueness. Factors such as being part of a female-headed household, and low household wealth, lowered the odds of mDFPS, while rural-residence had low odds only in Ethiopia and Nigeria. The results indicate mDFPS stagnation in most administrative areas across the three countries. Geographic disparities persisted over time, favouring affluent regions. The predicted posterior proportion of mDFPS and exceedance probability (EP) for WHO target for Ethiopia was 39.85% (95% CI: [4.51, 83.01], EP = 0.08) in 2016 and 46.28% (95% CI: [7.15, 85.99], EP = 0.13) in 2019. In Kenya, the adjusted predicted proportion for 2014 was 30.19% (95% CI: [2.59, 80.24], EP = 0.06) and 44.16% (95%CI: [9.35, 80.24], EP = 0.13) in 2022. In Nigeria, the predicted posterior proportion of mDFPS was 17.91% (95% CI: [1.24, 61.29], EP = 0.00) in 2013, and it was 23.08% (95% CI: [1.80, 56.24], EP = 0.00) in 2018. None of the sub-national areas in Ethiopia and Nigeria exceeded the WHO target. While 9 out of 47 counties in Kenya in 2022 exceeded the WHO mDFPS target.ConclusionThe study unveils demographic, geographic, and socioeconomic mDFPS disparities, signalling progress and stagnation across administrative areas. The findings offer policymakers and governments insights into targeting interventions for enhanced mDFPS coverage. Context-specific strategies can address local needs, aiding SDG attainment.

Current Indications, Trends, and Long-Term Results of 233 Bypasses to Treat Complex Intracranial Aneurysms: A Location-Specific Analysis.

Advances in endovascular flow diverters have led to a secular shift in the management of brain aneurysms, causing debate on current bypass indications. We therefore sought to investigate the long-term results, current indications, and trends of bypasses for brain aneurysms. We retrospectively reviewed bypasses performed between 2005 and 2022 to treat brain aneurysms. Demographic, clinical, and radiological data were collected till the most recent follow-up. Aneurysm occlusion and graft patency was noted on cerebral angiogram in the immediate postoperative, 3-month, and most recent follow-up periods. Clinical outcomes (modified Rankin scores) and complications were assessed at 3 month and most recent follow-up. Trends in bypass volume and graft patency were assessed in 5-year epochs. Results were dichotomized based on aneurysm location to generate location-specific results and trends. Overall, 203 patients (mean age 50 years, 57% female patients) with 207 cerebral aneurysms were treated with 233 cerebral bypasses with a mean follow-up of 2 years. Fusiform morphology was the most common bypass indication. Aneurysm occlusion on immediate postoperative and final follow-up angiogram was 89% (184/207) and 96% (198/207), respectively. Graft patency rate in the immediate postoperative period and most recent follow-up was 95% (222/233) and 92% (215/233), respectively. Of 207 aneurysms, 5 (2%) recurred. Of 203 patients, 81% (165) patients had modified Rankin scores of 0-2 at the 3-month follow-up and 11 patients died (mortality 5%). Although there was a steady decrease in the bypass volume over the study period, the proportion of bypasses for recurrent aneurysms increased serially. Posterior circulation aneurysms had lower rates of aneurysm occlusion and significantly higher incidence of postoperative strokes and deaths (P = .0035), with basilar artery aneurysms having the worst outcomes. Bypass indications have evolved with the inception of novel flow diverters. However, they remain relevant in the cerebrovascular surgeon's armamentarium, and long-term results are excellent.

Investigation of Density factor in Urban Morphology on Micro-Climate Parameters in Cold and Dry Areas (Case Study: Tabriz City, Iran)

In recent decades, in third world countries, especially in the Middle East, the concept of urban micro-climate has undergone many changes in the process of development and construction, leading to environmental crises and the discrete structure of energy consumption in urban blocks. The urban form, the product of morphological changes in recent periods, has had significant effects on the micro-climate of the city. The city of Tabriz in the cold and dry areas of Iran has suffered from the inadequacies of the urban form and adverse effects on the micro-climate of the city as a result of unbalanced development. The main aim of research as parametric study on the interactions between urban morphology and microclimate is to investigate density metric to analysis effect amount in micro-climates. The research is analytical-descriptive and method of collecting data in the form of documents includes literature review, modeling and simulation using Envi-met software and density metric explain modes of a hypothetical in 10 scenarios and are presented in the form of two groups. The construction parts of the hypothetical areas are located in the urban area of Tabriz city, Iran. All scenarios were assumed to be in the same area configuration, where buildings are located in 25 plots of 40 m x 40 m. The result shows Investigation the average ratings obtained from microclimatic simulation of the first group of scenarios shows that by keeping FAR constant and changing BSC, one cannot expect a specific sequence of changes in microclimatic parameters in the space around the buildings but in the case of the second scenario group which is presented with constant BSC and variable FAR, there is a significant sequence in the order of the obtained ranks and the change trend in the average parameters. The results show scenario A2 with FAR 1 and BSC 40% with the lowest average value (3.5) of the total of four parameters of simulating the hottest and coldest day has achieved the best result and is introduced as the best scenario. For future researches, it is possible to propose a more focused investigation on each of the mentioned parameters. DOI: https://doi.org/10.52783/pst.544

Temporal trends in acute decompensated heart failure outcomes: A single-center 11-year retrospective analysis

BackgroundAcute Decompensated Heart Failure (ADHF) is associated with frequent hospitalizations, posing a significant health and economic burden globally. Despite advancements in heart failure management, studies delineating temporal trends in ADHF outcomes are sparse.Methods: in this retrospective analysis, ADHF patients admitted to Shamir Medical Center from 2007 to 2017 were categorized into two cohorts: early (2007–2011) and recent (2012–2017). Clinical characteristics, in-hospital interventions, and outcomes were compared. Survival analysis was performed using Kaplan-Meier methods with log-rank tests. Results8332 admitted patients were analyzed, 4366 (52.4 %) in the early period, and 3966 (47.6 %) in the recent period. In the recent cohort, ischemic heart disease decreased significantly (from 45.2 % to 34.7 %), while hypertension and smoking rates increased. Additionally, a significant increase in coronary artery bypass grafting (from 0.8 % to 3.5 %) and beta-blockers prescription (from 45.5 % to 63.4 %) post-discharge was observed. However, no substantial improvement in in-hospital mortality (8.9 % in early vs. 8.0 % in recent), 30-day (3.2 % in early vs. 3.1 % in recent), 1-year (23.3 % in early vs. 23.8 % in recent), or 5-year survival rates was noted between cohorts. A subset analysis of patients admitted to cardiology departments showed a significant reduction in in-hospital mortality in the recent cohort (12.3 % in early vs. 6.3 % in recent), yet without a corresponding long-term survival benefit. ConclusionsAdvancements in heart failure management over the 11-year study period did not demonstrate an improvement in clinical outcomes for ADHF patients, highlighting the challenge of translating advancements in the medical care of ADHF patients into long-term survival benefits.

Single grain pIRIR dating of glacigenic deposits in the Yuzhu Peak area of Kunlun Mountains of Tibetan Plateau revealed the glaciations during Holocene period

The variations of glaciers in the Kunlun Mountains of the northern Tibetan Plateau are influenced by the complex interaction of the East Asia summer monsoon (EASM), Indian summer monsoon (ISM) and Westerlies, as well as human activity during the Holocene period. Consequently there is ongoing debates regarding the evolution of glaciers and the factors driving their changes. The reconstruction of glacial evolutions in these regions has been hindered by insufficient chronological data for moraines and other glacial landforms. In this study, glacial sediment samples were collected from five moraine sequences located on the southern and northern slopes of the Yuzhu Peak in the Kunlun Mountains. These poorly bleached moraine samples were dated using the single-grain quartz optically stimulated luminescence (OSL) and K-feldspar post-infrared infrared stimulated luminescence (pIRIR) dating methods. The luminescence characteristics analysis of quartz grains shows that single grain quartz OSL dating cannot be used to date Holocene moraine samples due to the low brightness of quartz OSL signals. Various tests were conducted to assess the reliability of K-feldspar pIR50IR170 dating, including anomalous fading tests, dose recovery, and residual dose tests. The K-feldspar pIR50IR170 ages, determined using the Minimum Age Model (MAM), indicate that during the early Holocene, glaciations have expanded by ∼800 m in length at ∼ 8 ka, and during the end of the Neoglacial period, they extended by ∼200 m in length at ∼ 1 ka. The strengthened ISM precipitation and northward movement of ISM boundary likely contributed to the glacial expansion in the early Holocene. During the end of the Neoglacial period, the increase in westerlies precipitation and cold events may have played a role in the advancement of glaciers.