Low Mass Research Articles

Treatment of Kienböck's Disease Using Fourth and Fifth Extensor Compartmental Artery Vascularized Bone Grafts.

This study evaluated the radiological and clinical outcomes of bone grafts using fourth and fifth extensor compartmental arteries (4+5 ECAs) for the treatment of Kienböck's disease. In total, 21 patients (12 men and 9 women; mean age, 41 years; range, 19-59 years) were followed for a mean of 33 months. Radiological images were analyzed for the Lichtman stage, carpal height ratio, radioscaphoid angle, and Stahl's index. Clinical evaluation included range of motion, visual analog scale (VAS) score, grip strength, modified Mayo wrist score (MMWS), Lichtman outcome score, and Disabilities of the Arm, Shoulder and Hand (DASH) score. At the time of surgery, 6, 14, and 1 patients had Lichtman stages II, IIIA, and IIIB, respectively. At the final follow-up visit, grip strength had improved from 65.4% to 79.7%, wrist extension had improved from 43° to 57°, and flexion had improved from 42° to 50°. There were no significant changes in the carpal height ratio, Stahl's index, or radioscaphoid angle. The mean VAS score was 1.7, and the mean DASH score was 6.9. The mean MMWS was 87.9, with excellent and good outcomes in 6 and 11 patients, respectively. Satisfactory Lichtman outcome scores were observed in 81%. Body mass index had a strong correlation and age had a weak correlation with MMWS (coefficient=-0.534, P=.013, and coefficient=-0.393, P=.078, respectively). The 4+5 ECA bone graft is effective for the treatment of Kienböck's disease in young patients with low body mass index. [Orthopedics. 202x;4x(x)xx-xx.].

Relative muscle indices and healthy reference values for sarcopenia assessment using T10 through L5 computed tomography skeletal muscle area

Sarcopenia is the age-related loss of skeletal muscle mass and function. Computed tomography (CT) assessments of sarcopenia utilize measurements of skeletal muscle cross-sectional area (SMA), radiation attenuation (SMRA), and intramuscular adipose tissue (IMAT). Unadjusted SMA is strongly correlated with both height and body mass index (BMI); therefore, SMA must be adjusted for body size to assess sarcopenic low muscle mass fairly in individuals of different heights and BMI. SMA/height (rather than SMA/height2\\documentclass[12pt]{minimal} \\usepackage{amsmath} \\usepackage{wasysym} \\usepackage{amsfonts} \\usepackage{amssymb} \\usepackage{amsbsy} \\usepackage{mathrsfs} \\usepackage{upgreek} \\setlength{\\oddsidemargin}{-69pt} \\begin{document}$$SMA/height^2$$\\end{document}) provides optimal height adjustment, and vertebra-specific relative muscle index (RMI) equations optimally adjust for both height and BMI. Since L3 measurement is not available in all CT scans, sarcopenic low muscle mass may be assessed using other levels. Both a mid-vertebral slice and an inferior slice have been used to define ‘L3 SMA’, but the effect of vertebral slice location on SMA measurements is unexplored. Healthy reference values for skeletal muscle measures at mid- and inferior vertebra slices between T10 and L5, have not yet been reported. We extracted T10 through L5 SMA, SMRA, and IMAT at a mid-vertebral and inferior slice using non-contrast-enhanced CT scans from healthy, adult kidney donor candidates between age 18 and 73. We compared paired differences in SMA between the mid-vertebral slice versus the inferior slice. We calculated the skeletal muscle gauge as SMGHT=SMRA∗SMIHT\\documentclass[12pt]{minimal} \\usepackage{amsmath} \\usepackage{wasysym} \\usepackage{amsfonts} \\usepackage{amssymb} \\usepackage{amsbsy} \\usepackage{mathrsfs} \\usepackage{upgreek} \\setlength{\\oddsidemargin}{-69pt} \\begin{document}$$SMG_{HT}=SMRA*SMI_{HT}$$\\end{document}. We used allometric analysis to find the optimal height scaling power for SMA. To enable comparisons with other published reference cohorts, we computed two height-adjusted measures; SMIHT=SMA/height\\documentclass[12pt]{minimal} \\usepackage{amsmath} \\usepackage{wasysym} \\usepackage{amsfonts} \\usepackage{amssymb} \\usepackage{amsbsy} \\usepackage{mathrsfs} \\usepackage{upgreek} \\setlength{\\oddsidemargin}{-69pt} \\begin{document}$$SMI_{HT}=SMA/height$$\\end{document} (optimal) and SMIHT2=SMA/height2\\documentclass[12pt]{minimal} \\usepackage{amsmath} \\usepackage{wasysym} \\usepackage{amsfonts} \\usepackage{amssymb} \\usepackage{amsbsy} \\usepackage{mathrsfs} \\usepackage{upgreek} \\setlength{\\oddsidemargin}{-69pt} \\begin{document}$$SMI_{HT2}=SMA/height^2$$\\end{document} (traditional). Using the young, healthy reference cohort, we utilized multiple linear regression to calculate relative muscle index z-scores (RMIHT\\documentclass[12pt]{minimal} \\usepackage{amsmath} \\usepackage{wasysym} \\usepackage{amsfonts} \\usepackage{amssymb} \\usepackage{amsbsy} \\usepackage{mathrsfs} \\usepackage{upgreek} \\setlength{\\oddsidemargin}{-69pt} \\begin{document}$$RMI_{HT}$$\\end{document}, RMIHT2\\documentclass[12pt]{minimal} \\usepackage{amsmath} \\usepackage{wasysym} \\usepackage{amsfonts} \\usepackage{amssymb} \\usepackage{amsbsy} \\usepackage{mathrsfs} \\usepackage{upgreek} \\setlength{\\oddsidemargin}{-69pt} \\begin{document}$$RMI_{HT2}$$\\end{document}), which adjust for both height and BMI, at each vertebra level. We assessed Pearson correlations of each muscle area measure versus age, height, weight, and BMI separately by sex and vertebra number. We assessed the differences in means between age 18–40 versus 20–40 as the healthy, young adult reference group. We reported means, standard deviations, and sarcopenia cutpoints (mean-2SD and 5th percentile) by sex and age group for all measures. Sex-specific allometric analysis showed that height to the power of one was the optimal adjustment for SMA in both men and women at all vertebra levels. Differences between mid-vertebra and inferior slice SMA were statistically significant at each vertebra level, except for T10 in men. SMIHT\\documentclass[12pt]{minimal} \\usepackage{amsmath} \\usepackage{wasysym} \\usepackage{amsfonts} \\usepackage{amssymb} \\usepackage{amsbsy} \\usepackage{mathrsfs} \\usepackage{upgreek} \\setlength{\\oddsidemargin}{-69pt} \\begin{document}$$SMI_{HT}$$\\end{document} was uncorrelated with height, whereas SMIHT2\\documentclass[12pt]{minimal} \\usepackage{amsmath} \\usepackage{wasysym} \\usepackage{amsfonts} \\usepackage{amssymb} \\usepackage{amsbsy} \\usepackage{mathrsfs} \\usepackage{upgreek} \\setlength{\\oddsidemargin}{-69pt} \\begin{document}$$SMI_{HT2}$$\\end{document} was negatively correlated with height at all vertebra levels. Both SMIHT\\documentclass[12pt]{minimal} \\usepackage{amsmath} \\usepackage{wasysym} \\usepackage{amsfonts} \\usepackage{amssymb} \\usepackage{amsbsy} \\usepackage{mathrsfs} \\usepackage{upgreek} \\setlength{\\oddsidemargin}{-69pt} \\begin{document}$$SMI_{HT}$$\\end{document} and SMIHT2\\documentclass[12pt]{minimal} \\usepackage{amsmath} \\usepackage{wasysym} \\usepackage{amsfonts} \\usepackage{amssymb} \\usepackage{amsbsy} \\usepackage{mathrsfs} \\usepackage{upgreek} \\setlength{\\oddsidemargin}{-69pt} \\begin{document}$$SMI_{HT2}$$\\end{document} were positively correlated with BMI at all vertebra levels. RMIHT\\documentclass[12pt]{minimal} \\usepackage{amsmath} \\usepackage{wasysym} \\usepackage{amsfonts} \\usepackage{amssymb} \\usepackage{amsbsy} \\usepackage{mathrsfs} \\usepackage{upgreek} \\setlength{\\oddsidemargin}{-69pt} \\begin{document}$$RMI_{HT}$$\\end{document} was uncorrelated with BMI, weight, and height (minimal positive correlation in women at L3inf\\documentclass[12pt]{minimal} \\usepackage{amsmath} \\usepackage{wasysym} \\usepackage{amsfonts} \\usepackage{amssymb} \\usepackage{amsbsy} \\usepackage{mathrsfs} \\usepackage{upgreek} \\setlength{\\oddsidemargin}{-69pt} \\begin{document}$$\\hbox {L3}_{inf}$$\\end{document}, L4mid\\documentclass[12pt]{minimal} \\usepackage{amsmath} \\usepackage{wasysym} \\usepackage{amsfonts} \\usepackage{amssymb} \\usepackage{amsbsy} \\usepackage{mathrsfs} \\usepackage{upgreek} \\setlength{\\oddsidemargin}{-69pt} \\begin{document}$$\\hbox {L4}_{mid}$$\\end{document}, and L5inf\\documentclass[12pt]{minimal} \\usepackage{amsmath} \\usepackage{wasysym} \\usepackage{amsfonts} \\usepackage{amssymb} \\usepackage{amsbsy} \\usepackage{mathrsfs} \\usepackage{upgreek} \\setlength{\\oddsidemargin}{-69pt} \\begin{document}$$\\hbox {L5}_{inf}$$\\end{document}) whereas RMIHT2\\documentclass[12pt]{minimal} \\usepackage{amsmath} \\usepackage{wasysym} \\usepackage{amsfonts} \\usepackage{amssymb} \\usepackage{amsbsy} \\usepackage{mathrsfs} \\usepackage{upgreek} \\setlength{\\oddsidemargin}{-69pt} \\begin{document}$$RMI_{HT2}$$\\end{document} was uncorrelated with BMI, but negatively correlated with height and weight at all levels. There were no significant differences in SMA between 18–40 versus 20–40 age groups. Healthy reference values and sarcopenic cutpoints are reported stratified by sex, vertebra level, and age group for each measure. Height to the power of one (SMA/height) is the optimal height adjustment factor for SMA at all levels between T10mid\\documentclass[12pt]{minimal} \\usepackage{amsmath} \\usepackage{wasysym} \\usepackage{amsfonts} \\usepackage{amssymb} \\usepackage{amsbsy} \\usepackage{mathrsfs} \\usepackage{upgreek} \\setlength{\\oddsidemargin}{-69pt} \\begin{document}$$\\hbox {T10}_{mid}$$\\end{document} through L5inf\\documentclass[12pt]{minimal} \\usepackage{amsmath} \\usepackage{wasysym} \\usepackage{amsfonts} \\usepackage{amssymb} \\usepackage{amsbsy} \\usepackage{mathrsfs} \\usepackage{upgreek} \\setlength{\\oddsidemargin}{-69pt} \\begin{document}$$\\hbox {L5}_{inf}$$\\end{document}. The use of SMA/height2\\documentclass[12pt]{minimal} \\usepackage{amsmath} \\usepackage{wasysym} \\usepackage{amsfonts} \\usepackage{amssymb} \\usepackage{amsbsy} \\usepackage{mathrsfs} \\usepackage{upgreek} \\setlength{\\oddsidemargin}{-69pt} \\begin{document}$$SMA/height^2$$\\end{document} should be discontinued as it retains a significant negative correlation with height and is therefore biased towards identifying sarcopenia in taller individuals. Measurement of SMA at a mid-vertebral slice is significantly different from measurement of SMA at an inferior aspect slice. Reference values should be used for the appropriate slice. We report sarcopenic healthy reference values for skeletal muscle measures at the mid-vertebral and inferior aspect slice for T10 through L5 vertebra levels. Relative muscle index (RMI) equations developed here minimize correlation with both height and BMI, producing unbiased assessments of relative muscle mass across the full range of body sizes. We recommend the use of these RMI equations in other cohorts.

ORIGIN AND AGE OF CARBON IN THE CELLULOSE OF MID-LATITUDE TREE RINGS

ABSTRACT Cellulose of tree rings is often assumed to be predominantly formed by direct assimilation of CO2 by photosynthesis and consequently can be used to reconstruct past atmospheric 14C concentrations at annual resolution. Yet little is known about the extent and the age of stored carbon from previous years used in addition to the direct assimilation in tree rings. Here, we studied 14C in earlywood and latewood cellulose of four different species (oak, pine, larch and spruce), which are commonly used for radiocarbon calibration and dating. These trees were still growing during the radiocarbon bomb peak period (1958–1972). We compared cellulose 14C measured in tree-ring subdivisions with the atmospheric 14C corresponding to the time of ring formation. We observed that cellulose 14C carried up to about 50% of the atmospheric 14C signal from the previous 1–2 years only in the earlywood of oak, whereas in conifers it was up to 20% in the earlywood and in the case of spruce also in the latewood. The bias in using the full ring of trees growing in a temperate oceanic climate to estimate atmospheric 14C concentration might be minimal considering that earlywood has a low mass contribution and that the variability in atmospheric 14C over a few years is usually less than 3‰.

Uncovering the Pathway of Serine Octamer Magic Number Cluster Formation during Electrospray Ionization: Experiments and Simulations.

Electrospray ionization (ESI) of serine (Ser) solution generates Ser8H+ as an abundant magic number cluster. ESI clustering of most other solutes yields nonspecific stoichiometries. It is unclear why Ser8H+ dominates in the case of Ser, and how Ser8H+ forms during ESI. Even the location of Ser8H+ formation is contentious (in solution, in ESI droplets, or elsewhere). Here we unravel key aspects of the l-Ser8H+ formation pathway. Harsh ion sampling conditions promote the collision-induced dissociation (CID) of regular ESI analytes. Unexpectedly, Ser8H+ was seemingly resistant against CID during ion sampling, despite its extremely low tandem mass spectrometry (MS/MS) stability. This unusual behavior reveals that Ser8H+ forms during ion sampling. We propose the following pathway: (1) Nonspecific Ser clusters are released when ESI droplets evaporate to dryness. These initial clusters cover a wide size range, from a few Ser to hundreds or thousands of monomers. (2) The clusters undergo dissociation during ion sampling, mostly via successive loss of neutral monomers. For any source activation voltage, there is a subpopulation of clusters for which this CID cascade tends to terminate at the octamer level, culminating in Ser8H+-dominated product distributions. Mobile proton molecular dynamics simulations were used to model the entire pathway. Ser8H+ structures formed in these simulations were consistent with ion mobility experiments. The most compact structures resembled the model of [Scutelnic, V. J. Am. Chem. Soc. 2018, 140, 7554-7560], with numerous intermolecular salt bridges and H-bonds. Our findings illustrate how the interplay of association and dissociation reactions across phase boundaries can culminate in magic number clusters.

Free-Standing Poly(vinyl benzoquinone)/Reduced Graphene Oxide Composite Films as a Cathode for Lithium-Ion Batteries.

Quinones with a rapid reduction-oxidation rate are promising high-capacity cathodes for lithium-ion batteries. However, the high solubility of quinone molecules in polar organic electrolytes results in low cycle stability, while their low electric conductivity causes low utilization of electrode materials. In this article, a new p-benzoquinone derivative, poly(vinyl benzoquinone) (PVBQ), is designed and synthesized, and a solution-based method of preparing free-standing PVBQ/reduced graphene oxide (RGO) composite films is developed. PVBQ has a high theoretical specific capacity (400 mA h g-1) because of its low dead moiety mass. In the produced composite films, PVBQ nanoparticles are uniformly dispersed on RGO sheets, which endows the composite films with high electric conductivity and inhibits the dissolution of PVBQ through strong adsorption. As a result, the composite films show a high active material utilization, high practical specific capacity, and excellent cycling stability. PVBQ in the composite membrane containing 60.2 wt % RGO deliver 244 mA h g-1 capacity after 200 charge-discharge cycles at a current density of 300 mA g-1. At a current density of 1500 mA g-1, the reversible specific capacity is still 170 mA h g-1. This work provides a high-performance cathode material for lithium-ion batteries, and the molecular structure and electrode structure design ideas are also instructive for developing other organic electrode materials.

Ampere-Level Hydrogen Generation via 1000 H Stable Seawater Electrolysis Catalyzed by Pt-Cluster-Loaded NiFeCo Phosphide.

Seawater electrolysis can generate carbon-neutral hydrogen but its efficiency is hindered by the low mass activity and poor stability of commercial catalysts at industrial current densities. Herein, Pt nanoclusters are loaded on nickel-iron-cobalt phosphide nanosheets, with the obtained Pt@NiFeCo-P electrocatalyst exhibiting excellent hydrogen evolution reaction (HER) activity and stability in alkaline seawater at ampere-level current densities. The catalyst delivers an ultralow HER overpotential of 19.7mV at -10mA cm-2 in seawater-simulating alkaline solutions, along with a Pt-mass activity 20.8 times higher than Pt/C under the same conditions, while dropping to 8.3mV upon a five-fold NaCl concentrated natural seawater. Remarkably, Pt@NiFeCo-P offers stable operation for over 1000 h at 1 A cm-2 in an alkaline brine electrolyte, demonstrating its potential for efficient and long-term seawater electrolysis. X-ray photoelectron spectroscopy (XPS), in situ electrochemical impedance spectroscopy (EIS), and in situ Raman studies revealed fast electron and charge transfer from the NiFeCo-P substrate to Pt nanoclusters enabled by a strong metal-support interaction, which increased the coverage of H* and accelerated water dissociation on high valent Co sites. This study represents a significant advancement in the development of efficient and stable electrocatalysts with high mass activity for sustainable hydrogen generation from seawater.

Exploring the dynamical evolution of Cepheid multiplicity in star clusters and its implications for B-star multiplicity at birth

Classical Cepheid variable stars provide a unique probe of binary evolution in intermediate-mass stars over the course of several tens to hundreds of Myr. In addition, understanding binary evolution with the inclusion of cluster dynamics is desirable for obtaining a more complete picture of these stars, especially as they play a vital role in distance determinations. We studied the binary and multiple properties of Cepheids, assuming that all mid-B stars form in binaries inside star clusters. We also estimated the birth multiplicity of mid-B stars by comparing the observed multiplicity statistics of Cepheids with models based on particular assumptions. The clusters were modelled with the code, including synthetic stellar and binary evolutionary tracks. The Cepheids were identified from their position on the Hertzsprung-Russell diagram. The dynamical cluster environment results in a higher binary fraction among the Cepheids that remain in star clusters ($ 60$<!PCT!>) than among the Cepheids which have escaped to the field ($ 35$<!PCT!>). The fraction of Cepheids in triples ($ 30$<!PCT!> and $ 10$<!PCT!> in clusters and field, respectively) follows the same trend. In clusters, the binary, triple, and multiple fraction decreases with increasing cluster mass. More massive clusters have binaries of shorter orbital periods than lower mass clusters and field Cepheids. Mergers are very common with $ 30$<!PCT!> of mid-B stars not evolving to Cepheids because of the interaction with their companion. Approximately $40$ <!PCT!> of Cepheids have merged with their companion, and the merger event impacts stellar evolution, so that $ 25$<!PCT!> of all Cepheids occur at an age by more than $40$<!PCT!> different than what would be expected from their mass and the current cluster age; the expected age of Cepheids can differ from the age of their host cluster. Our models predict that one in five Cepheids is the result of a merger between stars with mass below the lower mass limit for Cepheids; in clusters, these objects occur substantially later than expected from their mass. Approximately $10$<!PCT!> of binary Cepheids have a different companion from the zero-age main sequence (ZAMS) one, and $ 3$ to $5$<!PCT!> of all Cepheids have a compact companion ($ 0.15$ <!PCT!> of all Cepheids are accompanied by a black hole). The binary fraction derived from our simulations (42<!PCT!>) underestimates the observed binary Cepheid fraction by approximately a factor of 2. This suggests that the true multiplicity fraction of B-stars at birth could be substantially larger than unity and, thus, that mid-B stars may typically form in triple and higher order systems.

Assessing fat fraction and R2* value of lumbar spine based on MRI as a marker of bone mineral density.

The study aimed to investigate the correlation between fat fraction (FF), R2* value of vertebrae based on IDEAL-IQ sequence and bone mineral density (BMD) based on QCT, and their diagnostic value for low BMD and osteoporosis. Subgroups were divided according to different gender, age, BMI and bone mass to compare the differences in parametric variables. One-way ANOVA, independent samples t-test, correlation coefficient analysis, linear regression analysis and ROC curve analysis were performed. Significant differences were found in FF among different bone mass groups, and between different gender and age groups. While R2* only had significant difference between different gender groups and males with different age. BMD was significantly negatively correlated with FF, especially in women, and FF significantly negatively affected BMD after controlling for gender, age and BMI. There was mildly positive correlation between BMD and R2* in men, and R2* significantly positively influenced BMD controlling for the confounders. In addition, FF was positively correlated with age, whereas R2* was negatively correlated with age in men. FF had high diagnostic efficacy for low bone mass and osteoporosis, while R2* alone was weakly diagnostic. Vertebral FF can be served as a potential important imaging biomarker for assessing low BMD and osteoporosis, and R2* of males can be utilized as an complementary parameter for evaluating osteoporosis. The IDEAL-IQ sequence has the potential to be used as an accessory examination in the diagnosis of osteoporosis, assessment of treatment efficacy and prediction of fracture risk.

Fasting in critical illness: the role of ketonuria — a retrospective observational study

BackgroundMetabolic acidosis is a frequent finding in patients admitted to the intensive care unit (ICU). It can be caused by prolonged fasting due to surgical procedures or by medical conditions that lead to starvation ketoacidosis (SKA). Early recognition and treatment of SKA could prevent several life-threatening complications, improving survival and reducing the ICU length of stay.MethodsWe retrospectively screened all medical records of patients admitted to the ICU (Maggiore Hospital, Bologna, North Italy) from May 2022 to April 2023. We included patients aged 18 years or older who presented ketonuria detected in the urine sample.ResultsWe analyzed 190 patients with ketonuria at ICU admission. Postsurgical patients showed lower levels of albumin and a higher rate of shock compared to medical patients. Ketonuric patients with shock had a lower body mass index (BMI) compared to patients without shock (24 versus 26 kg/m2, respectively). There were no differences within groups regarding mortality and ICU readmission rate. Medical patients had a significantly higher ICU length of stay.ConclusionsThis retrospective observational descriptive study showed that patients with ketonuria, hypoalbuminemia, and low BMI at ICU admission have high risk of hemodynamic instability and shock. Surgical patients compared to medical patients are exposed to a catabolic trigger that could worsen a state of malnutrition and induce anabolic resistance; elective and urgent surgical patients did not differ in terms of risk of shock and mortality, probably due to the activation of this catabolic pathway. Early recognition and treatment of starvation ketoacidosis and perioperative nutritional optimization could reduce incidence of hemodynamic and metabolic complications.

Mourre Theory and Asymptotic Observables in Local Relativistic Quantum Field Theory

We prove the convergence of Araki–Haag detectors in any Haag–Kastler quantum field theory with an upper and lower mass gap. We cover the case of a single Araki–Haag detector on states of bounded energy, which are selected from the absolutely continuous part of the energy-momentum spectrum sufficiently close to the lower boundary of the multi-particle spectrum. These states essentially encompass those states in the multi-particle spectrum lying below the three-particle threshold. In our proof, we draw on insights from proofs of asymptotic completeness in quantum mechanics. Notably, we apply Mourre’s conjugate operator method for the first time within the framework of Haag–Kastler quantum field theory. Furthermore, we discuss applications of our findings for the problem of asymptotic completeness in local relativistic quantum field theory.

High-Intensity Interval Training Mitigates Sarcopenia and Suppresses the Myoblast Senescence Regulator EEF1E1.

The optimal exercise regimen for alleviating sarcopenia remains uncertain. This study aimed to investigate the efficacy of high-intensity interval training (HIIT) over moderate-intensity continuous training (MICT) in ameliorating sarcopenia. We conducted a randomized crossover trial to evaluate plasma proteomic reactions to acute HIIT (four 4-min high-intensity intervals at 70% maximal capacity alternating with 4 min at 30%) versus MICT (constant 50% maximal capacity) in inactive adults. We explored the relationship between a HIIT-specific protein relative to MICT, identified via comparative proteomic analysis, eukaryotic translation elongation factor 1 epsilon 1 (EEF1E1) and sarcopenia in a paired case-control study of elderly individuals (aged over 65). Young (3 months old) and aged (20 months old) mice were randomized to sedentary, HIIT and MICT groups (five sessions/week for 4 weeks; n = 8 for each group). Measurements included skeletal muscle index, hand grip strength, expression of atrophic markers Atrogin1 and MuRF1 and differentiation markers MyoD, myogenin and MyHC-II via western blotting. We examined the impact of EEF1E1 siRNA and recombinant protein on D-galactose-induced myoblast senescence, measuring senescence-associated β-galactosidase and markers like p21 and p53. The crossover trial, including 10 sedentary adults (32 years old, IQR 31-32) demonstrated significant alterations in the abundance of 21 plasma proteins after HIIT compared with MICT. In the paired case-control study of 84 older adults (84 years old, IQR 69-81; 52% female), EEF1E1 was significantly increased in those with sarcopenia compared to those without (14.68 [95%CI, 2.02-27.34] pg/mL, p = 0.03) and was associated with skeletal muscle index (R2 = 0.51, p < 0.001) and hand grip strength (R2 = 0.54, p < 0.001). In the preclinical study, aged mice exhibited higher EEF1E1 mRNA and protein levels in skeletal muscle compared to young mice, accompanied by a lower muscle mass and strength, increased cellular senescence and protein degradation markers and reduced muscle differentiation efficiency (all p < 0.05). HIIT reduced EEF1E1 expression and mitigated age-related muscle decline and atrophy in aged mice more effectively than MICT. Notably, EEF1E1 downregulation via siRNA significantly counteracted D-galactose-induced myoblast senescence as evidenced by reduced markers of muscle protein degradation and improved muscle differentiation efficiency (all p < 0.05). Conversely, treatments that increased EEF1E1 levels accelerated the senescence process (p < 0.05). Further exploration indicated that the decrease in EEF1E1 was associated with increased SIRT1 level and enhanced autophagy. This study highlights the potential of HIIT as a promising approach to prevent and treat sarcopenia while also highlighting EEF1E1 as a potential intervention target.

Isolated Octahedral Pt-Induced Electron Transfer to Ultralow-Content Ruthenium-Doped Spinel Co3O4 for Enhanced Acidic Overall Water Splitting.

The development of a highly active and stable oxygen evolution reaction (OER) electrocatalyst is desirable for sustainable and efficient hydrogen production via proton exchange membrane water electrolysis (PEMWE) powered by renewable electricity yet challenging. Herein, we report a robust Pt/Ru-codoped spinel cobalt oxide (PtRu-Co3O4) electrocatalyst with an ultralow precious metal loading for acidic overall water splitting. PtRu-Co3O4 exhibits excellent catalytic activity (1.63 V at 100 mA cm-2) and outstanding stability without significant performance degradation for 100 h operation. Experimental analysis and theoretical calculations indicate that Pt doping can induce electron transfer to Ru-doped Co3O4, optimize the absorption energy of oxygen intermediates, and stabilize metal-oxygen bonds, thus enhancing the catalytic performance through an adsorbate-evolving mechanism. As a consequence, the PEM electrolyzer featuring PtRu-Co3O4 catalyst with low precious metal mass loading of 0.23 mg cm-2 can drive a current density of 1.0 A cm-2 at 1.83 V, revealing great promise for the application of noniridium-based catalysts with low contents of precious metal for hydrogen production.

Updated reference values for BMD and lean mass measured by DXA in Thai children.

This study established normative references for total body less head (TBLH) BMD, lumbar spine (L1-L4) BMD, and both total and appendicular lean mass (LM) in Thai children and adolescents (aged 5-18years) using DXA. This work expands upon 2014 normative data for Thai children, which included L2-L4 BMD, total body BMD (head included), and total LM. We reanalyzed total body and lumbar spine DXA scans (Lunar Prodigy Pro, GE Healthcare; enCORE version 7.53) from 174 boys and 193 girls, using upgraded software (enCORE version 17SP2) for TBLH BMD, L1-L4 BMD, and LM analysis. The "enhanced" mode was applied for TBLH BMD and LM. Adjustments for total and appendicular LM were made relative to squared height (m2) to account for body size variability. Normative data stratified by sex and Tanner stage were generated for TBLH BMD, L1-L4 BMD, and LM indices. Weight and Tanner stage significantly determined BMD and LM. Adolescent girls exhibited higher LSBMD values due to earlier pubertal onset. Boys showed higher LM indices with more rapid gains during growth spurts. This study provides updated normative reference values for BMD (TBLH and L1-L4) and LM (total and appendicular) in Thai children and adolescents, measured via DXA. These references will enhance the assessment of low bone mass and LM deficits in Thai pediatric populations, particularly in those with chronic illnesses.

White dwarf eccentricity fluctuation and dissipation by AGB convection

Abstract Millisecond pulsars with white dwarf companions have typical eccentricities e ∼ 10−6 − 10−3. The eccentricities of helium white dwarfs are explained well by applying the fluctuation–dissipation theorem to convective eddies in their red giant progenitors. We extend this theory to more massive carbon–oxygen (CO) white dwarfs with asymptotic giant branch (AGB) progenitors. Due to the radiation pressure in AGB stars, the dominant factor in determining the remnant white dwarf’s eccentricity is the critical residual hydrogen envelope mass menv required to inflate the star to giant proportions. Using a suite of mesa stellar evolution simulations with Δmc = 10−3 M⊙ core-mass intervals, we resolved the AGB thermal pulses and found that the critical $m_{\rm env}\propto m_{\rm c}^{-6}$. The resulting eccentricity e ∼ 3 × 10−3 is almost independent of the remnant CO white dwarf’s mass mc. Nearly all of the measured eccentricities lie below this robust theoretical limit, indicating that the eccentricity is damped during the common-envelope inspiral that follows the unstable Roche-lobe overflow of the AGB star. Specifically, we focused on white dwarfs with median masses mc &amp;gt; 0.6 M⊙. These massive white dwarfs begin their inspiral with practically identical orbital periods and eccentricities, eliminating any dependence on the initial conditions. For this sub-sample, we find an empirical relation e∝P3/2 between the final period and eccentricity that is much tighter than previous studies – motivating theoretical work on the eccentricity evolution during the common envelope phase. The eccentricities of lower mass CO white dwarfs may be explained by alternative formation channels.

Influence of the air–fuel-ratio and fuel on the reactivity of diesel soot

This work deals with the influence of the variation of the air–fuel-ratio on the emissions as well as on the soot reactivity of a commercial vehicle diesel engine. The emissions and the associated soot reactivity are compared between conventional fossil diesel fuel and the regeneratively produced paraffinic diesel fuel HVO (hydrotreated vegetable oils). All investigations were carried out on a single-cylinder engine and the gaseous and particulate emissions were recorded. Additionally, the collected engine out soot samples were analyzed by thermogravimetric balance (thermogravimetric analysis = TGA) to determine the reactivity of the soot. Regardless of the set engine operating point, it was shown that the particulate mass is significantly reduced when operating with HVO compared to fossil diesel fuel. Other gaseous emissions are also minimally lower compared to fossil diesel. In contrast, however, the HVO fuel has an increased number of particles due to smaller particles. The variation of the engine operating parameters showed the same tendencies with regard to soot reactivity, regardless of the fuel used. However, the parameter variations were more or less pronounced depending on the respective fuel. It is particularly noticeable that the reactivity of soot, which is produced when using HVO, is reduced at every operating point despite the lower particulate mass compared to fossil diesel fuel.

Exploring novel Zn2SeX (X=S, Te) ternary chalcogenide: Studying the effect of chalcogen substitution on optoelectronic, and thermoelectric performance

Ternary-type semiconductor chalcogenide materials are distinguished by their outstanding thermal performance and tunable optoelectronic features. The electronic structure, optical, and transport features of novel Zn2SeX ternary (X=S, Te) semiconductors are investigated by employing the widely used density functional theory. Based on the band structure investigation, these materials were anticipated tohave a direct energy gap. The results demonstrated that direct energy losses were caused by the orbitals hybridization of S-p and the Se/Te-d in both materials. Compared to Zn2SeTe, Zn2SeS has a wider band gap at the Γ-point, meaning that electrons will have a lower effective mass and atoms possess a greater effective mass. The elements of the complex dielectric function and the significant optical properties were explored for potential use in optoelectronic applications. The unique peaks in I(ω) confirm extensive absorption in the UV range. They may be employed as very effective ultraviolet-reflecting materials based on the peaks in the reflection spectrum that have been observed. Since both materials positive Seebeck coefficient display p-type conductivity over the whole temperature range.

Financial implications of sarcopenia in colorectal cancer surgery: a cost analysis in an Australian public hospital.

Sarcopenia has a detrimental impact on patient outcomes following colorectal surgery, increasing financial strain on the healthcare system. Given the absence of specific Australian data, this study aimed to measure the cost of sarcopenia in the context of colorectal surgery in an Australian public hospital. A retrospective cost analysis, following CHEERS guidelines, was conducted on major elective colorectal cancer surgical cases at the Royal Adelaide Hospital between 2018 and 2022. The cross-sectional psoas area was measured through computed tomography (CT) imaging at the level of the third lumbar vertebrae, and sarcopenia was determined using gender-specific thresholds. Hospital billing data was used to gather costings (AU$). Out of 271 patients, 57 (21.0%) comprised the sarcopenic group (SG). SG patients were older (74 vs. 69 years, P < 0.001), had a higher American Society of Anaesthesiologists (>II, 71.9% vs. 53.7%, P = 0.014) and a lower median body mass index (24.8 vs. 28.7 kg/m2, P < 0.001). The SG exhibited a greater likelihood of complications (84.2 vs. 68.7%, P = 0.020) and prolonged hospital stay by 1 day (median 7 vs. 6 days, P = 0.027). Despite an increased mean total cost of hospital admission, no statistically significant difference was found (AU$37 712 vs. $34 845, P = 0.296). Multivariate analysis revealed hypoalbuminemia, prolonged operative time, postoperative ileus, return to theatre, Clavien-Dindo grade ≥3 complications, and prolonged stay increased overall cost (P < 0.05). Sarcopenia was not associated with a significantly increased cost of colorectal surgery in our institution. Future studies examining the cost-effectiveness of prehabilitation programmes targeting sarcopenia should be considered.

Flow characteristics and mass transfer performance of phosphoric acid extraction in a T-type central plug-in microreactor

In recent years, the demand for phosphoric acid, a key raw material for lithium iron phosphate batteries, has surged. However, current phosphoric acid extraction equipment faces challenges such as low mass transfer efficiency and difficulty in phase separation, leading to reduced production efficiency, bulky equipment, and scaling issues. To address these problems, this study introduces a T-type central plug-in microreactor (TCPM) designed to enhance mass transfer efficiency and facilitate rapid phase separation. The extraction of phosphoric acid from the water phase to the organic phase (volume ratio of tributyl phosphate to kerosene is 4:1) was chosen as the experimental system. We investigated the effects of various parameters on liquid-liquid flow and mass transfer characteristics in the TCPM. Visualization techniques identified slug and parallel flow as the primary liquid-liquid flow patterns within the TCPM. Notably, the central plug-in promotes the formation of parallel flow, improving phase separation compared to conventional T-type microreactors. The volume mass transfer coefficient of the TCPM ranges from 0.023 to 0.074 s-1, and the optimal phosphoric acid extraction efficiency and volume mass transfer coefficient can reach up to 90.5% and 0.074 s-1, respectively, outperforming conventional T-type microreactors. Predictive model for extraction efficiency was developed, showing deviations within 10%. These findings demonstrate the TCPM's potential as an efficient phosphoric acid extraction device with rapid phase separation, holding significant promise for liquid-liquid extraction applications.

Anomalously low-mass core-He-burning star in NGC 6819 as a post-common-envelope phase product

Precise masses of red giant stars enable a robust inference of their ages, but there are cases where these age estimates are very precise but also very inaccurate. Examples are core-helium-burning (CHeB) stars that have lost more mass than predicted by standard single-star evolutionary models. Members of star clusters in the database represent a unique opportunity to identify such stars because they combine exquisite asteroseismic constraints with independent age information (members of a star cluster share a similar age and chemical composition). We focus on the single metal-rich ($Z Li-rich low-mass CHeB star KIC4937011, which is a member of the open cluster NGC 6819 (turn-off mass of $ i.e. an age of $ 2.4$ Gyr). This star has a lower mass by $ than expected for its age and metallicity, which might be explained by binary interactions or mass loss along the red giant branch (RGB). To infer formation scenarios for this object, we performed a Bayesian analysis by combining the binary stellar evolutionary framework binary\_c v2.2.3 with the dynamic nested-sampling approach contained in the dynesty v2.1.1 package. We find that this star probably is the result of a common-envelope evolution (CEE) phase during the RGB stage of the primary star in which the low-mass ($&lt;0.71$ main-sequence companion does not survive. The mass of the primary star at the zero-age main sequence is in the range with a log-orbital period in the range days )$. During the CEE phase, $ of material is ejected from the system, and the final star reaches the CHeB stage after helium flashes as if it were a single star with a mass of $ which is what we observe today. Although the proposed scenario is consistent with photometric and spectroscopic observations, a quantitative comparison with detailed stellar evolution calculations is needed to quantify the systematic skewness of the radius, luminosity, and effective temperature distributions towards higher values than observations.

Composite mesh a novel innovative bridge approach for refractory pancreatic effusion - sequelae of porous diaphragm syndrome: Case series

Introduction and importanceManaging refractory pancreatic effusion due to porous diaphragm syndrome (PDS) is a challenge. Various surgical interventions such as repairing the defect, sealing with fibrin glue, performing parietal pleurectomy, and talc pleurodesis have been reported however, the use of composite mesh placement in treating PDS has not been described in the literature. Case presentationAll three male patients with a low body mass index were diagnosed with pancreatic disease as described in cases 1–3 and associated pancreatic effusion. These patients required medical treatment as an initial approach and surgical intervention in the form of decortication, sterilization of the thoracic cavity with 20 % betadine and normal saline in the ratio 1:4, followed by warm normal saline washes and composite mesh placement for PDS followed by endoscopic retrograde cholangiopancreatography (ERCP) as a pancreatic intervention after 3 weeks. Only one patient underwent sphincterotomy, while the other two patients had no abnormality on ERCP. Post-operative follow-ups at 3, 6, and 12 months were uneventful with no recurrence. Clinical discussionThe mechanism for pancreatic effusion is explained by pancreatic duct disruption followed by enzyme leak leading to pancreatic-pleural communication mediated by PDS. Various studies have described their role in treating PDS, even thoracoscopic pleurodesis requiring prolong chest tube and repeated talc slurry for better outcome. However, to address this, we performed the above procedure as a bridge approach followed by a pancreatic intervention. ConclusionThoracic intervention with composite mesh can serve as a bridge procedure before future pancreatic intervention or surgery.